Re: Hypocomplementemic urticarial vasculitis in a patient with chronic obstructive pulmonary disease and pulmonary silicosis.
Explore the source record for details and available documents.
Humans↗
Biomedical subjects
M Stevens
Publications and source records attributed to M Stevens.
Community care. Community? What community is that?
Explore the source record for details and available documents.
Adult↗
First metatarsocuneiform joint arthrodesis: a five-year retrospective analysis.
Historically, first metatarsocuneiform joint arthrodesis has been advocated for severe metatarsus primus adductus deformity and as a salvage procedure in reconstructive forefoot surgery. At the Podiatry Hospital of Pittsburgh, the authors have expanded the use of this procedure to include elimination of excessive motion at the first metatarsocuneiform joint and to restore functional integrity to the first ray in an otherwise poorly functioning foot. First metatarsocuneiform arthrodesis has had poor acceptance by podiatric surgeons. Common reasons for this poor acceptance are technical difficulty associated with the procedure and often-cited complications such as shortening of the first ray, with symptomatic transfer lesions, as well as nonunion of the arthrodesis site. The authors evaluated 54 procedures. Results of first metatarsocuneiform joint arthrodesis for long-term reduction of the intermetatarsal angle and for limiting abnormal motion at this joint have been very good. Few complications were encountered. Shortening of the first metatarsal with secondary transfer lesions was not found to be a common problem. Several radiographic nonunions occurred, none of which were symptomatic. The surgical procedure, as it is performed at the Podiatry Hospital of Pittsburgh, is described. Results from a 5-year retrospective analysis of first metatarsocuneiform arthrodesis are presented.
Adolescent↗
Costs and problems of finding women exposed to a hazardous drug.
We recorded the costs of identifying, tracing, and contacting women who had taken diethylstilbestrol (DES) during pregnancy. Among 6,143 women who delivered a live birth between 1940 and 1960 at this medical center there were 271 who were DES exposed. An additional 271 unexposed women were selected as a comparison group for a study of the late effects of DES. The costs of locating the women were initially low but rose steeply as progressively more complicated tracing methods were used. Geographic mobility, changes in marital status, and the scanty identifying information recorded in women's medical records complicated the search and added to the costs. Tracing would be easier and less expensive if standard identifying information, including maiden name, social security number, and date of birth, were included in the medical records for all women.
Diethylstilbestrol↗
Drug use prevalence in a rural school-age population: the New Hampshire survey.
Pre-adolescent and adolescent drug use is a major public health concern in the United States. Although we have good prevalence data on some adolescents, we have little information on pre-adolescents, young adolescents, and rural children. We conducted a survey of 4,406 children in grades 4-12 in rural New Hampshire in 1990. Students completed annual self-report surveys on demographic characteristics, drug use, and psychosocial risk factors. These children are initiating drug use in elementary school. Alcohol is the preferred drug for both genders at all grade levels, followed by cigarettes, marijuana, and spitting tobacco. Current use of these drugs escalates in the sixth through ninth grades. Lifetime prevalence and 30-day prevalence increase slowly through high school. Most children who are going to use drugs have begun by the tenth grade. In this rural state, children's drug preferences are similar to those of other pre-adolescents and adolescents. Rural students have equal, and in some cases higher, lifetime and current use prevalence of alcohol, marijuana, and tobacco in comparison with national samples.
Adolescent↗
Acarosan and the Acarex test in the control of house dust mite allergens in the home.
House dust mites are believed to be major triggers for allergic disease in atopic individuals. As part of a programme controlling dietary and aero-allergen exposure in high-risk infants, an acaricidal foam and powder (Acarosan) was applied to bedroom and main living room carpets, as well as upholstered furniture, on four occasions in the first year of life. Dust was assayed for mite antigen (Der p1) and these results compared with the semi-quantitative assay of guanine content (Acarex Test). After nine months mean Der p1 levels had decreased by 70% in the treatment group. Proportionally, the greatest fall occurred in those items that had the highest initial mite antigen content. The Acarex score does show a correlation with Der p1 levels, but cannot replace antigen assay when accurate data is required. A chemical acaricide may help reduce house dust mite antigen levels, but is not by itself sufficient to reduce levels below that considered critical for sensitisation.
Allergens↗