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Biomedical subjects

P E Tietze

Publications and source records attributed to P E Tietze.

7 recordsLinked to original sources
PubMed1991

Journal clubs in family practice residency programs in the southeast.

The prevalence and structure of journal clubs in family medicine training programs in the southeastern United States was ascertained by a survey of directors of residency training programs and family practice residents in this region. There are journal clubs in 84% of the 74 programs included. The journal club appears to be well attended, and attendance is enhanced by faculty participation and a positive perception of the activity by the program directors. The vast majority of residents and directors agree that the journal club is a positive part of the educational program. In programs with journal clubs, participants reported reading significantly more than nonparticipants.

Adult↗
PubMed1991

Obstetric practice patterns among family practice residency graduates.

Obstetric services are a critical health care need in the southeastern United States. Until recently, many family physicians included obstetrics as a part of their practice. In recent years there has been significant attrition from the practice of obstetrics among family physicians. This survey looks at attrition among graduates of the Tuscaloosa Family Practice Residency Program and their practice patterns, as well as the reasons family physicians give for discontinuing obstetric practice. We also discuss implications for residency curricula and remedial measures at the state and national levels.

Alabama↗
PubMed1991

The roundworm, Ascaris lumbricoides.

Ascaris lumbricoides is a significant health problem. One billion people worldwide are infected. Most frequently it is seen in malnourished people residing in developing countries. Areas with modern water and waste treatment have a low incidence. The major serious sequelae associated with the parasite is intestinal obstruction, which occurs at a rate of 2 per 1000 people infected. Intestinal obstruction is fatal in 6 per 100,000 children. An estimated 20,000 people die of this infection annually. Although effective chemotherapy is available, long-term cure and ultimate eradication of this parasite requires improved sanitation and change in some cultural habits. The incidence in the United States has seemed to decrease, presumably because of improved sanitation. This problem is still encountered occasionally, necessitating familiarity with the clinical manifestations and treatment modalities. A professional explanation of this parasite and its life cycle will go far to eliminate the guilt of parents whose child has "passed a worm."

Animals↗
PubMed1991

Parasites during pregnancy.

Parasitic infection during pregnancy is common. With most parasites, primary prevention is very effective in avoiding infestation. With the exceptions of malaria, toxoplasmosis, and African trypanosomiasis, when infection does occur, treatment decisions should be based on the impact of the infection on the patient and her fetus on an individual basis. When treatment is indicated, selection of medications with the least potential to harm the mother and more particularly the developing fetus is essential.

Female↗
PubMedDate not supplied

Dermatologic manifestations of giardiasis.

We have presented a case of atopic dermatitis associated with Giardia lamblia infection, which has not been previously described. Review of the world literature shows an association between giardiasis and urticaria. Other allergic phenomena, such as angioedema and possibly arthropathy, also might be associated with this infection. When confronted with these clinical problems, giardiasis should be included in the differential diagnosis. As these complications respond to specific therapy, identification of this organism as its cause can be particularly rewarding.

Adolescent↗
PubMedDate not supplied

Digitalis toxicity.

Digitalis toxicity is a frequently encountered clinical problem. Drug interactions leading to digitalis toxicity are very common. Within this group, the interaction of digitalis and verapamil is increasingly recognized as an important cause of digitalis toxicity. The use of digoxin-binding antibodies represents a significant advance in the treatment of this problem and can be lifesaving in the setting of massive overdose. A case report of digitalis toxicity and a review of this problem and its treatment are presented.

Digitalis Glycosides↗