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Biomedical subjects

R D Lewis

Publications and source records attributed to R D Lewis.

87 records · Page 5Linked to original sources
PubMed1977

Role of simple mastectomy in treating patients with breast cancer.

From 1945 to 1971, 473 patients had simple mastectomies as the primary treatment for their breast cancer (421 had either a simple mastectomy alone [26%], a simple mastectomy followed by postoperative radiation therapy [64%], or preoperative irradiation followed by simple mastectomy [10%]). More than one half of these patients were "inoperable" by standard surgical criteria. The local recurrence rate was 24%, which compares favorably with the reported 48% local recurrence rate for "inoperable" patients treated by radical mastectomy. These recurrences were on the chest wall in two thirds of the patients and in the regional lymph nodes of the other third. No statistical differences in survival or recurrence rate could be correlated with the site of the primary cancers in the breasts or among the three treatment groups.

Breast Neoplasms↗
PubMedDate not supplied

Investigation of bites and itching in a word processing department.

This study investigated arthropod and nonarthropod sources of reported bites and itching in a word processing division of a St. Louis, Mo., municipal department. Bird and rodent mites were suspected as causes of the bites because of the large population of pigeons around window ledges on some floors and the sighting of mice in the office. No mites or other arthropods were found to be responsible for the problem. Air samples were negative for fiber glass. Surface-vacuum samples collected around desks contained small quantities or traces of fiber glass or mineral wool. Humidity in the occupied space was considered low, about 35% relative humidity, with carbon dioxide measurements exceeding 1000 ppm. A single cause of the bites was not identified; however, a combination of surface-borne dust on desk tops and floors, the presence of minute quantities of mineral wool and fiber glass, relatively dry conditions, little or no outdoor air supplied to the work space, evidence of seasonally associated high work load, labor/management strife, and the presence of over 17 computers being used on a 24-hour basis (possibly leading to high levels of static electricity) were suspected as multiple causes of most of the "bites." After removal of loose mineral wool and dirt from an air handling unit and implementation of an aggressive cleaning routine, no more bites or itching were reported after a 6-month, 1- and 2-year follow-up period. Further research is needed to determine the relative importance of surface-borne dust and fibers, work stress, psychosocial support, and static electric fields, to produce bite-like sensations.

Adult↗
PubMedDate not supplied

Breaking diet mentality.

Commercial diet programs, although numerous throughout the United States, are having little impact on the ever-growing overweight population. Dietitians and clinicians working with overweight clients should focus intervention strategies on the concept of replacing the "diet mentality" with a total life-style approach to weight management through improved eating behavior and regular physical activity.

Diet↗