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Biomedical subjects

R D Weber

Publications and source records attributed to R D Weber.

At least 73 records · Page 4Linked to original sources
PubMed1990

Attorney/physician. Guidelines for inter-professional conduct.

It has come to our attention that many attorneys are causing record copy companies to subpoena medical records without attaching an authorization or consent signed by the patient. This is unacceptable. Physicians should never honor a third-party request or subpoena for records without a properly executed authorization signed by the patient. The power of a subpoena should never be used to put a physician in the position of violating patient confidentiality through lack of understanding or intimidation. The attorney should be responsible to see that a proper authorization is submitted with the records request or subpoena. A physician who receives a records request or subpoena without such an authorization should immediately communicate refusal to comply and the reason to the initiating attorney. The medical and legal professions have established an attorney/physician code covering this and related issues. The code is set forth verbatim.

Expert Testimony↗
PubMed1990

National Practitioner Data Bank.

The Health Care Quality Improvement Act of 1986 authorized the Department of Health and Human Services to establish a National Practitioner Data Bank to collect and release certain information relating to the professional competence and conduct of physicians, dentists and other health care practitioners. After a lengthy delay, the federal agency, on October 17, 1989, released detailed rules and regulations regarding reporting, disclosure and other requirements for the Data Bank. The following sets forth questions and answers covering significant aspects of the complex regulations.

Clinical Competence↗
PubMed1989

Energy is required for maximal adherence of Neisseria gonorrhoeae to phagocytic and nonphagocytic cells.

The possibility that gonococcal energy might play a role in the interaction of Neisseria gonorrhoeae with both phagocytic and nonphagocytic cells was examined. Respiratory chain inhibitors including KCN and amobarbital resulted in reduction in gonococcal association with human neutrophils. Similar results were seen with HeLa cells and the human promyelocytic (HL-60) cell line. Identical conditions did not affect the opsonin-dependent association of Staphylococcus aureus with the same cell types. New protein synthesis by gonococci did not account for the observed reduction in association. These results suggest that energy is needed for maximal opsonin-independent association of gonococci with mammalian cells.

Aerobiosis↗
PubMed1988

Systemic mastocytosis associated with membranous nephropathy and peripheral neuropathy.

A report of the occurrence of membranous nephropathy and peripheral neuropathy in a patient with systemic mastocytosis is presented. Previous reviews of patients with systemic mastocytosis have not noted this association. During cyclical therapy with prednisone and chlorambucil in this case, nephrotic-range proteinuria remitted. Peripheral neuropathy resolved 10 months after discontinuation of therapy. Pathophysiological mechanisms resulting in this clinical presentation may be immunologically mediated.

Demyelinating Diseases↗