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Biomedical subjects

R L Montgomery

Publications and source records attributed to R L Montgomery.

41 records · Page 3Linked to original sources

Pathologic effects of antimetabolites on the hippocampus of diet controlled mice.

Marked histological changes are observed in the hippocampi of mice maintained on a niacin deficient diet following a single injection of 3-acetylpyridine (antimetabolite of nicatinamide). Extensive neuronal damage occurs in areas H2, H3 and to a lesser degree in the dentate gyrus. The neurons appear to be shrunken, deeply basophilic and exhibit a loss of intracellular architecture. The neuronal response in pyridoxine deficient mice treated with 4-methoxypyridoxine (antimetabolite of pyridoxine) is not remarkable.

Animals↗

Is the grass greener? Physician billing under Canadian Medicare.

With the US healthcare system currently in a transitional state, medical group administrators here are becoming more curious about the way that the healthcare systems of other countries work. The experience of the Haig Clinic, a medium-sized multi-specialty family practice, is offered as a representative example of the Canadian Medicare system in the province of Alberta. Nearly one-half of all claims are now received by Alberta Medicare in EDP magnetic tape form, and total turnaround time is approximately two weeks for "clean" claims. Thanks to the dedicated efforts of man Alberta health professionals, it is an efficient system of billing, merging the world of Medicare with the world of electronic data processing.

Alberta↗

Vaginal birth after cesarean: a 5-year experience in a family practice residency program.

BACKGROUND: The national health objective for the year 2000 is to have an overall Cesarean section rate of 15 percent, a primary Cesarean section rate of 12 percent, and a vaginal birth after Cesarean (VBAC) rate of 35 percent. The current national statistics for the most recent year available, 1991, are 23.5 percent, 17 percent, and 24.2 percent, respectively. This study evaluates a VBAC program at a community-hospital-based family practice residency program. METHODS: This study was a retrospective chart review of 996 family practice service deliveries from 1988 to 1992. RESULTS: Of the 98 patients who had a previous Cesarean section, 87 patients (89 percent) were eligible for a trial of labor. Fifty-six patients (64 percent) accepted a trial of labor and 31 patients (36 percent) refused. The overall Cesarean section rate was 15 percent, the primary Cesarean section rate was 11 percent, the VBAC rate was 44 percent, and the successful VBAC rate was 77 percent. CONCLUSION: We report a successful VBAC program at a community-hospital-based family practice residency program.

Adolescent↗