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Biomedical subjects

R Rozin

Publications and source records attributed to R Rozin.

At least 37 records · Page 2Linked to original sources
PubMed1983

The needs and unique problems facing spinal cord injured persons after limb amputation.

Among hundreds of spinal cord injured patients (SCIP) who have been rehabilitated in the Sir Ludwig Guttmann Spinal Cord Injury Unit at the Sheba Medical Centre, Tel Hashomer; we only found six patients who had lost one or more limbs (upper or lower limbs). Although many plastic and orthopaedic surgeons regard paralytic limbs as useless appendages, we cannot agree with this erroneous viewpoint and we find that the clinical and psychological effects of the absence of limb(s) are tremendous. The six case reports are given together with a brief review of the relevant literature.

Adult↗
PubMed1983

Systemic humoral factors participating in the course of spinal cord injury.

Systemic humoral factors have been studied in traumatic, chronic and acute spinal cord injured patients. Antibodies specific to nervous system autoantigens were detected in a majority of the sera obtained from these patients, at different periods after injury. Limited in vitro sprouting of dorsal root ganglia in chicken embryos was observed in the presence of serum from these patients. The possible association between growth inhibiting factors and the presence of antibodies against nervous tissue autoantigens is discussed.

Adolescent↗
PubMed1983

Peculiar septic responses in traumatic tetraplegic patients.

Patients with a high level tetraplegia from a spinal injury have only been able to survive the critical initial period since the development of modern resuscitation techniques including artificial respiration. However, their lives are still threatened by many complications, such as decubitis ulcers, infections and respiratory failure. We describe four young tetraplegic patients who developed an unusual sepsis pattern several years after the injury. The sepsis was accompanied by hypothermia, leukopenia and mental deterioration. This peculiar 'silent' sepsis may also occur in elderly people who are not paralysed. The question arises, therefore, if the chronic spinal cord injured patient may become 'prematurely aged'.

Adult↗
PubMed1982

The management of breast carcinoma in pregnancy and lactation.

Until recent years, the prognosis for breast cancer in pregnancy and lactation was regarded as grave. The current new data suggest that pregnant women with early breast carcinoma may be treated in the same way as nonpregnant women without affecting pregnancy. However, women with breast cancer in their first trimester of pregnancy and in whom axillary lymph nodes are involved, should receive chemotherapy and have their pregnancy terminated. Toward the end of pregnancy, adjuvant therapy, when needed, can be delayed until after delivery. In patients with advanced disease pregnancy should be terminated and subsequent treatment initiated. During lactation, diagnosis of breast carcinoma requires suppression of lactation by means other than estrogens. The carcinoma will be treated by standard methods. After radical mastectomy for breast cancer, subsequent pregnancies are allowed but should be delayed until the period of greatest risk has passed.

Abortion, Therapeutic↗
PubMed1982

The social aspects of the treatment of spinal cord injured patients in Israel.

The paper presents the rehabilitation framework of spinal cord injured patients in the Sir Ludwig Guttman Centre in Israel. The social worker's special role in our centre is described, from the beginning of his work just after the patient's admission. A trusting relationship is established between the patient and the social worker throughout hospitalisation and subsequently. The social worker also deals with the special needs of the patient's family, providing emotional support and information on legal rights, etc. We present the specific social structure of Israel in relation to the rehabilitation of the disabled as well as the different official agencies providing services for them. There are considerable differences between the benefits provided by the various agencies for the needs of the spinal-cord injured. As the needs of the injured are the same, irrespective of the cause of injury, the task of the social worker is, therefore, extremely difficult.

Adult↗
PubMed1982

Vocational rehabilitation of multiple sclerosis (MS) patients. I. Analysis of clinical and demographic factors.

The vocational status of 299 multiple sclerosis (MS) patients in Israel, aged 17 to 50 years, was examined. This represents 30 per cent of the MS patients in Israel. It was found that 58 per cent of the patients continued working. Of the remaining 42 per cent, 24 per cent were severely disabled, but 18 per cent had working potential. A comparison was made between patients located up to 1971, and those located between 1971 and 1974. The latter series benefited from earlier follow-up, yielding a population with more recent onset of the illness. They were also younger, and differed from the first series in a number of other social and demographic aspects. The shorter duration and younger age of onset did not affect the percentage working, but did provide a higher percentage with working potential. Higher educational level was associated with continuation of work. Neither type of occupation nor work history had influence in this regard. The severity of the disease, and of some aspects in particular, had a deleterious influence.

Adult↗
PubMed1980

Misdiagnosis of spinal cord injuries--the physiatrist's point of view.

Thirteen different patients involving spinal cord pathology with delayed or false diagnosis are presented and these diagnostic pitfalls are discussed. Many seemingly simple explanations for para or quadriplegia are suddenly quite complex upon scrutiny. The problem of proper diagnosis is capital in instituting proper therapy, advising the patient and his family, and unfortunately in today's medical climate, for medical legal reasons.

Adult↗
PubMed1978

Shoulder complications as a cause of delay in rehabilitation of spinal cord injured patients. (Case reports and review of the literature).

We describe ten patients with spinal cord disease or injury who developed upper extremity and shoulder complications during rehabilitation. These shoulder complications caused delay in rehabilitation. We discuss the aetiology, treatment and management of shoulder complications in spinal patients and in patients with other neurological diseases.

Adult↗
PubMed1978

Sexual function, pregnancy and delivery in spinal cord injured women.

Complete spinal cord injury results in abolition of motor, sensory and autonomic functions. Among the autonomic functions, the sexual system is seriously disturbed. The spinal cord injury with its many complications offers a challenge to the rehabilitation team, and the sexual problem is one of its most important aspects. For the female paraplegic, rehabilitation of sexual functions is an essential part in the building of a positive new self-image. In this review, we try to summarize the gynecological and obstetrical aspects of spinal cord injured women. Although the innervation of the reproductive system is damaged, this system continues to function and the menstrual cycle resumes its normal course after a while. Ovulation takes place regularly and pregnancy is possible. Today the general opinion is that the pregnant paralyzed woman can deliver vaginally and not by cesarean section as was believed before. We emphasize the importance of special medical care before, during and after delivery. The cooperation between physiatrist and gynecologist is mandatory.

Autonomic Nervous System↗
PubMed1978

Orthostatic hypotension in amputees and subjects with spinal cord injuries.

Orthostatic examinations were performed with a tilt table on 64 male volunteers, of whom 21 had sustained amputation of one or both lower limbs and 23 were paraplegic due to spinal cord injuries (SCI), with 20 healthy subjects as controls. Following tilting, signs and symptoms of fainting appeared in five of the SCI subjects, four of whom had spinal injuries above the level of D5. These phenomena appeared in only two of the controls and in none of the amputees. The mean systolic and diastolic blood pressures of the amputees at rest and standing were higher than those recorded in the other two groups. The mean pulse pressures were lower in the amputees than in the other two groups. The changes in the systolic, diastolic, and pulse pressures were more profound in those subjects with high spinal cord injuries than in subjects with lower cord injuries. ECG changes and fainting were more frequent among the SCI subjects than in the other two groups.

Adult↗