Observations on the survival experience of the Delaware Breast Cancer Management Program: 1984 report.
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Biomedical subjects
Publications and source records attributed to S McDermott.
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A case of severe eye irritation caused by the larvae of Oestrus ovis (the sheep nasal botfly) is reported. As this fly is widely distributed in Australia, it is possible that many cases of ocular infestation by O. ovis larvae remain undetected and the eye irritation is ascribed to other causes.
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A method of morphometric analysis of jejunal mucosa using computer-aided microscopy is described. It is based on the technique of interactive computer graphics with definition by the observer of areas and lengths for measurement, but it also includes automatic measurements based on grey-level segmentation. The analyses are performed rapidly and efficiently. The technique is applicable to the analysis of biopsy tissue from many sites.
Campylobacter jejuni was isolated on coproculture from 13 of 224 patients with suspected infectious diarrhoea whose faecal specimens were examined during a three-month period. These organisms were not isolated from 530 specimens received from asymptomatic and healthy individuals. Diarrhoea and cramping abdominal pain generally lasting two to three days were the major symptoms, though occasional patients had a more prolonged illness. Ingestion of campylobacter resulted in enteric infection with increasing numbers of campylobacter in the stool. Clinical laboratories should attempt to isolate these organisms from patients with diarrhoea.
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Mental retardation (MR) is a diagnosis that is made with extreme caution because of the many uncertainties in its etiology and prognosis. In fact, most physicians will delay the diagnosis for months or years so that substantial evidence is available to rule the diagnosis in or out. MENTOR is a Bayesian Model for the prediction of MR in newborns that provides probabilities for the full range of cognitive outcomes, ranging from MR to superior intelligence. Using the model to confirm clinical judgment could help physicians decide when to proceed with diagnostic tests. The physician and family could discuss the probabilities for MR, borderline, normal, and superior intelligence, given the child's status in infancy and base their decision about additional testing, in part, on this information.
The effectiveness of a sexual education and health promotion program for 252 women with mental retardation was analyzed using an evaluation model. We used confirmatory factor analysis (LISREL) to explain the pathways of learning and related the number of instructional contacts with the outcomes. Three factors (hygiene, social interaction, and sexual experience) affected sexual knowledge directly. An increase in sexual knowledge was directly associated with a greater number of instructional contacts. The analysis indicates that our program is effective and adds to our understanding of factors contributing to sexual knowledge for adults with mental retardation.
By establishing a quality circle and involving clients it is possible to improve many aspects of outpatient care in the multidisciplinary clinic. This article describes the ramifications of change within the multidisciplinary team and offers some suggestions for setting up similar groups in the inpatient, outpatient or community setting.
The authors discuss how a simple survey was used to elicit patients' views of an HIV/AIDS outpatient clinic, and how their results have relevance for all nurses interested in developing care and services, irrespective of the clinical setting in which they work. The main findings were that patients liked the clinic's informal atmosphere, but many were dissatisfied with its organisation and waiting times. Awareness was also raised among staff about the difficulties that patients who had jobs experienced in trying to attend the clinic.
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