Biomedical subjects
S Silverman
Publications and source records attributed to S Silverman.
Radiographic evaluation of abdominal hernias.
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Pulmonary tuberculosis in a sulfur-crested cockatoo.
An adult, female sulfur-crested cockatoo (Kakatoe sp) was examined because of dyspnea associated with hemoptysis. On radiographic examination there was a large cystic pulmonary mass that, on aspiration, was found to contain thick sanguineous fluid. Ziehl-Neelsen staining of aspirate smears revealed numerous acid-fast organisms. Gross necropsy and microscopic findings suggested a diagnosis of tuberculosis, with primary focus of infection in the pulmonary tissues. Bacteriologic isolation and typing confirmed a diagnosis of tuberculosis and established Mycobacterium avium as the etiologic agent.
Monocyte involvement in PHA induced cytotoxicity of chicken erythrocytes in man.
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Oral cancer in 57,518 industrial workers of Gujarat, India: a prevalence and followup study.
In Gujarat, India, 57,518 industrial workers over 35 years old were examined for oral lesions. At a two-year interval, 43,654 workers were re-examined. Biopsies were taken from 13,223 lesions. In the initial examination, 29 oral cancers were diagnosed, representing a prevalence rate of 50/100,000. After two years, 22 new oral cancers were diagnosed, representing an incidence rate of 25/100,000 per year. Over 90% were squamous carcinomas, with the majority of lesions occurring in the oropharynx and tongue. All patients who developed squamous carcinomas had tobacco habits, while 85% of the entire study population had oral habits in some form. Their most common habits were smoking tobacco alone or in combination with chewing "pan"/"supari." Of the carcinomas that developed during a two-year interval, 62% appeared in previously normal appearing mucosa. Leukoplakia was the only oral lesion that proved to be precancerous, with a transformation rate of 0.13% in a two-year interval.
Malignant transformation and natural history of oral leukoplakia in 57,518 industrial workers of Gujarat, India.
In Gujarat, India, 6718 industrial workers, over 35 years of age, with oral leukoplakia (confirmed clinically and microscopically), were studied. After 2 years, 4762 (71%) of the individuals were re-examined. The buccal mucosa was the most common site of occurrence; 98.3% of these individuals had oral habits, with smoking alone or smoking in combination with "pan" or "supari" chewing accounting for 74.9% of the habit forms. Six individuals (0.13%) with oral leukoplakia developed oral carcinomas within 2 years. This incidence of malignant transformation was equivalent to 63/100,000 per year, which far exceeds that of new oral cancers expected even in high-risk populations. While 57.3% the leukoplakic lesions remained unchanged during a 2-year interval, 31.6% disappeared and 11% had an altered appearance. This study confirmed the precancerous nature of oral leukoplakia.
Self-image and its relation to denture acceptance.
A study was initiated to determine whether a relationship exists in geriatric patients between self-image and the extent of their denture acceptance. Three assessing instruments were employed, namely, a "Focused Interview," the embedded-figures test, and projective figure drawings. Scores obtained were compared with scores on the Denture-Acceptance Rating Scale. The research results derived from the data follow: 1. Comparison of the degree of denture acceptance with the scores on all three assessing instruments showed significant relationships. Therefore, the hypothesis under study was accepted. 2. The "Focused Interview" appeared particularly well suited to a geriatric population, because it was nonthreatening, provided a communication outlet, and can be readily employed by a practitioner. 3. The embedded-figures test and the projective figure drawings appeared less appropriate for this population because of factors such as psychomotor retardation, perceptual difficulties, and diminution of ego strength which accompany the aging process. 4. The men in this study appeared to accept dentures more readily than the women, manifested higher morale, and were more field-independent. 5. Employed subjects, as compared to unemployed, showed significantly greater denture acceptance, higher morale and self-image, and a greater degree of field-independence. These factors appeared related to greater flexibility of adaptation. 6. Socioeconomic factors appeared to be significantly and positively related to morale factors. 7. Complaints regarding dentures were largely of a physical nature. They appeared to relate primarily to difficulties with adjustment to the new artifact which represented an alteration of body image for the subjects. 8. The study provided corroborative evidence of the need for the dentist to make an initial assessment of those personality factors in his patients which might limit his ability to provide adequate dental services.
Spontaneous dissecting aortic aneurysm in a squirrel monkey (Saimiri sciureus).
Arteriosclerosis and a dissecting aortic aneurysm were diagnosed radiographically and confirmed at necropsy in an aged female squirrel monkey (Saimiri sciureus). The radiographic findings closely resembled the analogous syndrome in man. The dissection began in the aortic arch, extended along the media, and recommunicated with the aortic lumen at the level of the renal arteries. Arterial lesions also included medial necrosis and moderate atherosclerosis.
Proceedings: Parallel secretion of amylase, tryposinogen and chymotrypsinogen from the in vitro rabbit pancreas.
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Pneumoperitoneography in nonhuman primates.
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Coccidioidomycosis in a rhesus monkey.
Coccidioidomycosis was diagnosed after necropsy of a young adult male rhesus monkey obtained from El Paso, Tx. Clinical signs were confined to the respiratory tract and included tachypnea and dyspnea. Radiographic findings included multiple air-filled cavities and evidence of severe diffuse pulmonary disease. Pathologic changes were confined to the respiratory tract and were representative of the chronic progressive pulmonary form of coccidioidomycosis. Unique features of this case were the massive involvement of the pulmonary parenchyma, the formation of multiple miltiloculated cavities that arose from conducting airways, and the metaplastic epithelial changes within the cavities. Histologic examination revealed numerous spherules characteristic of Coccididioides immitis but an absence of mycelial forms.
Influence of inspiration and expiration on canine thoracic radiographs.
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The oral component of Sjögren's syndrome.
This study reports the results of an interdisciplinary approach to the diagnosis of Sjögren's syndrome in 100 patients. Ocular and systemic diagnoses and oral features from the history and physical examination are correlated with measurements of stimulated parotid flow rate and labial salivary gland histopathology. A new diagnostic criterion is introduced whereby labial salivary gland focus scores are used to establish the presence of the oral component of Sjögren's syndrome in place of the subjective evaluation of xerostomia. The differential diagnosis of the oral clinical features of Sjögren's syndrome and the clinical management of the oral component of this disease are discussed.
Junctional nevus of the oral mucosa. Light and electron microscopic observations.
Junctional nevi of the oral mucosa are rare and may be precancerous. A patient who had an enlarging junctional nevus of the labial mucosa with an adjacent lentigo simplex was studied by light and electron microscopy. On the basis of morphologic similarities--dentritic appearance, lack of desmonsomes, proliferative melanin production, and lack of cytoplasmic fibrils--it appears that the nevus cell most likely develops from melanocytes. The reason for the transformation from melanocyte to nevus cell or junctional nevus cell hyperplasia is unknown.
Studies on oral lichen planus. III. Clinical and histologic correlations in 213 patients.
Two hundred thirteen adults in whom oral lichen planus had been diagnosed were studied in order to compare clinical and microscopic findings. In spite of considerable variabilities in both aspects, there was clinical and histologic agreement in 96 per cent. Alertness on the part of the clinician and pathologist is essential for diagnosis of atypical cases.
Survey of joint mobility and in vivo skin elasticity in London schoolchildren.
A survey of joint mobility was conducted in 295 healthy children between the ages of 5 and 10 years who attended a London primary school. Estimates of the commonly used measurements, that is passive dorsiflexion of the wirsts and ankles, passive hypertension of the elbows and knee, were too insensitive to detect any age effect. However, a method of estimating extensibility of the 5th metacarpophalangeal joint in response to a standard load detected a highly significant inverse correlation between joint mobility and age in the samples significant inverse correlation between joint mobility and age in the samples tested ( r = -0.586; P less than 0.0001). There was no apparement sex difference. Skinfold thickness using the Harpenden caliper over the 3rd metacarpal bone and the in vivo skin elasticity measured using a suction cup device performed on a sample of 78 of the children revealed no influence of either age or sex on these parameters. This is in sharp contradistinction to the effect of both age and sex in these two parameters in adults...
Oral cancer and precancerous lesions in 57,518 industrial workers of Gujarat, India.
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