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Biomedical subjects

T A Gordon

Publications and source records attributed to T A Gordon.

22 records · Page 2Linked to original sources

The use of intravenous digital subtraction angiography in the evaluation of tetralogy of Fallot.

Sixteen patients with tetralogy of Fallot were studied with intravenous digital subtraction angiography (DSA). Of these, 11 were males and five were females, ranging in age from 26 months to 54 years, with a mean age of 22 years at the time of the initial study. Twenty-two DSA studies were performed in the 16 patients, in seven patients preoperatively, in 12 patients postoperatively, and in three patients both pre- and postoperatively. In the seven patients studied preoperatively, all DSA studies were considered technically adequate as corroborative evidence in the diagnosis of tetralogy of Fallot. All associated cardiac abnormalities were adequately demonstrated. The 16 postoperative studies on 12 patients were performed to evaluate the adequacy of the surgery and/or postoperative complications. These studies were judged as technically satisfactory. The authors utilized intravenous DSA in the pre- and postoperative evaluation of 16 patients with tetralogy of Fallot and found that reliable angiographic information was provided and that this technique may serve as a useful adjunct with other noninvasive and invasive tests in the preoperative and postoperative evaluation of these patients.

Adolescent↗

Pheromone-induced reproductive inhibition in young female Peromyscus leucopus.

Soiled bedding and urine from adult female white-footed mice (Peromyscus leucopus) were tested for their capacity to inhibit reproduction of young females. Test animals were given either physical or airborne contact with soiled bedding from adult females, adult female urine, clean bedding, or water from 21 to 150 days of age. Results indicate that reproductive inhibition is due to an airborne pheromone emitted by the adult females as a component of their urine. In the second experiment, young female mice were exposed to an adult female for 0, 1, 3, 6, 12, 18, or 24 h/day from 21 to 150 days of age. Results from this experiment show that exposure to adult females of as little as 3 h/day was sufficient to cause reproductive inhibition to occur. This phenomenon has important implications in terms of both female-female reproductive competition and socially mediated population regulation.

Animals↗

Should hepatic resections be performed at high-volume referral centers?

Recent studies have demonstrated the relationship between clinical outcomes of complex surgical procedures and provider volume. Hepatic resection is one such high-risk surgical procedure. The aim of this analysis was to determine whether mortality and cost of performing hepatic resection are related to surgical volume while also examining outcomes by extent of resection and diagnosis, variables seen with this procedure. Maryland discharge data were used to study surgical volume, length of stay, charges, and mortality for 606 liver resections performed at all acute-care hospitals between January 1990 and June 1996. One high-volume provider accounted for 43.6% of discharges, averaging 40.6 cases per year. In comparison, the remainder of resections were performed at 35 other hospitals, averaging 1.5 cases per year. Data were stratified into these high- and low-volume groups, and adjusted outcomes were compared. The mortality rate for all procedures in the low-volume group was 7.9% compared to 1.5% for the high-volume provider (P <0.01, relative risk = 5.2). No overall differences were observed between low- and high-volume providers in total hospital charges. When analyzing by procedure type and diagnosis, lower mortality was seen in the high-volume center for both minor and major resections, as well as resections for metastatic disease. It was concluded that hepatic resection can be performed more safely and at comparable cost at high-volume referral centers.

Black People↗