Occupational lead poisoning.
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Biomedical subjects
Publications and source records attributed to T J Neale.
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Forty-two of 369 athletes were found to have a positive Occultest on the first urine sample voided following athletic competition. This positive reaction could be due to the presence of either myoglobin or haemoglobin. The Occultest was most often positive in competitors in the longer duration events such as the marathon. Twenty-six of these 42 specimens with a positive Occultest contained over 10 red cells per mm3. The urine samples were also examined for white cells, casts, bacteriuria and the concentration of urea, creatinine, electrolytes and protein. Proteinuria was a frequent finding and increased with the severity of the exertion.
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Five patients in whom deterioration in renal function was associated with the use of the aldosterone antagonist, spironolactone, are reported. Care in the use of this drug is urged, especially in the elderly. Patients with known renal functional impairment should not receive this agent.
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Experience in the placement of central venous cannulae is reported. Sixty patients underwent 67 cannulations, 62 by the supraclavicular approach. The advantages of this approach were speed and reliability of placement and a low incidence of complications. A pneumothorax in an emphysematous man was the only major complication.
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