Search PubMedSearch

Biomedical subjects

T Ross

Publications and source records attributed to T Ross.

At least 19 recordsLinked to original sources

Imprisonment and tuberculosis in HIV-infected women.

The incidence of concomitant infections of tuberculosis (TB) and HIV in the same subject is on the increase, especially among inmates of jails and correctional institutions. The investigator examined the medical records of a sample of HIV-positive women prisoners for the presence of TB, and compared them to a sample of HIV-positive women who were not prisoners. Tuberculosis was found to be related to HIV-positive women prisoners (X2 (1, N = 56) = 4.62, p less than .04). The nosocomial spread of TB among HIV-positive women prisoners has an exponential potential for increase, not only to other prisoners, but to caretakers and to the overwhelmed communities to which they are released. Their infants and children are at risk for both infections. Nurses who work with HIV-positive patients, especially those with a recent prison history, drug addiction, or homelessness are at increased risk for contracting tuberculosis from their patients, often of the drug-resistant type.

Female

Rectovaginal fistula: initial experience.

Rectovaginal fistulas are not common, but the associated symptoms can be emotionally and physically disabling. The authors report their experience of 10 patients with a diagnosis of rectovaginal fistula, seen between December 1982 and July 1986. The women ranged in age from 28 to 74 years. All complained of passing feces or flatus, or both, through the vagina. In the majority of cases, fistulas were present for longer than 6 months before surgical repair. The fistulas were due mainly to trauma. Endorectal advancement flaps were used in seven patients with excellent results. Small fistulas due to obstetric trauma may heal spontaneously, so in these cases a 6-month waiting period before operation is recommended. However, fistulas due to inflammatory bowel disease will not heal spontaneously and should be repaired as soon as the patient's condition is optimal.

Adult

Ambulatory procedures in anorectal surgery.

In view of the broad spectrum of conventional and unconventional STDs in the homosexual man, the following diagnostic workup is recommended: History. Physical examination, including proctosigmoidoscopy with biopsy. Urethral, pharyngeal, and rectal cultures. Darkfield examination of any genital ulceration. Stool cultures for bacteria and parasites. Serologic analysis, including VDRL and, where indicated, for Chlamydia trachomatis and amebiasis. It is an essential part of proctologic practice for the surgeon to be able to recognize, diagnose, and treat sexually transmitted diseases.

Ambulatory Surgical Procedures

Surgical treatment of anal incontinence.

The records of 18 consecutive patients operated upon for fecal incontinence between January 1983 and March 1986 were reviewed. Anterior sphincteroplasty was performed on 11 patients with direct sphincter trauma. The results were excellent in eight, fair in two and poor in one. A postanal repair was performed on seven patients, with excellent results only in two, fair in four and poor in one. The indications for surgery and the results were assessed clinically and manometrically. A careful classification of the physiologic and anatomic derangements of the anal sphincter aids in the appropriate selection of candidates for surgical treatment. In general, anterior sphincteroplasty gives good results, whereas results of postanal repairs are less satisfactory. Manometry is of some use in providing objective measurements.

Adolescent

Oil-rich nursing.

Explore the source record for details and available documents.

Fuel Oils