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At least 145 records · Page 8Linked to original sources
PubMed1990

Patient personal injury litigation against dermatology residency programs in the United States, 1964-1988. Implications for future risk-management programs in dermatology and dermatologic surgery.

A national survey reviewing patient injury litigation against US dermatology residency programs revealed that 50% of the respondents had experienced at least one lawsuit between 1964 and 1988. The northeast region reported the most legal activity. Fifty percent of the lawsuits related to therapeutic or surgical complications. Plaintiffs were successful in 37.9% of the lawsuits. The mean award was $26,505, and the largest reported award of $200,000 was for failing to diagnose herpes simplex in an immunocompromised patient. In view of several recent trends in dermatology, the amount of litigation against dermatologists may increase.

Dermatology↗
PubMedDate not supplied

Five-year findings of the Hypertension Detection and Follow-up Program. Prevention and reversal of left ventricular hypertrophy with antihypertensive drug therapy. Hypertension Detection and Follow-up Program Cooperative Group.

The Hypertension Detection and Follow-up Program followed 10,940 hypertensive adults for 5 years. Participants were monitored with electrocardiograms (ECGs) and chest x-ray films. Changes in ECG and cardiothoracic ratio were compared between stepped car and the referred care groups. In those with tall R wave by ECG at baseline, who survived the 5-year follow-up, incidence of left ventricular hypertrophy (LVH) by ECG criteria was 4.1% in the stepped care group and 8.6% in the referred care group (p less than 0.01). In those participants with ECG evidence of tall R wave or LVH at baseline, the rate of regression toward normal was 54.3% in the stepped care group and 42.9% in the referred care group (p less than 0.01). Reversal of enlarged cardiac silhouette on chest x-ray film (cardiothoracic ratio greater than or equal to 0.5) occurred in 47% of the stepped care group and in 38% of the referred care group (p less than 0.01). These results indicate that the use of systematic antihypertensive therapy to achieve goal blood pressure reduces the incidence of LVH enlarged cardiac silhouette in adults with hypertension. In addition, it was found that antihypertensive treatment tends to reverse previous LVH or high cardiothoracic ratios toward a normal ECG and chest x-ray film pattern among hypertensive subjects. These findings are of particular importance because these indices are predictors of poor prognosis among untreated patients with hypertension.

Adult↗
PubMed1976

Program for managing chronic pain. I. Program description and characteristics of patients.

A program for the management of patients with treatment-resistant pain involves behavior modification, physical treatment, medication management, and counseling. The first 50 patients were characterized by pain of many years' duration, multiple operations, treatment failures, prolonged disability, compensation factors, and dependency on medication. In addition, they demonstrated loss of intellectual efficiency and were more psychologically deviant than the general medical population. Management problems were encountered in the following areas: patient acceptance, drug seeking, complicating psychopathology, complicating physical disorders, group dynamics, family reactions, and staff morale. Fifty-four percent of patients achieved moderate to marked improvement.

Adult↗