{"title":"Pregnancy and pulmonary arterio-venous fistula.","authors":"A J Swinburne","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":19243,"journal":{"name":"New York state journal of medicine","volume":"92 12","pages":"515-6"},"PeriodicalIF":0.0,"publicationDate":"1992-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12654065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Memories of an internship in 1943.","authors":"L Spielberger","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":19243,"journal":{"name":"New York state journal of medicine","volume":"92 12","pages":"559"},"PeriodicalIF":0.0,"publicationDate":"1992-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12653961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A clinical field survey of 36 workers employed in the manufacturing of leaded products used in radiologic safety was conducted. Although the principal source of lead exposure was limited to an area where two individuals mixed lead oxide and vinyl liquid, increased lead absorption was found in other workers employed in adjacent areas. The mean lead concentration of the plant workers was 29.3 micrograms/dL (SD +/- 9.0), and four workers had blood lead levels of 40 micrograms/dL or higher. A statistically significant correlation was noted between blood lead and serum creatinine; linear regression analysis demonstrated that cigarette smoking was a significant factor in predicting the blood lead level. The exposure encountered in this plant may be typical of lead exposure in many similar industrial settings. It calls attention to the risk of excessive exposure among workers who are not working at the primary source of exposure, and should be considered in the design of medical surveillance programs for workers employed in small manufacturing plants.
{"title":"Low level and bystander exposure to lead among factory workers.","authors":"A Fischbein, C Campbell, J C Luo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A clinical field survey of 36 workers employed in the manufacturing of leaded products used in radiologic safety was conducted. Although the principal source of lead exposure was limited to an area where two individuals mixed lead oxide and vinyl liquid, increased lead absorption was found in other workers employed in adjacent areas. The mean lead concentration of the plant workers was 29.3 micrograms/dL (SD +/- 9.0), and four workers had blood lead levels of 40 micrograms/dL or higher. A statistically significant correlation was noted between blood lead and serum creatinine; linear regression analysis demonstrated that cigarette smoking was a significant factor in predicting the blood lead level. The exposure encountered in this plant may be typical of lead exposure in many similar industrial settings. It calls attention to the risk of excessive exposure among workers who are not working at the primary source of exposure, and should be considered in the design of medical surveillance programs for workers employed in small manufacturing plants.</p>","PeriodicalId":19243,"journal":{"name":"New York state journal of medicine","volume":"92 12","pages":"525-8"},"PeriodicalIF":0.0,"publicationDate":"1992-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12654069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Occult breast cancer. A case report and review of the literature.","authors":"L Fortunato, J J Sorrento, R A Golub, R Cantu","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":19243,"journal":{"name":"New York state journal of medicine","volume":"92 12","pages":"555-7"},"PeriodicalIF":0.0,"publicationDate":"1992-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12653959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"W. Somerset Maugham, Capgras syndrome, and aging.","authors":"J M Schneck","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":19243,"journal":{"name":"New York state journal of medicine","volume":"92 12","pages":"547-50"},"PeriodicalIF":0.0,"publicationDate":"1992-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12653955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Osler-Weber-Rendu disease. Diagnosis and management of spontaneous hemothorax during pregnancy.","authors":"F A Bevelaqua, S A Ordorica, R Lefleur, B Young","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":19243,"journal":{"name":"New York state journal of medicine","volume":"92 12","pages":"551-2"},"PeriodicalIF":0.0,"publicationDate":"1992-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12653956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The purpose of this study was to assess the complications of laparoscopic cholecystectomy among geriatric patients in New York State who receive their medical care under the Federal Medicare Program. A 20% random sample survey (304 patients) of the 1,520 patients who underwent laparoscopic cholecystectomy between January 1, 1990, and June 30, 1991, was selected. Coded ICD-9 diagnoses and procedures were carefully reviewed for these patients. In some patients with complications, the medical charts were reviewed by a medical epidemiologist and a surgeon to more fully elucidate the reported complications. The patients in this study were randomly selected from public, proprietary, voluntary, and teaching hospitals. Seventy-two complications (23.68% of the 304 patients) were identified in 48 patients (15.78% of the 304 patients). Of these complications, 27 (8.88%) were surgical, and 43 (14.14%) were medical in character. There were two deaths (0.66% of the 304 patients). Individual chart review of 32 of the 48 cases with complications revealed physician-related surgical quality-of-care problems which directly contributed to complications in 10 patients (31.25%). The overall complication rate of 23.68% found in this study represents one of the highest so far reported among published studies of laparoscopic cholecystectomy. The results of this study indicate a significant level of morbidity when laparoscopic cholecystectomy is performed on a geriatric population group. Although age-associated risk factors contributed to this high complication rate, so too did errors of surgical judgment and technique.(ABSTRACT TRUNCATED AT 250 WORDS)
{"title":"Complications of laparoscopic cholecystectomy in a geriatric population group.","authors":"R P Nenner, P J Imperato, C M Alcorn","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this study was to assess the complications of laparoscopic cholecystectomy among geriatric patients in New York State who receive their medical care under the Federal Medicare Program. A 20% random sample survey (304 patients) of the 1,520 patients who underwent laparoscopic cholecystectomy between January 1, 1990, and June 30, 1991, was selected. Coded ICD-9 diagnoses and procedures were carefully reviewed for these patients. In some patients with complications, the medical charts were reviewed by a medical epidemiologist and a surgeon to more fully elucidate the reported complications. The patients in this study were randomly selected from public, proprietary, voluntary, and teaching hospitals. Seventy-two complications (23.68% of the 304 patients) were identified in 48 patients (15.78% of the 304 patients). Of these complications, 27 (8.88%) were surgical, and 43 (14.14%) were medical in character. There were two deaths (0.66% of the 304 patients). Individual chart review of 32 of the 48 cases with complications revealed physician-related surgical quality-of-care problems which directly contributed to complications in 10 patients (31.25%). The overall complication rate of 23.68% found in this study represents one of the highest so far reported among published studies of laparoscopic cholecystectomy. The results of this study indicate a significant level of morbidity when laparoscopic cholecystectomy is performed on a geriatric population group. Although age-associated risk factors contributed to this high complication rate, so too did errors of surgical judgment and technique.(ABSTRACT TRUNCATED AT 250 WORDS)</p>","PeriodicalId":19243,"journal":{"name":"New York state journal of medicine","volume":"92 12","pages":"518-20"},"PeriodicalIF":0.0,"publicationDate":"1992-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12654067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A history of Jewish attitudes toward nursing.","authors":"L Sokoloff","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":19243,"journal":{"name":"New York state journal of medicine","volume":"92 12","pages":"529-36"},"PeriodicalIF":0.0,"publicationDate":"1992-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12654070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hyperlipidemia in monoclonal gammopathy.","authors":"Z Ansari","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":19243,"journal":{"name":"New York state journal of medicine","volume":"92 11","pages":"496-7"},"PeriodicalIF":0.0,"publicationDate":"1992-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12657483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Primary sarcomas of the breast in women under 20 years of age.","authors":"A R Luna Vega, J T Vetto, D W Kinne","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":19243,"journal":{"name":"New York state journal of medicine","volume":"92 11","pages":"497-8"},"PeriodicalIF":0.0,"publicationDate":"1992-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12511078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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