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Biomedical subjects

A J Finestone

Publications and source records attributed to A J Finestone.

At least 19 recordsLinked to original sources

Acute facial paralysis: is it a stroke--or something else?

Acute facial paralysis, particularly when it occurs in older patients with diabetes and/or hypertension, can raise the specter of "stroke." A careful history and clinical examination, however, may establish the diagnosis of Bell's palsy, and this is usually possible without expensive additional testing.

Acute Disease↗

Considering AIDS in the elderly.

While physicians have been inundated with information about AIDS, they may overlook the possibility of the disease in the elderly, where occurrence is not common. But, as the author points out in the following case study, elderly patients can have the same risk factors for AIDS as younger patients.

Acquired Immunodeficiency Syndrome↗

Infectious mononucleosis in older adults.

Infectious mononucleosis as a manifestation of primary Epstein-Barr virus infection occurs uncommonly in adults over age 40. While fever is almost universal, older patients with the disease often present without lymphadenopathy, pharyngitis, splenomegaly, lymphocytosis or atypical lymphocytes. Jaundice and hepatomegaly occur more commonly in older patients than in adolescents and create diagnostic confusion. Often, infectious mononucleosis in this age group is confused with lymphoma, leukemia or biliary obstruction, or is classified as "fever of unknown origin."

Adult↗

Application of the continuing education systems project. CME as organization development.

Temple University's Office of Continuing Medical Education and 18 affiliated institutions implemented the Continuing Education Systems Project (CESP), in order to improve the quality of CME. As a result of the findings, it is proposed that the CME unit be accepted and supported not merely as an adjunct educational service for physicians but as an agent of the hospital's organizational development. Accordingly, the role of the CME unit is one of facilitator of change, functioning as a system feedback mechanism and coordinator of planned change. It is suggested that community hospitals need to develop a CME unit capable of integrating the resources of the institution in order to meet organizational, as well as individual and social needs. This is of particular importance in the face of new federal interventions in the health care field, which create the potential for conflicts between the physician and the hospital.

Education, Medical, Continuing↗