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Biomedical subjects

A R Hover

Publications and source records attributed to A R Hover.

7 recordsLinked to original sources
PubMed2000

Evaluation of the American Academy of Pediatrics Principles on Management of Common Office Infections in a managed care setting.

The American Academy of Pediatrics has outlined principles for management of common office infections. We evaluated the impact of these principles at St. John's Health System. Study design was a pre and post guideline analysis of claims data and a randomized chart review. There was a high baseline compliance present with the AAP recommendations. There was a 33.5% increase in the use of throat cultures or streptococcal agglutination screens for diagnosis of upper respiratory infections (p = .001) and an 86% decrease in the use of sinus films (p < .001). We conclude that the AAP principles resulted in a significant change in clinical practice.

Adolescent↗
PubMed1986

Cowden disease. A hereditary polyposis syndrome diagnosable by mucocutaneous inspection.

Cowden disease (multiple harmartoma syndrome) is of particular interest because the diagnostic mucocutaneous findings are coupled with a striking association of thyroid cancer, breast cancer, and polyposis of the gastrointestinal tract. We report a case of Cowden disease with particular emphasis on the natural history of the case. Although our case is the second reported with colon carcinoma, the absence of adenomatous polyps in other reports of Cowden disease and the stability of the gastrointestinal polyps in our patient over a seven-year period lead us to conclude that the risk of gastrointestinal malignancy is very low.

Adenocarcinoma↗
PubMed1985

Acute colonic pseudo-obstruction: a possible role for the colocolonic reflex.

In diverse clinical settings, injury or impairment of the peripheral autonomic nervous system may cause acute colonic pseudo-obstruction. The mechanism has remained elusive since Ogilvie's original description. In classic Ogilvie's syndrome, colonic pseudo-obstruction is associated with malignant invasion of the prevertebral ganglia, and may be mediated through the colocolonic reflex, described in a guinea pig model. We have treated three patients with acute colonic pseudo-obstruction due to: 1) malignant invasion of the prevertebral plexus (classic or true Ogilvie's syndrome), 2) clonidine, and 3) herniorrhaphy under epidural anesthesia. In this paper, we discuss the possible role of the colocolonic reflex in the pathophysiology of acute colonic pseudo-obstruction, and the delineation of true Ogilvie's syndrome from the other many causes of acute colonic pseudo-obstruction.

Acute Disease↗
PubMed1983

Esophagitis in immunocompromised patients: a diagnostic challenge.

Esophagitis in an immunocompromised patient is a frequent problem that may have grave consequences. A specific etiologic diagnosis is difficult and often based upon esophageal symptoms and barium swallow. Diagnostic fallibility is demonstrated by the results of esophageal biopsy, cytology, and culture in four immunocompromised patients with similar esophageal symptoms and barium esophagogram appearance. We conclude that a specific etiologic diagnosis in such patients requires brush cytology and mucosal biopsy.

Adult↗