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Biomedical subjects

B Peters

Publications and source records attributed to B Peters.

At least 109 records · Page 6Linked to original sources

Ulcerative vaginitis due to Torulopsis glabrata: a case report.

A patient with ulcerative vaginitis is presented. The differential diagnosis included malignant ulcer, chancroid, and granuloma venereum. Torulopsis glabrata vaginitis, which was subsequently proven, responded successfully to clotrimazole suppositories. Predisposing and related factors and isolation and identification procedures are discussed.

Candida↗

Intracranial esthesioneuroblastoma. A light and electron microscopic study.

A 31 year-old black woman with unilateral facial dysesthesia was found to have an intracranial parasellar mass that extended into the sphenoid sinus. By light microscopy, the neoplasm appeared as nests of poorly differentiated neuroblasts in a finely fibrillary stroma and was diagnosed as an esthesineuroblastoma. Electron microscopy confirmed the neuroblastic nature of the tumor with demonstration of neurites containing neurofilaments and neurotubules, synapses and dense cored biogenic amine granules in perikarya and processes. This neoplasm was further characterized by the presence of numerous dystrophic axons that were evident only by electron microscopy.

Adult↗

Fragrance administration to reduce anxiety during MR imaging.

Fifty-seven outpatients received either heliotropin (a vanillalike scent) with humidified air (n = 20) or humidified air alone (n = 37) via a nasal cannula during magnetic resonance imaging in the diagnostic workup for cancer. Delivery of heliotropin and air was determined by a computer-controlled schedule. Fragrance administration resulted in a statistically significant reduction in average overall patient-rated anxiety (on a visual analog scale) during imaging in patients who found the fragrance moderately to extremely pleasant. Administration of fragrance was associated with 63% less anxiety than administration of humidified air alone. Physiologic measures (pulse and heart rate) did not show a statistically significant effect with fragrance administration.

Adult↗

A flexible and stable numerical method for simulating the thermal decomposition of wood particles.

The objective of this paper is to present a flexible and stable simulation method to predict the thermal conversion of wood particles. A combination of several subprocesses such as heating-up, drying, pyrolysis, gasification and combustion of fuel particles of different properties and sizes represents the global process of thermal conversion. This approach allows for simultaneous processes e.g. reactions in time and covers the entire range between transport-limited (shrinking core) and kinetically limited (reacting core) reaction regimes. Thus, the model is applicable to simulate sufficiently accurate the thermal decomposition of each particle in a packed bed, of which the entire conversion is regarded as the sum of all particle processes. Effects such as fragmentation, swelling, homogeneous reactions e.g. ignition outside a particle are excluded as a tradeoff between complexity and calculation time. However, a description of the particle processes by one-dimensional and transient differential conservation equations for mass and energy is feasible to represent the above mentioned subprocesses. The particles are coupled to the gas phase by heat and mass transfer taking into account the Stefan correction due to the gas outflow during conversion. A general formulation of the conservation equations allows the geometry of a fuel particle to be treated as a plate, cylinder or sphere. In order to achieve a high degree of flexibility, the method distinguishes between data, such as kinetics or material properties and the conversion process, for which relevant data are stored in a data base for easy access and extension. The resulting modules of this subdivision are encapsulated into separate software units cast in a hierarchy of well-defined classes in Tools of Object-oriented Software for Continuum-Mechanics Applications (TOSCA) by object-oriented techniques.

Journal Article↗

Reliability of length measurements in full-term neonates.

OBJECTIVE: To describe and compare the intra- and interexaminer reliability of four techniques for measuring length in full-term newborns and to determine whether the different techniques yield significantly different measurements. DESIGN: A descriptive study, describing the intra- and interexaminer reliability of four length measurement techniques: crown-heel, supine, paper barrier, and Neo-infantometer. The nurses were blind to their own and to the other nurse's measurements. The order of the nurses and the order in which the measurements were obtained was randomized. SETTING: Mothers' rooms in a university hospital. PARTICIPANTS: Thirty-two healthy full-term newborns. INTERVENTIONS: Length measurements using four different length techniques were obtained twice each by two experienced neonatal nurses. MAIN OUTCOME MEASURES: To measure the intra- and interexaminer reliability, the following statistics were calculated: mean absolute differences, standard deviations, technical error of measurement; percentage less than .5 and 1.0 cm, and percentage of error. RESULTS: Intra- and interexaminer differences were significantly larger when examiners used the crown-heel measurement technique. Although the intra- and interexaminer reliability of length measurements obtained with the supine, paper barrier, and Neo-infantometer techniques did not differ significantly, the amount of error in these measurements was large. CONCLUSIONS: Measurements obtained using the crown-heel technique are significantly less reliable than measurements obtained using the supine, paper barrier, or Neo-infantometer techniques.

Anthropometry↗

Four routes to the future.

The following is a synopsis of four potential scenarios for American health care in the year 2005 that were proposed at the most recent Health Care Outlook meeting (see sidebar). These scenarios provided a framework for discussion and debate for MHA's Next Wave Task Force, and a complete report on observations from a Michigan perspective will be made available to the membership soon.

Delivery of Health Care↗

Clinical pathways: a roadway for providers.

The steady growth of managed care, combined with advances in both medical and computer science, has begun to transform the way health care providers treat patients. The evolution and rapidly expanding use of clinical pathways has become an important component of the modern health care system.

Critical Pathways↗