PubMed Health⌕ Search

Biomedical subjects

B V Branscomb

Publications and source records attributed to B V Branscomb.

8 recordsLinked to original sources

Massive mediastinal Hodgkin's disease with calcification masquerading teratocarcinoma: differentiation by computed tomography.

Two young patients with similar radiographic manifestations of massive opacification of left hemithorax with scattered calcification highly suggestive of mediastinal teratocarcinoma are reported. By biopsy, one patient was proved to have teratocarcinoma and the other patient was proved to have Hodgkin's disease. Retrospective review indicates that spontaneous neoplastic calcification in Hodgkin's disease, though rare, can occur prior to therapy. Computed tomography is useful in distinguishing such cases of Hodgkin's disease from teratocarcinoma by demonstrating the involvement of the posterior mediastinum and homogeneous density.

Adult↗

The difficult asthmatic.

A poor therapeutic response may be explained by incomplete or erroneous diagnostic assessment, by failure to employ optimal drug doses and combinations, or by inadequate attention to the non-pharmacologic aspects of management. Poor compliance and counterproductive patient attitudes may need to be addressed. These problems and the approach to asthma concomitant with other diseases are discussed.

Asthma↗

Identification and management of psychosocial and environmental problems of children with cancer.

An occupational therapist working as a rehabilitation specialist on the hematology-oncology team for pediatric malignancy identified and sought solutions for problems encountered among 49 pediatric oncology patients and their families. The occupational therapist's role as "CARE (CAncer REhabilitation) counselor" involved working with the patient, family, and team members to meet needs and provide services other than direct medical treatment. A variety of environmental needs and psychosocial problems were identified and managed. Prospective interaction from the time of diagnosis, resulting in 63 percent solution of all problems, was more effective than intervention initiated at other stages of illness.

Adolescent↗

Metaproterenol solution in the treatment of asthmatic patients by intermittent positive pressure breathing.

The effects of five different doses of a 5% inhalant solution of metaproterenol on pulmonary function were compared in a placebo-controlled double-blind cross-over study in 40 asthmatic patients who received the drug via intermittent positive pressure breathing (IPPB). The response to metaproterenol in terms of FVC, FEV1, RA, and FEF25-75% was significantly superior to the placebo response. The effect of metaproterenol set in within 5 minutes of adminstration, and clinically significant improvement in pulmonary function was sustained for 6 hours even at the lowest dose level. Global response evaluations reflected a progressive increase in effectiveness with each successive dose increment. Typical sympathomimetic side effects such as nervousness and shakiness slightly increased in frequency with higher doses. At none of the metaproterenol doses were any clinically significant changes observed in the mean blood pressure and pulse rate values.

Adult↗

Home care and COPD: patient responsibility.

Patients with chronic obstructive pulmonary disease must understand and accept their responsibilities to obtain the benefits of a comprehensive home care program.

Cooperative Behavior↗