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Biomedical subjects

C Rodgers

Publications and source records attributed to C Rodgers.

29 records · Page 2Linked to original sources

Proposed pathogenic mechanism for the diarrhea associated with human intestinal spirochetes.

Spirochetes resembling Brachyspira aalborgi were found in the feces and rectal biopsies of a patient with persistent diarrhea. Although the organism failed to grow on bacteriologic media, it was found attached to the surfaces of the epithelial cells on the rectal lumen. Blunting and destruction of the cellular microvilli was evident. These induced pathologic cell surface changes, together with the presence of intracellular bacteria in the cells of the rectal colon, suggest a pathogenic mechanism for the persistent diarrhea often associated with this condition. Both the spirochetosis and clinical symptoms disappeared on treatment with metronidazole.

Adolescent

Assessment of some shock absorbing insoles.

Due to the increase in prescription of insoles to relieve symptoms due to skeletal shocks at heel strike a pilot study was initiated to look at some materials used for this purpose. Five materials were examined (Plastazote, Spenco, Sorbothane, Poron (PPT) and Viscolas) by two methods. The first method used an accelerometer mounted between the teeth of one of the authors (PR) to record skeletal shock. The second method used a force plate to record the shock produced by dropping a ball-bearing onto the insoles from a standard height. The results showed that Plastazote is poor at absorbing shock with Spenco and Sorbothane being quite good. The best insole materials tested were Poron (PPT) and Viscolas with the latter being marginally superior. No account was taken of degradation of the materials in use except that Plastazote worn for 72 hours was also used in the study, this producing the worst results.

Evaluation Studies as Topic

Pain and disability in families of chronic noncancer pain patients.

The authors conducted a cross-sectional study to determine the prevalence of chronic noncancer pain or disability in first-degree relatives of patients who had sustained a physically traumatic injury with resultant chronic pain. A control group of general internal medicine patients was also interviewed about existence in their family of chronic pain or of disability, either pain-related or related to nonpainful chronic illness. None of the control patients were themselves experiencing acute or chronic pain. There was no statistically significant difference between the two groups in the prevalence of chronic pain or disability in family members. The study's findings suggest that chronic noncancer pain patients should not be viewed as a uniform group with regard to learned behaviors and/or familial aggregation.

Adult

Impact of pregnancy during training on a psychiatric resident cohort.

The issues surrounding pregnancy during residency training include length of maternity leave, coverage during that leave, and relationships among resident colleagues. With more women entering medicine, the likelihood of a majority of residents in any postgraduate year being pregnant at one time has increased. This study presents an in-depth view of one such resident cohort. Conflicts occurred over the perception that pregnant residents received special treatment. The defenses mobilized by residents included projection and denial.

Adult

Computed tomography in crepitant myonecrosis.

We report an unusual case of non-traumatic myonecrosis presenting as hip pain. Computed tomography helped to define the extent of the infection and its origin in the presacral space. The use of CT in diagnosis and management of gas-forming soft tissue infection is reviewed.

Abscess