Biomedical subjects

D J Simon

Publications and source records attributed to D J Simon.

5 recordsLinked to original sources

PubMed1998

The ophthalmology of intracranial vascular abnormalities.

PURPOSE: To provide a practical review of the ophthalmologic manifestations of intracranial vascular abnormalities. METHODS: We reviewed ocular manifestations of the most common intracranial vascular abnormalities: intracranial aneurysms, carotid-cavernous fistulas, arteriovenous malformations, and cavernous malformations. RESULTS: Unruptured aneurysms can compress the third cranial nerve and the anterior visual pathways. Ruptured aneurysms and subarachnoid hemorrhage can result in Terson syndrome and papilledema. Direct and indirect carotid-cavernous fistulas most commonly cause the classic triad of proptosis, conjunctival chemosis, and cranial bruit but can masquerade as chronic conjunctivitis. Arteriovenous malformations, with or without hemorrhage, may compress portions of the retrochiasmal pathways, causing visual field loss. Cavernous malformations, when in the brainstem, commonly cause abnormalities of supranuclear, nuclear, and fascicular ocular motility. CONCLUSIONS: The ophthalmologist may be the first physician to encounter clinical manifestations of intracranial vascular abnormalities that may herald devastating neurologic complications. Prompt diagnosis facilitates appropriate management and therapy.

Adult↗

PubMed1998

Migraine and reduced work performance: a population-based diary study.

OBJECTIVE: This article estimates lost work days and lost work day equivalents in a population sample of migraineurs, differentiating work loss due to headache episodes that met criteria for migraine from migrainous headaches not meeting full criteria and nonmigrainous headaches. METHODS: A random digit dialing survey of 5,071 adults identified 800 subjects with migraine headaches. By clinical examination, a subsample of 225 met migraine diagnostic criteria; 174 of these patients completed at least 11 weeks of daily diaries. This report concerns the subgroup of 122 individuals with regular paid employment. Subjects completed a daily diary over a 3-month period to assess the occurrence of headaches and International Headache Society (IHS) criteria for each headache occurrence. We report estimates of lost work days and lost work day equivalents by type of headache. RESULTS: Participants reported headaches on 8.1 work days, of which 2.2 headache days met criteria for migraine (IHS 1.1, 1.2), and an additional 2.1 headache days were migrainous without meeting full migraine criteria (IHS 1.7). On average, migraineurs missed 1.1 days of work due to headache in 3 months, of which 0.7 lost work days were due to migraine and 0.3 were due to migrainous headaches. When at work with headache, work effectiveness was reduced 41% for migraine headaches, 28% for migrainous headaches, and 24% for other headaches. Over 3 months, migraineurs experienced an average of 3.0 lost work day equivalents, of which 1.4 were due to migraine and an additional 0.7 were due to migrainous headaches. The most disabled 20% of the participants accounted for 77% of the lost work days; 40% of subjects accounted for 75% of the lost work day equivalents. CONCLUSIONS: Employed migraine sufferers experienced considerable work loss and reduced work performance due to headache. The most severely affected migraineurs accounted for most of the reduced work performance. Targeting the most severely affected persons may be necessary to reduce work loss among migraineurs substantially.

Absenteeism↗

PubMed1992

Self-perception, social skills, adjustment, and inhibition in young adolescents with craniofacial anomalies.

This study examines the relationships between self-perception, social skills, overall adjustment, and social inhibition in 45 young adolescents with craniofacial anomalies (CFA). Self-perception, social skills, and inhibition scores are within the normal range while the average adjustment is 1.5 SD below the average. Regression analyses were conducted. Social skills and athletic competence are the best predictors of adjustment and accounted for 73.5% of the variance in adjustment. Adjustment of adolescents is associated with degree of inhibition, with more poorly adjusted adolescents displaying greater inhibition. Self-esteem did not predict to adjustment. The theoretical and clinical implications of these findings are discussed.

Adolescent↗

PubMed1987

cDNA cloning and characterization of vinculin mRNA.

Vinculin and meta-vinculin are related proteins that localize to adherens junctions. To facilitate studies on the biology of these proteins cDNA clones were isolated from a chick embryonic library made in lambda gt 11. Three clones, accounting for 1/2 of the vinculin message, were identified by immunological analyses of fusion proteins and by hybrid-arrested translation. Sequence analyses of the 3' ends of these clones reveal allelic variants. Northern blot analyses suggests the presence of multiple vinculin messages, the most prominent one at 6.2 kb, almost twice the size needed to encode vinculin.

Animals↗

PubMed1981

Coins in the esophagus: two for the price of one.

A case of coin obstruction of the esophagus is presented. A seven-year-old child presented with a history of accidental coin ingestion. Radiographs displayed a coin impacted in the esophagus at the thoracic inlet. After endoscopic removal, a follow-up film demonstrated a second coin in the same location, which had been exactly superimposed over the first.

Child↗