Acute fatty liver of pregnancy associated with maternal and fetal metabolic acidosis.
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Acidosis↗
Biomedical subjects
D P Zoller
Publications and source records attributed to D P Zoller.
The physiology of aging.
A knowledge of the physiology of aging is necessary in understanding the medical problems of the elderly. Far-reaching effects results from such diverse changes as increased density and decreased water content of connective tissue, reduced estrogen production, reduced respiratory ciliary function, diminished efficiency of the pulmonary macrophages and decreases in brain and renal mass.
Aging↗
Six-year experience with graded exercise testing in a model family practice office.
The Office for Family Practice began in-office graded exercise testing utilizing the Bruce or Balke protocol in March of 1978. Over the past six years approximately 275 graded exercise tests have been done. The purpose of this paper is to outline the indications, results, complications, and follow-up of those patients who have had graded exercise testing done in the office over this six-year period. These results demonstrate (1) the various indications and utilization of a treadmill machine in the family practice office setting, (2) the results of graded exercise testing and complications in those graded exercise tests done in the office in comparison with those reported in the literature done by other health care providers, and (3) the usefulness and applicability of graded exercise testing in the residency training and private practice setting. In addition to the above-collected data, the results of a questionnaire sent to former residents show the benefits of having training in graded exercise testing and also the applicability of this training in their practice settings. The results support the concept that graded exercise testing should be taught in the residency program and that this can be done both safely and effectively in the model office setting.
Adult↗
Screening for gestational diabetes.
Traditionally, screening for gestational diabetes mellitus (GDM) has been done only for those women with identifiable risk factors. To determine the value of screening all pregnant women, 363 consecutive patients were tested for GDM using a glucose challenge test (GCT). The test measured plasma glucose 1 hour after administration of a 50-gram oral glucose load. Those patients with a plasma glucose greater than 140 mg/dL were given a standard 3-hour glucose tolerance test (GTT) using 100 g of oral glucose. Patients with risk factors were compared with those without risk factors. There was no significant difference between the two groups for number of abnormal 3-hour GTTs. We conclude that in order to identify GDM, all pregnant patients must be screened. Universal screening was found to be simple and cost effective.
Adolescent↗
A wellness program model for family practice residency programs.
For some time health promotion and disease prevention have been expected tenets of medical practices with the public. However, the medical profession has only recently emphasized prevention and wellness promotion as required curricula for study at the undergraduate and graduate levels. Family physicians have been at the forefront in accepting this additional responsibility, but actual implementation of such practices has been difficult for the individual physician. To address this needed transitional step from public demand to practice, a wellness program for residents, faculty, staff, and patients was designed for the Family Practice Residency Program at Cheyenne.
Family Practice↗