Governmental bureaucracy in the nursing home.
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Biomedical subjects
Publications and source records attributed to E S Dickstein.
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Triamterene therapy is an unusual cause of nephrolithiasis and, when this agent is found in a stone, generally it is deposited in minor amounts. We report a renal calculus consisting mostly of triamterene and its 2 major metabolites in a patient taking a triamterene-containing drug, and discuss some implications.
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Herbal teas occasionally produce toxic reactions. Unwitting use of the foxglove plant for brewing tea resulted in cardiac glycoside toxicity in an otherwise healthy man. Potentially toxic plants are omnipresent whereas herbal tea imbibing has had an enhanced popularity. Physicians will have increasing contact with patients who have inadvertently poisoned themselves with such concoctions.
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Sometimes the members of the medical profession have been castigated for unpreparedness and shortcomings in the management of nursing home populations because their pre-admission diagnoses often have not agreed with the post-admission evaluations. In contrast, the authors' survey of a local situation revealed a high degree of diagnostic accuracy in admissions to a nursing home. Discussed are appropriate steps that nursing-home admission evaluators can take to ensure the avoidance of errors in the entrance diagnosis.