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Biomedical subjects

F M Palace

Publications and source records attributed to F M Palace.

9 recordsLinked to original sources

Toward tougher oversight of managed care: MSNJ proposals.

The Medical Society of New Jersey has developed a detailed position statement on the regulation of health maintenance organizations (HMO). This statement has been presented to an advisory committee of the New Jersey State Department of Health, which is preparing new HMO regulations.

Health Maintenance Organizations↗

Accuracy of SPECT thallium studies in a community hospital.

The present study shows an overall accuracy to the Cedars-Sinai trial on a patient and a combined vascular territory basis. These results suggest SPECT thallium studies can provide information despite the referral biases and unselected patient population inherent in a busy clinical practice.

Adult↗

Change in presentation of breast cancer in a community hospital.

An aggressive mammographic screening program under the auspices of a community hospital resulted in a significantly earlier detection of breast cancer at presentation in 1990 as compared to 1980. It is anticipated that further followup will show a reduction in cancer mortality as a result of this earlier detection.

Adult↗

Scintigraphic detection of hemobilia and hemoperitoneum secondary to rupture of hepatic artery aneurysm.

Hemobilia frequently presents with variable gastrointestinal (GI) tract bleeding, biliary colic, and jaundice and should be considered in the differential diagnosis of obscure blood loss from the GI tract. Reported here is a case of a ruptured hepatic artery aneurysm that was diagnosed using Tc-99m labeled red blood cells. Delayed images demonstrated both hemobilia and free intraperitoneal hemorrhage, which were subsequently confirmed by computed tomography and laparotomy. A similar case has not been previously reported in the scintigraphic literature.

Aged↗