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Biomedical subjects

G H Glassford

Publications and source records attributed to G H Glassford.

5 recordsLinked to original sources

Coumadin-induced breast necrosis.

A case of coumadin necrosis of the breast is presented. Most patients with this entity are obese, middle-aged females who have been treated with oral anticoagulants for three to five days for thrombophlebitis or peripheral arterial embolization. The key to therapy is early diagnosis and clinical differentiation from subcutaneous hemorrhage--a disease which is self-limited, nonprogressive, and treatable when anticoagulant therapy is either discontinued or reversed with vitamin K. Surgical debridement or simple mastectomy is generally necessary in those cases where necrosis is present.

Breast Diseases↗

Arthritis and osteomyelitis due to Candida albicans: a case report.

A case of Candida albicans arthritis involving a knee and cuneiform bone is presented. As with other forms of candidiasis, multiple antibiotic treatment and hyperalimentation predisposed to the infection. Fourteen previously published cases are reviewed. The knee is the most common site of infection and there is a high frequency of associated osteomyelitis. Treatment with both amphotericin and 5-fluorocytosine seems to be effective. The case presented was treated successfully with a small dose of amphotericin followed by five and one-half months of 5-fluorocytosine.

Administration, Oral↗

Abdominoperineal resection for carcinoma in the community hospital.

Stimulated by a report in 1974, we have reviewed all abdominoperineal resections in a Univeristy-affiliated community hospital. From 1964--1973, 67 such procedures were performed. There were 65 adenocarcinomas, one squamous cell cancer, and one carcinoid tumor. Dukes' classification was A-4, B-22, C-39, D-4. Postoperative complications occurred in 55.1% of patients. Late complications occurred in 22% of patients. Five-year follow-up was possible in 34 patients with an overall survival of 50%.

Abdomen↗

Giant insulinoma.

A patient with an extremely large insulinoma but short duration of symptoms is reported on. Fasting hypoglycemia, hyperinsulinism, and angiography were the modalities used to diagnose and locate the tumor.

Adenoma, Islet Cell↗

Physicians can benefit from a patient-focused hospital.

To maintain leadership in their markets, a few innovative hospitals, in the late 1980s, developed a revolutionary concept of health care delivery--patient-focused care. Results from pilot projects have shown a considerable increase in patient satisfaction and increased physician productivity. The patient-focused care model boasts faster turnaround times, increased bedside care by caregivers (especially nurses), and an overall increase in the quality of care provided by the staff.

Ancillary Services, Hospital↗