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Biomedical subjects

G S Marion

Publications and source records attributed to G S Marion.

13 recordsLinked to original sources
PubMed1994

Absence of sex differences in the evaluation of patients hospitalized for transient ischemic attacks.

BACKGROUND: Sex has been shown to affect the extent of evaluation and treatment of patients with coronary artery disease. This study investigates potential differences in the evaluation of hospitalized men and women with transient ischemic attacks to determine whether a similar bias exists. METHODS: The 1989 MedisGroups comparative database was used to analyze a convenience sample consisting of all family and internal medicine patients with the primary admission diagnosis-related group (DRG) of "transient ischemic attack." RESULTS: Women comprised 1933 of the 3165 admissions. The mean age for women was 1.88 years older than for men (P < .01). Women were three times more likely to reside in a nursing home before admission (P < .01), but had a lower prevalence of dementia (P < .05). The 1232 men had a higher severity of illness score at admission (P < .05), and were 5.3% more likely to be admitted to a teaching hospital than women (P < .01). Men were also more likely than women to be admitted to large hospitals (P < .01). There were no differences between sexes in the use of cranial computed tomography, carotid or cardiac Doppler, or carotid arteriography. Adjusted means for hospital charges, morbidity, and mortality did not differ between sexes, but length of stay was longer by 1.5 days for women compared with men (P < .01). CONCLUSIONS: In-hospital evaluation of elderly patients with transient ischemic attacks did not differ significantly between men and women. This finding does not exclude the possibility of a difference in workup for men as compared with women in the ambulatory management of this condition.

Aged↗
PubMed1993

98.6 degrees F.

Explore the source record for details and available documents.

Body Temperature↗
PubMed1993

The influence of gender and race on mean body temperature in a population of healthy older adults.

Body temperature is known to vary with environmental conditions, physical activity, and illness. There is also some suggestion that body temperature is higher in women than men, and higher in blacks than whites. This study was undertaken to determine if previously described differences in body temperature found in relatively uncontrolled settings associated with gender and race can be reproduced under carefully controlled conditions. Temperature was measured orally with calibrated mercury-in-glass thermometers in 92 healthy community-dwelling volunteers aged 64 years and older. Environmental conditions were carefully controlled and patients with physical conditions or medication regimes known to alter body temperature were excluded. The mean body temperature for all subjects was 36.86 degrees C +/- 0.23 degrees C. The means for white men and women did not differ significantly. There was a statistically significant difference between black and white women, with blacks having 0.13 degrees C higher temperature. We conclude that body temperature varies with race in older women. No significant gender-related difference in normal body temperature was found in these healthy elderly white men and women. Differences in body temperature between men and women found in younger patient populations may reflect the temperature elevations in women associated with menstruation.

Age Factors↗
PubMed1993

New models for PA advancement. Forum discussion.

Many PAs are grappling with the problem of how to best advance their careers. In this roundtable, the participants discuss traditional methods of advancement and examine the need for new models.

Career Mobility↗
PubMed1992

Professional challenges in the coming decade.

Last month, as part of our observance of the 15th anniversary of Physician Assistant journal, members of our Editorial Board offered their views on turning points in the history of the PA profession. In this issue, we jump from the past to the future, with perspectives on the main crises or changes facing the profession in the coming decade. You may agree or disagree with these viewpoints. Diversity of opinion keeps the PA profession dynamic and strong--which is exactly why Physician Assistant journal provides an open forum for letters and guest editorials.

Forecasting↗
PubMed1992

Preventing tetanus, influenza, and pneumococcal infection in adults.

Immunization remains the most cost-effective tool in preventive medicine. Many adults should receive seven immunizations: influenza, pneumococcal, measles, rubella, and hepatitis B vaccines and tetanus and diphtheria toxoids. This article will focus on the use of immunizations in adults to prevent tetanus, diphtheria, influenza, and pneumococcal disease and on some of the barriers and solutions to adequate immunization. Physician assistants can play a crucial role in preventing infectious diseases by organizing effective screening programs and routinely administering appropriate vaccines to their patients.

Adult↗
PubMed1991

Core body temperature in the elderly and factors which influence its measurement.

Several studies have reported that core body temperature decreases with age and has greater variability in older populations. Furthermore, oral measurement, the most frequently used clinical method for determining fever, may not accurately reflect core body temperature. This study was designed to compare accurate measurements of oral and core body temperatures in a group of 93 healthy subjects, aged 62-96, under controlled conditions. Increasing age, presence of dentures, and type of thermometer were examined to determine if they affect body temperature measurements. Core temperatures did not show a negative relationship with advancing age (r = -0.02) nor did variation in temperatures increase with age. Neither the type of thermometer nor the presence of dentures significantly affected the measurement of temperature.

Aged↗
PubMed1985

Extending the extenders. Compromise for the geriatric specialization-manpower debate.

This pilot study reports on issues germane to the geriatric specialization-manpower debate. The study found that a large amount of the functional responsibility required by older adults in an urban clinic setting could be delegated to physician extenders. Other findings included shorter hospitalizations, increased feelings of well-being, and high patient satisfaction with physician extended care. The implications are that rather than develop a new physician specialty, more geriatric manpower needs could be met by delegating responsibility to appropriately trained and supervised physician extenders.

Aged↗
PubMedDate not supplied

A model for teaching medical students ambulatory care geriatrics.

Several recent articles have called attention to the negative attitudes which are fostered by teaching geriatrics primarily in a long-term care facility. A transportable model has been developed using a multidisciplinary team for teaching ambulatory care geriatrics in a clinic within a congregate housing facility. This model has contributed to more positive attitudes towards geriatrics health care on the part of the students.

Ambulatory Care↗