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Biomedical subjects

H Soroff

Publications and source records attributed to H Soroff.

6 recordsLinked to original sources
PubMed1986

Clerkship site and duration: do they influence student performance?

At the School of Medicine of the State University of New York at Stony Brook, the surgical clerkship became mandatory in 1976. From the academic years 1976 through 1979, it was a 6-week program. Since the fall of 1979, it has been a 12-week program. Students have been divided among the University Center (the University Hospital and the Northport Veterans Administration Medical Center), two voluntary hospitals, and two county hospitals. This retrospective study was conducted to determine if duration of clinical site influenced student performance. Students taking the longer clerkship scored significantly higher on National Board examinations, oral examinations, and evaluations of clinical performance than did students in the shorter clerkship. Statistical analysis revealed no significant differences in the performance among students at different clinical campuses. Positive relationships were found between National Board scores versus oral examination scores, National Board scores versus clinical performance grades, and oral examinations versus clinical grades.

Academic Medical Centers↗
PubMed1985

Combined thiotepa and mitomycin C instillation therapy for low-grade superficial bladder tumor.

Fifteen patients with superficial low-grade bladder tumors were treated with combined thiotepa and mitomycin C instillation as definitive therapy. The amount of both thiotepa and mitomycin C used in each instillation in the presenting protocol was one half the conventional dose of either used alone. Patients with multiple bladder tumors, bladder tumors inaccessible to endoscopic resection, or lesions too extensive to completely resect, or with medial contraindications for endoscopic resection procedures, were included in these studies. No serious adverse effect was revealed in these 15 patients. Ten of the 15 patients (66.7%) had a complete response and 4 (26.7%) had a partial response. One patient (6.6%) did not respond to this regimen. This protocol seems to provide a therapeutic modality that is more effective than conventional single-drug therapy, less toxic than thiotepa used alone, and less expensive than mitomycin C used alone.

Aged↗
PubMedDate not supplied

Psychosocial effects of enhanced external counterpulsation in the angina patient.

Enhanced external counterpulsation (EECP) is a noninvasive pantaloon device designed to increase coronary artery flow in the treatment of angina. This pilot study, conducted in 1992-1993, which used psychosocial testing pre- and posttreatment, yielded data suggesting that EECP is well tolerated psychosocially and produces improvement in the anginal syndrome. More comprehensive research is under way to test these preliminary conclusions.

Activities of Daily Living↗
PubMedDate not supplied

Improved exercise tolerance following enhanced external counterpulsation: cardiac or peripheral effect?

The effect of treatment with enhanced external counterpulsation (EECP) on exercise hemodynamics and myocardial stress perfusion in 27 patients with chronic stable angina was studied. A majority (22/27 or 81%) of patients improved their exercise tolerance after EECP treatment, and a similar percentage (21/27 or 78%) of patients improved their radionuclide stress perfusion images. Post-EECP maximal exercise heart rate and blood pressure, while demonstrating a linear relation with exercise duration, did not increase significantly despite the increased exercise duration. This suggests that the increase in exercise duration after treatment with EECP is due to both improved myocardial perfusion and altered exercise hemodynamics. EECP therapy thus appears to exert a "training' effect, decreasing peripheral vascular resistance and the heart rate response to exercise. Coronary disease patients may improve their exercise tolerance after EECP because of both improved myocardial perfusion and a decrease in cardiac work load.

Aged↗