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Biomedical subjects

I Farid

Publications and source records attributed to I Farid.

8 recordsLinked to original sources

Diagnosis and management of transient neurologic symptoms following subarachnoid block with single-shot isobaric 2% lidocaine.

Hyperbaric 5% lidocaine has been used extensively for spinal anesthesia for the last 50 yr. The implication of lidocaine as specifically etiologic for transient neurologic symptoms (TNS) has led to increasing focus on lidocaine spinal anesthesia and reports of TNS with single-shot, hyperbaric lidocaine. We report the details of a case of TNS associated with single-shot, isobaric 2% lidocaine in a 69-year-old female, scheduled for outpatient hysteroscopy, dilatation and curettage, and endometrial biopsy while placed in the lithotomy position.

Aged↗

A common HLA phenotype in slipped capital femoral epiphysis?

Studies from three different countries have linked the HLA B12 and DR4 antigens with slipped capital femoral epiphysis (SCFE). We questioned whether our patients shared in common either of these antigens. HLA phenotype was determined in 7 patients with SCFE, two of whom were brothers with almost identical haplotypes. The B12 antigen was found in none of our patients and the DR4 in only 3. Neither of the 2 brothers held the DR4 antigen. The commonest antigens (also shared by the 2 brothers) were B35, present in 5 and DR52 in 4 of 7 patients. We conclude that neither the previously described B12 nor the DR4 antigen can reliably serve as genetic markers for SCFE in our region.

Adolescent↗

Hepatic function in previously exposed thorium refinery workers as compared to normal controls from the health and nutrition survey.

The effect of thorium exposure on hepatic function was investigated in 275 former workers of a thorium refinery. Body burden of radioactivity from the decay chain of thorium was measured as 212Bi and 220Rn in the exhaled breath. Asparate aminotransferase, globulin and total bilirubin in sera were found to be associated with body burden of radioactivity at high levels of significance. Thorium-exposed workers were also compared with a population of white males from the Health and Nutrition Survey conducted by the National Center for Health Statistics from 1971 to 1975. The results showed the means of aspartate aminotransferase alkaline phosphatase to be significantly higher (P = 0.0001) in the thorium-exposed workers when corrected for age, alcohol use and weight. The changes observed in liver function may be compatible with a toxic effect of thorium or daughter products on hepatocytes. The correlation of some hepatic function tests with body burden of radioactivity suggests a radiation effect of thorium although a chemical toxic effect cannot be ruled out and further investigation of chemical toxicity of rare earths are indicated.

Adult↗

Management of behavioral dysfunction: a corporate physician's perspective.

This chapter outlines the processes that engage the corporate physician in the course of the management and disposition of psychiatric problems. It begins with a description of a subprocess in which the physician adapts to working with nonmedical professionals as a member of a team. Much of the work lies outside the scope of medical practice and in the domain of management. Transition from the traditional role to a medical manager is an incremental learning process that prepares the physician to assimilate into his or her calculus organizational structure, dynamics, and culture. The core processes involved in the management of psychiatric problems are presented. These run the gamut on one end from the initial screening for psychiatric disorders at the time of placement to, at the other end, psychiatric disability. The barriers and suggested approaches to the successful resolution of these problems are described. Chronic psychiatric problems such as depression and psychosis along with personality problems and stress are recognized as posing added challenge and are briefly presented with emphasis on recent advances in their management.

Behavior↗

The management of psychopathology in the workplace.

This chapter is an outcome of an educational symposium held by the United States Postal Service to improve the management of medical and psychiatric problems by Postal Service physicians and their medical contractor cohorts. The proceedings have been edited to highlight psychiatric issues. The symposium begins with a case presentation, followed by a discussion, comments, questions and answers. The primary discussants were a faculty of distinguished psychiatrists with a wealth of academic and clinical experience. The symposium begins with an introduction by Ibrahim Farid, MD, senior area medical director for the United States Postal Service, who presents a rationale for holding the symposium.

Health Education↗