Biomedical subjects

J C Rigilano

Publications and source records attributed to J C Rigilano.

3 recordsLinked to original sources

PubMed1988

State screening for metabolic disorders in newborns.

Most states have mandatory screening programs for congenital and inherited disorders of metabolism. Physicians may be unaware of their state's requirements, and compiled lists of testing requirements are generally unavailable or incomplete. All states test for congenital hypothyroidism and phenylketonuria. Some states require that newborns be tested for up to six other specific congenital and inherited disorders of metabolism. Some states base their decision to test on demographic data, but there is no uniformity in the tests.

Adrenal Hyperplasia, Congenital↗

PubMed1986

Eligibility for streptokinase thrombolysis during evolving acute myocardial infarction. An historical cohort study.

To determine the percentage of acute myocardial infarction patients suitable for streptokinase thrombolysis, the charts of 990 patients from four separate hospitals with a discharge diagnosis of acute myocardial infarction were studied. In all, 750 were confirmed to actually have suffered acute myocardial infarction by enzyme and electrocardiogram criteria. Of these, 233 (31 percent of all patients with acute myocardial infarction) were judged to be suitable streptokinase candidates by virtue of being 75 years of age or younger, showing evidence of acute transmural infarction, having no contraindications to anticoagulation, and presenting to the Emergency Room within six hours or less after onset of chest pain. It is concluded that approximately one-third of all acute myocardial infarction patients in this population were eligible for streptokinase thrombolysis and that there is therefore a significant continuing role for traditional acute myocardial infarction management.

Electrocardiography↗

PubMed1985

Fluoride prescribing patterns among primary care physicians.

Fluoride supplement prescribing habits of US Air Force primary care physicians were studied. A questionnaire was sent to all active duty Air Force obstetricians, family physicians, and pediatricians assigned within the continental United States. Few obstetricians and family physicians in the Air Force currently prescribe prenatal fluoride supplements. The majority of respondents are skeptical of its efficacy or state that local water contains adequate amounts. Only 2.5 percent of all physicians question prenatal fluoride's safety. Fluoride supplements for breast-feeding infants are correctly prescribed by 80 percent of pediatricians and 54 percent of family physicians (P = .0002). Pediatricians more often know the local concentration of fluoridated water and more readily prescribe fluoride for children of all ages. Primary care physicians, especially family physicians, are in an excellent position to practice caries prevention. The survey results indicate a need for more physician education on the current issues and proper use of fluoride supplements.

Adolescent↗