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Biomedical subjects

J D McCue

Publications and source records attributed to J D McCue.

At least 73 records · Page 4Linked to original sources
PubMed1981

Training internists: insights from private practice.

University internal medicine training programs concentrate on the traditional curriculum designed to produce well-trained academicians and researchers. Increasingly internists are involved in primary patient care with over two-thirds being office based practitioners. Residency training at these institutions must make available to all residents the opportunity to learn the skills taught by primary care programs. Clinical problem solving, skills in patient-physician negotiations and patient comfort, psychiatric techniques, medical ethics, cost effectiveness analysis, and practice management are areas in which the private practitioner frequently needs help. Feedback from training program graduates in private practice could help identify such deficiencies which could be incorporated into the teaching responsibility of a division of general internal medicine.

Cost-Benefit Analysis↗
PubMed1981

Adverse reactions to simultaneous influenza and pneumococcal vaccination.

The perceptions of 202 patients who were given either influenza vaccine (n = 68), pneumococcal vaccine (n = 45), or both (n = 95) as to local and systemic toxicity are compared. Pneumococcal vaccination and simultaneous vaccination caused a minimally greater frequency and severity of side effects compared to influenza vaccination. Simultaneous vaccination for influenza and pneumococcal pneumonia appears to be safe.

Aged↗
PubMed1979

Strategies for diagnosing vaginitis.

Detailed history, physical examination, laboratory, and follow-up data were obtained from 821 patients presenting to a primary care clinic over an 18-month period with the symptoms of vaginal infection or urinary tract infection (UTI). Information useful in deciding when to perform a vaginal examination, when to obtain various types of cultures, and when to perform microscopic examination of a saline suspension or Gram stain is presented. Of particular interest were the findings that patients with dysuria more commonly have vaginitis than UTI, the superiority of a saline examination to other means of diagnosing yeast vaginitis, and the rarity of a positive trichomonas preparation when the vaginal discharge had a curd-like appearance.

Bacteriological Techniques↗
PubMed1978

Management strategies for urinary and vaginal infections.

Detailed history, physical examination, laboratory and follow-up data were obtained from 821 women coming to a primary care clinic over a two-year period with the symptoms of urinary tract (UTI) or vaginal infection. Using all available information, each patient retrospectively was given one of several mutually exclusive diagnoses. Vaginitis without UTI was diagnosed in 70% of patients, UTI without vaginitis in 12%, UTI and vaginitis in 2%. The conditional probability of the several possible diagnoses was calculated, given various combinations of clinical data; a diagnosis of vaginitis was twice as likely as a diagnosis of UTI in a patient with dysuria. On the basis of these calculations we identified efficient clinical strategies for when to perform a pelvic examination, a urinalysis, and a urine culture, and when to diagnose UTI presumptively on the basis of urinalysis.

Adult↗