The human immunodeficiency virus practicum: an instructional model.
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Biomedical subjects
Publications and source records attributed to J Hodge.
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Principal objectives in obesity management comprise the prevention of weight gain, the promotion of weight loss, and the treatment of obesity-related complications, including diabetes, hypertension, and depression. Serotonin agonists reduce food intake. The resultant weight loss is variable and there appears to be no way of predicting good responders, nor is there evidence that additional weight loss attributable to drug therapy is sustained once treatment is discontinued, although nonpharmacological strategies for preventing weight regain are worthy of exploration. Serotonin agonists are of clinical value if there is a short-term need for weight reduction or if long-term pharmacotherapy can be justified. This implies that sometimes the dangers of the obese state outweigh the potential hazards of drug treatment. Clearly, if the same agent also improves diabetic control, blood pressure, or depression then a longer term usage is more readily justified. The extent to which this may be achieved by the currently available 5-HT agonists is discussed.
Cutaneous furunculoid myiasis arises from the infestation of skin or mucous membranes with dipterous larvae. Myiasis from the botfly Dermatobia hominis is a common parasitic disease of the tropics of Central and South America, and may present in the United States. With increasing travel by U.S. citizens, there is potential for increased occurrence; it is important to be able to accurately diagnose myiasis and differentiate it from entities with similar presentations, such as leishmaniasis. The authors describe four cases of myiasis from D. hominis infestation and review clinical features, differential diagnosis, and treatment.
Intravascular shunts are primarily utilized to prevent cerebral ischemia during carotid artery surgery. However, an intraluminal intravascular balloon occlusive shunt tube is described which may be used to perfuse extremities during bypass procedures, repair of arteriovenous fistulas, and traumatic lacerations of sizable arteries and veins.
Two deer populations, one in northern Illinois the other in southern Illinois, were examined by necropsy (n = 44 and 40 respectively) for helminth parasites of the gastro-intestinal tract and abdominal cavity. Both herds were parasitized by Apteragia odocoilei, Haemonchus contortus, Gongylonema pulchrum, Setaria yehi, Trichuris ovis, and Moniezia benedeni. Nematodirus sp. was found only in deer of northern Illinois. Ostertagia mossi, Capillaria sp., Cooperia sp., and Oesophagostomum sp. were found only in deer of southern Illinois.
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A naso-gastric duodenal mercury tip weighted sump tube has been developed that will efficaciously decompress small bowel in cases of paralytic ileus, partial or complete mechanical obstruction, and can easily be introduced into the duodenum by a nurse, house staff or attending physician. The tube also may be used for diagnostic purposes to obtain gastrointestinal, pancreatic or biliary secretions.
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This study investigated the effect of using Norton Scale assessment data in the nursing care of patients at risk of developing pressure ulcers. The results indicated that incorporating the Norton Scale in care planning resulted in benefits to patients through earlier and more effective nursing interventions.