Cookies in my computer?
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to J Kuric.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Spinal cord tumors are rare yet devastating lesions. This article reviews the classification, pathophysiology, and histology of spinal cord tumors. Medical treatment components related to diagnosis and treatment also are reviewed.
The incidence of upper gastrointestinal (UGI) bleeding and the effect of nutritional support was studied retrospectively in 166 spinal cord injured patients. Sixty six patients included in group 1 were started on oral diet when 'clinically ready' which resulted in a haphazard manner for provision of nutrition. One hundred patients in group 2 were treated according to an organised nutrition protocol. The protocol initiates total parental nutrition (TPN) if the patient is not tolerating an oral diet by day 5. All group 2 patients met their total energy requirements (TER) within 48 hours after initiating caloric supplementation. The overall incidence of acute acid peptic ulceration leading to significant bleeding or perforation was 4%. Five of the 66 group 1 patients (7.5%) and 2 of the 100 group 2 patients (2%) developed acute ulcerations. While the exact mechanism remains unclear, this significant (p less than 0.05) reduction indicates that a nutritional regimen that meets a patients TER decreases the likelihood of acid peptic complications after spinal cord injury.
A survey of 222 SCI patients treated by the Southeastern Michigan Spinal Cord Injury System was conducted to explore some key issues involving community reintegration problems. These patients had been discharged from the rehabilitation facility an average of 18 months. The 62 respondents (28%) did not differ from nonrespondents on demographic and health status variables and were considered representative of the total patient population. Important findings included the following: 1) 30% were noncompliant with prescribed medication, 2) 25% had not received all equipment prescribed during initial rehabilitation, 3) 45% indicated their current residence was not completely accessible, 4) 73% were dependent on others for transportation, 5) 8% were currently working, compared to 39% employed prior to injury 6) 47% indicated transportation problems as the main obstacle to their adjustment to SCI. The problems identified prevented the SCI patients from increasing their presence in the community, thereby preventing them from exposing obstacles and improving the opportunities available to them.
Explore the source record for details and available documents.