Lymphocyte-rich pleural liposarcoma mimicking pericardial cyst.
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Aged↗
Biomedical subjects
J Posen
Publications and source records attributed to J Posen.
Young women with PD: a group work experience.
Parkinson's Disease (PD) prior to the age of 40 affects between 5-10% of the PD population. The psychosocial changes that patients with early PD encounter, may be more devastating and disabling than the actual motor disability. The paper describes a unique experience in groupwork with young female PD patients treated in the Movement Disorders Unit of the Tel Aviv Sourasky Medical Center. The paper focuses on the special issues which characterized this group's experience: stigma, body and sexual image, and personality traits.
Adaptation, Psychological↗
Mass casualties: an organizational model of a hospital information center in Tel Aviv.
The article describes an organizational model of an information center, developed by the social work department of Tel Aviv Sourasky Medical Center. The information center is designed to provide information when mass casualties are brought to the hospital following terrorist attacks or other catastrophes. The information center is comprised of a number of interrelated units within the hospital and is in contact with a range of organizations in the community. The structure and activities of the various units is described. The article also discusses a number of aspects relevant to personnel organization in crisis intervention.
Communication↗
[The homeless and the health system: profile of the homeless patient].
The homeless population is mobile and does not use ambulatory health care services. Thus the major contact between the homeless and the medical establishment occurs primarily when they are treated for acute symptoms in hospital. We describe the clinical and sociodemographic profile of the homeless who require hospital services. The research population included 50 homeless treated in the emergency room and various departments of our medical center between October 1994 and August 1995. Social workers used a questionnaire relating to clinical, sociodemographic and social factors. Most patients were men, 76% under the age of 50. The most common diagnosis was alcoholism; other diagnoses included back, limb and joint injuries, infections, skin diseases, and general exhaustion. There were subgroups with differing needs within this homeless population for which appropriate rehabilitation programs are proposed.
Adult↗
Autologous bone marrow transplantation for acute myeloid leukaemia in remission: a preliminary report.
Autologous bone marrow transplantation, using unpurged cryopreserved autologous marrow, was performed on ten adult patients with acute myeloid leukaemia in remission. Seven patients were in first chemotherapy-induced remission of their disease, while three were in later remission. Patients ages ranged from 24 to 52 years, with a median of 38.5 years. Conditioning therapy consisted of oral busulphan 16 mg/kg over four days and intravenous cyclophosphamide 60 mg/kg on two days. Bone marrow cells were thawed and infused two days later. All patients showed signs of marrow engraftment, however this was delayed in comparison with patients receiving allogeneic transplants. All patients developed fever requiring antibiotic therapy and one patient died of overwhelming sepsis. Another patient died of hepatic veno-occlusive disease two months after transplant. Serious, but non-fatal, hepatic complications occurred in two other patients. One patient, transplanted in third remission, relapsed 16 months post-autograft. No other relapses have been seen, with one second remission patient remaining leukaemia-free at 24 months, and six first remission patients in continuing remission 11 to 23 (median 20) months post transplant. These encouraging results require confirmation in a randomised clinical trial comparing autologous marrow transplantation versus standard chemotherapy.
Adult↗
Elastosis in malignant tumours.
Elastosis is common in infiltrating ductal and lobular carcinomas of the breast, occurring in approximately 90% of cases. It is also well described in some benign lesions of the breast and tumours of the salivary gland. Reports of venous elastosis in association with large-bowel carcinomas are rare. We describe elastosis in single cases of prostatic, gastric, bronchiolar-alveolar and cervical carcinoma.
Adenocarcinoma↗
Pyoderma gangrenosum and ulcerative colitis in black South Africans. Case reports.
Two patients with pyoderma gangrenosum and ulcerative colitis are described. To our knowledge this is the first report of such an association in Blacks. The unusual vesicopustular form of pyoderma gangrenosum was well demonstrated by one patient who also responded remarkably to clofazimine. The associations, pathological findings and therapy are briefly reviewed. Colectomy may ameliorate the skin lesions when conventional therapy is unsuccessful.
Adolescent↗
Malignant intra-abdominal testis. A case report.
A case of malignant change within an intra-abdominal testis is reported. The development in a Black man of a malignant testicular lesion with a mixed cellular picture on histological examination, the absence of serum tumour markers in the presence of a seminoma and the presence of local invasive spread--all uncommon features of testicular tumours--in combination make this a rare case. Orchiopexy does not reduce the risk of malignant change and in the postpubertal patient does not influence spermatogenesis. Orchiectomy is therefore advised for all maldescended testes and should be considered mandatory for all intra-abdominal testes.
Adult↗
Pancreatic endocrine tumor presenting with obstructive jaundice.
A case of obstructive jaundice is presented, resulting from a benign, nonfunctioning pancreatic endocrine tumor. The neoplasm was indistinguishable clinically, biochemically, and radiologically from adenocarcinoma of the pancreas.
Adenocarcinoma↗
Paranasal sinus aspergillosis. A case report with computed tomogram findings.
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Adult↗
Isolated granulomatous pancreatitis.
Only five patients with clinically apparent noncaseating granulomatous pancreatitis have been recorded, so far as we can tell. We describe a patient with noncaseating granulomas confined to the pancreas who developed obstructive jaundice and acute abdominal pain.
Abdomen↗
Simultaneous hepatic tuberculosis, cirrhosis and hepatoma. A case report.
Multiple hepatic disease is unusual. An association between tuberculosis of the liver and cirrhosis has occasionally been described, but the occurrence of hepatoma and tuberculous hepatitis has not been reported previously. Clinically it may be difficult to distinguish hepatic tuberculosis from cirrhosis or hepatoma, and diagnostic procedures may not be helpful. We report a patient with tuberculous hepatitis, hepatoma and cirrhosis in whom the diagnosis alternated between the last two conditions until autopsy finally revealed the presence of all three.
Aged↗
Tuberculous abscess of the liver. A case report.
Tuberculous abscess of the liver is rare. A case is reported and the southern African literature briefly reviewed. The clinical similarities to amoebic and pyogenic liver abscesses and primary or secondary neoplasms of the liver are emphasized. Laboratory tests and hepatic scintiscans may not assist in differentiating between these conditions.
Child, Preschool↗
Primary tuberculosis of the liver-a case report.
Primary hepatic tuberculosis is a rare manifestation of tuberculosis. We report a case and briefly review the literature. Criteria for the diagnosis include evidence of a recent tuberculous infection, demonstration of tuberculosis in the liver with or without local lymph node involvement and absence of older tuberculous lesions elsewhere. Liver biopsy and culture is the investigation of choice, together with clinical and radiological exclusion of extrahepatic disease.
Humans↗
Malignant mesenchymal tumours of the oral cavity.
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Female↗
An Israeli model of a hospital emergency information center.
The Emergency Information Center model developed by the social work department of Tel Aviv Sourasky Medical Center is activated in cases of mass casualties following disasters. It aims to provide reliable information to help the public cope with confusion and uncertainty, and to enable the medical staff to concentrate on treating the casualties. The Information Center is comprised of several interrelated units within the hospital, and maintains contact with a range of community organizations. The article describes the structure and activities of the various units, and discusses a number of aspects relevant to personnel organization in crisis intervention.
Emergency Service, Hospital↗