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Biomedical subjects

J S Mittelman

Publications and source records attributed to J S Mittelman.

At least 19 recordsLinked to original sources

Getting through to your patients. Psychologic motivation.

When reason and emotion clash, emotion almost always wins. In getting others to move in the direction of better dental health, we need to appreciate the powers of emotional appeal and have certain attitudes, values, and feelings ourselves.

Attitude to Health↗

Effectiveness of leg compression in preventing venous stasis.

To compare the ability of intermittent calf compression with that of sequential leg compression to prevent venous stasis, the clearance time of radiopaque dye, as determined by sequential phleborheograms performed on anesthetized patients, were compared. Calf compression was superior to no compression in clearing the dye from the calf alone, but did not aid clearance from the rest of the leg. Sequential leg compression was superior to intermittent calf compression in clearing dye from the calf and popliteal areas. Since intermittent leg compression has been as effective as small-dose heparin therapy in preventing postoperative deep venous thrombosis [7], the use of sequential leg compression may prove to be more effective and have less complication than heparin administration.

Humans↗

Drains and antibiotics perioperatively for elective cholecystectomy.

In a review of 512 patients having elective cholecystectomies without choledochotomy, patients having drainage of the gallbladder bed were found to have longer postoperative hospital stays, higher incidences of fever postoperatively and both wound infections and postoperative complications than those patients not having such drainage. The use of antibiotics perioperatively and gallbladder bed closure did not alter these outcomes. We conclude that the routine use of drainage and prophylactic antibiotics in elective cholecystectomy not only is unnecessary but also may be harmful.

Adult↗