Coexisting carcinoma and active tuberculosis of the lung: 24 patients.
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Biomedical subjects
Publications and source records attributed to M Browne.
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This paper describes one method by which data from a computer based health information system are used to screen the ambulatory care experiences of family practice residents. The steps in the evaluation process are discussed. Data collection techniques and definition of the reference population against which comparisons among the residents are made are also explained. The evaluation process is based on initial observations to answer progressively more specific questions about the resident-patient encounters. This approach is acceptable to faculty for several reasons: (1) data are timely and require minimal extra effort for collection, (2) resident discrepancies are easily identified, (3) data summaries are concise and easy to interpret, (4) cost effectiveness of resident performance can be evaluated, and (5) data are organized around a patient and the encounters he or she has had with all residents providing care.
Idoxuridine which was first used in 1960 (Kaufman et al., 1962), has been for many years the only antiviral agent available in the treatment of herpetic keratitis. It is however no more successful than is mechanical removal of diseased epithelium (Patterson & Jones, 1967), and furthermore it may give rise to serious toxic side effects. The search for an alternative medication is therefore a pressing one. Trifluorothymidine (F3T) has, in recent years, been shown to be more effective than IDU and to be free from significant toxicity. Both of these drugs are pyrimidine nucleosides. Adenine Arabinoside or Arabinoside-A (Ara-A) is, by contrast, a purine nucleoside. It is thought to exert its antiviral effect by blocking DNA polymerase and ribonucleotide reductase.
A short clinical trial of the 'Dynoptor' Slit Lamp Ophthalmodynamometer has shown it to be a practical instrument. A mean O.A.P. of 52.3 mm/hg has been recorded.
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