Cutaneous surgery and the pregnant patient.
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Biomedical subjects
Publications and source records attributed to M J Rapaport.
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Concern over the effect of broadspectrum (UVA and UVB) radiation is growing. This article provides an up-to-date discussion of broadspectrum protection.
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Physicians in private practice who are also volunteer clinical faculty members are a recognized resource for teaching and patient care at teaching hospitals. Clinical faculty members have seldom been included in education research despite the frequent complaint from community practitioners that the results from studies at teaching hospitals are not applicable to community practice. The authors report on a study involving volunteer clinical faculty members in a randomized education trial to improve patients' everyday functioning. Seventy-six clinical faculty physicians in office practice of internal medicine participated. At the end of the study the physician participants were asked to complete an evaluation questionnaire concerning the appropriateness of clinical faculty members' participation in such research projects. Ninety-five percent said the experiment was appropriate, and 88 percent would participate again.
A 20-year-old woman was seen with the associated disorders of pellagra and anorexia nervosa, both of which had been present for approximately six months. Treatment with niacin induced resolution of the pellagra skin changes.
It appears that benefit from collagen injections accrued to a large percentage of patients who responded to our questionnaire. It is interesting that 70% did not forward any information. Of those who reported benefit, the benefit lasted less than a year and was, in fact, within the 6-month range. Still, a large percentage of those responding were enthusiastic about further injections to correct their wrinkling.
The development of widespread herpes simplex on the face after phenolic face peels is not considered rare. Precaution in choosing patients is recommended. Four cases of acute exacerbation of herpes simplex are presented in patients who had recently undergone phenolic face peels.
Experience with various patch tests, usage tests, and other studies on Japanese and Caucasian subjects is presented. Differences between the races are noted by their responses.
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Five soaps were tested for irritancy potential using both the aluminum chamber and a standard 21-day patch testing method. One of the products showed marked potential for irritation after 21 days of patch testing but not with the chamber method of testing. An explanation of the varying results obtained by the two methods requires further investigation.
A patient with histiocytosis X had nonhealing mouth lesions. Evaluation revealed diabetes insipidus and numerous bony lesions. Electron microscopy of the mouth lesions and lymph nodes did not indicate Langerhans cells, which have frequently been described as occurring in histiocytosis X. A survey of 59 patients examined during a 20-year period at UCLA reported the presence of oral lesions in 42% of the cases and confirmed the occurrence of a wide range of clinical patterns and variations in the course of the disease.
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