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M Keefe

Publications and source records attributed to M Keefe.

25 records · Page 2Linked to original sources
PubMed1988

Basal cell carcinoma mimicking rhinophyma. Case report and literature review.

An 82-year-old man presented with rapid enlargement of a long-standing rhinophyma. Following an uncomplicated excision of rhinophyma, histologic examination showed that the enlargement was entirely due to basal cell carcinoma. Radiotherapy was administered, and the nose has now healed satisfactorily. There are few reports of an association between rhinophyma and basal cell carcinoma; but it is claimed that it occurs more frequently than is expected by chance. The evidence for this is reviewed. Previous reports were anecdotal or contained biases that prevent generalization of the results and, in addition, a statistical analysis was incorrect. There is insufficient evidence to claim an association between basal cell carcinoma and rhinophyma.

Aged↗
PubMed1987

Family participation during resuscitation: an option.

We began to question the fairness of a policy to exclude close family members from the treatment room during attempted resuscitation of cardiac arrest victims in 1982 after 13 of 18 surviving relatives (72%) who were surveyed about their experiences during the attempted resuscitation of a family member responded that they would have liked to have been present during the resuscitation. We report the results of a program instituted at that time that allowed selected family members to be present during resuscitation efforts. Family members were asked by a chaplain or nurse if they wished to be present in the resuscitation room, and those accepting were accompanied by a supporting emergency staff member who explained the milieu of the code room. None of the participants interfered with resuscitation efforts. Seventy persons who participated were later contacted by one of the chaplains and asked to complete a survey form. Forty-four of 47 respondents (94%) who had been present during resuscitation believed that they would participate again. Thirty-six (76%) thought that adjustment to the death or grieving was facilitated by their witnessing the resuscitation; 30 (64%) felt that their presence was beneficial to the dying family member. We conclude that lay person may wish to be with family members who may be dying even though resuscitation efforts are being made, and that it is reasonable to inquire about this wish. This experience has assisted the grieving process for many and has not interrupted or adversely affected medical efforts at resuscitation.

Adaptation, Psychological↗
PubMedDate not supplied

Listeriosis.

Four patients with Listeria monocytogenes infection are presented; three of whom had associated lymphoproliferative disorders. Two of the four patients had Listeria meningitis. Meningitis is the most common manifestation of listeriosis in humans. Specific diagnosis depends on demonstrating Listeria monocytogenes in the cerebral spinal fluid; differentiation from other forms of acute meningitis cannot be made clinically. Although listeriosis is recognized as a major global problem in both human and animal health, the epidemiology of human infection is poorly understood. Animals and animal products may serve as reservoirs for human infection. Antibiotic therapy resulted in recovery in three of the patients. The history, epidemiology, laboratory diagnosis, clinical manifestations, and therapy of listeriosis are reviewed.

Africa↗