PubMed Health⌕ Search

Biomedical subjects

Q Young

Publications and source records attributed to Q Young.

13 recordsLinked to original sources

High noon for U.S. health care reform.

A growing popular movement besieges a health policy status quo near financial as well as moral bankruptcy. A single-payer, Canadian-style national health program would assure universal, egalitarian coverage; democratic, rather than corporate, control of key policy choices; financing based on ability to pay; and cost controls that spare needed care as well as health workers' standard of living. Despite a misinformation campaign (generously funded by insurance and pharmaceutical firms) that slanders the Canadian experience, most Americans favor a national health program. The public health community should fight for no less.

Canada↗

A proportional mortality ratio study of workers in a construction equipment and diesel engine manufacturing plant.

The mortality of 461 workers who were employed 10 or more years in a Midwest engine and construction equipment plant was examined, using the method of proportional mortality ratios. Both state and national deaths were used as the standard population. Major exposures in this plant included solvents, cutting oils, and metal fumes and dusts. However, precise exposure data were not available. Among white males, no significant deviations from expected deaths were found. Among black males, significant excess deaths were found for all malignant neoplasms combined, for cancer of the pancreas, and for non-Hodgkin's lymphomas. Proportional cancer mortality ratios produced similar results, although the excess of pancreatic cancer in blacks was only significant among those with 20 or more years of service. Although complete occupational histories were not available, these results may provide hypotheses for future studies of workers in heavy machinery production.

Cross-Sectional Studies↗

Telling it to Studs Terkel: HMPRG at age five.

After five years, the Health and Medicine Policy Research Group, out of generosity or vain-glory, has come to believe that its health policy interventions are a moveable feast. In what follows, the nation's premier interviewer extracts from three HMPRG stalwarts the history and the style of work which, up to this moment, has proven remarkably productive for us. Please presume this interview is an invitation to readers wherever you may be to inquire and seek counsel about how what we have been able to do might be replicated in your city. The interview was aired on WFMT's Studs Terkel Program of January 6, 1986. Patricia Terrell, Executive Director of HMPRG, John McKnight, Professor of Urban Policy at Northwestern University and a co-founder of the group, and Quentin Young, former Medical Director of Cook County Hospital and President of HMPRG, answered, as best they could, Studs Terkel's interrogatories.

Chicago↗

Pneumocystis pneumonia: importance of gallium scan for early diagnosis and description of a new immunoperoxidase technique to demonstrate Pneumocystis carinii.

Pneumocystis pneumonia presented in a homosexual with fever, a normal chest radiograph, and pulmonary gallium uptake. Bronchial washings yielded Mycobaterium tuberculosis, but despite antituberculosis therapy he remained febrile, and gallium uptake in the lung increased. Subsequently, silver stain of transbronchial lung biopsy obtained 2 months earlier at the time that tuberculosis was diagnosed showed many Pneumocystis cysts in alveolar spaces. In contrast to Pneumocystis cysts in infected lung tissue from other humans, our patient's Pneumocystis cysts reacted more avidly with antiserum to rat Pneumocystis than with antiserum to human pneumocystis, raising the possibility that organisms that infect humans may have varied surface antigenic properties.

Adult↗

Utilization of former military medical corpsmen in the provision of jail health services.

In an effort to improve the quality of health services within a large urban jail, former military medical corpsmen have been employed as an integral component of a jail health service. Medical corpsmen are responsible for the performance of intake medical evaluations, delivery of prescription medications, triage for physician sick call, and provision of elementary health services on the jail tiers. Utilization of medical corpsmen has been associated with improved rates of medication delivery as well as beneficial effects in relation to tuberculosis and venereal disease control, and a more appropriate utilization of physician services. Effective utilization of medical corpsmen requires cooperation from the correctional staff as well as consistent supervision and support by qualified physicians.

Allied Health Personnel↗

Expanded cytologic criteria for the diagnosis of adenocarcinoma in situ of the cervix and related lesions.

Fifty-two cases of adenocarcinoma in situ (AIS) of the cervix uteri, or lesions closely related to AIS, have been reported by this laboratory over a five-year period. Whereas this lesion has commonly been considered a rare and usually incidental histologic finding, the large majority of these cases involved glandular atypia only and were prospectively diagnosed. Comparison of the findings from this larger series with the 11 cases of AIS described by us previously has led to a shift in emphasis from cell size to sheet architecture as the primary cytologic criterion for diagnosis of this lesion. The structure of AIS sheets was consistent with respect tothe cytologic appearances described here, even when the cells were poorly preserved. Retrospective studies of Papanicolaous smears of other cases from this laboratory that were confirmed histologically as endocervical dysplasia, microinvasive or early invasive adenocarcinoma or deeply invasive adenocarcinoma indicate that these entitites can be distinguished from AIS primarily on the basis of the architecture of the sheets of cells. Cellular groups comprising small, crowded nuclei were a feature of several undercalled deeply invasive adenocarcinomas, and the diagnostic significance of this material is discussed.

Adenocarcinoma↗