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Biomedical subjects

R Rapport

Publications and source records attributed to R Rapport.

13 recordsLinked to original sources

Senior health issues.

Thanks to improved living conditions, better nutrition, preventive care, increased fitness, antibiotics, and other factors, more Americans will remain healthy through their 80s and beyond. As people live longer, however, so do the demands for services and products that respond to their needs. Will the medical field be prepared?

Aged↗

Changing roles. Physicians and their patients.

With today's rapid cultural and technological changes, the interaction between health care providers and patients is undergoing a dramatic transformation. Nearly everyone has to adapt, including physicians, insurers, pharmaceutical companies, hospitals, HMOs, government agencies, and patients.

Delivery of Health Care↗

Althesin in the management of head injuries: a preliminary report.

The aggressive treatment of major craniocerebral trauma has received recent attention. Barbiturate administration has been beneficial in some cases of sustained, uncontrolled intracranial hypertension. One major disadvantage of pentobarbital narcosis is the long half-life of the drug (15 to 48 hours). We have used Althesin, an intravenous steroid anesthetic (alfaxalone and alfadolone acetate; Glaxo Laboratories Ltd., Greenford, Middlesex, England), in eight seriously head-injured patients. Althesin combines the theoretical advantages of pentobarbital in the management of head trauma with almost immediate reversibility (serum half-life, 1.6 minutes). Raised intracranial pressure and clinical outcome seem to be influenced favorably and the side effects are negligible when the drug is administered by continuous intravenous infusion over several days. Further study of this compound in the management of head trauma seems warranted.

Adolescent↗