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Biomedical subjects

S M Weinstein

Publications and source records attributed to S M Weinstein.

At least 19 recordsLinked to original sources
PubMed1995

Contemporary concepts in spine care. Epidural steroid injections.

Epidural steroid injections are commonly used for the management of lumbosacral radicular syndromes. The literature is replete with case reports and noncontrolled studies, but relatively few controlled studies exist. The well-designed studies that are available, however, do show a significantly positive pain reducing benefit from lumbar epidural steroid injections. This Contemporary Concepts review summarizes theoretic concepts, clinical applications, and data from the literature regarding the use of lumbar epidural steroid injections and provides current recommendations and suggestions for future research.

Adrenal Cortex Hormones↗
PubMed1994

Phantom pain.

The natural course of postamputation phenomena in cancer patients, including phantom pain, is poorly understood. Phantom pain may be disabling in a significant minority of patients undergoing amputation for malignancy. Due to advances in pain research, the pathophysiology of phantom pain is better understood. Both peripheral and central nervous system mechanisms play a role. Therapeutic options for persistent phantom pain are currently limited. Research into pharmacologic prevention strategies may yield more effective methods. A multidisciplinary care approach is designed to facilitate physical and psychological recovery after loss of a body part. Medical decision trees pertaining to cancer amputation are presented. Oncologists should be familiar with what is known about phantom pain in order to counsel patients and make appropriate referrals for comprehensive care.

Humans↗
PubMed1992

Industrial rehabilitation medicine. 1. An overview.

This self-directed learning module provides a framework for the general concepts in industrial rehabilitation medicine. It is the first of four articles on this topic for the Self-Directed Medical Knowledge Program for practitioners and trainees in physical medicine and rehabilitation. This section includes material related to the work environment and the physician-patient relationship. In addition, material on the Americans with Disabilities Act informs the reader about the new consciousness employers will need to develop toward disabled workers.

Cumulative Trauma Disorders↗
PubMed1992

Industrial rehabilitation medicine. 2. Assessment of the problem, pathology, and risk factors for disability.

This self-directed learning module highlights new advances in this topic area. It is part of the chapter on industrial rehabilitation medicine in the Self-Directed Medical Knowledge Program for practitioners and trainees in physical medicine and rehabilitation. This article covers ergonomic assessment of upper limb and low back injury, medical diagnostics for upper extremity cumulative trauma disorder (UE-CTD) and low back pain, and an evaluation of delayed recovery following work injury. Advances that are covered in this article involve factors contributing to UE-CTD, lumbar spine-imaging techniques, and the high-risk variables that contribute to prolonged disability.

Back Pain↗
PubMed1992

Industrial rehabilitation medicine. 3. Treatment.

This self-directed learning module highlights the important aspects of the physiatric approach to treatment of the injured worker. It is part of the chapter on industrial rehabilitation medicine in the Self-Directed Medical Knowledge Program for practitioners and trainees in physical medicine and rehabilitation. This article discusses treatment of the worker who has sustained acute or chronic industrial injury.

Acute Disease↗
PubMed1992

Nerve problems and compartment syndromes in the hand, wrist, and forearm.

Most sports-related peripheral neuropathies occurring from the elbow distally are compressive in nature. These result from overuse or overload principles superimposed on normal or variant anatomy. Tensile injury occurs less often and is usually associated with the extremes of the throwing motion, i.e., cocking and follow-through phases of throwing. Neurogenic syndromes are usually incomplete, indicating the absence of severe motor or sensory deficits, but typically with subjective complaints of pain or vague sensory disturbance. As a result, nerve injuries are frequently overlooked as a source of acute or, more usually, chronic symptomatology. Further, distal symptoms are not always representative of distal pathology as evidenced by the double-crush phenomenon. Therefore, a strong neurologic and musculoskeletal evaluation is necessary in diagnosing sports-induced peripheral nerve trauma. When positive, electrodiagnostic testing can assist with localization and extent of injury, although absence of NCV or EMG abnormalities is not unusual. Accurate diagnoses are essential for planning specific treatment.

Arm Injuries↗
PubMed1991

Cerebral stroke in a semi-pro football player: a case report.

Cervical spine trauma can clearly result in neurologic injury. An unusual traumatic event is a vascular insult of the vertebral arteries, potentially leading to stroke. The vertebral arteries are vulnerable to compression at several sites in the cervical spine. The high degree of physiologic rotation at the atlanto-axial joint places the vertebral artery at risk through normal daily activities as well as following forceful trauma, including manipulative treatment. Cerebrovascular insufficiency is an uncommon but serious complication of cervical spinal manipulation, which can lead to posterior circulatory impairment. Comprehensive diagnostic studies may be required to differentiate primary intracranial pathology from cerebral symptoms secondary to vascular compromise.

Adult↗
PubMed1982

The I.V. nurse.

Explore the source record for details and available documents.

Humans↗
PubMedDate not supplied

AIDS--pharmacologic update.

No one discounts the cruel nature of the Acquired Immunodeficiency Syndrome epidemic or the pain and devastation left by the virus that brings a lingering death to people in the prime of life. And no one dismisses the horrifying surge in the number of cases over the past decade. In 1981, 189 cases of AIDS were reported to the Centers for Disease Control; in 1990, 43,339 cases were reported. Research and technological advances have resulted in advanced treatment modalities aimed at symptomatic treatment of the disease process itself, opportunistic infections associated with the disease, and possibly prevention. These issues are addressed in this update.

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

Clinical administration of epoetin alfa recombinant.

Erythropoietin, a naturally occurring human protein that stimulates red blood cell production, is secreted by the kidney in direct response to anemia and hypoxia. This mechanism is absent in those with impaired renal function; thus, those suffering from chronic renal failure may develop anemia evidenced by very low hemoglobin and hematocrit, low red blood cell count, and low reticulocyte count. Commercially available epoetin alfa recombinant may be administered intravenously or subcutaneously to reverse this deficiency.

Anemia↗
PubMedDate not supplied

Math calculations for intravenous nurses.

An integral component of intravenous nursing practice is the ability to perform the math calculations required to administer correct doses of medication and solution to patients. Published information aimed at facilitating this process for the I.V. nursing professional has been sparse at best. This article addresses I.V. math calculations from an I.V. nursing perspective and should serve as a ready reference tool in any clinical environment in which I.V. therapy is delivered.

Adult↗
PubMedDate not supplied

Impact of the RCT proposal on specialty nursing practice.

The nursing shortage is clearly the major human resource challenge facing our practice today. According to the American Medical Association (AMA), the RCT plan is intended to be an innovative solution to the shortage of bedside personnel and will prove to be timely, cost-effective and efficient. The impact of this proposal and others involving the use of clinically assistive personnel in health care facilities today is a concern for all nurses. The author addresses the latest solutions to the nursing shortage and the effect of such programs on the specialty of intravenous nursing.

Allied Health Personnel↗