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T Bernstein

Publications and source records attributed to T Bernstein.

31 records · Page 2Linked to original sources

Mitoxantrone: an overview of safety and toxicity.

Mitoxantrone (Novantrone), is an anthracenedione which in preclinical studies demonstrated a spectrum of antitumor activity similar to the anthracyclines, but with less cardiotoxicity. Novantrone is a cytotoxic agent that produces dose-dependent myelosuppression. When administered to patients intravenously every three weeks, white blood cell (WBC) and platelet nadirs occurred between days 8 and 15 with hematologic recovery by day 22. In multiple clinical trials in over 4450 patients, including 372 patients in randomized trials against Adriamycin, Novantrone was consistently associated with a reduced incidence of moderate and severe acute side-effects. In four randomized trials the adverse experience profile associated with Novantrone was superior to that of Adriamycin with statistically significant lower incidences of mucositis/stomatitis, nausea, vomiting and alopecia. Novantrone was less cardiotoxic than Adriamycin and cardiac events were rare in patients without predisposing risk factors. The high level of activity combined with improved patient tolerance and decreased toxicity make Novantrone a promising agent for patients requiring cytotoxic chemotherapy.

Anthraquinones↗

A case of subdural hematoma and temporal bone fracture as complications of chiropractic manipulation.

We present a case of subdural hematoma and temporal bone fracture as a complication of chiropractic manipulation. Subdural hematoma in the elderly may follow insignificant, often forgotten, trauma and may develop slowly and progress. Our patient presented with a complaint of headache three days after forceful chiropractic manipulation, but denied any history of trauma. Computed tomography confirmed the presence of a subdural hematoma and a temporal bone fracture and the patient underwent successful surgical treatment. Our experience identifies a previously unreported mechanism of injury in patients with subdural hematoma presenting to the emergency department with a complaint of headache.

Aged↗

Theories of the causes of death from electricity in the late nineteenth century.

During the period 1880-1900, the first studies were conducted to aid in understanding the effects of electricity on the human body. Commercial electrical systems were being developed, with the first central station for incandescent lighting placed in operation in 1882. The proliferation of these new stations and their distribution systems inevitably led to accidental electrocutions. The early investigators of electrical death were primarily physicians who were troubled by the incomplete electrical knowledge of that time as they evaluated the different effects of direct and alternating currents and high and low currents. Most of the studies used animals, while postmortem examinations of electrocuted criminals provided some information, though of little practical value, concerning high-current shocks. Various theories concerning suspended animation and concerning the action of electricity on the nervous system were proposed and discarded. In 1899, Prevost and Battelli in Europe, and Cunningham working independently in the United States, showed that ventricular fibrillation was the usual mode of death for low-voltage shocks. The possibility of electrical defibrillation of the heart was clearly described by Prevost and Battelli in 1899.

Animals↗