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Biomedical subjects

T G Patel

Publications and source records attributed to T G Patel.

10 recordsLinked to original sources
PubMed1997

Changes in women's health care aboard one ship.

UNLABELLED: Health care needs of women assigned to sea duty may change over time. OBJECTIVE: Determine changes in the obstetrical/gynecological needs of U.S. Navy women assigned to a submarine tender. METHODS: Retrospective record review of personnel aboard one U.S. Navy ship in 1990 and in 1995. RESULTS: The demographic character of the female crew members changed. Compared with 1990, the women in 1995 were older, more experienced, of higher rank, more likely to use contraception, and more likely to have children. The pregnancy rate dropped from 2.7 to 1.5 per 100 women per month. Sexually transmitted diseases were less frequent, and the "satisfactory Papanicolaou smear" rate increased from 52 to 93%. Both in 1990 and 1995, women utilized Sick Call more often than men. CONCLUSION: Measurable changes occurred in the obstetrical/gynecological health care needs of women assigned to one ship in 1990 and 1995.

Absenteeism↗
PubMed1997

Field-expedient gynecologic examination table.

In field operational environments, the gynecologic health needs of women may be difficult to provide because of the lack of a small, lightweight, durable, inexpensive gynecologic examination table. Such a table already exists, in pieces, in the inventory of most field-deploying units of battalion aid station size or larger. Because the table's existence is not commonly known, we describe the assembly and use of this field-expedient gynecologic examination table.

Beds↗
PubMed1994

Racial differences in the prevalence and presentation of glomerular disease in adults.

In order to ascertain to prevalence of glomerulopathies in our patient population, all renal biopsies performed on patients older than 14 years of age presenting to a single military hospital from 1983 to 1992 were reviewed. Two hundred and eighty-five patients were included in the study. Indications for renal biopsy included evaluation for the nephrotic syndrome, asymptomatic proteinuria, hematuria/proteinuria, isolated hematuria or systemic disease. Fifty-one percent of the patients were white and 44 percent were black. The male/female ratio was 3.2:1. The most common etiology of the nephrotic syndrome or asymptomatic proteinuria was focal glomerular sclerosis, and was found predominantly in black males. IgA nephropathy was the most common cause of combined hematuria and proteinuria, and was not found in any black patients in 126 biopsies. Isolated hematuria was secondary to either IgA nephropathy or thin basement membrane disease in 70 percent of the biopsies. This is the first study to demonstrate such differences in glomerular disease in an American population on the basis of race and sex in a single center.

Adolescent↗
PubMed1985

Renal biopsy: localization using computed tomography.

The percutaneous renal biopsy is a commonly used diagnostic procedure. Computed axial tomography (CAT) can assist in precise placement of the biopsy needle into the renal parenchyma in clinical situations in which standard imaging techniques (fluoroscopy and ultrasound) are not suitable.

Adult↗
PubMed1984

Acute renal failure associated with mannitol intoxication. Report of a case.

Mannitol intoxication has been reported as a potentially life-threatening complication when the agent is used unrestrictedly in patients with established renal failure. We report a case of mannitol intoxication in which acute oliguric renal failure occurred without a known predisposing factor other than the intravenous infusion of massive quantities of mannitol.

Acute Kidney Injury↗
PubMedDate not supplied

Diabinese-Dialume: a potential catastrophe.

An oral hypoglycemic drug (Diabinese-chlorpropamide) was given inadvertently to a nondiabetic with renal insufficiency instead of the prescribed phosphate binder (Dialume-aluminum hydroxide). It was determined from this situation that hemodialysis is of no benefit in removing the drug from serum; the hypoglycemic effect of chlorpropamide is profound in nondiabetics, and the duration of therapy with dextrose infusions can be quite prolonged. We provide recommendations regarding therapy, bedside glucose monitoring, and prevention.

Adult↗