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T Jacob

Publications and source records attributed to T Jacob.

119 records · Page 7Linked to original sources
PubMedDate not supplied

Comparisons of retrospective and current reports of alcoholics and their spouses on drinking behavior.

This study examined the correspondence between reports of alcoholic husbands and their wives on multiple dimensions of alcohol consumption and drinking-related events. Retrospective reports as well as prospective diaries (90 day period) were obtained from both spouses on husbands' behaviors, and correspondence was assessed at group and individual levels. Although there was some variability in agreement between individual husband-wife pairs, overall results indicated that husband-wife correspondence was robust not only for global measures, but also for more specific dimensions of day-to-day consumption. Findings were discussed in terms of issues that affect the validity of alcoholics' reports.

Adult↗
PubMedDate not supplied

Static ataxia: a possible marker for alcoholism.

Adolescent sons of alcoholic, depressed, and normal fathers were compared on a measure of static ataxia, or body sway. It was found that the young males at risk for developing alcoholism were more ataxic than the sons of depressed fathers and normal controls. The possibility that static ataxia may be a premorbid marker for detecting males at heightened risk for alcoholism is discussed.

Adolescent↗
PubMedDate not supplied

Primary visual memory of stroke patients.

This matched control group study assesses primary visual memory of stroke patients using the GEMAT visual-memory test. Primary visual memory of 29 stroke patients who scored 24 or more on the MMSE was compared with that of 33 age and sex-matched controls. Patients were recruited from physiotherapy outpatient clinics. Measured variables were the total time needed to complete the test (GTT) and the number of correct answers (GCA). Patients were slower (p < 0.01) and made more mistakes (p < 0.01) than controls. 'Young' (60-71) subjects made fewer mistakes (p < 0.01) than old subjects (72-89) and patients who scored 24-26 on MMSE were slower than patients who scored 27-30. It should be taken into consideration that stroke patients whose cognitive function is within a normal range of the MMSE might have impaired primary visual memory.

Age Factors↗
PubMedDate not supplied

High negative predictive value of slow lymphatic drainage on metastatic node spread detection in malignant limb and trunk cutaneous melanoma.

AIM: Harvesting of the "sentinel lymph node" (SLN) as identified by lymphoscintigraphy (LSG) is becoming increasingly important in the staging of patients with malignant melanoma. The purpose of the current study was to determine whether the appearance time of the LSG had a prognostic value in predicting metastasis dissemination in thick cutaneous malignant melanoma. METHODS: Between July 1999 and July 2003, 88 consecutive patients with histologically proven melanoma with a Breslow's thickness > 1 mm, without clinical or radiological evidence of lymph node involvement or metastasis, prospectively underwent lymphoscintigraphy with 32 Mbq Tc 99m sulfur colloid prior to sentinel lymphadenectomy with sentinel lymph node (SLN) histological examination. RESULTS: LSG was performed in 88 patients with limb and trunk melanoma and identified a total of 149 sentinel nodes. Pathological examination revealed lymph node involvement in 21 patients (24%). All positive SLNs were imaged with a scintigraphic appearance time of less than 30 min. With a scintigraphic appearance time greater than 30 min, the negative predictive value (NPV) of spread in the SLN was 100% (27/27)(CI 87-100%). CONCLUSION: The strong NPV of LSG in identifying "slow" sentinel lymph nodes in patients with no clinical evidence of lymph node involvement suggests that patients could be spared sentinel lymph node biopsy when LSG detects "slow" sentinel lymph nodes. Another prospective study will be required to confirm that the scintigraphic appearance time of sentinel lymph nodes is an important predictive parameter of metastatic disease in sentinel lymph nodes and consequently might reduce the number of sentinel lymph node biopsies.

Adult↗
PubMedDate not supplied

Hallux varus--a study of thirty cases.

Although both congenital and acquired hallux varus have been described, the deformity has been considered uncommon. Contrary to this belief, we noted that it is fairly common in the unshod population. Analysis of 30 cases shows that congenital hallux varus is the most common type encountered and it is of three types, namely: primary, secondary, and teratogenic. The congenital primary and secondary varieties are apparently easy to treat in infancy, but if left untreated, they progress with age in unshod persons. The more severe grades of hallux varus are associated with medial deviation of the lateral toes. Hallux varus occasionally develops in unshod persons during the fourth, fifth, or sixth decades of life. This is referred to as the idiopathic hallux varus of middle age. The length of the first metatarsal, the first intermetatarsal angle, and the shape of the first metatarsal head appear to have no bearing on the causation of hallux varus. The progression of the deformity in congenital cases and the de novo development of the deformity in middle age appear to be related to the failure to use footwear.

Adolescent↗