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Biomedical subjects

T L Yarboro

Publications and source records attributed to T L Yarboro.

8 recordsLinked to original sources
PubMed1998

Atypical presentation of Wilms' tumor: evaluation and early diagnosis.

Wilms' tumor is a malignancy that most often affects children. It usually is discovered incidentally by a parent or family member in an asymptomatic child. The development of surgical techniques and the addition of adjuvant therapies have made this once incurable disease curable. The National Wilms' Tumor Study group, developed in 1969, has done extensive research of the disease, and in an ongoing process, performs trials of various treatment modalities to improve the survival of patients with Wilms' tumor. This article describes a patient with an atypical presentation of Wilms' tumor.

Abdominal Pain↗
PubMed1995

Intramuscular Toradol, gastrointestinal bleeding, and peptic ulcer perforation: a case report.

Peptic ulcers, perforations, and serious gastrointestinal bleeding have not been reported with intramuscular ketoralac tromethamine, the first parenteral nonsteroidal anti-inflammatory drug available for analgesic use. This article presents the case of a 39-year-old black female who underwent surgical repair of a perforated gastric ulcer after receiving multiple dosages of intramuscular ketoralac tromethamine in the emergency room over a period of 21/2 months for the treatment of pain due to chronic pancreatitis.

Adult↗
PubMed1995

The natural history of homozygous S sickle cell anemia in two sisters.

This article describes the natural history of homozygous S sickle anemia in two sisters who have completely different morbidity patterns. Medical records beginning in May 1976 from the Urban League Sickle Cell program and my office, hospital records, and personal interviews were used. The sisters were older than 20 years when the diagnosis was made. Both had two essentially uneventful pregnancies, and neither was treated with prophylactic transfusions during the pregnancies. One sister has a hemoglobin F level of 23%, has been hospitalized only 15 times to date, and has no gallstones. The other sister has a hemoglobin F level below 3%, has been hospitalized more than 148 times to date, and had a cholecystectomy in 1979. Clinical symptoms in sickle cell patients with high levels of hemoglobin F is reportedly mild, and this has been supported by this study. Likewise, the conclusion by some investigators that prophylactic blood transfusions during pregnancy are unnecessary also has been supported. While many exciting investigative approaches relative to management and prevention of sickle cell anemia continue, it is equally important to maintain emphasis on the variables that encourage and facilitate positive psychosocial adaptations by these patients.

Adult↗
PubMed1991

The need for a standard national immunization record.

Perhaps the most significant link in achieving the nation's immunization objectives is the extent of parental knowledge. Admittedly, this is a weak link. The 1990 federal objectives calling for an official format using common guidelines for completion of immunizations, though well-conceived, has not been used exclusively by health care givers. The lack of accord has permitted the proliferation of many different immunization records that are not only confusing to parents, but also to health care providers at times. A standard national immunization record could be an essential element in strengthening the weak link of parental knowledge of immunizations and stressing the importance of preserving such a record for a lifetime.

Adolescent↗
PubMed1990

Guidelines for the CME moderator.

Although an essential part of the continuing medical education program, the moderator is seldom mentioned in the literature when program preparation and evaluation are discussed. One result of such neglect could be the perception of the moderator as one who merely introduces the speaker and monitors the time and questions. The purpose of this article is to provide some useful guidelines that should enable the Moderator to become more cognizant of the role and responsibilities. Such guidelines are especially essential for the moderator at a National Assembly where the program planner may not always be readily available.

Education, Medical, Continuing↗
PubMed1990

Emergency room use by patients from the family practice of a black physician.

Lack of access to a primary care physician has been cited as a major influence on the patterns of emergency department use by low income patients. This study, however, clearly suggests that some other, equally important, variables influence this problem. Seven hundred ninety-four visits to the emergency department during 1980 by patients from the practice of a minority physician were reviewed. The study supported other reports of frequent and inappropriate use of the emergency department by welfare patients, in spite of the availability of the family physician. The high percentage of nontrauma-related visits, especially in the age group of 20 to 30 year olds, strongly suggests the influence of sociocultural factors in this occurrence. Although further study is necessary, investigators must be cautious that the complexity of the situation could belie any quick fix.

Adolescent↗