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A short test of mental status (encompassing about 5 minutes) was administered to 93 consecutive neurologic outpatients without dementia, 67 outpatients with Alzheimer-type dementia, and 20 outpatients with dementia of miscellaneous causes. The mean scores for patients with Alzheimer-type dementia were lower than those for the nondemented patients in the(More)
OBJECTIVE To compare rapid screening techniques for detecting asymptomatic urinary tract infections (AUTIs) in pregnant women. DESIGN Comparison of results of the screening tests of urinalysis, urine dipstick, and Gram's staining with the results of standard urine culture at an initial prenatal visit. In follow-up visits, urine dipstick testing was(More)
OBJECTIVE To attempt to characterize reflex sympathetic dystrophy (RSD) and to determine factors that would predict a response to sympathetic block. DESIGN We undertook a retrospective analysis on 396 patients with chronic limb pain referred for autonomic testing during a 5-year period. MATERIAL AND METHODS Clinical endpoints were relief of pain after(More)
Controversy continues as to whether traumatic brain injury is a risk factor for Alzheimer's disease. The authors examined a related hypothesis that among persons with traumatic brain injury who develop Alzheimer's disease, time to onset of the disease is reduced. They used data on all documented episodes of traumatic brain injury that occurred from 1935 to(More)
Reconstruction of the arteries of the foot in patients with severe chronic arterial occlusive disease has become a routine and valuable procedure. However, it is frequently difficult to select the optimal site for the distal arterial anastomosis. In order to determine the most important anatomic variations of foot arteries and the relationship of the(More)
BACKGROUND Disease registries, audit and feedback, and clinical reminders have been reported to improve care processes. OBJECTIVE To assess the effects of a registry-generated audit, feedback, and patient reminder intervention on diabetes care. DESIGN Randomized controlled trial conducted in a resident continuity clinic during the 2003-2004 academic(More)
OBJECTIVE The aims of this study were to analyze the natural history of patients with pseudomyxoma peritonei (PMP), evaluate clinical and pathologic variables as prognostic indicators, and review the authors' experience with different treatments. SUMMARY BACKGROUND DATA PMP is an unusual form of intra-abdominal neoplasm that presents with large amounts of(More)
Complete revascularization for chronic intestinal ischemia is controversial. Fifty-eight patients (119 arteries) underwent mesenteric revascularization between 1981 and 1988. There were 46 women and 12 men (mean age: 63 years). Sixty percent of patients had three-vessel disease. Twenty-one patients underwent concomitant aortic reconstruction. Operative(More)
PURPOSE Lymphoscintigraphy has emerged as the diagnostic test of choice in patients with suspected lymphedema. To assess the lymphatic circulation of 386 extremities in 188 patients, we prospectively recorded a semiquantitative index of lymphatic transport in addition to visual evaluation of lymphoscintigraphy image patterns. METHODS Sixty-one male and(More)
The thicknesses at 3 sites of each aortic cusp (nodule, closing edge and middle part) and 2 sites of both mitral leaflets (closing edge and clear zone) were measured in 200 autopsy specimens of normal hearts, evenly distributed by age and sex. There were no significant correlations between valvular thickness and height, weight, heart weight or body surface(More)