James R Gould

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Other than anecdoted observations, there are no published reports on the physiological effects of ammonia at concentrations normally encountered industrially or information on whether inurement develops after repeated exposure. Six unacclimated male and female volunteers were exposed six hours per day over a six week period to concentrations of 25, 50, and(More)
BACKGROUND The function of long term indwelling venous access devices is commonly perturbed by postinsertion catheter-related complications (CRC). In an effort to assess the patterns of CRC in our community accurately, a prospective analysis of Groshong catheters in adult cancer patients was undertaken. METHODS Three hundred and twenty-four consecutive(More)
PURPOSE To identify factors associated with the development of clinically significant venous thrombosis in cancer patients with long-term indwelling subclavian Groshong catheters (GC). Also, to assess both the subsequent performance of affected catheters and the effect of heparin and warfarin therapy on subsequent catheter function and longevity. METHODS(More)
BACKGROUND Multiple complications associated with venous access ports are a common occurrence. In an effort to define patterns of sequential complications in our community, we undertook a prospective analysis of adult cancer patients in whom a subcutaneous port was inserted. METHODS One hundred nineteen consecutive adult cancer patients in whom a(More)
TO THE EDITOR: Physician engagement and a public health approach to gun violence as outlined by Frattaroli and colleagues (1) and sought by the editors of Annals (2) includes preventive counseling about guns during routine clinical encounters. We interviewed 53 African American men aged 18 to 34 years, the group for whom firearm injury is the leading cause(More)