James T. Joyner

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A patient was profoundly neutropenic at the time of diagnosis of stage IIIB Hodgkin's disease. The neutropenia was not due to infection or bone marrow involvement by tumor. It did not respond to discontinuation of medication or to splenectomy, done for pathologic staging of Hodgkin's disease. The patient's serum contained abnormally increased(More)
We report on a case of endocarditis attributable to Cardiobacterium hominis in a 31-year-old man who presented with acute-onset, left-sided hemiparesthesia. Magnetic resonance imaging of the brain showed acute infarctions in 2 areas of the right cerebral cortex, and a transesophageal echocardiogram revealed vegetation in a previously unrecognized bicuspid(More)
BACKGROUND Variability in disease-related outcomes may relate to how patients experience self-management support in clinical settings. OBJECTIVES The purpose of this study was to identify factors associated with experiences of self-management support during primary care encounters. METHODS A cross-sectional survey was conducted of 208 patients seen in a(More)
Total knee replacement is an increasingly popular operation for end stage knee arthritis. In the majority it alleviates pain and improves function. However up to 20% of patients remain dissatisfied, even with well-aligned and secure implants. Restoration of a neutral mechanical axis has traditionally been strived for, to improve both function and implant(More)
We analyze the dynamics of a reaction propagating along a two-dimensional medium of nonuniform composition. We consider the context of a self-sustaining reaction front that converts a monomer-initiator mixture into an inhomogeneous polymeric material. We model the system with one-step effective kinetics, assuming large activation energy. Using asymptotic(More)