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OBJECTIVE To determine the change in chest radiograph use if each chest radiograph requires a separate order and clinical indication. DESIGN Prospective, nonrandomized, controlled design with an intervention. SETTING The pediatric intensive care unit (PICU) at Primary Children's Medical Center, Salt Lake City, UT. PATIENTS The study comprised 3,727(More)
Mean survival of 110.5 months (9 yr. 2.5 months) for spinal cord-injured persons who died between 1963 to 1976 compared favorable with the figure of 52.8 months (4 yr, 4.8 months) calculated in 1955 by Dietrick and Russi [1]. If suicides were not considered, then mean longevity for the deceased patients would be 126 months (10 yr, 6 months). The leading(More)
PURPOSE To describe the pathologic findings in an unusual case of giant cell arteritis that presented initially with visual loss and rapidly culminated in myocardial infarction. CASE REPORT After the death of the patient, a complete autopsy was performed, including bilateral enucleation. All specimens, including a temporal artery biopsy completed before(More)
Plasma from black male patients with essential hypertension was bioassayed for vascular Na+-K+ pump inhibitory activity. Halves of the same rat tail artery were incubated for two hours in boiled plasma supernates from a hypertensive patient and a paired age-, sex-, and race-matched normotensive subject and then ouabain-sensitive 86Rb uptake was measured.(More)
OBJECTIVES To determine to what degree assessment of mobility based on comparison of videotape recordings before and after courses of physiotherapy in patients with chronic multiple sclerosis (MS) is reliable, correlates with 'live' assessments and indicates benefit. DESIGN Prospective data collection within a randomized crossover controlled trial of(More)
The authors previously observed increased Na+-K+ pump inhibitory activity in the plasma of low renin essential hypertensive unselected with respect to renin status. The present experiments were done to determine the effect of acute volume expansion on plasma Na+-K+ pump inhibitory activity in normotensive subjects. The data show that acute volume expansion(More)
Two groups of patients with uncomplicated systemic hypertension were studied. Group 1 included 11 patients who had overt hypokalemia with diuretic drug treatment, and group 2 included 11 patients who remained normokalemic. After baseline studies without treatment were performed, both groups received hydrochlorothiazide, 50 mg twice daily. Plasma potassium(More)
Recent studies have suggested that hypertensive patients with ECG evidence of left ventricular hypertrophy (LVH) may have increased risk of sudden death when treated with diuretics. In the present study echocardiography was used as a more sensitive index for the presence of LVH. Thirty-one patients with uncomplicated hypertension underwent 48-hour(More)
OBJECTIVE To evaluate the clinical, financial, and parent/patient satisfaction impact of critical pathways on the postoperative care of pediatric cardiothoracic patients with simple congenital heart lesions. STUDY DESIGN Critical pathways were developed by pediatric intensive care nurses and implemented under the direction of pediatric cardiothoracic(More)