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A 55-year-old woman with an aortic arch syndrome of acute onset and dysphasia, resulting from the excessive administration of ergotamine tartrate suppositories, is described. Complete resolution of symptoms and return of upper limb and carotid artery pulses to normal occurred within four days of cessation of the ergot derivative. Lower limb involvement was(More)
BACKGROUND Effective pain management after removal of femoral artery sheaths after percutaneous transluminal coronary angioplasty is highly individualized and requires frequent, accurate assessment and administration of analgesics as needed. OBJECTIVE To determine which of 3 analgesic regimens is most effective in decreasing patients' perception of pain(More)
This study describes efforts to reduce turnover of child care workers, one of the many activities undertaken within the Milieu Enhancement Project. This 3-year endeavor, funded by the Division of Nursing of the Department of Health and Human Services, allowed nurses to provide care for orphaned and disadvantaged children, test the value of a nursing(More)
A cross-sectional survey was carried out in the Bangalow Valley on the far north coast of new South Wales to determine the prevalence of lower limb ischaemia. A study was made of 80.2% of the population aged thirty years and over. The presence or absence of peripheral vascular disease was determined by clinical history, clinical examination, and measurement(More)
BACKGROUND Medical treatment of the elderly is changing to include the aggressive management of coronary artery disease with percutaneous transluminal coronary angioplasty. OBJECTIVE The purpose of this study was to review major hospital events of patients aged 70 years or more, who underwent a first percutaneous transluminal coronary angioplasty. (More)
Perhaps the most broad and unassuming philosophical question about consciousness is " What is the relationship between consciousness and the physical world? " It is prima facie diffi cult to see how the pains, itches, and tickles of phenomenal consciousness could fi t into a world populated exclusively by particles, fi elds, forces, and other denizens of(More)
During a 20 year period, the outcome of 719 amputations in 552 patients demonstrates that, in a majority of patients, conservation of the foot or knee can be achieved. Two hundred and eighty-seven local amputations of the foot performed upon 249 patients resulted in satisfactory healing in 167 of the 237 surviving patients, with a hospital mortality of 4.8(More)
Uncompensated care (UCC) is health care provided by hospitals, clinics, physicians, and other providers for which no specific reimbursement is received from either the patient or the patient's insurer. The amount of UCC provided has been rising continuously over recent decades. In 2013, the value of this care in the nation as a whole was estimated to be(More)