Richard J. Kramer

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A 16-year-old boy presented with a one-hour history of left lower extremity pain and weakness, and was found to have a dissecting aortic aneurysm. The patient underwent emergency aortic angiography and immediate reparative aortic aneurysm surgery. He died on the fifth postoperative day. Because the majority of cases occur in the fifth to sixth decade of(More)
For several reasons, increasing numbers of patients with hypertension are treated with angiotensin-converting enzyme inhibitors and calcium channel blockers. In a twenty-four week, double-blind, randomized, parallel study, the antihypertensive effect of lisinopril (20 to 80 mg qd) and nifedipine (20 to 80 mg bid) were compared in 21 patients. Fourteen(More)
Amici Curiae are an interdisciplinary group of legal and family scholars with an interest in the role of marriage in law and society. An expert in the field of law and economics, he has studied issues related to the family for 20 years and has published 15 articles on family economics in journals such as the American many publications on constitutional(More)
BACKGROUND Individuals with psychiatric disease, substance abuse, and/or housing instability have a high prevalence of chronic hepatitis C virus (HCV) infection. However, such individuals are often excluded from treatment for HCV infection because of a perceived inability to adhere to the rigorous medication regimen required. METHODS A pilot program using(More)
Five patients after coronary bypass surgery developed unusual complications. Three developed new apical thrombi which are thought to be due to the trauma of the left ventricular vent or deterioration of the left ventricular contraction. Significant new mitral regurgitation in one patient probably is secondary to papillary muscle dysfunction as the result of(More)