Recently added articles from Baylor University Medical Center Proceedings:

Emergency department usage by uninsured patients in Galveston County, Texas.

Jul 01, 2008; Baillargeon, Jacques ... The number of uninsured Texas residents who rely on the medical emergency department as their primary health care provider continues to increase. Unfortunately, little information about the characteristics of this group of emergency department users is available. Using an administrative ...

Effectiveness of normal saline diuresis in treating lithium overdose.(Case study)

Jul 01, 2008; Boltan, David D. ... Lithium carbonate is a common treatment for mood disorders, but it has a very narrow therapeutic index and can be toxic to multiple organ systems. Unfortunately, many patients suffer toxic effects through the course of their therapy. We describe a patient with toxic effects from a high ...

Hepatocellular carcinoma: management of an increasingly common problem.(Disease/Disorder overview)

Jul 01, 2008; Davis, Gary L. ... Hepatocellular carcinoma (HCC) is a common cancer that typically occurs in the setting of cirrhosis and chronic hepatitis virus infections. Hepatitis B and C account for approximately 80% of cases worldwide. HCC is currently the fifth most common malignancy in men and the eighth in women ...

Facts and ideas from anywhere.(From the Editor)

Jul 01, 2008; Roberts, William Clifford ... OUR DEPENDENCE ON OIL The price is now over $125 a barrel (44 gallons) and, in my view, it will continue to rise. Mouawad (1) recently reviewed the present state of oil and our dependence on it. The earth's population is expected to grow by 50% to 9 billion by approximately ...

Is being left-handed a handicap? The short and useless answer is "yes and no.".

Jul 01, 2008; Flatt, Adrian E. ... Certainly in earlier days, sinistrality was a problem for children learning to write. An eminent sinister-handed Dallas plastic surgeon reported: "In parochial summer school the nuns were determined to change me and actually tied my left hand behind my back. The result of this action was ...

The humanity of a Baylor surgeon: a tribute to Zeck Lieberman.(Tribute)

Jul 01, 2008; Fordtran, John S. ... It was a challenge, as well as an honor, to be asked to deliver a tribute to Zeck Lieberman (Figure). The challenge was to come up with a theme that is not trite, as I would speak about a man who is well known to everyone at Baylor. After several false starts, I selected a bold purpose for ...

Multidisciplinary treatment of a large cerebral dural arteriovenous fistula using embolization, surgery, and radiosurgery.(Case study)

Jul 01, 2008; Giller, Cole A. ... Dural arteriovenous fistulae are rare lesions composed of abnormal connections between meningeal arteries and the dural sinuses or lepto-meningeal veins. Treatment is challenging because of the small size and wide distribution of the myriad sites of fistulous connection. We present a case ...

Wolff-Parkinson-White--type ventricular preexcitation mimicking left ventricular hypertrophy and an inferoposterior myocardial infarct.(Electrocardiographic Report)

Jul 01, 2008; Glancy, D. Luke ... [FIGURE OMITTED] The electrocardiogram (Figure) meets at least two commonly used criteria for left ventricular enlargement: the R wave in [V.sup.5] or [V.sub.6] > 2.6 mV, i.e., >26 mm with the usual standardization of 1.0 mV = 10 mm (here [RV.sub.5] is 35 mm); and [SV.sub.1] + ...

Doripenem (Doribax): the newest addition to the carbapenems.(Pharmacology Notes)

Jul 01, 2008; Greer, Nickie D. ... Carbapenems are a class of antimicrobials structurally related to penicillin. Doripenem, the newest agent in this class, was recently approved by the Food and Drug Administration for the treatment of complicated intra-abdominal infections and complicated urinary tract infections. Its ...

Perry Edward Gross, MD: a conversation with the editor.(Interview)

Jul 01, 2008; Gross, Perry Edward ... Perry Edward Gross (Figure 1) was born and raised in Jeannette, Pennsylvania. He attended the University of Pittsburgh in 1943 and 1944 before being drafted into the army. While in the army, Dr. Gross served in Japan the year after World War II ended. Thereafter, he returned to his studies ...

Relevant Surgical Exposures.(Brief article)(Book review)

Jul 01, 2008; Mabrey, Jay D. ... Relevant Surgical Exposures, by Bernard F. Morrey and Matthew C. Morrey Totowa, NJ: Wolters Kluwer, 2008. Hardback, 416 pp., $229.00. [ILLUSTRATION OMITTED] Relevant Surgical Exposures is the latest book in the Master Techniques in ...

Serum nutrient deficiencies in the patient with complex temporomandibular joint problems.

Jul 01, 2008; Mehra, Pushkar ... This study evaluated serum nutrients in 23 patients who had previous Proplast/Teflon implants to their temporomandibular joints (TMJ) and continued to remain in chronic, severe, irresolvable pain despite subsequent surgical reconstruction. All of the patients were women, and their average ...

Gastrointestinal bleeding and cutaneous nodules: Baylor Sammons Cancer Center at Dallas Site Tumor Conference: presented at the gastrointestinal tumor conference on January 17, 2008.(Case study)

Jul 01, 2008; Mittal, Alka ... A 58-year-old man with a past medical history of hepatitis C and hypertension was referred to Baylor University Medical Center to evaluate occult gastrointestinal bleeding with double-balloon endoscopy. Before coming to Baylor, he complained of fatigue, shortness of breath, and noted ...

Some observations on mitral and aortic valve disease.

Jul 01, 2008; Roberts, William Clifford ... SOURCES FOR MORPHOLOGIC STUDIES Before 1960, the only source for studying the heart was the autopsy. The early years of cardiac valve replacement provided a rich source of necropsy "material" until valve techniques and artificial heart valves became more refined. In the 1950s ...

Long-term follow-up of patients with insomnia.(Clinical report)

Jul 01, 2008; Rosenthal, Leon D. ... It has been suggested that patients with insomnia who are lost to follow-up continue to experience symptoms. From winter 2006 to spring 2007, we contacted consecutive patients initially seen at a multidisciplinary sleep medicine clinic 3 to 5 years earlier and asked them about continuing ...

Intraoperative imaging of pancreas transplant allografts using indocyanine green with laser fluorescence.

Jul 01, 2008; Sanchez, Edmund Q. ... Vascular thrombosis is a cause of allograft loss after pancreas transplantation. We present the use of intraoperative fluorescence imaging with the SPY imaging device (Novadaq Technologies Inc, Toronto, Canada) in two pancreas transplants as a means to assess patency of the vascular ...

Brown adipose tissue in a newborn.(Radiology Report)

Jul 01, 2008; Carter, Brett W. ... A premature infant boy of 35 weeks and 4 days weighing 2605 g was found to have bilateral supraclavicular masses at 13 days of life. He had persistent pulmonary hypertension of the newborn and thrombocytopenia. Delivery was by cesarean section for nonreassuring fetal status, and Apgar ...

Preoperative visualization of a muscular ventricular septal defect by 64-slice cardiac computed tomography.

Jul 01, 2008; Tandon, Anumeha ... A 21-year-old man presented to a primary care physician for a general evaluation. He had a past medical history of a "heart murmur" present since childhood. His only complaint was mild increased fatigability with exertion; he had no dyspnea at rest. Physical examination was remarkable for ...

Impact of clinical preventive services in the ambulatory setting.

Jul 01, 2008; Silverstein, Marc D. ... Indicators of the performance of clinical preventive services (CPS) have been adopted in the ambulatory setting to improve quality of care. The impact of CPS was evaluated in a network of 49 primary care practices providing care to an estimated 245,000 adults in the Dallas-Fort Worth area ...

What is a health care liability claim under Texas law?(Medicolegal Issues)

Jul 01, 2008; Thornton, Russell G. ... Many, including the plaintiff's bar and some members of the judiciary, do not look kindly on the special treatment health care providers are accorded under current Texas law. The strict damage caps, expert report requirements, and statute of limitations provisions of Chapter 74 of the ...