Baylor University Medical Center Proceedings back issues from April 2002:
Seizure, headaches, and right hemiparesis.(Radiology Report)(Clinical report)
Apr 01, 2002; ... An 81-year-old woman consulted her physician because of a recent seizure. She also stated that she had frequent headaches and that her right arm and leg were weak. Radiographs of the skull were normal. Magnetic resonance (MR) images are shown below (Figures 1-4). [FIGURES 1-4 ...
Meandering linear pruritic lesion.(Dermatology Report)(Cutaneous larva migrans.)(Clinical report)
Apr 01, 2002; ... A 2-year-old presented with a 6-week history of an eruption that originally began with a "pimple"-like sore on his foot (Figure 1). Gradually the lesion extended linearly up the calf and onto the thigh (Figure 2). It was mildly pruritic, and regional adenopathy was evident. Prior ...
Jimmie Harold Cheek, MD: a conversation with the editor.(Interview)
Apr 01, 2002; ... Dr. Harold Cheek (Figure 1) was born in Eldorado, Oklahoma, in 1917. The depression in the 1930s made life difficult for him and his family, but they survived. Through encouragement, particularly from his mother, he entered Montezuma Baptist College in New Mexico in 1934 and after a year ...
Paradigms in oncology, old and new.(First in a series on molecular approaches in oncology)(Clinical report)
Apr 01, 2002; ... In the past decades, medicine has shifted from primarily a study in physiology to one in cellular and molecular biology. The consequent new understanding of the most basic antecedents of disease has revolutionized many specialties, and none more so than oncology. With this new knowledge ...
New modalities in oncology: antisense oligonucleotides.(Second in a series on molecular approaches in oncology)(Clinical report)
Apr 01, 2002; ... New and innovative cancer treatments are appearing at an astonishing rate. Although the array of new approaches seems breathtaking, most can be grouped into a few categories based on underlying purpose. For example, with our greater understanding of the genetic defects that predispose to ...
Donation benefit to organ donor families: a current debate.
Apr 01, 2002; ... Since initiation of the Uniform Anatomical Gift Act in 1968, organ donation in the USA has been based upon a voluntary system of organ donation, with all states, territories, and districts adopting some form of the act. Subsequent federal legislation such as the National Organ Transplant ...
Facts and ideas from anywhere.(the west is dying)(fast food and quick plaques)(ten good foods)(Editorial)
Apr 01, 2002; ... THE DYING WEST In 1960, planet earth contained 3 billion people, 750 million (25%) of whom were of European origin and living in Europe, the USA, Canada, and Australia. Forty years later, in 2000, the world population numbered 6 billion, and the percentage of European people on ...
Cross-cultural conceptions of pain and pain control.(Clinical report)
Apr 01, 2002; ... Pain is a ubiquitous feature of the human experience. This paper presents an anthropology of pain. Anthropology is defined as the cross-cultural and comparative study of human behavior. Pain can be acute and episodic, and pain can be constant and uninterrupted. Acute pain, lasting for ...
Twin pregnancy, dyspnea, cyanosis, and a heart murmur.(Electrocardiographic Report)(Clinical report)
Apr 01, 2002; ... A 32-year-old woman presented at 14 weeks gestation with a twin pregnancy. Her chief complaints were exertional dyspnea and orthopnea. She had a history of 2 spontaneous abortions followed by delivery of a live term infant 14 years previously. Two years previously she had suffered a ...
Description and outcomes of the DoctorQuality incident reporting system used at Baylor Medical Center at Grapevine.(Clinical report)
Apr 01, 2002; ... Problem: To improve error reporting so as to increase patient safety in a health care environment in which many barriers to reporting exist. Setting: Baylor Medical Center at Grapevine, a 104-bed hospital in Northeast Tarrant County that is part of the Baylor Health Care System ....
Description and outcomes of a custom Web-based patient occurrence reporting system developed for Baylor University Medical Center and other system entities.(Health Care Research and Improvement)(Clinical report)
Apr 01, 2002; ... Problem: To improve the timeliness, efficiency, and effectiveness of occurrence reporting. Setting: Baylor University Medical Center, a 1000-bed tertiary facility, and other components of the Baylor Health Care System, all located in Dallas and the surrounding area. ...
The Baylor Jack and Jane Hamilton Heart and Vascular Hospital: conversations with the editor.(Mark Timothy Parris)(Interview)
Apr 01, 2002; ... MARK TIMOTHY PARRIS Tim Parris, president of Baylor University Medical Center (BUMC), graduated from the University of Southern Mississippi in Hattiesburg in 1978 and received a master of science degree in hospital and health administration from the University of Alabama at ...
Nephrotic syndrome, mediastinal mass, and pulmonary embolus.(Case Discussion)(Clinical report)
Apr 01, 2002; ... CASE PRESENTATION Kevin P. Theleman, MD: A previously healthy 17-year-old white man in East Texas developed fever, cough, and malaise and was treated by his primary care physician for a presumed "walking pneumonia" that failed to resolve after treatment with azithromycin ....
Drotrecogin alfa (activated): the first FDA-approved treatment for severe sepsis.(Pharmacology Notes)(Drug overview)
Apr 01, 2002; ... Drotrecogin alfa (activated) (Xigris, Eli Lilly and Company, Indianapolis, Ind) is a recombinant form of human activated protein C. It was approved by the Food and Drug Administration in the last quarter of 2001 for the reduction of mortality due to severe sepsis in adult patients who are ...
Robert Wilson Jackson, OC, MD, FRCS, FRCSC, FRCS(Ed): a conversation with the editor.(Interview)
Apr 01, 2002; ... Robert Jackson (Figure 1) was born in Toronto, Canada, in 1932 and grew up there. He received his medical degree from the University of Toronto in 1956. After a rotating internship, he did a year of research in the orthopaedic surgery department at one of the hospitals connected to the ...
Will stem cells transform medicine?
Apr 01, 2002; ... In 1998, human pluripotent stem cells--self-renewing, unspecialized cells that can develop into all of the specialized cells of the body--were first isolated and grown in cell culture. Harold Vargus, director of the National Institutes of Health, told the US Congress, "Stem cell research ...
Information technology and the medical profession: a curse or an opportunity?
Apr 01, 2002; ... Physicians have seen the computerization of health care in our lifetimes. Undoubtedly, computers and other medical technology have improved the quality of health care tremendously. However, some aspects of this computerization have been stumbling blocks rather than aids to physicians and ...
Surgical mission work: an inside perspective.
Apr 01, 2002; ... It has been my privilege to participate in many foreign surgical missions the past 12 years. My first experience was accompanying Dr. John Preskitt to the southernmost part of Mexico in 1990. I became intimately involved with the missions in 1991 when Dr. Craig Hobar founded the LEAP ...
The limited use of inferred negligence in medical cases.(Medicolegal Issues)
Apr 01, 2002; ... With the doctrine of res ipsa loquitur, negligence can be inferred in situations in which there is no direct evidence of negligence or wrongdoing. In the context of health care liability claims, a res ipsa loquitur allegation may cause a health care provider some degree of anxiety because ...
Organ donation after neurologically unsurvivable injury: a case study with ethical implications for physicians.(Clinical report)
Apr 01, 2002; ... Today almost 80,000 patients are waiting for a vascularized organ for transplant in the USA, and >6500 patients each year die while waiting because an organ did not become available (1). With almost 18 patients a day experiencing preventable death, we are facing a national crisis in ...