Publications by authors named "Lowenstein R"

Unlabelled: Introduction: Functional capacity is decreased in people with Cardiovascular Diseases and Chronic Respiratory Diseases. These diseases have also been associated with cognitive dysfunction. The study examines the efficacy of a cardiopulmonary rehabilitation program in the recovery of functional capacity and analyzes whether subjects with cardiopulmonary diseases suffer from cognitive dysfunction.

View Article and Find Full Text PDF

Background: Evisceration of bowel contents through the vagina is a rare event that may be complicated by bowel obstruction.

Objective: We report a case of vaginal evisceration with small bowel obstruction which, in contrast to previous, more dramatic case reports in the literature, is a more subtle and, in fact, characteristic clinical presentation for this unusual occurrence.

Case Report: A 72-year-old woman with a previous history of pelvic surgery presented to the Emergency Department with lower abdominal discomfort and a prolapsing mass from her vagina.

View Article and Find Full Text PDF

Objectives: We determined the survival and complications of ultrasonography-guided peripheral intravenous (IV) catheters in emergency department (ED) patients with difficult peripheral access.

Methods: This was a prospective, observational study conducted in an academic hospital from April to July of 2007. We included consecutive adult ED patients with difficult access who had ultrasonography-guided peripheral IVs placed.

View Article and Find Full Text PDF

The diagnosis of ruptured abdominal aortic aneurysm (AAA) is often missed as a result of an atypical presentation, resulting in increased mortality. Here we present an unusual case of painless scrotal ecchymosis as a presentation of ruptured AAA. We review the origin of the scrotal sign of Bryant and emphasize the importance of this uncommon finding as a diagnostic aid in atypical cases of ruptured AAA.

View Article and Find Full Text PDF
The painful eye.

Emerg Med Clin North Am

February 2008

Emergency physicians are required to diagnose and treat patients who have a painful eye on a regular basis. This article focuses on ophthalmologic emergencies that range in presentation from mild to severe symptomatology and include vision and eye-threatening ailments. The etiology, pathophysiology, physical examination, and treatment of the following conditions are discussed: acute angle closure glaucoma, scleritis, anterior uveitis, optic neuritis, keratitis, and corneal abrasion.

View Article and Find Full Text PDF
Article Synopsis
  • As life expectancy increases, more elderly patients will visit emergency departments.
  • Emergency physicians play a crucial role in quickly diagnosing and treating these patients.
  • Infectious diseases in older adults are more common and harder to identify, leading to higher risks of severe outcomes compared to younger patients.
View Article and Find Full Text PDF
Deadly viral syndrome mimics.

Emerg Med Clin North Am

November 2004

Upper respiratory tract infections (ie, "the common cold") have several hundred causes, the most common of which include rhino-virus, coronavirus, and respiratory syncytial virus. The clinical presentation varies with symptoms. Every emergency department, no matter what the demographics, cares for patients with this constellation of symptoms.

View Article and Find Full Text PDF

Reactive oxygen species (ROS) have been implicated as potential modulators of apoptosis. Conversely, experiments under hypoxic conditions have suggested that apoptosis could occur in the absence of ROS. We sought to determine whether a central modulator of apoptosis, p53, regulates the levels of intracellular ROS and whether a rise in ROS levels is required for the induction of p53-dependent apoptosis.

View Article and Find Full Text PDF

Charles Heiman would be proud to see his vision being carried on and that Standard Textile is not only doing well, but also doing good. As an industry leader, Standard Textile has incorporated the entire cradle-to-grave concept in product creation. As a result, Standard Textile can compete in tomorrow's markets because the end user will mandate an environmentally sound product or process when alternatives are available.

View Article and Find Full Text PDF

A survey of physicians in private practice (exclusive of pediatricians) was conducted in a medium sized suburban city in the New York metropolitan area, to determine whether physicians' attitudes toward the ill aged and nursing homes were predictors of the quality of medical care available to area nursing home patients. Questionnaires were circulated to 302 practitioners. Of the 28 percent who responded, 32 percent were psychiatrists, 15 percent primary care physicians and 8 percent orthopedists.

View Article and Find Full Text PDF

Utilizing a tracer method in the assessment of care was investigated in a large pediatric clinic. A set of tracers were selected and agreement was obtained concerning the relevance of care criteria by at least 80 per cent of the facility physicians. One tracer, iron-deficiency anemia, was studied using two nonphysician abstractors to review a sample of 100 patient records with hemoglobins of 11.

View Article and Find Full Text PDF

Pretreatment of yeast auxotrophs with mutagen on complete medium stimulates the reversion frequency.

View Article and Find Full Text PDF