Stump appendicitis: case report and review.

The purpose of this study is to review the medical literature regarding the prevalence of appendicitis in patients with previous appendectomy. Stump appendicitis is a real entity not often considered when evaluating patients with right lower quadrant pain and a history of appendectomy. This leads to delays in diagnosis and treatment.

Immunophenotypic and molecular features, clinical outcomes, treatments, and prognostic factors associated with subcutaneous panniculitis-like T-cell lymphoma: a systematic analysis of 156 patients reported in the literature.

Background: Subcutaneous panniculitis-like T-cell lymphoma (SPTCL) is an uncommon type of skin lymphoma. The natural history, optimal treatment strategy, and prognostic factors associated with this malignancy are not well defined.

Methods: The authors performed a systematic analysis of all patients with SPTCL reported on in the English-language medical literature, with emphasis on specific clinical features, experiences involving the use of radiotherapy and systemic agents, and prognostic factors predictive of treatment response and clinical outcome.

Immediate provisional restoration of Osseotite implants: a clinical report of 18-month results.

Purpose: The purpose of this study was to assess the survival rates and interproximal bone levels for Osseotite implants that were restored with fixed provisional crowns without occlusion immediately after implant placement.

Materials And Methods: Ninety-three implants were placed in 38 partially edentulous patients. All implants were immediately restored with prefabricated abutments and cement-retained provisional crowns without centric or eccentric occlusal contacts.

History of spinal surgery: one neurosurgeon's perspective.

Spinal surgery has advanced from decompression procedures to complex spinal reconstruction and internal stabilization within the last 25 years, as a result of a broad-based technological boom that began in the 1970s with the advent of spinal computerized tomography and magnetic resonance imaging. These technological advances have coincided with, and developed as a result of, the concomitant rise of a complex, economically driven consortium of innovative surgeons and researchers, academic institutions, government agencies, and private industry, to form a Medical-Industrial Complex (MeIC). A major growth industry has formed, resulting in an overall societal benefit.

Diffuse sclerosing variant of papillary thyroid carcinoma: case report and review of the literature.

Objective: To describe a patient with a diffuse sclerosing variant of papillary (DSVP) thyroid cancer and to summarize the reported clinical manifestations and treatment of other patients with this malignant tumor.

Methods: We reviewed the pathologic findings in a 14-year-old girl, who had survived for 19 years after treatment of a presumed undifferentiated thyroid cancer. When reassessment revealed histologic features of DSVP cancer, we reviewed the case reports of this type of malignant lesion identified from a MEDLINE search of articles published between 1985 and 1995.

Exophiala jeanselmei infection in a heart transplant recipient successfully treated with oral terbinafine.

An immunosuppressed heart transplant recipient developed Exophiala jeanselmei infection on the second toe. After unsuccessful treatment with different antifungal drugs, the infection responded to a high-dose regimen of oral terbinafine (an antifungal agent not yet approved in the United States for use against the dematiaceous fungi) and warm packs. This is, to our knowledge, the only known case of successful terbinafine treatment of E.

Severe hypercalcemia in a lactating woman in association with moderate calcium carbonate supplementation: a case report.

Background: Lactation results in dramatic bone resorption and decreased urinary calcium excretion due to rapidly falling estrogen levels and probably increased levels of parathyroid hormone-related protein.

Case: A healthy, 36-year-old woman developed severe hypercalcemia several days after beginning breast-feeding her second child. During and after this pregnancy, she supplemented a high calcium diet with moderate amounts of calcium carbonate in an attempt to avoid an osteoporotic fracture that occurred while she was breast-feeding her first child.

Medication errors involving continuously infused medications in a surgical intensive care unit.

Objective: To document the incidence of medication errors related to medications administered by continuous infusion.

Design: Observational study.

Setting: Sixteen-bed surgical intensive care unit.

"Commissioned by God": Mother Bickerdyke during the Civil War.

Mary Ann Bickerdyke, nurse, herbalist, and humanitarian, stood out as a singular figure during the American Civil War and afterward. She advocated nutrition and herbal medicines at a time when "heroic," if futile, treatments were often the rule. Her compassion toward ill soldiers was legendary and provided her with the nickname "Mother.

True ectopic ovary: a case and review.

Introduction: Ectopic ovarian tissue is a rare gynecologic problem. The nomenclature and classification systems are unclear and still debated.

Case Report: Herein we provide a case report and review the literature to help clarify the classification system of ectopic ovarian tissue.

A retrospective comparison of two definitive impression techniques and their associated postinsertion adjustments in complete denture prosthodontics.

Purpose: To compare the number of postinsertion adjustment visits required by edentulous patients whose dentures were made from border-molded definitive impressions using modeling plastic impression compound (traditional technique) with patients whose dentures were made from border-molded definitive impressions using heavy-body vinyl polysiloxane impression material.

Materials And Methods: In this retrospective clinical study, 78 patients were treated with the traditional technique (custom impression trays border molded with gray modeling plastic impression compound) and 78 were treated with the modified technique (custom impression trays border molded with heavy-body vinyl polysiloxane impression material). In both techniques, definitive wash impressions were made with light-body vinyl polysiloxane impression material.

Is knowing enough? Increasing physical activity by wearing a pedometer.

Objective: Physical inactivity is a health concern in the United States with nearly 70% of the population getting inadequate amounts of exercise. We set out to determine if wearing a pedometer could significantly increase awareness and amount of physical activity among female employees at a large health care setting.

Methods: Employees purchased a pedometer, completed a survey, and were encouraged to walk 10,000 steps daily.

Macrocephaly, distinct craniofacial appearance, and spastic paraplegia: a new case and expansion of the phenotype.

An adult female patient is presented with macrocephaly, mental retardation, seizures, spastic paraplegia and distinctive craniofacial appearance. We believe she represents the fourth case of the Fryns macrocephaly, distinct craniofacial appearance and spastic paraplegia syndrome. Cardinal features are discussed and additional phenotypic manifestations are discussed.

Visual reinforcement audiometry using digital video disc and conventional reinforcers.

Visual reinforcement audiometry (VRA) is a test procedure routinely used to evaluate hearing in infants and young children (6 months to 2 years). Most research and current clinical practice uses flashing lights and/or animated toys to provide reinforcement to a child during VRA. New technology capable of generating a moving video image is now available for providing visual reinforcement to infants during VRA testing.

Developmental anomalies of the scapula-the "omo"st forgotten bone.

Congenital malformations of the scapula, ranging from complete absence, to abnormal shape and position (Sprengel anomaly) are encountered, not infrequently, in genetic practice. Despite this, little is known of the embryologic origin of the scapula and the relationship of the embryology to the observed birth defects. Standard embryology texts, when discussing the subject at all, generally consider the scapula as part of the upper limb.

Aplastic anemia and pure red cell aplasia associated with large granular lymphocyte leukemia.

Aplastic anemia (AA) and pure red cell aplasia (PRCA) are two of the various types of immune-mediated cytopenias that can be associated with large granular lymphocyte (LGL) leukemia. We review the experience on LGL leukemia-associated AA and PRCA in the published literature. In the setting of LGL leukemia, AA is found rarely, while PRCA is frequent.

C-terminal region of outer surface protein C binds borreliacidal antibodies in sera from patients with Lyme disease.

Borreliacidal antibodies specific for outer surface protein C (OspC) are induced shortly after infection with Borrelia burgdorferi. In this study, we identified the region of OspC recognized by immunoglobulin M (IgM) and IgG borreliacidal antibodies. Sera from patients with early Lyme disease were screened for borreliacidal activity specific for B.

Diagnosis of a small, androgenizing Brenner cell tumor in a postmenopausal woman aided by laparoscopic salpingo-oophorectomy. A case report.

Background: Rapidly progressive hirsutism or virilization in the postmenopausal woman raises the suspicion of an androgen-secreting tumor. Hormonal testing and imaging studies usually rule out an adrenal tumor. However, small, androgenizing ovarian tumors may not be detectable by imaging studies.

Using a systemwide care path to enhance compliance with guidelines for acute myocardial infarction.

Background: Several acute myocardial infarction (MI) guidelines and policy statements have been developed, but compliance rates are suboptimal. The cardiology section at Gundersen Lutheran Medical Center (La Crosse, Wisconsin) used a systemwide approach to enhance compliance with guidelines.

Methods And Results: Data were collected prospectively for a 4-year period (May 15, 1995-May 15, 1999) for all patients presenting with acute MI.