ABSTRACT
This paper summarizes the place of thoracic surgery in the management of hydatid disease. Although based on the author's 31-year personal experience, it draws on the experience of others where that of the author is deficient. The treatment of pulmonary, pleural, liver, and cardiac cysts is discussed. The importance of avoiding spillage, adequate sterilization of cavities, preservation of lung, and drainage are emphasized.
Subject(s)
Echinococcosis, Hepatic/surgery , Echinococcosis, Pulmonary/surgery , Anti-Infective Agents, Local/administration & dosage , Anti-Infective Agents, Local/therapeutic use , Cardiomyopathies/parasitology , Cardiomyopathies/surgery , Drainage , Echinococcosis/surgery , Humans , Intraoperative Complications/prevention & control , Pleural Diseases/parasitology , Pleural Diseases/surgery , Pneumonectomy , Silver Nitrate/administration & dosage , Silver Nitrate/therapeutic use , Sterilization , ThoracotomyABSTRACT
A safe and reliable suction cone is described which has an important place in the surgical treatment of hydatid cysts and has been successfully used in 42 cases. This device may also have a role in the surgical treatment of huge malignant ovarian cysts.
Subject(s)
Echinococcosis/surgery , Suction/instrumentation , Female , Humans , Ovarian Cysts/surgery , Suction/methodsABSTRACT
New York County physicians were surveyed by questionnaire concerning their attitudes and practices regarding continuing medical education (CME). There were 1,558 responders, and they included those practicing in shared health facilities (SHF) and random samples of academicians on the faculties of the four medical schools and of the entire physician population of Manhattan. Reading professional books and journals was regarded as by far the most important CME activity by all three groups of physicians, and this activity consumed about four hours per week. All physicians spent several days and often as much as two weeks per year attending professional meetings and formal postgraduate courses. The former were rated as not very useful and the latter as quite useful for CME. Major impediments to CME participation for all groups were time away from home and practice, expense, loss of income, and scheduling problems. Relevance, quality, and organization of CME courses were not major impediments. SHF physicians differed little from other physicians in their attitudes, perceptions, and practices concerning CME.
Subject(s)
Attitude of Health Personnel , Education, Medical, Continuing , Licensure, Medical , New York , Surveys and QuestionnairesSubject(s)
Laryngectomy/psychology , Sexual Behavior , Adult , Aged , Counseling , Female , Humans , Male , Middle AgedSubject(s)
Bronchoscopy , Pleural Effusion/diagnosis , Bronchoscopy/methods , Fiber Optic Technology , HumansABSTRACT
Growth and growth hormone (GH) secretion were studied in 14 children with brain tumours before radiation and chemotherapy and at various time intervals afterwards. The peak GH response to hypoglycaemia was normal in all patients before radiation. In 6 patients the peak GH response was impaired 1 year after radiation, and in a seventh it was normal at 1 year but impaired 2 years after radiation. In 12 of 13 patients the growth velocity during the first year of chemotherapy was below the 3rd centile, although none of these had an initial standing height below the 3rd centile. Thus it appears that poor growth in such children occurs irrespective of whether radiation-induced GH deficiency develops. The cause of this impaired growth is unknown.
