Subject(s)
Politics , Practice Patterns, Physicians'/trends , Public Policy , Thoracic Surgery/trends , Forecasting , Humans , United StatesSubject(s)
Health Care Reform , Medicare/economics , Aged , Humans , Medicare/trends , Politics , Population Dynamics , United StatesABSTRACT
The five freshman congressmen we're profiling in this issue have a lot more going for them than Mr. Smith did; most importantly, all bring strong community health and welfare concerns to Capitol Hill. A look at representatives of a sometimes surprising new crop of citizen-lawmakers.
Subject(s)
Health Care Reform/legislation & jurisprudence , Health Policy/legislation & jurisprudence , Policy Making , Politics , Social Responsibility , United StatesSubject(s)
Health Care Reform/legislation & jurisprudence , Politics , Thoracic Surgery , Tennessee , United StatesABSTRACT
Results of a comparison of the diagnostic efficacy of percutaneous needle biopsy of the parietal pleura with that of cytologic examination of pleural fluid sediment obtained concurrently from 166 patients with benign or cancerous pleural disorders are reported. Of 44 patients with confirmatory evidence of cancer involving the pleural surfaces, 43 had positive cytologic findings, whereas pleural biopsies were diagnostic in only 16 cases. Of a total of 122 patients with benign pleural diseases, cytology provided the diagnosis in two cases of eosinophilic pleurisy, and pleural biopsy contributed the diagnosis in four of ten cases of tuberculosis. The data indicate that percutaneous needle biopsy of the parietal pleura is less efficacious in the diagnosis of malignant pleural disease than is cytologic evaluation of the fluid sediment, whereas in the diagnosis of tuberculous pleurisy, pleural biopsy proved superior.