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THE DOCTOR'S WORLD; Computers Create Electronic 'Cadavers' For Anatomy Lessons [Newspaper Article]

Altman, Lawrence K
LEAD: IN a novel approach to teaching the intricate details of human anatomy, some medical schools are experimenting with advanced computer-imaging techniques to create electronic ''cadavers.'' Systems are being designed so that young medical students can ''dissect'' electronic images, rather than using real cadavers for their initial lessons. IN a novel approach to teaching the intricate details of human anatomy, some medical schools are experimenting with advanced computer-imaging techniques to create electronic ''cadavers.'' Systems are being designed so that young medical students can ''dissect'' electronic images, rather than using real cadavers for their initial lessons. ''Human cadavers are used extremely ineffectively in education,'' Dr. [Cornelius Rosse] said. ''Even if students have learned some anatomy before, they often will miss many details doing their first dissection. The very act of dissection often destroys many of the structures that they want to study and you can't come back the second time.''
PROQUEST:960600471
ISSN: 0362-4331
CID: 82422

Drugs Linked to Stomach Ulcers in Elderly [Newspaper Article]

Altman, Lawrence K
LEAD: A new study has added to evidence that many pain killing anti-inflammatory drugs, in addition to aspirin, are causing severe, even life-threatening stomach problems in elderly people. A high incidence of abdominal complications from these drugs was found in patients who died of gastric or duodenal ulcers or bleeding from the stomach or upper portion of the intestines. A new study has added to evidence that many pain killing anti-inflammatory drugs, in addition to aspirin, are causing severe, even life-threatening stomach problems in elderly people. A high incidence of abdominal complications from these drugs was found in patients who died of gastric or duodenal ulcers or bleeding from the stomach or upper portion of the intestines. In an editorial, Dr. Sanford H. Roth of Phoenix, an arthritis specialist, said that thousands of people die every year in the United States alone'' because of ''preventable'' bleeding resulting from use of nonsteroidal anti-inflammatory drugs
PROQUEST:960509061
ISSN: 0362-4331
CID: 82423

THE DOCTOR'S WORLD; New Steps Take Aim At Rare, Fatal Reaction To General Anesthesia [Newspaper Article]

Altman, Lawrence K
The next day, Dr. Michael A. Denborough, Dr. Roger R. H. Lovell and their colleagues in Melbourne, Australia, began studying records of the patient's relatives. These consultants and other researchers pinned the man's problem to a rare hereditary biochemical condition now known as malignant hyperthermia. It can strike unpredictably in patients who receive general anesthesia for any procedure in any hospital or out-patient facility. Although the name malignant hyperthermia implies that the condition is a cancer, it is not. In medical parlance, malignant means fast-moving and deadly; malignant hyperthermia got its name because it rapidly raises a patient's body temperature to lethal levels. New research indicates that malignant hyperthermia may underlie some symptoms previously thought to be related to a person's job. Dr. Denborough, who now works in Canberra, recently reported a case involving the father of a girl who survived an episode of malignant hyperthermia. The man suffered malaise and stiffness and weakness of his forearms and hands after he began working in a factory that made fire extinguishers
PROQUEST:960064831
ISSN: 0362-4331
CID: 82424

HEALTH; Anxiety Linked to Some Chest Pain Cases [Newspaper Article]

Altman, Lawrence K
The high neurotic scores persisted when the psychological tests were administered again a year later, demonstrating to the researchers that the anxiety was an ''enduring disposition'' and not simply the result of the difficult medical examinations associated with the search for a cause of the chest pain. ''This sustained cardiologic focus of treatment can only serve to perpetuate their skepticism about their cardiac soundness,'' Dr. [Larry J. Lantinga]'s team said.
PROQUEST:960038391
ISSN: 0362-4331
CID: 82425

New Studies Point to Fungus As Leading to AIDS Deaths [Newspaper Article]

Altman, Lawrence K
''There has not been adequate systematic studies of antifungal agents for Pneumocystis,'' Dr. [Donald B. Louria] said. Dr. Donald Armstrong, an expert in fungal diseases at the Memorial Sloan-Kettering Cancer Center in New York City, said evidence that the organism is a fungus will provide an impetus for scientists to renew their efforts to ''learn how we might grow it.'' The RNA, or ribonucleic acid, a key component of the microbe's machinery that makes proteins, is similar in all forms of life, from microbes to humans. But the small differences that exist in the sequences of the genes allow comparisons that are used for classification. Dr. [Jeffrey C. Edman]'s team found that Pneumocystis's RNA was closer to that of yeast than that of malarial parasites. Dr. Peter D. Walzer, an expert in fungi at the University of Cincinnati, said a group he heads and a group in Japan had also found that Pneumocystis seemed to be a fungus by using techniques that were different from those used in Dr. Edman's study.
PROQUEST:960022321
ISSN: 0362-4331
CID: 82426

New bypass technique finds favor [Newspaper Article]

Altman, Lawrence K
Rather than using sections of a leg vein to bypass blocked coronary arteries, the doctors are turning to a blood vessel in the chest. Surgeons are using the arteries, also known as internal thoracic arteries, whenever possible in the operation that is commonly done to relieve the chest pains from angina. The studies have also found that patients who undergo such grafts live longer, take longer to develop recurrences of angina, have fewer heart attacks, fewer repeat bypass operations and fewer complications than did those who had vein grafts
PROQUEST:171698111
ISSN: 0832-1299
CID: 82427

The Doctor's World; Technique Changes In Bypass Surgery [Newspaper Article]

Altman, Lawrence K
At the time, many experts believed that the internal mammary artery, often only two millimeters in diameter, was too small for splicing into the coronary arteries. But Dr. [George E. Green] recalled in an interview that he shifted his research from other vessels to the internal mammary artery after another surgeon made him aware that ''the limiting factor was the eye, not the hand.'' By using the operating microscope to magnify the vessel, Dr. Green was able to accomplish the mammary artery graft successfully. ''Many years ago George Green stood alone in support of the internal mammary artery as a superior conduit,'' Dr. John L. Ochsner of the Ochsner Clinic in New Orleans has written. ''In the years since, many of us have joined his ranks.'' ''Certain vessels may carry blood for a whole lifetime without showing significant arterial disease,'' said Dr. Frank H. Sims, a pathologist at the University of Auckland Medical School in New Zealand, who has made anatomical studies of the artery. ''Any valid theory of arteriosclerosis must explain the freedom of these vessels from disease as well as the lesions in the affected arteries.''
PROQUEST:960128201
ISSN: 0362-4331
CID: 82428

Fitness for Office; Trend Toward Disclosure Is Arising, But Fear of Public's Reaction Persists [Newspaper Article]

Altman, Lawrence K
In making disclosures about their health, candidates are obviously concerned about public reaction. An official of the American Psychological Association noted that fear yesterday in saying that the ''decision-makers are being discouraged from seeking psychological care for fear that the very act of seeking care will subject them to being labeled 'mentally ill' and unfit for public service.'' The association's official, Dr. Bryant L. Welch, cited no specific examples, but cautioned that such attention could make it ''impossible'' for even a President ''to receive appropriate and preventive psychological care in times of personal crisis.'' The Public's Right to Know Dr. Welch, for instance, expressed ''deep caution about the current insistence on releasing raw medical records to the general public.'' In the past, however, in those instances when candidates have made medical documents public, the documents have usually been accompanied by letters of explanation and interpretation
PROQUEST:960110621
ISSN: 0362-4331
CID: 82429

HEALTH; Study in Africa Finds AIDS Risk to Be Higher In Uncircumcised Men [Newspaper Article]

Altman, Lawrence K
The researchers compared two groups, one infected with the AIDS virus and the other not infected. The two groups were similar in age, marital status and age at first intercourse. AIDS virus infection was found in 19.5 percent of the uncircumcised men, as opposed to 8.3 percent of the circumcised men. Published studies have not shown an increased risk for uncircumcised men becoming infected with the AIDS virus through homosexual intercourse. But since 85 percent of white males in the United States are circumcised, the report said, researchers may have overlooked the importance of the foreskin as a risk factor in the spread of AIDS. Dr. [J. Neil Simonsen] said his team was evaluating data from another study of Kenyan men who had no evidence of infection with the AIDS virus when they sought care at a clinic for treatment of sexually transmitted diseases in Nairobi. The team has followed the course of these men to determine their risk of becoming infected with the AIDS virus.
PROQUEST:960104181
ISSN: 0362-4331
CID: 82430

Experts Advise Caution on Using Balloons to Clear Arteries [Newspaper Article]

Altman, Lawrence K
Balloon angioplasty's popularity has increased dramatically, from 32,000 procedures in 1983, to an estimated 200,000 this year, said Dr. Thomas J. Ryan, chief cardiologist at Boston University. Dr. Ryan, a former president of the American Heart Association, headed the panel of experts that developed the guidelines. In comparison, doctors performed 188,000 coronary bypass operations in 1983, and are expected to perform 300,000 this year. Technique Still Evolving ''When we say 'within an institution,' we intend that to mean in the same hospital or two adjacent buildings that are readily accessible through emergency corridors,'' he said. Dr. Ryan said his team did not know how many hospitals perform the procedure but do not have back up facilties. Rather, Dr. Ryan said, the committee was acting on anecdotal reports. ''Whereas the majority of individuals currently performing angioplasty learned the technique by observing experts and attending 'how-to' seminars, the complexity of the procedure and the recognized need for hands-on experience dictate that formal training programs in angioplasty become the required means of learning,'' the report said.
PROQUEST:960046111
ISSN: 0362-4331
CID: 82431