Faculty Bibliography

This study was designed to develop and evaluate a community- based education program to facilitate enrollment of immigrant Chinese into clinical cancer screening trials. The program included workshops with culturally tailored health education materials. It was piloted to recruit persons into an ongoing lung cancer screening trial from a senior citizen center in Manhattan's Chinatown and compared with a control program at a second senior center. Survey results from a convenience sample of seniors showed that the workshop raised awareness about cancer screening and clinical trials. However, it did not change attitudes towards cancer screening. The results highlighted prior focus group findings in which factors influencing participation in cancer screening and clinical trials are similar. Important facilitative factors include doctor recommendation, friend/family recommendation, the belief that early detection could ""save lives,"" no cost, and having aninterpreter.

An anxious Katrin DeBakey called two of her husband's colleagues: Dr. Mohammed Attar, his longtime physician, and Dr. Matthias Loebe, who was covering for Dr. George Noon, DeBakey's surgical partner for 40 years. They came to the house quickly. After listening to DeBakey, they shared his suspicion of an aortic dissection

As the son of a radiologist whose office was in our home, I grew up seeing conventional X-rays displayed on my father's light boxes. When I went to London in 1973 to report on the first brain CT scanner, I was astonished to see how it could detect tumors, strokes and other disorders that never could be seen on X-rays. I recalled all the patients with neurological symptoms who had to undergo a special X-ray procedure known as a pneumoencephalogram. In it, a needle was inserted through the back to remove spinal fluid and to inject air to outline structures in the brain. The technique was painful and unable to detect the tiny lesions that are now seen on scans. One of the first articles I wrote for this newspaper, in 1970, was about Lassa fever, a hemorrhagic viral infection discovered in Africa. The virus was isolated from a missionary nurse who flew to New York City from Nigeria for care. She survived. But a researcher at Yale died while trying to identify the virus. Among other new diseases are Marburg, Ebola and Legionnaire's. Still others, like West Nile fever, have moved from one area of the world to another. For decades, the West Nile virus caused outbreaks in Africa and Europe. In 1999, West Nile appeared in the Americas, in New York City. Since then, it has spread widely and quickly through the United States and Canada to cause encephalitis and other problems. The virus that causes AIDS, shown in a computerized model, has infected about 60 million people worldwide since 1981 and claimed the lives of 25 million of them. (Photo by Peter Arnold, from ''Nova'')(pg. F1); One of the first pacemakers from 1958; they were patented in 1962. (Photo by Andrea Mohin/The New York Times); Demonstration of a Computerized Axial Tomography scan. (Photo by Meha Kulyk/Science Photo Gallery); Scan of a normal brain, with structures of the brain, spine and tissues. (Photo by Chad Hunter/for The New York Times); A stent shown over an angioplasty balloon in 2004. (Photo by Boston Scientific Corp., via Bloomberg News)(pg. F6)

Dr. [James L. Pool]'s chart noted that Dr. [Michael E. DeBakey] had said he did not want surgery for his heart ailment.; THE WIFE -- As the hospital ethics committee debated, Katrin DeBakey barged in to demand an immediate operation.; THE FRIEND -- When other anesthesiologists at the hospital balked, Dr. [Salwa A. Shenaq] agreed to step in and do the procedure.; THE PATIENT -- Dr. Michael E. DeBakey, seated, became the oldest patient to benefit from heart surgery he devised. From left are Carlos Hinojosa Salcedo, an aide; [Kenneth Miller], a physical therapist; and Dr. [George P. Noon], Dr. DeBakey's surgical partner. (Photo by Michael Stravato for The New York Times)(pg. A1); BACK AT WORK -- In 1965, Time magazine featured Dr. Michael E. DeBakey and his work in a cover story. Dr. George P. Noon, right, said some doctors were waiting for Dr. DeBakey to die during his heart operation or soon after. ''But he just got better.'' (Photo by Michael Stravato for The New York Times)(pg. A18)

In late afternoon last Dec. 31, Dr. Michael E. DeBakey, then 97, was alone at home in his study when a sharp pain ripped through his upper chest and between his shoulder blades, then moved into his neck. Dr. DeBakey, one of the most influential heart surgeons in history, assumed his heart would stop in a few seconds. An anxious Mrs. DeBakey called two of her husband's colleagues: Dr. Mohammed Attar, his physician, and Dr. Matthias Loebe, who was covering for Dr. George P. Noon, Dr. DeBakey's surgical partner for 40 years. They came to the house quickly. After listening to Dr. DeBakey give a more frank account of his pain, they shared his suspicion of an aortic dissection. Tests showed that Dr. DeBakey had a type 2 dissecting aortic aneurysm, according to a standard classification system he himself had devised years earlier. Rarely did anyone survive that without surgery. Still, Dr. DeBakey says he refused admission to Methodist Hospital, in part because he did not want to be confined, and he 'was hopeful that this was not as bad as I first thought.' He feared the operation that he had developed to treat this condition might, at his age, leave him mentally or physically crippled. 'I'd rather die,' he said

I acknowledged that one 85-year-old patient, Anne, who had been coming to see me for 20 years, had been placed on Zyprexa when she became demented and paranoid that ruffians who had harassed her as a child had somehow re-entered her life (they hadn't). A small dose of Zyprexa had helped Anne enormously, and she was now much calmer and no longer paranoid. I mentioned that most of the psychiatrists I knew used milder and better-tolerated mood-stabilizing drugs such as Depakote for bipolar disorder, that they didn't rely on the more powerful and side- effect-plagued Zyprexa as a mainstay of treatment. And neurologists had told me that antipsychotics such as Zyprexa are often over- prescribed for dementia and are not indicated if the patient is relatively calm. I don't deny I can play a role in the treatment of mental illness, but this is best accomplished in conjunction with a true expert. For instance, when I learned that Zyprexa can cause weight gain, I called Anne's psychiatrist and together we made the decision not to stop Anne's prescription because she had not gained weight on it. She already had diabetes, which has recently been associated with Zyprexa, but the pill had not worsened her condition

The premise: Nurse Carla Espinosa (Judy Reyes) goes into labor. When she reaches the hospital, her cervix is 3 centimeters dilated. She is told to push. Then the obstetrician discovers that the fetus has a prolapsed umbilical cord and orders an emergency cesarean section. The baby is born with the cord wrapped around her neck (a nuchal cord) and is whisked away to intensive care but is soon pronounced fine. An umbilical cord prolapse most often requires an emergency C- section. In the case of an 'overt umbilical cord prolapse,' the cord starts moving into the vaginal canal before the baby does. This happens in fewer than 1 in 300 births. An emergency C-section is required to keep the blood supply to the fetus from being cut off due to pressure from the baby's head or constriction of the cord's blood vessels due to a temperature drop

Senator Tim Johnson of South Dakota was showing weakness on his right side on Friday after surgery to relieve bleeding in his brain, his office said, and will remain in the hospital until the swelling in his brain goes down. Doctors said the bleeding was caused by a rare tangling of the blood vessels in the brain, known as a congenital arteriovenous malformation. It affects about 300,000 Americans, but only in about one in 10 cases is there bleeding. About half of those with bleeding end up with almost imperceptible damage, doctors say, and about 10 percent to 20 percent suffer damage so severe they cannot function as they did before the bleeding. Mr. Johnson's initial symptom from the stroke was apparently the speech difficulty he experienced while talking with reporters on Wednesday. Mr. Johnson is sedated, as is standard in care for his type of illness. If the speech difficulty continues after the sedation is lightened, Mr. Johnson may need speech rehabilitation, the statement indicated

Mr. [Tim Johnson], a Democrat from South Dakota, is expected to be in intensive care for several days -- also standard -- while doctors determine if any brain damage occurred that would affect movement or intellectual ability. Admiral [John F. Eisold] and experts not involved in Mr. Johnson's case said it was too early to tell how well he might recover. Admiral Eisold and Mr. Johnson's family have not said where in the brain the bleeding occurred or how large the hemorrhage was, and they have not disclosed other factors that could be important in determining the seriousness of his illness. For example, it is not known whether doctors had previously detected the malformation in Mr. Johnson's brain. Dr. [David J. Langer] said that if Mr. Johnson's condition was deteriorating rapidly, doctors most likely did not have time to obtain critical details from a magnetic resonance imaging scan and probably operated after performing a CT X-ray scan. In general, malformations of the sort that caused Mr. Johnson's stroke are best detected on M.R.I.'s