{"title":"Minimally invasive parathyroidectomy utilizing a gamma detecting probe intraoperatively.","authors":"J A Singer, A Sardi, G Conaway, E J Spiegler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The most common pathologic finding in primary hyperparathyroidism is a single adenoma. Traditionally, all four glands have been explored during surgery for primary hyperparathyroidism. With the advent of accurate localizing diagnostic studies, such as the sestamibi scan, some surgeons are now recommending single-gland exploration. In addition, when a sestamibi scan is performed the day of surgery, a gamma detecting probe can be used intraoperatively to direct the dissection. Although an experienced surgeon will successfully locate the abnormal gland 95% of the time with the traditional approach, this new technique results in a smaller incision with better cosmetic results as well as decreased operative time. Our initial experience with eight cases utilizing this technique is presented.</p>","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"48 2","pages":"55-8"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21203028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A 70-year-old man with atrial fibrillation and stroke.","authors":"R W Peters, W Mergner, T Ghiorzi, R M Benitez","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"48 2","pages":"74-8"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21203034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Emergency open heart surgery under World War II combat conditions.","authors":"D H Stone","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"48 2","pages":"79-84"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21203035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M Stewart, N Suchak, A Scheve, V Popat-Thakkar, E David, J Laquinte, F M Gloth
{"title":"The impact of a geriatrics evaluation and management unit compared to standard care in a community teaching hospital.","authors":"M Stewart, N Suchak, A Scheve, V Popat-Thakkar, E David, J Laquinte, F M Gloth","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A prospective, controlled trial was initiated to determine whether an acute inpatient geriatrics unit located in a community-based teaching hospital provides better care for frail elderly patients at less cost than conventional medical-surgical units.</p>","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"48 2","pages":"62-7"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21203030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Incidence rates of Lyme disease in Maryland: 1993 through 1996.","authors":"C A Peña, G T Strickland","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The incidence rate per 100,000 population by gender and age group was calculated for the 24 Maryland jurisdictions using 1,392 cases reported to the Lyme Disease Registry during 1993 to 1996. The overall incidence rate for the state was 7.0 cases per 100,000 inhabitants. Males (incidence rate = 7.7) were 1.2 times more affected than females (incidence rate = 6.2) (p < 0.001). The bimodal overall age distribution shows a peak in the 10 to 19 age category (incidence rate = 8.5) and in the 50 to 59 age group (incidence rate = 8.9), and in the 20 to 29 age group (incidence rate = 3.9). The incidence rate by jurisdiction ranged from 0.7 in Allegany County from Western Maryland to 88.3 in Kent County on the Upper Eastern Shore. Results from this study show that counties from the Upper Eastern Shore region had the highest specific incidence rate by age group/gender/jurisdiction while counties from Western Maryland had the lowest specific incidence rates and have not reported Lyme disease patients younger than 10 or older than 59 years of age. This difference might be explained primarily by the kind of outdoor activities in which the different age groups are involved and the relative abundance of Ixodes scapularis infected with the etiologic agent of Lyme disease, Borrelia burgdorferi, in these two regions.</p>","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"48 2","pages":"68-73"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21203033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Marfan syndrome and sudden death.","authors":"T O Cheng","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"48 2","pages":"53"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21203027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Posterior mediastinal mass in a young male with chronic hepatitis B infection.","authors":"B J Fortman, D P Beall","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"48 2","pages":"59-61"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21203029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Small bowel obstruction caused by intussusception after the ingestion of a plastic clip.","authors":"D P Beall, F Regan, B Nguyen","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"48 1","pages":"23-5"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20922288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Spinal subdural hematoma: a rare complication of lumbar puncture. Case report and review of the literature.","authors":"L E Egede, H Moses, H Wang","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Spinal subdural hematoma, though rare, is an established complication of lumbar puncture. A young man with persistent back and neck pain after a traumatic lumbar puncture for the diagnosis of lymphocytic meningitis is presented. A diagnosis of spinal subdural hematoma at T2 to T8 levels without significant spinal cord compression was confirmed by magnetic resonance imaging. Symptoms resolved after one month of analgesics and muscle relaxants.</p>","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"48 1","pages":"15-7"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20922284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Long-term functional results after manipulation of the frozen shoulder.","authors":"J P Reichmister, S L Friedman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The use of shoulder manipulation in the treatment of frozen shoulder syndrome remains controversial. Opponents cite the risk of dislocation, fracture, nerve palsy, and rotator cuff tearing as limiting the usefulness of manipulation. A retrospective study of 38 shoulder manipulations in 32 patients was performed. These patients were followed for an average time of 58 months. The patients were examined in follow up for combined shoulder range of motion, external and internal rotation strength, and status of the long head of the biceps. Manipulation was performed in all patients by the senior author and supervised physical therapy was begun within 24 hours of the manipulation. The average recovery time was 13 weeks. In this series, 97% of patients had relief of pain and recovery of near complete range of motion, although 8% required a second manipulation to obtain a successful result. Mild weakness to manual muscle testing was present in 5.3% of patients in external rotation and 10.5% of patients in internal rotation. There was no deterioration of shoulder function with time. In fact, most patients improved with passage of time, even more. There was no evidence of biceps tendon rupture or rotator cuff insufficiency at the time of follow up in any of the patients. No fractures, dislocations or nerve palsies were observed, although one patient who had no premanipulation arthrogram was found to have a rotator cuff tear a few months after failed manipulation. Manipulation of the shoulder can therefore be offered to reduce the pain and period of disability in patients who fail conservative treatment of frozen shoulder syndrome.</p>","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"48 1","pages":"7-11"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20922281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}