Mr. John F. Schulte, is an accomplished Orthotic and Prosthetic practitioner with 40 plus years of experience consulting and treating Body and External powered upper and lower extremity prosthetics for all age groups.
Mr. Schulte has vast knowledge and experience in clinical practice prosthetic and orthotic component development, design, and manufacturing. A Clinician, Patient Care Consultant, and Senior Manager of 27 offices throughout 5 states, he is considered an expert in his field. Mr. Schulte continues to be asked to consult on Clinical ‘Best Practices’ by physicians, third party payors, peers, and patient users on the most appropriate component utilization and outcome measurements.
A published author, consultant, and Clinical Board Examiner, Mr. Schulte has treated and been involved with the treatment of persons of all ages with congenital birth defects, limb weakness and loss, and spinal cord injury.
Litigation Support - John Schulte's intimate knowledge in prosthetic and orthotic clinical practice and management, component prescription recommendation, and selection and utilization for all patient ages and levels of function make him an excellent expert witness resource. His services are available to attorneys representing plaintiff and defendant and include medical record review, second opinions, written reports, depositions, and trial testimony.
The 3D printing manufacturing process has been garnering the Medical headlines lately. While exciting to literally print a device right from the computer, some very important aspects relative to placing a printed device on a medical referral person particularly regarding prosthetics and orthotics will be discussed...
There may be more to the complaint than meets the eye. There may be obvious issues, such as a failed component resulting in a fall, a skin breakdown that on the surface appears that it was as a result of overuse or a rough area within the prosthetic socket.
Tobias A. Mattei, MD, is a academic Neurosurgeon specialized in Complex Spine / Deformity Surgery. Dr. Mattei is currently practices as an Assistant Professor of the Division of Neurosurgery of St. Louis University. He has been an active member of the North American Spine Society, American Association of Neurological Surgeons, Congress of Neurological Surgeons, World Federation of Neurosurgical Societies, as well as many other international societies.
Dr. Mattei is a member of the editorial board of The Spine Journal and Deputy Editor of the North American Spine Society Journal, the new open access initiative of the North American Spine Society. He is an active reviewer of several other neurosurgical journals including World Neurosurgery, Clinical Neurology & Neurosurgery, Journal of Clinical Neuroscience, Osteoarthritis & Cartilage, Journal of Engineering in Medicine: Part H, British Journal of Neurosurgery and Neurological Sciences.
As a researcher, Dr. Mattei has published more than 130 original research articles, having been cited more than 1400 times. He holds an unrestricted medical license in the states of Ohio, Missouri, New York, and Maine, and has never been submitted to any sanction or disciplinary action by any medical boards.
Litigation Support: Dr. Mattei provides expert witness services in the field of Spinal Injuries, Spine Surgery, Spinal Care, and Neurosurgery. He has provided expert review services for several scientific funding agencies in the U.S. (including the NIH Panel for Clinical Neurophysiology, Devices, Neuroprosthetics, and Biosensors) as well as abroad (including the Innovation and Technology Commission/ Hong Kong SAR Government and The Brain Tumor Charity - New Ideas Award/UK).
Dr. Mattei's litigation support services are available to attorneys for plaintiff and defense and include review of hospital records, medical reports, imaging results, operative reports, patient's evolution, depositions, and trial testimony.
Orthopedic Expert Services, LLC. provides exclusive consultative services for the legal profession, the insurance industry and the health care industry.
Principal, Neal C. Small, MD, is a Board Certified Orthopedic Surgeon with over 35 years of clinical experience treating orthopedic injuries and spinal disorders. He has performed over 17,000 orthopedic and spine surgical procedures and has the experience and knowledge to be a credible expert in virtually any orthopedic or spine case.
Dr. Small is Certified by The American Board of Orthopedic Surgery, a Fellow of the American Academy of Orthopedic Surgeons, and a Member of the Arthroscopy Association of North America. He has also served as a Past President of the Arthroscopy Association of North America. Dr. Small has published over twenty articles on various orthopedic topics in refereed orthopedic journals and textbooks.
Litigation Support - Dr. Small has extensive forensic experience, serving as an expert on hundreds of cases and having been deposed numerous times. He has never faced a Daubert challenge. Dr. Small is licensed to practice in Texas, Oklahoma, and Idaho. He has provided opinions within reasonable degrees of medical probability or medical certainty on issues concerning Causation, Usual and Customary Medical or Surgical Treatment, Usual and Customary Expenses, Future Medical or Surgical Needs, and Anticipated Expenses.
Arnold J. Weil, MD has over 25 years of experience specializing in Non-Surgical Orthopaedics and Pain Management. He is a Diplomat of the American Board of Physical Medicine and Rehabilitation and Chief Executive Officer of Non-Surgical Orthopaedics, P.C., one of the premier orthopaedic practices in the metro Atlanta area.
Dr. Weil's practice focuses on conservative, non-surgical care of orthopaedic injuries, including the spine and extremities, with emphasis on spine rehabilitation, functional restoration, pain management, and ergonomic modifications. He treats patients with back and neck pain and a variety of other orthopaedic conditions. Focusing on acute and chronic conditions through an advanced Non-Surgical approach, Dr. Weil has become one of the leading experts on Spine Care and Disability Management.
Video: Non-Surgical Orthopaedics, P.C. | The Overview
Litigation Support - Arnold Weil provides litigation support services to attorneys representing plaintiffs and defendants. He has maintained an unbiased reputation in the medical and legal community. Dr. Weil's experience includes over 300 depositions, medical-legal reviews, peer reviews, and trial appearances.
Jeffrey H. Oppenheimer, MD is an actively-practicing board-certified Neurosurgeon with 27 years of experience. He founded and presently practices at Neurosurgery Medical Associates in Coral Springs, Florida. Dr. Oppenheimer is also on the faculty at the University of Central Florida College of Medicine, and holds medical licenses in several states.
Dr. Oppenheimer received his medical degree from Georgetown University School of Medicine, where he also obtained an MS with distinction in Physiology and Biophysics. He earned a Bachelor of Arts in Neurobiology and Behavior cum laude, from Cornell University. Dr. Oppenheimer completed his residency training at the University of Southern California-Los Angeles County Hospital. He has published numerous journal articles and textbook chapters in the field of neurosurgery. Multilingual, he is fluent in English, German, and Spanish.
Litigation Support - Dr. Oppenheimer is a seasoned expert witness with significant testifying experience. He has provided expert consultation for both plaintiff and defense in a variety of cases, including personal injury, medical malpractice (standard of care and causation), and worker’s compensation (IMEs).
Dr. Oppenheimer has offered litigation support services for 18 years. A seasoned deponent with both trial and deposition experience, he has excellent communication skills and a caring personality. He has testified as an expert in court or before an arbiter 20 times. Dr. Oppenheimer's services include IMEs, medical record review, conferences, and court and pretrial testimony.
The trend of using smaller operative corridors is seen in various surgical specialties. Neurosurgery has also recently embraced minimal access spine technique, and it has rapidly evolved over the past 2 decades. There has been a progression from needle access, small incisions with adaptation of the microscope, and automated percutaneous procedures to endoscopically and laparoscopically assisted procedures. More recently, new muscle-sparing technology has come into use with tubular access. This has now been adapted to the percutaneous placement of spinal instrumentation, including intervertebral spacers, rods, pedicle screws, facet screws, nucleus replacement devices, and artificial discs. New technologies involving hybrid procedures for the treatment of complex spine trauma are now on the horizon. Surgical corridors have been developed utilizing the interspinous space for X-STOP placement to treat lumbar stenosis in a minimally invasive fashion. The direct lateral retroperitoneal corridor has allowed for minimally invasive access to the anterior spine.
Dr. Farr Ajir, MD, MBA, FACS, CIME, is a Board Certified Neurosurgeon with more than 35 years of experience in the treatment of disorders of the Brain and Spine. He is also Certified by the American Board of Independent Medical Examiners (CIME).
Dr. Ajir has been staff neurosurgeon at Mayo Clinic and Kaiser Permanente Healthcare Systems.
He is a Fellow of the American College of Surgeons (FACS), Congress of Neurological Surgeons, and California Association of Neurological Surgeons. He is a Certified Physician Executive (CPE) with many years of leadership and administrative experience in healthcare delivery.
Litigation Support - As an expert neurosurgeon with decades of experience, Dr. Ajir offers services to attorneys representing plaintiff and defendant. He performs Independent Medical Exammination, and provides expert reviews and medical-legal opinions. Dr. Ajir holds medical licenses in California, Montana, New York, Pennsylvania, Washington, Wisconsin, and Utah.
Alberto Martinez-Arizala, MD, FAAN, has over 35 years of clinical experience as a Board Certified Neurologist specializing in Spinal Cord Medicine. Moreover, he served as an assistant professor in the F. Edward Hébert School of Medicine while stationed at the Walter Reed Army Medical Center when he served active duty in the U.S. Army.
Dr. Martinez-Arizala has been part of the faculty of the Department of Neurology at the University of Miami Miller School of Medicine since 1989 and currently holds the rank of Professor of Clinical Neurology. He also serves as the Medical Director of the Spine Institute and as a research investigator for The Miami Project to Cure Paralysis in the university. Most recently, Dr. Martinez-Arizala served as Chief of the Spinal Cord Injury Service at the Miami VA Medical Center for 13 years where he continues as a VA Spinal Cord Injury staff physician. His research interests include Pathophysiology and Treatment of Secondary Complications in Spinal Cord Injury. Dr. Martinez-Arizala has spent years investigating the basis for the development of the different spasticity and pain profiles in the spinal cord injured population, and studying potential novel treatments for this conditions.
Litigation Support - In addition to his practice, Dr. Martinez-Arizala has served as an expert witness for more than 25 years in Complex Spinal Cord Cases and also has solid experience in conducting Independent Medical Evaluations (IMEs), medical record reviews, and developing and reviewing Life Care Plans.
Nader Khandanpour, MD, PhD, FRCR, CUBS, EDINR, is a trained Radiologist, with a subspecialty in Neuroradiology. Dr. Khandanpour is one of the few neuroradiologists with a PhD in Atherosclerosis, Vascular Disease, and Genetics. His practice includes adult, pediatric, and neonatal patients.
Dr. Khandanpour has achieved a Pan London Neuroradiology Fellowship, and has deep experience working in 7 major neuroscience centres of excellence, including King’s College, Great Ormond Street, and National Hospital for Neurology & Neurosurgery, Barts & The London NHS Trust, and St. Georges NHS. He is Certified by the Board of European Neuroradiology (EDINR), Cardiff University Bond Solon Legal Certificate (CUBS), and the Academy of Experts.
Litigation Support: Dr. Khandanpour serves as an expert witness for attorneys representing plaintiff and defendant. Cases involve medical personal injury and clinical negligence and services include the preparation of medico legal reports, depositions, and trial testimony.
Gerald M. Dworkin is a professional Aquatics Safety & Water Rescue Consultant for Lifesaving Resources Inc. He has an extensive background in Aquatics Safety, Lifeguard Training and Operations, Water Rescue & Swiftwater Rescue, Ice Rescue & Cold Water Survival, Emergency Medical Services, and Public Safety and Rescue. Along with several textbooks, he has written and published over 40 articles, and has consulted in numerous drowning and aquatic injury litigation cases as both a Plaintiff and Defense Expert Witness.
Expert Witness Services As an expert witness, Mr. Dworkin evaluates the Standard of Care as it pertains to Incident Prevention, Victim Recognition, and Emergency Management and provides accident reconstruction, depositions, written reports, and courtroom testimony.
His Areas of Expertise Include:
Lifesaving, Lifeguarding and Aquatics Safety
Water Rescue, Swiftwater Rescue, and Ice Rescue
CPR (Cardiopulmonary Resuscitation)
Basic Life Support
Drowning and Aquatic Injury Prevention and Emergency Management
Based on our research of ice rescue incidents and fatalities during the years 2006 & 2007, approximately 85% of the incidents were initiated as a result of humans venturing out onto the ice to rescue a domestic animal. The purpose of this article is three-fold. First, we need to educate the public about the need to control their pets and to prevent them from going out onto the ice because no ice should ever be considered as being "safe ice". Second, we need to also educate the public to call 911, rather than to make an attempt to rescue their pets that have fallen through the ice. And, third, First Responder agencies and their personnel need to be trained and equipped to properly, effectively, and safely respond to domestic animal rescues on and through the ice.
In February 2004, the National Fire Protection Association (NFPA) published NFPA 1670: Standard on Operations and Training for Technical Search and Rescue Incidents. The purpose of this standard is to minimize threats to rescuers while conducting operations at technical SAR incidents, and the standard deals specifically with identifying and establishing levels of functional capability for conducting technical rescue operations safely and effectively. Although these standards were designed for all types of Technical Rescue operations, they also address water and ice rescue operations.
On July 13, 2004, a 55-year-old man collapsed in the Medina (Ohio) Aquatic and Fitness Center. The aquatic manager for the city, Darlene Donkin, responded and assessed him to be in cardiac arrest. Although Donkin was a CPR instructor and taught more than 100 classes on the subject, she had never actually performed it in a life-and-death situation prior to this incident.
The following incidents and places, as well as the circumstances surrounding them, are fictional. On the Scene Dispatch at 16:04 hrs: KGT-597 to Rescue 15, respond to Bakersville Pond off Cemetery Island for a report of a dog through the ice, approximately 100 yards from shore.
DALLAS, April 1 - Chest compressions alone, or Hands-Only Cardiopulmonary Resuscitation (CPR), can save lives and can be used to help an adult who suddenly collapses, according to a new American Heart Association scientific statement.
TWO BOYS, age 11, are ice skating at a local pond. Suddenly, the ice cracks and one boy falls through into 34 degree Fahrenheit water. His friend runs to his aid, and potential tragedy grows as the second boy is pulled into the ice cold water by the panic stricken child already in the water. Unless help is immediately available, both boys will perish within a few minutes, either from drowning or hypothermia (decreased body temperature).
Based on a 1961 study at Williamston, MI, conducted by the Michigan State Police, the Indiana University Health and Safety Department, the Michigan Highway Department, and the American Red Cross, it was estimated that approximately 400 persons lose their lives as a result of being trapped in automobiles that have plunged into the water.
Properly recognizing and managing suspected spinal injuries caused by head-first entries into the water require high levels of training. Lifeguards and other water rescue personnel must be able to evaluate the signs and symptoms associated with spinal trauma and the manner in which an injury occurs. The rescuer should assume that a spinal injury exists if the forces causing the trauma were sufficient to damage the spine.
In the event a firefighter is suddenly and unexpectedly immersed in deep water while wearing full turnout gear, the firefighter's survival is dependent upon the actions taken during the first critical seconds of the immersion. The incidence of this type of emergency increases when firefighters are fighting apartment fires around a swimming pool, during suppression activities on and around piers and docks, as well as during a fall-through incident in which the firefighter falls through a floor into a basement filled with water.
The purpose of this article is to describe the proper use and application of the Stearns Cold Water/ Ice Rescue Suit by Fire, Rescue, and other Public Safety Personnel during cold water and ice rescue incidents. This article has been specifically written to address the prevention of Torso Reflex or Inhalation Response during the rescuer's entry into cold water.
In 1996, a tragic accident occurred on a soccer field at Northeast Park in the Park Ridge Recreation and Park District in Illinois. After a short rain delay in the game, the skies started clearing and a referee decided to resume play.
Since 1980, the Consumer Product Safety Commission (CPSC) has documented over 18 incidents, including five deaths, involving children between the ages of two and 14 who were injured or died due to body part entrapment involving the drain of a swimming pool, wading pool or spa.
As a result of renewed electronic and print media exposure, the Heimlich Controversy has once more reared its head creating a confusing message for lifeguard and other rescue personnel regarding the resuscitation procedures to be used when confronted with a near-drowning resuscitation incident.
All public and semi-public aquatic facilities should be equipped with appropriate spinal immobilization devices (SIDs), in addition to cervical collars, lateral stabilization items (i.e. blankets, towels, sand bags, and so forth), and appropriate immobilization material (i.e. straps and bandages).
Each year approximately one million people in the United States suffer from acute myocardial infarction (heart attack) of which approximately 700,000 die. About 350,000 of these fatalities occur outside the hospital, usually within two hours after the onset of symptoms of a heart disorder.
Torso Reflex, also known as Gasp Reflex , Inhalation Response, or Cold Water Shock, is caused by sudden immersion into water colder than 70 degrees F. Sudden immersion into cold water triggers an involuntary reflexive torso gasp that can cause the person to aspirate water into his/her airway and lungs, which can lead to laryngospasm, disorientation, panic, and the loss of any physical ability to swim or remain afloat.
I’ve always advocated the need for aquatics facilities to collaborate and coordinate lifeguard and water rescue training and emergency operations with community fire, rescue, emergency medical services (EMS) and law enforcement agencies.
For aquatics facilities to effectively integrate rescue and safety services with those of the local fire and rescue agencies and emergency medical services (EMS), it's imperative that all agencies establish collaborative agreements and cooperative training programs.
In February 2004, the National Fire Protection Association (NFPA) published NFPA 1670: Standard on Operations and Training for Technical Search and Rescue (SAR) Incidents. The purpose of this standard was to minimize threats to rescuers while conducting operations at technical SAR incidents.
Each year, there are approximately 1,500 incidents and 600 deaths occur involving vehicles that have gone off the road and plummeted into the water. Therefore, the public needs to plan for these types of emergencies by (A) rehearsing the steps necessary for a successful self-rescue from a vehicle in the water, and (B) having the rescue/escape tools readily available for use during this type of emergency situation.
Larry Fishman, MD, PA, is a Board Certified Neurosurgeon with more than 22 years of experience. A Mayo Clinic-trained neurosurgeon, specializes in minimally invasive surgery, including carpal tunnel, spinal, and cranial procedures.
Litigation Support - Dr. Fishman performs CME's and IME's, disability evaluation, permanent impairment rating, future care costs, and determines medical appropriateness of care to date. He performs medical record review, medical malpractice, as well as other medical legal issues. Dr. Fishman's services are available to counsel for both plaintiff and defendant.
Clive M. Segil, MD, FACS, FRCS is an internationally renowned Orthopedic Surgeon with 45 years of experience in the management of Musculoskeletal Disorders. He practices orthopedic surgery, treating all orthopedic conditions.
Dr. Segil is on the staff of Cedars-Sinai Medical Centre, St Johns Hospital Medical Centre, Valley Presbyterian Hospital.
He is in active practice in the Los Angeles, with offices in Century City, Encino, Lawndale, Glendale, Lancaster, Pomona. He is a past assistant clinical professor of orthopedics at the University of Southern California School of Medicine and a past Clinical Chief of Orthopedics at Cedars-Sinai Medical Center.
Dr. Segil completely understands the forensic system, is comfortable and confident in presentation and trial appearance, and is not intimidated by court proceedings. He has experience in all aspects of Orthopaedic Surgery. He is familiar with the new changes in the Workers' Compensation arena, including using the AMA guidelines, the ACOEM guidelines, and the American Academy of Orthopedic Surgery guidelines for spine problems.
Dr. Segil testifies for defense and plaintiff cases with an unbiased, erudite, understandable, and logical argument to support the facts and evidence. He has provided unbiased, detailed, ratable, and credible reports concerning injured workers and has given an honest opinion as to their condition, causation, prognosis, disability, and apportionment in a precise organized manner.
Mary Genevieve, MD is a Board-Certified Neurologist with over 20 years of experience in diagnosing, treating, and managing Neurological Disorders at top hospitals throughout the country. She brings her expertise, dedication, and sincere concern to all her patients.
Dr. Genevieve currently practices Neurology at Central Coast Neurology Medical Office, Inc. in San Luis Obispo, California. She is a Diplomate of the American Board of Psychiatry and Neurology.
Education: MD, George Washington University; MS, Physiology, Georgetown University; BS, Physiology, Michigan State University; BS, Anthropology, Michigan State University.
Litigation Support - Dr. Genevieve provides expert witness services to counsel representing both plaintiff and defendant. She has extensive experience being deposed, testifying and writing expert witness reports. Dr. Genevieve treats various neurological problems including:
Dr. Lorne Sheldon Label, MD, MBA, FAAN, is a Board Certified Neurologist who has extensive training in the treatment of all neurological diseases of adults and children. The field deals with brain, spinal cord, nerve and muscle disorders. Dr. Label has been recognized by the court as having the education, experience, training, and knowledge to assist in rendering an opinion on the subject of Adult and Pediatric Neurology and Acupuncture. His ability is in explaining complicated methods and procedures, technical medical matters and data, as well as interpreting and rendering opinions about a certain set of facts to the court.
Dr. Label has offered his Expert Witness testimony to the legal industry for over 35 years. He has been retained as an Expert by attorneys for both Plaintiff and Defense over 200 times. His services are available for Medical Record Review and Testimony, Medical Malpractice Cases, and Insurance Questions Regarding Neurological Issues.CV available on website or by email.
AMFS is the nation's leading provider of medical expert witnesses. We maintain a network of thousands of actively practicing, board-certified physician medical experts as well as expert witnesses in all other health care related fields. Since 1990 we have provided medical expert witnesses to thousands of attorneys in thousands of cases, including medical malpractice, personal injury, wrongful death, criminal and other matters. Contact AMFS now for a free case analysis with our team of U.S. based Medical Directors.
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Infectious diseases are among the most common conditions for which patients seek medical care, and potentially the most serious. Fortunately, since the discovery of penicillin over 70 years ago, antibiotics have made the treatment of serious infections highly successful. Nevertheless, physicians and advanced practioners such as nurse practitioners and physician's assistants must use caution in administering antimicrobial medications, both to ensure effectiveness and to prevent side effects. Careful prescribing will help minimize the legal risks resulting from antibiotic treatment.
Over the past two decades, there has been a growing trend for the care of the hospitalized patient to be assumed by physicians who care only for patients in the inpatient setting, and who do not have an outpatient medical practice. These physicians have come to be known as "hospitalists", and their area of practice as "hospital medicine". Hospitalists are a departure from the old style of practice, in which the primary care physician (PCP) cared for their seriously ill patients in the hospital while still maintaining a busy outpatient practice. Because of the increasing complexity of modern medicine, and due to a variety of economic pressures, the trend now is for physicians in primary care specialties to focus their practice on either outpatient or inpatient care, but not both.
Congestive heart failure can be simply described as the inability of the heart to meet the metabolic demands of the body. The heart functions as a pump to deliver oxygen and nutrients to the tissues. Failure of the pump to deliver nutrition to the tissues stimulates a number of compensatory responses in an effort to improve tissue perfusion. These responses result in the clinical symptoms and signs associated with the heart failure syndromes-shortness of breath, rapid heartbeat, and fluid retention.
Acute respiratory distress syndrome (ARDS) was first described in 1967 by Ashbaugh, who described a syndrome of severe respiratory failure associated with pulmonary infiltrates, similar to infant hyaline membrane disease.
Anterior Cruciate Ligament Injury (ACLI) is most often a result of low-velocity, noncontact, deceleration injuries and contact injuries with a rotational component. Contact sports also may produce injury to the anterior cruciate ligament (ACL) secondary to twisting, valgus stress, or hyperextension all directly related to contact or collision.
Some of the most abstract medical occurrences that may also prove to be legally challenging are transient disorders of awareness. The very nature of their transient occurrence often results in an absence of objective laboratory or examination abnormalities. Since these conditions result in an alteration of the patient's awareness, there may also be inadequate historical information to assist in diagnosis. Yet, these disorders can have very significant consequences that range from a loss of one's driving privileges or job to the participation in a criminal event. The two most common causes of altered awareness are seizures and reduced blood flow to the brain.
There are many wrist and hand symptoms related to the multiple tunnels that tendons, nerves, and blood vessels pass through. Wherever there is a "crease" in one's wrist, palm, or fingers on the flexor/volar side, there is a tunnel that these structures must pass through. These tunnels are usually soft transverse tissue bands that keep the tendons from bowstringing as they pass from forearm to fingers, as we use our hands in grasp and function.
Almost every American from eighteen to eighty years of age has heard enough about LASIK to understand on a basic level what it is and how it works. On average approximately 1,000,000 LASIK procedures are performed annually in the United States. The vast majority of these procedures are successful, but unwanted side effects and/or suboptimal results can occur in a small percentage of patients. Below is a discussion of the essential elements in the pre-operative evaluation of a patient being considered for LASIK.
There is an epidemic of diabetes in the United States. In the last ten years, the number of American diagnosed with diabetes has increased 40 percent. The number has risen from 4.9% to 6.9%. It is estimated that the number will increase buy another 16.5% by 2050. A woman born in 2000 has a 39% risk of developing diabeteso. The epidemic of obesity is responsible for the current epidemic of diabetes in pregnancy. The incidence of diabetes complicating pregnancy has increased 40% between 1989 and 2004.
Crude Oil has been pouring into the Gulf of Mexico and is causing numerous and significant health issues for children, pregnant mothers, and adults. Exposure occurs via inhalation, ingestion (of liquid droplets in the air), and direct skin contact. Some of the health effects will be long-term sequelae and may last a lifetime or affect future generations. Crude oil is a known teratogen and can cause birth defects and changes in fetal development. The target organs for crude oil are the hematopoietic (blood forming) system, lymphatic system, nervous system, and reproductive system. The Benzene component is a known carcinogen.
Persistent neuropsychiatric impairment following head injury is a significant public health problem. From 400,000 to 500,000 are hospitalized in the United States every year from head injury; many more people are injured and do not require admission. Head injury is the third most likely cause of dementia, after infection and alcoholism, in people younger than 50 years.
In 1911, Hammond and Sutton of Philadelphia performed the first human-to-human kidney transplant with transient success. Since then the techniques and indications have evolved. The first wholly successful human transplant took place on December 23, 1954, in Boston, Massachusetts. Surgeon Joseph Murray performed a kidney transplant between identical twin brothers. Although this and subsequent twin transplants did little to solve the problem of rejection, these procedures contributed to proving the value of the procedure and to the solution of many technical problems.
Neonatal emergencies are not uncommon problems. They appear either at the time of birth, during the in-hospital post-birth period, or at home within several weeks of discharge. In all instances they present significant diagnostic and treatment challenges to the clinician, and must be taken seriously.
Cardiovascular disease (CVD) is the leading cause of death in the United States, accounting for approximately 500,000 deaths each year. More women in the United States die of heart disease than of any other cause, and one form of heart disease, myocardial infarction, is responsible for the majority of these deaths. In every year since 1984 it has claimed the lives of more women than men.
A large number of reports have been produced on HP and its pathogenetic potential. In fact, although peptic ulcer disease is the most studied disease related to HP infection, this bacterium is seemingly involved in the pathogenesis of several extragastric diseases, such as mucosa-associated lymphoid tissue lymphomas (MALTomas), coronaritis, gastroesophageal reflux disease, iron deficiency anemia, skin disease, and rheumatological conditions.
Abdominal aortic aneurysm (AAA) is a relatively common, potentially life-threatening condition. It has a wide spectrum of presentations and should be considered in the differential diagnosis for a number of symptoms.
Acetaminophen is the most widely used pharmaceutical analgesic and antipyretic agent in the United States and the world; it is contained in more than 100 products. As such, acetaminophen is one of the most common pharmaceuticals associated with both intentional and accidental poisoning. Acetaminophen-induced hepatotoxicity is well recognized.
Salicylates are ubiquitous agents found in hundreds of over-the-counter (OTC) medications and in numerous prescription drugs including topical preparations used for the treatment of pain, warts, and acne.
Peptic ulcer disease (PUD) is one of the most common diseases affecting the GI tract. It causes inflammatory injuries in either the gastric or duodenal mucosa, with extension beyond the submucosa into the muscularis mucosa.
Among suicidal patients who had taken antidepressants, fluoxetine (Prosac) was associated with the lowest risk for causing suicidal tendencies and venlafaxine (Effexor) with the highest risk, according to the results of a cohort study published in the December 2006 issue of the Archives of General Psychiatry.