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Stanitski C, Sherman C. How I manage physeal fractures about the knee. PHYSICIAN SPORTSMED 1997; 25:108-21. [PMID: 20086902 DOI: 10.3810/psm.1997.04.1301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/10/2023]
Abstract
Knee injuries in children and adolescents often involve the growth plate (physis), as well as the adjacent bony areas of the femur, tibia, or patella. Young patients who have injured knees require careful clinical and radiographic assessment to determine the extent of their injuries, with specific management to minimize the potential for growth arrest and resultant deformity. This article discusses distal femoral physeal, proximal tibial physeal, tibial eminence, patellar sleeve, and tibial tubercle fractures in skeletally immature patients.
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Sands R, Tricker J, Sherman C, Armatas C, Maschette W. Disordered eating patterns, body image, self-esteem, and physical activity in preadolescent school children. Int J Eat Disord 1997; 21:159-66. [PMID: 9062839 DOI: 10.1002/(sici)1098-108x(199703)21:2<159::aid-eat6>3.0.co;2-k] [Citation(s) in RCA: 60] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
OBJECTIVE Eating disorders have been typically defined as an "adolescent problem." As a result of emerging evidence which indicated this health problem to be evident in the prepubescent age range, this study aimed to establish prevalence and factors associated with eating/dieting, physical activity, and body image among a nonclinical, naturalistically-derived sample of preadolescent (aged 10 and 11) school children (n = 61). METHOD This cohort of children, which represented the entire grade 6 class of a suburban Elementary school, was measured for body image satisfaction [silhouettes], a participation in activity index, a self-worth scale and a measure of eating attitudes & behavior [Eating and Me scale [E & M]]. RESULTS The longitudinal assessment of body image [3 measures over 9 months] indicated signs of stability of "actual" assessments of body image for males, but marked changes for females who preferred to be ideally "chunkier" in stature over time. Physical activity was only implicated with bulimia for the male sub-group. The E & M scale reported a Cronbach's alpha of .76, with two factors [bulimia; drive for thinness/anorexia] representing 65% of the total variance. Moderate internal validity [r .58] between body dissatisfaction on the E & M scale and the silhouette measure was observed. DISCUSSION These results demonstrated that body image views and concerns appeared before puberty, that gender differences prevailed with respect to eating/dieting, activity and body image, and that the E & M scale has emerged as a promising research tool. The longitudinal nature of this study of eating disorders also promotes the need for qualitative research methodology and attention to pre-pubertal cognitive/perceptual processes.
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Thompson PD, Sherman C. Cardiovascular screening: tailoring the preparticipation exam. PHYSICIAN SPORTSMED 1996; 24:47-106. [PMID: 20086993 DOI: 10.3810/psm.1996.06.1375] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
While the critical task of the preparticipation cardiac examination is identifying life-threatening conditions, care must be taken not to exclude healthy individuals from activity. The vast majority of exams will be negative, but the physician should be alert to such potentially lethal conditions as hypertrophic cardiomyopathy, aortic stenosis, and Marfan syndrome. A history of symptoms during exertion, certain features of physical appearance, and clinical findings require referral to a cardiologist. Although the cardiac examination needn't involve complex tests, it must permit recognition of abnormal heart sounds and other signs of pathology. In the older athlete, coronary heart disease is the principal risk, and the examination should be tailored accordingly.
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Jucker M, Tian M, Norton DD, Sherman C, Kusiak JW. Laminin alpha 2 is a component of brain capillary basement membrane: reduced expression in dystrophic dy mice. Neuroscience 1996; 71:1153-61. [PMID: 8684619 DOI: 10.1016/0306-4522(95)00496-3] [Citation(s) in RCA: 63] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
In the present study we demonstrate low level expression of the laminin alpha 2 chain in brain and localize the alpha 2 protein to the capillary basement membrane. While in peripheral basement membranes the laminin alpha 1 and alpha 2 chains have an almost mutually exclusive distribution, the present results suggest both alpha 1 and alpha 2 in the cerebral capillary basement membrane. Towards elucidating the function of alpha 2 in brain, we have performed ultrastructural analysis of the capillary basement membrane in dystrophic dy mice, which show a 70-90% and > 95% reduction of alpha 2 messenger RNA compared to heterozygous and wild-type mice, respectively, and show a nearly total absence of the alpha 2 protein by immunofluorescence. In contrast to the muscle and Schwann cell basement membrane, where alpha 2 deficiency causes structural basement membrane abnormalities, the present results show that the lack of the alpha 2 subunit in the cerebral capillary basement membrane is not detrimental to its structure. This observation might be explained by the fact that the cerebral capillary basement membrane expresses both alpha chains and therefore exhibits structural redundancy.
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Kirkpatrick MK, Hull A, Katrabos S, Sherman C. Patient representative: more than an advocate. Nurs Manag (Harrow) 1995; 26:92-4. [PMID: 7603680] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
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Abstract
Some research has shown that an aggressive program of exercise, a low-fat diet, and stress reduction can reduce coronary lesions and dramatically improve symptoms. Age and disease severity seem to make no difference; compliance does. Is this method a practical, cost-effective answer to the nation's No. 1 killer? Or is it merely "an interesting little footnote to cardiology?" Similar programs, just getting under way, may tell.
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Abstract
Sudden death during exertion is extremely rare. Among adults older than 30, coronary artery disease is the predominant cause of sudden death. Attention to risk factors and premonitory symptoms is the best prevention. Doing the appropriate testing, tailoring exercise programs, and discouraging denial help minimize the risk. But above all, physicians can help keep patients' fears in check so as not to deprive patients of the unquestionable benefits of exercise.
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Potter H, Moran M, Schneider R, Bansal M, Sherman C, Markisz J. Magnetic resonance imaging in diagnosis of transient osteoporosis of the hip. Clin Orthop Relat Res 1992:223-9. [PMID: 1611748] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
The results of magnetic resonance (MR) imaging in six patients with transient osteoporosis of the hip were reviewed. Short TR/TE (repetition time/echo time) images demonstrated diffusely decreased signal intensity in the femoral head and intracapsular region of the femoral neck. Increased signal intensity was noted with progressive T2 weighting. Bone biopsies were performed in four patients. Histologic findings were nonspecific and included fat necrosis, marrow edema, increased bone resorption, and reactive bone formation. Repeat MR scans in two patients, performed six and eight months after the initial scans, showed an almost complete return to normal marrow signal. All patients became asymptomatic without bony deformity. In the appropriate clinical setting, MR scanning can aid in the diagnosis of transient osteoporosis as the cause of a painful hip.
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Sherman C. A foodservice challenge: AIDS education. FOOD MANAGEMENT 1992; 27:40. [PMID: 10119697] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Sherman C, Fernández H. Ribavirin aerosols and respiratory syncytial virus infection. Lancet 1992; 339:190-1. [PMID: 1346054 DOI: 10.1016/0140-6736(92)90267-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Ryden MB, McCarthy PR, Lewis ML, Sherman C. A behavioral comparison of the helping styles of nursing students, psychotherapists, crisis interveners, and untrained individuals. Arch Psychiatr Nurs 1991; 5:185-8. [PMID: 1929568 DOI: 10.1016/0883-9417(91)90020-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
Helping styles of nursing students were compared with those of subjects in a prior study (17 psychotherapists, 12 crisis interveners, and 15 untrained people). Subjects were 30 junior-year college students in the second part of a two-course sequence in interpersonal relations. The subjects were videotaped in a 3-minute interaction with a simulated client. An experienced psychotherapist who was trained in the use of the Helping Skills Verbal Response System instrument rated each student. The helping behaviors of nursing students were found to resemble those of trained mental health practitioners; their behavior was significantly different from those of untrained individuals, who were highly verbose, directive, and used minimal reflection of affect or content.
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Sherman C. Clay Sherman, Ed.D.. Interview by Ron Czajkowski. NEW JERSEY HEALTHCARE 1991; 3:9-10. [PMID: 10108929] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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63
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Sherman C. Optimal utilization of clinical dietitians. HOSPITAL FOOD & NUTRITION FOCUS 1990; 6:6-7. [PMID: 10103819] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Sherman C. Employees and AIDS patients. FOOD MANAGEMENT 1988; 23:34. [PMID: 10285670] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Abstract
Retroperitoneal fibrosis is rarely considered in the differential diagnosis of ureteral obstruction in children even when clinical presentation and radiologic findings are typical. In a 12-year-old boy admitted with a 2-week history of flank pain computed tomography showed an enhancing mass obstructing the left ureter. Pathologic examination of the mass and adjacent segment of ureter revealed retroperitoneal fibrosis.
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Hunton DE, Viggiano AA, Swider W, Paulson JF, Sherman C. Mass spectrometric measurements of SF6chemical releases from sounding rockets. ACTA ACUST UNITED AC 1987. [DOI: 10.1029/ja092ia08p08827] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Fromm H, Tunuguntla AK, Malavolti M, Sherman C, Ceryak S. Absence of significant role of bile acids in diarrhea of a heterogeneous group of postcholecystectomy patients. Dig Dis Sci 1987; 32:33-44. [PMID: 3792181 DOI: 10.1007/bf01296685] [Citation(s) in RCA: 23] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
Twenty-five postcholecystectomy (PC) patients who underwent a diagnostic work-up for persistent diarrhea and six control subjects were studied. Fourteen of the 25 patients were also characterized by conditions other than PC which could play a role in the pathogenesis of the diarrhea. However, none of the patients had evidence of ileal disease or resection. The average follow-up of the patients after the study was approximately 4.4 years. Excretion, composition, and aqueous-phase concentrations of fecal bile acids were analyzed using gas-liquid chromatography. Eleven of the 25 PC patients showed an increased fecal bile acid excretion. In three of the 11 patients, the magnitude of the bile acid loss, which ranged from 2.26 to 3.34 mmol/24 hr, indicated the presence of severe bile acid malabsorption. The fecal bile acid composition showed a significant shift from secondary to primary bile acids. In spite of the presence of marked bile acid malabsorption, the aqueous-phase concentrations of the dihydroxy bile acids, chenodeoxycholic and deoxycholic acids, did not, with one exception, reach the secretory level of 1.5 mM. The relatively low aqueous concentrations were the result of low bile acid solubility, due to an acidic fecal pH. Only two of nine patients, one with severe, and the other with equivocal bile acid malabsorption, who were treated with cholestyramine, showed an improvement of the diarrhea. The findings of subsecretory bile acid concentrations in the fecal aqueous phase and of inconsistent therapeutic responses to cholestyramine indicate that, in spite of the presence of bile acid malabsorption, the diarrhea was, with few exceptions, not bile acid-induced. The results of the study also suggest that the diarrhea in many PC patients is multifactorial in origin.
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Abstract
Temporary and permanent ventricular assist systems, developed by Thermedics, Inc., are described, including rationale, design, operation and surgical applications. Clinical data are presented for pneumatically driven temporary left ventricular assist devices (LVAD). Usefulness of this device rests on the assumption that tissue of a weakened heart can recover if relieved for a time by an LVAD. The surgical implantation of an LVAD is reported in a case where the patient later received a heart transplant. The concept and technology of the subsystems of a permanent ventricular assist system (VAS), now ready for preclinical trials, are discussed. Design of a low-speed, torque-motor driven blood pump is described. Details are presented on transcutaneous energy transmission by means of a transformer, one of whose coils is embedded under the skin. Though less efficient than percutaneous transmission, the method eliminates infection risk. Special types of polyurethanes are analyzed in respect to their biocompatibility. It is concluded that flocking of the polyurethane surface allows the growth of a biological lining which is highly antithrombogenic. Sintered metal powders are found to be most efficient for fabrication of rigid pump components. A lenticular pump design is proposed to solve the problem of pressure differentials in the sealed device. Cardiac endocrine functions are cited in support of using assist devices that leave the heart in place.
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Schultz DA, Shapiro B, Amendola M, Sherman C, Wahl RL. Tomographic renal cortical scintigraphy: correlation with intravenous urography, computed tomography, ultrasonography, angiography, and nuclear magnetic resonance imaging. EUROPEAN JOURNAL OF NUCLEAR MEDICINE 1985; 11:217-20. [PMID: 3908108 DOI: 10.1007/bf00279072] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
This study evaluates single-photon renal tomoscintigraphy (SPECT) in the evaluation of renal masses and correlates this modality, where indicated, with computed tomography (CT), ultrasonography (US), angiography (ANGIO) and nuclear magnetic resonance imaging (NMR). Eight patients with renal cortical lesions detected on intravenous urography (IVP) were evaluated by SPECT and planar nuclear imaging using Tc-99m glucoheptonate (GH). Three of these patients were felt particularly likely to have renal tumors and were additionally evaluated with US, CT, ANGIO and NMR. The five patients with nodules on IVP that were not particularly suggestive of malignancy had functioning, benign, renal tissue accounting for their IVP lesions. Four of five were found by planar-GH nuclear imaging, five/five by SPECT-GH. In addition, SPECT-GH allowed better "confidence" in the normal renal tissue diagnosis in three/five cases. Of the three renal lesions that were highly suggestive of malignancy, two were hypernephromas and one was hypertrophied functioning cortical tissue. All three were correctly identified prospectively on SPECT-GH; however, one hypernephroma was missed on planar-GH. NMR, CT, and ANGIO detected only one of two hypernephromas prospectively (US detected both); all four modalities incorrectly diagnosed the hypertrophied tissue suggestive of malignancy.
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Bernhard WF, Clay W, Gernes D, Hougen T, Sherman C, Burke D, Schoen FJ, Poirier VL. Temporary and permanent left ventricular bypass: laboratory and clinical observations. World J Surg 1985; 9:54-64. [PMID: 3984371 DOI: 10.1007/bf01656256] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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71
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Williams RC, Sherman C, Buckman MT. The 'Alice in Wonderland' experience. Ergot alkaloid therapy for prolactin-secreting pituitary tumors. West J Med 1983; 138:391-7. [PMID: 6858128 PMCID: PMC1021476] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
This discussion was selected from the weekly Grand Rounds in the Department of Medicine, University of New Mexico School of Medicine and Veterans Administration Medical Center, Albuquerque. Taken from a transcription, it has been edited by Drs Charles Sherman, Resident in Medicine, and Maire T. Buckman, Associate Professor of Medicine and Chief, Endocrinology Section, Veterans Administration Medical Center, Alburquerque.
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Cushman P, Sherman C. Biologic false-positive reactions in serologic tests for syphilis in narcotic addiction. Reduced incidence during methadone maintenance treatment. Am J Clin Pathol 1974; 61:346-51. [PMID: 4592203 DOI: 10.1093/ajcp/61.3.346] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023] Open
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Narcisi R, Bailey A, Lucca L, Sherman C, Thomas D. Mass spectrometric measurements of negative ions in the D- and lower E-regions. ACTA ACUST UNITED AC 1971. [DOI: 10.1016/0021-9169(71)90102-4] [Citation(s) in RCA: 97] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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