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Roesler M, Fato P, Holm A. Catching Up With Clean Intermittent Catheterization: Guide to Products, Tips, and Tricks. NASN Sch Nurse 2024; 39:120-124. [PMID: 37997366 DOI: 10.1177/1942602x231212937] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2023]
Abstract
Clean intermittent catheterization (CIC) is the gold standard for the management of urinary retention. Students with special healthcare needs who require CIC can be supported by school nurses who have knowledge and expertise in the management of CIC including an understanding of available products, reinforcement of proper technique, and resources available to promote student independence. This article will discuss the variety and unique features of CIC products and tips to overcoming barriers in bladder management.
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Affiliation(s)
| | | | - Annie Holm
- Kennedy Krieger Institute, Baltimore, MD
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Obst B, Roesler M, Fato P, Goff C. Supporting Children on the Autism Spectrum as They Experience the Challenges of COVID-19. NASN Sch Nurse 2022; 37:240-244. [PMID: 35426749 DOI: 10.1177/1942602x221089047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The response to the COVID-19 pandemic has amplified stress and social isolation for many children, but those children living with a diagnosis of autism spectrum disorder (ASD) have been disproportionately affected. Prior to the pandemic, children with ASD often faced social isolation due to struggles with their social communication and social development. Planning for children with ASD to return to community experiences, including school, appointments, and even recreational activities, will require an understanding of the impact of COVID-19 on the child and their family. As the child and family are working to adjust to changes like new routines, sleep patterns, and sensory issues as a result of the pandemic, the pediatric nursing community should be knowledgeable and prepared to develop creative opportunities to meet the needs of this vulnerable population.
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Affiliation(s)
- Barbara Obst
- SHNIC Program Coordinator, Kennedy Krieger Institute, Baltimore, MD
| | - Megan Roesler
- Nurse Educator, Kennedy Krieger Institute, Baltimore, MD
| | - Patricia Fato
- Nurse Educator, Kennedy Krieger Institute, Baltimore, MD
| | - Carrie Goff
- Nurse Coordinator, Kennedy Krieger Institute, Baltimore, MD
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Roesler M, Fato P, Obst B. Long COVID-The New "Invisible" Illness: How School Nurses Can Support the Nursing and Educational Teams for Student Success. NASN Sch Nurse 2021; 37:90-95. [PMID: 34889154 DOI: 10.1177/1942602x211059427] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
School-age children are not immune to COVID-19 or the pronounced and persistent symptoms associated with a long-COVID diagnosis. Students may present with a variety of symptoms affecting their physical, cognitive, and mental health. The school community should be educated on the school-based interventions and recommendations for creating an individualized safe and successful return to school plan. As we await approval for vaccinations in school-age children younger than 12 years and continue to reposition ourselves to the waves of this pandemic and new variants of the virus, understanding the medical and educational long-term effects on our students may be a long-term need.
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Affiliation(s)
- Megan Roesler
- Nurse Educator, Kennedy Krieger Institute, Baltimore, MD
| | - Patricia Fato
- Nurse Educator, Kennedy Krieger Institute, Baltimore, MD
| | - Barbara Obst
- SHNIC Program Coordinator, Kennedy Krieger Institute, Baltimore, MD
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4
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Roesler M, Obst B. Hidden Devices in the School Setting: What the School Nurse Needs to Know About Vagus Nerve Stimulation. NASN Sch Nurse 2019; 34:257-261. [PMID: 30920895 DOI: 10.1177/1942602x19836439] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
The Specialized Health Needs Interagency Collaboration (SHNIC) program at the Kennedy Krieger Institute is a community-based program that provides on-site training and technical assistance to safely manage the integration of children with special health needs into educational and community settings. SHNIC frequently receives seizure education requests throughout the school year, specifically regarding vagus nerve stimulation. Vagus nerve stimulation involves an implanted medical device used to deliver electrical pulses to the vagus nerve for additional seizure management. The school nurse needs to understand the purpose and function of the hidden medical device, including the parameters for use of the device and magnet, safety considerations, and side effects. SHNIC has developed educational materials specific to vagus nerve stimulation to aid the school nurse in providing staff training, developing care plans, and creating a safe school experience for students with special health needs.
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Affiliation(s)
- Megan Roesler
- Nurse Educator, Kennedy Krieger Institute, Baltimore, MD
| | - Barbara Obst
- SHNIC Program Coordinator, Kennedy Krieger Institute, Baltimore, MD
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Roesler M. Letter to the Editor. NASN Sch Nurse 2018; 33:76-77. [PMID: 29452555 DOI: 10.1177/1942602x18759000] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
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Obst B, Roesler M. Hidden Medical Devices in the School Setting: What the School Nurse Needs to Know About the Safe Use of Baclofen Pumps. NASN Sch Nurse 2018; 33:78-83. [PMID: 29351050 DOI: 10.1177/1942602x17750452] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
One of the "hidden" medical devices in the school setting is the baclofen pump, which is used for the treatment of spasticity. The goals of spasticity treatment are to decrease muscle tone, deformity, and pain in order to maximize function and ease of care for both child and caregiver. The use of an intrathecal baclofen pump, often for children with cerebral palsy, spinal cord injury, brain injury, or stroke, has been effective in spasticity treatment. It is important for school nurses to be aware of the safety implications associated with this type of device. The Specialized Health Needs Interagency Collaboration (SHNIC) program at the Kennedy Krieger Institute has complied education and materials that explain the use of baclofen pumps in children with spasticity and the role of the school nurse in providing staff training, developing emergency care plans, and creating a safe school environment for children with special health needs.
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Affiliation(s)
- Barbara Obst
- Co- Coordinator of SHNIC, Kennedy Krieger Institute, Baltimore, MD
| | - Megan Roesler
- SHNIC Nurse, Kennedy Krieger Institute, Baltimore, MD
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Obst B, Roesler M. Hidden Devices in the School Setting: What the Nurse Needs to Know About Shunts. NASN Sch Nurse 2017; 32:154-158. [PMID: 28422617 DOI: 10.1177/1942602x17697026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The role of school nurse today not only includes making a thorough assessment of the child but also the knowledge and skill to understand hidden medical devices. As of 2011, there were approximately 14.6 million children in the United States living with special health care needs. Many of these children could have hidden medical devices. The Specialized Health Needs Interagency Collaboration (SHNIC) program at the Kennedy Krieger Institute received requests for in-person training regarding ventriculoperitoneal (VP) shunts.
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Affiliation(s)
- Barbara Obst
- Coordinator of SHNIC, Kennedy Krieger Institute, Baltimore, MD
| | - Megan Roesler
- SHNIC nurse, Kennedy Krieger Institute, Baltimore, MD
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Poynter JN, Fonstad R, Blair CK, Roesler M, Cerhan JR, Hirsch B, Nguyen P, Ross JA. Exogenous hormone use, reproductive history and risk of adult myeloid leukaemia. Br J Cancer 2013; 109:1895-8. [PMID: 24002589 PMCID: PMC3790163 DOI: 10.1038/bjc.2013.507] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2013] [Revised: 07/17/2013] [Accepted: 08/04/2013] [Indexed: 11/09/2022] Open
Abstract
BACKGROUND A hormonal aetiology is one explanation for the lower incidence of myeloid leukaemia in women compared with men. METHODS In this population-based case-control study, we evaluated associations between exogenous hormone use and reproductive history and myeloid leukaemia, overall and by disease subtype. RESULTS We observed a suggestive association between oral contraceptive use and acute myeloid leukaemia (odds ratio=0.55, 95% confidence interval=0.32-0.96). Hormone replacement therapy and reproductive factors were not associated with risk. CONCLUSION Despite the biological plausibility for a role of oestrogen in leukaemogenesis, other aetiologic factors are likely to explain the differing incidence rates in males and females.
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Affiliation(s)
- J N Poynter
- 1] Division of Epidemiology and Clinical Research, Department of Pediatrics, University of Minnesota, MMC715, 420 Delaware Street S.E., Minneapolis, MN 55455, USA [2] Masonic Cancer Center, University of Minnesota, Minneapolis, MN 55455, USA
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Ognjanovic S, Blair C, Spector LG, Robison LL, Roesler M, Ross JA. Analgesic use during pregnancy and risk of infant leukaemia: a Children's Oncology Group study. Br J Cancer 2010; 104:532-6. [PMID: 21157452 PMCID: PMC3049556 DOI: 10.1038/sj.bjc.6606046] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Background: Infant leukaemia is likely initiated in utero. Methods: We examined whether analgesic use during pregnancy was associated with risk by completing telephone interviews of the mothers of 441 infant leukaemia cases and 323 frequency-matched controls, using unconditional logistic regression. Results: With the exception of a reduced risk for infant acute myeloid leukaemias with non-aspirin non-steroidal anti-inflammatory drugs (NSAID) use early in pregnancy (odds ratios=0.60; confidence intervals: 0.37–0.97), no statistically significant associations were observed for aspirin, non-aspirin NSAIDs, or acetaminophen use in early pregnancy or after knowledge of pregnancy. Conclusion: Overall, analgesic use during pregnancy was not significantly associated with the risk of infant leukaemia.
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Affiliation(s)
- S Ognjanovic
- Division of Pediatric Epidemiology and Clinical Research, University of Minnesota, 420 Delaware Street SE, MMC 422, Minneapolis, MN 55455, USA.
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Buitelaar J, Roesler M, Kooij S, Casas M, Dejonckheere J, van Oene J, Schaeuble B, Trott GE. P03-373 - Relation between symptomatic and functional outcomes in adults with ADHD treated with OROS MPH - a partial correlation analysis. Eur Psychiatry 2010. [DOI: 10.1016/s0924-9338(10)70979-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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11
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Shridharani A, Roesler M, Sandlow J. Fertilization and pregnancy rates in severe male factor infertility: a comparison of sperm source. Fertil Steril 2009. [DOI: 10.1016/j.fertnstert.2009.07.035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Roesler M, Trott GE, Philipsen A, Gerwe M, Lee E, Medori R, Schauble B. Efficacy and safety of OROS® methylphenidate in adults with ADHD: the long-acting methylphenidate in adult ADHD (LAMDA) trial. Pharmacopsychiatry 2007. [DOI: 10.1055/s-2007-991880] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Milosavajevic J, Strawn E, Robb P, Roesler M, Granlund A. A retrospective analysis of pregnancy and birth outcomes from in vitro fertilization compared to spontaneously conceived pregnancies from a single institution. Fertil Steril 2007. [DOI: 10.1016/j.fertnstert.2007.07.410] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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14
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Philipsen A, Trott GE, Roesler M, Gerwe M, Lee E, Medori R, Schauble B. Open-label (OL) extension trial of the safety and tolerability of OROS® methylphenidate in adults with ADHD – the long-acting methylphenidate in adult ADHD (LAMDA) trial. Pharmacopsychiatry 2007. [DOI: 10.1055/s-2007-991879] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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15
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Reif A, Roesler M, Freitag C, Schneider M, Kissling C, Eujen A, Wenzler D, Jacob C, Retz-Junginger P, Thome J, Lesch K, Retz W. Nature and nurture influence later-life violence: serotonergic genes and childhood adversity. Eur Psychiatry 2007. [DOI: 10.1016/j.eurpsy.2007.01.1131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Blair C, Roesler M, Xie Y, Gamis A, Olshan A, Ross J. Vitamin Use Among Children with Down Syndrome and Risk of Leukemia: A Children's Oncology Group (COG) Study. Am J Epidemiol 2006. [DOI: 10.1093/aje/163.suppl_11.s103-c] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Strawn E, Roesler M, Granlund A, Robb P, Halverson G, Aiman J. Use of Sydney IVF Embryo Transfer Set Dramatically Reduces the Need for Tenaculum Use for Embryo Transfer (ET). Fertil Steril 2005. [DOI: 10.1016/j.fertnstert.2005.07.388] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Strawn E, Hirt A, Robb P, Halverson G, Roesler M, Granlund A. Microdose Lupron and Gonadotropin Releasing Hormone Antagonist Protocols Yield Similar Results in Women at Risk for Poor Response in Fresh Cycles of In Vitro Fertilization. Fertil Steril 2005. [DOI: 10.1016/j.fertnstert.2005.07.856] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Ross JA, Blair CK, Spector LG, Robison LL, Davies SM, Roesler M. 404: Pain Reliever use during Pregnancy and Risk of Infant Leukemia: A Children's Oncology Group Study. Am J Epidemiol 2005. [DOI: 10.1093/aje/161.supplement_1.s101c] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- J A Ross
- University of Minnesota, Minneapolis, MN 55455
| | - C K Blair
- University of Minnesota, Minneapolis, MN 55455
| | - L G Spector
- University of Minnesota, Minneapolis, MN 55455
| | - L L Robison
- University of Minnesota, Minneapolis, MN 55455
| | - S M Davies
- University of Minnesota, Minneapolis, MN 55455
| | - M Roesler
- University of Minnesota, Minneapolis, MN 55455
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Spector LG, Davies SM, Robison LL, Roesler M, Ross JA. 406: Birth Weight and the MLL Gene in Infant Leukemia: A Children's Oncology Group Study. Am J Epidemiol 2005. [DOI: 10.1093/aje/161.supplement_1.s102a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- L G Spector
- University of Minnesota, Minneapolis, MN 55455
| | - S M Davies
- University of Minnesota, Minneapolis, MN 55455
| | - L L Robison
- University of Minnesota, Minneapolis, MN 55455
| | - M Roesler
- University of Minnesota, Minneapolis, MN 55455
| | - J A Ross
- University of Minnesota, Minneapolis, MN 55455
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21
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Canfield KN, Spector LG, Robison LL, Lazovich D, Roesler M, Olshan AF, Smith FO, Heerema NA, Barnard DR, Blair CK, Ross JA. Childhood and maternal infections and risk of acute leukaemia in children with Down syndrome: a report from the Children's Oncology Group. Br J Cancer 2005; 91:1866-72. [PMID: 15520821 PMCID: PMC2409774 DOI: 10.1038/sj.bjc.6602223] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Children with Down syndrome (DS) are highly susceptible to acute leukaemia. Given the potential role of infections in the aetiology of leukaemia in children without DS, we investigated whether there was an association between early-life infections and acute leukaemia in children with DS. Maternal infections during pregnancy were also examined. We enrolled 158 incident cases of acute leukaemia in children with DS (97 acute lymphoblastic leukaemia (ALL) and 61 acute myeloid leukaemia (AML)) diagnosed at Children's Oncology Group institutions between 1997 and 2002. DS controls (N=173) were selected from the cases' primary care clinics and frequency matched on age at leukaemia diagnosis. Data were collected on demographics, child's medical history, mother's medical history, and other factors by maternal interview. Analyses were conducted using unconditional logistic regression adjusted for potential confounders. A significant negative association was observed between acute leukaemia and any infection in the first 2 years of life (adjusted odds ratio (OR)=0.55, 95% confidence interval (CI) (0.33–0.92); OR=0.53, 95% CI (0.29–0.97); and OR=0.59, 95% CI (0.28–1.25) for acute leukaemia combined, ALL, and AML respectively). The association between acute leukaemia and maternal infections during pregnancy was in the same direction but not significant. This study offers support for the hypothesis that early-life infections may play a protective role in the aetiology of acute leukaemia in children with DS.
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Affiliation(s)
- K N Canfield
- Division of Epidemiology, University of Minnesota School of Public Health, Minneapolis, MN 55454, USA
- Department of Pediatrics, University of Minnesota Medical School, Minneapolis, MN 55455, USA
| | - L G Spector
- Department of Pediatrics, University of Minnesota Medical School, Minneapolis, MN 55455, USA
- University of Minnesota Cancer Center, USA
| | - L L Robison
- Department of Pediatrics, University of Minnesota Medical School, Minneapolis, MN 55455, USA
- University of Minnesota Cancer Center, USA
| | - D Lazovich
- Division of Epidemiology, University of Minnesota School of Public Health, Minneapolis, MN 55454, USA
- University of Minnesota Cancer Center, USA
| | - M Roesler
- Department of Pediatrics, University of Minnesota Medical School, Minneapolis, MN 55455, USA
- University of Minnesota Cancer Center, USA
| | - A F Olshan
- Department of Epidemiology, University of North Carolina, Chapel Hill, NC 27599, USA
| | - F O Smith
- Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA
| | - N A Heerema
- Department of Pathology, The Ohio State University, Columbus, OH 43210, USA
| | | | - C K Blair
- Department of Pediatrics, University of Minnesota Medical School, Minneapolis, MN 55455, USA
- University of Minnesota Cancer Center, USA
| | - J A Ross
- Department of Pediatrics, University of Minnesota Medical School, Minneapolis, MN 55455, USA
- University of Minnesota Cancer Center, USA
- Department of Pediatrics, Division of Epidemiology and Clinical Research, University of Minnesota, MMC 422, 420 Delaware St SE, Minneapolis, MN 55455, USA. E-mail:
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Abstract
This qualitative study was conducted to determine cultural influences in end-of-life care among Jewish people. The conceptual framework for this study was drawn from Leininger's culture care theory. Informants consisted of 16 professional caregivers, family members, and rabbis who had experience with end-of-life care for Jewish patients. Interviews using open-ended and focused questions were used to gather informants' descriptions of their generic values, beliefs, and practices. Findings revealed the strong influence of religious, cultural, and historical factors in caring. Sanctity of life and life promotion are central to Judaism. Caring is a communal obligation that unites the family and community into a cohesive unit. Attitudes toward death are influenced by beliefs about afterlife and suffering. The value put on expert knowledge influences patients' and family members' expectations of professional caregivers. Similarities and differences were noted among different groups of informants.
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Affiliation(s)
- D Bonura
- Hackensack University Hospital and Medical Center
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23
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Strawn EY, Roesler M, Rinke M, Aiman EJ. Minimal precycle testing and ongoing cycle monitoring for in vitro fertilization and fresh pre-embryo transfer do not compromise fertilization, implantation, or ongoing pregnancy rates. Am J Obstet Gynecol 2000; 182:1623-8. [PMID: 10871488 DOI: 10.1067/mob.2000.107434] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
OBJECTIVE We sought to assess the fertilization, implantation, and ongoing pregnancy rates with a minimal precycle and ongoing cycle monitoring protocol for in vitro fertilization and embryo transfer. STUDY DESIGN Retrospective review was conducted of 103 consecutive cycles of fresh in vitro fertilization and embryo transfer from 1996 to 1998. Precycle screening included semen analysis without strict morphologic analysis, and hysterosalpingography-sonohysterography within the last year. Serum prolactin, serum thyroid-stimulating hormone, reactive plasma reagin, human immunodeficiency virus, rubella titer, blood type, hepatitis B surface antigen, and hepatitis C antibody testing was performed on all patients within 3 months of cycle initiation. Women > or =37 years old underwent clomiphene challenge testing. The monitoring protocol included the following: baseline transvaginal ultrasonography after 12 to 14 days of midluteal gonadotropin-releasing hormone agonist down-regulation to assess endometrial thickness and adnexal appearance, transvaginal ultrasonography for follicle evaluation at 7 and 10 days, serum estradiol assay if > or =20 follicles, quantitative beta-human chorionic gonadotropin 12 to 14 days after pre-embryo transfer, repeat quantitative beta-human chorionic gonadotropin 3 to 5 days later, and transvaginal ultrasonography for intrauterine gestational sac confirmation 7 to 9 days after the initial positive pregnancy test result. The dose of gonadotropin used remained constant unless the sonogram obtained on day 7 indicated a suboptimal response (<3 follicles each, with an average diameter of 10 to 12 mm) or hyperresponse (> or =15 follicles with an average diameter of 10 to 12 mm). RESULTS The per embryo implantation rate (fetal cardiac activity) was 13.1%, and the live birth rate per 100 pre-embryo transfers was 31.5 for patients < or =40 years old. The average number of pre-embryos transferred was 3.1. The singleton pregnancy rate was 71%, and there were no multiple gestations greater than twins. The mean number of oocytes fertilized was 66%. There was 1 case of failed fertilization with intracytoplasmic sperm injection. There were two other cases of failed fertilization. One case of severe ovarian hyperstimulation occurred in spite of cryopreservation of all embryos. CONCLUSIONS In vitro fertilization and embryo transfer can be accomplished with minimal precycle testing and ongoing cycle monitoring without compromising fertilization, implantation, and ongoing pregnancy rates. This results in reduced overall costs for couples.
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Affiliation(s)
- E Y Strawn
- Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Medical College of Wisconsin, Milwaukee 53226-3596, USA
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Fallgatter AJ, Roesler M, Sitzmann L, Heidrich A, Mueller TJ, Strik WK. Loss of functional hemispheric asymmetry in Alzheimer's dementia assessed with near-infrared spectroscopy. Brain Res Cogn Brain Res 1997; 6:67-72. [PMID: 9395850 DOI: 10.1016/s0926-6410(97)00016-5] [Citation(s) in RCA: 104] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
In a total of 10 patients with dementia of the Alzheimer-type (DAT) and in 10 healthy controls near-infrared spectroscopy (NIRS), a new non-invasive optical method, was used to measure the changes of concentrations of oxy- (O2HB) and deoxyhemoglobin (HHB) in left and right hemispheric prefrontal brain tissue areas during performance of the Verbal Fluency Test (VFT). On a neuropsychological level, the healthy subjects performed better in the VFT than patients with DAT. Statistical analysis of the relative concentrations of O2HB and HHB measured with NIRS during performance of the VFT revealed a significant interaction of the hemispheric effects with the diagnosis. A possible interpretation of this finding is that a good performance in the VFT relies on a predominantly left hemispheric activation observed in controls, whereas a low number of correct responses is associated with a loss of this asymmetric activation in patients with DAT. Although both, patients and controls, performed better in the category version of the VFT, the metabolic effects of this task were significantly less pronounced than in the letter version. This indicates that different energy demands, according to the type of access to the memory stores, may be interpreted as the result of a less energy-demanding access to categorically stored information and adds further evidence to the view that memory departments in humans are organized according to categorical principles.
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Affiliation(s)
- A J Fallgatter
- Department of Psychiatry, University Hospital of Wuerzburg, Germany
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25
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Fallgatter A, Roesler M, Sitzmann L, Heidrich A, Mueller TJ, Strik WK. Loss of Functional Hemispheric Asymmetry in Alzheimer's Dementia. Eur Psychiatry 1997. [DOI: 10.1016/s0924-9338(97)80505-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Katayama KP, Stehlik E, Roesler M, Pentimalli C, Gunnarson C, Jagusch S, Meyer M. Cryopreservation of human embryos as a useful tool for infertile couples. Asia Oceania J Obstet Gynaecol 1990; 16:97-100. [PMID: 2378597 DOI: 10.1111/j.1447-0756.1990.tb00008.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
In order to improve the pregnancy rate per oocyte retrieval while reducing the chance of multiple-gestations, a technique of cryopreservation of human embryos was used for our initial study consisting of 100 infertile patients undergoing in vitro fertilization (IVF) procedure. These patients combined a "fresh" embryo transfer with cryopreservation. The embryos were cryopreserved with 1,2-propanediol. Twenty-nine (29%) patients achieved ongoing pregnancies from the fresh embryo transfer. Thirty patients received a transfer of thawed embryos in a natural cycle. Nine of these patients achieved ongoing pregnancies. Combining these 2 transfers results in a 38% ongoing pregnancy rate. Forty-one patients have yet to receive their frozen embryos. The current success rate in this study indicates that over 50% of the patients in this group can expect to become pregnant by the time all the cryopreserved embryos have been transferred.
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Affiliation(s)
- K P Katayama
- Advanced Institute of Fertility, Sinai-Samaritan Medical Center, Milwaukee, Wisconsin 53233
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Katayama KP, Stehlik E, Roesler M, Jeyendran RS, Holmgren WJ, Zaneveld LJ. Treatment of human spermatozoa with an egg yolk medium can enhance the outcome of in vitro fertilization. Fertil Steril 1989; 52:1077-9. [PMID: 2591568 DOI: 10.1016/s0015-0282(16)53181-1] [Citation(s) in RCA: 32] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
In at least 4 of 7 cases, fertilization of intact human oocytes was more successful when spermatozoa were pretreated with TEST yolk medium at 5 degrees C for 2 hours as compared with the standard treatment with Ham's F-10 only. Both pregnancies that were obtained after the transfer of the fertilized oocytes resulted from oocytes fertilized by TEST yolk-treated spermatozoa. No decrease in fertilization occurred in any of the cases after TEST yolk treatment. If these results hold true for a larger series of patients, it may be worthwhile for the standard IVF incubation system of spermatozoa to include TEST yolk.
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Affiliation(s)
- K P Katayama
- Advanced Institute of Fertility, Sinai Samaritan Medical Center, Milwaukee, Wisconsin
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28
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Abstract
Pregnancies achieved by IVF and resulting in blighted ovum were karyotyped. The rate of aneuploidy was found to be 38% (5/13). In vitro fertilization does not appear to be a risk factor for chromosome anomaly in live births or miscarriages, and the data reported so far may suggest that aneuploid rates are actually lower for pregnancies achieved by IVF.
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Affiliation(s)
- M Roesler
- Advanced Institute of Fertility, Milwaukee, Wisconsin 53233
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29
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De Gasperis C, Penta De Peppo A, Piccinino C, Di Bella I, Roesler M, Sarasso G. [Doppler echocardiographic analysis of the short-term results of surgical repair of mitral valve prolapse in myxomatous degeneration]. G Ital Cardiol 1989; 19:35-9. [PMID: 2744312] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Ten consecutive patients with pure mitral regurgitation due to floppy valve underwent valve repair operations. Postoperative mitral continence or regurgitation and diastolic flow across the valve were evaluated by Doppler echocardiography. Mean follow-up was 6.4 months. Four patients showed minimal and 3 mild regurgitation; no regurgitation was detected in 3. A significant peak diastolic atrioventricular gradient (10 mmHg) was observed in only one patient. All patients showed symptomatic improvement and a decrease in ventricular diameters. Repair of floppy mitral valves is feasible and gives good results. Doppler echocardiography is a useful technique for monitoring postoperative valve function.
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Affiliation(s)
- C De Gasperis
- Reparto di Cardiochirurgia, Ospedale Maggiore della Carità, Novara
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30
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Katayama KP, Roesler M, Gunnarson C, Stehlik E, Jagusch S. Short-term use of gonadotropin-releasing hormone agonist (leuprolide) for in vitro fertilization. J In Vitro Fert Embryo Transf 1988; 5:332-4. [PMID: 3146612 DOI: 10.1007/bf01129568] [Citation(s) in RCA: 23] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
A common problem encountered by in vitro fertilization (IVF) programs is the premature occurrence of the spontaneous luteinizing hormone (LH) surge during ovarian stimulation cycles. Administration of gonadotropin-releasing hormone agonists (GnRH-a) for 2 to 3 weeks produces a state of hypogonadotropic hypogonadism, thus allowing ovarian stimulation to proceed uncomplicated by a spontaneous LH surge. We have elected to treat seven patients with GnRH-a in a "short-term" protocol, with GnRH-a initiated on cycle day 3 along with exogenous gonadotropins. In this series, we found that the spontaneous LH surge was abolished, while ovarian responsiveness seemed to be improved. These results suggest that the initial surge of gonadotropins elicited by GnRH-a administration may enhance ovarian stimulation and that spontaneous LH surge is blocked when GnRH-a and exogenous gonadotropins are initiated concomitantly.
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Katayama KP, Roesler M, Gunnarson C, Stehlik E, Jagusch S, Meyer MA. Ultrasound-guided transvaginal needle aspiration of follicles for in vitro fertilization. Obstet Gynecol 1988; 72:271-4. [PMID: 2969085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
In search of a simpler and less traumatic method of oocyte retrieval for in vitro fertilization (IVF), 37 infertile patients underwent ultrasound-guided transvaginal needle aspiration of the follicles instead of the conventional laparoscopic aspiration. Although only intravenous analgesics and sedatives were used, patients experienced little discomfort. There were no infections or bleeding complications after the procedure. Eleven patients (30%) achieved ongoing pregnancies; this rate of success is comparable to that with our laparoscopic method. Considering this reasonable pregnancy rate, lack of substantial morbidity, and good patient acceptance, laparoscopic oocyte retrieval for IVF can be largely replaced by the ultrasound-guided transvaginal needle aspiration technique.
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Affiliation(s)
- K P Katayama
- Advanced Institute of Fertility, Sinai Samaritan Medical Center, Milwaukee, Wisconsin
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32
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Katayama KP, Roesler M, Gunnarson C, Halverson GM, Meyer MA. In vitro fertilization and embryo transfer. Wis Med J 1985; 84:9-11. [PMID: 4082623] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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Abstract
Airway obstruction in children has many causes. Although vascular rings may have early onset of symptoms there was considerable delay in establishing the correct diagnosis. Barium swallow is diagnostic. Other tests, such as angiocardiography, bronchoscopy, bronchography, and lung scan are usually unnecessary. Pulmonary sling is a less common cause of vascular obstruction. Barium swallow showing anterior indentation at the level of the pulmonary hilum is diagnostic. Cysts and tumors are other causes of severe airway obstruction. The diagnostic and operative problems in three patients are discussed as examples. It is concluded that barium swallow is the most important single investigation in the evaluation of airway obstruction.
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Berkowitz RS, Lahey SJ, Steele G, Rayner AA, Rodrick ML, Goldstein DP, Harahap R, Pattillo RA, Sasaki S, Katayama KP, Roesler M, Mattingly RF, Goldstein DP, Berkowitz RS, Zucker PK, Bernstein MR, Salari H, Partovie V, Shin MW, Rao CV, Hussa RO, Carman FR, Rinke ML, Cook CL, Yussman MA, Zakut H, Ludomirsky A, Cole LA, Sutphen SK, Hussa RO, Pattillo RA, Kim SJ, Kang BC, Jung JK, Lee JW, Sekadde-Kigondu CB, Mati JKG, Mokohka AE, Fongoh FB, Lequin RM, Tanaka T, Ito H, Hosokawa T, Elegbe RA, Hussa RO, Pattillo RA, Damole IO, Hoffmann RG, Finlayson W, Jones WB, Stanimir GW, Lewis JL, Berkowitz RS, Goldstein DP, Birnholz J, Goldstein DP, Berkowitz RS, Bernstein MR, Hsu CT, Sarram M, Baja-Panlilio H, Lopez AM, Huy IC, Aartsen EJ, Lammes FB, ten Kate Booy MJ, Ng HT, Partovi V, Salari H, Nassirai GH, Martaadisoebrata D. First World Congress on Trophoblast Neoplasms. Human Trophoblast Neoplasms 1984. [DOI: 10.1007/978-1-4684-4811-5_28] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Abstract
Between 1968 and 1980, 51 children had an operation for various forms of vascular ring. Additional cardiac malformations were present in five patients, and six had noncardiac congenital anomalies. Although symptoms started within the first month of life in 39 infants, only 16 came to operation under three months of age, and a delay of more than six months occurred in 15. Stridor, often life-threatening, and recurrent infections were the most common symptoms, but dysphagia was also important. The reasons for delay in diagnosis are discussed. Barium swallow provided the diagnosis in 44 patients and suggested it in a further four patients. Innominate artery compression of the trachea was not diagnosed by barium swallow. Operations of various types were performed. Accuracy in diagnosis is important because not all patients could be treated through the classic left thoracotomy. Severe tracheomalacia was responsible for the only two deaths in the series; one of these had tracheostomy performed in the referring hospital, the second child also had Fallot's tetralogy. The large majority of the patients have done well, 76% being asymptomatic at follow-up. Minimal to moderate stridor persists among the remainder to the present time.
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Sasaki S, Katayama PK, Roesler M, Pattillo RA, Mattingly RF, Ohkawa K. Cytogenetic analysis of choriocarcinoma cell lines. Nihon Sanka Fujinka Gakkai Zasshi 1982; 34:2253-6. [PMID: 7153601] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
Five permanent cell lines were established in vitro from patients with gestational choriocarcinoma. Chromosome study with Q-band technique showed a modal chromosome number per cell in the hypotetraploid range in all cell lines. There were unidentifiable, structurally altered chromosomes in each cell line. BeWo cell line from choriocarcinoma following delivery of a normal male baby lost identifiable Y chromosome, whereas Jar cell line following delivery of a normal male did have a Y chromosome. One of the two cell lines following complete hydatidiform mole had a Y chromosome. The significance of this finding is discussed.
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Pattillo RA, Sasaki S, Katayama KP, Roesler M, Mattingly RF. Genesis of 46,XY hydatidiform mole. Am J Obstet Gynecol 1981; 141:104-5. [PMID: 7270611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
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38
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Ursini M, Roesler M. [Anesthesia in heart surgery. Prevention and therapy of renal insufficiency]. Minerva Anestesiol 1977; 43:123-8. [PMID: 854190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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Abstract
Six patients developed severe, unexplained, chronic bronchopulmonary disease from 3 to 13 years after the onset of nonspecific inflammatory disease of the colon. All had chronic bronchitis, bronchiectasis was diagnosed in four, and an obstructive type of pulmonary dysfunction was noted in five. Four of the six, including the two with only chronic bronchitis, had no history of smoking. There was an initial correlation between the pulmonary symptoms and the intestinal disease, except in two patients who developed overt pulmonary disease following total proctocolectomy. The frequent occurence of extraintestinal lesions has suggested that ulcerative colitis and regional enteritis are systemic disorders. Chronic unexplained bronchopulmonary disease may be another infrequent complication in such patients.
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40
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Abstract
Six patients developed severe, unexplained, chronic bronchopulmonary disease from 3 to 13 years after the onset of nonspecific inflammatory disease of the colon. All had chronic bronchitis, bronchiectasis was diagnosed in four, and an obstructive type of pulmonary dysfunction was noted in five. Four of the six, including the two with only chronic bronchitis, had no history of smoking. There was an initial correlation between the pulmonary symptoms and the intestinal disease, except in two patients who developed overt pulmonary disease following total proctocolectomy. The frequent occurence of extraintestinal lesions has suggested that ulcerative colitis and regional enteritis are systemic disorders. Chronic unexplained bronchopulmonary disease may be another infrequent complication in such patients.
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