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Chivers D, Lambrechts A, Vrettos B, Dachs R, Roche S. Unrepaired rotator cuff tears following acromioplasty. SA orthop j 2022. [DOI: 10.17159/2309-8309/2019/v18n3a5] [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: 11/05/2022] Open
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Kauta N, De Vries E, Du Plessis JP, Grey B, Anley C, Vrettos B, Dachs R, Roche S. Assessment and management of shoulder pain at primary care level. S Afr Fam Pract (2004) 2021; 63:e1-e4. [PMID: 33764147 PMCID: PMC8378013 DOI: 10.4102/safp.v63i1.5279] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2021] [Accepted: 02/15/2021] [Indexed: 11/03/2022] Open
Abstract
Most patients with shoulder pain will initially visit their community health centre, private general practitioner or family physician, with various levels of experience in the assessment and management of shoulder conditions. Shoulder conditions will range from early, simple ailments that can be treated in the primary care setting, to post-traumatic injuries and complex pathologies requiring the expertise of an orthopaedic surgeon or a fellowship-trained shoulder surgeon. Correct assessment of the patient’s shoulder condition at the index consultation is a prerequisite for appropriate management. This article sets out straightforward guidelines to help general practitioners confidently identify the patient’s source of shoulder pain and initiate an appropriate management plan at primary care level. Criteria for urgent and elective referral for specialist care are also outlined.
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Affiliation(s)
- Ntambue Kauta
- Department of Orthopaedic Surgery, Faculty of Health Sciences, University of Cape Town, Cape Town.
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Endres J, Graber MA, Dachs R. If it seems too good to be true.. Am Fam Physician 2015; 91:729-730. [PMID: 25978205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Affiliation(s)
- Jill Endres
- University of Iowa Carver College of Medicine, Iowa City, IA, USA
| | - Mark A Graber
- University of Iowa Carver College of Medicine, Iowa City, IA, USA
| | - Robert Dachs
- Ellis Hospital Family Medicine Residency Program, Schenectady, NY, USA
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Fleming MA, Dachs R, Maqungo S, du Plessis JP, Vrettos BC, Roche SJL. Angular stable fixation of displaced distal-third clavicle fractures with superior precontoured locking plates. J Shoulder Elbow Surg 2015; 24:700-4. [PMID: 25457780 DOI: 10.1016/j.jse.2014.09.024] [Citation(s) in RCA: 45] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/27/2014] [Revised: 08/20/2014] [Accepted: 09/12/2014] [Indexed: 02/01/2023]
Abstract
HYPOTHESIS We reviewed the outcome of angular stable plates in addressing displaced lateral-third clavicle fractures. We investigated union, shoulder function, request for implant removal, and return to sport. Our hypothesis was that these implants provide predictable union and return to sports without the negative consequence of leaving plates in situ, reducing the requirement for a second surgery. METHODS We undertook a retrospective review of a consecutive series of patients who underwent this surgery between 2007 and 2010. Nineteen patients with a mean follow-up of 25 months were included. Postoperative follow-up was performed at 2 weeks and monthly thereafter until union was assessed as achieved clinically and radiographically. Two telephone interviews at a mean of 7 months and 25 months postoperatively assessed shoulder function by Oxford Shoulder Score, presence of any plate or scar discomfort, need for implant removal, and return to sport. RESULTS Nineteen patients achieved union by 4 months (median, 12 weeks; range, 6-16 weeks). The mean Oxford Shoulder Score was 46 (range, 41-48) at a mean of 7 months (range, 3-18 months) and 47 (range, 44-48) at 25 months (range, 18-48 months). Initially, 2 patients requested implant removal; later, however, both declined surgery. No plates have been removed. Four patients complained of mild plate discomfort but did not wish removal. All patients had returned to sporting activities. CONCLUSION Angular stable plate fixation of Neer group II, type II clavicle fractures resulted in a 100% union rate with excellent return of function with no mandatory need for removal.
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Affiliation(s)
- Mark A Fleming
- Department of orthopaedic Surgery, University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa.
| | - Robert Dachs
- Department of orthopaedic Surgery, University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa
| | - Sithombo Maqungo
- Department of orthopaedic Surgery, University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa
| | - Jean-Pierre du Plessis
- Department of orthopaedic Surgery, University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa
| | - Basil C Vrettos
- Department of orthopaedic Surgery, University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa
| | - Stephen J L Roche
- Department of orthopaedic Surgery, University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa
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Graber MA, Dachs R, Endres J. Thrombolysis for DVT: Has the Time Arrived? Am Fam Physician 2015; 91:430-432. [PMID: 25884738] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Affiliation(s)
- Mark A Graber
- University of Iowa Carver College of Medicine, Iowa City, IA, USA
| | - Robert Dachs
- Ellis Hospital Family Medicine Residency Program, Schenectady, NY, USA
| | - Jill Endres
- University of Iowa Carver College of Medicine, Iowa City, IA, USA
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Endres J, Graber MA, Dachs R. Benzodiazepines and Alzheimer disease. Am Fam Physician 2015; 91:191-192. [PMID: 25822273] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Affiliation(s)
- Jill Endres
- University of Iowa Carver College of Medicine, Iowa City, IA, USA
| | - Mark A Graber
- University of Iowa Carver College of Medicine, Iowa City, IA, USA
| | - Robert Dachs
- Ellis Hospital Family Medicine Residency Program, Schnectady, NY, USA
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Dachs R, Endres J, Graber MA. Can CPOE systems decrease use of laboratory studies and control costs? Am Fam Physician 2014; 90:409-414. [PMID: 25251236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Affiliation(s)
- Robert Dachs
- Ellis Hospital Family Medicine Residency Program, Schenectady, NY, USA
| | - Jill Endres
- University of Iowa Carver College of Medicine, Iowa City, IA, USA
| | - Mark A Graber
- University of Iowa Carver College of Medicine, Iowa City, IA, USA
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Endres J, Graber MA, Dachs R. Evidence to guide measles immunization recommendations. Am Fam Physician 2014; 89:786-787. [PMID: 24866213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Affiliation(s)
- Jill Endres
- University of Iowa Carver College of Medicine, Iowa City, IA, USA
| | - Mark A Graber
- University of Iowa Carver College of Medicine, Iowa City, IA, USA
| | - Robert Dachs
- Ellis Hospital Family Medicine Residency Program, Schenectady, NY, USA
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Dachs R, Endres J, Graber MA. PPIs, childhood asthma, and the problem of therapeutic creep. Am Fam Physician 2014; 89:476-480. [PMID: 24695569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Affiliation(s)
- Robert Dachs
- Ellis Hospital Family Medicine Residency Program, Schenectady, NY, USA
| | - Jill Endres
- University of Iowa Carver College of Medicine, Iowa City, IA, USA
| | - Mark A Graber
- University of Iowa Carver College of Medicine, Iowa City, IA, USA
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Dachs R, Horn A, Koornhof H, de Jager L, Maqungo S, Roche S. Double pathology, sarcoidosis associated with multiple myeloma: A case report. J Bone Oncol 2014; 3:61-5. [PMID: 26909299 PMCID: PMC4723612 DOI: 10.1016/j.jbo.2014.02.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2013] [Revised: 12/07/2013] [Accepted: 02/10/2014] [Indexed: 11/11/2022] Open
Abstract
The association of sarcoidosis with multiple myeloma is not well known. Including this case report, 12 cases of patients with both sarcoidosis and multiple myeloma have been reported in the literature. The skeletal lesions of both conditions have many clinical and radiological similarities, and unless clinicians are aware of the association and the possibility of dual pathologies, the diagnosis of multiple myeloma in patients known with sarcoidosis may be missed. We present a case of a patient known with longstanding sarcoidosis who was found to have multiple lesions on magnetic resonance imaging (MRI) involving the pelvis and both proximal femurs. Histological analysis revealed the presence of both non-necrotising granulomas consistent with sarcoidosis, and sheets of plasma cells consistent with a plasma cell neoplasm.
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Affiliation(s)
- Robert Dachs
- Department of Orthopaedic Surgery, University of Cape Town, Cape Town, South Africa
| | - Anria Horn
- Department of Orthopaedic Surgery, University of Cape Town, Cape Town, South Africa
| | - Hannes Koornhof
- Division of Clinical Haematology, University of Cape Town, Cape Town, South Africa
| | - Louis de Jager
- Division of Anatomical Pathology, University Of Cape Town, Cape Town, South Africa
| | - Sithombo Maqungo
- Department of Orthopaedic Surgery, University of Cape Town, Cape Town, South Africa
| | - Stephen Roche
- Department of Orthopaedic Surgery, University of Cape Town, Cape Town, South Africa
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Graber MA, Dachs R, Endres J. Is intensive blood pressure control beneficial in patients with acute intracerebral hemorrhage? Am Fam Physician 2014; 89:120-121. [PMID: 24444581] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Affiliation(s)
- Mark A Graber
- University of Iowa Carver College of Medicine, Iowa City, IA, USA
| | - Robert Dachs
- Ellis Hospital Family Medicine Residency Program, Schenectady, NY, USA
| | - Jill Endres
- University of Iowa Carver College of Medicine, Iowa City, IA, USA
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Endres J, Graber MA, Dachs R. Does delaying complementary foods protect children against allergic and atopic diseases? Am Fam Physician 2013; 88:818-820. [PMID: 24364544] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Affiliation(s)
- Jill Endres
- University of Iowa Carver College of Medicine, Iowa City, IA, USA
| | - Mark A Graber
- University of Iowa Carver College of Medicine, Iowa City, IA, USA
| | - Robert Dachs
- Ellis Hospital Family Medicine Residency Program, Schenectady, NY, USA
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Graber MA, Dachs R, Endres J. Do abstracts of articles in major journals contain the same information as the body of the paper? Am Fam Physician 2013; 88:466-467. [PMID: 24134088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Affiliation(s)
- Mark A Graber
- University of Iowa Carver College of Medicine, Iowa City, IA, USA
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Dachs R, Endres J, Graber MA. Pulmonary embolism rule-out criteria: a clinical decision rule that works. Am Fam Physician 2013; 88:98-100. [PMID: 23939640] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Affiliation(s)
- Robert Dachs
- Ellis Hospital Family Medicine Residency Program, Schenectady, NY, USA
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Graber MA, Dachs R, Endres J. Is rivaroxaban noninferior to standard warfarin therapy in preventing recurrent PE and DVT? Am Fam Physician 2013; 87:872-873. [PMID: 23939570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Affiliation(s)
- Mark A Graber
- University of Iowa Carver College of Medicine, Iowa City, IA, USA.
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Endres J, Graber MA, Dachs R. Does screening mammography lead to overdiagnosis of invasive breast cancer? Am Fam Physician 2013; 87:408-409. [PMID: 23547573] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Affiliation(s)
- Jill Endres
- University of Iowa Carver College of Medicine, Iowa City, IA, USA.
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Graber MA, Dachs R, Darby-Stewart A. The use of coronary computed tomography angiography to rule out CAD in the ED. Am Fam Physician 2012; 86:900-904. [PMID: 23157143] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Affiliation(s)
- Mark A Graber
- University of Iowa Carver College of Medicine, Iowa City, IA, USA
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Dachs R, Darby-Stewart A, Graber MA. How do clinical practice guidelines go awry? Am Fam Physician 2012; 86:514-516. [PMID: 23062042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Affiliation(s)
- Robert Dachs
- Ellis Hospital Family Medicine Residency Program, Schenectady, NY, USA.
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Graber MA, Dachs R, Darby-Stewart A. The "ARB-MI paradox": real or a fluke? Am Fam Physician 2012; 86:136-141. [PMID: 22962926] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Affiliation(s)
- Mark A Graber
- University of Iowa Carver College of Medicine, Iowa City, IA, USA
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Dachs R, Darby-Stewart A, Graber MA. Transient ischemic attack: the rules have changed. Am Fam Physician 2012; 85:1179-1181. [PMID: 22962898] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Affiliation(s)
- Robert Dachs
- Ellis Hospital Family Medicine Residency Program, Schenectady, NY, USA.
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Darby-Stewart A, Dachs R, Graber MA. Rivaroxaban vs. warfarin for stroke prevention in patients with nonvalvular atrial fibrillation. Am Fam Physician 2012; 85:577-586. [PMID: 22534269] [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: 05/31/2023]
Abstract
Patients with nonvalvular atrial fibrillation and a CHADS2 score of 2 points or more should be placed on warfarin anticoagulation. If they do not meet the CHADS2 criteria for warfarin, then they should receive therapy with aspirin. If a patient's condition is well-controlled on warfarin, this study does not support transitioning him or her to rivaroxaban, the more expensive alternative. Home monitoring of INR should be considered for patients who are capable and motivated to perform self-monitoring. Rivaroxaban has no reversal agent and has significant drug interactions (P-glycoprotein inducers and CYP3A4 inhibitors increase the risk of bleeding; P-glycoprotein inducers reduce effectiveness).
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Dachs R, Darby-Stewart A, Graber MA. Antibiotics for acute otitis media in young children: the case of the shifting end points. Am Fam Physician 2012; 85:104-112. [PMID: 22335211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Affiliation(s)
- Robert Dachs
- Ellis Hospital Family Medicine Residency Program, Schenectady, NY, USA.
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Darby-Stewart A, Graber MA, Dachs R. Antibiotics for acute otitis media in young children. Am Fam Physician 2011; 84:1095-1097. [PMID: 22085664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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Dachs R, Graber MA, Darby-Stewart A. Subarachnoid hemorrhage and the CT Scan. Am Fam Physician 2011; 84:632-636. [PMID: 21916387] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Affiliation(s)
- Robert Dachs
- Ellis Hospital Family Medicine Residency Program, Schenectady, New York, USA
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Graber MA, Dachs R, Darby-Stewart A. Usefulness of procalcitonin measurement in reducing antibiotic use and identifying serious bacterial illness. Am Fam Physician 2011; 84:177-179. [PMID: 21766767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Affiliation(s)
- Mark A Graber
- University of Iowa Carver College of Medicine, Iowa City, USA.
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Graber MA, Dachs R, Darby-Stewart A. Clinical significance of meniscal damage on knee MRI. Am Fam Physician 2011; 83:1160-1162. [PMID: 21568248] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Affiliation(s)
- Mark A Graber
- University of Iowa Carver College of Medicine, Iowa City, USA.
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Graber MA, Dachs R, Darby-Stewart A. Donepezil to manage Alzheimer disease: new vs. standard dosing. Am Fam Physician 2011; 83:742-744. [PMID: 21404987] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Affiliation(s)
- Mark A Graber
- University of Iowa Carver College of Medicine, Iowa City, USA.
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Graber MA, Darby-Stewart A, Dachs R. Can ECG Rule Out ACS if Performed While the Patient Is Having Chest Pain? Am Fam Physician 2010; 82:1185. [PMID: 21121529] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Affiliation(s)
- Mark A Graber
- University of Iowa Carver College of Medicine, Iowa City, IA, USA.
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Dachs R, Darby-Stewart A, Graber MA. Autism and childhood vaccinations: debunking the myth. Am Fam Physician 2010; 82:586. [PMID: 20842985] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Affiliation(s)
- Robert Dachs
- Ellis Hospital Family Medicine Residency Program, Schenectady, New York , USA.
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Graber MA, Dachs R, Darby-Stewart A. Is prasugrel more effective than clopidogrel in patients with acute coronary syndrome scheduled for PCI? Am Fam Physician 2008; 78:1252-1253. [PMID: 19069017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Affiliation(s)
- Mark A Graber
- University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
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Dachs R, Graber MA, Darby-Stewart A. The role of chest CT in diagnosing pulmonary embolism. Am Fam Physician 2008; 78:554-556. [PMID: 18788229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Affiliation(s)
- Robert Dachs
- Ellis Hospital Family Medicine Residency Program, Schenectady, New York, NY, USA.
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Graber MA, Dachs R, Darby-Stewart A. Is unfractionated heparin equivalent to low-molecular-weight heparin for venous thromboembolism? Am Fam Physician 2008; 77:1492-1493. [PMID: 18581828] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Affiliation(s)
- Mark A Graber
- University of Iowa Carver College of Medicine, Iowa City, IA, USA.
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Dachs R, Darby-Stewart A, Graber MA. Albuterol vs. levalbuterol for asthma treatment in children. Am Fam Physician 2008; 77:1214-1216. [PMID: 18540484] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Affiliation(s)
- Robert Dachs
- St. Clare's Family Practice Residency Program, Schenectady, New York, USA.
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Dachs R. Interventions to improve antibiotic prescribing practices for hospital inpatients. Am Fam Physician 2008; 77:618-619. [PMID: 18350758] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Affiliation(s)
- Robert Dachs
- St. Clare's Hospital Family Medicine Residency Program, Schenectady, New York, USA.
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Graber MA, Darby-Stewart A, Dachs R. Choosing first-line therapy for management of type 2 diabetes. Am Fam Physician 2008; 77:16-17. [PMID: 18236820] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Affiliation(s)
- Mark A Graber
- University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
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Dachs R, Darby-Stewart A, Graber M. Choosing one PPI treatment over another. Am Fam Physician 2007; 76:1273-1274. [PMID: 18019869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Affiliation(s)
- Robert Dachs
- St. Clare's Family Practice Residency Program, Schenectady, New York, USA.
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Anugwom C, Sulangi S, Dachs R. Adenosine vs. calcium channel blockers for supraventricular tachycardia. Am Fam Physician 2007; 75:1653-4. [PMID: 17575655] [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: 05/15/2023]
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38
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Dachs R. Exercise is an effective intervention in overweight and obese patients. Am Fam Physician 2007; 75:1333-5. [PMID: 17508525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/15/2023]
Affiliation(s)
- Robert Dachs
- Department of Emergency Medicine, St. Clare's Hospital, Schenectady, New York, USA.
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39
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Lopez P, Dachs R. Effectiveness of dressings for healing venous leg ulcers. Am Fam Physician 2007; 75:649-50. [PMID: 17375509] [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: 05/14/2023]
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40
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Dachs R, Anugwom C. Beta-blocker use in patients with COPD. Am Fam Physician 2006; 74:1858. [PMID: 17168341] [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: 05/13/2023]
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41
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Joslin J, Dachs R. Relationship between cocaine use and cardiovascular events. Am Fam Physician 2006; 74:1095-6; author reply 1096. [PMID: 17044141] [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: 05/12/2023]
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Fricke R, Dachs R. Oberfläche und Wärmeinhalt bei höher erhitzten KupferII-oxyden. XXXVI. Mitteil. über aktive Stoffe von R. Fricke und Mitarbeitern. ACTA ACUST UNITED AC 2006. [DOI: 10.1002/cber.19390720231] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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43
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Dachs R. Appropriate indications for administration of tPA. Am Fam Physician 2005; 72:381; author reply 381-2. [PMID: 16100851] [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: 05/04/2023]
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44
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Dachs R. Responding to an in-flight emergency. Am Fam Physician 2003; 68:975-6. [PMID: 13678146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/23/2023]
Affiliation(s)
- Robert Dachs
- Department of Emergency Medicine, St Clare's Hospital, Schenectady, NY, USA
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Dachs R. Emergency response. Am Fam Physician 2003; 67:2423-4, 2427. [PMID: 12800975] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/03/2023]
Affiliation(s)
- Robert Dachs
- Department of Emergency Medicine, St. Clare's Hospital, Schenectady, NY 12304, USA
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Affiliation(s)
- R Dachs
- Albany Memorial Hospital, New York, USA
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Dachs R, Clement RE, Dziura B, Berman J. A paraprosthetic-enteric fistula associated with a duodenal tumor. Ann Vasc Surg 1990; 4:65-8. [PMID: 2297476 DOI: 10.1007/bf02042692] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
An unusual etiology and presentation of a paraprosthetic-enteric fistula is reported involving a duodenal tumor. Review of the possible mechanisms of graft-enteric fistula formation and diagnostic evaluation is presented. Initial insertion of an extraanatomic bypass followed by graft excision was performed in the present case and is encouraged in hemodynamically stable patients. Additionally, resection of the eroded duodenum with end-to-end anastomosis was performed in order to restore intestinal continuity.
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Affiliation(s)
- R Dachs
- Department of Surgery, Baystate Medical Center, Springfield, Massachusetts 01199
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