Index by author

May 01, 1993; Volume 60,Issue 3

  1. Carey, John T.

    1. Acquired immunodeficiency syndrome: case reporting at a university hospital
      Andrew Picken, BA, Robert Plona, RN, Pamela Parker, RN, John T. Carey, MD and Michael M. Lederman, MD
      Cleveland Clinic Journal of Medicine May 1993, 60 (3) 202-206;

      BACKGROUND Planning and allocating resources for care of patients with acquired immunodeficiency syndrome (AIDS) requires accurate assessment of disease incidence.

      OBJECTIVE To assess the accuracy and completeness of AIDS case reporting at our institution, we reviewed all inpatient and outpatient records of patients with AIDS seen at University Hospitals of Cleveland, Ohio, between January 1983 and July 1990.

      METHODS The patients were identified through review of hospital discharge summaries, ambulatory clinic listings, and laboratory identification of opportunistic infections.

      RESULTS We found that 24 of 291 AIDS cases (8%) seen at this institution had not been reported to state health departments. Of the 24 patients with unreported AIDS, 16 had received an AIDS diagnosis at other institutions, 11 had never been hospitalized at this institution, and 2 had used pseudonyms.

      CONCLUSIONS Review of AIDS case reporting can ascertain the magnitude of underreporting; the profile of patients who were unreported may be used to evaluate the accuracy of reporting elsewhere and to identify systematic problems in case reporting methods.

  2. Clinton, Mark J.

    1. Noninfectious respiratory disease in pregnancy
      Mark J. Clinton, MD and Michael S. Niederman, MD
      Cleveland Clinic Journal of Medicine May 1993, 60 (3) 233-244;

      BACKGROUND Pregnancy increases the risk of many noninfectious respiratory conditions.

      OBJECTIVE To review the clinical presentation and management of a variety of noninfectious respiratory conditions in pregnant women.

      SUMMARY Asthma, aspiration pneumonia, venous air embolism, adult respiratory distress syndrome, pulmonary embolism, and deep venous thrombosis may have unique features in pregnant women.

      CONCLUSIONS Evaluation and treatment of these diseases and conditions requires an understanding of the normal physiologic alterations that accompany pregnancy and an awareness of the risks of medication use during pregnancy and in the postpartum period.

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