S Wessler’s research while affiliated with Washington University in St. Louis and other places

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Publications (45)


The Jewish Hospital of St. Louis. Therapeutic grand rounds number 7. An approach to disorders of uric acid metabolism
  • Article

October 1974

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2 Reads

Archives of Internal Medicine

S O Thier

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S Wessler

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L V Avioli






Acid-Base Disorders in Health and Disease

November 1972

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8 Reads

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4 Citations

JAMA The Journal of the American Medical Association

Dr. Howard Linder, Senior Assistant Resident, Department of Medicine, the Jewish Hospital of St. Louis and Assistant in Medicine, Washington University School of Medicine: The patient is a 46-year-old white woman who had a right mastectomy and radiation therapy of the right chest and axilla five years before her present hospital admission. She was found to have a right Horner's sign 3 1/2 years later. One year prior to admission, bilateral pleural effusions and cutaneous metastatic disease had been discovered. Subsequently the patient was treated with diuretics, fluorouracil, and fluoxymesterone (Halotestin). Recently she had experienced the insidious onset of nausea, vomiting, and dysphagia, but she denied abdominal pain and previous history of dysphagia, excessive alkaline intake, or dark stools. On physical examination the patient was in moderate respiratory distress. Blood pressure was 120 mm Hg, systolic and 80 mm Hg, diastolic; pulse rate, 80 beats per minute and regular, and



Chronic Active Hepatitis

September 1972

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7 Reads

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2 Citations

JAMA The Journal of the American Medical Association

Dr. Rodolfo N. Perez, Jr., Senior Assistant Resident in Medicine, the Jewish Hospital of St. Louis, and Assistant in Medicine, Washington University School of Medicine: A 50-year-old black woman was admitted to Jewish Hospital for the first time in October 1968 with a history of jaundice and anorexia. The patient was not aware of exposure to infectious hepatitis, and denied intravenous injections or transfusions, recent surgery, exposure to hepatotoxic agents, or ingestion of any medication. On physical examination, she had scleral icterus and a soft abdomen without palpable organomegaly; Murphy's sign was not elicited. The remainder of her physical examination was within normal limits. The hematocrit reading was 39% and the white blood cell count (WBC), 4,500/cu mm with a normal differential cell count; the urine was positive for bile but was otherwise unremarkable. The total circulating alkaline phosphatase level was 307 international units (IU; normal, < 100 IU); lactic



Citations (13)


... 47,48 However, it was only in the 1960s, with the establishment of the ICU and prolonged mechanical ventilation, as well as hyperbaric O 2 therapy, that serious concern over clinical O 2 toxicity arose in response to numerous case reports in both adults and neonates. 16,23,[49][50][51][52][53][54][55][56][57][58][59][60][61][62][63][64][65][66][67] The first clinical report of apparent HALI in adults was published in 1958. 47 Other reports soon appeared associating O 2 therapy with pulmonary hyaline membrane formation in adults who died of progressive respiratory failure. ...

Reference:

Hyperoxic Acute Lung Injury
Pulmonary O2 toxicity
  • Citing Article
  • January 1971

... These changes were bound to happen and if the department wants to thrive as an organization, they should be able to anticipate, plan and prepare for such changes. [10][11][12] Based on the results of the training needs assessment done among CHD 4A staff in 2015, it was found that managing change was one of the competencies that had the widest gap. Hence, an intervention to respond to this need was imperative. ...

On Death and Dying
  • Citing Article
  • July 1972

JAMA The Journal of the American Medical Association

... The two most widely used orthotopic diversions were described by Studer and Hautmann. Studies focused on ileal neobladders show they have a volume capacity comparable to colon neobladders; pressure with maximum capacity is smaller in ileum neobladders, resulting in better urinary continence. 1 Paananen et al. compared clinical, enterocystometric and urofluxometric characteristics of orthotopic urinary diversions carried out in patients with bladder cancer including 78 male patients; 66 had ileal neobladder (30 Studer, 24 Hautmann and 12 T-shaped bag) and 12 patients had right colon urinary reservoirs. They found no significant differences in enterocystometry evaluation between ileal and colon urinary diversions as for volume and base pressures, except for magnitude of contractions, which were higher in colon reservoirs than ileal. ...

Ileal Resection and Bile Salt Metabolism
  • Citing Article
  • January 1971

JAMA The Journal of the American Medical Association

... Tracheobroncholitis develops after a latent period of 4-22 h when breathing oxygen with a PO 2 of 95 kPa (713 mmHg), but may occur as early as 3 h while breathing oxygen at 300 kPa (2250 mmHg) [21,24]. After 24 h, the capillary endothelium and alveolar type 1 cells disrupt, as a result of which the pulmonary interstitium becomes oedematous and fibrin membranes may form along the alveolar lining [25]. Depending on the PO 2 , the exudative phase can be found up to 5.5 days of continued oxygen breathing. ...

Pulmonary Oxygen Toxicity
  • Citing Article
  • September 1971

JAMA The Journal of the American Medical Association

... Vasodegeneration and impaired endothelial repair is central to many ischaemic retinopathies including diabetic retinopathy As outlined above, diabetic retinopathy is the most common ischaemic disorder of the retina and remains the leading cause of registrable blindness in the working population of many industrialised countries (Roodhooft, 2002). Although there is some phenotypic variation between Type 1 and Type 2 diabetes, for both patient groups after more than 10 years disease duration the prevalence of diabetic retinopathy is around w75% and increases to w95% by 20 years (Fong et al., 2004). Although there is hope that effective pharmacological interventions may reach the market within the next 5 years, at present there are few preventative measures available to patients beyond maintenance of tight glycaemic control (DCCT, 1993), cessation of smoking (Schram et al., 2003), blood pressure control (Kohner et al., 1995) and correction of dyslipidaemia (Chowdhury et al., 2002) which significantly protect against diabetic retinopathy progression. ...

Diabetic Retinopathy
  • Citing Article
  • December 1970

JAMA The Journal of the American Medical Association

... Сочетание химиотерапии и андрогеновой/антиандрогеновой терапии В 1972 г. G.S. Gordan предположил, что при подборе андрогеновой терапии необходимо учитывать предшествующую терапию, так как при метастатическом РМЖ химиотерапия может оказывать неблагоприятное влияние на последующую гормонотерапию, направленную на АР [35]. I.S. Goldenberg et al., опровергая приведенную гипотезу, опубликовали данные исследования, в котором 18 пациенток получили химиотерапию до лечения калустероном (препарат группы андрогенов), из них 6 (35 %) продемонстрировали объективную регрессию опухоли в результате андрогеновой терапии [36]. ...

Calusterone in the therapy for advanced breast cancer
  • Citing Article
  • February 1972

JAMA The Journal of the American Medical Association

... Lazarus and Folkman (1984) presented two ways of coping. As early as 1969, the Kübler-Ross model was developed to describe a five-stage model of coping (Kübler-Ross 1969). Some 30 years later, 400 ways of coping were presented (Skinner et al. 2003). ...

On death and dying.
  • Citing Article
  • August 1972

JAMA The Journal of the American Medical Association

... COPD is a major problem in developing and developed countries alike. Estimates suggest that, in 2020, the condition will have become the world's third leading cause of death and the fifth cause of motor impairment or even disability, generating high social and economic costs [14]. Poland has a high number of COPD and asthma sufferers (estimated at approx. ...

The role of air pollution in chronic obstructive pulmonary disease
  • Citing Article
  • December 1970

JAMA The Journal of the American Medical Association

... A AU UT TH HO OR RS S: : H Jeroen Derijks, MSc, PharmD 1,2 , Luc JJ Derijks, PharmD, PhD 3 , Ingeborg Wilting, MSc, PharmD 2,4 , Professor Antoine CG Egberts, PharmD, PhD 2,4 A AB BS ST TR RA AC CT T In daily clinical practice there is a considerable variability in drug response between individuals. Pharmacogenetics is the science studying the interindividual variability in drug response resulting from genetic factors. ...

Pharmacogenetics: Glucose-6-Phosphate Dehydrogenase Deficiency
  • Citing Article
  • October 1968

JAMA The Journal of the American Medical Association