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86 results on '"Schacht, Robert"'

51. Improving Employment Outcomes for American Indians and Alaska Natives with Alcohol Dependency: Vocational Rehabilitation Strategies.

Author

Schacht, Robert M. and White, Margie

Subjects
*VOCATIONAL rehabilitation, *OCCUPATIONAL therapy, *SUBSTANCE abuse, *SUBSTANCE abuse treatment, *NATIVE Americans, *THERAPEUTICS
Abstract

This Summary Report consists of (a) a brief overview of the research project, (b) a summary of results, and (c) recommendations for vocational rehabilitation programs. A training manual based on the results of this research is forthcoming. [ABSTRACT FROM AUTHOR]

Published
2003
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52. Circumscription Theory.

Author

Schacht, Robert M.

Subjects
*SOCIAL evolution, *STATE, The
Abstract

Examines the four elements of circumscription theory of the origin of the state according to Robert Carneiro. Overview of the theory; Problems involved in the operation and test of Carneiro's theory.

Published
1988
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53. Nephrotoxicity of nitrosoureas.

Author

Schacht, Robert G., Feiner, Helen D., Gallo, Gloria R., Lieberman, Abraham, Baldwin, David S., Schacht, R G, Feiner, H D, Gallo, G R, Lieberman, A, and Baldwin, D S

Published
1981
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56. Unilateral Renal Vein Thrombosis During Mid-Childhood.

Author

Florman, Alfred L., Schacht, Robert G., Becker, Melvin H., Genieser, Nancy B., and Madayag, Manuel A.

Subjects
THROMBOSIS diagnosis, KIDNEY blood-vessels, THROMBOSIS in children, PATIENTS, CHILD death, INFECTION
Abstract

The article focuses on diagnosis of renal vein thrombosis (RVT) during childhood. Modern radiographic techniques can now confirm a suspected diagnosis of RVT in older children before death. In the case of two child patients, the children were initially treated for renal infections because fever, leukocytosis, flank pain, hematuria, and pyuria in seven-year-old children are more apt to suggest renal infection than RVT. In 1942, scientists observed that many cases of RVT may pass unrecognized under the inadequate diagnosis of acute pyelitis. Indeed, when RVT occurs in pediatric practice, it is most frequently in newborns.

Published
1975
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78. ChemInform Abstract: CHEMIE DER STREPTOVARICINE 8. MITT. STRUKTUREN DER STREPTOVARICINE A, B, D, E, F UND G 9. MITT. ROENTGENS-UNTERSUCHUNG DER KRISTALLSTRUKTUR EINES STREPTOVARICIN C-DERIVATS

Author

RINEHART, KENNETH L. JUN., primary, MAHESHWARI, MOHAN L., additional, ANTOSZ, FREDERICK J., additional, MATHUR, HARI H., additional, SASAKI, KAZUYA, additional, SCHACHT, ROBERT J., additional, WANG, ANDREW H.-J., additional, and PAUL, IAIN C., additional

Published
1972
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82. ⁎⁎⁎⁎Selected for topic forum.3713 SKIN BIOPSY IN APURPURIC AND PREPURPURIC HENOCHSCHONLEIN PURPURA.

Author

Bangaru, Babu C., Schacht, Robert S., and Gallo, Gail

Abstract

Gastrointestinal (GI) manifestations can be severe in patients with HSP requiring steroids and sometimes plasmapheresis. 3-8% of children with HSP present without the characteristic rash but may have severe GI manifestations, making the diagnosis of HSP difficult. The radiologic and endoscopic findings are non specific. We describe 3 such patients, in whom the diagnosis of HSP was established by biopsy of the seemingly normal skin. In all cases the characteristic leukocytoclastic vasculitis with IgA deposits was found. The microscopic involvement of “normal” skin was not previously described in patients with HSP prior to the appearance of the rash. Patient 1: 7 year old girl presented with acute abdomen; laparotomy diagnosis was mesenteric adenitis. Progressive abdominal distension, ascites, and persistent fever lead to second laparotomy 10 days later. Congested small intestine with focal hemorrhages was found. Subsequent course was characterised by rectal bleeding, hypertension, nephritis and hematemesis. Endoscopy showed antral ulcer with hemorrhagis gastritis and duodenitis. Skin biopsy done one weeek later was diagnostic. Renal biopsy showed IgA nephropathy. Four weeks later, scanty purpuric rash appeared on the right arm and back. Patient 2: 6 year old boy presented with 10 day history of abdominal pains and bilious vomitings. Developed scrotal swelling and surgery showed epididymitis. Hematemesis, tender abdomen and high blood pressure were noted. Endoscopy showed hemorrhagic duodenitis and focal gastritis. Skin biopsy was diagnostic. He never developed purpuric rash. Patient 3: 6 year old boy presented with clinical appendicitis; laparotomy revealed congested terminal ileum. Post operative course was complicated by persistent abdominal pains, hematemesis, and rectal bleeding. Endoscopy showed hemorrhagic gastritis and colitis. Skin biopsy was diagnostic. He developed purpuric rash 2 days after biopsy. Other features of HSP included nephrotic syndrome, high blood pressure, and epididymo-orchitis. Renal biopsy showed IgA nephropathy. Random skin biopsy can be diagnostic in patients with HSP even when the characteristic rash is absent. This may lead to definitive diagnosis and treatment, precluding surgery and reducing morbidity in some cases. Increased use of skin biopsy and therefore increased recognition of atypical presentations of HSP may lead to redefinition of this syndrome.

Published
2000
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86. Acute poststreptococcal glomerulonephritis: a manifestation of immune reconstitution inflammatory syndrome.

Author

Martin J, Kaul A, and Schacht R

Subjects
Acute Disease, Adolescent, Antiretroviral Therapy, Highly Active adverse effects, Glomerulonephritis diagnosis, HIV Infections drug therapy, HIV Infections immunology, Humans, Immune Reconstitution Inflammatory Syndrome etiology, Male, Pharyngitis complications, Pharyngitis diagnosis, Streptococcal Infections diagnosis, Glomerulonephritis complications, HIV Infections complications, Immune Reconstitution Inflammatory Syndrome diagnosis, Streptococcal Infections complications, Streptococcus pyogenes
Abstract

Immune reconstitution inflammatory syndrome (IRIS) is a well-described complication of initiation of highly active antiretroviral therapy in HIV-infected patients. As the immune system recovers, an inappropriate inflammatory response often occurs that causes significant disease. It is most commonly seen in patients naïve to therapy with CD4+ T-lymphocyte counts <100 cells/cmm and usually presents as a flare of mycobacterial, cytomegalovirus, or herpes zoster infections. Less commonly, this syndrome occurs in response to noninfectious triggers and results in autoimmune or malignant disease. Here we present the first case of acute poststreptococcal glomerulonephritis associated with varicella zoster virus and IRIS in an adolescent with perinatally acquired HIV and hepatitis C virus infections. Our patient was not naïve to therapy but was starting a new regimen of therapy because of virologic failure and had a relatively high CD4+ T-lymphocyte count. This case report indicates that IRIS remains a concern after initiation of a new highly active antiretroviral therapy regimen in HIV-infected patients with high viral loads, even in the presence of CD4+ T-lymphocyte counts >100 cells/cmm. It may present as infectious, malignant, or autoimmune conditions including poststreptococcal glomerulonephritis.

Published
2012
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