Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0042963 (vomiting)
 31,883 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

One-hundred nineteen elective cholecystectomies were performed at Kern Medical Center over a 20-month period from October 1992 to May 1994 and were retrospectively reviewed. Eight males and 111 females ranged in age from 16 to 70. Laparoscopic cholecystectomy was attempted in 116 patients and converted to open in 8 (7%). Of the elective procedures, 108 (91%) were planned as outpatient procedures. Of the 108 planned outpatient procedures, 73 (68%) were successfully completed as outpatients. Of the 35 patients who required unplanned admission, 21 were discharged in less than 24 h. In total, 101 (87%) of the 116 elective cholecystectomies begun laparoscopically were discharged in less than 24 h. Subsequent to this data analysis, our institution is developing a 23.9 h "day hospital" for postanesthesia observation. With extended postoperative monitoring and observation, patients with short-term problems such as nausea, vomiting, pain, and even patients with medical conditions requiring close observation and control should be able to avoid admission. This retrospective study indicates that with development of a 23.9 h postanesthesia care unit, the majority of elective cholecystectomies can be attempted and completed laparoscopically on an outpatient basis.
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PMID:Outpatient laparoscopic cholecystectomy feasibility. 873 42

Chloropicrin is the fourth most commonly used soil fumigant in California. Exposure to chloropicrin causes eye and respiratory tract irritation, vomiting, and diarrhea. This report describes an investigation by the California Department of Pesticide Regulation (CDPR) and the Kern County Agriculture Commissioner (KCAC) into illnesses associated with the offsite drift of chloropicrin in Kern County. A total of 165 persons experienced symptoms consistent with chloropicrin exposure. The findings underscore health risks associated with fumigants and the usefulness of procedures adopted in California to ensure both prompt identification of exposure events and timely notification of the affected public.
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PMID:Illness associated with drift of chloropicrin soil fumigant into a residential area--Kern County, California, 2003. 1531 59