The true impact of medical intervention for umbilical cord prolapse is unknown. We reviewed all cases of the condition over a nine-year period at Women's Hospital, Los Angeles County-University of Southern California Medical Center, in an attempt to answer this question. The perinatal mortality rate associated with umbilical cord prolapse ...

The social and medical ethos within which bioethics emerged in the late 1960s and early 1970s was constituted in part by religious questions and religious thinkers. However, this identifiably religious influence on bioethics subsequently seemed to decline. How has this diminished impact come about, and what significance, if any, does ...

Two enteric bacterial pathogens were concomitantly isolated from the feces of 18 infants less than 6 months of age admitted to the Assaf Harofeh Medical Center over a 7-year period. In all but two patients stool cultures grew enteropathogenic Escherichia coli, six of serogroup 0119. The other organisms cultured were ...

Lindsey Bradley, CEO of Mother Frances Regional Medical Center, a 358-bed facility in Tyler, Texas, heads the first such medical institution ever named Texas Business of the Year, an honor bestowed by the Texas Association of Business. Mother Frances was recognized for the many changes introduced in his hospital, changes ...

Pentamidine isethionate has been approved by the Food and Drug Administration as a treatment for Pneumocystis carinii pneumonia, the most common opportunistic infection associated with acquired immunodeficiency syndrome. This article outlines the protocol for intravenous administration of pentamidine isethionate in use at The Mount Sinai Medical Center in New York.

Seven women who underwent the Stamey endoscopic bladder neck suspension performed by different urologists at a variety of institutions were evaluated at the Lahey Clinic Medical Center. Two to 36 months after operation, each woman sought medical attention because of complaints of pain in the lower abdomen, pelvis, or groin ...

A five-year retrospective review of a computerized trauma registry at Memorial Medical Center, Inc. (MMC), the designated Level I Trauma Center of Region IX EMS, was accomplished to identify patterns of epidemiology and use of our regional trauma center. All trauma admissions from 1983 through 1987 were reviewed with respect ...

In the fall of 1985 in an issue titled "Fighting Back Against the Empires" (Vol. 16, No. 5), Health/PAC reported on the plans of four of New York City's academic medical center "empires" for major expansion. The focus of our coverage was the efforts of two of the communities served ...

During 1985, 25 free-standing birth centers (FSBCs) were operating in California. All had a written or verbal backup agreement with a hospital that averaged six minutes away from the center. Seventy-four percent of the deliveries in these centers were attended by obstetricians, 6% by certified nurse-midwives, less than 1% by ...

MRSA are important nosocomial pathogens in many larger medical centers and are likely to find their way into hospitals that have not yet been affected. Prompt implementation of a variety of control measures shortly after the first few cases has been recognized as the approach most likely to result in ...

This study applied the methodology of Data Envelopment Analysis (DEA) to the set of VA medical centers to evaluate their relative managerial efficiencies. Each VAMC was viewed as a producer of multiple outputs and a consumer of multiple inputs. DEA uses linear programming to identify resources that were underutilized and ...

This paper describes the REPLICA System as it is used at Regional West Medical Center in Scottsbluff, Nebraska. The paper discusses the current health care environment, and it gives a perspective on the medical record and the status of optical technology. Manual procedures at Regional West Medical Center are reviewed ...

Four Veterans Administration Medical Centers in Medical District 14 of the Great Lakes region collaborated in the development and implementation of a uniform, education-oriented mortality review system. Because the new review format emphasizes evaluation of care already delivered as well as planning for treatment in similar situations, the process and ...

The treatment center model described in this article was developed with the intent of providing a high technology practice environment that would attract patients to an academic center for their medical care. It was also intended to create an environment that would result in the retention of the best clinicians ...

Moonlighting by medical residents is a highly controversial topic that has recently received new interest and concern as states are implementing legislative and regulatory efforts to limit residents' work hours and as teaching hospitals are increasingly concerned about liability exposure. Despite the potential problems, moonlighting, or outside employment, represents additional ...

The Los Angeles County-University of Southern California (LAC-USC) Medical Center is noted among the country's major metropolitan hospitals. Operated by the county of Los Angeles, this medical center ranks as the largest academic medical institution in the country with 2,045 licensed beds and an average daily census of 1,500. The ...

In this exclusive Hospital Formulary interview, Daniel Hinthorn, MD, and Harold Godwin, MS, chairman and secretary of the University of Kansas Medical Center P & T Committee, share that evolution, not revolution, has made for smooth transition in changes of formulary policy at their institution. They attribute the success of ...

The Muskogee Regional Medical Center is a 360-bed, non-profit institution located in northeastern Oklahoma. Approximately 950 OR, endoscopy lab, and outpatient procedures are performed at the medical center each month. The success of these procedures often depends on the quality of the service that SPD provides. This article provides some ...

A 53-year-old woman was examined at our medical center because of progressive dysphagia of 14 days' duration and a severe inability to open her mouth and swallow saliva. A barium esophagogram showed no obstruction, but pooling of barium in the hypopharynx suggested a neuromuscular disorder. The clinical diagnosis of tetanus ...

One of the medical director's primary roles in safety of transfusion practice involves promoting the appropriate use of blood and blood components. The medical director also has a direct role in establishing donor screening and blood testing procedures aimed at decreasing the risk of transfusion-transmitted diseases. The ultimate goal of ...

Medically significant overexposures have not occurred in 30 years of operating commercial nuclear power plants in this country. However, the medical communities around reactors in Georgia as well as the rest of the country, maintain a vigilance and preparations to handle these cases through semi-annual exercises using simulated patients. The ...

A 30-year-old male was bitten on the thumb by a king cobra, Ophiophagus hannah. Transported by helicopter to a snakebite center within 1 hr, he was treated with specific antivenom. He improved, then worsened; the course was finally reversed by huge doses of antivenom (Thai King Cobra Antivenom). The patient ...

A 10-year retrospective review was conducted of incidental adnexal neoplasms found at the time of cesarean section. During the 10-year period between July 1, 1976 and June 30, 1986, 17,902 cesarean sections were performed at Women's Hospital of the Los Angeles County/University of Southern California Medical Center. Adnexal neoplasms were ...

In Gregory Byrne's Random Sample "Love story" (22 July, p. 420), the name of Acadia National Park was misspelled; in the same piece, the Cornell (University) Medical Center was incorrectly located in Queens, New York. The medical center is actually in Manhattan.

The New England Medical Center can be traced back to 1796 when the Boston Dispensary opened the first HMO. Now, the center complex covers four city blocks, offers 47 medical residency programs, has over $20 million in funded research, and includes a medical school, dental school, and the Human Nutrition ...

The boards of directors of St. Bernardine Medical Center, San Bernardino, CA, and St. Mary Desert Valley Hospital, Apple Valley, CA, established a series of guidelines to help hospital personnel treat victims of rape. Guidelines include consideration for the total well-being of the woman, morally acceptable medical treatment, requirements for ...

Most phosphorus burns are of limited extent. First aid consists of vigorous irrigation with water or saline followed by application of soaked dressings. At the Rambam Medical Center Burn Unit, washing of the wounds with 1% copper sulfate and 5% sodium bicarbonate solutions occurs before removal of phosphorus particles. In ...

Structuring a workable quality assurance (QA) program for multidivision and multispecialty clinical departments presents a considerable challenge. The Medical Center of the University of California, San Francisco (UCSF) found that QA activities in such departments were best handled by a committee of department physicians assisted by a QA staff person. ...

The University of Cincinnati Medical Center has combined five existing units into a new organization responsible for initiating an Integrated Academic Information Management System (IAIMS). This new organization, Medical Center Information and Communications, was reorganized into nine departments, which now provide a variety of information services. Ultimate goals for IAIMS ...

Although poison control centers meeting the criteria for certification by the American Association of Poison Control Centers as regional centers are widely believed to differ from centers not meeting these criteria, this assumption has not recently been validated. We surveyed all poison control centers listed in the Emergency Medicine 1986 ...

Data were analyzed to establish a general patient profile that could be the basis for specific profiles to be utilized for infectious disease and microbiologic studies. The analysis revealed that the average patient in this institution is a 57-year-old, white, married, Protestant man residing in Oklahoma.A personal-interview survey of 42 ...

In this exclusive Hospital Formulary interview, Thomas K. Hunt, MD, and Eric T. Herfindal, PharmD, chairman and secretary of the P & T Committee at the University of California San Francisco Medical Center, discuss how their Committee has evolved over the years. In a highly specialized medical center like UCSF, ...

A liaison rounds is presented, one attended by all members of a consultation-liaison (C-L) team along with the medical director of a burn unit. This structure is designated as a "reverse liaison rounds," as it is the opposite of the conventional liaison meeting, which consists of one C-L consultant and ...

Seeking to fill an unmet need in the women's health care field, this specialized physician-directed center used the resources available in a private-practice obstetrics/gynecologic office to address premenstrual syndrome. The article outlines the structuring of the center, personnel training, and financial considerations; and it describes treatment issues and the medical ...

This paper describes the Biomedical Engineering Department at Saint Therese Medical Center, Waukegan, Illinois. The medical center is part of the Saint Therese Human Services Corporation. Two Biomedical Equipment Technicians service 845 pieces of electronic medical equipment. Within the first year, services were expanded so that the department provides a ...

Most incidences of nausea and vomiting can be avoided by careful movement of the patient from a supine position to walking, sound hemostatic principles, and prudent postoperative medication prescribing habits. However, when therapeutic intervention becomes necessary, the clinician should ascertain the probable source of vomiting center activation before selecting a ...

Over a period of 56 years, 12,686 appendectomies were done for acute appendicitis at the Jersey City Medical Center in Jersey City, New Jersey. We tabulated each appendectomy by the month and season of its occurrence. The spring and summer months had the highest incidence and the fall and winter ...

To determine the frequency of isolation of methicillin-resistant Staphylococcus aureus (MRSA) at Veterans Administration Medical Centers, 163 hospitals were surveyed; 137 responded. Between 1975 and 1984, the number of Veterans Administration Medical Centers with known MRSA increased from 3 to 111. This increase was geographically widespread and occurred in hospitals ...

The clinical relationship of academic family practice units to their parent tertiary care medical centers was studied. We surveyed the designated family practice contacts in all U.S. medical schools and achieved a response rate of 84%. We found wide variations in the degree to which academic family practice units provide ...

Twenty six patients with tuberculosis were admitted between 1979 and 1982 to the Tel Aviv Medical Center. Most were immigrants from Eastern Europe. In contrast to previous studies, patients were relatively young (mean age 57 years) and lacked predisposing medical illness. Eighteen (69%) had extrapulmonary infections, half of which involved ...

The pharmacy service at the Seattle Veterans Administration Medical Center moved into a replacement facility in September 1986. A description of the present medical center and the satellite pharmacy is presented. The ideal satellite pharmacy for this medical center is then described. The satellite is discussed with respect to the ...

The frequency of detection of "amphetamines" (amphetamine and/or methamphetamine) in the toxicology tests of a university medical center patient population was evaluated by retrospective review of the results of 2,900 toxicology test profiles performed on urine during the year 1986-87. Ten percent of these (291 cases) were positive for either ...

The frequency of detection of cocaine and/or its major metabolite, benzoylecgonine, during toxicology screening of a university medical center patient population was evaluated by retrospective review of the results of the 2,200 toxicology screens performed during 1986 on either urine or urine in conjunction with blood. Of these screens, 234 ...

The care of the cardiac transplant patient is complex, yet rewarding. During the hospital stay, the patients, families, and nurses develop close-knit relationships that last after discharge. The cardiac transplant patients at Hershey Medical Center have formed a support group. To promote organ donation, they wear T-shirts, hats, and coats ...

The Wechsler Adult Intelligence Scale-Revised (WAIS-R) was factor analyzed for a sample of 100 diagnostically heterogeneous brain-damaged patients. Subjects were from two VA Medical Centers located in the Midwest with means for age, education, and Full Scale IQ of 52.31 (SD = 14.41), 11.37 (SD = 2.57), and 86.72 (SD ...

This article outlines the implementation of a venture capitalism program in a 519-bed Veterans Administration tertiary care medical center. Venture capitalism at the VA West Side Medical Center in Chicago, Illinois is realized through a pool of capital within the budget, for the trial implementation of various ideas and programs ...

The endemic R-plasmids mediating resistance to gentamicin and multiple other antibiotics among many species of Enterobacteriaceae from the Minneapolis and Cleveland Veterans Administration Medical Centers were compared by restriction endonuclease digestion profiling and by phenotype expressed in sensitive E. coli recipients. Southern hybridizations were also performed. Our data indicate that ...

A unique problem confronted the Virginia Mason Medical Center in Seattle, Washington. How should it position itself as an organization to provide health care to the Pacific Basin countries--namely, China, Japan, Korea, and others? The problem originated with the increased emphasis in the US and especially the Pacific Northwest on ...

The major goal of MEDICYC, the medical cyclotron programme of the Antoine-Lacassagne Cancer Center (Nice, France) is radiotherapy based on protons and fast neutrons. This cyclotron has also been designed to meet the medical requirements for the Center's Nuclear Medicine Department. Technical specifications and anticipated applications are discussed. The construction ...

Creative alternatives to traditional health care are being explored by today's future-minded medical group practices. One rapidly growing phenomenon is outpatient surgery. Can development of a freestanding ambulatory surgery center be a useful and economically prudent venture for medical groups? Documented here is the case study of Rancho Surgical Plaza, ...