The persistent of Cutaneous Leishmaniasis (CL) transmission mainly in Sinai and one or two foci in the Nile Valley and the outbreak of CL. in Nakhel Center form the rationale for including Leishmaniasis as one of the main health problems in Egypt. In this paper, it was aimed to spot-light ...

A cooperative effort between physicians and facility administrators with respect to purchase of materials and services can reduce costs dramatically and provide clinical benefits, as well. At Hamot Medical Center in Erie, Pa., orthopaedic physicians and hospital administrators developed a process for selecting a single source of implants used in ...

Quality improvement (QI) monitoring of universal precautions at the author's facility appeared to indicate that although personal protective equipment is always available and staff are increasingly aware of the need to protect themselves, compliance with medical center practices remained inconsistent. The use, throughout the QI program at the medical center, ...

Prenatal diagnosis is a rapidly expanding field in the specialty of obstetrics. Modern providers of perinatal care must understand the fundamentals of inherited disease and keep abreast of advances in antenatal diagnosis. Pivotal in providing appropriate evaluation in this area is a referral center that is capable of affording the ...

A multidisciplinary approach was used to select a bedside computer in a tertiary medical center's medical intensive care unit. Three committees were formed both by the medical center and the vendor: selection, configuration and implementation. A similar committee structure also existed with the vendor. The sets of committees formed a ...

Our experience with transurethral sphincterotomy in the spinal cord injured population of the Milwaukee VA Medical Center is reviewed. The 10-year retrospective analysis disclosed the operative procedure had to be repeated in nine out of 25 patients. The original success rate of the procedure was high, but significant failure appeared ...

In the mid 1980s it was apparent that the need for organ donors exceeded those willing to donate. Some University of Pittsburgh Medical Center (UPMC) physicians initiated discussion of possible new organ donor categories including individuals pronounced dead by traditional cardiac criteria. However, they reached no conclusion and dropped the ...

The author discusses the ways in which she finds the University of Pittsburgh Medical Center protocol for procuring organs from "non-heart-beating cadaver donors" medically and morally questionable and irreverent. She also identifies some of the factors that contributed to the composition of this troubling protocol, and to its institutional approval.

In 1973, a 36-year-old black woman with dyspnea on exertion, Raynaud's phenomenon and arthralgia was first seen at the University of California at Los Angeles Medical Center. Her chest roentgenography showed bilateral basilar infiltration, open lung biopsy revealed bronchiolitis obliterans with organizing pneumonia (BOOP) and muscle biopsy was consistent with ...

BACKGROUND: This study examines the frequency of nondiagnostic findings from colposcopic biopsies at the University of Washington Family Medical Center Colposcopy Clinic and reviews the literature for any current recommendations for management of such cases. METHODS: We reviewed 138 consecutive colposcopy reports covering the period from January 1990 to August ...

A retrospective review of all casualties received related to Operations Desert Shield and Desert Storm was conducted at Madigan Army Medical Center. Of the 180 patients determined to have returned from the Persian Gulf theater of operations, 93 (52%) had at least one orthopedic diagnosis and 84 (45%) were transported ...

The authors present a case of bilateral middle facet talocalcaneal coalitions with peroneal spasm producing a fixed valgus heel. They introduce a corrective procedure used at the Fountain Valley Regional Hospital and Medical Center and discuss its application in podiatric surgery. Correction included resection of the synostosis and lateral opening ...

Carbon monoxide (CO) poisoning was a major health consequence of a severe storm that struck the Puget Sound region of western Washington state the morning of January 20, 1993. Wind gusts up to 94 miles per hour interrupted electrical power for an estimated 776,000 residents, and during the 4 nights ...

The mission statements of academic medical centers call on them to accomplish many goals. This often leads to conflicting choices when selecting activities and establishing policies. When individual faculty members are expected to divide work time to meet research, teaching and clinical needs, careful planning and disciplined decisions of action ...

The angiographic characteristics of central serous chorioretinopathy (CSC) were studied by analyzing digitalized angiograms with an IMAGEnet system. We determined the type of leak, its location, and its distance from the fovea and from the center of the detachment. Round leaks were located farther from the detachment center and farther ...

The challenges and results of cardio-vascular surgery at the American University of Beirut Medical Center (AUBMC) during the civil strife in Lebanon are presented. Dependence on local resources is emphasized. Temporary interruption of open-heart surgery in a university setting may be the product of absence of essential materials and/or personnel. ...

The Los Angeles County-University of Southern California (LAC-USC) Medical Center, a level I trauma center, has experienced a rapidly increasing incidence of gunshot wounds (GSWs). We sought to enumerate the annual monetary costs and medical consequences of thoracoabdominal gunshot wounds in the epicenter of urban violence. A consecutive series of ...

Hoshin planning is a systems approach to strategic planning. It is a step-by-step process for building consensus on the vital few strategic areas within which breakthroughs must occur if an organization is to meet and exceed the needs of its customers. The seven management and planning tools are the implements ...

In 1988 the University of Virginia Medical Center began implementation of a medical information system based on mandatory physician order entry. The implementation process was much more difficult than expected. The program experienced considerable delays, and cost much more than was originally estimated. Although there were some legitimate questions concerning ...

12 studies are reviewed that have examined the relationships among crisis calls to police stations, poison centers, and crisis intervention centers and the synodic lunar cycle. On the basis of the studies considered it is concluded that no good foundation exists for the belief that lunar phase is related to ...

Alton Ochsner, the senior founding partner of the Ochsner Clinic and the Alton Ochsner Medical Foundation, is a giant among twentieth century medical figures. He was the first to propose that cigarette smoking is the primary cause of lung cancer, and he and four colleagues founded one of the nation's ...

Analysis of data from 82 Veterans Affairs medical centers showed that during a one-year period in 1987-88, VA psychiatric inpatients spent about 240,000 hours in seclusion or restraint, with about half of that time in mechanical restraints. The median length of time patients in each medical center spent in seclusion ...

The awareness of poison prevention is increasing despite an alarming incidence of accidental and intentional poisonings in the United States. During 1990, 72 poison centers throughout the United States, serving a population of 191.7 million, submitted to the American Association of Poison Control Centers data collection system 1,713,462 cases of ...

Latex rubber hypersensitivity represents a significant problem facing the medical, surgical, radiologic, and dental professions. As a tertiary care center, the Childrens Hospital of Philadelphia has a large population of patients with spina bifida and complex genitourinary anomalies; a number of these children have latex rubber allergy, which may first ...

The authors analyzed poisoning-related deaths in Massachusetts from 1986 and 1987 recorded in three datasets: poison center records, death certificate, and state medical examiner's office records. While 714 such deaths were found, 551 of these were prehospital deaths recorded within the medical examiner's office but not by the poison center. ...

Forty-five cases of head and neck reconstruction with pectoralis major myocutaneous flaps (PMMF) between 1985 and 1990 were analyzed retrospectively for complications. Thirty-two cases were done at the VA Medical Center and 13 at Albany Medical Center, a private university hospital. Total complication rate was 58%. In the VA population, ...

This article assesses the potential value of an integrated medical/ hospital information system (IMIS) for the members of the Eastern Mediterranean Region of the World Health Organization, and describes the preliminary results of a feasibility study questionnaire done in December 1989 at Salmaniya Medical Center (SMC) in the state of ...

In 1988 the Department of Veterans Affairs Rehabilitation Research and Development Service, under the directorship of Margaret J. Giannini, M.D., began a nationally directed computer-aided design and computer-aided manufacturing (CAD/CAM) research program for the Automated Fabrication of Mobility Aids (AFMA). Under this program CAD/CAM research and development centers were established ...

This paper outlines a practice-centered method for creation of a hypermedia corpus. It also describes experiences with creating such a corpus of information to support interprofessional work at a Primary Healthcare Center. From these experiences, a number of basic issues regarding information systems development within medical informatics will be discussed.

The following is a report of The Human Sexuality Program of the New York Hospital-Cornell Medical Center to personally replicate Edward W. Eichel's claims that his Coital Alignment Technique (CAT) enhances and increases female coital orgasms and mutual orgasms. We failed to replicate these claims. However, it was the consensus ...

This study was designed to provide validity data for the Augmented Structured Interview (ASI), which has been developed to measure subcomponents (as opposed to the global) Type A behavior pattern (TABP). Eighty subjects from a large private southwestern medical center were administered a self-report measure of the TABP (the Jenkins ...

We have established an ongoing prospective investigation of hypertensive patients to examine the rates of false results in captopril scintirenography. This study is being conducted at the Albert Einstein College of Medicine and the Cornell University Medical Center. Two large populations will allow an accurate assessment of both false positive ...

The charts of patients with burns covering more than 40 per cent of the body surface area (BSA) who were admitted to the Burn Unit of the Soroka Medical Center, Beersheva, Israel, between the years 1964 and 1988 were reviewed for mortality rate and causes of deaths. The factors affecting ...

Forty-one patients with idiopathic scoliosis having a primary right thoracic and a compensatory left lumbar curve underwent posterior spinal fusion of the primary curve only. Twenty-four patients had instrumentation with a Harrington rod or variant, and 17 patients underwent Cotrel-Dubousset instrumentation. Decompensation occurred postoperatively when the apex of the thoracic ...

A "smoke-free" policy was adopted at the Duke University Medical Center but not at the adjacent University Campus. Three months after the smoking prohibition went into effect, a cross-sectional telephone survey was conducted, using randomly selected groups of 400 employees from each campus. Subjects were queried about current and previous ...

Wilford Hall USAF Medical Center is the major medical and surgical referral center of the Air Force. With a 1,009 bed capacity, Wilford Hall offers treatment in more than 135 medical specialties and subspecialties. The mission of Wilford Hall is to ensure maximum wartime readiness by providing both a worldwide ...

An imported case of traumatic myiasis occurred in a soldier wounded during military action in Panama in December 1989 and evacuated to Brooke Army Medical Center, Fort Sam Houston, Texas. At the medical center, five larvae were removed from the scalp wound, reared to the adult stage, and identified as ...

Since pulse oximetry is now an ASA standard for intraoperative monitoring, we sought to determine the intraoperative failure rate for this device. We prospectively evaluated the intraoperative failure rate of our pulse oximeters at the four University of Washington Hospitals (University of Washington Medical Center, Veterans Affairs Medical Center [VAMC], ...

Humana CEO David Jones is convinced that the for-profit corporation can turn around troubled Michael Reese Hospital and Medical Center in Chicago. Not in years, Jones says, but in a matter of months. Despite Reese's problems, stemming from an unfavorable patient mix, high overhead and aging physical plant, Jones is ...

Each of the five conference centers featured here displays the best its parent organization has to offer. Take a tour through Herman Miller, Inc.'s Marigold Lodge; UCLA Conference Center/Bruin Woods Family Resort, S.C. Johnson & Son, Inc.'s The Council House; Aetna Institute for Corporate Education; & Eastwood (Medical Center) Conference ...

The Ochsner Medical Institutions of New Orleans and Baton Rouge, the Louisiana State Medical Centers in New Orleans and Shreveport, and the Tulane Medical Center of New Orleans are all actively involved in the conduct of National Cancer Institute approved and sponsored clinical trials. Through the efforts of investigators at ...

This paper summarizes the APACHE III Study now being performed by the ICU Research Unit at the George Washington University Medical Center. It presents a review of the material included in a recent detailed description of the APACHE III Study and introduces new work being developed with data from Brazilian ...

The Temple Radiology Group opened on July 1, 1977 in the Temple Medical Center. The initial 10-room, full-service department has grown with new technology into approximately 25 rooms. The original four-room Temple surgery center has grown to 10 rooms. Additional support facilities that have evolved include: 1) a computer company; ...

Although the relationship between smoking and its harmful effects on health has been long known to the medical profession, relatively few medical institutions have taken serious measures to control smoking within their premises. This study focused on the effects of a smoking ban at a large private medical center, specifically ...

Rose Medical Center in Denver, Colo., needed a way to track referrals from its many offsite care centers to determine their impact on revenue. Programmers at Rose developed a microbased system, eventually bought by SMS, that measures profitability against investment to become a true decision support tool for hospital executives.

In the report "Underexpression of beta cell high K(m), glucose transporters in noninsulin-dependent diabetes" by J. H. Johnson et al. (26 Oct., p. 546), the authors' affiliations were incorrectly given. J. H. Johnson, A. Ogawa, L. Chen, T. Alam, and R. H. Unger are at the Center for Diabetes Research, ...

Management experts say that teamwork begins at the top--with senior executives. For senior executives at the Saddleback Memorial Medical Center, Laguna Hills, CA, teamwork improvement started last March at the top of a tall pine tree. The Saddleback team's deeds of daring were part of a sophisticated four-and-a-half-day training session ...

This article looks at the historical rationale behind the development of the healthcare administration structure currently used at Walter Reed Army Medical Center (WRAMC). This type of healthcare administration structure is unique to WRAMC and is not found in any other United States Army Medical Department healthcare treatment facility. It ...

Medical grand rounds is a time-honored weekly conference at United States teaching hospitals. We surveyed 122 departments of medicine to test the hypothesis that grand rounds may have changed with the changing training environment. Our goal was to gain a new perspective on the way physicians learn clinical medicine and ...

Trauma management is the primary mission of military surgeons. Since the Vietnam War, however, military surgeons have relinquished leadership in clinical trauma care to the civilian sector, particularly to urban university surgeons. In this paper we explore whether the Army's contribution to trauma research has also diminished. Using standard bibliometric ...