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A Kurec

Publications and source records attributed to A Kurec.

5 recordsLinked to original sources

Prognostic significance of mean cell volume in non-Hodgkin's lymphomas.

Cell volumes of neoplastic lymphocytes collected from lymph nodes of 53 patients with non-Hodgkin's lymphoma were compared to lymphocytes from 18 patients with reactive hyperplasia. The mean cell volume (MCV) and the modal volume (MV) of neoplastic lymphocytes were larger than the MCV and MV of lymphocytes from reactive hyperplasia. The cell volumes of neoplastic lymphocytes from patients with non-Hodgkin's lymphoma were more heterogeneous within and among cases than observed in volumes from lymphocytes of patients with reactive hyperplasia. The cell volumes of neoplastic lymphocytes corresponded to subgroups within the Rappaport Classification and the Working Formulation. Cell volumes of neoplastic cells from low-grade lymphomas were smaller than intermediate grade lymphomas which in turn were smaller than high-grade lymphomas. When cases of NHL were placed into three subtypes based on the MCV, large cell lymphomas had a significantly shorter survival then small and intermediate cell lymphomas at 12 months. However, a stepwise multiple regression analysis failed to demonstrate any independent value of cell volume in the prediction of survival.

Adult↗

An introduction to case management.

Health-care professionals are constantly being challenged to find innovative ways to maintain quality of care with diminishing resources. Case management has emerged as a viable method of identifying resources and using those resources efficiently while providing the appropriate levels of care. The American Nurses Association defines case management as health assessment and planning, procurement, delivery, coordination, and monitoring to ensure that the multiple needs of the client are met. Organizations that have implemented case management report significant decreases in length of stay and substantial cost savings. The components of a successful case management team include a System Design Team to initiate the process, a Steering Committee to move the process forward, a Case Manager to coordinate and advocate for those patients who fall outside standard protocols or guidelines (critical pathways), an Interdisciplinary Specialty Team to assist in developing critical pathways, identifying variances, and evaluating data and outcomes, and an information system that provides accurate and current information. The ¿team¿ in case management team cannot be emphasized enough--medical staff and health-care providers should be involved in and understand case management practices. Collaboration and cooperation are essential to ensure patient satisfaction, hospital marketability, and presentation of a positive image to the community.

Case Management↗

Point-of-care testing.

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Attitude of Health Personnel↗