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Biomedical subjects

B E Satterwhite

Publications and source records attributed to B E Satterwhite.

6 recordsLinked to original sources

Ambulatory care for patients with HIV/AIDS: creating a specialty clinic.

This paper describes the development of a primary care HIV/AIDS clinic at a large university teaching hospital. A multidisciplinary team of health professionals provides direct care and education to an HIV/AIDS population that has increased from 36 patients in 1986 to 500 in 1990. Collaborative planning and decision making by physicians, nurses, and hospital administrators has been key to the institution's ability to support the needs of such a rapidly expanding population. This paper presents a description of the planning and implementation process used to develop an HIV/AIDS specialty clinic at this institution.

Decision Making, Organizational↗

Oral levonantradol in the treatment of chemotherapy-induced emesis: preliminary observations.

Levonantradol, a new synthetic cannabinoid, was examined for antiemetic effectiveness in 27 patients with refractory chemotherapy-induced emesis. Thirty-one courses of levonantradol were administered orally beginning 2 hours before chemotherapy and continuing every 4 hours for a minimum of 12 to 24 hours at one of three different dose levels. At the 0.5-mg dose, 14 patients were evaluable with seven partial response (50 per cent) and one complete response (7 per cent). At the 1.0-mg dose, 11 patients were evaluable with five partial responses (45 per cent) and three complete responses (27 per cent). Only one patient has thus far been treated at the 1.5-mg dose with no response noted. Side effects observed included somnolence (90 per cent), dry mouth (83 per cent), dizziness (67 per cent), decreased concentration (40 per cent), dysphoria (33 per cent), and altered perception (30 per cent). Euphoria ("high") was infrequent (9 per cent). No relationship between dose (0.5 and 1.0 mg) and side effects was observed. There was a suggestion of improved antiemetic efficacy at the 1.0-mg dose. Although this study is preliminary, it appears that levonantradol is a relatively well-tolerated oral antiemetic that deserves further evaluation.

Adult↗

Forecasting ambulatory clinic workload to facilitate budgeting.

Concern about controlling health care costs is a driving force in forecasting workload. The availability of computers and spreadsheet software now makes it possible for middle managers to forecast future workload using past workload data.

Ambulatory Care Facilities↗