Biomedical subjects
C Bush
Publications and source records attributed to C Bush.
Use of laboratory and clinical factors in the management of pregnancies complicated by maternal disease.
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Phospholipid metabolites, prognosis and proliferation in human breast carcinoma.
The content of the phospholipid metabolites, phosphocholine, phosphoethanolamine, glycerophosphorylcholine and glycerophosphorylethanolamine was measured in chemical extracts from 46 human breast carcinoma using 31P NMR spectroscopy. Some patients had received therapy prior to tumour resection. The data were therefore stratified into two groups: (i) all tumours; and (ii) untreated tumours. Three indices of tumour proliferation i.e., mitotic index, Ki67 and S-phase fraction were determined on tissue from the same tumours and were found not to correlate with the content of any of these metabolites. In addition oestrogen-receptor status and density, tumour grade and DNA ploidy were obtained on some tumours. The phosphocholine content was higher in high grade tumours when compared with low grade tumours. There was no apparent relationship between DNA ploidy and the content of any of these metabolites. Glycerophosphorylcholine content of oestrogen-receptor positive tumours correlated with receptor density. However, there was no significant difference between receptor positive and negative tumours in the content of any of the phospholipid metabolites measured.
The final chapter. Sound management procedures facilitate a hospital's closure.
The closure of a healthcare institution affects employees, patients, and the community. When St. Mary's Health Center, Emporia, KS, closed in 1991, those who administered the closure followed a procedure that lessened the burden on all involved. Because of the health center's deteriorating financial picture, CSJ Health System of Wichita (of which St. Mary's was a member) decided to close the facility. Once the system's board of trustees and the ordinary of the Archdiocese of Kansas City, KS (in which Emporia is located), approved the closure, facility and system leaders planned the procedures for announcing the closure and helping employees and patients through the difficult times ahead. On announcement day the CSJ Health System president and St. Mary's chief executive officer met with department heads to inform them that no new patients would be accepted and to explain the dismissal and transfer processes. Department heads were also asked to tell those they supervised about the closure and about meetings for employees later that day. Counselors were available to help department heads and employees through that emotional day and during the weeks and months ahead. Employees received packets of information describing severance benefits. Human resources personnel sponsored a job fair at which many former employees found jobs. A closing ceremony was held at a local chapel. During the ceremony employees voiced their appreciation of the way in which the closure had been completed and the openness and supportiveness of the sisters, the system, and St. Mary's administrators.(ABSTRACT TRUNCATED AT 250 WORDS)
Reemphasizing the tenets of managed care.
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Corporate standards for nursing care. An integral part of a computerized care plan.
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A friend in need...
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Fixing acuity: a professional approach to patient classification and staffing.
Traditional acuity systems have met with limited success in hospitals. The requirements and high costs of installation, auditing, maintenance, and updating have been problematic criticisms. Intermountain Health Care developed an innovative system which focuses on and refines the professional judgment and decision making of nurses and caregivers as the basis for patient classification and staffing. Results have been favorable for: (a) increasing the usefulness and accuracy of the information, (b) enabling delivery-level innovation in staffing models and successfully considering and testing alternative care delivery models to reduce the costs of care, (c) reducing the expenses associated with maintaining, auditing, and updating the systems, and (d) fostering delivery-level ownership and enhancing the professionalism and satisfaction of the caregiver users.