[Experiences with the aminoglycoside-cephalosporin combination in the management of surgical patients in intensive care].
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Biomedical subjects
Publications and source records attributed to C Sauer.
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Artificial insemination donor (AID) is the solution for the sterility of many couples where the man is irreversibly sterile. We present the results of AID using frozen sperm in the two first years of work at the Centre d'Etudes et de Conservation du Sperme (C.E.C.O.S.), which is situated in the Midi-Pyrénées region of France. The results that have been obtained are satisfactory and prove the value of this method, but the means at present at the disposal of the Center do not always meet the demands made on it.
From 1.10.1974 to 29.2.1976 in Wismar a cervical cancer screening on computerbase was performed. The participation of the female population (20 to 65 years) was relative high, with 74,9%, results are discussed. In 12702 investigations 12 cases of dysplasia (severe degree), 41 carcinomata in situ and 14 cases of invasive cervical cancer were revealed.
During a 36-month period, seven cases of Horner's syndrome were encountered in a general pediatric hospital. The most common site of involvement was the ipsilateral sympathetic chain, although multiple sites were involved. Several causes of Horner's syndrome in childhood that have received little previous attention are reported-internal carotid artery thrombosis, subclavian artery aneurysm, and nasopharyngeal tumor. Suggestions for routine evaluation are given. Angiography and x-rays of the temporal and sphenoid bones are valuable in the diagnosis of intracranial lesions causing Horner's syndrome. Horner's syndrome is not rare in childhood and is associated with serious underlying disease.
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OBJECTIVE: To identify impediments to the successful transfer and implementation of packaged information systems through large, divisionalized health services. DESIGN: A case analysis of the failure of an implementation of a critical application in the Public Health System of the State of New South Wales, Australia, was carried out. This application had been proven in the United States environment. MEASUREMENTS: Interviews involving over 60 staff at all levels of the service were undertaken by a team of three. The interviews were recorded and analyzed for key themes, and the results were shared and compared to enable a continuing critical assessment. RESULTS: Two components of the transfer of the system were considered: the transfer from a different environment, and the diffusion throughout a large, divisionalized organization. The analyses were based on the Scott-Morton organizational fit framework. In relation to the first, it was found that there was a lack of fit in the business environments and strategies, organizational structures and strategy-structure pairing as well as the management process-roles pairing. The diffusion process experienced problems because of the lack of fit in the strategy-structure, strategy-structure-management processes, and strategy-structure-role relationships. CONCLUSION: The large-scale developments of integrated health services present great challenges to the efficient and reliable implementation of information technology, especially in large, divisionalized organizations. There is a need to take a more sophisticated approach to understanding the complexities of organizational factors than has traditionally been the case.