Biomedical subjects
D Zitner
Publications and source records attributed to D Zitner.
Gauging the health of our health care system.
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The development of model curricula for Health Informatics.
We have developed model Health Informatics (HI) curricula for the education of three categories of professionals: Applied Health Informaticians, the professionals that deploy information technologies, Research and Development Health Informaticians those that develop new concepts, techniques, and solutions, and what we have called Clinician Health Informaticians, providers who use HI capabilities to support their professional work. The curricula specify the competencies that each type of professional must acquire.
Validity of utilization review tools.
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Use of mid-level indicators in determining organizational performance.
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Caution advised when testing for causes of fatigue.
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Cholesterol and aggression.
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Tools for determining appropriateness of care.
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Increases in depression after cholesterol-lowering drug treatment.
To investigate the possibility that increases in depressive symptoms might occur in patients who have undergone cholesterol-lowering interventions, the authors administered the Center for Epidemiological Studies-Depression scale before and after cholesterol lowering to 6 men who were referred to a lipid clinic. All of the patients' cholesterol levels were reduced after the 6-week intervention, and 4 of the patients' depression scores increased; scores of 2 of the 4 met the criteria for mild clinical depression. Further study of possible links among low cholesterol, depressive symptoms, and serotonergic activity is needed.
Resuscitative interventions and "no-CPR" orders.
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Cardiopulmonary resuscitation. Not for all terminally ill patients.
Where there are clear clinical indications that a patient suffering from a terminal illness would not benefit from cardiopulmonary resuscitation, there is no legal or ethical requirement that CPR be discussed with the patient as a treatment option or that CPR be administered if the patient stops breathing or suffers cardiac arrest.