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Biomedical subjects

E Crocker

Publications and source records attributed to E Crocker.

11 recordsLinked to original sources
PubMed1987

Trustees and hospital staff: building bridges for better decisions.

Hospital trustees and employees often do not adequately understand each other's roles and the issues that they each face. This article discusses the composition of hospital boards, the ways in which they function, and their responsibilities. Further, it offers suggestions to encourage broader understanding and improved communication for both trustees and employees. New management approaches are presented that can build bridges for better communication, which in turn will lead to the formulation and implementation of more reasoned health care policies.

Communication↗
PubMed1980

Preparation for elective surgery: does it make a difference.

This study postulated that children prepared for elective surgery would show less stress in physiological terms while in the hospital and fewer postdischarge behavior changes than children in a control group not being systematically prepared for pending surgery. It was also postulated that younger children would be more anxious than older children. Actual findings supported only a few of the original hypotheses, but the study itself raises major questions for those interested in the overall impact of hospitalization and the reduction of psychological trauma for children who may be particularly vulnerable to stress.

Anxiety↗
PubMed1978

Radionuclide imaging to assess myocardial damage during open heart surgery.

Technetium 99m Pyrophosphate imaging before and after open heart surgery was performed in 38 patients to estimate the incidence of peri-operative infarction. Positive images were present pre-operatively in 11 of 30 patients with coronary artery disease. In three patients the images changed from negative to positive and in two this was thought to be due to infarction produced at operation. The high incidence of positive pre-operative images emphasises that many patients with evolving myocardial infarction, unstable angina or severe heart failure are now operated upon without delay. Because many patients have positive images before surgery pre-operative and post-operative images must be compared to assess myocardial damage due to surgery.

Adult↗
PubMed1977

"Hot spot" myocardial scanning: experiences with a mobile nuclear camera in a coronary care unit.

Twenty-nine patients with suspected or actual myocardial infarction have had myocardial "hot spot" scans with technietium 99m pyrophosphate, using a mobile nuclear camera in a coronary care unit. Nine patients with transmural infarcts had positive scans. Nine out of 12 patients thought to have had endocardial infarction had positive scans. Two patients who had had intramuscular injections presented with chest pain and abnormally high serum enzyme levels, but had negative scans. Myocardial radionuclide scanning with a mobile nuclear camera is a rapid, easy, repeatable, non-invasive method of helping to confirm or exclude the diagnosis of myocardial infarction and, used together with other available tests, is a valuable additional diagnostic aid.

Adult↗