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Biomedical subjects

E S Hodgson

Publications and source records attributed to E S Hodgson.

15 recordsLinked to original sources

American Academy of Pediatrics. Committee on Practice and Ambulatory Medicine and Committee on Medical Liability. Pediatric physician profiling.

Employers, insurers, and other purchasers of health care services collect data to profile the practice habits of pediatricians and other physicians. This policy statement delineates a series of recommendations that should be adopted by health care purchasers to guide the development and implementation of physician profiling systems.

Benchmarking↗

A case report of contaminated operating theatre multipurpose equipment: a potential hazard for health care workers.

The problem of bacterial contamination of clinical and operating equipment is well recognized [Claymane et al., J. Cataract Refract. Surg. 12, 158-161 (1986); Magnusson et al., J. Hosp. Infect. 7, 86-90 (1986)] and appropriate methods are available for ensuring adequate cleanliness. Operating theatre equipment may contain complex electro-mechanical technology which requires substantial 'down time' for maintenance and cleaning. Often this is not built into operating theatre schedules and problems can occur. Opportunistic bacteria may colonize surfaces in semisealed parts of equipment where, since these areas are not normally subject to cleaning procedures, their growth may go undetected. This could have serious clinical consequences. While the risk to patients is obvious [Bengtsson et al., J. Hyg., Camb. 83, 41-57 (1979)] theatre and maintenance staff may also be at risk, particularly if they have well controlled chronic disease which could predispose them to opportunistic infection. We describe bacterial contamination in the pump unit and exhaust of a combined electrosurgical/suction/fibre light unit commonly used in operating theatres throughout the U.K. A method of ensuring acceptable freedom from bacterial contamination is discussed.

Aerosols↗

Developmental language disability as a consequence of prenatal exposure to ethanol.

Two pre-school-aged patients with a history of prenatal exposure to ethanol had abnormal head size and developmental delay. Both children were strikingly similar in physical appearance, behavior, and cognitive dysfunction. Facial features were typical of fetal alcohol syndrome. Head circumference greater than 97th percentile without hydrocephalus and no evidence of prenatal or postnatal growth failure were unusual for ethanol teratogenicity. Each child had a similar pattern of verbal and behavioral dysfunctions characterized by (1) marked hypervigilence, (2) distractability, and (3) cognitive confusion manifested as anxiety and behavioral disorganization. It is suggested that a history of prenatal exposure to ethanol associated with (1) large head circumference, (2) facial features of fetal alcohol syndrome, and (3) early developmental delay, particularly in language acquisition, and impaired modulation of attention and arousal may represent a possible new effect of alcohol teratogenicity.

Child, Preschool↗