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Biomedical subjects

J Farrow

Publications and source records attributed to J Farrow.

11 recordsLinked to original sources
PubMed1996

Management of children with ARI and/or diarrhoea in Addis Ababa, Ethiopia.

This study, conducted between May 9 and May 19, 1994 in twenty health centres in Addis Ababa, looks at the quality of care provided for children presenting to public sector health centres in Addis Ababa with ARI and/or diarrhoea. As has been documented in other countries, both developing and developed, inappropriate prescription of medications is common in Addis Ababa. Forty four per cent of children received useless or potentially harmful drugs; in 97 of 99 cases of "sore throat", antibiotics were prescribed; only 14 of 116 children with the diagnosis of "common cold" received no medication. While 88 percent of children with diarrhoea received ORS, and 39 per cent of children with pneumonia were given appropriate medications, few caretakers knew how to use them properly. Caretakers' knowledge of appropriate home care of children with ARI and diarrhoea (feeding, use of fluids and indication for return to the clinic) was found to be deficient. Causes for poor quality of care are discussed, and recommendations for solving some of the problems identified, and for further research, are presented.

Child↗
PubMed1995

Rapid reocclusion of left primary bronchus by fibrinomucinous cast in a case of large cell lung cancer.

This report describes a case of large cell carcinoma of the lung in a patient whose left primary bronchus became completely occluded by a fibrinomucinous cast that recurred within 24 hours despite extensive lavage and removal of the cast via flexible bronchoscopy. The primary tumor involved the aortopulmonary window and was affixed to the pulmonary artery and the aorta, arising from the left upper lobe and extending to the left primary bronchus. The occurrence of a large fibrinous endobronchial cast removed by flexible bronchoscopy forceps, such as we report here, is extremely rare.

Airway Obstruction↗
PubMedDate not supplied

Computerized patient anesthesia records: less time and better quality than manually produced anesthesia records.

STUDY OBJECTIVE: To compare manual and computerized anesthesia information management systems (AIMS's) with respect to time demands on the anesthetist and record quality. DESIGN: Videotaped clinical anesthesia cases were independently reviewed along with the records produced. SETTING: Private practice anesthesia at a 150-bed community hospital. PATIENTS: Ten consecutive ASA physical status I patients having video arthroscopy of the knee by the same surgeon and having general anesthesia. INTERVENTIONS: One anesthetist recorded six cases: three with the computer and three manually. Two more anesthetists each recorded two cases: one with the computer and one manually. MEASUREMENTS AND MAIN RESULTS: The proportion of the anesthetist's time spent on the documentation for the computer records was significantly less than that spent on manual records (14.9% vs. 36.6%; p < 0.001). Nevertheless, significantly more vital sign data points were recorded on the computer than on the manual records (245.2 vs. 45.0 vital sign points per case; p < 0.001), as well as significantly more notes and drug information (61.0 vs. 40.0 notes per case; p < 0.02). The computer record was always legible, but this was not the case with the manual records. There was no significant difference in the number of artifacts detected on the records. CONCLUSION: The concern that the introduction of computerized AIMS's may complicate the anesthesia working environment by requiring more time than manual AIMS's and thus detracting from direct patient care is not supported by this study. In fact, this computer approach not only required less time but also produced a more complete and higher-quality record than did the manual AIMS.

Anesthesiology↗