PubMed Health⌕ Search

Biomedical subjects

J Kasperski

Publications and source records attributed to J Kasperski.

11 recordsLinked to original sources
PubMed1999

Organizing primary care for an integrated system.

During the past decade, many changes have occurred in the Canadian healthcare delivery system but few, if any, of these changes have specifically addressed the role of the family physician. This paper proposes a number of changes to the infrastructure that supports the role of family physicians, including family physician accountability for delivering twenty-four-hour, seven-days-per-week services to a defined population of patients. The infrastructure needed to support family physicians as the coordinators of care across the continuum of healthcare services includes family-medicine group practices or practice networks linked by electronic networks. Family medicine is the key to health-system integration. Systems to integrate family medicine with other primary healthcare providers and with secondary- and tertiary-care systems are proposed, as well as quality-improvement systems for family medicine.

Canada↗
PubMed1984

A components analysis of biofeedback in the treatment of fecal incontinence.

Fecal incontinence is a socially disabling symptom for which rectosphincteric biofeedback has been reported to be dramatically effective. The most commonly employed biofeedback procedure incorporates three separate and potentially effective components: exercise of the external sphincter muscle, training in discrimination of rectal sensations, and training synchrony of the internal and external sphincter responses. This paper reports the results of single case experiments employed with eight incontinent patients to examine the contributions of each of these components. All eight patients improved, but only one required the biofeedback procedure as it was originally described. Three responded to sensory discrimination training, one to exercise training, and one to the training of synchronous sphincteric responses; three recovered independently of the effects of biofeedback. Despite the achievement of continence, the rectosphincteric reflexes following treatment continued to be abnormal in every case. These findings suggest that the character of the external sphincter response to rectal distension is an unreliable index of sphincter function and that exercise and sensory discrimination training procedures are effective for some cases of fecal incontinence.

Adolescent↗
PubMed1977

[Specific hyposensitization in allergic diseases (author's transl)].

Hyposensitization with semi-depot extracts was effective in 439 of 533 patients (82.4%) with allergic manifestations. The result suggests that treatment will be most effective when (1) the patient is young, (2) the disease is located in the respiratory tract, (3) the disease has been of relatively short duration, (4) the hyposensitization extract contains only one type of allergen, (5) only a few allergens are involved, (6) treatment continues over a long period of time, (7) the final dosage is high, and (8) dosage and time schedules are carefully followed. Success does not depend on the patient's sex or the occurrence of side effects during the treatment.

Adolescent↗
PubMedDate not supplied

[Individual tray composed of two parts for functional impressions in case of pterygoid defects].

The authors have presented the way of performing an individual impression tray composed of two parts utilized in case of pterygoid defects of maxilla and mandible and when taking impressions for performing immediate dentures (transit to toothlessness). The tray of this type enables to perform functional impression by one sort of mass. The separation of the labial part of the tray before model's relief from the impression protects plaster teeth against damage.

Bone Resorption↗