Biomedical subjects
Publications and source records attributed to J L Bare.
Hospitals are finding it more difficult to manage programs without experiencing a decline in profits. What guidelines and approaches can administrators utilize in their efforts to stem, if not reverse, declining revenues? In the following article, the author proposes a strategic model that focuses on individual programs.
Portfolio analysis is a management technique that rationalizes the process of allocating funds to programs. Each program is screened based on financial performance and organizational relevance. A decision-making matrix prioritizes programs into an orderly form. When resources are scarce, as they were at Tampa General, portfolio analysis can be the key to keeping a strategic plan on course.
Knowing which payers are paying how much for which services will become critically important to hospitals as an increasing number of their payers negotiate fixed rates. Only by routinely assessing their payer composition can hospitals be assured that their profitable services remain profitable and their money losers don't place undue hardship on the bottom line.
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The Tradescantia-Micronucleus (Trad-MCN) bioassay was utilized to determine the genotoxicity of Malathion, a common insecticide. Four different treatment procedures were applied: a) absorption of Malathion/water mixture (with or without DMSO and/or S-9) through the stem, b) spraying a Malathion/water mixture onto the plant cuttings in enclosed chambers, c) spraying a Malathion/water mixture on an open population of plants in the greenhouse, and d) absorption of Malathion fumes through the leaves and buds. Most treatments were administered for 6 hr, followed by a 24-hr recovery time. Slides were prepared from the samples and scored for micronucleus (MCN) frequencies. Results of 16 experiments indicated that the genotoxicity of liquid Malathion absorbed through the stem was very low and often masked by high toxicity, causing dead cells in the stem, leaves, and meiocytes. Malathion spray at the dosage of 0.435% in an enclosed chamber or on an open population of plants yielded negative responses. Malathion fumes at dosages of 0.15-0.25% induced significantly higher (0.05) MCN frequencies above the controls and altered the nuclear structure to form unequal sized nuclei and multiple breaks in each of the four cells of a tetrads. It also caused degeneration of nuclei, "protrusions on nuclei," and inhibition of cell growth. Higher dosages (above 0.25%) were toxic.
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The Tradescantia-Micronucleus (Trad-MCN) test is a simple short-term bioassay for various gaseous and liquid forms of chemical agents, and physical agents such as radiation. 140 agents, directly or indirectly related to human health, were screened for their mutagenicity. Plant cuttings of young inflorescences, in which the pollen mother cells undergo various stages of meiosis, were maintained in nutrient solution for experimentation. Treatments were made either by absorption of the soluble agents through the stem, by diffusion of gaseous agents through the leaves and buds, by exposure to internal/external radiation or by in situ exposure to air pollutants. Micronuclei formed from damaged chromosomes served as the indicators of mutagenicity. Results of 140 agents tested are listed in 9 different categories. (1) Carcinogens/mutagens, (2) common beverages, (3) common chemicals, (4) drugs, (5) pesticides, (6) common household chemicals, (7) radiation and radioisotopes, (8) in situ monitoring, (9) complex environmental mixtures. Out of 140 agents tested, 52 showed positive, 20 showed borderline positive responses and 5 showed strong toxicity. Test results of 41 agents in the present study showed 67% congruity with Ames test results found in the literature.