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Biomedical subjects

J Mose

Publications and source records attributed to J Mose.

7 recordsLinked to original sources
PubMed1995

[How to evaluate and improve the effectiveness of intensive care].

Organizational problems regarding intensive care units (ICU) have become more and more significant. It is necessary to question the factors which can influence their effectiveness, and in this way ensure the high quality of intensive care. A grading of intensive care units through a quantitative method is necessary, and then a comparison of intensive care units with the same care level. In making a judgement of efficacy we need to follow the whole intensive care process, even after medical treatment. The time has come for establishing a national data base concerning the organization of ICU size, structure, technological capacity, staff, type and number of patients, mortality, length of stay, bed occupation, criteria for admission and discharge, interventions and procedures, etc. Future multidisciplinary units must employ educated and closely-specialized professionals. From the means of estimating the severity of sickness, the relationship between expected and real mortality should be used in judging efficacy. Measuring the burden of work, by using the TISS model, modified according to the conditions of our ICUs, will show the type and quality of the work done, and, in addition, can also determine cost. It points to a rational use of tests, the use of guidelines and recommendations and further recommends the making of our own protocols. Close professional links between ICUs are also necessary.

Humans↗
PubMedDate not supplied

[The HELLP syndrome--a case report].

A 31-year-old secundipara with eclampsia developed the HELLP syndrome after delivery. Clinically, along with very high blood pressure values (29.3/17.3 kPa) and eclamptic attacks, an intense pain in the upper abdomen and nausea were dominant. The patient also had severe thrombocytopenia (18 x 10(9)/L), hemolysis, and increased liver enzymes (SGOT up to 220 U/L and SGPT up to 100 U/L). An intensive therapy, including--together with usual interventions in serious EPH gestoses--also plasmapheresis, antithrombin III substitution, freshly frozen plasma, and transfusion of blood and thrombocytes, proved successful in achieving the normalization of the blood pressure, blood count and liver enzymes, as well as a clinical improvement, so that 18 days after delivery it was possible for the patient to go home, provided with necessary instructions.

Adult↗
PubMedDate not supplied

[Pulmonary silicosis complicated by systemic vasculitis].

A patient is described who had been--as a cutter of crystal--for 40 yrs exposed to the silica dust. At regular medical examinations at out-patients' department for pulmonary diseases first stage of pulmonary silicosis had been found and confirmed at the Institute for Occupational Health. Nine years after the retirement the clinical symptoms of febrility, cough, joint and muscular pains appeared together with the difficulties in swallowing and dyspnea even at minor physical activities. During the treatment the systemic vasculitis, probably visceral erythematodes, was established with satisfactory response to the corticosteroid therapy.

Humans↗
PubMedDate not supplied

[Ultrasound in the diagnosis of pulmonary and pleural diseases].

Ultrasound as a method in evaluation of pleural diseases, peripheral pulmonary infiltrates and tumors has already been accepted throughout the world. However we haven't yet been applying it widely. In this work the possibilities of ultrasound as a method in pleural and lung diseases diagnostics have been described, together with the typical findings and examination technique. Indications of thoracic ultrasound which along with unavoidable X-ray examinations represent a new increase of quality in the diagnostics of pleural and lung diseases are specified.

Humans↗