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Biomedical subjects

J Rothman

Publications and source records attributed to J Rothman.

6 recordsLinked to original sources

Flavimonas oryzihabitans (CDC group Ve-2) bacteraemia associated with Hickman catheters.

Flavimonas oryzihabitans is a potential pathogen that may infect patients who have major medical illnesses, especially those who are undergoing surgery or have indwelling venous catheters in situ. Flavimonas oryzihabitans has been isolated from a wide range of body sites, and the portals of entry are major wounds or implanted foreign materials. We report two cases of F. oryzihabitans bacteraemia associated with the use of Hickman catheters for administration of the patients' chemotherapeutic agents. However, a common source for these infections could not be demonstrated.

Bacteremia

A model of case management: toward empirically based practice.

Case management is highly valued as an intervention method for providing service to clients requiring long-term care. However, it lacks definitional consensus and conceptual clarity. An explicit, empirically based model of case management is presented on the basis of 15 functions and their dynamic interrelationship along a sequential dimension. A series of studies is described by means of which the model was devised, tested, and refined.

Continuity of Patient Care

Several goals set.

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Organization and Administration

Nephrosonography in the evaluation of renal failure and masses in infants.

The diagnostic accuracy of nephrosonography is compared with conventional radiologic techniques and surgical findings in 13 infants aged 1 day to 14 months, who were in renal failure or had abdominal masses. Ten of the 13 infants presented with marked renal failure and in half of them neither kidneys nor collecting systems were visualized on the first intravenous pyelogram. Normal renal architecture was demonstrated by nephrosonography in three, hypoplastic kidneys in three, hydronephrosis in three, and a combination of hydronephrosis and contralateral multicystic kidney in one. In the three infants without renal failure, only one kidney was demonstrated by IVP; The cystic contralateral kidney in each of them was demonstrated by nephrosonography. In all cases the diagnosis was confirmed by conventional radiologic techniques when renal function had improved or by surgical exploration. This technique appears to be a useful adjunct to conventional radiography in the differential diagnosis of the infant with abnormalities of the urinary tract. Nephrosonography is of especial value when a kidney is not visualized by IVP, and it may appropriately aid in therapeutic decisions regarding the use of invasive procedures in small critically ill infants.

Diagnosis, Differential