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L R Glazerman

Publications and source records attributed to L R Glazerman.

5 recordsLinked to original sources
PubMed1995

Resident data collection: do the numbers add up?

OBJECTIVES: Our purpose was to investigate methods for standardization of data collection across residency training programs in obstetrics and gynecology. STUDY DESIGN: A survey was developed and sent to all accredited residency programs in the United States and Canada. It assessed each program's current data collection method and whether the system could track discrepancies, account for completeness of data, or collect primary care data. The second part of the survey was designed to assess program director consistency in assignment of resident responsibility. RESULTS: In 78.5% of programs residents used a paper-based system. Only 27.1% and 31.3% of the residency programs, respectively, had systems for resolving resident responsibility conflicts or determining accuracy percentages. Few (8.3%) program directors were able to collect primary care data. There were wide variations among program directors in assignment of resident responsibility in the simulated cases, indicating different interpretations of Residency Review Committee reporting criteria. CONCLUSIONS: Most resident data systems in use do not promote or require standardization of data collection; therefore comparisons between programs would be difficult. The ideal system would be flexible, require standardization of data collection, enable direct transfer to Residency Review Committee forms, be translatable to any residency program, and allow meaningful intraprogram and interprogram comparisons.

Data Collection↗
PubMed1989

Fetal exsanguination following intrauterine angiographic assessment and selective termination of a hydrocephalic, monozygotic co-twin.

Selective termination by intracardiac potassium chloride injection was performed in twins discordant for hydrocephaly at 20 weeks' gestation. Because of the potential for vascular anastomoses to exist between the twins, fetal angiography was performed prior to the selective termination procedure. Determination of vascular connections between the fetuses was hindered by fetal bradycardia following intracardiac administration of contrast material. Selective termination was performed without difficulty using intracardiac potassium chloride (KCl) to produce asystole in the twin with hydrocephaly. The unaffected fetus appeared active and had a normal heart rate during and immediately after the procedure. However, both twins were found to have died the following day. Pathologic examination documented several vascular anastomoses between the monochorionic, diamniotic fetuses. A likely cause of death was exsanguination of the normal twin into the abnormal one. This case illustrates the difficulties encountered in selective termination of monozygotic twins and, to our knowledge, represents the first reported use of intrauterine fetal angiography.

Adult↗
PubMed1976

Community screening for Tay-Sachs disease.

Tay-Sachs disease is a fatal genetic disease affecting Jewish infants of eastern European ancestry. While the disease may go unrecognized until nearly one year of age, death occurs by age three or four. Community screening programs have been organized to detect carriers of this autosomal recessive trait. Prenatal diagnosis now allows carrier couples to have normal children without the risk of having an affected child. These programs hopefully will serve as models for the future prevention of other genetic diseases.

Amniocentesis↗