Biomedical subjects
Publications and source records attributed to M Gibbons.
Is the most profit to be had from research inspired by curiosity or by foresight of practical applications? A recent suggestion that the answer could be found by evaluating curiosity-oriented projects has proved hard to follow up.
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Silicone gel sheeting was applied to five hypertrophic scars on five pediatric outpatients at an acute care pediatric hospital. After silicone gel application, three of the five scars showed initial positive results including reduction in the scar size, reduction in the scar thickness, softening of the scar, a decrease in vascularity of the scar, and more uniform pigmentation. Many negative results including rash, skin breakdown, cessation of scar responsiveness, problems with the gel sheet application, and poor durability were documented. Preliminary results indicate that topical silicone gel application is not a viable treatment option for the control of hypertrophic scarring with a pediatric population.
This article describes 4 years of TQM implementation at Bethesda, Inc., a private not-for-profit diversified healthcare organization. Bethesda has used a comprehensive implementation strategy involving the use of process improvement teams, hoshin planning, daily management of critical processes, and quality function deployment. The article includes four process improvement case studies demonstrating the use of the seven quality control tools and a nine-step process improvement model. Factors contributing to processes as well as obstacles are described.
The article considers the use of transcutaneous (Tc) partial pressure of oxygen (PO2) monitoring as an alternative form of continuous monitoring of respiratory function in paediatric critical care. The principles of TcPO2 monitoring are discussed. The relationship between TcPO2, arterial blood gases and oxygen saturation is highlighted by examining trends in TcPO2 derived in three neonates with congenital diaphragmatic abnormality. The effect of critical incidents upon TcPO2 is also explored. TcPO2 is unlikely to enhance the assessment of ventilation provided by pulse oximetry and blood gas analysis.