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Biomedical subjects

M Sabin

Publications and source records attributed to M Sabin.

8 recordsLinked to original sources
PubMed2001

Evaluation of a systemic antibiotic treatment of toxic puerperal metritis in dairy cows.

The objective of this study was to evaluate the efficacy and economic efficiency of a systemic treatment of toxic puerperal metritis in dairy cows with ceftiofur. Cows with abnormal vaginal discharge at a postpartum examination (d 4 to 6 after calving) and a rectal temperature > or = 39.5 degrees C were assigned to three treatment groups. Cows in group 1 (n = 70) received 600 mg of ceftiofur intramuscularly (i.m.) on 3 consecutive days. Cows in group 2 (n = 79) received an intrauterine treatment with antibiotic pills consisting of 2500 mg of ampicillin and 2500 mg of cloxacillin and an additional 6000 mg (i.m.) of ampicillin. This treatment was performed on 3 consecutive days. Cows in group 3 (n = 78) received the same intrauterine treatment as in group 2. In addition, 600 mg of ceftiofur was administered i.m. on 3 consecutive days. Body temperature was recorded daily for 6 d after first treatment. There were no significant differences among the groups regarding clinical efficacy at d 6 after first treatment. The cure rates based on rectal temperatures declining to below 39.5 degrees C on d 6 after treatment were 82.9, 84.8, and 84.6% for groups 1, 2, and 3, respectively. Reproductive performance did not differ significantly between group 1 and groups 2 and 3 for any of the measures tested. A financial analysis with 87 different cost scenarios demonstrated that a systemic treatment of toxic puerperal metritis in cattle with ceftiofur is an effective alternative to the combination of local and systemic treatments.

Ampicillin↗
PubMed1998

Telephone triage improves demand management effectiveness.

Telephone triage, or telephone advice counseling, is becoming a key managed care point-of-entry tool for patients and health plan members accessing the health system. Telephone triage functions as a logical front-end for health plans, integrated physician groups, or integrated delivery systems that want to shift their managed care efforts toward demand management. Key components of telephone triage include patient education, patient information, and guided access to appropriate care. Telephone triage generally requires 24-hour staffing by registered nurses and a computer software package based on either clinical protocols or clinical algorithms. Organizations can either install an in-house system or purchase this service from a vendor, health plan, or another provider. The decision to develop a telephone triage service in-house or to out-source it is determined largely by volume and the user's strategy for moving to successive levels of risk management.

Algorithms↗
PubMed1988

The exploding demand for ambulatory data.

In many healthcare settings, data reside at the point of capture rather than in a centralized database that is accessible by all users of the data. Given the current explosion of interest in ambulatory care data, the need for a coordinated and standardized data set is clear and immediate.

Ambulatory Care Information Systems↗
PubMed1986

Lab divestiture: trend for the future?

No hospital wants to give up control of its present services. In fact, healthcare competition dictates that if one community hospital has an MRI, then hospitals in the same community will buy the same machine to maintain market share. The public no longer agrees with this philosophy and will dictate by present and future public policies the method by which such services will be controlled. The future requires a flexible program to meet the challenges of Medicare regulations and provide a free-market basis for laboratory services.

Contract Services↗