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Biomedical subjects

P Pomerantz

Publications and source records attributed to P Pomerantz.

16 recordsLinked to original sources
PubMed1995

Schizophrenia in hospitalized adolescents: clinical diagnosis, DSM-III-R, DSM-IV, and ICD-10 criteria.

The DSM-III-R, DSM-IV, and ICD-10 criteria were tested in hospitalized adolescents diagnosed with schizophrenia and other psychotic disorders employing a retrospective chart review. The charts of 111 patients, ages 11 to 17 years, representing consecutive admissions to Bellevue Hospital Center over a period of 18 months were reviewed. Thirty patients had a clinical diagnosis of schizophrenia or other psychotic disorders on admission and were selected for the present study. The 30 patients were independently rediagnosed using the criteria of DSM-III-R, DSM-IV, and ICD-10. Schizophrenia was diagnosed clinically in 6 patients, 10 met DSM-III-R criteria, 9 met DSM-IV criteria, and 12 met the ICD-10 criteria. Agreement for schizophrenia was high across the diagnostic systems. The clinical diagnosis of psychotic disorder, not otherwise specified (NOS) was overinclusive. The mean number of psychotic symptoms per subject was 2.66 (range 1-6). We found no significant relationship between the frequency or type of symptoms and the age or gender of subjects.

Adolescent↗
PubMed1982

Effect of exogenous adenosine 3':5'-cyclic monophosphate, parathyroid hormone and acetazolamide on electrolyte hormone and acetazolamide on electrolyte excretion by the isolated perfused rat kidney.

The effects of exogenous adenosine 3':5'-cyclic monophosphate (cyclic AMP), parathyroid hormone (PTH) and acetazolamide (Az) on renal calcium and phosphate excretion of the isolated perfused rat kidney were compared. Both PTH and Az evoked an early increase in urinary cyclic AMP excretion followed by a later more prolonged increase in phosphate excretion. All of the increased urinary cyclic AMP was derived from renal cells. Calcium excretion decreased with PTH but was unchanged with Az. Sodium and potassium excretion increased with Az but not PTH. Transitory urinary cyclic AMP excretion rates following bolus additions of exogenous cyclic AMP to perfusate were up to twentyfold greater than those evoked by PTH or Az but unassociated with changes in calcium, phosphate, sodium or potassium excretion. Sustained perfusate levels (above 0.5 microM) and excretion rates of cyclic AMP induced phosphaturia proportional to the perfusate cyclic AMP concentrations achieved up to 2.0 microM. Clearances of exogenous cyclic AMP exceeded inulin clearance at perfusate concentrations greater than 1.0 microM. Aminophylline evoked a small phosphaturia which increased further on addition of cyclic AMP to 5 microM. Glomerular filtration was not affected by any of the agents except Az. Since increased phosphate excretion could be evoked only at perfusate concentrations exceeding either plasma or intracellular concentrations observed in vivo, it is concluded that circulating cyclic AMP at levels in vivo is unlikely to mediate a significant fraction of the renal effects of PTH.

Acetazolamide↗
PubMed1978

Isolated torsion of penis. Report of 6 cases.

Torsion of the penis as an isolated anomaly has rarely been reported. Six such cases seen in a pediatric urologic practice within a two and one-half-year span suggest that it is not as rare as has been hitherto suggested. The embryologic abnormality appears to be an isolated skin and dartos defect, since the torsion is completely remedied by simply freeing the penile shaft of its investing tissue. The ease of achieving a normal appearance would appear to justify its surgical correction.

Adolescent↗
PubMed1978

Attempted ureteral replacement and urinary conduit using bovine artery graft.

Ureteral replacement and urinary diversion using bovine carotid artery heterograft were attempted in dogs. The graft failed for several reasons: stasis proximal to an aperistaltic segment, anastomotic stricture, and fibrotic narrowing of the graft. The disease entities and criteria for successful ureteral replacement and diversion are reviewed.

Animals↗
PubMed1975

Occupational therapy for chronic obstructive lung disease.

The role of occupational therapy in a multi-disciplinary approach to treatment of chronic obstructive pulmonary disease is described in this paper in terms of the evaluation and implementation of the role in the general hospital settings of two neighboring Cleveland institutions. Cleveland is a heavily industrialized urban region with a high concentration of patients suffering from chronic obstructive pulmonary disease. Motivated by this fact and by the knowledge of the increasing incidence of chronic obstructive pulmonary disease in the United States, therapists at the two facilities wanted occupational therapy to become an intrinsic part of both the Lutheran Medical Center's outpatient demonstration program and St. John's Hospital's pulmonary rehabilitation team. Although of differing natures, these programs were similar in purpose, complementing one another and therefore enhancing the quality of rehabilitative care of the patient with a chronic lung disease within this geographic area.

Aged↗
PubMedDate not supplied

Key indicators of laboratory performance.

Results of a CLMA survey designed to identify its members' need for tools to evaluate various aspects of laboratory performance are described. A review of the current and anticipated demand for this information is provided, as well as a description of a feasibility study currently being conducted by CLMA.

Attitude of Health Personnel↗
PubMedDate not supplied

The laboratory restructuring challenge: the reengineering imperative. An introduction to the focus issue.

This article defines restructuring and describes how this strategy for organizational survival is affecting health care overall and clinical laboratories in particular. The author explains why laboratorians are uniquely positioned, in terms of both their skills and their knowledge base, to take leadership roles in restructuring initiatives within their own institutions.

Hospital Restructuring↗
PubMedDate not supplied

New path for health-care leadership: clinical systems management. CLMA Clinical Systems Management Task Force.

This article sets forth a concept and an action plan to support the educational needs for the clinical systems manager. This article describes the roles, competencies, and tasks of the clinical systems manager and defines specific intermediate and long-term steps. Clinical systems management is umbrella terminology used to describe an array of related jobs including, but not necessarily limited to, multidepartmental or interdisciplinary management, regional or health system-wide laboratory management, and traditional laboratory management. In general, clinical systems management recognizes the emergence of new jobs, with the primary responsibility of leading the integration of clinical services within health-care systems.

Data Collection↗
PubMedDate not supplied

A case study: service delivery and parents with disabilities.

A Specialized Family Program, through a supervised paraprofessional, provided time-intensive, home-based service to a family in which both parents were deinstitutionalized disabled individuals. Interventive procedures consisted of systematic educational procedures in basic child care and home management and the case management of many active but uncoordinated agencies. Through this case history, the programmatic needs of disabled parents and their families are discussed, with emphasis on (1) an orientation of family support and advocacy; (2) active, home-based intervention; (3) educational methods based on systematic, behaviorally based instruction; (4) coordination of all workers involved; and (5) client control of decisions related to intervention.

Adult↗
PubMedDate not supplied

Ptosis splint.

Explore the source record for details and available documents.

Blepharoptosis↗