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Biomedical subjects

R Eldar

Publications and source records attributed to R Eldar.

17 recordsLinked to original sources
PubMed1991

Assessment chart for inpatient rehabilitation following stroke.

In order to enable comparison of the post-stroke patient's functional status between different points during the rehabilitation process, an assessment chart was developed; this covered cognitive, basic and integrated functions. The chart was applied by two independent examiners on 36 patients, with a mean age of 60, admitted consecutively for rehabilitation following stroke. The results of the assessment using the chart were compared with those measured with the Kenny Self Evaluation System. There was a positive correlation both between the Kenny System and the developed chart and the two examiners. It is felt that the chart meets the demands of easy applicability, numerical scoring and comprehensiveness. It is sufficiently sensitive to reflect the progress of patients during rehabilitation and enables re-evaluation of initial treatment plans focusing on the needs of the individual patient. The developed chart may serve as a useful tool in the evaluation of stroke inpatients during their rehabilitation.

Activities of Daily Living↗
PubMed1990

[The road accident epidemic].

Nearly 23,000 persons were injured in 1988 on our country's roads. Of these, some 500 were killed and 3600 severely injured. Despite the magnitude of the problem, the health care system is not sufficiently effective in the field of road accident prevention and mitigation of the human damage, nor is it sufficiently involved in the work of organizations active in these fields. There is an urgent need to establish a health authority in this area, linked to the Ministry of Health, consisting of experts from clinical and academic institutions and representatives of the medical profession. This authority should be responsible for the coordination, initiation and implementation of all health and medical activities in the field of road accident prevention and in improving the care rendered the victims.

Accidents, Traffic↗
PubMed1989

The quality of antihypertensive care.

The study involved 82 hypertensive patients under 65 years of age who suffered a stroke and did not have other risk factors for stroke but high blood pressure. The purpose of the study was to disclose possible deficiencies and to indicate areas for improvement in providers' practices. The process and intermediate outcome of care were judged to be satisfactory in only 4 patients out of the 75 known as hypertensives prior to the stroke (5.2%). There was no association between the structure of care and its process or outcome. The findings of the study are being used in the efforts to improve practices. It is suggested that the described approach could be applied by rehabilitation medicine to assessments of quality of care of conditions known to be risk factors of impairments that lead to disabilities, thereby contributing to quality assurance and disability prevention.

Adult↗
PubMed1989

Patient assessment of care in a pain management unit.

Seventy individuals, 40 females and 30 males with a mean age of 58.5, suffering from protracted pain and associated incapacitation (due, mainly, to rheumatoid or osteoarthrotic conditions) were treated as outpatients with the purpose of relieving their pain and improving their function. The quality of care provided was evaluated based on the outcome approach, using patient assessment of the reduction of their pain and improvement of their limitations--complemented by the assessment of the physician who treated them--and their satisfaction with the care as the measurements of their assessments. The results of the assessment indicate that on completion of treatment 23% of patients had no pain, while the pain level of the rest decreased by 64% with only three still suffering from severe pain and none from very severe pain. In the majority of patients considerable improvement of the associated functional limitation was achieved. There was a high degree of satisfaction with care received in 90% of patients.

Adult↗
PubMed1987

Diagnostic radiology in disaster medicine: implications for design, planning and organization of X-ray departments.

Diagnostic radiology plays an important role in the evaluation of disaster casualties; these are referred to X-ray departments, shortly after their arrival at hospital, in large numbers, frequently overwhelming facilities and resources of the department. The study of relevant literature and the experience of the authors suggest that there are implications for design, planning and organization of X-ray departments to be considered in disaster-prone areas. Departments should be sited as near as possible to triage areas, on the same floor, with broad, unobstructed passages. There should be provision for easy passage of equipment and trolleys through doors and corridors and large circulation areas, working rooms and waiting spaces with plugs, for electricity, piped oxygen and suction and devices for hanging infusion sets. Two entrances to the department would enable one-way flow through the department. All work should be done in the department and examinations performed with mobile units avoided. A radiologist at the entrance to the department and a control post at the exit ensure adequate processing of casualties. Interpretation and reporting should be done by assigned radiologists dictating directly to typists; films and reports should accompany casualties.

Disaster Planning↗
PubMed1985

Preference of hospital employees for work-related outcomes.

A list of five possible work-related outcomes was compiled and included in a questionnaire. This was administered to 490 employees, categorized into seven occupational groups, in three different hospitals in Manila, The Philippines. Responses were compared among work outcomes, identical occupational groups and three hospitals; the most valued outcome was established for all respondents. Findings indicate that variables apt to motivate employees depend on the occupational group to which they belong, the kind of work they perform and the type of hospital in which they work. These findings have implications for the ability of hospital administrators to motivate their employees to perform in a manner that meets expected standards.

Career Mobility↗
PubMed1970

Reuben Eldar.

Explore the source record for details and available documents.

Climate↗
PubMedDate not supplied

The medical severity index of disasters.

In 1980 an international working party postulated a definition for a disaster. Later this concept was formulated into a classification and scoring system. This system has now been refined to be used prospectively during the management stage of a calamity. By calculating the medical severity index, which is the product of the casualty load and the severity of the incident, and comparing this figure with the available total capacity of the medical services, which is the medical rescue capacity, the medical transport capacity and the hospital treatment capacity, the dispatcher at the control center can fairly quickly and precisely identify if a calamity is to be regarded as a disaster or not and if the region can cope with the situation. Moreover a calculation of the hospital treatment capacity in the region could serve as a guideline for estimation of the dimensions needed for the medical rescue capacity and medical transport capacity when planning how to deal with a disaster.

Disaster Planning↗
PubMedDate not supplied

Preparation of a hospital rehabilitation system for war and other disasters.

A large number of casualties caused by war are in need of medical rehabilitation. Rehabilitation facilities are unable to cope adequately with them without advance planning and preparedness. Guidelines are suggested for the planning and preparation of a hospital rehabilitation system for war, including the formulation of policies, expanding and strengthening of existing rehabilitation facilities, and converting institutions, as well as securing the necessary human and material resources. It is also suggested that such plans and preparations should be adapted to form a basis for meeting rehabilitation needs caused by natural and civil disasters.

Disaster Planning↗
PubMedDate not supplied

Vulnerability of disabled and elderly in disasters: case-study of Israel during 'Desert Storm'.

Populations at risk in a disaster situation include the disabled and elderly. This large and growing segment of the population is in many ways more vulnerable than other people to safety and health hazards of disasters and has specific needs in emergency situations. The 'Desert Storm Operation' (Persian Gulf, January-February 1991) as it affected the elderly and disabled in Israel is described. Although the circumstances were rather specific, the increased vulnerability and some particular needs of this population were disclosed, and could be considered in the plans for preparedness for other types of disaster situations.

Adaptation, Psychological↗
PubMedDate not supplied

Matrix management in a rehabilitation centre.

This paper considers an old topic from a newer perspective, that of current management theory. A high degree of differentiation is intrinsic to most rehabilitation inpatient facilities. At Loewenstein, patients are accommodated according to medical categories in purpose departments, of which medical and nursing staff are a part. Allied health professionals are organized in functional departments. Care is provided by a team derived from both types of department. A matrix organization is thus established, superimposing a patient care team (for lateral horizontal co-ordination) on the organization of functional departments (for vertical hierarchical co-ordination) and built around a temporary project, the individual patient. This organizational structure maximizes the advantages and minimizes the disadvantages of both types of department in solving the conflict between specialization and integration. It has facilitated effective and efficient vertical and horizontal co-ordination and enhanced the provision of care by a multidisciplinary rehabilitation team.

Communication↗
PubMedDate not supplied

Risk factors and causes of stroke in young women in Israel.

OBJECTIVE: to identify risk factors and likely causes for stroke in young women, as a basis for designing a strategy for stroke incidence reduction. DESIGN: retrospective chart review for comparisons between the sexes. SETTING: general and rehabilitation hospitals. PATIENTS: all 263 patients aged 17-45 years with stroke over a 15-year period. EXCLUSIONS: patients seen at 14 general hospitals who were not referred to the Loewenstein. ASSESSMENTS: data on sociodemographic, anamnestic, and clinical aspects. RESULTS: stroke under the age of 30 years was more frequent in women, and in them the risk factors differed from those in an older population. The most frequent cause of stroke in the younger women was embolism, in the majority on the basis of a rheumatic valvular defect, whereas in young men the usual cause was atherosclerosis. CONCLUSIONS: opportunities for preventive initiatives have not always been grasped, and more attention should be directed to such possibilities.

Adolescent↗