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Biomedical subjects

R Lowenstein

Publications and source records attributed to R Lowenstein.

7 recordsLinked to original sources
PubMed1993

A company's commitment to waste reduction, recycling, and reuse.

Charles Heiman would be proud to see his vision being carried on and that Standard Textile is not only doing well, but also doing good. As an industry leader, Standard Textile has incorporated the entire cradle-to-grave concept in product creation. As a result, Standard Textile can compete in tomorrow's markets because the end user will mandate an environmentally sound product or process when alternatives are available. As a society, we are faced with some tough decisions about our environment and the world we live in. A very positive step all health care facilities can take for our future and our children's future is to employ a reusable and recyclable system. Switching from disposable to reusable textiles dramatically reduces the amount of solid waste but does so without using excessive water because of state-of-the-art recycling facilities now available. It also can offer the user better performance of the products they need to use. The answer is simple enough--investment in reusable and recyclable systems is in everybody's interest.

Conservation of Natural Resources↗
PubMed1976

Assessment of ambulatory care: application of the tracer methodology.

Utilizing a tracer method in the assessment of care was investigated in a large pediatric clinic. A set of tracers were selected and agreement was obtained concerning the relevance of care criteria by at least 80 per cent of the facility physicians. One tracer, iron-deficiency anemia, was studied using two nonphysician abstractors to review a sample of 100 patient records with hemoglobins of 11.0 gm/100 ml or less. Results were compared with an implicit review by a panel of physicians. In 52 patients, the low hemoglobin level was not recognized. Only 25 patients proceeded through the care levels of evaluation, diagnosis, treatment, and follow-up. Poor compliance was found with the approved criteria. Weighted scores of the explicit tracer method were closely related to ratings by the implicit reviewers. Utilizing tracer assessment with nonphysician abstractors demonstrated remediable deficiencies in health care services.

Ambulatory Care↗
PubMed1976

Physician's attitudes toward the ill aged and nursing homes.

A survey of physicians in private practice (exclusive of pediatricians) was conducted in a medium sized suburban city in the New York metropolitan area, to determine whether physicians' attitudes toward the ill aged and nursing homes were predictors of the quality of medical care available to area nursing home patients. Questionnaires were circulated to 302 practitioners. Of the 28 percent who responded, 32 percent were psychiatrists, 15 percent primary care physicians and 8 percent orthopedists. Physicians felt competent to manage the ill aged, although 50 percent had had no significant degree of exposure to geriatric medicine in their medical education, and 70 percent of the primary care group had had none. Primary care and older physicians were more likely to treat patients in nursing homes. Almost 40 percent viewed the nursing home as a place to die. Although 85 percent studied that physicians should be involved in the nursing home displacement process, only 21 percent believed that they continued to be in charge of their patients after placement. The findings demonstrate generalized medical disinterest in the care of ill aged patients in institutions. The persons responsible for awarding government grants and those involved in planning medical school curricula should pay more attention to the needs of the chronically ill aged.

Aged↗