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Biomedical subjects

S Penchas

Publications and source records attributed to S Penchas.

59 records · Page 4Linked to original sources

Clinical manifestations of splenic abscess.

Two patients with splenic abscess were successfully treated. In one patient, Streptococcus viridans, possibly arising in a dental abscess, led to inflammatory left upper quadrant signs. An exploratory laparotomy was performed, and the spleen, being found enlarged, was removed. The other patient showed no peritoneal signs. Laparotomy was done for pyrexia of unknown origin, and the removal of a normal-sized spleen was elected on the suspicion of lymphosarcoma. The spleen was abscessed, apparently because of old infarcts. A high index of suspicion is important in diagnosis, and selective angiography, not used in these two patients, is recommended.

Abscess↗

Toward the development of a technology assessment methodology in medical diagnosis and therapy.

Existing priorities for the provision of health care are increasingly seen to be arbitrary and inequitable. The informed public in developed countries is demanding a rational, consistent and responsible program for the apportioning of health resources, both in their own and in Third World nations. An evaluation methodology is proposed for measuring the main aspects of a nation's health. It is based on a flowchart of averaged, relative, weighted, multiple parameters, each comprised of the elements of technology. It is designed as an objective system--superseding former weighting processes, which were influenced by ambition, prestige, prejudice and narrow politics--and has sufficient flexibility to accommodate both the anticipated and the unforeseen.

Health Priorities↗