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Biomedical subjects

Stuart Baker

Publications and source records attributed to Stuart Baker.

4 recordsLinked to original sources

Medical staff organizations: a persistent anomaly.

Medical staff organizations (MSOs) originated to reconcile hospitals' hierarchical management structure with the professional autonomy demanded by physicians. MSOs' primary purpose is to hold physicians collectively accountable for patient safety and clinical performance. However, in an era of declining hospital activity, most physicians no longer understand this. More often, they view the MSO as a political body whose purpose is to foster physicians' interests with the hospital's administration and board of trustees. In many hospitals, it is difficult to determine whether the MSO is the key to clinical improvement or the biggest barrier.

Decision Making, Organizational↗

The "Moya" you look, the "Moya" you find.

A middle-aged woman was admitted to hospital after a motor vehicle accident. A large acute intracranial haematoma was initially thought to be traumatic in origin, but its unusual position and the lack of external features of head trauma prompted investigation for other causes of intracerebral haemorrhage. Moyamoya intracranial vascular abnormalities were diagnosed. We discuss the presentation of non-traumatic intracranial haemorrhage in the setting of presumed trauma, and the unusual conditions of moyamoya syndrome and moyamoya disease.

Accidents, Traffic↗

Just what the doctor ordered.

Healthcare organizations can improve quality and reduce supply costs by engaging physicians in standardizing supplies. Hospitals should take an active role in managing relationships with physicians and suppliers. To minimize supply selection based primarily on physician preference, hospitals can take several actions, including providing data support for change and identifying appropriate incentives.

Commerce↗

Mouse ovarian follicles secrete factors affecting the growth and development of like-sized ovarian follicles in vitro.

A series of experiments have been carried out to determine whether follicles secrete factors able to affect the growth and development of other, like-sized follicles. Late preantral mouse ovarian follicles were either cocultured or cultured in media conditioned by previously cultured follicles. In particular, the experiments examined whether follicles do secrete such factors, whether the level of FSH in the culture media can affect that process, and what the nature of such secretory factor(s) might be. First, pairs of follicles were cocultured across a polycarbonate membrane containing pores. This showed that communication between the follicles resulted in the stimulation of growth and that the stimulation was due, at least in part, to the production of secretory factor(s). In subsequent experiments, follicles were cultured in media that had been preconditioned by previously cultured follicles. The concentration of FSH in the cultures determined the effect of the conditioned media: conditioned media was stimulatory to follicle growth when levels of FSH remained high throughout the culture, but inhibitory when FSH levels were dropped midway through the cultures. Heat inactivation removed this inhibitory effect, showing that the factor was likely to be a protein; addition of follistatin to the conditioned media did not alter its effect, indicating that the factor was unlikely to be activin. We have shown through a series of culture experiments that mouse follicles secrete factor(s) that can affect the development of other like-sized follicles when cultured from the late preantral to Graafian stages. Furthermore, we have shown that the effect (or production) of such factors is dependent on the FSH environment of the follicles.

Animals↗