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T Sanders

Publications and source records attributed to T Sanders.

25 records · Page 2Linked to original sources

Antibiotic prophylaxis in hysterectomy--cefotaxime compared to ampicillin-tinidazole.

The role of prophylactic cefotaxime and a combination of ampicillin and tinidazole was assessed in 201 patients undergoing hysterectomy. One hundred and twenty-five patients were evaluated in the abdominal hysterectomy group and 46 patients completed the protocol after vaginal hysterectomy. Patients were allocated randomly to receive either (1) no prophylactic antibiotic, (2) cefotaxime peroperatively for 24 h or (3) ampicillin/tinidazole peroperatively for 24 h. Both cefotaxime and ampicillin/tinidazole reduced the septic complication rate in abdominal and vaginal hysterectomy. Efficacy was most evident in reducing early urinary infections after abdominal hysterectomy (0.001 less than P less than 0.01). Cefotaxime and ampicillin/tinidazole were equally effective and no significant side-effects were demonstrated. Cefotaxime is recommended as a safe and effective agent for hysterectomy prophylaxis.

Adult↗

The modified Hohmann bunionectomy: a retrospective review.

A retrospective review of 35 modified Hohmann bunionectomies is presented with analysis of objective radiographic and subjective patient questionnaire results. Thirty-five modified Hohmann bunionectomies were performed, on 29 patients over a 6-year period with follow-up ranging from 11 months to 5 years and 11 months. The modification involves resection of a triangular wedge from the first metatarsal, to minimize shortening, and utilizes two points of fixation. In total, 88% of those patients responding to our questionnaire had either excellent or good results. The Hohmann bunionectomy is a valuable procedure in alleviating symptoms caused by hallux abductovalgus.

Adult↗

Efficiency experts. Hospitals can improve performance by starting in the human resources department.

In our changing economic environment, efficient human resource (HR) management is especially crucial to hospitals. Has the emphasis on HR activities responded to this changing environment? We studied 165 hospitals to determine whether they are making good use of HR. The results of our study show that HR activities remain important during these turbulent times. The emphasis hospitals place on HR activities increased slightly between 1985 and 1986. Performance evaluation ranked the highest in emphasis; job redesign and analysis were also high ranking. These are important mechanisms for improving performance and productivity. Respondents also rated HR activities by importance. Several categories that ranked high in change in emphasis ranked low in importance, and vice versa. One reason for this discrepancy between emphasis and importance is that HR activities that directors consider important may have already received a great deal of emphasis, leaving no room for increase. Also, circumstances may dictate increased emphasis on an activity (e.g., layoffs) even though HR directors consider it unimportant.

Attitude of Health Personnel↗