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Biomedical subjects

V K Johnson

Publications and source records attributed to V K Johnson.

12 recordsLinked to original sources
PubMed1999

Planned cesarean hysterectomy: A preferred alternative to separate operations.

OBJECTIVE: The aim of this study was to evaluate our institutional experience with planned cesarean hysterectomy. STUDY DESIGN: In this retrospective case-control investigation of a 16-year experience, 100 pregnant women who underwent planned cesarean hysterectomy were compared with 37 patients who underwent cesarean delivery followed by a hysterectomy performed within 6 months. RESULTS: Women undergoing planned cesarean hysterectomy did not have any demonstrable increase in intraoperative or postoperative complications when compared with the cesarean delivery plus later hysterectomy group. Primarily as a result of significantly reduced hospital stay and shorter total operative time, there was a significant financial advantage associated with a single planned cesarean hysterectomy with respect to separate operations. CONCLUSIONS: A policy to undertake planned cesarean hysterectomy for carefully selected patients appeared to produce advantages without increasing risks for these patients. Secondarily, it provided resident physicians the opportunity to learn the operation with supervision and under controlled circumstances.

Adult↗
PubMed1994

Attitudes, experience, and influence of family medicine predoctoral education directors.

BACKGROUND AND OBJECTIVES: While debate surrounds the determinants of medical students' specialty choices, the presence of favorable role models is generally agreed upon as beneficial to students' selection of a specialty. This study assessed the influence of family medicine predoctoral education directors on students' choice of family practice careers. METHODS: A nine-question survey was mailed to 120 predoctoral directors identified by American Academy of Family Physicians' listings; 102 completed forms were returned (85% response). RESULTS: The vast majority (97%) of directors responded that they enjoyed their role, although 14% indicated they did not want the position. Almost half (41%) reported they had extensive training in education, but almost 10% had no formal education training. Time as predoctoral director was often short, with a median of 3.5 years. When responses were linked to institutional rates of graduate entry into family practice, the only significant predictor of student entry into family practice with multivariate analysis was the number of years the predoctoral director had served in that position. CONCLUSION: Long-term service of an interested predoctoral director may assist in successful recruitment of students to family practice.

Attitude of Health Personnel↗
PubMed1981

Variables affecting productivity in food service systems of nursing homes.

Data were collected in food service systems of 14 nursing homes to measure and correlate 16 variables hypothesized to affect quantitative productivity, defined as minutes per meal equivalent. Analysis of data showed that as two variables--ratio of the number of employees to full-time equivalent positions and total labor hours--increased, minutes per meal equivalent increased; thus quantitative productivity decreased. As four variables--turnover of full-time employees and of all employees, ratio of number of residents to full-time equivalent worker, and total meal equivalents served--increased, minutes per meal equivalent decreased; thus quantitative productivity increased.

Adult↗
PubMed1980

A short method to ensure nutritional adequacy of food served in nursing homes. I. Identification of need.

The need was identified for a short method to ensure that food served to nursing home residents provides 100 per cent of Recommended Dietary Allowances for fourteen nutrients without exceeding 110 per cent of the allowances for calories. In one or all three nursing homes studied, food served was nutritionally adequate except for: Niacin, zinc, magnesium, vitamin B6, and folacin. The pattern of food used showed more variation between nursing homes than within a single nursing home, suggesting that a short method should be developed for each nursing home.

Aged↗
PubMed1980

A short method to ensure nutritional adequacy of food served in nursing homes. II. Development of a model food plan.

A model food plan was developed to serve as a short method to ensure nutritional adequacy of food served to nursing home residents. Criteria were that the food plan provide 100 per cent of 1974 Recommended Dietary Allowances (RDAs) for fourteen nutrients without exceeding 110 per cent of allowances for calories. To meet the criteria, an increase in pounds of meat, fish, and poultry; dried beans, peas, and nuts; green leafy vegatables; bananas; and dry cereals over actual food issues was required. The model plan is presented in the form of pounds of food, per sixteen food groups, required for 100 persons, per day.

Aged↗
PubMed1980

Productivity in foodservice systems in fourteen nursing homes.

Activity sampling was used to determine the time foodservice personnel spent in work and delay activities in fourteen non-governmental skilled nursing facilities with bed capacities ranging from 81 to 120 and an occupancy rate above 80 per cent. Mean total minutes per meal equivalent (during three days of study) ranged from 7.13 to 18.95, with a mean of 11.25. Analysis of variance indicated significant differences (p < 0.01) in total minutes per meal equivalent and in direct, indirect, and delay time among the fourteen homes; no statistically significant differences were found among days.

Aged↗
PubMedDate not supplied

Tracking medical students' clinical experiences with a computerized medical records system.

A fully computerized system for recording and reporting of medical students' patient contacts has been developed and successfully used in a high-volume outpatient practice. In contrast to previously described systems, the need for manual recording and/or entry of patient data has been eliminated by the use of an existing, integrated computerized medical records system. This makes possible the generation of frequent reports and timely review and adjustment of student experiences. The system has broad applicability and may also be useful for research in medical education.

Clinical Clerkship↗