PubMed Health⌕ Search

Biomedical subjects

W K Marti

Publications and source records attributed to W K Marti.

9 recordsLinked to original sources

[Initial experiences with a new kind of computer compatible coding and analysis system for inpatient and ambulatory services].

This paper describes a new concept of an operational database management system including the word processing program "Word Star". The system structure is composed of patients identities and linked MIR's (medical information records) to follow a patient's history in space and time. In- and out-patient's data are collected on a special data sheet with numeric responses from the following areas: demographics including risk factors, diagnosis, surgical procedure, intra- and postoperative morbidity analysis. Data are entered using a DBS-16 concurrent dos system and stored on a 105 Megabytes hard disk. The software program in its compiled version allows for processes like outpatients clinic management, appointments organisation and statistical analysis of different variables thus providing detailed information on patients postoperative morbidity.

Ambulatory Care↗

[Laparoscopy in gynecology and obstetrics].

Thanks to the statistics of the Arbeitsgemeinschaft Schweizerischer Frauenkliniken (Swiss Gynecological Clinics' Working Group) it has for the first time become possible to report on larger numbers of laparoscopies performed in Switzerland. In contrast to most international statistical records, data relating to this subject are gathered prospectively; there is no doubt that this improves the quality of the data. The authors report on a total of 18,186 laparoscopies performed in 1983/84/85, in 50% of the cases for sterilization. The various sterilization methods employed are discussed. As far as diagnostic laparoscopies are concerned, the indications and techniques are described. Serious intraoperative complications occurred in 15 cases, which corresponds to one serious complication in every 1,212 laparoscopies. Fortunately, not a single patient died as a direct result of the laparoscopy. The results are compared with those in the international literature. With regard to late-onset morbidity it is evident that there are more complications with the more complex procedure of diagnostic laparoscopy.

Female↗

[Obstetric-gynecologic data collection for quality control and responding to health and political status questions. A survey based on 250,000 patients].

Since January 1, 1983 a total of 250,000 patient records have been stored in computer-compatible form in the data base of the Working Group of Swiss Gynecologic Clinics (59 gynecologic-obstetric departments). The information resulting from this mass of data is commented on and analyzed in concise form. Problems of quality control, health care and status-related policies can be addressed and resolved on the basis of up-to-date data which are always available. In the authors' experience, the benefit of correctly compiled statistics is indisputable.

Cesarean Section↗

[Gynecologic cancers: preventive examinations and their limits. An analysis of the current staging and percentage distribution based on 2,612 cancers of the 1 January 1983 to 25 November 1985 cumulative statistics of the Society of Swiss Gynecologic Clinics].

An overview of the stages and age distributions is given for 2612 invasive genital and 1237 breast cancer cases, called from the data bank, compiled by the Swiss working group of the departments of gynaecology and obstetrics and consisting of 172,399 cases (1983-1985). The general over-representation of advanced and more therapy-resistant cancer stages (exception: corpus cancer) and their high incidence in advanced menopausal age, still characterise the present, all but satisfactory condition. Progress in the treatment of genital and breast cancers can be achieved only through improved early diagnosis with preventive examinations, without a limitation placed on age.

Breast↗

[Antibiotic prophylaxis in elective colon surgery: comparison of the combination of metronidazole (Flagyl)/cefazolin (Kefzol) with cefazolin alone].

In this prospective trial prevention of infectious complications after elective colonic surgery was studied. 34 patients receiving i.v. cefazolin were compared to 32 patients receiving oral metronidazol and i.v. cefazolin. No significant difference was observed concerning local wound infection, septicemia, anastomotic dehiscence or death. The rate of postoperative infection was 53% in group I, 34% in group II. No side effects of this prophylaxis were observed.

Aged↗