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At least 19 recordsLinked to original sources
PubMed1977

A comparative trial of polyglycolic acid and silk as suture materials for accidental wounds.

A prospective clinical trial compared polyglycolic acid (P.G.A.) suture material with silk in the closure of wounds in 1000 patients attending the accident service of a district hospital. Statistical analysis showed the incidence of inflammatory reaction and suppuration to be significantly lower in wounds sutured with P.G.A. The analysis took into account the site of the wound, and the age and sex of the patients. P.G.A. sutures rather than silk are therefore recommended in the treatment of wounds in an accident service.

Accidents↗
PubMed1977

[Incidence of obesity in hospitalised patients 1933-1972 (author's transl)].

Analysis of 31 686 patient records for obesity among hospitalised patients in the Second Medical Clinic of Düsseldorf University between 1952 and 1972 demonstrated a steep rise to a plateau of 24 +/- 2% in 1956-1972. Adding a corresponding analysis from the Bonn Medical University Clinic some 66 000 hospitalised patients could be included for a period of 40 years. Socio-economic conditions in the war and post-war period produced a marked fall in obesity to a minimum of 2% in 1946. The mean incidence before 1935 was 10%, by 1958 it had increased two-and-a-half fold. It is thought that this had been due not to a corresponding higher calorie intake by the population but rather a general reduction in physical activity. The increase in obesity among the population, reflected in these hospital statistics, is likely to lead to a parallel increase in cardiovascular risk factors and with it the ever-rising curve of death from cardiovascular disease in the Federal Republic of Germany.

Cardiovascular Diseases↗
PubMed1977

Evaluation of burn care in florida.

To determine if additional burn-care facilities or educational programs for burn care were needed within Florida, 73 of the state's 220 hospitals were studied. Data were collected on hospital statistics for a one-year period, as well as on 1656 patients admitted for burns to these hospitals during that year. When results were adjusted for severity of the injury, there was no evidence that outcomes of patients were better in any one or group of the State's eight regions, or in hospitals that had special burn units. Considerable evidence, however, indicated the need for additional educational programs in burn care. Many records were poor, admissions were inappropriate, patients with minor burns stayed too long, and burn shock was too frequent.

Adult↗
PubMed1979

You can draw blood from the "IV arm" below the intravenous needle if you put a tourniquet in between.

The authors performed a comparative study of the values of 18 serum constituents of blood specimens taken simultaneously from the arm into which an intravenous solution was flowing, using a site distal to the intravenous needle, and from the other arm. Subjects of the study were 15 patients at the Norwalk Hospital. Statistical analysis showed no clinically significant difference between the levels in the two arms except for elevation of glucose in the "iv arm" when the intravenous solution contained glucose.

Blood Chemical Analysis↗
PubMed1979

Pigmentary degeneration of the retina in heredodegenerative neurological diseases.

Frequency of pigmentary degeneration of the retina (PDR) among patients with degenerative and heredodegenerative neurological diseases (HDNDs) was estimated based on the hospital statistics. PDR was detected in 3% of 176 inpatients with HDNDs by careful ophthalmologic examination. On the other hand, out of 30 consecutive cases of PDR seen in our Department of Neurology, 15 patients were associated with some form of HDNDs. Atypical PDR were more frequently associated with HDNDs than typical PDR. Among neurological manifestations in those 15 cases of PDR associated with HDNDs, mental deficiency, hearing disturbance, spasticity, progressive ophthalmoplegia and ataxia were most frequently encountered. Four cases with unusual symptomatology were presented. Clinical analysis of cases of PDR associated with HDNDs in the present series as well as in the relevant literature revealed an extreme variety of clinical manifestations and underlying metabolic disorders, suggesting a possible participation of multiple factors in the pathogenesis of PDR. Importance of careful ophthalmologic examination in HDNDs was stressed from the prognostic point of view.

Adolescent↗
PubMed1977

Informal admission of patients to state psychiatric institutions.

Informal hospital admission procedures require no written application by patients and provide that patients must be released upon their demand to leave the hospital. Statistics indicate that informal admission is infrequently used by hospital staff where the more restrictive conditional voluntary procedure is available. Origins of staff reluctance to use informal admission are discussed.

Attitude of Health Personnel↗
PubMed1978

Incidence and natural history of renal stone disease and its relationship to calcium metabolism.

In three different general health surveys, including more than 17,000 individuals, the prevalence of renal stone disease was over 10% of all males and 3% of all females. Stones are thus far more common in the population than is generally appreciated from hospital statistics. Each year approximately 1% of the entire adult male population experiences renal stones. This figure appears to increase rapidly and is now at least twice as high as only 20 years ago. Stone formers as a group had a raised urinary excretion of calcium, but were not particularly accumulated in the upper part of the normal urinary calcium distribution. This pattern was generally caused by an intestinal hyperabsorption of calcium, apparently not dependent on the action of parathyroid hormone. The prevalence of stone disease was closely related to the urinary calcium output.

Adult↗
PubMed1975

[Pulmonary embolism and preventive anticoagulant treatment in hospitalized elderly patients. Statistical study of their respective risks].

Pulmonary embolism and preventive anticoagulant therapy of ederly patients in hospital. Statistical survey of their respective risks. The incidence of pulmonary embolism as a cause of death seems the higher as its strikes old people (above 60) affected by cardiovascular diseases and who are bed tied; the interest of preventive anticoagulant treatment (PAT) remains controversial. This matter has been studied over a period of 5 years from the files of a geriatric cardiology department; 455 anatomo-clinical documents have been set up. This survey confirms the frequency of mortality by pulmonary embolism (23,9 %) and its diminution under long-term preventive anticoagulant treatment 6,6 %). The anticoagulant therapy does not increase the risk of haemorrhagic accidents, from the point of view of frequency, but slightly increases it if one considers the number of days spent in hospital. As a conclusion, the preventive anticoagulant treatment seems positive insofar as contra-indications are strictly observed, in particular the digestive ones. The mechanism of some hemorrhagic accidents with or without PAT remains sometimes difficult to explain.

Aged↗
PubMed1978

Relationships among HMO hospital utilization, physician visits, and years operational.

Statistical tests are performed on the membership of HMOs for which data are available (N = 124) to determine if (1) hospital utilization by HMO members is correlated with physician visits, (2) hospital utilization is correlated with the number of years a HMO is operational, and (3) physician visits is correlated with the number of years a HMO is operational. Statistical tests indicate that there is no correlation among the three pairs of variables.

Ambulatory Care↗
PubMed1977

Community psychiatry in a London borough. An eleven-year analysis of a socio-medical service for psychiatric illness.

A study, covering the years 1964-67, of an integrated psychiatric service for a population of 92,000 was described in this Journal in 1969. This paper describes the continuation of this study to cover the further period 1967-75 and comments on data relating to the whole 11-year period. In this comment, the needs of this psychiatric service have been compared with data from other workers and with current Guidelines from the Department of Health and Social Security.

Adult↗
PubMed1977

The diffusion of hospital technologies: some econometric evidence.

This paper examines the diffusion of five hospital technologies that have spread widely since 1950: the postoperative recovery room, the intensive care unit, the respiratory therapy department, diagnostic radioisotope facilities, and electroencephalograph. The regressions show that the logistic function describes the diffusion of hospital innovations as well as it does the diffusion of innovations in other industries, that the rates of diffusion for these technologies fall within the range established by work on other industries, and that the rates for technologies that were not yet widespread in the middle 1960s increased with the advent of Medicare and Medicaid.

Costs and Cost Analysis↗