Letters to the Editor

PEDIATRICS ◽  
1964 ◽  
Vol 33 (2) ◽  
pp. 309-310
Author(s):  
MORRIS A. WESSEL
Keyword(s):  
Medical Center ◽  
Full Time ◽  
Pediatric Practice ◽  
Letters To The Editor ◽  
Prenatal Visit ◽  
Housing Status ◽  
The City

I do appreciate Dr. Mendelsohn's kindness in writing to obtain further information regarding details of a pediatric prenatal visit for expectant couples. Although I do live in the city where Yale Medical Center is located, I conduct with an associate a full-time pediatric practice. Expectant couples seek appointments in our office because they have learned that this is a well-established routine. I do not understand Dr. Mendelsohn's hesitancy in seeking information as to occupational and housing status of expectant parents.

The Role of the Laser Safety Officer and Laser Safety Programs in Clinical Practice

2021 ◽  
Author(s):  
Christine E Wamsley ◽  
John Hoopman ◽  
Jeffrey M Kenkel
Keyword(s):  
Medical Center ◽  
National Standards ◽  
Clinical Settings ◽  
Full Time ◽  
Health Administration ◽  
Clinical Practices ◽  
Large Hospital ◽  
Laser Safety ◽  
Safety Officer ◽  
Safety Programs

Abstract Recent advancements in laser technology have led to its expanded utilization in smaller clinical settings and medical spas, particularly for facial rejuvenation and the treatment of other aesthetic concerns. Despite the increasing popularity of this technology, discussion of laser safety programs has remained limited, mostly to operating rooms at larger clinical institutions. Although smaller facilities do not operate at the same capacity as a large hospital or medical center, the requirements for utilizing a laser are no less stringent. Employers must comply with local and federal regulations, the Occupational Safety and Health Administration (OSHA) General Duty Clause, American National Standards Institute (ANSI) standards, and professional recommended practices applicable to their business. Although the laser safety officer (LSO) is often a full-time position within larger facilities, smaller clinical settings and medical spas may be limited in staff number. It is important, therefore, that clinical practices establish laser policies and procedures with consideration of their individual needs and capabilities. In this paper, we will define a laser safety program, highlight basic requirements needed to establish this program, and outline the specific responsibilities of the LSO. To ensure that safe laser practices are being conducted at the healthcare facility, it is imperative that small business owners are aware of these regulations and standards in place for the operation of laser systems.

Letters to the Editor

PEDIATRICS ◽  
1971 ◽  
Vol 47 (2) ◽  
pp. 471-472
Author(s):  
Carl C. Fischer
Keyword(s):  
Health Care ◽  
Delivery Of Health Care ◽  
Executive Board ◽  
Pediatric Practice ◽  
Letters To The Editor ◽  
The Future ◽  
The Status

We asked Dr. Carl Fischer, as the most appropriate representative of the Academy, to comment. He did so, as follows: On reading Doctor Schulman's letter of October 13, 1970, I note that his concerns are the same as those felt by the Executive Board when it directed the Council on Pediatric Practice to make a 2-year study of the status of the delivery of health care to children and prepare a report with the best possible recommendations for the future.

NEWS AND ANNOUNCEMENTS

PEDIATRICS ◽  
1951 ◽  
Vol 7 (4) ◽  
pp. 605-605
Keyword(s):  
Medical Center ◽  
Full Time ◽  
Recent Advances ◽  
Therapeutic Measures ◽  
Didactic Material ◽  
Intensive Course

The Michael Reese Hospital Postgraduate School will offer a one week course in "Recent Advances in Pediatrics—Diagnostic and Therapeutic Measures." This full time, intensive course will meet from May 21st to May 26th, 1951. Clinical and didactic material will be presented by members of the Department of Pediatrics and cooperating departments. For further information, address the Dean, 29th Street and Ellis Avenue, Chicago 16. A 6 months fellowship is available at the Seizure Unit of the Neurological Institute, Children's Medical Center in Boston.

A Prospective 12-Month Study of Prescriptions in Long-Term Care Nursing Facility Residents

2019 ◽  
Vol 34 (3) ◽  
pp. 206-214
Author(s):  
Edward L. Schneider ◽  
Jung Ki Kim ◽  
Diana Hyun ◽  
Anjali Lobana ◽  
Rick Smith ◽  
...  
Keyword(s):  
Quality Assurance ◽  
Los Angeles ◽  
Long Term Care ◽  
Medical Center ◽  
Full Time ◽  
Nursing Facilities ◽  
Geriatric Population ◽  
Nursing Facility ◽  
Term Care

AIM: The most frequent use of medications in the geriatric population occurs in skilled nursing facilities. This quality assurance study prospectively examines the high number of prescriptions ordered for long-term nursing facility residents throughout their first year after admission. METHODS: The investigators prospectively followed 101 consecutive long-term-stay older adult residents at the Joyce Eisenberg Keefer Medical Center, a nursing facility of Los Angeles Jewish Home for the Aging (LAJH) over a 12-month period. Preadmission prescriptions were obtained for 91 residents, as well as prescriptions at 1 week, 1 month, 3 months, 6 months, and 1 year after admission. The number of prescriptions by staff physicians and outside physicians was examined. RESULTS: Over the 12 months following admission, the mean number of scheduled prescriptions increased significantly from 11.1 prior to admission to 13.0 by 6 months and to 13.3 by 12 months (P-value < 0.05). The residents who were hospitalized during the 12 months of observation received significantly more scheduled, as needed, and total prescriptions than those not hospitalized. Physicians employed full time by LAJH ordered significantly fewer additional prescriptions than physicians with outside practices. The patients of the staff physicians also had fewer hospitalizations than those of the outside physicians. CONCLUSION: This quality assurance study reveals a statistically significant increase in the number of prescriptions made in a long-term care setting over a 12-month prospective study. Patients of staff physicians received fewer prescriptions and were hospitalized less frequently than patients of physicians who practiced outside LAJH.

Measurement of Individual Clinical Productivity in an Academic Anesthesiology Department

2000 ◽  
Vol 93 (6) ◽  
pp. 1509-1516 ◽  
Author(s):  
Amr E. Abouleish ◽  
Mark H. Zornow ◽  
Ronald S. Levy ◽  
James Abate ◽  
Donald S. Prough
Keyword(s):  
Medical Center ◽  
Clinical Care ◽  
Obstetric Anesthesia ◽  
Fiscal Year ◽  
Full Time ◽  
Full Time Equivalent ◽  
High Productivity ◽  
Academic Settings ◽  
Individual Productivity ◽  
American Society

Background The ability to measure productivity, work performed, or contributions toward the clinical mission has become an important issue facing anesthesiology departments in private practice and academic settings. Unfortunately, the practice and billing of anesthesia services makes it difficult to quantify individual productivity. This study examines the following methods of measuring individual productivity: normalized clinical days per year (nCD/yr); time units per operating-room day worked (TU/OR day); normalized time units per year (nTU/yr); total American Society of Anesthesiologists (ASA) units per OR day (tASA/OR day); and normalized total ASA units per year (ntASA/yr). Methods Billing and scheduling data for clinical activities of faculty members of an anesthesiology department at a university medical center were collected and analyzed for the 1998 fiscal year. All clinical sites and all clinical faculty anesthesiologists were included unless they spent less than 20% of their time during the fiscal year providing clinical care, i.e., less than 0.2 clinical full-time equivalent. Outliers, defined as faculty who had productivity greater or less than 1 SD from the mean, were examined in detail. Results Mean and median values were reported for each measurement, and different groups of outliers were identified. nCD/yr identified faculty who worked more than their clinical full-time equivalent would have predicted. TU/OR day and tASA/OR day identified apparently low-productivity faculty as those who worked a large portion of their time in obstetric anesthesia or an ambulatory surgicenter. tASA/OR day identified specialty anesthesiologists as apparently high-productivity faculty. nTU/yr and ntASA/yr were products of the per-OR day measurement and nCD/yr. Conclusion Each of the measurements studied values certain types of productivity more than others. By defining what type of service is most important to reward, the most appropriate measure or combination of measures of productivity can be chosen. In the authors' department, nCD/yr is the most useful measure of individual productivity because it measures an individual anesthesiologist's contribution to daily staffing, includes all clinical sites, is independent of nonanesthesia factors, and is easy to collect and determine.

scholarly journals Development of a system of indices of the efficacy of the performance of general outpatient department of "Children's Clinical Medical Center" of the city of Chita

2019 ◽  
Vol 19 (3) ◽  
pp. 163-165
Author(s):  
Tatyana A. Chuprova ◽  
G. I. Bisharova
Keyword(s):  
Strategic Management ◽  
Health Facility ◽  
Balanced Scorecard ◽  
Medical Center ◽  
Training And Development ◽  
Rational Structure ◽  
Strategic Objectives ◽  
The Balanced Scorecard ◽  
The World ◽  
The City

One of the most effective and popular tools in the world of strategic management of the organization is the Balanced Scorecard, which increases the capability to achieve the strategic objectives and provides an integrated work of the organization. There is considered the classical rational structure of the working activity of the department in the context of prospects for 4 - finances, cases, internal processes, training and development. There are developed key indices of the efficacy and established their aimed values. The developed system of indices of the efficacy of the work of the Department will allow to detail the aims of operational and personal levels, and as a consequence to improve the efficacy of the management of health facility.

Edinburgh, a Festival City

2019 ◽  
Author(s):  
Vladimir Antchak ◽  
Vassilios Ziakas ◽  
Donald Getz
Keyword(s):  
Portfolio Management ◽  
Full Time ◽  
Tourism Impacts ◽  
Stakeholder Collaboration ◽  
Impact Studies ◽  
Government Work ◽  
Event Tourism ◽  
Scottish Government ◽  
Visitor Survey ◽  
The City

Edinburgh has long been recognized as a global model for “festival cities”, and is often cited as a leader in the planning and evaluation of events. In 2010 Edinburgh won the World Festival and Event City award from the International Festival and Event Association (IFEA) and was declared the most outstanding global entry. According to Visit Scotland’s 2015 visitor survey (cited in BOP Consulting 2018, p. 8), “Edinburgh’s Festivals each year deliver over 3,000 events, reaching audiences of more than 4.5 million and creating the equivalent of approximately 6,000 full time jobs. 32% of the 14 million+ annual visitors to Scotland are moti- vated by the nation’s cultural and heritage offer, in which the Festivals play a defining role.” The city is frequently cited in the events literature, and its generous posting of material online is a boon to scholars and practitioners alike. The companion book in this series, Event Impact Assessment (Getz, 2019), presents highlights from a succession of impact studies that Festivals Edinburgh has placed online, while in this book we examine portfolio management through a review of published documents (all available online) and input from Festivals Edinburgh. Permanent, formal stakeholder collaboration, and strategic planning sup- ported by research is in large part what distinguishes Edinburgh’s event port- folio. The Festivals Forum (established in 2007 following the first Thundering Hooves report) facilitates stakeholder collaboration, particularly by bringing major funders to the table with events and venues. Festivals Edinburgh is a formal, staffed association of the eleven major, permanent festivals that contrib- ute most to the city’s image and to event-tourism impacts. Leadership is shared, not concentrated in one organization. As well, the city and Scottish Government work closely together, facilitated by the explicit portfolio strategy followed by EventScotland. Innovation in programming the festivals is matched by leadership in envi- ronmental sustainability and social responsibility. Engagement with residents is considered to be a high priority, and this includes demonstrating benefits through regular and comprehensive impact studies that cover cultural, social, economic and environmental impacts. Investment in venues and infrastructure has also been a priority for the city.

SERIOUS UNTOWARD REACTIONS TO THERAPY WITH CORTISONE AND ADRENOCORTICOTROPIN IN PEDIATRIC PRACTICE (PART I)

PEDIATRICS ◽  
1957 ◽  
Vol 19 (1) ◽  
pp. 95-118
Author(s):  
Robert A. Good ◽  
Robert L. Vernier ◽  
Richard T. Smith
Keyword(s):  
Experimental Approach ◽  
Clinical Medicine ◽  
Medical Center ◽  
Medical Science ◽  
Pediatric Practice ◽  
Beneficial Effects ◽  
Physiologic Function ◽  
The Common ◽  
Pharmacologic Agents ◽  
Toxic Reactions

THE INTRODUCTION of cortisone and adrenocorticotropin (ACTH) into clinical medicine by Hench et al. has profoundly influenced both medical practice and medical science. Voluminous literature which has collected during the 5 years since their introduction establishes securely the effectiveness of these hormonal agents in diseases previously refractory to medical management. In the laboratory these drugs have also opened whole fields to investigation with a new experimental approach. Data already available suggest that ultimate discovery of the basis of the action of cortisone and ACTH will carry broad inmplications concerning physiologic function and mechanisms of disease. A natural consequence of the introduction of such potent and versatile weapons into clinical medicine is that they should be widely used. In almost every human disease, ranging from the common cold to disseminated malignancy, the steroid hormones and ACTH have been tried. For example, it can be factually stated that few truly ill patients reach the diagnostic medical center without having had at least small amounts of cortisone or ACTH, and it is the extremely unusual patient who reaches the necropsy table without the "benefit" of ACTH, cortisone or one of its analogues. As these drugs have been studied, it has become ever more apparent that they are extraordinarily potent pharmacologic agents which effect or control mammalian physiology in multitudinous areas, perhaps in several different ways. More gradually it has been realized that their effects are not all beneficial. Because of enthusiasm engendered by the availability of potent new pharmacologic agents, reporting from most clinics to date has emphasized the dramatic beneficial effects and tended to minimize the untoward side effects, toxic reactions and potential hazards of hormone therapy. It is the purpose of this report to review some of the hazards of treatment with cortisone and ACTH in pediatric practice.

Velarde, Héctor Bergman (1898–1989)

2018 ◽  
Author(s):  
Katerine Tapia Vila
Keyword(s):  
Higher Education ◽  
Childhood And Adolescence ◽  
Full Time ◽  
Institutions Of Higher Education ◽  
Academic Texts ◽  
Vice Chancellor ◽  
The University ◽  
The City

The architect Héctor Velarde was born in Lima, Peru, on May 14, 1898. His father was a diplomat and Velarde passed his childhood and adolescence in Brazil, Switzerland, and Paris. Velarde studied in France at the École Spéciale des Travaux Publics, du bâtiment et de l’industrie graduating as an architect-engineer in 1919. In 1920 he entered the École des Beaux-Arts where he studied at the atelier of Victor Laloux, an upcoming neoclassical French architect. In 1924 Velarde returned to Lima, and from then until 1927 dedicated himself to the diplomatic service, to literature and to journalism. In 1928 he resigned from the diplomatic corps and devoted himself full-time to architecture and construction, as well as to teaching at various institutions of higher education, becoming Vice Chancellor of the University of Lima. During his career as an architect he built several projects that can still be seen in the city today. A prolific writer, he produced a variety of academic texts and humorous stories. Velarde died on December 22, 1989.

scholarly journals 1064. Antimicrobial Stewardship Program at a Large Academic Medical Center, Impact Over 12 Years

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S376-S377
Author(s):  
Susan E Kline ◽  
Kimberly Boeser ◽  
Jeana Houseman ◽  
Samantha Saunders ◽  
Shawnda Johnson ◽  
...  
Keyword(s):  
Antimicrobial Stewardship ◽  
Medical Center ◽  
Academic Medical Center ◽  
Tertiary Care ◽  
Care Facility ◽  
Downward Trend ◽  
Full Time ◽  
Antimicrobial Stewardship Program ◽  
Stewardship Program ◽  
Hospital Acquired

Abstract Background The University of Minnesota Medical Center (UMMC) is a tertiary care facility, which has had a comprehensive antimicrobial stewardship program (ASP) for 12 years. Methods The antimicrobial stewardship team is comprised of a full-time PharmD and ID staff physicians. Recommendations are placed in the electronic medical record as a progress note. Verbal recommendations may also be made. Results There was a downward trend in Hospital-acquired (HA) C. difficile diarrhea from 2007 to 2014 from 1.2 to 0.5/1000 patient-days (pt day). Rates appear stable from 2014 to 2019 with adjustment for change to NHSN lab-based CDI surveillance (Figure 1). From 2009 to 2019 a decrease was seen in VRE hospital-acquired infections (HAI) from 0.53 to 0.21/1,000 patient-days and in MRSA HAIs from 0.2 to 0.14/1,000 patient-days. Newly acquired ESBL HAIs have remained relatively stable from 2009 to 2019 at 0.09 to 0.05/1,000 patient-days. CRE HAIs are low but stable rates at 0.02/1,000 patient-days (Figure 2). We track antimicrobial utilization for internal and national reporting (starting in July 2017). A SAAR for all Antibacterial agents (ICUs, wards, and oncology units) of 1.33 in 2018. Our top four agents average DOT; piperacillin/tazobactam (66.81), cefepime (34.40), oral levofloxacin (23.56) and intravenous meropenem (21.49). We demonstrate lower average DOT for our restricted antimicrobials (206.21) as compared with our nonrestricted antimicrobials (236.74) (Figure 3). Cost savings continued from year to year. After adjusting for inflation annually, our expected costs ($84.08) compared with actual costs ($40.12 ytd 2019), demonstrates effective cost management of antimicrobial agents. (Figure 4) Conclusion We observed a decrease in HAIs VRE and C. difficile infections after 3 years of operation, and MRSA after 5 years. This downward trend has continued. ESBL HAIs remain relatively stable and CRE are stable at low rates but remain emerging HAIs of concern. We are now focusing efforts on limiting unneeded fluoroquinolone and carbapenem use. We continue to analyze our SAAR data and internal DOT data to identify areas of opportunity to improve antimicrobial use. The ASP outcomes have continued to cost justify ongoing efforts. The effects of the program and the Infection Prevention Department appear to be synergistic. Disclosures All authors: No reported disclosures.

Sign in / Sign up

Export Citation Format

Share Document