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Biomedical subjects

A S Weinstein

Publications and source records attributed to A S Weinstein.

28 records · Page 2Linked to original sources

The mythical readmissions explosion.

During the past decade and a half, readmissions increased substantially as a proportion of all admissions to state mental hospitals, and the absolute number of readmissions appeared to rise. These trends were interpreted widely, but incorrectly, as reflecting an accelerated rate of return to the hospitals by discharge patients. Most of the rise in the readmission percentage in New York State mental health facilities was due to a drop in first admissions, and the apparent increase in the number of readmissions was entirely accounted for by several statistical artifacts. There was no appreciable increase in the rate of patients' rehospitalization within given periods of time after their release.

Aged↗

Characterization and properties of Hb York (beta 146 His leads to Pro).

A second case of Hb York (beta 146 His leads to Pro), was discovered in a patient with polycythemia. The oxygen equilibrium curves (OEC) of red cell suspensions in a buffer (pH 7.4) at 37 degrees C revealed a biphasic curve with a P50 of only 12.5 mm Hg (normal value: 26.5 +/- 1.0 mm Hg). The purified Hb York had an extremely high affinity for oxygen with diminished cooperativity and decreased Bohr effect. The oxygen affinity was significantly reduced by inositol hexaphosphate. Molecular stability studies by mechanical shaking of various liganded forms of Hb York revealed stabilities between those of Hb A and Hb S. Isolated beta Y-subunits were more unstable than beta A-subunits at every pH examined. Hb York was 1.4 times more unstable than Hb A in 18.9% isopropanol.

Chemical Phenomena↗

Implementing DSM-III in New York State mental health facilities.

In 1979 the commissioner of the New York State Office of Mental Health, after consulting with a committee of professionals, decided to adopt DSM-III as the psychiatric disorder classification system for state-run facilities; locally operated facilities were also encouraged to follow the new system. This report describes the processes administrative staff underwent in implementing the system. The authors discuss the problems encountered in winning acceptance of the new system, in adapting computer programs to the new coding, in encouraging its use by sister agencies, in training staff, in rediagnosing patients, and in reporting results to Medicaid and Medicare agencies.

Community Mental Health Services↗