Detroit: intersection of business, health care and community activism.
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Biomedical subjects
Publications and source records attributed to C Appleby.
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Population dynamics of Gyrodactylus salaris on 5 year classes of Atlantic salmon, Salmo salar, in the river Batnfjordselva in Norway was studied from April 1991 to June 1994. Prevalence was 100% on all year classes throughout the study period, except for a marked decline in winter and spring of 1992. Median abundance generally increased during summer and peaked in September/October at levels between 400 and 1,300 parasites. The lowest number of parasites was observed during winter and spring. The seasonal dynamics in the first year of the study differed markedly from the remainder of the study, abundance peaked already in June/July on 1+ and 2+ fish the first year, but decreased throughout summer and peaked again in autumn. A collapse in the G. salaris population was observed in the winter of 1991/1992, with prevalence being 0-40% on all year classes. Parr aged 2 yr harbored significantly fewer parasites than younger parr during the winter months. Parasite intensity on precocious males was significantly higher than on sexually immature males and females. Gyrodactylus salaris was found on the fins (76%), gill filaments (15%), and head/body (9%). During the last 2 yr of the study the gills were increasingly infected, with 40% of the parasites found on gills in some samples.
Skin morphology of Atlantic salmon, Salmo salar, parr infected with Gyrodactylus salaris was examined for 3 yr in the river Batnfjordselva in Norway and compared to that of uninfected salmon parr from a neighboring river. The epidermis of the infected population had more cell layers and was thicker than the epidermis of parr from the uninfected population. The number of mucous cells did not differ, and no seasonal changes in morphology of the epidermis were detected in either rivers. Intensity of G. salaris did not correlate to epidermal thickness, epidermal cell layers, or mucous cell concentration.
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When Hurricane Opal slammed Florida's gulf coast last October, Baptist Healthcare in Pensacola was in danger of a direct hit, putting the hospital's mainframe, minicomputers and telecommunications network--not to mention its patients--in peril. But Baptist had planned for just such a danger and, in the end, no harm was done. How would your hospital have fared? Here's what you can do now to make sure your hospital will keep running after disaster strikes.
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Whether they're fulfilling a mission or just trying to avoid bad publicity, health care executives are facing a tough new world of deal- and decisionmaking based on managed care and the often murky area of ethics. Some are trying to solve the dilemma by developing a set of ethical guidelines from which to work. "It's an exercise in self-understanding," says one health care ethicist who's helping to write such guidelines. Ultimately, he says, it comes down to one question: "What are we really about?"
Health care firms of all types helped fuel the biggest short-selling frenzy in the New York Stock Exchange's history, recently hitting a record 2.2 billion shares. While some analysts say this means nothing, the fact is that many investors are "shorting" the stock; in other words, they're betting against it. What appears as a lack of confidence may be nothing more than a simple quirk of Wall Street. Good, bad or indifferent, selling short is no tall tale.
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They don't call the onslaught of managed care a revolution for nothing: everything is different now. Especially communications technology. The key tasks of managed care, from identifying best practices to coordinating physicians, are impossible when relying on paper records alone. That's why more health systems are depending on automated medical records. Though it's still not too late to catch up to stay competitive, now could be your last chance.