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Biomedical subjects

D J Fink

Publications and source records attributed to D J Fink.

At least 127 records · Page 7Linked to original sources

Developing marketing strategies for university teaching hospitals.

University teaching hospitals face increasing competition from community hospitals, expanding regulation of health care, a rising tide of consumerism, and in many cases a declining urban population base. These problems, which may threaten the teaching hospital's ability to continue tertiary care, teaching, and research functions, may be solved with the aid of new marketing strategies. In developing its marketing strategy, a hospital must assess its strengths and weaknesses, specify its goals in measurable terms, implement tactics to achieve these goals, and evaluate its marketing program. The strategies should be directed toward achieving better relationships with institutions, practitioners, and surrounding communities and increasing patient, visitor, and employee satisfaction. A wide variety of programs can be used to reach these goals and to help teaching hospitals meet the competitive challenges of this decade.

Certification↗

Metabolic mapping of functional activity in the hypothalamo-neurohypophysial system of the rat.

Physiological stimulation of the hypothalamo-neurohypophysial system by salt loading of rats resulted in a dramatically increased glucose utilization in the posterior pituitary but not in the paraventricular or supraoptic nuclei. The good correlation between glucose utilization and neural activity in the posterior pituitary (that is, nerve terminals) contrasted with the lack of correlation in the paraventricular and supraoptic nuclei (that is, the sites of the cell bodies of the same neurons). This difference in the metabolic response to functional activity between the two regions of these neurons can be explained by the differences in surface-to-volume ratios of these regions.

Animals↗

Cancer overview.

Cancer is a very common group of diseases. There are 700,000 cases of the disease reported each year, and about 350,000 persons die of these diseases. There is extensive literature and documentation relative to alcohol as a probable factor in the development of head, neck, and esophageal cancers among others. However, there is little in the literature relative to the interrelationship of alcohol and cancer in the area of cancer treatment. Dignity of the dying patient and his family is maintained, and home care is a vital component. While alcohol use is not generally written about, it is used as desired by the patient. A "Brompton's-type cocktail," a mixture of morphine, cocaine, and alcohol, forms a basis of pain control in English and many United States' hospices. One purpose in today's conference is to look at another lifestyle factor, alcohol, to determine its role alone or in conjunction with other factors in the causation of cancer. Are there high risk groups which need attention in alcohol cancer prevention programs?

Alcoholism↗

Pneumoconiosis and fibrous glass.

Reports have appeared in the public press suggesting that dust from fibrous glass may be responsible for causing a form of lung disease in workers similar to that produced by asbestos. These reports are attributed to information about a case of pneumoconiosis presented at a meeting held under the auspices of the National Cancer Institute on November 15, 1978. They have occasioned widespread concern among those who make and use fibrous glass. The purpose of this communication is to provide additional information which now shows that the case in question was almost certainly due to asbestos and not to exposure to fibrous glass.

Asbestos↗

A population-based study of referral, diagnostic and treatment patterns for childhood acute lymphocytic leukemia.

In order to make decisions about cancer control programs, information is needed on the current management of cancer as actually practiced in the United States. A study to address this issue for acute lymphocytic leukemia in children (age 15 years and under) has been performed. The 101 patients represent all reported incident cases during 1972 in five regions which have population-based registries. Data on patient characteristics, referral patterns, treatment regimens, remission/relapse status, and survival are presented. It is concluded that the treatment strategies developed in leukemia research are reaching the general patient population. The present study can be considered a model for future studies of other forms of malignancy.

Adolescent↗

The Cancer Control Program.

The Cancer Control Program (CCP) was established by Congress to develop and to implement a coordinated national effort to reduce cancer incidence, morbidity, and mortality in the United States. The program helps ensure that existing knowledge concerning cancer in prevention, detection, diagnosis, treatment, and rehabilitation will be disseminated and applied as rapidly and effectively as possible. The program utilizes both contracts and, to a more limited extent, grants. Program objectives and specific projects have been delineated.

Humans↗