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Biomedical subjects

D Richardson

Publications and source records attributed to D Richardson.

246 records · Page 14Linked to original sources
PubMedDate not supplied

Experience of coding ambulatory visits to outpatient clinics.

Clinical data for all current outpatients at a large tertiary hospital has been collected for analysis. Patient diagnoses for selected "key" clinics have been coded to ICD-9-CM standards. Methods to reduce the volume of coding required for such data collection are discussed, and include short-lists of codes, default assignment of diagnoses codes according to the nature of visit, and producing a "discharge" summary for outpatients, similar to that routinely produced for inpatients.

Ambulatory Care↗
PubMedDate not supplied

The dilemma of essentiality in homosexual theory.

A close examination of the literature on homosexuality reveals a long history of definitional crises in which the central consideration has been the maintenance of a belief in homosexuality as a state of being. This paper asks what, if anything, can be considered essential to the homosexual category. To answer this question, various approaches to homosexuality in the literature have been examined: as a general state of being (the person), as a state of desire (sexual orientation), as a form of behavior (sexual acts), and, more recently, as a personal identification (sexual identity). In addition, the interrelationships of these categorizations are explored.

Female↗
PubMedDate not supplied

Facility report: Holston Valley Hospital and Medical Center.

Part of an expanding institution, the respiratory services department at Holston Valley Hospital and Medical Center, Kingsport, Tenn, performs an impressive number and variety of procedures. Twelve-hour shifts and a new school of respiratory therapy are unique aspects.

Hospital Bed Capacity, 300 to 499↗
PubMedDate not supplied

Tracking catheters: the care continuum.

Care coordination and development of a plan to track vascular access devices (VADs) is presented. The article discusses how to establish criteria so that central venous catheters can be monitored. Specific areas of focus for monitoring outcomes are reviewed, as is the process of obtaining invaluable information. This information can be used to support policy and procedure changes and clinical practice changes to provide quality outcomes.

Catheterization, Central Venous↗
PubMedDate not supplied

Dentin permeability: effects of crown preparation.

Sequential crown reductions of extracted human teeth were made to evaluate both regional differences in dentin permeability and the effects of tooth reduction. Two different methods of tooth reduction were used. In group 1, tooth reduction was nonuniform but was done in a manner similar to conventional crown preparations. Maximum, total crown permeability was measured using a pressurized fluid filtration technique after removing the smear layer. Regional reductions in permeability were accomplished by creating smear layers on mesial, distal, buccal, lingual, and occlusal surfaces sequentially. Between each step, changes in dentin permeability were measured. In group 2, tooth reductions were uniform and regional permeability was reduced by localized application of potassium oxalate. Both methods demonstrated increased permeability of dentin as the prepared surfaces approached the pulp chamber. Generally, the mesial surfaces were more permeable than the distal surfaces. The occlusal and lingual surfaces were the least permeable regions.

Adult↗
PubMedDate not supplied

Medical school education in hypertension management: a national survey.

Results of a survey of 90 medical schools in 44 states indicate that only 11 had specific hypertension sections, and that after completion of four years of medical school, students had received only 18 hours of instruction in the management of hypertension. Undergraduate students spent only an average of 1.5 weeks in clinics specifically designated for the treatment of hypertension, and small numbers of students were involved in each school at any one time. Specific instruction during residency training was also minimal. Even when ward round and general medical clinic teaching hours are included, instruction in the management of hypertension is limited for a disease that is the most common chronic illness in the United States and accounts for over 5 percent of all physician visits by adults. An increased emphasis should be placed on training for the management of hypertension within the undergraduate curriculum and within the existing general medical and hypertension clinics.

Curriculum↗
PubMedDate not supplied

Vascular access devices--management of common complications.

Developments in vascular access technology, along with advances in therapy, have created specific challenges for the intravenous nurse caring for patients with indwelling vascular access devices. The nurse clinician must be aware of clinical and technical complications that may occur, as well as the nursing management of those complications.

Catheterization, Central Venous↗