Search PubMed⌕ Search

Biomedical subjects

E Friedman

Publications and source records attributed to E Friedman.

At least 631 records · Page 35Linked to original sources
PubMed1979

Changing the course of things: costs enter medical education.

The costs of health care, and the physician's role in generating them, are subjects that more and more often are being taught in medical schools and graduate medical training programs. Virtually all of these programs are focused on physicians' use of hospital services, particularly diagnostic procedures, but there is a wider goal: development of a different physician attitude toward cost, quality of care, alternative treatments, and how they all interrelate.

Attitude of Health Personnel↗
PubMed1979

Choroidal blood flow. IV. effect of vasodilating agents.

The effect of vasodilators on choroidal blood flow (CBF) was studied by the krypton clathrate Kr 85 desaturation technique in anesthetized cats. Niacin, papaverine hydrochloride, phentolamine mesylate, and tolazoline hydrochloride were injected via the lateral long posterior ciliary artery (LLPCA) and the femoral artery. The systemic administration of these drugs via the femoral artery, in the doses used, had no significant effect on mean arterial pressure, choroidal vascular resistance (CVR), or CBF. Local administration of the same agents via the LLPCA caused a decrease in CVR with a corresponding increase in CBF.

Animals↗
PubMed1979

Trustees and hospital associations: a closer bond.

Recent years have seen a noticeable expansion of trustee involvement in allied hospital association activities. Among the most active areas are more direct trustee involvement in the organization and governance of the associations, innovative trustee education programs, and wider applications of trustees' traditional work as legislative liaisons. A variety of programs are proving the benefits that can be reaped from greater trustee participation in hospital associations.

Education↗
PubMed1979

Of takeovers, makeovers, and other myths: trustees in multihospital systems.

The growth of multihospital systems in recent years has led many trustees to ask whether a hospital board can retain its autonomy and responsibilities if the hospital joins a system. Members of system corporate boards and individual hospital boards are finding that, through careful board work, hospitals and systems alike can benefit from multihospital arrangements.

Decision Making↗
PubMed1979

Serum concentrations of isosorbide dinitrate produced by a sustained-release capsule.

The bioavailability of isosorbide dinitrate (ISDN) and the time course of its serum concentration produced by a standard 20-mg tablet and a sustained-release capsule were compared in six normal volunteers. Following administration of the tablet, serum ISDN concentrations reached a peak of 29 ng/ml at 0.5 h, declined monoexponentially with a t1/2 of 25.5 min, and disappeared after 2 to 3 h. Following the administration of the sustained-release capsule, serum ISDN concentrations reached a plateau of 4 ng/ml between 2 and 5 h, and declined slowly and nonlinearly up to and including the 10-h point. The total amount of ISDN absorbed was 1.32 times greater with the standard tablet; following the absorption of the capsule, there was truncation of the serum concentration curve due to ongoing absorption at and beyond 10 h.

Administration, Oral↗
PubMed1978

The end of the line: when a hospital closes.

Seven hospitals that closed between 1974 and 1977 were forced to shut down by a variety of factors. Several of the closings were accomplished in a relatively painless fashion. Others were difficult and created many problems. The individuals involved in the closings and their aftermath learned many lessons, the chief among which is the critical need for communication among all parties involved.

Bed Occupancy↗
PubMed1978

The hospital system takes a look at 'shrinking' itself.

Health care planning mechanisms and the dangers of the "survival of the fittest" method of reducing the size of the hospital system have led some hospitals and hospital associations to undertake programs of conversion of acute care beds, long-range citywide and statewide planning for reduction in the number of beds, and multiple use of beds, units, or entire hospitals.

Delivery of Health Care↗
PubMed1978

A hospital for all seasons.

Seasonal variations in occupancy, cash flow, staffing patterns, and emergency department activity are familiar to any hospital, but institutions located in seasonal resort areas must cope with more extreme variations than do most hospitals. Mount Desert Island Hospital, Bar Harbor, ME, has developed several innovative means of handling slack periods in wintertime and intense activity in the summer.

Bed Occupancy↗
PubMed1978

The first fully designated HSAs begin a long, exacting job.

Four of the first fully designated Health Systems Agencies (HSAs), located in Buffalo, NY. Cincinnati, Indianapolis, and Rochester, NY, are tackling a variety of health care delivery problems with a wide range of possible solutions. Relationships with providers, the nature of the areas involved, political considerations, and history are all playing a part in shaping the identities of these new agencies.

Delivery of Health Care↗