Biomedical subjects
E Stonehill
Publications and source records attributed to E Stonehill.
The risks and opportunities of acquiring a distressed facility.
Often, distressed healthcare institutions have salvaged their deteriorating situations by merging or consolidating with or selling their assets and operations to a neighboring institution. This article reviews the analysis that should be undertaken by a financially sound institution when it considers acquiring a distressed institution. Acquiring a failing institution provides many good opportunities as well as many great risks. A healthy institution must depend upon good planning and execution to ensure a successful venture.
Keep on taking the weedkiller?
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Filing for bankruptcy: a sign of failure or hope for the hospital?
Hospitals that file for bankruptcy are usually viewed as admitting failure or defeat. However, bankruptcy can become a constructive financial management tool if used appropriately. Under Chapter 11 of the Bankruptcy Code, hospital management can use bankruptcy to reorganize the failing financial situation of the hospital into one that is financially stable and able to continue operations indefinitely.
Shared service alternatives offer flexibility and tax benefits.
Because the performance of shared service and tax-exempt status under Section 501(c)(3) of the Internal Revenue Code can be incompatible, hospitals planning to provide services to each other or to other organizations on a fee-for-service basis may wish to do so through a separate corporate entity. Using either a Section 501(e) shared service organization, a Sub-chapter T cooperative, or a taxable business corporation, a compromise can be reached between operational flexibility and tax benefits.
Some caveats: constraints and risks of corporate reorganization.
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Personality, body weight and ultimate outcome in anorexia nervosa.
The Eysenck Personality Inventory, a highly standardized self-rating questionnaire, allows 2 measures of psychosocial functioning on independent scales entitled "emotionally" and "extroversion/introversion." A population of severely ill, low body weight anorectics revealed a high degree of "introversion" and variable amounts of "emotionality" on these measures. Low amounts of "emotionality" were associated with abnormally high "lie" scores. Following restoration of body weight to full matched population mean levels within an intensive treatment program, significant changes occurred on these measures--increased extroversion scores, decreased emotionality and lie scores. However, possibly qualitative changes had occurred in the state of emotionality since high levels were now related to good clinical outcome many years later. The nature of this phenomenon is discussed.
Psychoneurotic characteristics of patients with anorexia nervosa before and after treatment and at follow-up 4-7 years later.
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The relationship of reported sleep characteristics to psychiatric diagnosis and mood.
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Insomnia in psychiatric illness.
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Letter: Laxative-induced diarrhoea.
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Psychological characteristics of patients with the irritable bowel syndrome.
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Aspects of the relationship between sleep, weight and mood.
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Sleep patterns in obese patients during weight reduction.
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Aspects of the relationship between sleep and nutrition: a study of 375 psychiatric out-patients.
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Relation between aspects of nutritional disturbance and menstrual activity in primary anorexia nervosa.
A significantly high number of patients with anorexia nervosa are overweight immediately before the onset of the condition. This premorbid weight may be a feature of their constitution but is sometimes a more transitory phenomenon. Menstruation ceases early in the condition but usually within the context of significant weight loss. However, the subsequent amenorrhoea, related to factors that presumably may not begin to operate until several weeks later, may be a symptom which first draws attention to the condition.Treatment included the restitution of body weight to the matched population mean weight for each patient. This may be important, as the mean weight at which menstrual activity returned was not significantly different from the matched population mean weight. A further treatment aim, so far as nutrition was concerned. was restoration of regular and reasonable feeding behaviour, including adequate carbohydrate ingestion. It is suggested that these findings support the view that the nutritional disturbance in anorexia nervosa is an important factor affecting menstrual activity.
Problems in the measurement of sleep with particular reference to the development of a motility bed.
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Aspects of the relationship between psychiatric status, sleep, nocturnal motility and nutrition.
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