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Biomedical subjects

F Rosner

Publications and source records attributed to F Rosner.

At least 145 records · Page 8Linked to original sources
PubMed1990

Self-induced hematuria.

Two patients, an adult and a child, are reported who presented with factitious hematuria secondary to self-induced finger sticks with contamination of unwitnessed urine samples. Feigned illness of this kind may be more common than generally appreciated.

Child↗
PubMed1989

Age, resource consumption, and outcome for medical patients at an academic medical center.

At the national level debate is growing about the effects of the diagnosis related group (DRG) hospital payment system on patient access and quality of care. Recent changes to the DRG system have dropped any stratification by age and have delayed any other major change to improve payment equity. We characterized hospital resource consumption and outcome by age for all medical admissions (N = 31,838) to a large academic medical center (January 1, 1985, through December 31, 1987) using the DRG format. Mean hospital cost per patient, hospital length of stay, percentage of outliers, and mortality increased with age. The mean DRG case-mix index and the number of diagnostic codes per patient also rose with age. The DRG payment for all patients would have produced an aggregate profit of $34,426,951 ($1081 profit per patient); however, patients aged 71 years or older generated loses (the highest with patients aged 85 years or older--a $2177 loss per patient). As the financial position of American hospitals continues to deteriorate, these data suggest that the current DRG payment scheme may be inequitable for the medical patient aged 71 years or older, thus providing financial disincentives to treat the elderly medical patient and perhaps limiting their access and quality of care in the future.

Academic Medical Centers↗
PubMed1989

The awarding of honors to medical clerks. Results of a national survey.

We conducted a national survey of medical schools to determine the frequency of the awarding of honors to third-year clinical clerks and fourth-year subinterns in internal medicine. Of 126 schools surveyed, 86.5% responded. Of those responding, 66% award honors to their junior clerks and 47% award honors to their fourth-year students rotating on the internal medicine service. Consistent criteria do not exist among programs and even within some programs for such awards. The number of students receiving the awards or the percentage of the class that is felt to qualify for honors is also highly variable. The attainment of honors is an important criterion for residency selection as well as a positive predictor of future performance of candidates. The writing of the dean's letter, residency selection, and the date of the National Residency Matching Program results announcement are now occurring later in the academic year than previously, thus making the results of the fourth-year medicine rotations available to residency selection committees by the time choices have to be made. We conclude, therefore, that it seems useful for all medical schools to award honors not only to third-year clerks but also to senior students.

Awards and Prizes↗
PubMed1989

Second neoplasms in Hodgkin's disease: current controversies.

Aggressive, multimodal treatment of Hodgkin's disease has led to dramatic increases in survival but not without significant early toxicity and late complications. The most serious late complication is the development of a secondary neoplasm. These secondary cancers include acute nonlymphocytic leukemia, non-Hodgkin's lymphoma, and various solid tumors.

Adolescent↗
PubMed1989

The diagnostic utility of bone marrow aspiration and biopsy in patients with acquired immunodeficiency syndrome.

Diagnostic bone marrow aspiration, biopsy, and culture are useful procedures in the evaluation of patients with suspected or proven acquired immunodeficiency syndrome (AIDS) who are febrile. In as many as one fourth of these patients, the information provided by the bone marrow examination may establish a diagnosis of a disseminated opportunistic infection when other studies are not informative. We have also discovered a previously unreported association between thrombocytopenia and the presence of bone marrow granulomas in our patients with AIDS and suggest that thrombocytopenia may be a clue to enable the clinician to predict a positive bone marrow result more accurately. The explanation for this apparent association remains to be elucidated.

Acquired Immunodeficiency Syndrome↗