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Biomedical subjects

H Beebe

Publications and source records attributed to H Beebe.

4 recordsLinked to original sources

Successful renal transplantation after endovascular bifurcated stent graft repair of an abdominal aortic aneurysm.

Renal transplantation after repair of aortoiliac aneurysms with traditional prosthetic vascular grafts has been shown to be effective. Vascular surgery continues to rapidly evolve, most notably with the advancement of endovascular repair of abdominal aortic aneurysms. Controlled trials continue to support the trend toward the use of endovascular bifurcated aortic stent grafts. For this we describe the first renal transplant in a patient with an endovascular bifurcated aortoiliac stent graft. No intraoperative difficulties were encountered. At 1-year follow-up, the transplanted kidney is functioning well with a normal serum creatinine level of 1.3 mg/dl, and the patient has no worsening of peripheral vascular disease. We recommend that the presence of an endovascular aortic graft not be a contraindication to renal transplantation.

Aged↗

Streamlining documentation: an opportunity to reduce costs and increase nurse clinicians' time with patients.

Clinical documentation can take up to 25 percent of a nurse's time in an acute care setting, not to mention the time spent by other clinicians and ancillary caregivers on documentation. Institutions can reduce documentation time by systematically determining what information is crucial to the provision of patient care across all disciplines and then using a redesign process that mirrors work redesign. By following a structured process that challenges the philosophy and function of the documentation system, a hospital's multidisciplinary staff members can use their expertise to design alternatives that achieve documentation's original intent-to document diagnoses and treatment accurately-in a more efficient and useful way.

Cost Control↗

Deaf children can learn to hear.

For more than thirty years the author has been using the "unisensory" approach to work with hearing-impaired children, having learned the principles from her teacher, Emil Froeschels. The approach is based on the theory that even minimal amounts of residual hearing in a hearing-impaired infant, if stimulated in a unisensory fashion, could lead to the development of spontaneous speech and oral communication. Children taught by this method learn to process language through their amplified hearing. They acquire language that is adequate for them to be mainstreamed with their hearing peers from the beginning. The article describes seven requisites to an effective unisensory approach.

Age Factors↗

Work restructuring: the process of decision making.

Work restructuring at a 269-bed hospital resulted in a 20% reduction in the nursing operations budget. A complex process, work restructuring must be logical and requires both interdisciplinary workers and committed leadership.

Budgets↗