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Biomedical subjects

H Larkin

Publications and source records attributed to H Larkin.

At least 19 recordsLinked to original sources
PubMed1993

Clinical disease associated with Trypanosoma theileri infection in a calf in Ireland.

A four-month-old calf had a clinical history of pyrexia, anaemia, weight loss and behavioural abnormality. Clinical examination revealed evidence of regenerative anaemia and a lymphocytosis which was characterised by a relatively large B cell population. The calf deteriorated clinically while under observation and its prescapular and prefemoral lymph nodes became enlarged. Examination of a blood smear revealed the presence of a large number of circulating Trypanasoma theileri. Serological examination showed the presence of the invariant, stage-specific, trypanosome surface antigen, ISG70 and antibodies against ISG70. ISG70 was first identified in the bloodstream forms of Trypanosoma brucei and has not previously been found in T theileri. Clinical recovery was associated with an increase in packed cell volume, a decrease in the levels of circulating anti-ISG70 antibodies and the complete disappearance of circulating ISG70.

Animals↗
PubMed1991

The effects of buscopan compositum on calf nutritional diarrhoea.

Nutritional diarrhoea was induced in male Friesian calves by the addition of sucrose to their milk replacer diet in two experiments. In each study the calves were paired on the basis of the severity of the diarrhoea and each of a pair of calves was assigned at random to receive a course of six intramuscular injections (5 ml/50 kg body weight) of either a placebo or Buscopan compositum (morning and evening) over a period of 3 days. In an initial study, which involved 10 pairs of calves, daily faecal and urine output were collected separately for each calf on the day prior to the start of treatment and on each day of the 3 treatment days. The daily output of fresh faeces were reduced as a result of treatment with Buscopan compositum and the overall reduction for the complete 3 day period was 18.7%. This was also reflected in a reduced output of faecal water (18.4%) during the same period. The digestibility of the dry matter component of the diet was significantly increased by 5.8%. In a second experiment, which involved 24 pairs of calves, faecal samples were collected daily, commencing before initiation of treatment, for determination of faecal dry matter content. The pattern of change in the faecal dry matter content during the course of the study differed clearly for the two treatments. Faecal dry matter increased from its lowest level (11.7%), immediately prior to first treatment, to its maximum (21.8%) on the second day of treatment in the Buscopan compositum-treated calves.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed1990

Hospitals struggle to overcome intensive care shortage.

Intensive care units (ICUs) are challenging emergency departments as the most overcrowded hospital department. ICU medical directors may provide a solution to overcrowding through more effective ICU management. However, 30 percent of hospitals don't have around-the-clock ICU directors, burnout is common, and the position is increasingly hard to fill. Adding to the problem is a shortage of skilled ICU personnel.

Burnout, Professional↗
PubMed1990

AIDS update: an executive report.

Jackson Memorial Hospital, Miami, lost $5.6 million treating AIDS patients last year. Executives at the 1,246-bed public hospital project losses of more than $7 million in 1990. Jackson Memorial's experience is unfortunately all too typical of the effect that AIDS has had on public hospitals. But AIDS is not just a public hospital problem. The trend toward concentration of AIDS cases in public hospitals could have dire consequences for all hospitals in a community, say analysts. But the impact of AIDS on the health care community can be felt at a number of different levels. This executive report also takes an in-depth look at: How case management is being used--or misused--with AIDS patients. How much money state legislatures are allocating for AIDS and what the states are spending the funds on How executives are dealing with various liability issues.

Acquired Immunodeficiency Syndrome↗
PubMed1990

Weight-loss programs still fatten profits despite competition.

Why are hospitals interested in weight-loss programs? Low start-up costs, combined with a high demand for services, mean almost instant profits in some cases. And in an increasingly competitive market, hospital affiliation seems to be an advantage. But experts say that word of mouth is the best promotion for weight-loss programs, which means that patients must lose weight and keep the pounds off. That's why hospitals have found that patient education is integral to a successful program.

Exercise↗
PubMed1990

Regulation, fiscal pressure expand CEO planning role.

In an environment of strict fiscal control and continuing pressure to control costs, many CEOs are becoming actively involved in health planning at the local level. Most experts agree that regulators aren't likely to bring back certificate of need as the basis of a formalized planning system. But some regulators are taking a second look at direct fiscal controls that have helped contain costs in some eastern states. The specter of some form of regulation, coupled with mounting financial problems, is prompting health care executives to take a close look at what has worked in health planning and what has been a disaster. Moreover, some CEOs aren't waiting for the bureaucracy to inch along. They are working with other executives to sort out community needs and solve areawide health delivery problems.

Data Collection↗
PubMed1990

HMO ownership pays off for systems that stick with it.

HMOs and PPOs have been financial losers for many hospitals. In fact, problems controlling costs have driven many hospitals to sell or close HMOs and PPOs that they started to channel new business their way. But for those hospitals that invested the time and money needed to manage physician and ambulatory care networks, vertical integration of managed care is paying off.

Ambulatory Care↗
PubMed1990

Billing software speeds accounts receivable.

Software products designed to speed the billing process range from systems that prompt admissions personnel to comply with the terms of up to 3,600 separate managed care contracts to programs that support electronic billing via telephone.

Accounting↗
PubMed1990

Leadership gap wreaks havoc with health policy.

The Bush Administration's failure to fill key health care positions has hurt formation of Medicare policy, and Congress made a mistake by backpedaling on catastrophic health insurance, according to an exclusive survey of hospital CEOs.

Data Collection↗
PubMed1989

Alliances: changing focus for changing times.

Alliance networks were supposed to offer members the same buying clout enjoyed by national health care systems and the opportunity to contract with employers as part of a national health care delivery network. But overly optimistic projections about how quickly alliances could reach those goals--and what it would cost to teach them--led to unmanaged growth and disgruntled members. According to our cover story, alliances now are adjusting to changing conditions by adopting strategies to serve the needs of hospitals and systems competing in regional markets.

Data Collection↗