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Biomedical subjects

J Carswell

Publications and source records attributed to J Carswell.

7 recordsLinked to original sources
PubMed1998

Developing a national registry of veterans with spinal cord dysfunction: experiences and implications.

We describe the development of a registry of veterans with spinal cord dysfunction who have been treated within the Department of Veterans Affairs health care facilities. The registry departs from the function and structure of traditional registries by a more extensive utilization of advances in computer technology; in particular, by its reliance upon computerized record linkage and by its association with a set of computer-based clinical management and reporting tools. We discuss some of the applications of the registry to research for persons with spinal cord dysfunction as well as implications that our experiences provide for developing other registries of persons with disabilities.

Humans↗
PubMed1995

A model for estimating spinal cord injury prevalence in the United States.

A model was developed to provide a tool to forecast demographic trends in populations of people with traumatic spinal cord injury at the national and state level. This information is critical to planning for the allocation and distribution of resources to care for people with spinal cord injury. The literature on incidence, mortality, and prevalence of spinal cord injury in the United States was reviewed and reported values were evaluated for incorporation into the model. A linear relationship between age specific survival rates of the spinal cord injury population, and expected survival rates in the absence of spinal cord injury was established and this provided the basis for projections using age cohort survival methodology. The model's projections indicate a need for future expansion of capacity to treat traumatic spinal cord injury in the private sector, and a need to prepare for an aging disabled population. The annual number of traumatic spinal cord injury cases admitted to hospitals is projected to increase from approximately 11,500 in 1994 to almost 13,400 in 2010. Age adjusted post-hospitalization incidence rate in 1994 is estimated at approximately 38 per million (23 per million for females and 55 per million for males). A 20% increase in the US spinal cord injury prevalence can be expected over the next 10 years, going from approximately 207,000 estimated in 1994, to 247,000. During this time, the veteran segment, which currently comprises 22% of the spinal cord injury population, is projected to decline.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1989

Listeria pneumonia. A case report.

A 42-year-old man with an atypical pneumonia. He had chest pain and a dry cough for 3 weeks, was dull at the left base clinically, and had left lower zone consolidation on chest radiography. The pneumonia spread despite oral ampicillin and cloxacillin. Blood culture grew Listeria monocytogenes and white cell count showed a monocytosis. He responded to intravenous penicillin and gentamicin with complete X-ray clearance.

Adult↗
PubMed1979

Paroxysmal cold haemoglobinuria. A case report.

The clinical and biochemical findings in a 35-year-old Black man with paroxysmal cold haemoglobinuria are presented. Particular attention is drawn to the possible triggers of the haemolytic process, and the treatment is briefly reviewed.

Adult↗
PubMedDate not supplied

Health reform and the VA medical care system.

Although the Department of Veterans Affairs medical care system is literally the largest health care system in the free world, it's value has been largely overlooked in the debate on national health care reform. VA performs essential functions and provides special services that must not be lost in the process of reform. Restructuring the U.S. health care delivery and financing systems will certainly affect VA, therefore any serious plan for reform should specify the VA's role and responsibilities in tomorrow's national health care system.

Decision Making, Organizational↗