[Histopathological analysis of various biopsies in patients with intrathoracic sarcoidosis (author's transl)].
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Biopsy↗
Biomedical subjects
L Fink
Publications and source records attributed to L Fink.
Increased energy needs in patients with quadriplegia and pressure ulcers.
Health individuals with quadriplegia generally have a reduced metabolic rate. However, individuals with quadriplegia who develop pressure ulcers may have an elevated metabolic rate. In this study, energy expenditure in 16 individuals with quadriplegia and pressure ulcers (PU-QUAD) was compared to the energy expenditure in 16 individuals with quadriplegia but no pressure ulcers (NPU-QUAD) and 16 healthy non-spinal cord injured subjects (controls). Resting energy expenditure (REE) was measured by indirect calorimetry. Both measured REE (t(30) = 2.38, p = 0.24) and percent predicted REE (t(30) = 3.23, p = .003) were significantly higher in subjects with quadriplegia and pressure ulcers compared with subjects with quadriplegia but no pressure ulcers. On average, REE in the PU-QUAD subjects was nearly equal to the absolute energy expenditure of healthy non-spinal cord injured controls. To ensure optimal care of patients with quadriplegia and pressure ulcers, quantification of energy expenditure with provision of adequate caloric intake is recommended.
Adult↗
Case management plans and their application to maternal-child health.
The implementation of case management plans in the maternal-child health environment is quickly escalating as the managed care industry infiltrates the country. Most institutions began their initiatives in the medical-surgical arena, where length of stay and cost reduction opportunities pose the greatest challenges but also the greatest opportunities. However, recent case management focus in pediatrics and neonatal intensive care units have demonstrated successful results.
Analysis of Variance↗