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Biomedical subjects

L Thiel

Publications and source records attributed to L Thiel.

9 recordsLinked to original sources
PubMed2001

A clinical pathway for congestive heart failure.

This study has shown improved outcomes with the use of a clinical pathway. However, under PPS additional ways for coordination among healthcare providers and patients need to be developed to ensure improved care beyond those focusing on the use of the pathway. One recommendation is the use of telehealth.

Aged↗
PubMed1999

Predictors of hospital readmission among the elderly with congestive heart failure.

This study compared elderly patients with congestive heart failure discharged from home healthcare to the home vs. those rehospitalized. The rate of rehospitalization in this sample of 117 was 27%. Significant predictors of rehospitalization included number of home healthcare days, number of previous hospitalizations, and the services of a home health aide. Implications include the timing and nature of home health visits.

Aged↗
PubMed1994

[Comparison of immunodiffusion and counterimmunoelectrophoresis for the detection of precipitating antibodies against Candida and Aspergillus antigens].

Early diagnosis of disseminated fungal infections is a major problem in patients at risk, e.g. patients with malignancies or other severe illnesses. A number of serological tests for the detection of fungal antigens or antibodies can be performed in addition to culture methods. Valuable serological tests exist for the detection of precipitating antibodies to Candida sp. or Aspergillus sp. Precipitating antibodies against intracellular fungal antibodies can be detected by the immunodiffusion test (ID) or by counterimmunoelectrophoresis (CIE). In our study 103 patients' sera were examined in parallel with these two methods for antibodies against Candida sp. and 100 sera for antibodies against Aspergillus sp. The results indicate that counterimmunoelectrophoresis is more sensitive than immunodiffusion, and that the results of CIE also correlate better with elevated titers in other serological tests, e.g. the hemagglutination test or the immunofluorescence test. One of the limitations is that precipitating antibodies cannot be detected until relatively late in the course of infection. This disadvantage is further intensified by the long duration of performance of the immunodiffusion test in the laboratory. In comparison with the ID test, the detection of precipitating antibodies by counterimmunoelectrophoresis shortened the duration of performance in our laboratory by up to 5 days.

Antibodies, Fungal↗