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Biomedical subjects

M Schoenbaum

Publications and source records attributed to M Schoenbaum.

22 records · Page 2Linked to original sources
PubMed1980

A strain of Pasteurella multocida associated with infections in rabbit colonies.

Pasteurella multocida was isolated from 4 conventional rabbit colonies. Amongst 51 isolates, 48 (94%) belonged to a group of strains with similar morphological, cultural, biochemical and antigenic characteristics; they were named for convenience Lo strains and gave rise to local or ascending infections. All Lo strains were found to be a new serotype, but 8 of them had additional antigenic factors characteristic of known serotypes. The other 3 isolates (6%) were identified as serotype 3, known to have a wide host range: 2 strains were associated with septicaemia and haemotogenic spread, and 1 with snuffles. Diagnostic agglutinating antibodies were present in the sera of adult rabbits. Maternal antibodies were in the sera of adult rabbits. Maternal antibodies were in the sera of rabbits of 3 and 4 weeks old, but by the age of 8 weeks the titres had fallen to an undetectable level.

Agglutination Tests↗
PubMedDate not supplied

Quality of care for primary care patients with depression in managed care.

OBJECTIVE: To evaluate the process and quality of care for primary care patients with depression under managed care organizations. METHOD: Surveys of 1204 outpatients with depression at the time of and after a visit to 1 of 181 primary care clinicians from 46 primary care clinics in 7 managed care organizations. Patients had depressive symptoms in the previous 30 days, with or without a 12-month depressive disorder by diagnostic interview. Process indicators were depression counseling, mental health referral, or psychotropic medication management at index visit and the use of appropriate antidepressant medication during the last 6 months. RESULTS: Of patients with depressive disorder and recent symptoms, 29% to 43% reported a depression-specific process of care in the index visit, and 35% to 42% used antidepressant medication in appropriate dosages in the prior 6 months. Patients with depressive disorders rather than symptoms only and those with comorbid anxiety had higher rates of depression-specific processes and quality of care (P < .005). Recurrent depression, suicidal ideation, and alcohol abuse were not uniquely associated with such rates. Patients visiting for old problems or checkups received more depression-specific care than those with new problems or unscheduled visits. The 7 managed care organizations varied by a factor of 2-fold in rates of depression counseling and appropriate anti-depressant use. CONCLUSIONS: Rates of process and quality of care for depression as reported by patients are moderate to low in managed primary care practices. Such rates are higher for patients with more severe forms of depression or with comorbid anxiety, but not for those with severe but "silent" symptoms like suicide ideation. Visit context factors, such as whether the visit is scheduled, affect rates of depression-specific care. Rates of care for depression are highly variable among managed care organizations, emphasizing the need for process monitoring and quality improvement for depression at the organizational level.

Adolescent↗