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Biomedical subjects

N Berger

Publications and source records attributed to N Berger.

79 records · Page 5Linked to original sources
PubMedDate not supplied

The revised burn diagram and its effect on diagnosis-related group coding.

Diagnosis-related group (DRG) codes for burn injuries are defined by thresholds of the percentage of total body surface area and depth of burns, and by whether surgery, debridement, or grafting or both occurred. This prospective study was designed to determine whether periodic revisions of the burn diagram resulted in more accurate assignment of the International Classification of Diseases and DRG codes. The admission burn diagrams were revised after admission and after each surgical procedure. All areas grafted (deep second-and third-degree burns) were diagrammed as "third-degree," after the current convention that both are biologically the same and require grafting. The multiple diagrams from 82 charts were analyzed to determine the disparities in the percentage of total body surface area burn and the percentage of body surface area third-degree burn. The revised diagrams differed from the admission diagrams in 96.5% of the cases. In 77% of the cases, the revised diagram correctly depicted the percentage of body surface area third-degree burn as confirmed intraoperatively. In 7.3% of the cases, diagram revision changed the DRG code. Documenting wound evolution in this manner allows more accurate assignment of the International Classification of Diseases and DRG codes, assuring optimal reimbursement under the prospective payment system.

Burn Units↗
PubMedDate not supplied

The C-cells: current concepts on normal histology and hyperplasia.

We describe the current concepts on the embryology, normal morphology and immunohistochemistry of a minor cell population of the thyroid, the C-cells. We also try to make delineation between the normal number of the C-cells and C-cell hyperplasia. The two types of C-cell hyperplasia, physiologic and neoplastic are defined and characterized from morphologic and genetic point of view. Their relation with thyroid pathology, especially with medullary thyroid carcinoma is discussed.

Calcitonin↗
PubMedDate not supplied

[Suicide of young adults: psychiatric and psychosocial comorbidity].

This paper is concerned with a specific population of young adults who were admitted to the Patrick Dewaere Center, a crisis unit dedicated to suicidal young adults aged 15 to 35. We analysed data from a group of 885 patients hospitalized from July 1996 to November 2003. The psychiatric and psychosocial comorbidity of these young suicidal adults was outlined from data contained in the "Minimum Psychiatric Summary" (MPS). Several observations were made: There was a high prevalence of adaptation disorders (67.3%) contrasting with a rather low proportion of major depressive disorders. There was also a very high prevalence of personality disorders 80%), particularly, histrionical or borderline personality disorders. Diffuse, atypical somatic complaints, mainly related to sleep and appetite, that often failed to yield a precise medical diagnosis, were most frequent. A close relationship between suicide and psychosocial problems was apparent and attested the importance of the quality of social links. The value of short hospitalization among this generally active population was evidenced.

Adolescent↗
PubMedDate not supplied

[Bucco-pharyngeal and esophageal localizations in Crohn's disease].

A case of upper esophageal stenosis associated with pharyngeal lesions in Crohn's disease is reported. The esophageal stricture was intractable by endoscopic dilatation. This patient was managed successfully by total esophagectomy. The left colon was used to replace the esophagus through a posterior mediastinal route. Histologically, the lesions were epithelioid granulomas with ulcerative fissurations and submucosal lymphoid nodules and were suggestive of Crohn's disease involving the upper esophagus and pharynx only. Similar cases involving only the upper digestive tract with pathologic proof have not yet been reported in the literature.

Crohn Disease↗