Biomedical subjects

P A Hines

Publications and source records attributed to P A Hines.

8 recordsLinked to original sources

PubMed1996

Streamlining documentation: an opportunity to reduce costs and increase nurse clinicians' time with patients.

Clinical documentation can take up to 25 percent of a nurse's time in an acute care setting, not to mention the time spent by other clinicians and ancillary caregivers on documentation. Institutions can reduce documentation time by systematically determining what information is crucial to the provision of patient care across all disciplines and then using a redesign process that mirrors work redesign. By following a structured process that challenges the philosophy and function of the documentation system, a hospital's multidisciplinary staff members can use their expertise to design alternatives that achieve documentation's original intent-to document diagnoses and treatment accurately-in a more efficient and useful way.

Cost Control↗

PubMed1979

Failure of serology in diagnosing chlamydial infections of the female genital tract.

Chlamydia trachomatis was recoved from 20% (36/180) of women attending a venereal disease clinic. All infected women had chlamydial antibodies in their serum and cervical secretions. However, the background rates of chlamydial antibody in chlamydia-negative women were very high. Measurement of antibodies in serum (complement fixation or immunoglobulin G [IgG] and IgM by microimmunofluorescence) or cervical secretion (IgG, IgM, IgA or secretory IgA classes) did not result in predictive values of greater than 32%. It is concluded that the detection of chlamydial antibodies in serum or cervical secretions cannot be substituted for agent isolation in diagnosing these infections.

Antibodies, Bacterial↗

PubMed1977

Comparisons between direct microscopic and cultural methods for recognition of Corynebacterium vaginale in women with vaginitis.

The frequency with which clue cells could be detected in Gram-stained vaginal smears and/or cervical Papanicolaou (Pap) smears was compared with the frequency of Corynebacterium vaginale (Haemophilus vaginalis) isolation in a group of 236 female patients, of whom 221 had vaginitis. Vaginal clue cells were found most often in women from whom C. vaginale was isolated (P = 0.00006) whereas, conversely, clue cells in cervical Pap smears were reported more frequently in women with negative cultures for this organism (P = 0.006). C. vaginale isolations were made more frequently from women with both vaginal and cervical clue cells reported (P = 0.000088). However, the combined false positive-false negative vaginal clue cell rate in the patients studied was 36.5%. Neither the detection of vaginal clue cells nor the isolation of C. vaginale was significantly affected by whether or not patients had trichomoniasis (P = 0.25). Trichomonas vaginalis detection in cervical Pap smears and vaginal isolation were related (P = 0.00005), whereas the same relationship was not significant for fungi (P = greater than 0.05).

Cytodiagnosis↗

PubMed1969

Sweden.

Explore the source record for details and available documents.

Curriculum↗

PubMedDate not supplied

The etiology of nongonococcal urethritis in men attending a venereal disease clinic.

Nongonococcal urethritis was identified as a major reason that men attended our Venereal Disease Clinic. The prevalence of several agents that might cause nongonococcal urethritis was determined. Attempts were made to isolate gonococci; chlamydiae, Ureaplasms urealyticum, trichmonads, Candida sp., and Corynebacterium vaginale from urethral swabs from 307 men. Chlamydiae were recovered from 31% of the 67 men with nongonococcal urethritis compared to only 4% of 86 asymptomatic men without pyuria. Unexpectedly, cultures from only 4% of the 99 men with gonorrhea also yielded chlamydiae. Ureaplasma urealyticum was recovered from 9 of 27 asymptomatic men (33%), 16 of 30 men with nongonococcal urethritis (53%) and 16 of 68 men with gonorrhea (42%). These differences were not statistically significant. However, when chlamydiae-positive men were excluded from the analysis urethritis. Twelve of 18 (76%) men with nononchlamdial nongonococcal urethritis yielded the organism compared to 8 of 26 (31%) men without urethritis. The other organisms sought were recovered infrequently and could not be associated with nongonococcal urethritis.

Adult↗

PubMedDate not supplied

Haemophilus vaginalis (Corynebacterium vaginale) vaginitis in women attending public health clinics: response to treatment with ampicillin.

Haemophilus vaginalis (Corynebacterium vaginale) was isolated from genital specimens from 150 women who came to a public health venereal disease clinic. Forty-six patients returned to the clinic for at least one follow-up examination. Of the returnees, 22 of 24 who initially had received adequate therapy (14 g ampicillin in seven days) were cured, compared with three of 22 who did not received adequate therapy (X2 = 25.11; P less than 0.00005). These data included significant cure rates with adequate therapy among the 46 returnees, of whom 25 had vaginitis due to H. vaginalis only (X2 = 16.67; P less than 0.00005) and 21 had vaginitis caused by a mixture of pathogens (X2 = 5.86; P less than 0.0156). Specimens obtained from 24 of the 46 returnees were cultured for H. vaginalis on the second visit; 19 were negative, and only five were positive. Clinical responses of the patients correlated closely with the results of culture in both treated and untreated groups (X2 = 14.23; P less than 0.00016).

Adolescent↗

PubMedDate not supplied

Work restructuring: the process of redefining roles of patient caregivers.

Redefining roles of patient caregivers as an element of work restructuring is essential to maintain and/or enhance an organization's efficiency in this competitive health care environment. This process works best when all levels and disciplines within the organization are involved and when meshed with senior management's leadership and vision.

Caregivers↗

PubMedDate not supplied

Using benchmarking to identify standards for restructuring.

Benchmarking is a process of comparing an organization's performance to that of a selected standard. Because the standard is one selected from other organizations for their "best" performance, benchmarking establishes a vision or goal for restructuring. This author, who is experienced in helping organizations restructure using the benchmarking process describes the steps and how to use it to guide an organization to successful restructuring.

Hospital Administration↗