Search PubMed⌕ Search

Biomedical subjects

S D Foster

Publications and source records attributed to S D Foster.

At least 37 records · Page 2Linked to original sources
PubMed1988

A clinical evaluation system for anesthesiology residents.

Practitioners, educators, and residents in anesthesiology are concerned about issues of reliable evaluation, as advocated by such groups as the American Board of Anesthesiology and the Society for Education in Anesthesia. Further, there is a growing demand by accrediting bodies that training programs demonstrate a consistent and equitable means of evaluating residents' performance. In this article, the authors describe the development of the evaluation system employed by the Baylor College of Medicine and its affiliated hospitals to assess the clinical progress of residents in anesthesiology. The system evaluates the residents' progress in terms of levels of performance that are based on case complexity and degree of staff intervention.

Anesthesiology↗
PubMedDate not supplied

Cutaneous reactions to thiacetazone in Zambia--implications for tuberculosis treatment strategies.

Tuberculosis in patients infected with human immunodeficiency virus (HIV) is a growing threat to public health in Africa. Thiacetazone, one of the continent's most widely used antituberculous agents, may lead to severe cutaneous reactions in the HIV infected individual. We describe the impact of this reaction on the tuberculosis (TB) control programme of a district hospital in Zambia in 1990, and examine the cost implications of changing the standard treatment regime. We carried out a retrospective survey of records of all patients beginning TB treatment in 1990, together with HIV test results and the cost of all treatments given. From this we derived estimates of costs of different regimes which are and could be used in TB control in Zambia. Severe reactions occurred in 18.7% of all HIV seropositive patients receiving thiacetazone, fatally so in 1.2% (odds ratio 16.6). The greatest part of the cost of the current regime is that attributable to the inpatient stay; we estimated that 29.4% of patients would be unable to receive drugs as out-patients but, even allowing for this, rifampicin-based regimes given to outpatients where possible would not cost more than the current strategy. We conclude that ethical and economic considerations support a change to rifampicin-based regimes in areas of Africa where HIV seroprevalence is high.

AIDS-Related Opportunistic Infections↗