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Biomedical subjects

S Johnson

Publications and source records attributed to S Johnson.

At least 667 records · Page 37Linked to original sources
PubMedDate not supplied

Feasibility of blood glucose self-monitoring in unstable insulin-dependent diabetes.

We have studied the impact of home blood glucose measurements with the Ames Dextrostix/Eyetone system on the metabolic control of 17 insulin-dependent, ketosis-prone, unstable diabetic patients. Thirteen patients (69 patient-months) were enrolled in a comprehensive program designed to achieve excellent metabolic control and which included the daily use of the Eyetone meter. Eleven of these patients were diabetic kidney recipients on daily prednisone. The improvement of the metabolic control, as assessed by daily home blood glucose measurements, was highly significant (P < 0.001) in 11 patients (85%). The control was still inadequate, however, in at least seven patients. In four unstable diabetic patients who were given the meter for 4 mo but were not followed closely during this period, modest or no improvement in metabolic control was observed. The Eyetone meter proved highly precise and accurate in our patients' hands. Several patients achieved a coefficient of variation of less than 5 (in 10 consecutive determinations) and a correlation coefficient with the Beckman glucose analyzer of 0.96. We concluded that the metabolic control can be markedly improved in the most unstable diabetic patients with home blood glucose measurements, provided the patients receive adequate and frequent encouragement and diabetic teaching. Without the latter, at least in unstable diabetes, whether patients are compliant or not, the instrument may have little impact on control.

Adult↗
PubMedDate not supplied

Severe hypoglycemia during maximized insulin treatment of diabetes in a randomized clinical trial.

Our experience with hypoglycemia during a randomized clinical trial testing the hypothesis of a causal relationship between hyperglycemia and diabetic complications is described. Patients under maximized control experienced hypoglycemia much more often than patients under standard control. There were five episodes of serious hypoglycemia, none of them on pumps, in the former group, but none in the latter. Lack of compliance (or overcompliance) with certain aspects of intensive treatment increases the danger of grave hypoglycemia and should be part of exclusion criteria when considering maximized control.

Adult↗
PubMedDate not supplied

Health policy in the land of Oz.

Since the mid-1960s, the health sector has depended on the political process to shape the organization, delivery, and financing of medical care. When the health sector was in its infancy, using public policy to give form and substance to America's medical care was appropriate. Now, after nearly 35 years of legislative activity at the federal and state levels, American health care has become expensive, fragmented and complex-and the political process gridlocked. Can the necessary health reform efforts be stripped from an ineffective, politicized public policy process, and be accomplished from the bottom up by disenfranchised purchasers and providers of health care and their communities acting on their own initiative?

Health Care Sector↗
PubMedDate not supplied

Expanding the nursing profession.

this paper explores the political, economic and demographic developments which are shaping new nursing practices throughout the world. The authors observe that these developments are generally seen to challenge traditional models of nursing and encourage the role of sub-professional support workers.

Humans↗
PubMedDate not supplied

The truth about data.

Explore the source record for details and available documents.

Community-Institutional Relations↗
PubMedDate not supplied

The value of principles.

Explore the source record for details and available documents.

Community Health Planning↗
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Managing the Paradox.

In the information age, one of the paradoxes is how to get the information your organization needs to where it's needed when it's needed. At the MHA, we've made a strategic decision to employ the Internet (MHAnet), fax on demand (MHA QuickFax), and videoconferencing capabilities to communicate, almost instantaneously, with key staff at member institutions. These methods don't replace face-to-face meetings and documents through the mail, but they do offer members additional avenues for immediate access to the resources and services of the MHA.

Community Health Planning↗
PubMedDate not supplied

Good news about hospitals.

There's a seldom seen headline. For the last 10 years, hospitals have been a convenient scapegoat, a symbol of the problems of health care, an easy target for those with only a superficial understanding of health care delivery and financing.

Community Health Planning↗
PubMedDate not supplied

Good news about hospitals.

Commitment to caring--whether in the hospital, the clinic or the community, caring is our trademark. We put patients first. In 1990, George Lundberg, editor of the Journal of the American Medical Association, said that health care "up to and into the next millennium, must be obviously in the public interest. It must ensure access to quality care for all, practice economic soundness, balance health fairly against all other societal needs, and most of all, require and demonstrate good will toward all people."

Community Health Planning↗