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Biomedical subjects

A M Porter

Publications and source records attributed to A M Porter.

At least 55 records · Page 3Linked to original sources

Anglo-French contrasts in medical practice.

Medical practice in a British and French town was compared. The British and French general practitioners (GPs) and specialists were observed for one session each, and questionnaires were presented to the doctors and to samples of the inhabitants. Style of practice may largely determined by fiscal factors.

Adult↗

Depressive illness in a general practice. A demographic study and a controlled trial of imipramine.

The distribution of 93 consecutive cases of depressive illness in a Surrey general practice was found to be non-random. Married women were at risk, while men and unmarried women were largely spared. Married women were prone to the disorder at any time in their lives, and relapse was frequent. There was some suggestion that divorced wives and wives of low social class were particularly predisposed to the disorder.Sixty of the patients took part in a double-blind controlled trial of imipramine. There was no evidence that the drug was superior to a placebo in inducing a remission. It is suggested that imipramine has become established in clinical practice on inadequate evidence and that there is a need for further trials.

Adolescent↗

Drug defaulting in a general practice.

Different groups of patients in a general practice have been under close observation by defined methods to assess the extent of their adherence to drug schedules. Patients taking antibiotics, admitted to a short drug trial and prescribed long-term treatments, proved in most cases to be compliant. Antenatal patients taking a once-daily dosage of prophylactic iron were more co-operative than those taking divided dosages. Socially isolated patients and those of low social class were particularly likely to neglect their drugs.It is suggested that the significance and extent of the problem have been largely ignored and that all drug trials undertaken on outpatients should incorporate methods of detecting defaulters.

Anti-Bacterial Agents↗