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Biomedical subjects

C Bagley

Publications and source records attributed to C Bagley.

At least 55 records · Page 3Linked to original sources

Clinical and social variables which differentiate suicide, open and accident verdicts.

A study has been made of cases coming before the Brighton coroner in the period 1970-2. Fifty cases in which a suicide verdict was recorded were specially studied, and relatives and acquaintances of the deceased were interviewed. The information thus obtained was compared with information available to the coroner in considering his verdict in 83 further cases in which he made a verdict of 'suicide'. The reliability of the contemporary information on which the coroner's decision is based was largely validated. A study was made of variables which differentiated 'suicide' from 25 'open' and 33 'accident' cases considered by the same coroner. The prevalence of depression did not differentiate 'suicide' and 'open' cases, and this finding contradicts suggestions that the association of depression and suicide might be an artefact of the method of arriving at a suicide verdict. A number of other demographic and clinical factors did however significantly vary between 'suicide', 'open' and 'accident' cases.

Accidents↗

Ecological variation of three types of suicide.

The hypothesis has been tested that three types of suicide ('old and handicapped', 'sociopathic' and 'depressed') will vary in prevalence across ecologically defined urban areas. The hypothesis is supported with respect to 'old and handicapped' suicide, which predominated in middle-class areas with established residents of middle-class status; and with respect to 'sociopathic' suicide, which predominates in central areas with high rates of social pathology of all kinds, and poor housing conditions.

Adult↗

Completed suicide: a taxonomic analysis of clinical and social data.

A post mortem enquiry has been made into the social family and clinical circumstances of 50 individuals who, according to a coroner's verdict, killed themselves in Brighton. A dimensional analysis of the 123 variables thus collected suggested the possibility of three distinct types of suicide: "depressive suidice', "sociopathic suicide' and "physical illness suicide'. The reliability of this typology has been checked by the analysis of 55 selected variables for a total of 193 cases considered by the same coroner. A cluster analysis has confirmed that the data contained at least three independent types of suicide. Some implications for the prevention of suicide are discussed.

Adult↗

Peritoneoscopy: a valuable staging tool in ovarian carcinoma.

Peritoneoscopy was done within 1 month of exploratory laparotomy in 30 consecutive patients, with ovarian carcinoma as part of their pretreatment evaluation. Six of the 7 patients who were thought to have ovarian carcinoma localized to the pelvis (stages I and II) were found to have advanced disease (stage III) at peritoneoscopy and thus required a change in therapy. Metastatic diaphragmatic involvement in ovarian carcinoma is common and was found in 77 percent of all patients studied. The routine shielding if the liver area ordinarily used with total abdominal radiotherapy would select these patients for therapeutic failure. Peritoneoscopy supplied reevaluable finding in 2 of 7 patients having normal physical, roentgenologic, and laboratory examinations, as well as in 93 percent of all patients stuided. "Second look" peritoneoscopy precluded the need the laparotomy in 5 to 13 patients achieving as apparent clinical remission.

Carcinoma↗