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Biomedical subjects

C J Allison

Publications and source records attributed to C J Allison.

12 recordsLinked to original sources

Early detection and control of cancer in clinical practice.

As part of the Community Cancer Care Evaluation, a random-sample survey of practicing physicians in 12 geographic areas was conducted in 1985 to provide information about physician practice patterns with reference to cancer detection, control, and treatment. All respondents were asked whether they routinely performed comprehensive physical examinations, breast palpations, mammography, rectal examinations, chest roentgenography, and stool guaiac examinations on normal healthy patients older than 50 years. Responses were examined in terms of American Cancer Society and National Cancer Institute (Bethesda, Md) recommendations. Conformity with recommendations was dependent on the geographic area, the specific procedure, and the specialty of the physician. Across all procedures, frequency of performance varied with years since graduation from medical school, with more recent graduates more likely to conform to recommended standards.

Adult

Student discussion groups on doctor-patient relationships: a critical assessment.

Regular discussion groups for all students were introduced at a new clinical medical school to enable students to discuss freely their responses to patients. The main aim was to prevent the alleged dehumanizing effect of medical education. The groups were monitoring by attendance records, questionnaires and tape-recordings. In fact, the majority of students stopped attending so that only two of the five groups survived longer than 6 months. Despite improvements in organization and styles of conducting the groups, a similar fall in attendance occurred in the next year's intake. paradoxically, in most meeting there was a lively and apparently beneficial discussion on the students' reactions to their contacts with patients, so it was difficult to explain the overall drop in attendance. It was concluded that, while organizational details and inappropriate styles of conducting the groups were partly responsible, the main problem was the apparent conflict in attitudes between the students medical teachers and their group conductors (who were mainly psychiatrists), i.e. between the concepts of modern technological medicine and those of psycho-social medicine. This induced a conflict of motivation in the students, who naturally need to identify with their teachers, which most of them resolved by avoiding the groups. It is suggested that more effective integration between general medical teachers and the organizers of such groups is needed, and that group conductors should include general practitioners and clinical supervisors as well as psychiatrists.

Education, Medical, Undergraduate

A three-month study of environmental mastitis in a dairy herd.

During the autumn/winter of 1976, a study was made of a severe mastitis outbreak which occurred in a herd of 96 cows. Forty-four cows and 61 quarters were clinically infected with new infections between September and mid-December. Escherichia coli was isolated in 84 per cent of clinical samples submitted for bacteriological examination.

Animals

Invagination of the caecum into the colon in a Welsh pony.

A chronic wasting disease in a 16 month old Welsh pony filly is described. The animal died 26 days after the onset of illness which commenced with a sub-acute colic and was characterised by progressive loss of appetite and weight. Post-mortem examination revealed a total invagination of the caecum into the colon and it seemed logical to assume this invagination occurred at the start of the illness. A review of the literature showed that total caecal invagination produces 2 distinct clincal syndromes. It can occur either as an acute illness characterised by severe colic and death after about 10 days, or as a chronic wasting disease, such as the case presented here, which may not result in death for several weeks or even months.

Animals