Counselling people with HIV about pregnancy.
Explore the source record for details and available documents.
Adolescent↗
Biomedical subjects
C Moore
Publications and source records attributed to C Moore.
Acute in-patient care could do better, says survey.
In the second of a three-part series, the author draws further on the Sainsbury Centre for Mental Health's Acute Care In-Patient study for a critical look at life as a patient on an acute psychiatric ward.
Health Services Needs and Demand↗
Admission to an acute psychiatric ward.
Not all people with mental health problems are cared for in the community all of the time, but pressure on beds means that short-term containment rather than therapeutic intervention is still the norm. Acute psychiatric services are failing both staff and patients, a problem confirmed by the findings of The Sainsbury Centre for Mental Health (Box 1). This article, the first of a three-part series drawing on the study's results, examines the reasons for this failure. The second article in the series will be published next week.
Adult↗
Discharge from an acute psychiatric ward.
The last of three articles based on the findings of the Sainsbury Centre for Mental Health acute care in-patient study focuses on the process of leaving hospital. As with admissions, discharge appears to be unplanned. Community staff are not involved in the process until the last minute and people feel uninformed about their discharge arrangements.
Adult↗
Valgus knee stress in lumbosacral myelomeningocele: a gait-analysis evaluation.
Twenty-five independent community-ambulating patients with lumbosacral-level myelomeningocele (N = 50 limbs) underwent gait analysis. The limbs of these patients were divided into two groups based on thigh-foot angle (TFA): Group I (n = 20) had marked external tibial torsion, TFA > or = 20 degrees, and group II had TFA between 10 and 20 degrees. Ten limbs were excluded because of neutral or internal alignment. Twenty normal limbs with TFA = 10 degrees served as controls. An abnormal internal varus knee stress during stance was identified in all group I limbs and 12 (70%) of 20 limbs group II limbs compared with controls, which demonstrated an internal valgus stress. This internal varus moment was greater in group I limbs than in the abnormal limbs in group II (p < 0.05). Knee flexion was the only other parameter found to correlate with this stress and only in group I limbs. We conclude that (a) in this patient group, increased external tibial torsion is likely to result in an abnormal internal varus knee stress; (b) TFA > 20 degrees appears significantly to increase this stress; and (c) knee flexion is an important related parameter, but only in limbs with TFA between 10 and 20 degrees. We believe that this abnormal stress may predispose the knee to late arthrosis and that derotational osteotomies to normalize the TFA may prove to have a favorable long-term effect.
Adolescent↗