Search PubMed⌕ Search

Biomedical subjects

D Grice

Publications and source records attributed to D Grice.

12 recordsLinked to original sources
PubMed1998

Optic ataxia following unilateral stroke.

Five patients with optic ataxia together with tactile apraxia are described. They also demonstrated difficulty in finger movements under visual guidance. The CT scan showed lesions in the posterior parietal region in three and in two they were located anteriorly. It is well recognised that lesions in the posterior parietal area may cause disruption of visual guided movements. On the basis of the two cases it is postulated that the same phenomenon could occur with lesions located more anteriorly. The assumption is that optic ataxia may occur either following damage to the parieto-occipital region or to disruption of its occipitofrontal connections.

Aged↗
PubMed1995

ECRS (extra-contractual referrals). Mind the gaps.

METHOD. Buckinghamshire HA's ECR account budget sheet was reviewed for a five-month period from April 1993, to identify adult mental health patients who were residents. Children under 16 and patients with physical disabilities were excluded from the study. All local consultant psychiatrists who either referred the patients or were responsible for their care were interviewed by a public health doctor, using a structured questionnaire. Basic demographic details, diagnoses, details of the ECR request, reasons for referral, current care needs and future patient plans were analysed for patients known by their consultants. RESULTS. Thirty-two patients were identified from the ECR account sheet. Twenty-eight patients were known by a local consultant and included in the analysis. Of the outstanding four patients (14 per cent), one had returned to their local provider unit but was still being invoiced as an ECR patient, and three were long-term chronically ill patients referred before ECRs were introduced.

Adult↗
PubMed1992

The management of hyperlipidaemia: are specialist lipid clinics needed?

A survey of all general practitioners in Oxfordshire was undertaken to determine what use they wanted to make of a district lipid clinic, and to assess how effectively it met their needs. The response rate was 85% (288/340) but some respondents failed to answer each section of every question. One hundred and eighty-five general practitioners (64%) had previously referred patients to the clinic. Most respondents selectively asked for blood cholesterol measurements in patients with major cardiovascular risk factors (94%, 266/283), and few routinely asked for cholesterol as part of a health check (17%, 43/258). Most thought that referral to a clinic was appropriate for children (65%, 149/229), for patients aged 20 to 39 (85%, 209/247), and for older patients aged up to 60 (77%, 186/243). Ninety-four per cent (260/277) wanted access to specialist advice for patients with a cholesterol concentration exceeding 8.0 mmol l-1, and 73% (197/270) wanted specialist advice before starting treatment with a lipid-lowering drug. Although most respondents rated the service provided by the clinic favourably, more than half would have liked more information on prognosis, drug treatment, long-term follow-up, and screening of family members. We conclude that general practitioners would like access to specialist advice for the management of severe hyperlipidaemias, and that cardiovascular screening programmes in primary care have important resource implications for specialist services.

Adult↗
PubMed1991

Lessons in class.

In the second of two articles, Jenny Griffiths and colleagues look at the evolution of health promotion in Oxford region over five years in the light of The Health of the Nation.

Community Participation↗
PubMed1989

Carcinoma of the cervix and oral contraceptives: epidemiological studies.

The relationship between squamous carcinoma of the cervix and oral contraceptive use has been examined in a substantial number of epidemiological studies. On balance there is reasonably convincing evidence that prolonged oral contraceptive use slightly increases the risk of the disease, but some doubt remains as to whether or not confounding factors have been controlled adequately in the studies reporting positive findings. The data are too few at present for any reasoned comment to be made about the possible relationship between oral contraceptives and adenocarcinoma of the cervix.

Adenocarcinoma↗
PubMed1981

HLA A and B locus antigens in patients with unexplained hepatitis following halothane anaesthesia.

HLA A and B locus antigens were determined in 17 patients who had recovered from unexplained hepatitis following halothane anaesthesia. The greatest deviations from expected frequencies were observed with A1, A11 and BW22, but these differences were not statistically significant when the P values were corrected for the number of antigens tested. Although a larger series might show such deviations to be significantly different, HLA typing is of no predictive value in determining those at risk to hepatitis following repeated halothane exposure.

Adult↗
PubMed1975

Perceptual incongruity and social interaction as determinants of infants' reaction to novel persons.

To investigate the contrary position of perceptual incongruity and social interaction theories regarding birth order and reactions to novel persons within the first year of life, novel persons were presented to 96 first and later borns 8 and 12 months of age. Because firstborns, exposed to more positive social interaction within the family within the first year of life, were more positive towards strangers than were the later borns, the authors concluded that by the end of the first year of life the nature of the infant's social interaction within the family, rather than the number of perceptual encounters, is the major determinant of infants' reaction to novel persons in their enviornment.

Attention↗