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Biomedical subjects

D Hunter

Publications and source records attributed to D Hunter.

At least 145 records · Page 8Linked to original sources
PubMed1992

Child sexual abuse in general practice in north east Scotland.

All Grampian and North Tayside General Practitioners (GPs) were surveyed by a postal questionnaire to find out how often they had seen victims of child sexual abuse in the last two years; how they managed these patients; and whether any measures were needed to improve interagency working, especially at Case Conferences. A total of 73% of GPs replied, and 73% of these had seen at least one victim of child sexual abuse in the last two years. From this survey GPs saw approximately 2.5 victims per 1,000 per year for girls aged under 16 years. GPs' experience, views and practice varied considerably, even in one geographical area, and 72% of them felt they needed more information on child sexual abuse.

Age Factors↗
PubMed1991

Stormy days ahead.

Explore the source record for details and available documents.

Decision Making, Organizational↗
PubMed1991

The first year's experience of an acute pain service.

The benefits, risks and resource implications of providing an Acute Pain Service were assessed during the first year of the service. Six hundred and sixty patients recovering from major surgery were treated with patient-controlled analgesia (510 patients) or extradural infusion analgesia (150 patients). The results of a prospective outcome study showed that pain control was good: more than 60% of patients scored their pain as mild during the first 24 h. Only 10% of patients complained of severe postoperative pain. Eight patients developed potentially serious complications including respiratory depression and hypotension; the diagnosis and management of these problems on general wards is discussed. Retrospective analysis of the incidence of postoperative chest infection in surgical patients showed a marked reduction during the first year of the service (1.3% in 1988, 0.4% in 1989-90 (P less than 0.01].

Acute Disease↗
PubMed1991

Psychopathology of people with mental handicap and epilepsy. I: Maladaptive behaviour.

One hundred and fifty mentally handicapped people (100 from hospital and 50 from the community) with epilepsy were studied along with an individually matched control group of 150 (100 from hospital and 50 from the community) non-epileptic mentally handicapped people. Behaviour was studied using the Profile of Abilities and Adjustment Schedule. Of the total population, 55.3% showed some type of severe behaviour problem. Although the epileptics showed slightly more severe behaviour problems than the non-epileptic group, there was no statistically significant difference between the two groups. Some differences emerged between the groups when subgroups of epileptics were studied.

Adult↗
PubMed1991

Psychopathology of people with mental handicap and epilepsy. II: Psychiatric illness.

The prevalence of psychiatric illness was studied in 150 epileptic mentally handicapped people (both hospital in-patients and living in the community) and a matched group of 150 non-epileptic controls. The Profile of Abilities and Adjustment (PAA) scale was used for the initial screening of psychiatric illness. Mildly to moderately handicapped individuals who had good communication skills and scored positively on the PAA schedule for psychiatric illness were interviewed using the PSE interview schedule. Severely mentally handicapped individuals who scored positively on the PAA's psychiatric illness subscale were observed and information was gathered from their medical notes and carers. A psychiatric diagnosis was made using DSM-III-R criteria. The non-epileptic group showed significantly more psychiatric illness than the epileptic group. Psychiatric illness was diagnosed in 25% of the cohort.

Adult↗
PubMed1991

Psychopathology of people with mental handicap and epilepsy. III: Personality disorder.

A group of 75 mildly to moderately mentally handicapped people with epilepsy, resident in both a hospital and the community, were studied together with an individually matched control group of non-epileptic patients. Their carers were interviewed to gather information for two observer-rated personality questionnaires, the Standardised Assessment of Personality (SAP) and the T-L Personality Behaviour Inventory. The two groups were compared with respect to the prevalence rates of various personalities. An abnormal personality score according to the SAP schedule was reported in 26% (n = 39) of the cohort, of which 28 (18.6% of the cohort) were personality disorders. A diagnosis of SAP abnormal personality was made in 46% of the in-patients and 6.5% of the community-based population. Of the cohort, 15% had an abnormal personality score according to the T-L schedule. No statistically significant difference emerged between the epileptic and the non-epileptic groups in the prevalence of either the SAP or T-L personality.

Adolescent↗
PubMed1991

General management in the NHS: comparisons and contrasts between Scotland and England.

The NHS takes rather different forms in England and Scotland, and comparisons can be instructive. David Hunter and Peter Williamson look at the way general management was evolved in the two countries. If so far it has not flourished in Scotland that may be because it was the adoption of arrangements designed for England, but it may also reflect differences between the two countries.

Administrative Personnel↗
PubMed1991

Adverse reactions to vitamin E and aloe vera preparations after dermabrasion and chemical peel.

Three women and one man aged forty-one to sixty-five years experienced a severe burning sensation following the application of aloe vera or vitamin E preparations to a skin area that had been subjected to a chemical peel or dermabrasion. Subsequently, a severe dermatitis occurred that required hospitalization of one patient and intravenous administration of steroids. The dermatitis abated very slowly in all patients: full recovery took three months or more. One patient resumed the use of vitamin E creams two years after the episode of dermatitis and experienced no adverse effect. Patients undergoing dermabrasion or chemical peel procedures should be cautioned specifically against the use of aloe vera or vitamin E topically in the first weeks after surgery.

Adult↗
PubMed1990

Keep it integrated.

Explore the source record for details and available documents.

Community Health Services↗
PubMed1990

How healthy is your hospital? Executives often have no idea.

Is your hospital in trouble? Would you know if it is? Many administrators don't see the danger signs for months before a financial crisis hits, said turnaround specialist David Hunter. He offers a quiz to test executives on their knowledge of the key factors in a hospital's health.

Financial Management↗