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Biomedical subjects

D K James

Publications and source records attributed to D K James.

58 records · Page 4Linked to original sources
PubMed1977

Obstetric flying squad service-a defence.

Eighty-one calls made by the obstetric flying squad in West Berkshire were assessed on the basis of a suggestion that patients would do as well, if not better, if they were brought straight to hospital by ambulance rather than await the arrival of the flying squad. Of the 81 calls, 36 were made to general-practitioner maternity units and 45 were made to patients' homes. In both groups, the flying squad service was considered to be still of great value. Though slightly slower than an emergency ambulance call, it represents a much safer method of transporting an obstetric patient in an emergency.

Ambulances↗
PubMedDate not supplied

Gastro-intestinal crises during pregnancy.

In general pregnancy is not associated with an increase in the incidence of gastro-intestinal (GI) conditions, but it is associated with an increase in the severity of these conditions. This is largely due to a delay in making the diagnosis. Delay is caused by a combination of factors. These include mimicry of symptoms and signs with pregnancy-related conditions, a change in the usual clinical presentation, reluctance to use radiological diagnostic aids and a higher threshold for performing invasive investigative procedures. However before resorting to invasive investigations, it is imperative that appropriate non-invasive investigations are performed and evaluated first. This is especially relevant to liver conditions in pregnancy which can present with abdominal pain. Optimal management of GI conditions in pregnancy requires both surgeons and obstetricians to be aware of the problems of diagnosis, communicate promptly and investigate without delay in order to make a diagnosis and avert a GI crisis. This article discusses the clinical presentation, diagnosis and management of the common GI conditions occurring in pregnancy.

Acute Disease↗
PubMedDate not supplied

Computerised analysis of fetal behaviour.

Conventional analysis of fetal behaviour is laborious and time-consuming. For it to have a role in a clinical setting, practical and more objective methods are necessary. We describe a computerised fetal behavioural analysis programme. Fetal behaviour (in the form of heart rate and movement) was recorded using a conventional Doppler ultrasound transducer. Data are presented comparing the method with conventional forms of behavioural analysis and documenting its limitations.

Computer Simulation↗