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Biomedical subjects

D Short

Publications and source records attributed to D Short.

46 records · Page 3Linked to original sources
PubMed1970

Warning symptoms before major myocardial infarction.

One hundred and eighty patients in hospital with proven myocardial infarction were questioned during their recovery about any unusual symptoms they experienced during the two months before the diagnosis of infarction. One hundred and twenty-two (68%) admitted to such symptoms. Ninety-nine (55% of the total) said they had experienced either the onset or an intensification of attacks of pain in the chest. Twenty-three (13%) described other symptoms, particularly tiredness or breathlessness. Of the 122 patients with prodromal symptoms, only 36 consulted their doctors, and of these 14 received only reassurance. The fact that such a high proportion of patients experience prodromal symptoms gives ground for hope that myocardial infarction might be averted in many instances. To achieve this, doctors need to be better trained to recognize the early symptoms of coronary heart disease, and, above all, further research is urgently needed to establish an effective prophylactic regimen. Once these goals have been achieved, there will be a strong case for educating the public to recognize coronary symptoms.

Adult↗
PubMed1968

Value and limitations of electrocardiogram in diagnosis of slight and subacute coronary attacks.

The electrocardiogram recorded at the initial consultation was compared with the final diagnosis in 211 consecutive suspected slight or sub-acute coronary attacks in 206 patients.In 77 (36%) of the 211 episodes, acute (or subacute) myocardial infarction was finally diagnosed. The initial E.C.G. showed a diagnostic pattern in only 19 (25%) of these 77 episodes; in 39 (50%) it was abnormal but not diagnostic of recent infarction; while in 19 (25%) the E.C.G. showed no abnormality classified under the Minnesota Code, though in 16 of these there were definite minor changes.In 61 (29%) of the 211 episodes acute myocardial infarction was excluded and an alternative diagnosis was made. The E.C.G. was strictly normal in only 23 (38%) of these 61 episodes; in 15 (25%) it showed minor abnormalities, and in 23 (38%) it was grossly abnormal.

Adult↗
PubMedDate not supplied

A move from hospital to community: evaluation of community contacts.

A small-scale evaluation was made of the activities and social contacts of a group of young mentally handicapped people in one project, leaving hospital to a house in the community. The results are consistent with other recent work in suggesting that residential provision in small homes for people with severe or profound intellectual or multiple handicaps is likely to lead to increased family contact, increased participation in activities outside of the residence, and an increased frequency and duration of contact with non-handicapped people. The study suggests that many of these benefits of life in the community are dependent in various ways upon the staff employed. The nature of the young people's social contacts is examined and conclusions are drawn about specific issues, including staff selection and training, and attention to the maintenance as well as the provision of social contact.

Activities of Daily Living↗