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Biomedical subjects

E I Williams

Publications and source records attributed to E I Williams.

36 records · Page 2Linked to original sources
PubMed1986

Patterns of care for the elderly in general practice.

Little is known about the care provided for the elderly by general practitioners. This study is based on data from 89 030 consultations with patients of all ages of which 17 771 were with patients over 65 years of age. It was found that general practitioners carry out more follow-up work with their elderly patients than with their younger patients and they make more home visits and referrals to nursing and social services. However, they do less investigative work with elderly patients and the level of referral to consultants is the same for patients of all ages. Considerable variation was found between doctors in the pattern of care provided for older patients. The proportion of elderly patients on the list of a general practitioner had little effect on his overall workload. The implications of these findings for health service research and planning are discussed.

Adolescent↗
PubMed1986

A model to describe social performance levels in elderly people.

In elderly patients illness clearly affects both their social activity and their ability to care for themselves. It is important in general practice to recognize this effect when managing old people with acute and chronic illness. A model is described which aims to facilitate estimations of social performance at various levels. By carrying out this estimation the type of ;social' help needed can be better assessed. The model's usefulness in anticipatory care is also described.

Activities of Daily Living↗
PubMed1984

Characteristics of patients aged over 75 not seen during one year in general practice.

A study was carried out in two large urban practices to determine the number of patients aged over 75 years who had had no contact with the primary care team during one year and to examine their medical and social characteristics. Although their general health was considered to be good, over half needed treatment or other action and half had no identifiable career.

Aged↗
PubMed1983

The general practitioner and the disabled.

The results are presented of a questionnaire survey testing opinion about care for disabled patients. Most respondents agreed that the disabled in the practice should be identified. The views of the doctors as to the possible methods of identification and how the information might be used are given. The point is made that further in-depth studies are necessary to determine the characteristics of practices with information systems and whether there are benefits to patients attending a practice with such facilities.

Adult↗
PubMed1972

Sociomedical study of patients over 75 in general practice.

In a survey of people of 75 years and over in a general practice situated in the north-west of England a total of 297 patients was examined. Among the many previously unreported medical conditions and social needs were seven unknown malignant conditions, 28 patients with heart failure, five with diabetes, and one with myxoedema. A high incidence of nutritional anaemia was also found. It is concluded that such a survey can detect much hidden illness and disability and that general practice is the right setting for it.

Aged↗
PubMed1966

Utilization in vivo of glucose and volatile fatty acids by sheep brain for the synthesis of acidic amino acids.

1. Free glutamic acid, aspartic acid, glutamic acid from glutamine and, in some instances, the glutamic acid from glutathione and the aspartic acid from N-acetyl-aspartic acid were isolated from the brains of sheep and assayed for radioactivity after intravenous injection of [2-(14)C]glucose, [1-(14)C]acetate, [1-(14)C]butyrate or [2-(14)C]propionate. These brain components were also isolated and analysed from rats that had been given [2-(14)C]propionate. The results indicate that, as in rat brain, glucose is by far the best precursor of the free amino acids of sheep brain. 2. Degradation of the glutamate of brain yielded labelling patterns consistent with the proposal that the major route of pyruvate metabolism in brain is via acetyl-CoA, and that the short-chain fatty acids enter the brain without prior metabolism by other tissue and are metabolized in brain via the tricarboxylic acid cycle. 3. When labelled glucose was used as a precursor, glutamate always had a higher specific activity than glutamine; when labelled fatty acids were used, the reverse was true. These findings add support and complexity to the concept of the metabolic ;compartmentation' of the free amino acids of brain. 4. The results from experiments with labelled propionate strongly suggest that brain metabolizes propionate via succinate and that this metabolic route may be a limited but important source of dicarboxylic acids in the brain.

Journal Article↗