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Biomedical subjects

G Thompson

Publications and source records attributed to G Thompson.

At least 37 records · Page 2Linked to original sources
PubMed1995

Designing a nursing model for dermatology.

Nursing models provide a useful framework for care but should be adapted to specific patient groups. Models need to be adaptable to changing perceptions of patient needs and to patient-centred care.

Dermatology↗
PubMed1995

The reorganisation of a dermatology department.

In one dermatology unit, work patterns were restructured to improve continuity of care. The creation of nursing teams working in both the ward and outpatients' department has meant the effective use of nursing resources and multi-skilling of nursing staff.

Continuity of Patient Care↗
PubMed1995

Community liaison in dermatology.

Links between hospitals and the community result in greater continuity and therefore quality of care. Consistent assessments and treatment are beneficial to both patients and staff. Liaison posts break down the arbitrary barriers between care settings.

Continuity of Patient Care↗
PubMed1995

Supporting patients with healed leg ulcers.

There are high financial costs associated with recurrence of venous leg ulcers. Costs can be reduced and quality of life improved by a structured programme of education. Continued contact and support for patients following healing is beneficial for both patients and staff.

Aftercare↗
PubMed1995

Nurses' perceptions of dermatology.

There has been a reduction in the provision of specialist nursing care for dermatology patients. Low-status specialties are at greatest risk of erosion of their services. Lack of understanding results in a specialty being perceived as of low status.

Attitude of Health Personnel↗
PubMed1994

Effects of reinforcer duration on the response behavior of preterm 2-year-olds in visual reinforcement audiometry.

The purpose of this study was to investigate the effects of reinforcer duration (0.5, 1.5, and 4.0 sec) on response behavior to a 50-dB HL complex noise bandpass signal in visual reinforcement audiometry (VRA). Sixty preterm 2-year-olds (corrected age 24-30 mo) met the selection criteria and were used as subjects. Data indicated that decreasing the duration of a subject's exposure to the visual reinforcer resulted in more responses, with significantly slower habituation rates presented by subjects receiving brief (0.5 sec) versus long (4.0 sec) reinforcer duration. These results suggest that audiologists may increase the amount of audiometric information obtained from children in the upper age bracket of VRA by decreasing their exposure to the visual reinforcer.

Acoustic Stimulation↗
PubMed1994

Toledo type brachyolmia.

Brachyolmia is a form of spondylodysplasia that has not to the authors' knowledge been described in the UK. It may be a cause of short stature that is currently unrecognised. A case of an 11 year old boy with clinical, radiographic, and eye findings consistent with Toledo type brachyolmia is reported.

Child↗
PubMed1994

Access to medical care in West Virginia: implications for policy.

Access to medical care is an important goal of health care reform. In West Virginia, access to care has been defined in terms of insurance coverage and the availability of health care professionals, especially primary care practitioners. In recent years, three surveys have attempted to measure access to care. These surveys show that approximately 200,000 to 230,000 West Virginians needed medical care but were not able to obtain it because they could not afford it. A much larger number, about 540,000 West Virginians, put off or postponed seeking care they felt they needed because they could not afford it.

Adult↗
PubMed1993

A randomized, double-blind evaluation of ketorolac tromethamine for postoperative analgesia in ambulatory surgery patients.

BACKGROUND: Given the trend toward early discharge of patients after surgery and the inherent adverse effects of opioid analgesics, we compared a new nonsteroidal antiinflammatory drug, ketorolac tromethamine, given intravenously (iv) and then orally, with two commonly prescribed opioid analgesics in ambulatory patients for up to 1 week after surgery. METHODS: In this study incorporating a double-blind, multi-dose design, 221 patients who had moderate or severe pain after surgery were randomized to one of three treatment groups: group K30 received 30 mg iv ketorolac twice, then 10 mg iv every 30 min as required to control pain, up to six doses, followed by 10 mg oral ketorolac every 4-6 h; group F50 received 50 micrograms iv fentanyl at the same time intervals as in group K30, followed by 60 mg codeine plus 600 mg acetaminophen (C+A) orally every 4-6 h; and group F10 received the same combination as did group F50, but only 10 micrograms fentanyl per dose. RESULTS: Compared with 50 micrograms fentanyl iv, 30 mg iv ketorolac provided delayed but otherwise equivalent analgesic effects and was associated with similar side effects. Compared with C+A, 10 mg oral ketorolac was associated with a lower incidence of nausea and somnolence and earlier return of bowel function but not better pain relief, drug tolerability, quality of life, or psychologic well-being. CONCLUSIONS: Ketorolac, when used in an iv and then oral sequence, is a safe and effective analgesic in the ambulatory surgery setting. It has a slower onset than fentanyl, but causes fewer side effects than C+A.

Administration, Oral↗
PubMed1993

Bile duct injury during laparoscopic cholecystectomy: a report of the Standards Sub-committee of the Victorian State Committee of the Royal Australasian College of Surgeons.

A survey of Victorian surgeons performing laparoscopic cholecystectomy was carried out. This report discusses the bile duct injuries identified in the survey. Twelve injuries were recorded, a rate of 0.2%. Three of the 12 required formal repair, the other 9 being treated by T-tube alone. Possible mechanisms of these injuries, the experience of the surgeon, the role of operative cholangiography and delays in recognition of the injury are discussed.

Bile Ducts↗
PubMed1993

Adult dental health in the Keewatin.

In 1990, as part of a major health status assessment, a dental survey was carried out on a 20 per cent random sample of the adult population in the Keewatin region of the Northwest Territories. A 73 per cent response rate was obtained. Of the 397 people examined, 334 (88 per cent) identified themselves as Inuit. More than 20 per cent of the respondents were edentulous, including 10 per cent of those 18 to 34 years old. The median DMFT was 24 for all respondents and 21 for dentulous respondents. There was a significant difference between Inuit and non-Inuit respondents, which was most marked in the 18 to 34 year old age group (mean DMFT 22.1 versus 15.6, p < .001). The proportion of filled to decayed and filled surfaces (F/DF) was 50 per cent. Periodontal disease was common and increased with age. More than 73 per cent of the dentate individuals had gingival bleeding at one or more sites. Very few were free of calculus. Mean pocket depth increased with age (1.3 mm at 18-34 years of age, rising to 2.3 at 55 plus, p < .001). Sixty per cent of adults needed at least one restorative procedure, 68 per cent needed prophylaxis, and 45 per cent needed periodontal treatment. Men required more treatment of all types than women. The results of this study confirm the clinical impression that dental disease is rampant among the Inuit population. There are major needs for both preventive and treatment services.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1992

Phase I/II study of intraperitoneal iproplatin in patients with minimal residual disease following platinum-based systemic therapy for epithelial ovarian carcinoma.

13 patients with minimal residual disease following platinum-based systemic therapy for epithelial ovarian cancer were treated with intraperitoneal iproplatin. A total of three cycles were given at monthly intervals. All patients had minimal residual disease (defined as less than 2 cm in diameter) or positive cytology documented at second look laparotomy following systemic chemotherapy. Iproplatin was administered via a temporary dialysis catheter (n = 11) or a semi permanent Tenckhoff peritoneal dialysis catheter (n = 2). The dose of iproplatin ranged from 150 to 450 mg/m2. No responses to therapy were documented. In this trial the major toxic side effects of iproplatin were thrombocytopenia, diarrhoea, nausea and vomiting. The maximum tolerated dose was 300 mg/m2.

Adult↗
PubMed1992

Auditory responsiveness of premature infants utilizing visual reinforcement audiometry (VRA).

The purpose of this investigation was to study the relationship between visual reinforcement audiometry (VRA) performance and age (i.e., corrected and mental) with 60 premature infants. VRA performance was classified as unacceptable, marginal, or acceptable based on conditionability and number of responses obtained before habituation to the task. The results indicated that mental age and corrected age were significantly related to VRA performance. It was found that a corrected age of 8 mo and/or a mental age of 6 mo is typically required for acceptable performance using VRA. A lack of responsiveness to the VRA procedure at these ages would most likely be due to hearing loss as opposed to a general developmental delay. The data from this study would not support a large scale behavioral hearing screening program for premature infants below 8 mo corrected age or 6 mo mental age.

Acoustic Stimulation↗