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Biomedical subjects

J D Knox

Publications and source records attributed to J D Knox.

At least 55 records · Page 3Linked to original sources
PubMed1982

Influenza-like illness: a monitoring system.

This paper draws attention to the widespread problems associated with an epidemic of influenza at all levels--personal, family and society. In the absence of effective policies of prevention and cure, there is a need for a system which will constantly survey the scene on a clinical basis and give an early warning of an impending epidemic. The means hitherto available have been crude and rather slow to react. A system is described which is based on weekly telephoned reports from a geographically widely spread network of general practitioners, mainly in Tayside. The co-ordinated system operates during the influenza 'season', and provides information to the contributors, health planners, epidemiologists and to WHO. Examples of the work of the 'spotter practices' are drawn from the season 1980-81. The material is validated by virological sampling studies, by the internal consistency of the figures, and by reference to what is happening in other geographical areas. The feasibility of the system has been demonstrated (even under epidemic conditions), and it is suggested that a national co-ordinating system be established.

Disease Outbreaks↗
PubMed1981

Debendox in early pregnancy and fetal malformation.

During the mid-1960s, 22 977 pregnant women in Scotland and England were followed up prospectively for the incidence of malformations in their infants evident at birth or within six weeks. During the first 13 weeks of gestation 620 of these women had been prescribed Debendox (dicyclomine-doxylamine-pyridoxine) and 743 other women agents other than Debendox containing pyridoxine. Of the 620 women given Debendox, 589 (95%) had a normal outcome of pregnancy, 8 (13%) delivered a malformed infant, and 23 (3.7%) had other outcomes. Of the 22 357 women who were given Debendox, 445 (2.0%) produced infants with malformation; and the rates for all abnormal outcomes among women given Debendox and those not given the drug were 5.0% and 5.4% respectively. These results support the hypothesis that Debendox is not teratogenic.

Abnormalities, Drug-Induced↗
PubMed1981

Duplicate prescriptions: an aid to research and review.

We describe a method of studying patterns of prescribing and related morbidity in general practice. Prescribing data were automatically duplicated onto a ;no-carbon-required' prescription-pad. Additional information about diagnosis and indications for each drug, an indication of whether the drug was newly prescribed or a repeat, and a patient identification code were entered onto the bottom copy. A computer was used to process the data, which were gathered over a period of seven months.The method offers an efficient means of collecting data which can be applied by individuals or groups of doctors to improve patient care and help achieve rational prescribing.

Data Collection↗
PubMed1981

Prescribing in general practice and the provision of drug information.

Duplicate prescriptions were used to monitor patient prescribing and morbidity data for 20 Tayside general practitioners during a two-year study. Each participant took part in two periods of active monitoring separated by a three-month gap. Prescribing statistics collected during the first period of monitoring formed the basis of drug information which was circulated to participants shortly after the start of the second period. Some of this information was purely statistical; other information included comments as well as statistics. Subsequent monitoring assessed any changes in prescribing. The results indicate that drug information of this kind can influence general practitioner prescribing but that there were no differences in response to information which was purely statistical and information which included comments.

Drug Information Services↗
PubMed1979

Practical work in a behavioural sciences course.

This paper describes a recent change in the practical component of the Behavioural Sciences course at Dundee Medical School. Results obtained from an evaluation of the change appear to show that students' learning was enhanced by the new form of practical work.

Behavioral Sciences↗
PubMed1979

Communication skills and undergraduate medical education.

This paper reports some aspects of teaching communication skills based on experience with over 100 pre-clinical students in each of two years. Students interviewed patients selected by general practitioner tutors from their practices and 214 interviews, recorded on videotape, were subsequently analysed. Without having been given detailed instruction, approximately two-thirds of each class of second year students (mean age 19 1/2 years) sustained a consultation for 5 minutes or more. Over one half of the students elicited the salient features of the patients' problems within this short time. Anxiety exhibited by the majority of students could be seen to influence the interviews in several ways. These manifestations and the ways in which the interview was affected are briefly described. When some of the patients were subsequently interviewed by postgraduate trainees in general practice, the consultations differed in a number of respects. These differences are described, and the possible significance of the observations is discussed in relation to medical education.

Anxiety↗
PubMed1979

Common sense and consulting.

Three hundred and forty-two general practitioners in Scotland presented their views on content and training in relation to consulting with patients. Differences in responses from trainers, non-trainers, and trainees are examined and possible reasons for the divergences are discussed.

Communication↗
PubMed1978

Difficulties in consultations reported by doctors in general practice.

General-practitioner trainers in Scotland responded to a questionnaire on difficulties in consultation significantly more readily than did non-trainers. Their answers to some questions were significantly different.Trainer and trainee views of difficulties in communication with different types of patients and situations are broadly similar. Because of this similarity of views, the experienced doctor can plan an approach to training which is valid for the inexperienced trainee. He may, however, modify his estimate of the degree of difficulty for the trainee of consultation by involving some categories, for example, adolescents (easier for the trainee), dying patients (more difficult), patients of socioeconomic status which is different to that of the doctor (more difficult).SOME ASPECTS OF THE CONSULTATION MERIT SPECIAL ATTENTION: techniques such as those appropriate to ending the interview and discovering the patient's reasons for seeking medical help.While trainees' problems associated with lack of familiarity with patients and their circumstances are likely to decrease with time spent in the teaching practice, adequate records can help to diminish the trainees' insecurity.This survey confirms the need to continue to focus attention on patient management as a component of training as relevant as the detailed diagnosis and treatment of disease.

Adolescent↗
PubMed1977

Teaching teachers in general practice.

A short, intensive, teacher training course for general practitioners is described. The assessment techniques used indicate that it went some way towards achieving predetermined goals. Set alongside the limited time available to practitioners for attending training courses, and the logistic problems of training an adequate supply of teachers, this experience suggests that short intensive courses may have an important role in professional education.

Curriculum↗
PubMed1977

Medical students talking to patients.

Observations were made of 108 pre-clinical medical students interviewing patients carefully selected by general practitioner tutors, under strict supervision in an audio-visual studio. Videotape replay allowed immediate feed-back to the student, and this was supplemented by direct comment from the patient. The consultations were also used for small group teaching (by CCTV). Although most students viewed the exercise as threatening, they appeared to find it a helpful experience. The method uncovered students with major defects in communicating at the personal level. Detailed analyses of the content of the interviews are being carried out, and will be the subject of a separate communication.

Behavioral Sciences↗