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Biomedical subjects

J H Barber

Publications and source records attributed to J H Barber.

At least 37 records · Page 2Linked to original sources
PubMed1981

Oxatomide in the management of hay fever--a placebo-controlled double-blind study in general practice.

Sixty-three patients completed a double-blind placebo-controlled study of oral oxatomide (30 mg t.d.s.) in the management of seasonal allergic rhinitis and/or conjunctivitis. Hay fever symptom scores were significantly lower for oxatomide-treated patients than for the placebo group on the majority of days during periods of high pollen counts. Moreover, on days when pollen counts were 10/m3 or more, a statistically significant positive correlation between symptom score and pollen count was demonstrated for the placebo group but not for the oxatomide group. Oxatomide also appeared to be superior to placebo in terms of patients' requirements for supplementary mepyramine (Anthisan) tablets, and the doctor's global assessment. Side-effects were reported by four patients in the oxatomide group and by three receiving placebo.

Administration, Oral↗
PubMed1981

Depressive illness in general practice.

A review of published literature concerning psychological illness in General Practice shows that the spectrum of illness seen differs considerably from that met with in hospital practice. The incidence of depressive illness in General Practice is described and the relationship of life events, physical disease and social factors to depression are noted. The difficulties experienced in the diagnosis of depression in the General Practice setting are described and evidence is given of the high use of drug therapy in the General Practice management of depression. The need for education in psychological illness that is more appropriate to the understanding and management of depression in General Practice is stressed.

Depression↗
PubMed1980

The treatment of acute myocardial infarction.

A questionnaire on the management of acute myocardial infarction was sent to 100 randomly selected general practitioners. From the replies received, only 42 provided worthwhile information. The approach to the care and treatment of actual patients and their common complications is discussed and recommendations relating to future audits are made.

Acute Disease↗
PubMed1980

A postal screening questionnaire in preventive geriatric care.

A postal questionnaire was introduced as a screening procedure for a comprehensive geriatric assessment programme in general practice. It had a response rate of 81 per cent, a sensitivity of 0.95, a specificity of 0.68, and a predictive value of 0.91. The use of this screening procedure could reduce the workload of an assessment programme by one fifth.

Aged↗
PubMed1980

Intermittent claudication: a controlled study in parallel time of the short-term and long-term effects of cinnarizine.

In a group of 45 patients with mild to moderately severe claudication studied over the same 4-month period, cinnarizine administration (75 mg 3-times daily) was associated with a greater than 20% improvement in walking distance in 65% of the patients, who derived significantly more benefit than the 30% of placebo responders. The mean improvement in walking distance was 11% for the placebo group compared to 142% for cinnarizine-treated patients. An open 12-month follow-up showed that improvements in walking distance with cinnarizine were maintained in all 12 patients, whereas in the 10 control patients only 10% reported improvement. Objectively, significant plethysmographic improvements were detected only for the cinnarizine-treated patients and shown by an increase in arterial flow-pressure dynamics of the lower limbs.

Aged↗
PubMed1979

Blood-pressure screening and supervision in general practice.

Since April 1975 all men aged 35-69 years registered with four general practices in west central Scotland have had their blood pressure checked whenever they visit the surgery. Although the practice locations range from rural to city centre and observers comprise receptionists, nurses, and doctors, a standard procedure has been adopted for the examination, recording, follow-up, and management of high blood pressure. The results confirm that raised blood pressure is common and often goes undetected. Even when hypertension is known, casual blood pressure readings often exceed accepted normal levels. The findings also show that a population may be routinely examined through normal contact with the family doctor, and that this can provide a convenient, acceptable, and effective means of detecting and reducing raised blood pressure.

Adult↗
PubMed1979

Use of recording booklets to evaluate teaching in general practice.

Recording booklets have been introduced for students during their course of general practice teaching at the University of Glasgow. The booklets guide the students with patients in the community who have chronic and complicated diseases. Each case history in the booklet was marked and this provided an evaluation of the teaching. This showed an improvement in the students' overall ability but was most marked in the areas of social history and problem list, thus fulfilling the aims of the teaching.

Education, Medical, Undergraduate↗
PubMed1978

Attitudes of medical undergraduates in Glasgow to computer-assisted learning.

Computer-assisted learning (CAL) has been introduced as part of the undergraduate teaching course in general practice during the penultimate year of the medical course. The student is given an opportunity to make clinical decisions and to manage a case over a significant time scale. The attitudes of the students are favourable to this method of instruction.

Attitude of Health Personnel↗
PubMed1978

The benefits to an elderly population of continuing geriatric assessment.

There is currently great interest in the care of the elderly in general practice and discussion about the role of surveillance programmes. We report a comparison between two surveys of an elderly population carried out with a view to determining the difference in findings between two surveys of the same population.Each patient had an average of 4.8 problems at the time of the second assessment. The number of active and unknown problems fell from 6.4 per patient at the initial assessment.The greatest improvements were found in such topics as clothing, bedding, heating, dentition, diet, vision, and hearing, and the least in such aspects as dependency, home hazards, and problems with a caring relative.We remain convinced that a continuing programme of geriatric assessment is valuable in general practice.

Aged↗
PubMed1977

Medical undergraduate teaching of paediatrics in the community.

The undergraduate teaching of childhood illness in the community is described. This teaching includes a cross-section of acute childhood illness together with some contact with handicapped children in their own homes. Although there were only four teaching sessions, the frequency of conditions studied approximated to that in general practice

Child↗
PubMed1977

Introduction of recording booklets in general practice teaching.

A system of recording booklets had been introduced for fifth-year students during their course of teaching in general practice. The booklets guide the student in his study of the development, presentation and future prognosis of patients with chronic and complicated disease in the community. The students abilities and the teaching were assessed using case histories in a system of computer assisted learning.

Computer-Assisted Instruction↗