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Biomedical subjects

J K Anand

Publications and source records attributed to J K Anand.

At least 37 records · Page 2Linked to original sources

Incidence of neonatal hip instability: are there seasonal variations?

We wanted to establish whether the season of birth affected the incidence of neonatally diagnosable hip instability in Eastern England. Data relating the numbers of maternities to the numbers of cases of congenital displacement of the hip diagnosed in neonates were analyzed month by month over a period of 8 years. The study covered 185,744 maternities and 154 cases of displaced hips during the period 1979-1986. While there were wide fluctuations in the monthly incidence, there was a striking excess of the malformation in late winter and early spring, i.e. in January, February, March and April, and a progressive decline in the succeeding months. The cause or causes of the seasonal variation are unknown.

Birth Rate↗

Disposable tuberculin tests: available and needed. A review.

The literature relating to the value of imotest and the tine test in comparison with the Mantoux test and the Heaf test is reviewed. The reports on the concordance of the results of Heaf and Mantoux tests are also considered. It is concluded that the tine test and the imotest have significant advantages in terms of safety so far as cross-infection risks are concerned. Large-scale multicentre trials to attain consensus on the interpretation of results from all four tests are suggested.

Cross Infection↗

What is the true mortality of hip fractures?

A total of 709 consecutive patients admitted with a hip fracture were prospectively studied to establish the true mortality from the fracture. At one year from injury 37% of patients had died. For 63 (9%) of these patients the hip fracture was thought to have directly contributed to death, for 109 (16%) patients death was possibly related to the hip fracture and for 85 (12%) patients death was totally unrelated to the fracture. Analysis based on the cause of death and time from injury enables us to calculate the true mortality from proximal femoral fractures to be 15%. The remaining deaths are due to a variety of conditions associated with ageing.

Age Factors↗

Blindness and partial-sight: aetiological factors and data collection systems.

271 BD 8 Forms completed by consultant ophthalmologists to enable blind and partially sighted patients to be registered by the social services department were analysed for aetiological factors. This set of data for 1982 to 1986 is tabulated and compared with historical and contemporary data for the country as a whole and some data from Strathclyde, Avon and Leicestershire. It is suggested that in order to monitor epidemiological trends in the causation of visual disability, a composite picture for England could be obtained by requiring one district in each of the fourteen English regional health authorities to collect and analyse the local data. Form BD 8 should be revised, simplified and made computer compatible.

Adolescent↗

Hospital at home.

True domiciliary health care services are not fully developed yet in Britain. The limited reports from this country and more extensive ones from abroad, indicate the potential of such schemes. The Peterborough Hospital at Home scheme (HAH) has been operating for 10 years and provides a valuable model for the development of a home care service. It has proved of particular value in a variety of patient groups. Terminally ill patients, those discharged early after operation, the elderly and children; all have derived benefits from home care. However, for a service to function efficiently, it must be of sufficient size, be fully integrated and organisationally responsive to changing needs and professional roles.

Community Health Nursing↗

Team management of the elderly patient with hip fracture.

The management of 200 consecutive patients with hip fracture by a joint hospital and community team in Peterborough has shown that over half the patients could be discharged considerably earlier than is usual. The patients are cared for at home by the hospital-at-home nursing service and generally need much less nursing care than patients treated conventionally. In the first 10 months of the scheme 733 inpatient bed-days were saved and the average hospital stay of patients discharged home was reduced from 22.0 to 14.6 days.

Aged↗