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Biomedical subjects

J S Ashley

Publications and source records attributed to J S Ashley.

At least 19 recordsLinked to original sources
PubMed1981

Trends in pelvic inflammatory disease in England and Wales.

Hospital admissions for pelvic inflammatory disease increased by 8.7% a year among women aged 15-44 in England and Wales between 1966 and 1976. Acute disease was three times as frequent as chronic disease, although admissions for the chronic condition are increasing more rapidly than for the acute. Peak incidence of acute disease is at ages 20-24 and of chronic disease at ages 25-29. Divorced women had the highest rates of both forms. Single women had higher rates of acute disease than married women but the latter had higher admission rates for chronic disease. In general, the pattern of acute disease follows that of sexually transmitted disease. The pattern of chronic disease in turn reflects the long-term effects of acute disease. The increase in chronic disease is of concern because hospital discharge rates are increasing more rapidly than for acute disease, and in 1976 one in every eight cases mentioned infertility in association with the disease.

Acute Disease↗
PubMed1979

The need for health care--a pilot survey with general practice.

A feasibility study was carried out in two places in Wiltshire of a method of ascertaining the morbidity of the population. Traditional medical history taking and examination of the individuals were completed in a random sample of the population, of whom 89 per cent were contacted. The method appears feasible for a survey of sufficient size to measure morbidity and the study gave useful preliminary indications of unmet health care need. The cost of such a larger survey would be small in relation to the sums involved in health care planning.

England↗
PubMed1976

The elderly mentally ill--whose responsibility?

The elderly mentally ill make considerable demands on health and social services. To evaluate the need for these services a one-day census of all people aged 65 and over was carried out in an area containing 220 000 people (40 000 over 65). Data were obtained on the nursing needs and psychiatric state of the 2162 elderly people in hospital or local authority residential homes for the elderly, or living at home receiving care from the community nursing service. One-third were classified as having psychiatric problems, more than half of them being outside hospital. Residential homes and community nurses play a significant part in caring for the elderly mentally ill, and an integrated but flexible manpower policy is important.

Aged↗
PubMed1971

Case-fatality of hyperplasia of the prostate in two teaching and three regional-board hospitals.

Mortality of hyperplasia of the prostate, as in many common conditions, is higher in the regional board than the teaching hospitals of England and Wales. 932 men with simple hyperplasia of the prostate consecutively admitted to two teaching and three regional-board hospitals have been studied. There were 5 deaths among 556 men admitted from the waiting-list, and negligible variation between hospitals. Among the 376 unplanned emergency admissions were 35 deaths, 26 of them in 71 men who did not have prostatectomy. Unplanned admissions, especially those not operated on, were older than the rest and mostly in acute retention, and many also had cardiovascular and other disease. 78% of the admissions to two of the regional-board hospitals were unplanned; the operation-rate on these men was generally low and case-fatality among them was 14%. In contrast, only 22% of the admissions to the two teaching hospitals were unplanned, nearly every case was operated on, and the case-fatality was 4.3%. These two regional-board hospitals with relatively small resources were carrying more than their share of the most difficult cases. A national survey to assess the treatment of hyperplasia of the prostate is now indicated, but it is time the National Health Service gathered this kind of information routinely.

Aged↗