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Biomedical subjects

K Forbes

Publications and source records attributed to K Forbes.

At least 37 records · Page 2Linked to original sources

Development of a microcomputer-based system to monitor healing from injury.

It is well documented that induction of electric current in bone not only prevents the bone loss of functional disuse, but also induces new bone formation. Moreover, the literature suggests that the skeletal response is optimal at a distinct frequency range 10-30 Hz. Indeed, even at peak strains, well below those typical of habitual physiological loading, applications of 30 Hz were shown to be osteogenic. This evidence supports the concept that inducing even very low strains may generate an effective osteogenic stimulus, provided that they are induced at optimal frequency (10 to 30 Hz). Bone appears to respond with greater selectivity and sensitivity to this frequency range of electrical stimulation. Inducing insulin-like growth factors, which are negatively charged, will provide the required electrical stimulus. Traditionally, the progression of the cellular events during trauma is normally followed by x-ray to determine a healing rate. Frequent use of this method can result in serious side effects to the vital and reproductive organs. The objective of this study is to develop a microcomputer-based system to monitor the cellular events associated with healing. The system is capable of transmitting an electrical signal directly to the site of injury to improve the healing process and to monitor the progress of osteogenesis. The system consists of a base unit and implanted units. One implanted unit will be inserted in the femur with induced trauma and the other implant will be in the control femur. The base unit will transmit low frequency electromagnetic waves to the implanted units as well as receive periodic information about the ion movement in both femurs.

Biosensing Techniques↗

Sharing antenatal care: client satisfaction and use of the 'patient-held record'.

Two hundred women (148 shared care patients and 52 clinic patients) completed a questionnaire about care received during pregnancy and the use of a patient-held record. Women receiving shared care reported higher levels of satisfaction with their care than clinic patients (p < 0.0001). Thirty-six percent of the women in shared care forgot to take their record to an appointment on at least 1 occasion. During the pregnancy, over half of the respondents in both groups made contact with the hospital for reasons other than for their regular visit. For both groups, convenience was the most frequently reported reason for choosing their model of care. Other important issues for shared care patients were that the service was more personal and more information was provided. Among clinic patients, safety and quality of care were identified as important. Problems involved with the patient holding the only complete pregnancy record are discussed.

Family Practice↗

The provision of a palliative care service in a teaching hospital and subsequent evaluation of that service.

A survey at a large tertiary referral hospital showed that patients with cancer and HIV disease had poorly controlled symptoms. A palliative care service was introduced, employing a doctor and part-time pharmacist. The doctor was available to see and advise about terminally ill patients. With the pharmacists, an educational programme of meetings, teaching sessions and information leaflets was developed. One year after the introduction of the service a repeat survey all patients with cancer or HIV disease was carried out. Problems on admission were similar in both surveys, but fewer patients' symptom scores deteriorated during their hospital stay. There was a significantly increased use of appropriate opioid analgesics and NSAIDs. Staff were satisfied with the service.

Attitude of Health Personnel↗

All that power.

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Health Care Reform↗

Outcome standards.

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Health Care Reform↗