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Biomedical subjects

K Gibson

Publications and source records attributed to K Gibson.

95 records · Page 6Linked to original sources

Experience of coding ambulatory visits to outpatient clinics.

Clinical data for all current outpatients at a large tertiary hospital has been collected for analysis. Patient diagnoses for selected "key" clinics have been coded to ICD-9-CM standards. Methods to reduce the volume of coding required for such data collection are discussed, and include short-lists of codes, default assignment of diagnoses codes according to the nature of visit, and producing a "discharge" summary for outpatients, similar to that routinely produced for inpatients.

Ambulatory Care↗

Nursing auxiliaries: developing services for elderly people.

The establishment of a project to support and develop the role of nursing auxiliaries working with elderly people is described. Organised and run by two clinical facilitators, a variety of research methods, including interviews and non-participant observation of clinical practice, were used to establish baseline data. The interview information showed that there was general dissatisfaction among trained and untrained staff about the auxiliaries' roles, and clinical practice assessment of 206 auxiliaries demonstrated deficiencies in their communication, lifting and infection control techniques. Individual ward development and management of change plans were then set up and operated.

Aged↗

Mediation in the medical field. Is neutral intervention possible?

Neutrality is held to be the touchstone of good mediation. True neutrality is elusive, however, and probably not even desirable, at least when applied to patient-provider disputes over medical care. In this context, mediators should not posture as "neutrals"; they should strive instead to protect their clients' autonomy.

Attitude of Health Personnel↗

Evaluation of cross-protection afforded by a Salmonella Choleraesuis vaccine against Salmonella infections in pigs under field conditions.

This field study investigated the efficacy of a Salmonella Choleraesuis live vaccine (Argus SC) to reduce the number of infections with Salmonella. Twelve groups of about 380 pigs each were randomly allocated to either vaccination (V) or no vaccination (C). The vaccine was applied orally at 3 and 16 weeks. Forty pigs per group were blood sampled at 3, 10, 16, and 24 weeks to detect possible antibodies against Salmonella. The prevalence of Salmonella in the lymph nodes was the major variable. In the V groups, only 0.6% of the lymph nodes were positive, whereas 7.2% were positive in the C groups (p < 0.001). The percentage of seropositive pigs at 24 weeks (cut-off OD > 10) was 26% and 9% in the V and C groups, respectively (p < 0.001). The present study documented that vaccination with a live modified S. Choleraesuis vaccine is a useful tool to lower the prevalence of Salmonella in swine herds.

Animals↗