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Biomedical subjects

L Mackay

Publications and source records attributed to L Mackay.

17 recordsLinked to original sources
PubMed1997

Evaluating large scale health information systems: from practice towards theory.

With the introduction of large scale health information systems which are incrementally developed from legacy systems, evaluators are faced with difficult methodological and practical problems. Some of the problems involved in multidisciplinary multi-method evaluations care discussed. It is argued that the development of a framework for evaluation is necessary in order to successfully plan an evaluation, understand the implications of the results and make future predictions based upon them. Some suggestions for arriving at such a framework are put forward.

Evaluation Studies as Topic↗
PubMed1996

Health education and COPD rehabilitation: a study.

Following last week's introduction to the subject of nutrition and rehabilitation of patients with chronic obstructive pulmonary disease (COPD), this article reports on a study of whether nurses can improve the diet of these patients when they are at home, by providing education about nutrition. The research demonstrated a positive correlation between dietary knowledge and understanding of the link between diet and health. It also showed that change was achieved as a result of education in these areas. Further research would be required to measure the effect of such changes on the long term health and quality of life for these patients.

Adult↗
PubMed1996

Nutritional status and chronic obstructive pulmonary disease.

This article explores the importance of an adequate diet for the health of the chronic respiratory patient. Poor nutrition can exacerbate or even cause respiratory symptoms. Therefore, both specialist and generalist nurses need to increase professional nutritional knowledge to address and co-ordinate nutritional aspects of care for patients and their carers. Next week, we will publish the results of a research project conducted by the author to examine the effect of specialist nurse intervention through nutritional education with these patients.

Humans↗
PubMed1996

[Just talking].

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Communication↗
PubMed1995

The nurse's role in giving nutritional advice.

Nurses are ideally placed to advise on nutrition and diet. Using the principles of the nursing process, nurses can assess clients, plan and help them implement changes in diet and evaluate the results. Everyday language should be used and practical advice must be given.

Humans↗
PubMed1995

Factors associated with early onset pneumonia in the severely brain-injured patient.

An analysis of 125 patients with closed head injury was completed in order to identify the risk factors involved in the development of early pneumonia. Pneumonia was diagnosed in 60% of the patients. Early pneumonia developed in 47.8% of the patients. Brain-injured patients who developed early pneumonia were found to have a lower Glasgow Coma Scale (GCS) score. Early pneumonia was found more often in patients with swallowing disorders and evidence of aspiration. Patients who had been intubated in the field were found to be at greater risk for the development of early pneumonia than those intubated in the hospital. Patients with early pneumonia had prolonged intubation times, intensive care unit stays, and hospital stays. This study suggests that a GCS score less than 5, evidence for swallowing disorders and aspiration, and field intubation are risk factors for early pneumonia in the brain-injured patient.

Adolescent↗
PubMed1982

Phonological process identification of misarticulations of mentally retarded children.

Speech samples of 20 mentally retarded children between the ages of 6 yr, 4 mo and 15 yr were analyzed for the purpose of identification of systematic patterns. Liquid deviations and cluster reductions were the most prevalent phonological processes evidenced in their misarticulations. Postvocalic obstruent omissions, deviations of other sonorants (glides and nasals), velar deviations, stridency deletion, stopping, and /theta, sigma/ deviations were demonstrated less frequently. In addition, the children demonstrated pre- and postvocalic devoicing.

Adolescent↗
PubMed1982

Management of severe feeding dysfunction in children with fetal alcohol syndrome.

In the past three years, we have seen three children who required prolonged inpatient admissions for severe feeding dysfunction resulting in nutritional and growth problems. The pregnancies were significant for severe maternal alcohol abuse during the entire pregnancy. All of the subjects had multiple physical findings and dysmorphic features seen in children with mild to severe fetal alcohol syndrome. Feeding evaluations showed significant delays in oral motor development. Specific oral motor dysfunction was not a commonality and did not appear to be a major determinant in delays in feeding development. Continued assessment revealed that the babies had limited suck patterns and were consistently noted to tire easily. Each required feeding by either gastrostomy and/or nasogastric feeding for prolonged periods of time. They started initial feeding by mouth at about 8 to 10 months. The times for complete oral feeding were 14, 17 and 18 months.

Child Development↗
PubMedDate not supplied

Just chatting.

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Anecdotes as Topic↗