Obsessive compulsive neurosis in identical twins.
Explore the source record for details and available documents.
Adolescent↗
Biomedical subjects
M Crowe
Publications and source records attributed to M Crowe.
Hospital services for patients with acute stroke in Ireland: the Volunteer Stroke Scheme survey of consultant opinion.
A national postal survey of hospital based consultants with responsibility for acute care of stroke admissions was performed in November, December 1998. Of 162 survey forms, 140 (86.4%) were returned representing consultants working in all 38 acute general hospitals (total 10,067 hospital beds) of whom 135 indicated that stroke patients were admitted under their care. Patients were admitted under 11 different subspeciality groups to various medical and surgical wards. Only 18.5% of consultants worked in hospitals where there was a physician/neurologist with specific responsibility for stroke, whilst only 19.5% were aware of a policy in their hospital for implementation of minimum standards of care for stroke patients or a recent audit of stroke care (9%). A substantial number of hospitals in certain health board areas have no access to a consultant led rehabilitation unit within their own health board area whilst 18/38 hospitals have no on-site CT brain scanning. Despite the proven value of organised hospital stroke care, this survey documents major deficiencies in this country. We suggest that each health board would review its services to include in each hospital a consultant physician with special responsibility for co-ordination and development of appropriately staffed and funded stroke services.
Health Services Accessibility↗
Sex therapy: the successes, the failures, the future.
Sexual dissatisfaction or dysfunction occurs in one fifth to one third of the adult population. Although great advances have been made in the pharmacological treatment of impotence, psychological and relationship therapy remain the mainstay of the treatment of sexual problems within relationships.
Combined Modality Therapy↗
The i.v. nurse and the i.v. drug abuser: medical and psychosocial implications.
When I.V. nurses treat I.V. drug abusers, they must be aware of the medical and psychosocial issues relevant to this group. Medical issues include the I.V. drug abuser's depleted venous access and this group's high rate of infection with HIV and other blood pathogens. Psychosocial issues relate to the various social and psychological problems associated with drug abuse. Further, when caring for these patients who are at high risk for HIV and other serious blood infections, the I.V. nurse may experience a conflict between her desire to care for the patient and her fear of contracting HIV or another infection through patient contact. Education is recommended so that I.V. nurses can reduce their risk of infection with blood-borne diseases and can better understand these patients. Also suggested are a multidisciplinary approach to treatment and referral to drug rehabilitation programs.
Acquired Immunodeficiency Syndrome↗
A plan for action to reduce hospital-acquired infection.
Surveillance is recognised as an essential component of the prevention and control of infection in hospitals. The second National Prevalence Survey in 1993-94 showed a mean hospital-acquired infection prevalence rate of 9%. The Nosocomial Infection National Surveillance Scheme is being developed in England to measure the incidence of nosocomial infection; similar schemes are being developed elsewhere in the UK. Surveillance aims to reduce the risk of nosocomial infection by highlighting areas where changes need to be made, measuring the effects of change and leading to the development of guidelines for good practice.
Cross Infection↗
The development of a comprehensive stroke programme in the acute hospital.
Stroke is the third leading cause of death and an important cause of hospital admissions and long term disability. The incidence of stroke is estimated at 200 per 100,000 of the population, Dublin has approximately 2,400 new strokes per annum. In 1989 a comprehensive stroke programme was introduced in St Vincent's Hospital. The aim was to provide patients with a coordinated approach to rehabilitation. A study of the programme was conducted in 1993 by detailed chart review. 129 patients with a clinical diagnosis of stroke were referred to the programme during a 12 month period. 27.13% were under age 65 and 72.87% were over 65 years, 18% died and 44.2% were discharged home, independently mobile. The study findings suggest that the comprehensive stroke programme in St Vincent's Hospital represents a feasible model of care in the acute general hospital setting.
Acute Disease↗