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Biomedical subjects

M J Hare

Publications and source records attributed to M J Hare.

At least 37 records · Page 2Linked to original sources
PubMed1984

The working relationship between the general practitioner and the health visitor.

The views of 40 health visitors from the Cambridge health district on their working relationship with general practitioners are presented. Patterns of attachment and facilities at the work base are described. The health visitors gave ratings for the frequency and facility of their contact with the general practitioners, the types of patients referred to them and their overall relationship with the doctors. The health visitors' own suggestions for improvement in the relationship are discussed.

Community Health Nursing↗
PubMed1983

A retrospective review of cervical cytology in women developing invasive squamous cell carcinoma.

The records of 93 women who presented with invasive squamous cell carcinoma were searched for evidence of cervical cytology during the years preceding this diagnosis; a search was also made through the files of local laboratories and contact was made with general practitioners and relevant hospital departments. Only 26 (28%) of these 93 women had had a cervical smear at any time before the diagnosis of invasive cancer, and only 11 (12%) had had regular cytological surveillance. Fifteen (60%) had had a smear taken and reported as negative within the previous 5 years, six (6%) within the previous year. Eleven of these 15 slides were obtained for review: three were regarded as positive and three more were re-classed as too scanty for conclusive assessment. In nine of the 67 women who had never had a smear, a gynaecological or obstetric examination was known to have been performed or indicated within the previous 5 years, thereby representing a missed opportunity for screening. In three patients cytological abnormalities had been reported within the previous 3 years but no action had been taken.

Adult↗
PubMed1983

Women's recollection of pain during and after carbon dioxide laser treatment to the uterine cervix.

By use of postal questionnaires women who had undergone laser treatment to the uterine cervix without analgesia or anaesthesia were asked to comment retrospectively on their recollections of the pain that this caused. One hundred (42%) of 239 who replied had found the pain 'moderate' or 'severe', 102 (43%) thought it 'very slight' or 'mild', and 37 (15%) said they felt no pain at all. No greater sensation of pain was reported with higher intensity treatment. A total of 58 (24%) suggested that they would wish for some form of anaesthesia if they needed to have the same treatment again.

Anesthesia, General↗
PubMed1982

Evidence for an association between Chlamydia trachomatis and cervical intraepithelial neoplasia.

Attempts were made to isolate Chlamydia trachomatis, Mycoplasma hominis and Ureaplasma urealyticum from women with cervical intraepithelial neoplasia (CIN), from those with microinvasive or invasive cervical cancer, and from a control group of similar women with other gynaecological problems. C. trachomatis was found in a significantly greater proportion of women with CIN (8%) or cervical cancer (18%) than in the control group (1%), whereas M. hominis and U. urealyticum were approximately as common in each group. Histological examination of the cervix in cone biopsies or hysterectomy specimens from 26 women with CIN and from 39 women of similar age with no evidence of CIN showed lymphoid follicles, previously reported to be associated with chlamydial infection, in nine of the specimens with CIN, but in none of the specimens without CIN.

Cervix Uteri↗
PubMed1981

Follicular cervicitis--colposcopic appearances and association with Chlamydia trachomatis.

Follicular cervicitis was recognised in 15 (44 per cent) of 34 women who were examined colposcopically and who were sexual partners of men with non-gonococcal urethritis. Valid results of culture for Chlamydia trachomatis were obtained in 26 cases: the organism was isolated from the cervix of five of 11 women in whom follicular cervicitis had been diagnosed, but from only one of 15 whose cervices did not have this change. A similar correlation was not found for infection with Mycoplasma hominis or Ureaplasma urealyticum.

Adolescent↗