Biomedical subjects
Publications and source records attributed to M Walsh.
Ulceration of the lower extremities is one of the most important medicosocial problems (Skobelkin et al 1990). In this article, two case studies show that it is the length of time that laser therapy is used that can have a significant impact on ulcer size.
Nurses are insistent that they have a great deal more to offer than being merely doctors handmaidens. This article examines how nursing education and practice can be changed by increasing our knowledge of 'memes'--the cultural equivalent of genes--and the ways traditional beliefs are passed down to generations of nurses.
Preparing nurses for working across traditional healthcare boundaries and to a higher level of practice requires a radical approach to post-registration education. Here, the authors propose a curriculum for primary health care that will equip nurses to meet the challenges of future healthcare provision.
Chaos and complexity theories have implications for nursing practice. Chaotic systems, potentially including health, the NHS and nursing, are governed by rules which should be understood in order to try to predict future behaviour. Complexity relates to the interconnectedness of things and fits neatly with the concept of holistic care. It can also make important contributions towards restructuring and reorganising nursing.
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We designed a study to ascertain the weight and type of items carried by junior hospital doctors in their white coats. Sixty consecutive doctors entering the hospital residence were invited to participate, 54 agreed. White coat contents were itemised and weighed. Mean weight carried was 1.63 Kg. Interns and SHOs carried significantly more than registrars (P<0.01) & (P<0.05). Medical specialties carried significantly more than surgical specialties (P<0.05). There were no statistical difference between males and females. 33% carried cigarettes. Junior hospital doctors carry the equivalent of almost two 1Kg bags of sugar with them in their white coats, this added weight may contribute to increased fatigue during long hours on duty. As doctors become more senior they carry less.
Serious consideration needs to be given to the importance of early embolisation of the maxillary artery in severe and refractory epistaxis. This is particularly true in the young fit person with traumatic epistaxis and in the elderly person who is unfit for general anaesthesia. Embolisation is now a safe and reliable technique. Six patients were embolised. In the two institutions from 1999 - 2000. All responded well to embolisation without complication. This paper describes the technique used in our hospitals and suggests that with the advent of platinum coils and pre embolisation arteriography, the chances of cerebrovascular accident is very small.
The evaluation and selection of a QA system should include scrutiny of its security mechanisms. When the system is implemented, evaluate access by all users, establish security policies, and, most importantly, enforce them. Security features should not overburden the system to the point that it becomes cumbersome. As many security features as possible should be inherent in its day-to-day operations. After all, automation is intended to provide access to clinical and financial information easily and quickly. QA professionals must weigh security issues against the need for patient and physician-specific performance information. Finally, include medical staff in the early stages of system implementation so they are aware of the security precautions you have taken. They will be assured that you are protecting confidential information while meeting the needs of both the medical staff and the quality management team.
Family homelessness is increasing and poses unique clinical challenges to physicians who provide health services to this population. Curricula designed to prepare health professionals to effectively care for homeless families is lacking. This report describes a pilot education and research program for family practice residents based at the University of Massachusetts' community health center training site. In addition to providing critical health services to Worcester area homeless families, the program prepares residents to provide continuous, comprehensive, and context-sensitive care to families. The program also familiarizes residents with methods to conduct clinical research with an underserved population.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.