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Biomedical subjects

N Black

Publications and source records attributed to N Black.

141 records · Page 8Linked to original sources
PubMed1982

Do general practitioner deliveries constitute a perinatal mortality risk?

In recent years local perinatal mortality experience has been on the agenda of most health district management teams. Nationally available data have been criticised for failing to take into account determinants beyond the influence of existing health services such as lethal congenital malformations. In response to local concern about perinatal mortality rate in Oxfordshire AHA(T) the crude data were refined by using simple epidemiological techniques. This failed to show that a high proportion of general practitioner deliveries constituted a major perinatal risk.

Birth Weight↗
PubMed1982

Tales of the expected: a case-study in health service management.

Scientific approaches, such as operational research and health economics, have failed to resolve many of the problems confronting managers of health services. This is partly because of assumptions about the value-free nature of information and partly through paying little regard to power conflicts in care systems. The case-study method offers a means of understanding some aspects of these conflicts and could therefore improve the effectiveness of scientific methods in influencing decisions. An example of a case-study involving perinatal care in an English health district is described in an attempt to demonstrate the practical benefits that could accrue to managers hoping to see their macro-study findings effecting change.

England↗
PubMed1980

Recipe for cleaner kitchens.

The replacement of much old equipment and improvements in the maintenance of such items as heated trolleys were prominent among the recommendations of two food hygiene surveys carried out in Oxfordshire AHA(T). The surveys and the circumstances that led up to them, are described by Dr Nicholas Black of the AHA(T)'s department of community medicine.

England↗
PubMedDate not supplied

Efficacy of combination therapy in non-insulin dependent diabetes mellitus.

Secondary failure of oral hypoglycaemic agents raises the dilemma of whether to institute therapy with insulin alone, or in combination. We reviewed our experience of combination therapy following secondary failure of oral hypoglycaemic therapy. Seventeen subjects were receiving combination therapy for 6 months or more. Such treatment was associated with a significant fall in HbA1C--from 10.7 +/- 0.38 per cent to 8.3 +/- 0.35 per cent (p < 0.01) after 6 months and remained significantly reduced at 12 months (8.7 +/- 0.34 per cent (p < 0.01)). Mean body weight, systolic and diastolic blood pressure were unchanged during treatment with adjuvant insulin therapy. Insulin therapy is a useful adjunct in the daily management of subjects with NIDDM who experience secondary failure of oral hypoglycaemic agents.

Aged↗