Biomedical subjects
Publications and source records attributed to N Williams.
Dental implants are the ideal standard of care for many oral health care providers. Tobacco use is an impediment to the success of this sophisticated procedure. Dentists who are trained to help their patients stop using tobacco are in position to improve their success rates with dental implants. A suggested protocol for tobacco cessation in the implant practice, if utilized, could raise the standard of health care in the dental office.
Carotid endarterectomy was the most common vascular procedure in the USA in the 1980s. The last decade has witnessed a much-needed critical reappraisal of its role. Results from recent large-scale trials are now reported and will have a great influence on patient management.
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The general practitioners employing all 102 nurses known to be practising as practice nurses in the Republic of Ireland were sent a questionnaire for completion anonymously. A response rate of 51% was obtained. Practices employing practice nurses were found to be mostly single handed (28/52) in a town/rural setting (39/52) and participating in the General Medical Services (GMS) Scheme (49/51)*. A substantial minority of practices (16/51)* derived more than 75% of their income from the GMS. Eighty five percent of practices felt that their practice "gained or would gain financially" through the employment of a practice nurse. (* = one non-respondent)
Meticulous techniques in the use and handling of central venous catheters are an essential requirement for extended catheter longevity and low morbidity. Such techniques and protocols are described in this article.
Acute upper limb ischaemia, although rare, may have tragic consequences if the outcome is less than satisfactory. Surgical intervention produces superior results and should be considered in all cases.