Biomedical subjects

P Kinsella

Publications and source records attributed to P Kinsella.

14 recordsLinked to original sources

PubMed1999

The PWH Grieve Memorial Award. A study looking at regional general practice training schemes in Britain and Ireland.

BACKGROUND: This is a report of a study tour of four regional GP training schemes in Britain and Ireland. The award was made in 1997 for a study that occurred during 1998. OBJECTIVE: The aim of the study was to gather experience for the new Gippsland Regional Training Program and to look at the levels of support given to GP supervisors in the schemes visited. DISCUSSION: There appears to be a greater focus on the professional development of GP supervisors in the UK and Ireland than here in Australia. Other key features of support for supervisors include feedback from the program to supervisors and accreditation/reaccreditation by the program of teaching practices.

Administrative Personnel↗

PubMed1993

Home rules.

Explore the source record for details and available documents.

Activities of Daily Living↗

PubMed1993

Practical skills to overcome emotional problems. Developing a model of cognitive behavioural therapy nursing for acute inpatient psychiatric care.

1. Cognitive behavioural therapy is increasingly being found helpful in treating various psychiatric disorders. 2. A nursing model is proposed that incorporates this therapy into inpatient psychiatric care. 3. The model may be helpful in panic, agoraphobia, self-harm and psychosis, and has the attraction that progress is measurable.

Cognitive Behavioral Therapy↗

PubMed1991

A case of pregnancy associated osteoporosis and empty sella syndrome.

We report an unusual case of pregnancy associated osteoporosis and empty Sella Syndrome with normal pituitary function. Pregnancy associated osteoporosis has been described rarely in the literature. Primary empty Sella Syndrome may occur in 5.5% of all autopsies. Primary empty Sella Syndrome with normal pituitary function has not previously been reported in association with an uncomplicated pregnancy and delivery. The occurrence of these two conditions in our patient is probably coincidental.

Adult↗

PubMed1988

Pediatric transvenous pacing: a concern for venous thrombosis?

Transvenous pacing has become the preferred method of pediatric cardiac pacing. Although no clinically important venous thromboses have been reported, concern has arisen about occult venous thrombosis. We evaluated 19 randomly selected children who had transvenous pacing implants. Sixteen were evaluated by venous plethysmography and Doppler while three had venous angiography and one had both. The leads had all been inserted by subclavian vein puncture. Ages at time of implant ranged from 17 months to 25 years; mean 9.8 years, median 9.0 years. Implant weights were from 9.6 kg to 56.0 kg, mean 31 kg, median 31 kg. The interval from implant to time of procedure ranged from 1 month to 46 months, mean 22.5 months, median 24 months. Four patients had one lead while 14 had two and one had four. Eleven leads were unipolar and 25 were bipolar. The bipolar leads were 6.6 French diameter. In the 19 patients evaluated, no thromboses were detected nor any narrowing greater than 10% of proximal diameter as seen by angiography. No disturbances of blood flow in the subclavian vein was noted. Transvenous pacing did not result in venous flow abnormalities in these pediatric patients.

Cardiac Pacing, Artificial↗

PubMed1981

Stress fractures of the lower limb in patients with rheumatoid arthritis.

Thirteen patients suffering from rheumatoid arthritis had 19 stress fractures of the tibia or fibula. These patients characteristically presented with sudden, severe, unexplained pain with localised tenderness just below the knee or above the ankle. In seven patients examination of the adjacent joint indicated a flare-up of disease activity or a pyogenic arthritis. In six patients the diagnosis was delayed by the late appearance of callus in minute fractures. All patients had rheumatoid deformities of the ipsilateral lower limb: valgus deformities of the knee and subtalar joints occurred most frequently. All patients had osteoporosis; all except two had received steroid treatment and five had abnormalities of calcium metabolism. We suggest that deformities of the knee and ankle predispose patients with rheumatoid arthritis and osteoporosis to stress fractures of the tibia and fibula.

Adult↗

PubMed1980

Cimetidine for peptic ulcer in patients with arthritis.

Patients taking anti-inflammatory drugs for arthritis are prone to dyspepsia, and management of peptic ulcer is difficult because surgery is poorly tolerated. In this open study cimetidine treatment was associated with ulcer healing in 17 out of 21 patients with arthritis even when anti-inflammatory treatment was continued. Remission was maintained for 1 year by continued cimetidine therapy.

Adult↗

PubMed1980

Gold in psoriatic arthopathy.

It has been suggested that gold is not effective in psoriatic arthropathy. We did not agree and therefore did a retrospective study of 98 patients. Gold had been given to 27 and was effective in 22, 14 of whom are still receiving it. The incidence of side effects was low and comparable to those in rheumatoid arthritis.

Arthritis↗

PubMed1978