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Biomedical subjects

R Bell

Publications and source records attributed to R Bell.

368 records · Page 21Linked to original sources

Over-the-counter drugs: factors in adult use of sedatives, tranquilizers, and stimulants.

Despite a growing research interest in over-the-counter (OTC) drug use, little information has been available about the determinants of use for this category of medications. The researcher examined the effects of demographic, need, and physician utilization measures on the use of 10 OTC drugs that were categorized as sedatives, tranquilizers, or stimulants. A statewide survey in 1975 of drug-using behavior in the previous year by Illinois adults ages 18-59 resulted in 2,738 questionnaires that could be analyzed. Thirteen variables, representing the demographic, need, and physician utilization characteristics of the respondents, were entered as predictors into logistic multiple regression models to estimate their effects on drug use. Only 10.37 percent of the respondents indicated that they had used any of the OTC drugs in the previous year. Sedative use was found to be increased in persons who were tense or were having trouble sleeping. Having trouble sleeping also increased the probability of using OTC tranquilizers and stimulants. Women had a much higher probability of using OTC tranquilizers than men, and men had a higher probability of using stimulants. Non-whites had a higher probability of using tranquilizers than did whites. Stimulants were more likely to be used by younger adults and unmarried adults. Physician utilization, measured by the number of visits to physicians, did not significantly affect OTC drug use.

Adolescent↗

A is for attitude.

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Attitude of Health Personnel↗

Book selection for school of radiologic technology libraries.

An overview of the process of book selection is given. Methods used in small, average and large institutions are discussed. In addition, specific information concerning the items to be assessed, and practical points on building library collections are presented.

Book Selection↗

Mental health. Refocusing long-term care.

How to provide care in the community for clients who are suffering from a long-term mental health problem is a dilemma for mental health service planners and providers. Community psychiatric nurses (CPNs) are the ideally placed profession to provide care for these people according to recent reports and are a part of the multidisciplinary teams. This paper outlines how four CPNs worked in a unidisciplinary team titled the community support teams (CST) in Greenwich, taking secondary referrals exclusively from the psychiatric service and each carrying a small caseload of severely ill clients. The client input of the CST is compared to the generic CPNs' input who provided a standard CPN service to a wide client mix including long-term clients.

Community Health Nursing↗

Managing corticosteroid induced osteoporosis in medical outpatients.

As a preliminary step to developing a protocol for the management of corticosteroid induced osteoporosis we examined the case notes of patients attending medical clinics and studied the first 100 consecutive patients estimated to have taken 1 gram or more of prednisolone, or equivalent, in the previous six months. The patients who satisfied the inclusion criteria represented 2% of all medical outpatients. Inflammatory arthritis and obstructive airways disease together accounted for 50% of cases. The average daily dose of corticosteroids was highest in the respiratory patients (12 mg) and lowest in the rheumatology patients (7.5 mg). The question of osteoporosis had been considered in 47% of cases: of these, 27 (57%) were diagnosed as having osteoporosis by bone mineral density measurement or x-ray appearances, and 93% of the latter patients were receiving treatment for osteoporosis. The results indicate that while most physicians were aware of the problem of corticosteroid induced osteoporosis and treated most patients when diagnosed, more than 50% of patients on significant doses of corticosteroids were not investigated. We have therefore devised a management protocol and implemented it within the medical directorate.

Absorptiometry, Photon↗

Self-image and emotional stability of Oedipal and non-Oedipal male homosexuals.

The past several years have brought about some changes in the legal status of the homosexual in USA. In some states, the homosexual is labelled as a criminal; in others, homosexuality is not a legal affair. Psychological theories tend to consider the homosexual from two general positions: the Oedipal and the non-Oedipal. The present study was conducted to try to determine how Oedipal and non-Oedipal male homosexuals perceived their self-image and emotional stability. Significant differences were found between the two groups. Considering self-image, Oedipal subjects were found to be more negative. They had less self-worth, self-confidence and self-acceptance than non-Oedipal. They had more negative self-concepts, self-attitudes, and self-motivation. Oedipal homosexuals had less emotional stability. They had more emotional problems, shame, guilt, withdrawal, and depression than non-Oedipal subjects, as well as less success in sexual activity and commitment to the homosexual partner.

Adult↗