The multidisciplinary team--myths and antipathies.
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Biomedical subjects
Publications and source records attributed to T Whitehead.
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Li can be used to track Na during the cooking and eating process as it is handled by the body in a manner similar to Na. A new approach to study the sources of salt using Li is described. When this technique was applied in an epidemiological context using 12 consecutive 24-hour urine collections, we found that at least 83% of the salt ingested by a population in Cambridgeshire, England, was derived from processed food. Only a small amount of the total salt intake came from cooking or from using salt on the table. The total amount of salt eaten was not as high as was previously estimated indirectly. There was a clear sex difference in salt intake which in part related simply to the finding that salt intake correlates with body weight of an individual. This study implies that those who wish to advocate a reduction in salt intake in order to prevent hypertension must reconsider their approach. Any health education programme that is geared simply to reduce discretionary salt use in the home, will have little impact on the total amount of NaCl ingested by the population.
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A service for the elderly mentally ill is described which is based in a general hospital complex and combines a heavy community commitment with the use of two all-purpose inpatient wards and two associated day hospitals. Each ward functions as an admission, treatment, rehabilitation, and medium- and long-stay facility. Experience suggests that this system makes it possible to cater for the elderly mentally ill in a population with many fewer beds than the recommended norm and is a better insurance against unnecessary prolonged hospitalization than "progressive patient care".
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Although it is now generally accepted that the best place to treat old people is in their own homes it is sometimes necessary for them to have some sort of institutional care. This poses the question of whether it is better to care for them in hospital, in old people's homes, or with community support, in day hospitals and day centres. Tony Whitehead looks at schemes in East Sussex which cover a catchment area including Brighton.
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