Community medicine最新文献

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A report of the investigation and control measures instituted after the isolation of toxin-producing Corynebacterium diphtheriae mitis from a child in Leeds. 利兹市一名儿童分离出产毒白喉棒状杆菌后的调查及控制措施报告。
Community medicine Pub Date : 1989-11-01
P Hatton
{"title":"A report of the investigation and control measures instituted after the isolation of toxin-producing Corynebacterium diphtheriae mitis from a child in Leeds.","authors":"P Hatton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This report describes the control measures instituted and further investigations undertaken after the isolation of toxin-producing Corynebacterium diphtheriae from a throat swab taken routinely from a nine-year-old boy, recently returned from Pakistan, who had been admitted to hospital in Leeds with hepatitis A infection. Four of his siblings were subsequently shown to have identical Corynebacterium diphtheriae on throat swabbing, except that in one child the organism did not produce toxin. All the children were asymptomatic carriers.</p>","PeriodicalId":75726,"journal":{"name":"Community medicine","volume":"11 4","pages":"316-9"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13664021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anonymous testing for HIV. What does the public think? 匿名艾滋病毒检测。公众是怎么想的?
Community medicine Pub Date : 1989-11-01 DOI: 10.1093/OXFORDJOURNALS.PUBMED.A042494
C. Smith, D. Nutbeam
{"title":"Anonymous testing for HIV. What does the public think?","authors":"C. Smith, D. Nutbeam","doi":"10.1093/OXFORDJOURNALS.PUBMED.A042494","DOIUrl":"https://doi.org/10.1093/OXFORDJOURNALS.PUBMED.A042494","url":null,"abstract":"","PeriodicalId":75726,"journal":{"name":"Community medicine","volume":"11 4 1","pages":"384-5"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/OXFORDJOURNALS.PUBMED.A042494","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61160827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Cerebrovascular disease in Scotland during 1959 to 1983: its geographical distribution and associations. 1959年至1983年苏格兰脑血管病:地理分布和关联。
Community medicine Pub Date : 1989-11-01 DOI: 10.1093/OXFORDJOURNALS.PUBMED.A042485
Williams Fl, Lloyd Ol
{"title":"Cerebrovascular disease in Scotland during 1959 to 1983: its geographical distribution and associations.","authors":"Williams Fl, Lloyd Ol","doi":"10.1093/OXFORDJOURNALS.PUBMED.A042485","DOIUrl":"https://doi.org/10.1093/OXFORDJOURNALS.PUBMED.A042485","url":null,"abstract":": A study of the geographical distribution of cerebrovascular disease in Scottish communities during three quinquennia between 1959 and 1983 showed a marked tendency for high SMRs to be present in the west of Scotland and low SMRs in the east. Cerebrovascular disease was significantly correlated with coronary heart disease, with bronchitis, emphysema and asthma, and to a lesser extent with other heart disease, with other circulatory disease and with indices of overcrowding. It was not associated with either urbanization or industrialization.","PeriodicalId":75726,"journal":{"name":"Community medicine","volume":"11 1","pages":"306-315"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/OXFORDJOURNALS.PUBMED.A042485","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61160118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Deprivation, mortality and resource allocation. 贫困、死亡率和资源分配。
Community medicine Pub Date : 1989-11-01 DOI: 10.1093/OXFORDJOURNALS.PUBMED.A042491
V. Carstairs, R. Morris
{"title":"Deprivation, mortality and resource allocation.","authors":"V. Carstairs, R. Morris","doi":"10.1093/OXFORDJOURNALS.PUBMED.A042491","DOIUrl":"https://doi.org/10.1093/OXFORDJOURNALS.PUBMED.A042491","url":null,"abstract":"","PeriodicalId":75726,"journal":{"name":"Community medicine","volume":"11 4 1","pages":"364-72"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/OXFORDJOURNALS.PUBMED.A042491","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61160928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 110
Deprivation, mortality and resource allocation. 贫困、死亡率和资源分配。
Community medicine Pub Date : 1989-11-01
V Carstairs, R Morris
{"title":"Deprivation, mortality and resource allocation.","authors":"V Carstairs,&nbsp;R Morris","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75726,"journal":{"name":"Community medicine","volume":"11 4","pages":"364-72"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13777194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of diagnosis-related groups in the National Health Service. 国家卫生服务中诊断相关群体的评估。
Community medicine Pub Date : 1989-11-01
H F Sanderson, A Storey, D Morris, R A McNay, M P Robson, J Loeb
{"title":"Evaluation of diagnosis-related groups in the National Health Service.","authors":"H F Sanderson,&nbsp;A Storey,&nbsp;D Morris,&nbsp;R A McNay,&nbsp;M P Robson,&nbsp;J Loeb","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Evaluation of the use of diagnosis-related groups (DRGs) has revealed a number of technical problems in coding of diagnoses and operative procedures, as well as unresolved issues in the clinical acceptability of existing groupings. An investigation of the statistical homogeneity of DRGs, in terms of duration of patient stay, is described. Consideration of data relating to some 990,000 episodes of in-patient care in three English Regions discloses wide variations in statistical homogeneity, both between DRGs and in relation to individual clinical specialties. The greatest homogeneity is found in ENT surgery and gynaecology; and the least in general medicine and orthopaedic surgery. The need for improved data collection and coding procedures is discussed, together with the advisability of sensitivity in the interpretation of DRGs, as well as the need for a co-ordinated approach to their refinement for application in any wider introduction in the NHS.</p>","PeriodicalId":75726,"journal":{"name":"Community medicine","volume":"11 4","pages":"269-78"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13664019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Who else responds to postal questionnaires? Are those involved in the subject of the study more likely to do so? 还有谁回复邮寄问卷?那些参与研究的人更有可能这样做吗?
Community medicine Pub Date : 1989-11-01
A Cartwright, J Windsor
{"title":"Who else responds to postal questionnaires? Are those involved in the subject of the study more likely to do so?","authors":"A Cartwright,&nbsp;J Windsor","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In a postal screen to identify people who had attended hospital outpatient departments, it was predicted that attenders would be more likely to respond than non-attenders. An experiment was set up to explore this. The response rates were 76 per cent among attenders compared with 70 per cent for the others--a difference which did not reach significance at the 5 per cent level.</p>","PeriodicalId":75726,"journal":{"name":"Community medicine","volume":"11 4","pages":"373-5"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13777195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Women, life and medicine--achieving the balance. An account of 1974 women medical graduates in 1987. 女人,生命和药物——达到平衡。1987年1974名女医学毕业生的记录。
Community medicine Pub Date : 1989-11-01
H F Parkhouse, J Parkhouse
{"title":"Women, life and medicine--achieving the balance. An account of 1974 women medical graduates in 1987.","authors":"H F Parkhouse,&nbsp;J Parkhouse","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75726,"journal":{"name":"Community medicine","volume":"11 4","pages":"320-35"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13775616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A regional register of early childhood impairments: a discussion paper. The Steering Committee of the Oxford Region Child Development Project. 儿童早期缺陷的区域登记:讨论文件。牛津地区儿童发展项目指导委员会。
Community medicine Pub Date : 1989-11-01
A Johnson, R King
{"title":"A regional register of early childhood impairments: a discussion paper. The Steering Committee of the Oxford Region Child Development Project.","authors":"A Johnson,&nbsp;R King","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A regional register of preschool children with cerebral palsy, severe vision loss and sensorineural deafness has been complied. Case definition, the threshold for including or excluding a case and a standard method for describing a case have been predefined. In order to achieve complete ascertainment, multiple sources of information were used and account was taken of population movement, and loss of cases through death. The optimal age of case ascertainment poses a particular problem and counting of definite cases was delayed until age three years with a further review at age five years. The register can be used to estimate prevalence of impairment, as a basis for aetiological and interventive studies and for service planning. It fills an important gap in the information currently available on childhood morbidity.</p>","PeriodicalId":75726,"journal":{"name":"Community medicine","volume":"11 4","pages":"352-63"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13842372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Women's knowledge and experience of cervical screening: a failure of health education and medical organization. 妇女子宫颈普查的知识和经验:健康教育和医疗机构的失败。
Community medicine Pub Date : 1989-11-01 DOI: 10.1093/OXFORDJOURNALS.PUBMED.A042482
M. Schwartz, W. Savage, J. George, L. Emohare
{"title":"Women's knowledge and experience of cervical screening: a failure of health education and medical organization.","authors":"M. Schwartz, W. Savage, J. George, L. Emohare","doi":"10.1093/OXFORDJOURNALS.PUBMED.A042482","DOIUrl":"https://doi.org/10.1093/OXFORDJOURNALS.PUBMED.A042482","url":null,"abstract":"A survey of the knowledge of and attitudes towards cervical cytology screening in various locations in Tower Hamlets showed that 77 per cent of women in the sample reported that they had a smear test, and 86 per cent knew about them, although a small group of active elderly were unlikely to know much about the test or to have had one. Only 11 per cent of the 600 women under 65 understood that cervical cytology was to prevent cancer, whereas 71 per cent thought that it was to detect cancer. Of the 205 women who recalled their experience of the test, all had some difficulty. Two-thirds were embarrassed, and 54 per cent had pain or discomfort, which included all those women who did not feel embarrassed. Forty-three per cent had been informed of the result of their tests and about one-quarter of those took steps to get the result. Seventy-one per cent of the women had had their first test done before the age of 35, but only 9 per cent after the age of 45. A quarter of those screened had only had one test done. The women considered that more publicity about the test, the knowledge that a woman doctor would do the test, and more encouragement by health professionals would be improvements most likely to increase the uptake of screening. The possibility of a service offering immediate results should be explored by means of a pilot study.","PeriodicalId":75726,"journal":{"name":"Community medicine","volume":"35 1","pages":"279-89"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/OXFORDJOURNALS.PUBMED.A042482","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61160369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 36
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