Health bulletin最新文献_第10页

Audit can ensure the safe and effective introduction of seizure prophylaxis with magnesium sulphate in obstetric practice. 审计可以确保在产科实践中安全有效地采用硫酸镁预防癫痫发作。

Health bulletin Pub Date : 2000-09-01

P Owen

{"title":"Audit can ensure the safe and effective introduction of seizure prophylaxis with magnesium sulphate in obstetric practice.","authors":"P Owen","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To audit the effectiveness and safety of intravenous magnesium sulphate therapy in severe pre-eclampsia.Design: A complete audit cycle including the first eight cases receiving therapy, an intervention with staff instruction and the re-audit of eight further consecutive cases. The issues for audit were compliance with the protocol and the achievement and maintenance of therapeutic magnesium concentrations.Setting: Labour room, Glasgow Royal Maternity Hospital.Subjects: Women with severe pre-eclampsia fulfilling pre-determined criteria for seizure prophylaxis with intravenous magnesium therapy.Results: Protocol violations resulted both in delays in achieving therapeutic magnesium concentrations and high magnesium concentrations in five of the eight initial cases. Following circulation of the results and staff education, the re-audit demonstrated near complete compliance with the protocol and a more consistent interval to achieving a therapeutic magnesium concentration. There were no cases of eclampsia or magnesium toxicity amongst women delivering at GRMH during the period of this audit.Conclusion: This audit has demonstrated that seizure prophylaxis with intravenous magnesium sulphate can be safely and effectively introduced to the obstetric management of women with severe pre-eclampsia.","PeriodicalId":75896,"journal":{"name":"Health bulletin","volume":"58 5","pages":"414-7"},"PeriodicalIF":0.0,"publicationDate":"2000-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22443006","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

Supporting staff in employment: the emotional wellbeing of staff in an NHS psychiatric hospital. 就业支持人员:国民保健服务精神病院工作人员的情绪健康。

Health bulletin Pub Date : 2000-09-01

I D Patterson, J S Bell

{"title":"Supporting staff in employment: the emotional wellbeing of staff in an NHS psychiatric hospital.","authors":"I D Patterson, J S Bell","doi":"","DOIUrl":"","url":null,"abstract":"Objective: The objective of this study was to assess the emotional wellbeing of a broad sample of NHS employees in a psychiatric setting; to seek their views on sources of distress; and to identify preferred ways of dealing with it.Design: A cross-sectional postal survey, employing two questionnaires: GHQ-28, and a semi-structured questionnaire. These were sent to a nominal 50% sample (n = 599).Setting: The population was the staff of a large Scottish psychiatric service.Results: A 47.9% response rate was achieved; 32.9% of respondents exceeded a cut-off score of four on the GHQ-28. Neither occupational, group nor gender effects were significant on this measure. The reporting of emotionally-distressing problems affecting their performance was found to be more common amongst doctors; males, overall, showed a non-significant trend towards having been affected more than females by such problems; and older staff (above 45) were affected significantly more often than younger staff. Almost a third of staff were unaware of the availability of an internal organisational resource (the Occupational Health service).Conclusion: NHS Trusts should ensure the culture at work is appropriate from a preventative point of view and be aware that factors outwith the workplace can affect employees emotional wellbeing and performance. Preventative and supportive measures to minimise psychological distress in the workforce should be considered; the Scottish Needs Assessment Programme: Mental Health in the Workplace offers useful guidance.","PeriodicalId":75896,"journal":{"name":"Health bulletin","volume":"58 5","pages":"403-7"},"PeriodicalIF":0.0,"publicationDate":"2000-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22443132","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

Effect of general practitioner hospitals on district general hospital bed use in the Highlands of Scotland. 全科医院对苏格兰高地地区综合医院床位使用的影响

Health bulletin Pub Date : 2000-09-01

C Stark, K Oliver, P Hopkins

{"title":"Effect of general practitioner hospitals on district general hospital bed use in the Highlands of Scotland.","authors":"C Stark, K Oliver, P Hopkins","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To examine hospital bed use by General Practices with and without access to General Practitioner beds.Design: Information from the Contract Management System for General Medicine and Surgery, and from SMR returns for Geriatric Medicine and GP beds was used to compare hospital bed use in District General Hospitals (DGHs) and in General Practitioner beds for practices with and without access to GP beds. Age adjusted rates were calculated for overall use of each specialty.Setting: All General Practices in the Highland Health Board area for December 1995-April 1997.Results: Compared to practices with no access to GP beds, practices with access used 39.4% fewer bed days per 1000 patients for medical specialties; 18% fewer bed days for surgical specialties; 34.5% fewer bed days for geriatric medicine, and 4.9% fewer bed days for other DGH specialties. Taking into account GP bed day use, practices with access to GP beds used 6.1% more hospital bed days per 1000 patients than did practices with no access.Conclusion: These findings largely replicate work in England that found substantial decreases in General Medical and Geriatric Medicine bed use in Practices with access to GP beds, combined with an overall increase in occupied bed day use of 6-8% per 1000 patients. The lower use of surgical beds was unexpected, and may reflect more flexible use of GP beds in the Highlands for observation or rehabilitation, possibly related to the far greater distances involved than in the English studies.","PeriodicalId":75896,"journal":{"name":"Health bulletin","volume":"58 5","pages":"385-9"},"PeriodicalIF":0.0,"publicationDate":"2000-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22443129","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

Prioritisation of research recommendations from a national needs assessment programme. 优先考虑国家需求评估方案提出的研究建议。

Health bulletin Pub Date : 2000-09-01

I G Chestnutt, M M Taylor

引用次数: 0

An examination of the role of clinical psychology in meeting the needs of young disabled clients and their families/carers. 探讨临床心理学在满足残疾青少年及其家人/照顾者的需要方面所扮演的角色。

Health bulletin Pub Date : 2000-09-01

K Mckenzie, E Matheson, S McKenzie, S M Donald, H Shannon

{"title":"An examination of the role of clinical psychology in meeting the needs of young disabled clients and their families/carers.","authors":"K Mckenzie, E Matheson, S McKenzie, S M Donald, H Shannon","doi":"","DOIUrl":"","url":null,"abstract":"This paper examines the views of clients with a physical disability, general practitioners and staff working in health and social work physical disability services about the needs of young disabled people. The most common area of disability seen by GPs was respiratory, followed by cardiac problems and stroke. With the exception of cardiac patients a third to over half of GPs felt that the needs of the identified groups were not being adequately met, in particular the needs of individuals with progressive neuromuscular problems. Over a quarter of clients felt that their needs were not being adequately met. Ninety-five percent of GPs and 100% of staff identified psychological needs of clients. For clients themselves, physical needs are ranked highest, with over 33 percent identifying psychological problems, 50 percent neuropsychological problems and 25 percent psychosexual difficulties as priority needs. In relation to carers, over 90 percent of GPs, 100% of staff and 50 percent of clients highlighted psychological needs. The majority of participants felt that clinical psychology had an important role to play in physical disability services. There was broad agreement on the areas of need which psychology would be seen to address. These were psychological needs, behavioural problems, neuropsychological problems and relationship/psychosexual difficulties. A high percentage of both staff and GPs also saw a role for clinical psychology in meeting the psychological, relationship and psychosexual needs of carers.","PeriodicalId":75896,"journal":{"name":"Health bulletin","volume":"58 5","pages":"372-9"},"PeriodicalIF":0.0,"publicationDate":"2000-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22443127","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

Incidence, hospital admission rate, and health outcomes following stroke in Ayrshire and Arran. 艾尔郡和阿伦郡中风后的发病率、住院率和健康结果

Health bulletin Pub Date : 2000-09-01

H Alexander, C Bugge, S Hagen, E Russell

引用次数: 0

Research priorities in primary care. A report from the CSO's primary care implementation committee. 初级保健的研究重点。公民社会组织初级保健执行委员会的一份报告。

Health bulletin Pub Date : 2000-09-01

S Wyke, C Bond, J Morrison, K Ryan, F Sullivan

引用次数: 0

Rural relocation and clinical psychology referrals. 农村搬迁和临床心理转诊。

Health bulletin Pub Date : 2000-09-01

V E Freir, D F Peck, S M Robertson

引用次数: 0

An audit of the vaccination and antibiotic prophylaxis practices amongst patients splenectomised in Lothian. 洛锡安脾切除术患者的疫苗接种和抗生素预防实践审计。

Health bulletin Pub Date : 2000-09-01

J Pickering, H Campbell

{"title":"An audit of the vaccination and antibiotic prophylaxis practices amongst patients splenectomised in Lothian.","authors":"J Pickering, H Campbell","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To evaluate current post-splenectomy immunisation and antibiotic prophylaxis practices amongst patients splenectomised in Lothian between 1st January 1989 and 31st December 1997.Design: Retrospective cross-sectional study of the general practitioners of patients recorded as having had a splenectomy operation.Setting: Lothian Health Board (population 771,000).Subjects: Asplenic patients recorded on Scottish Morbidity Records as having had a splenectomy in Lothian between 1st January 1989 and 31st December 1997.Results: Eighty point six percent of the patients were vaccinated against Streptococcus pneumoniae, 65.9% were vaccinated against Haemophilus influenzae, and 48.2% were vaccinated against Neisseria meningitidis; 74.8% of patients were being prescribed long-term antibiotic prophylaxis. However, only 37.4% were both vaccinated and prescribed prophylaxis as recommended, in Department of Health guidelines.Conclusions: The vaccination levels seen in this survey are higher than levels reported in previously published surveys in the UK. Reported rates of post splenectomy vaccination against S. pneumoniae in both the UK and North America in 1993 ranged from 10% to 36%. However, there still remains a substantial proportion of splenectomised patients in Lothian, including some of those with the highest risk of infection, who are not vaccinated or prescribed prophylaxis as recommended.","PeriodicalId":75896,"journal":{"name":"Health bulletin","volume":"58 5","pages":"390-5"},"PeriodicalIF":0.0,"publicationDate":"2000-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22443130","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

Unmet need in osteoporosis. 骨质疏松症未满足的需求。

Health bulletin Pub Date : 2000-09-01

H Kerr, H Capell

引用次数: 0