{"title":"What can we do to improve relationships between clinicians and managers?","authors":"P Sims","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper reports on another way in which the outstanding Management problems of the 1990's have been addressed in one particular District in the South West. It indicates the experience of using a particular model over two years and indicates that this could be a useful way forward, both in the District and the Trust of Northern Devon, but also in other Districts facing similar difficulties.</p>","PeriodicalId":77462,"journal":{"name":"West of England medical journal","volume":"106 1","pages":"2-4"},"PeriodicalIF":0.0,"publicationDate":"1991-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5115097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13004714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bedding out.","authors":"J L Burton","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77462,"journal":{"name":"West of England medical journal","volume":" ","pages":"17"},"PeriodicalIF":0.0,"publicationDate":"1991-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5115102/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35404197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hydration monitoring in the long-term prophylaxis of nephrocalcinosis.","authors":"N M Goble","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77462,"journal":{"name":"West of England medical journal","volume":"106 1","pages":"15"},"PeriodicalIF":0.0,"publicationDate":"1991-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5115098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13004713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Lousy Story.","authors":"J G Dumoulin","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77462,"journal":{"name":"West of England medical journal","volume":" ","pages":"10"},"PeriodicalIF":0.0,"publicationDate":"1991-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5115096/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35404195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Royal College of Surgeons Council Visit to Bristol.","authors":"A J Webb","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77462,"journal":{"name":"West of England medical journal","volume":" ","pages":"16-17"},"PeriodicalIF":0.0,"publicationDate":"1991-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5115107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35404198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Atlanto-axial instability in adults with Down's syndrome--a survey of a long-stay hospital population.","authors":"L B Cooke, R Lansdall-Welfare","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A survey was performed on the patients with Down's syndrome living in three long-stay hospitals for the mentally handicapped in Bristol. Each patient had a chromosomal analysis, lateral X-rays of the cervical spine in flexion and extension and subsequent measurement of the atlanto-odontoid distance, and a neurological examination. Out of a total of 59 patients, with ages ranging from 23 to 65 years (average age 48.27 years), three (5%) were found to be in the high risk category radiologically, but of these two were in the medium risk group on neurological examination and one low risk. Of five (8.5%) patients in the medium risk group on X-ray, four were in the medium risk group neurologically. Therefore a total of eight patients (13.6%) could be considered to be at risk of atlanto-axial instability.</p>","PeriodicalId":77462,"journal":{"name":"West of England medical journal","volume":"106 1","pages":"7-8"},"PeriodicalIF":0.0,"publicationDate":"1991-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5115108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13005285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Maintenance dialysis in a district general hospital.","authors":"R A Banks, J Folley","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A programme of Continuous Ambulatory Peritoneal Dialysis has been in progress at the Gloucester Royal Hospital since January 1988. After 2 years patient and technique survival was 81% and 73% respectively, very similar to that in established British Renal Units. Management of end stage renal failure at the local District General Hospital has meant that patients no longer have to travel long distances to the Regional Renal Unit.</p>","PeriodicalId":77462,"journal":{"name":"West of England medical journal","volume":"106 1","pages":"9-10"},"PeriodicalIF":0.0,"publicationDate":"1991-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5115105/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13005286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Twenty years of investigating angiotensin activity: an overview.","authors":"E C Osborn, J C Mackenzie, L M Fearn","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A short account of the renin-angiotensin-aldosterone system is given with emphasis on the relationship between the octapeptide angiotensin II and its decapeptide precursor angiotensin I. Although the decapeptide is generally assumed to have no biological activity, extensive investigations have indicated that such an assumption is almost certainly unjustified. The implications of the findings are briefly outlined and discussed.</p>","PeriodicalId":77462,"journal":{"name":"West of England medical journal","volume":"106 1","pages":"5-6"},"PeriodicalIF":0.0,"publicationDate":"1991-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5115100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13004715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Unauthorized Version.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77462,"journal":{"name":"West of England medical journal","volume":" ","pages":"10"},"PeriodicalIF":0.0,"publicationDate":"1991-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5115110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35404199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The water-ram of Bristol and neonatal insufflation.","authors":"P M Dunn","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77462,"journal":{"name":"West of England medical journal","volume":"106 1","pages":"13-4"},"PeriodicalIF":0.0,"publicationDate":"1991-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5115094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13004712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}