PubMed Health⌕ Search

Biomedical subjects

A Foy

Publications and source records attributed to A Foy.

26 records · Page 2Linked to original sources
PubMed1988

Use of an objective clinical scale in the assessment and management of alcohol withdrawal in a large general hospital.

A modified version of the Clinical Institute Withdrawal Assessment Scale (CIWA) was used in the management of alcohol withdrawal in a general hospital. Patients who developed seizures or confusion were noted to score higher on the scale, even before these complications, than patients who remained uncomplicated (21.7 +/- 1.2 compared to 15.6 +/- 0.55). When the score was used as a guide for treatment, it was found that patients scoring greater than 15 were at significantly increased risk of severe alcohol withdrawal if they remained untreated (RR, 3.72; 95% confidence interval, 2.85-4.85). The higher the score the greater this relative risk. Some patients however, still suffered complicated withdrawals although their scores were low or they were apparently adequately treated. It is concluded that the use of an objective clinical scale of alcohol withdrawal is valuable in a general hospital to identify those patients in early withdrawal who need sedation to avoid complication. There will however, be a small group of patients whose clinical course will be difficult to predict and further work is needed to determine the reasons for this.

Adult↗
PubMed1986

The management of alcohol withdrawal.

Alcohol withdrawal is a common condition which often complicates intercurrent illness. Its severity and course are determined largely by the setting in which it occurs. This article discusses the history, pathophysiology, pathogenesis and principles of the treatment of alcohol withdrawal. The importance of environment and basic nursing care are stressed and the use of drugs is discussed. A withdrawal assessment scale is also included.

Alcoholism↗
PubMed1986

Management of alcoholism.

Alcoholism is an important public health problem. This article discusses the issue of disease concept versus availability concept as well as discussing the prevention of alcoholism. An approach to the identification of patients with alcohol-related problems is described, as are the types of treatment that are available in Australia.

Alcohol Drinking↗
PubMed1981

Immune complexes in acute pancreatitis.

Immune complexes were detected in the sera of ten of 22 patients with acute pancreatitis using a Clq deviation assay. Five of these were positive using a second technique. There was no correlation between immune complexes and clinical or aetiological features of the pancreatitis. Two patients with immune complexes developed a benign and transient pancreatic polyarthritis. Immune complexes may provide one common path in the sequence of pathogenic events that lead to pancreatitis.

Acute Disease↗
PubMed1975

Non-specific immunological function in acute myeloblastic leukaemia.

Immunological function was investigated in patients with acute myeloblastic leukaemia, both in the untreated stage of the disease and in remission. IgM concentrations were found to be raised in 7 out of 29 patients during the untreated stage. There were only minimal changes in 1gG, 1gA and C' concentrations, and in the incidence of auto-antibodies to normal tissue components. Reactions to standard skin tests were considerably impaired--only 2 out of 10 leukaemic patients in remission responded to 2 or more of these tests. Furthermore the response in leukaemic patients was much weaker than in the corresponding controls. PHA stimulation of lymphocytes from patients in remission showed considerable variation from near normal to gross impairment but a response below 40% of normal was associated with a short remission period, suggesting that PHA stimulation may be a useful indication of the likelihood of relapse.

Acute Disease↗