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Biomedical subjects

B C Oliver

Publications and source records attributed to B C Oliver.

3 recordsLinked to original sources

Rupture of symphysis pubis caused by forceful and excessive abduction of the thighs with labor epidural anesthesia.

Only a few cases of rupture of the symphysis pubis have been reported but the condition could become more frequent with epidural anesthesia. Conservative management is emphasized. Rupture is caused by desensitization to the labor process due to epidural anesthesia and excessive abduction of the thighs to increase anterior-posterior diameter during the birth process. Greater use of labor epidural anesthesia could increase the frequency of this event.

Adult↗

Energy efficiency today.

These initiatives sponsored by the DH in concert with the NHS, have taken place since the issue of ENCODE 1 in November 1985, and have received very favourable reaction. A user survey carried out on ENCODE 1 and 2 in 1988, has consolidated this view and we are continuing to learn what those at the sharp end have been able to gain from it. On-going feed back is considered essential for the work to be fully effective. Evaluation and training has been done by SETRHA and South East Kent Health Authority at their training centre and these results will be fed back into ENCODE and to the National Training Centre at Falfield. One particular aspect apparent from these training sessions is the need for a structured approach to the use of ENCODE with special attention being given to the user of the computer software. ENCODES 1 and 2 have been sponsored by the DH/NHS and published by HMSO, and are the only comprehensive documents on energy efficiency in buildings available from Government Departments and as such they are now offered for sale world-wide. The Strategic Management Guide is due for publication this Spring as is also a complete revision of the ENCODE Computer Software. ENCODE software is compatible with the WIMS suite of software. A current joint venture with the WIMS Consortium is the development of a revised WIMS Energy Module to be called ENMATS (Energy Monitoring and Targeting System). An initial version will be available Mid 1989.

Conservation of Energy Resources↗