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Biomedical subjects

C Fox

Publications and source records attributed to C Fox.

At least 145 records · Page 8Linked to original sources
PubMed1976

Towards a family approach in a psychiatric day hospital.

In a day hosptial all staff members must be able to make rapid decisions, even when they cannot refer to their seniors. It is difficult to develop this capability in a teaching day hospital where the staff and student groups are constantly changing. It has, however, been facilitated by regular staff discussions with a visiting psychotherapist. In these staff groups, the study of role attributions and dynamics characteristic of families has diminished the interference caused by 'family' type dynamics in daily professional interaction. The paper describes the effect of such discussion in stimulating the adoption of a treatment approach which takes the family situation into account. This family approach is distinguished from family therapy, and its advantages are discussed.

Attitude of Health Personnel↗
PubMed1976

Late results of valvoplasty for mitral regurgitation due to rupture of chordae of the posterior (mural) cusp.

Nine patients with rupture of chordae tendinea of the posterior cusp of the mitral valve are presented. All have been treated by plication of the posterior cusp and atrial wall. The presenting postoperative features have been described: 89 per cent are markedly improved; two patients have normal heart sounds with no murmurs; 6 patients have only a Grade 1 pansystolic apical murmur. The advantages of this procedure compared with mitral valve replacement for the same condition have been presented.

Aged↗
PubMedDate not supplied

Rural physicians, rural networks, and free market health care in the 1990s.

The changes brought about by managed care in America's urban communities will have profound effects on rural physicians and hospitals. The rural health care market characterized by small, independent group practices working with community hospitals is being offered affiliations with large, often urban-based health care organizations. Health care is evolving into a free market system characterized by large networks of organizations capable of serving whole regions. Rural provider-initiated networks can assure local representation when participating in the new market and improve the rural health infrastructure. Although an extensive review of the literature from 1970 to 1996 reveals little definitive research about networks, many rural hospitals have embraced networking as one strategy to unify health care systems with minimal capitalization. These networks, now licensed in Minnesota and New York, offer rural physicians the opportunity to team up with their community hospital and enhance local health care accessibility.

Capitation Fee↗
PubMedDate not supplied

A comparison of three models of the inositol trisphosphate receptor.

The inositol (1,4,5)-trisphosphate receptor (IPR) plays a crucial role in calcium dynamics in a wide range of cell types, and is often a central feature in quantitative models of calcium oscillations and waves. We compare three mathematical models of the IPR, fitting each of them to the same data set to determine ranges for the parameter values. Each of the fits indicates that fast activation of the receptor, followed by slow inactivation, is an important feature of the model, and also that the speed of inositol trisphosphate IP3 binding cannot necessarily be assumed to be faster than Ca2+ activation. In addition, the model which assumed saturating binding rates of Ca2+ to the IPR demonstrated the best fit. However, lack of convergence in the fitting procedure indicates that responses to step increases of Ca2+ and IP3 provide insufficient data to determine the parameters unambiguously in any of the models.

Animals↗
PubMedDate not supplied

The Pegasus Overture alternating-pressure mattress overlay.

Pressure sores affect approximately 10% of the adult population and occur in various hospitals and community settings (Department of Health, 1992). It is therefore essential to adopt a logical approach when selecting the optimum piece of equipment for patients at risk of pressure sore development. Alternating-pressure mattresses have been used for many years in both hospitals and community environments to prevent and treat pressure sores. In September 1995, Pegasus Airwave Limited launched a new alternating-pressure mattress overlay, the Overture. It is designed for use with patients who have mobility problems and are at low to medium risk of developing pressure sores or have superficial tissue damage. This article describes the features of the Overture and its suitability for use in different care settings.

Adult↗
PubMedDate not supplied

The Softform pressure-reducing mattress for high-risk patients.

This article highlights the fundamental difference between pressure-relief and pressure-reduction. The limitations of the conventional hospital mattress will be discussed in terms of lack of support properties and life expectancy. The need for a coordinated mattress replacement programme will be outlined and the advantages of the Softform pressure-reducing mattress will be described in detail.

Beds↗
PubMedDate not supplied

The Pentaflex pressure-reducing mattress replacement.

Support surfaces play a crucial role in pressure sore prevention. This article outlines the use of polyurethane foam as a versatile and effective support surface. It briefly describes a number of tests which are used to determine foam quality and summarizes the characteristics and clinical evidence supporting the use of the Pentaflex pressure-reducing foam mattress.

Beds↗
PubMedDate not supplied

Perceptions of tissue viability nurses of their current roles.

This qualitative and quantitative study was undertaken on a national scale. It identifies the perception of the role of the tissue viability nurse by its incumbents through the circulation of postal questionnaires sent to 173 identified tissue viability nurses, of which 87 responded. A constant comparative analysis of the responses identified the repetitive phrases and key words for the qualitative data. The quantitative responses were facilitated through the use of closed questions. The research facilitated four areas of discussion: role overview; perceived levels of education; positive/negative aspects of the role; types of wound contact and reasons.

Attitude of Health Personnel↗