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Biomedical subjects

C Squire

Publications and source records attributed to C Squire.

7 recordsLinked to original sources
PubMed2004

Re-audit of radiotherapy waiting times 2003.

AIMS: There has been increasing concern, by clinical oncologists in the UK, about the continuing long waiting times for radiotherapy treatment. An audit of patients starting treatment in 1 week in 2003 was carried out to determine waiting times and to compare current results with those obtained from a similar audit in 1998. MATERIALS AND METHODS: All centres in the UK completed the audit, which recorded waiting-list status and treatment intent for all new treatments started in 1 week, date of booking form completion and fractionation scheme used. RESULTS: Waiting times have lengthened in most centres for all categories of patients although, for palliative treatments, there was no additional increase in median waiting time compared with the last audit. Fewer patients in all categories are being treated within the Joint Collegiate Council for Oncology (JCCO) guidelines. Single-fraction treatments are now common for palliation. Most adjuvant treatment uses one of three prescriptions. In each Strategic Health Authority (StHA), the same proportion of the total number of patients with cancer seemed to be given radiotherapy. There was no obvious simple correlation of radiographer, physicist or treatment machine numbers with waiting times. CONCLUSION: The results of this survey suggest a continuing mismatch between capacity and demand. Increased complexity of radical treatments, and possibly more patients being referred for treatment, may have been offset in part by reduced fractionation for palliation.

Chemotherapy, Adjuvant↗
PubMed2003

Provision of acupuncture in a university health centre--a clinical audit.

A retrospective audit was carried out between May 1999 and April 2000 at a university-based acupuncture clinic. Two acupuncturists saw a total of 69 clients of whom three-quarters were female; just over a third were less than 29 years of age; two-thirds were below the age of 40; 67% of clients were Caucasians; a third smoked; three-quarters currently consumed some alcohol. Most had no experience of using complementary and alternative medicine (CAM), therefore the service provided the first access to CAM. Of those attending a follow-up appointment, 43 (80%) reported feeling better, 10 the same and one worse. No side-effects were reported by 50 (73%) clients, but four reported minor side-effects (one bruising and three drowsiness). The process of carrying out the audit provided the opportunity for the practitioners to reflect on their clinical practice and improve service delivery.

Academic Medical Centers↗
PubMed2000

Randomised trial of iodine intake and thyroid status in preterm infants.

BACKGROUND: Low levels of circulating thyroid hormones have been associated with poorer general and neurodevelopmental outcome in preterm babies and it has been speculated that the association is causal. Low levels of circulating thyroid hormone have been reported after inadequate intake of iodine in preterm infants being fed milk formula. AIM: To investigate whether increased iodine intake from supplemented preterm formula would improve thyroid hormone levels in preterm babies (this study) and hence improve neurodevelopmental status (planned subsequent study). METHOD: A total of 121 preterm infants were entered into a randomised controlled trial of standard (68 microg/l) versus increased (272 microg/l) iodine in preterm formula. RESULTS: The two groups were comparable at recruitment. No evidence of an effect of the intervention on thyroid hormone levels was seen up to 41 weeks after conception. CONCLUSION: Calls for increased iodine content of preterm infant formulas are not justified by this study.

Female↗
PubMed1997

Interpretive group psychotherapy and dependent day hospital patients: a preliminary investigation.

A small group of highly dependent day hospital patients, together with a small number of 'potential' day hospital referrals sharing similar characteristics, were treated in twice weekly interpretive group psychotherapy for between seven and nine months. At the end of treatment three of four day hospital patients had made a successful separation from the day hospital, and at nine month follow-up outcome appeared improved. Only two of the six non-day hospital patients remained in the group, the reasons for which are discussed. The method of evaluation proved manageable, although it would be more appropriate to studies involving larger numbers and possibly control interventions. It is suggested that the role of interpretive group psychotherapy in rehabilitation deserves further investigation.

Adult↗
PubMed1993

Health visiting and the case manager role.

In 1990 East Berkshire health authority jointly with Berkshire social services carried out a 15 month project on five sites to pilot case management in preparation for the implementation of the community care reforms. Health visitor Catherine Squire describes her experience of working as a case manager in one of the pilots and argues for better career opportunities for health visitors in this field.

Aged↗