PubMed Health⌕ Search

Biomedical subjects

F Forrest

Publications and source records attributed to F Forrest.

10 recordsLinked to original sources

'One-stop' cataract surgery: the Bristol Eye Hospital experience 1997-1999.

PURPOSE: To evaluate patient satisfaction with and effectiveness of the 'one-stop' cataract service at the Bristol Eye Hospital. METHODS: One hundred and ninety patients referred with a view to cataract surgery were selected to attend 24 'one-stop' clinics between February 1997 and August 1999. Patients had initial assessment in the morning with suitable cases undergoing surgery during the afternoon. Forty 'one-stop' patients and 40 patients undergoing traditional surgery (three separate visits: initial clinic, pre-assessment and surgery) were surveyed by a questionnaire to determine their satisfaction with the service. RESULTS: One hundred and fifty-six of 190 (82.1%) patients invited to one-stop clinics underwent surgery the same day. Questionnaires were returned by 72 patients (35 'one-stop' and 37 control patients). Twenty-eight (80%) 'one stop' patients were 'very satisfied' and 7 (20%) were 'satisfied' with the time allowed to decide upon undergoing surgery, compared with 21 (57%) and 16 (43%) respectively in the control group (p = 0.06, chi-square, not significant). Overall satisfaction with the service was similar between the groups, with 33 (94%) of 'one-stop' and 35 (95%) of control patients considering the service 'very good'. CONCLUSIONS: There is a high level of patient satisfaction with a 'one-stop' cataract service which reduces hospital attendance from three visits to one. Potential problems include wasted theatre space when there is a shortfall of suitable cases on the day.

Ambulatory Surgical Procedures↗

High level simulators in medical education.

There are now two high level simulator centres in the UK. In both the central feature is a human patient simulator. In this article the concept, application and value of such systems in medical education will be described.

Education, Medical↗

Maternal alcohol consumption and child development.

Studies of development and behaviour from shortly after birth up to the age of 7 years are reviewed. Maternal alcohol consumption above 150-200 g/week is related to behaviour in many studies, but below this level there is little epidemiological evidence of association. There is no evidence that the levels of consumption associated with adverse behaviour are lower than those associated with adverse pregnancy outcome.

Alcohol Drinking↗

Reported social alcohol consumption during pregnancy and infants' development at 18 months.

OBJECTIVE: To determine the relation between mothers' self reported drinking habits before, during, and after pregnancy and infants' mental and motor development at 18 months of age. DESIGN: Follow up study of all singleton live births born to primigravidas living in Dundee and booked into antenatal clinics from 1 May 1985 to 30 April 1986. SETTING: District of Dundee. SUBJECTS: 846 children aged 18 months, of whom 592 attended for assessment. MAIN OUTCOME MEASURES: Scores on Bayley scales of infant mental and motor development. RESULTS: For full term children, maternal alcohol consumption was not significantly related to any adverse effect on the children's mental or motor development measures at age 18 months. After confounding factors had been controlled for, alcohol consumption before pregnancy and after pregnancy was significantly related to better motor performance and mental performance. CONCLUSION: Pregnant women probably need not abstain from alcohol altogether as no detectable adverse relation was found between the child's mental and physical development and the mother's weekly consumption at levels in excess of 100g absolute alcohol. However, to allow for a margin of safety and taking into account the findings of an earlier phase of this study on the immediate effects on the newborn, it is recommended that pregnant women should drink no more than eight units of alcohol a week, the equivalent of about one drink a day.

Alcohol Drinking↗