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Biomedical subjects

F M Hull

Publications and source records attributed to F M Hull.

At least 37 records · Page 2Linked to original sources
PubMed1986

Referral to medical outpatients department at teaching hospitals in Birmingham and Amsterdam.

A method of comparing the referral of patients by general practitioners to medical outpatients departments at teaching hospitals in Amsterdam and Birmingham was devised. This was applied to 89 referral letters to medical specialists at the Free University Medical School Policlinic in Amsterdam and to 88 referral letters to clinics at Birmingham University Medical School, UK. The standards of referral were lower in the Netherlands than in Britain, and this may be related to differences in the health care systems, in the culture, or in the organisation of general practice. The delay between the general practitioner's referral and the consultation to the outpatient department was four times greater in Britain than in the Netherlands.

England↗
PubMed1984

Time and the general practitioner: the patient's view.

Patient satisfaction with the amount of time general practitioners allow them has been questioned. This paper reports the analysis of a questionnaire answered by 1,112 patients in 25 practices in Britain. The questionnaire explored the patients' assessment of the appropriateness of the length of the consultation and their ability to communicate their problem to the doctor.While most patients (91 per cent) felt that the consultation was long enough, there were a number of patients who were dissatisfied with the length of the consultation and their ability to communicate their problem to the doctor; dissatisfaction increased with shorter booked appointment times, with younger patients, when fewer previous visits to the doctor had been made and when the psychological component of the case was greater. It is particularly disturbing that more than 50 per cent of women between the ages of 15 and 44 years experienced difficulty in telling the doctor about their problem.

Adolescent↗
PubMed1982

Diagnosis and prognosis of low back pain in three countries.

The diagnostic pointers which doctors use as discriminating factors in the prognosis of males aged 15 to 45 with low back pain were examined in Britain, Holland and Israel. The most frequent prognostic indicators common to all these countries were a past history of similar trouble and the duration of symptoms. Less commonly used indicators suggest differences in diagnostic behaviour between the countries.

Adolescent↗
PubMed1981

International sore throats.

This paper reports on an international study of the diagnostic behaviour of doctors presented with patients complaining of a sore throat. Differences were found between individual doctors' predicted and actual behaviour, and between the behaviour of doctors in different countries.

Family Practice↗
PubMed1978

The management of vaginal discharge in general practice.

A group of general practitioners in active practice were asked to report how they preferred to manage the symptoms of vaginal discharge presented by a woman in her twenties. Subsequently the same practitioners reported their management of such patients in their practice.A shortfall was found for all practitioners between their declared intention and their actual practice.This method of analysis offers a way of working towards a consensus in clinical care and also of auditing medical performance in general practice.

Adult↗
PubMed1978

Altitude sickness.

Ten climbers were studied trekking from 1,950 to 4,650 m (6,500 ft to 15,500 ft) in the Nanda Devi Sanctuary of the Garwhal Himalaya. All developed altitude sickness, one seriously. Pulse, blood pressure, and peak flow rate were monitored daily in an attempt to predict the onset of altitude sickness. Prediction was uncertain though the one climber who became seriously cyanosed at 4,200 m (14,000 ft) had a consistently higher blood pressure than his colleagues.

Altitude Sickness↗
PubMed1976

Pregnancy in women using intra-uterine contraceptive devices.

Among 1,041 women fitted with intra-uterine contraceptive devices during a period of 21,445 months there were 51 pregnancies: a rate of 2.9 per hundred women years. Pregnancy occurred most commonly in the young and nulliparous. The importance of the patient checking her device is stressed. Pregnancy occurs most commonly soon after fitting, but may occur at any time. In more than half the cases pregnancy occurred with the device in the uterus. Though most pregnancies were uterine there was a high incidence of ectopic pregnancies. Many pregnancies ended in vaginal delivery, but since the Abortion Act 1967 fewer probably now go to term.

Age Factors↗
PubMed1975

Intra-uterine contraception in general practice.

The experience of two general practitioners with 1,041 women attending clinics for intra-uterine contraception is analysed retrospectively. Patients were mainly Health Service patients of the doctors, but some were referred by other general practitioners, by the local authority, and a consultant. Some patients travelled considerable distances. Age varied from 15 to 52 and parity from 0 to 11. The fitting of various devices was usually easy, but patients often complained of symptoms, mostly bleeding, pain, or discharge, the majority of which were amenable to treatment and often were not due to the intra-uterine contraceptive device itself. There was evidence of lowered haemoglobin levels in women using this method for some years.The retrospective analysis shows follow up, always difficult in contraceptive clinics, to be less than desirable. In planning contraceptive programmes more attention should be given to this subject. Pregnancy occurred in 51 cases and there were four cases of cancer of which one died. There was a further unrelated death from subarachnoid haemorrhage.

Adolescent↗