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Biomedical subjects

G Scally

Publications and source records attributed to G Scally.

13 recordsLinked to original sources
PubMed1996

Citizen health.

Explore the source record for details and available documents.

Humans↗
PubMed1996

Public health medicine in a new era.

The health service reforms in the United Kingdom have posed significant problems for the carrying out of the public health function. The increasing size of populations for which health authorities are responsible makes the formation and maintenance of strong community links difficult. An attempt to broaden the membership of the Faculty of Public Health Medicine beyond members of the medical profession has failed to achieve consensus support, and academic departments are highly variable in their working links with the NHS. The creation of a separate public health service for the country has become a possibility. Behind these structural problems lies the lack of a commonly understood and agreed theoretical basis within the specialty. It is argued that an understanding of the role and functioning of the specialty as well as the real determinants of health is important to the achievement of improvement in the health of the population. The NHS reforms have created an opportunity for public health practitioners that if not seized may not be recreated for some time.

Curriculum↗
PubMed1990

Sources of fat in the northern Irish diet.

The Belfast MONICA Project carried out the joint European Economic Community WHO MONICA Project nutrition study (EURONUT) in 1985-1986 in 401 males subjects (45-64 years) using 3-day weighed records. This resulted in 356 reliable records which were analysed. The mean energy intake was 2369 Kcals (9.9 MJ) with 38% of energy (including alcohol) derived from fat (16.5% from saturated fat, 14.0% from monounsaturated fat, 4.8% from polyunsaturated fat), 14.2% from protein, 43.2% from carbohydrate and 4.0% from alcohol. The mean total fat was 100.3 g (saturated fat 43.5 g, monounsaturated fat 36.9 g, polyunsaturated fat 12.5 g), with a P:S ratio of 0.32. The sources of the different kinds of fat and cholesterol are presented as cumulative percentages of the total. This is a useful way of identifying those foods which contribute chiefly to fat in the diet, and it should have important implications for the monitoring of progress towards meeting dietary guidelines.

Cholesterol, Dietary↗
PubMed1990

Sodium, potassium, body mass, alcohol and blood pressure in three United Kingdom centres (the INTERSALT study).

Standardised data on blood pressure, 24 h urinary electrolyte excretion, body mass index (BMI) and alcohol intake were collected as part of the INTERSALT study in 598 men and women aged 20-59 years, selected randomly from three population groups in the United Kingdom. For the three centres combined, mean systolic blood pressure was 121.4 mm Hg and diastolic pressure 72.1 mm Hg, urinary sodium excretion 152.1 mmol/24 h, urinary potassium excretion 61.0 mmol/24 h, urinary sodium/potassium ratio 2.64 and BMI 25.2 kg/m2. Prevalence of heavy alcohol drinking in men (greater than or equal to 300 ml/week) was 27.5 per cent. Applying overall INTERSALT regression coefficients to the United Kingdom data suggested that modest changes in average sodium and potassium intakes, together with reductions in the prevalence of obesity and (in men) of heavy alcohol drinking could lead to important reductions in average population blood pressures and the prevalence of hypertension. The potential of this multifactorial approach to blood pressure control was illustrated by stratifying individuals within each of the United Kingdom centres by sodium and potassium excretion, BMI and alcohol intake. The 20 (out of 299) men considered at 'lower risk' for high blood pressure with respect to the above variables had systolic pressure lower by 11 mm Hg (P less than 0.01); for the 27 (out of 299) 'lower risk' women, systolic pressure was lower by 5 mm Hg (P = 0.06). These non-pharmacological approaches towards more favourable blood pressure levels could be accompanied by reductions in mortality from stroke and coronary heart disease.

Adult↗