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Biomedical subjects

H Hancock

Publications and source records attributed to H Hancock.

9 recordsLinked to original sources
PubMed1998

Localised non-Hodgkin's lymphoma: the Sheffield Lymphoma Group experience (1970-1995).

We report a retrospective study of all patients with localised non-Hodgkin's lymphoma referred to the Sheffield Lymphoma Group (1970-1995). A total of 1,979 patients with non-Hodgkin's lymphoma were seen: 553 (28%) presented with stage I or II disease, 411 (21%) extranodal, 142 (7%) nodal. The commonest extranodal sites were head and neck, gastrointestinal tract, skin and central nervous system, accounting for 87% of patients. Most patients received primary localised radiotherapy. Overall observed survival was 52.5% at 5 years in the extranodal group and 65% in the nodal group. For both groups the 10-year observed survival was 42.5%. An age of 45 years and over was a poor prognostic factor in both groups (p<0.001). Patients with skin and non-Waldeyer's head and neck lymphomas survived best (5-year observed survivals 67 and 70% respectively) and CNS worst (5-year survival 38%). There is no cause for complacency in the management of localised non-Hodgkin's lymphoma, particularly for the less common extranodal sites where multicentre clinical studies are still essential.

Adult↗
PubMed1996

The complexity of pain assessment and management in the first 24 hours after cardiac surgery: implications for nurses. Part I.

Pain has been recognised as a problem within the realms of health care for many years (Szanto & Heaman 1972, Melzack 1973). The management of pain in the immediate postoperative period remains one of the most serious inadequacies of health care today (Royal College of Surgeons 1990). Recent evidence suggests that up to 75% of hospitalised patients fail to receive adequate pain relief (Carr 1990), with postoperative cardiac patients reporting detailed recollections of their pain experiences during their stay in critical care areas (Ferguson 1992). To accountable health care professionals these figures are humiliating and cannot be allowed to continue (Hollinworth 1994). Indeed, the persistance of postoperative pain can seriously compromise the status of postoperative cardiac patients (Wild 1992). An exploration of current practices in pain management for adult individuals following cardiac surgery included a review of the methods of assessment and treatment interventions employed at three English critical care units. With the literature providing substantial evidence of research into post-operative pain management the persistence of postoperative pain was questioned. Inadequacies in nursing knowledge were identified in all areas of postoperative pain management. The persistence of the theory-practice gap was identified as a major factor contributing to the maintenance of current practice. Similarly, the inappropriate use of change strategies, aimed ultimately at enhancing patient care, proved significant. The findings, which show neglect of the nursing responsibility for the provision of research-based, high quality patient care, carry implications for all nurses. Recommendations including the development of new strategies for the inclusion of existing knowledge into practice appear vital, in order that clinical practice, and ultimately patient care, can be enhanced.

Adult↗
PubMed1996

Midwifery--the turning point?

This paper endeavours to respond to suggestions about the 'fate' of midwifery in Australia and to provide stimulus for further discourse and analysis about where and how midwifery is going and growing, now and in the future. The tone is set as one of optimism and self-determination, as midwifery evolves within its history in Australia and finds and affirms, its own way from nursing and medico-obstetrics its own genre with women, and its own unique heritage. It is argued that only with a self-determined commitment to the integrity of midwifery and of women (seeing the two as inseparable if we truly are with women). Will we as midwives be able to transcend notions of dependence, control, submission, and competitiveness among others. The writer has specifically chosen to present this paper without references to make clear the content of the response without the camouflage of other writers. It is hoped this paper may provoke other midwives to examine and debate their perspectives and ideas.

Australia↗
PubMed1992

Midwifery education: whither will we wander?

The results of a study into the nature and conduct of midwifery programs in higher education institutions in Australia indicate diversity and disparity both between and within states. This paper presents data from this study and raises issues that arise from the findings. As midwives strive for professional authority and integrity, midwifery education must be recognised at both national and local levels to promote congruency for registration and practice.

Australia↗