Biomedical subjects
H McClelland
Publications and source records attributed to H McClelland.
The Lazarus phenomenon following recreational drug use.
A case is reported of the Lazarus phenomenon (the return of spontaneous circulation after cardiopulmonary resuscitation had been abandoned) in a patient following recreational drug use. The implications for management of cardiac arrest in the emergency department are discussed.
Surgical staple trial in accident and emergency.
A trial was undertaken at the John Radcliffe Hospital, Oxford to establish if surgical staples were a viable alternative to traditional sutures in wound closure. The trial involved a sample of trained nursing staff using staples in the closure of simple skin lacerations presented at the Accident and Emergency (A & E) department. A questionnaire collected subjective and objective information from staff and patients relating to insertion and removal of the staples. Although there was no comparative data available for sutured wounds, the results indicated that staff were satisfied with the stapler's ease and speed of use. It was concluded that stapling was a viable addition to the choice of skin closure technique, rather than an alternative.
Tardive dyskinesia and parkinsonism.
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The relationship of 'nuclear' and 'atypical' psychoses: some proposals for a classification of disorders in the borderlands of schizophrenia.
The paper sets out the arguments in favour of utilising both a 'strict' definition corresponding to the 'nuclear' concept of schizophrenia and a 'broader' definition that also subsumes 'atypical' schizophreniform and related syndromes. Evidence is adduced rejecting the view that attempts to effect a complete separation between 'nuclear' and other forms of schizophrenic disorders based on phenomenological, hereditary, prognostic, etiological and other lines. Both the unity and the diversity of the schizophrenic family of disorders must be given explicit recognition in clinical and scientific work. The value of the 'nuclear' concept has been demonstrated by the IPSS study among other enquiries. The advantages of the broad definition are twofold. It makes for a flexibility and openness of approach in diagnosis and treatment of schizophrenia that are indespensable at the present time. The value of the 'broad' definition is that it encompasses a range of phenomena that have been shown to be related to one another. They may therefore be compared and contrasted. It is argued that new knowledge about the etiology of schizophrenia may be acquired in this manner. Tentative definitions for the 'nuclear' and 'broad' groups of disorder are given.
Chronic kidney disease: risk factors, assessment and nursing care.
This article provides an overview of chronic kidney disease in adults and outlines nursing management in primary and secondary care. Patient assessment, including the stages of chronic kidney disease, common causes and risk factors, are also discussed.
Thrombolysis nurse.
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