Antibiotics in cutaneous surgery: why aren't we following the guidelines?
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Antibiotic Prophylaxis↗
Biomedical subjects
I Coulson
Publications and source records attributed to I Coulson.
The meaning of health and well-being: voices from older rural women.
INTRODUCTION: The impact of geographical location on the maintenance of older rural women's health and well-being has been largely unexamined in the research literature. Contextual explanations of environmental impact on health status have been traditionally been assigned to a narrow picture of rural life which emphasized occupational health at the expense of sociological aspects. There have been many research programs about ageing Australian people in urban areas but few concerning the older rural population. Few clues can be found as to how their needs and expectations may differ from those of their urban counterparts. The size of Australia's older population is increasing and steadily becoming feminised. Approximately 37% of these older women live outside capital cities in rural and remote areas. For those planning services for this group of older women, the influence of the rural and remote social and physical context on health and well-being must be understood and considered. METHODS: Data were collected in 2001 for this qualitative study from the five old (78-88 years), widowed rural women participants who had lived most of their lives on farms, by in-depth interviewing regarding life history, and by using personal document strategies. The life history research approach guided data collection, while thematic analysis was employed to avoid examining isolated themes. Social constructionism and socio-environmental theory of gerontology provided the philosophical boundaries to the central research question. RESULTS: While each informant's life history was unique, it was found that the informants' health and well-being were profoundly influenced by the geographical location of living on the land. CONCLUSION: This small study, which should be extended by a larger study, may be seen as a beginning step in defining health promotional activities, policy development and service programs for older rural women that are both person-centered and sensitive to their unique lifestyle.
Journal Article↗
Guidelines for care of contact dermatitis.
These guidelines for the management of contact dermatitis have been prepared for dermatologists on behalf of the British Association of Dermatologists. They present evidence-based guidance for treatment, with identification of the strength of evidence available at the time of preparation of the guidelines, including details of relevant epidemiological aspects, diagnosis and investigation.
Dermatitis, Contact↗
Older people's knowledge and practice about lifestyle behaviors that may prevent vascular dementia.
This study examined the relationship between knowledge and practice of healthy lifestyle behaviors in the prevention of vascular dementia. Data presented here are derived from a convenience sample of 296 participants recruited through senior citizen agencies in Australia. Lifestyle was measured using the Health-promoting Lifestyle Profile (HPLP). Seven knowledge subscales were developed, consistent with the HPLP. Data were analyzed using multiple regression analysis. Correlations among the lifestyle and knowledge indicated statistically significant results. However, the strength of these associations was generally weak. Multivariate analysis found that six variables explained 20% of the variance in the lifestyle score. These included: knowledge of interpersonal relations, knowledge of physical activity, medical knowledge, medical history, self-assessment of general health, and use of alcohol. The results indicate that knowledge, by itself, does not necessarily ensure that people engage in self-practising healthy lifestyle behaviors, and those who experience illness and, perhaps exposure to risk factors, had higher HPLP scores. Recommendations for how older people can be supported to reduce some of the attitudinal barriers that reduce healthy lifestyle behaviors are discussed.
Journal Article↗
Co-ordinating an orthopaedic service.
Fractured neck of femur is an injury commonly sustained by elderly people. The subsequent needs of this patient group are complex and diverse, and may not be met within the competencies of standard orthopaedic units. In an attempt to overcome this deficiency, Frenchay Hospital introduced the role of clinical orthopaedic co-ordinator to assist in the successful liaison between orthopaedic, elderly care and community services. The author reports on the venture's success.
Activities of Daily Living↗