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Biomedical subjects

J F Macmillan

Publications and source records attributed to J F Macmillan.

10 recordsLinked to original sources
PubMed1996

Costing community care.

Explore the source record for details and available documents.

Community Mental Health Services↗
PubMed1990

The effect of a nurses' industrial action on psychiatric hospital admissions.

The socio-demographic and clinical characteristics of patients admitted to a large psychiatric hospital during a six month period of industrial action by nurses are described and compared with those from a similar period in the previous year. During the industrial action, the nursing staff agreed only to accept "emergency cases" for admission. The way that medical and social work practices were affected by the restricted conditions are discussed. The admission threshold was raised across all diagnostic categories, although the level of violence and social isolation was markedly less than expected. Chronic patients with a duration of illness of ten years or more were least likely to be admitted during the action. It is probable that some patients were admitted under a compulsory order to facilitate access to in-patient treatment.

Attitude of Health Personnel↗
PubMed1990

Further investigation of the predictors of outcome following first schizophrenic episodes.

The outcome at two years of patients who were eligible for a study of first schizophrenic episodes was assessed in terms of occupation (n = 237) and in terms of number of days spent as an in-patient from the time of first admission (n = 252), and was related to social, behavioural, mental state and neurological measures during the initial admission. Poor outcome was in general associated with more social withdrawal, inactivity and abnormal social presentation and with more 'neurological soft signs'. Good occupational outcome in patients with a relatively short pre-treatment duration of illness was associated with the prescription of placebo medication during the follow-up period.

Activities of Daily Living↗
PubMed1987

The occurrence of organic disease of possible or probable aetiological significance in a population of 268 cases of first episode schizophrenia.

In a sample of 268 cases of first-episode schizophrenia, 15 patients were found to have organic disease which appeared relevant to the mental state. There were three cases of syphilis, two cases of sarcoidosis, three of alcohol excess and two of drug abuse. There was one case each of carcinoma of the lung, autoimmune multisystem disease, cerebral cysticercosis, thyroid disease and previous head injury. In this series, identified organic disease was associated with less than 6% of cases of schizophrenia.

Adolescent↗
PubMed1986

A magnetic resonance study of early schizophrenia.

Patients with untreated first schizophrenic episodes and others who had made varying degrees of recovery from such episodes were blindly compared with normal volunteers in terms of the periventricular appearances on spin echo magnetic resonance scans. Significant differences were not found.

Adult↗
PubMed1984

Schizophrenic patients discharged from hospital--a follow-up study.

A cohort of 120 patients, comprising all those who met the St Louis criteria for a diagnosis of schizophrenia, discharged from a mental hospital over a five-year period, were followed-up in the community after an interval of five to nine years; 105 were traced and 94 were alive. Of those, 66 were living in UK, out of hospital, and willing to be seen. Their mental states, and social functioning and circumstances were assessed by interview with the patients and those with whom they lived; 18% had recovered to the extent that they had no significant symptoms and appeared to function satisfactorily. More than 50% had definite psychotic features. No patients and few relatives sought a return to hospital care, but severe emotional, social, and financial difficulties were commonplace; 27% of the sample had no contact with medical or social services, a further 14% saw only community nurses, and 24% only their general practitioners. The findings emphasise the limitations of community services in dealing with the chronicity and severity of the impairments resulting from schizophrenic illness.

Family↗
PubMed1979

Characteristics of patients with schizophrenia or neurological disorder and virus-like agent in cerebrospinal fluid.

A virus-like agent (V.L.A.) with a cytopathic effect on cultured cells was found in the cerebrospinal fluid of 18 of 47 patients with schizophrenia, of whom 10 had nuclear schizophrenic symptoms. In most patients with V.L.A., blood and C.S.F. protein concentrations were normal. Patients with and without V.L.A. had similar clinical characteristics but serum IgA levels were higher in those with V.L.A. V.L.A. was also detected in the C.S.F. of 8 of 11 patients with serious or chronic neurological disease (Huntington's chorea, multiple sclerosis, and unexplained alterations of consciousness).

Acute Disease↗