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Biomedical subjects

J G Bligh

Publications and source records attributed to J G Bligh.

10 recordsLinked to original sources

Independent learning among general practice trainees: an initial survey.

Self-directed learning is a natural way for adults to learn. Vocational training for general practice is a preparation for unsupervised clinical work that will be supported, in the main, by continuing medical education. This study uses the Self-Directed Learning Readiness Scale to investigate factors influencing readiness for such learning among a sample of general practice trainees. Three principal factors emerged from analysis: enjoyment and enthusiasm for learning; a positive self-concept as a learner and a factor suggesting the possibility of a 'reproducing' orientation to learning. These factors may reflect approaches to learning in general rather than these adopted for professional learning, but offer helpful pointers for the development of both vocational training and of continuing medical education.

Attitude of Health Personnel

Bridging the gap between hospital experience and general practice during vocational training.

This paper describes a strategy for learning that may effectively link the hospital and general practice parts of vocational training. It suggests the use of a locally developed study guide for each hospital post that is based on certain priority objectives for general practice training. The learning needs of individual trainees are the central focus of the strategy.

Education, Medical, Graduate

Tissue thiamin levels of hospitalised alcoholics before and after oral or parenteral vitamins.

A new high performance liquid chromatographic method has been used to measure erythrocyte levels of the physiologically active form of thiamin, thiamin diphosphate (ETDP), in 25 alcoholics admitted to hospital for detoxification and rehabilitation. Measurements were made before, during and after multivitamin supplementation, either orally or parenterally, on a controlled basis. Before treatment, only one case of thiamin deficiency was detected. Within 24 hr of receiving 250 mg of thiamin both treated groups showed an increase in their mean ETDP levels, though only that of the parenterally treated group was significantly higher (P less than 0.05) than the pre-treatment mean. However, after 250 mg thiamin daily for 5 days, both treated groups showed a significant (P less than 0.05) and almost identical increase in their mean ETDP levels (90 nmol/l. and 91 nmol/l. for the oral and parenteral routes respectively). The results suggest that except for alcoholics requiring thiamin urgently, for whom the parenteral route is demonstrably quicker at raising tissue levels, oral supplementation achieves the same result as parenteral.

Administration, Oral

Long-term brain impairment in chronic alcoholics: N2-P3 cognitive potentials in a template-matching memory task.

Neuropsychological measurements and N2-P3 visual cognitive potentials evoked by a template-matching visual-memory task were collected from seemingly intact chronic alcoholics and normal controls. Psychometric results were not significantly different between alcoholics and controls, but the N2-P3 cognitive potentials of the alcoholic population showed a decreased amplitude and an atypical interhemispheric pattern of latencies that point to alcohol-related deficits. The different functional nature and possibly separate intracranial origin of N2 and P3 suggest respective cortical and hippocampal localisation of these deficits. Cognitive brain potentials were a more sensitive indicator of cerebral impairment than psychometric data.

Adult