Biomedical subjects
Publications and source records attributed to J P Musgrove.
The planning and implementation of a curriculum for a department of family and community health in a new medical school in a developing country presents special problems. The evolution of the programme at Sultan Qaboos University in the Sultanate of Oman is described and discussed.
Forty-seven consecutive hypertensive patients, 27 of whom were inadequately controlled on previous therapy, were included in a general-practice study using prazosin hydrochloride as anti-hypertensive therapy. Eleven (23 percent) had their hypertension controlled by prazosin alone, increasing to 68 percent with the addition of a diuretic, and to 87 percent by adding a beta blocker with or without a diuretic. The range of dosage varied widely and the side effects, although frequent, were not serious. Prazosin is considered to be a useful anti-hypertensive agent especially in combination with thiazides and/or beta blockers.
The results of a postal questionnaire to 185 general practitioners in the Canterbury-Westland agea are discussed. The intention was to describe the after hours provision for patients made by general practitioners. The study indicates that about one half of doctors are on call on weekdays evenings and about a third on weekends. Only a handful of doctors provide no cover. The kind of cover provided is discussed and the patient load during such hours is analysed. Figures are presented which suggest that Canterbury practitioners are marginally younger than the national average; that most doctors (100 out of 106 responding) have formal cover arrangements; that 82% are on duty no more than one weekend a month (less often for group practitioners); that about two-thirds have a regular half-day free during the week; that about two-thirds of after hours call are judged to be justified.
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