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Biomedical subjects

M Sandilands

Publications and source records attributed to M Sandilands.

4 recordsLinked to original sources

Acute traumatic intracerebral haematomas: determinants of outcome in a retrospective series of 202 cases.

A retrospective study was carried out of 202 patients with traumatic intracerebral haematomas (TICH) noted on CT, to determine which factors most affected outcome. There were 151 (75%) males and 51 (25%) females, whose ages ranged from 1 to 84 years. One-hundred-and-two (51%) had a good outcome (Glasgow Outcome Score 1 and 2). Thirty-five (17%) were vegetative or severely disabled and 65 (32%) died. Of the 169 with a single haematoma, 98 (58%) had a good outcome, while only 20% of patients with two clots fared well. No patient with three or more haematomas had a good outcome. Single factor logistic regression analysis identified Glasgow Coma Score (GCS), haematoma volume and difficulty with airway maintenance or poor arterial oxygenation as important factors in determining outcome. A four-factor logistic regression analysis model was developed which revealed that, when all other factors had been taken into consideration, craniotomy significantly improved the probability of a good outcome.

Acute Disease↗

Supplementation of breastfeeding infants and weight loss in hospital.

Charts were reviewed to determine the frequency of glucose water supplementation of breastfed babies during their hospital stay and to discover if glucose water supplementation affected weight loss. Babies who received glucose water supplementation lost more weight and stayed in hospital longer than babies who did not receive supplementation. These findings were statistically significant. Routine supplementation with glucose water is unnecessary and potentially harmful to the baby. Stopping this practice may increase the mother's milk supply, increase her confidence in the adequacy of her supply and decrease the length of hospital stay.

Breast Feeding↗

Partnership in care.

The Alberta Child Health Passport was developed to provide parents and health professionals with a shared record of the child's health, growth, development, immunization and contacts with health services. A structured evaluation of the passport, and survey of the views of mothers and community nurses using it was carried out. The need for such a record was confirmed by those questioned. Responses also helped to identify sections of the booklet that are particularly useful and those which might be modified or removed. The passport is seen as having considerable advantages in improving the relationship between health professionals and clients.

Alberta↗