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Biomedical subjects

N G Reid

Publications and source records attributed to N G Reid.

8 recordsLinked to original sources

The admission of Asian patients to intensive therapy units and its implications for kidney donation: a preliminary report from Coventry, UK.

OBJECTIVE: To determine the relative admission rates of Asian and non-Asian patients to intensive therapy units (ITUs) in Coventry and to explore the implications of these rates for the transplantation of organs to Asian people. DESIGN: Examination of 1991 census data and a retrospective review of ITU admissions books. Data were collected on ethnic background, presenting diagnosis, and clinical outcome for each admission. SETTING: The three ITUs in Coventry. PATIENTS: All admissions to the ITUs from 1990-93 inclusive. RESULTS: Asian patients were admitted to ITUs disproportionately to their numbers in the Coventry population. Members of the Asian community were less than half as likely to be admitted to an ITU (p < 0.001) and more likely to die while there (p = 0.007) than members of the non-Asian population in Coventry. The proportions of patients referred to the transplant unit and the rates of subsequent donation do not seem to differ significantly for Asian and non-Asian patients (p = 0.26 in both cases). CONCLUSIONS: There are clear implications for the availability of cadaveric kidney transplantation to Asian patients, given that few kidneys from non-Asian donors are histocompatible with Asian recipients. Indeed, in Asians, promotion of living related donation may be more effective in countering the organ shortfall than efforts to increase consent to cadaveric transplantation. However, it may be valuable to investigate any patterns of morbidity or social or cultural factors that might explain the initial low admissions rates to ITUs for Asian patients.

Asia↗

Dietary behaviours and sociocultural demographics in Northern Ireland.

Subjects aged 16-64 years (592; 258 men and 334 women), randomly selected from the population of Northern Ireland, kept a 7 d weighed record of all food and drink consumed. Social, personal and anthropometric data were also collected. From the weighed records food consumption was described in terms of forty-one food groups. Using principal components analysis, four distinct dietary patterns were generated which were identified as a traditional diet, a cosmopolitan diet, a convenience diet and a 'meat and two veg' diet. These dietary patterns were then correlated with sociocultural, lifestyle and anthropometric variables. It is clear that dietary behaviour is influenced by a number of inter-related sociocultural demographics and that identifiable population groups in Northern Ireland have different dietary behaviours.

Adolescent↗

Nursing hours per patient: a method for allocation of staff in midwifery.

This paper describes the findings of a study of 43 midwifery wards in Northern Ireland. The Nursing Hours Per Patient (NHPP) index is extended to the calculation of appropriate indices for five categories of midwifery ward, antenatal, delivery, postnatal, special care baby units, combined units (including delivery wards) and combined antenatal and postnatal wards. These indices are used to examine the distribution of nursing staff in relation to occupied beds.

Bed Occupancy↗

Graduate nurses in Northern Ireland: their career paths, aspirations and problems.

This paper is based on a survey of graduates from the B.Sc. in Nursing studies at the New University of Ulster (now the University of Ulster). Six cohorts, those entering between 1975 and 1980, were sent a postal questionnaire. The results cover the careers of these graduates and also describe their problems and their aspirations. The findings confirm those of other studies in relation to the clinical orientation of graduate nurses. Some respondents had positive views about graduate status, others had experienced prejudice and even hostility. Most respondents intended to pursue a lifetime career in nursing.

Attitude of Health Personnel↗

The effective training of nurses: manpower implications.

In a period of scarce and shrinking resources, manpower planning is of great importance. One aspect of nurse manpower planning is to ensure that the clinical learning environment is adequate in terms of qualified nursing staff. A recent, detailed study of nurse training in the clinical area has highlighted the effects of manpower shortages in nurse education in the clinical area. It is argued that any further cuts in nurse manpower levels will have a direct, detrimental effect on the clinical learning environment, and this is illustrated by findings from the nurse training study. It is further suggested that the manpower problems of urban hospitals are often masked by discussion of manpower in terms of regional staffing levels.

Clinical Competence↗