PubMed Health⌕ Search

Biomedical subjects

N Goodwin

Publications and source records attributed to N Goodwin.

31 records · Page 2Linked to original sources

From general manager to chief executive.

For the general manager moving to the position of chief executive, it means more than a superficial change of title: it brings changes to organisational relationships, increased public exposure and personal accountability, and pressure to use time more effectively. Neil Goodwin explores the personal changes for general managers becoming chief executives and highlights the key areas for organisational and personal development.

Career Mobility↗

Water intoxication: a possible complication during endurance exercise.

Four athletes developed water intoxication (hyponatremia) during endurance events lasting more than 7 h. The etiology of the condition appears to be voluntary hyperhydration with hypotonic solutions combined with moderate sweat sodium chloride losses. The reason why the fluid excess in these runners was not corrected by increased urinary losses is unknown. When advised to drink less during prolonged exercise, three of the athletes have subsequently completed prolonged endurance events uneventfully.

Adult↗

Role of a modified ovitrap in the control of Aedes aegypti in Houston, Texas, USA.

A modified ovitrap from which larvae could not escape was employed for one year for the control of Aedes aegypti at Blossom Heights, Houston, Texas. At the end of this period, the Breteau index in the ovitrap area had declined by 36%, in contrast to a sharp increase of nearly 500% in the non-ovitrap area. The premises index in the ovitrap area remained unchanged, while the index in the non-ovitrap area increased by 440%. The problems associated with this control campaign and the use of these "autocidal" ovitraps are discussed.Annual fluctuations in the egg populations of A. aegypti and A. triseriatus were studied by weekly collections of eggs from the ovitrap paddles. The weekly fluctuations of egg numbers, the percentage of ovitraps with eggs of Aedes mosquitos, as well as the ovitrap premises index (i.e., percentage of premises with at least one ovitrap positive) all exhibited a similar fluctuation pattern, with a distinct peak extending from June to October.

Aedes↗

By-laws simplified.

Explore the source record for details and available documents.

Hospital Administration↗

Influence of social status on ovarian function in farmed red deer (Cervus elaphus).

This study examines the effects of behavioural and environmental factors on ovarian function in red deer hinds. Patterns of postovulatory luteal progesterone secretion were investigated in groups of farmed red deer hinds following oestrus induced by progesterone administration and withdrawal. Hinds were held under conditions leading to low (Experiment 1, held in paddocks: 0.29 per animal/h) or high (Experiment 2, held in pens: 1.11 per animal/h) interaction rates, and progesterone was measured in jugular venous blood samples obtained daily for 14 days after ovulation. Plasma progesterone levels tended to differ with respect to dominance status in both experiments (p < 0.1). Progesterone levels were substantially lower following prolonged hot dry weather (mean 0.67 +/- SEM 0.03 ng/mL) than in a year of relatively typical climatic conditions (mean 1.63 +/- 0.04 ng/mL; p < 0.0005). Progesterone levels were not related to the body weight of the hinds, and were not affected by housing conditions leading to different interaction rates. We conclude that although there is a tendency for dominance status to affect ovarian function, as observed before, this relationship is obscured in farmed red deer where all animals in the herd enjoy a higher plane of nutrition and movements of individuals between groups confuse dominance relationships.

Animals↗

[Changing role of the family physician in British National Health Service].

Over the last ten years the traditional role of primary care in Great Britain has been undergoing major changes with the major impact being the introduction of what is termed "GP fundholding", a process by which GPs hold budgets to purchase care from hospitals on behalf of their patients. This paper addresses how the system of fundholding operates in practice and points out the difference between the new and the previous system in which the health authority would plan care for the whole of a district and costs by hospitals would be covered by an all-inclusive system. The paper studies the rationale of the introduction of the fundholding and examines the evidence on how successful the approach has been. With reference to a systematic literature review of the evidence on fundholding's outcomes undertaken by the author, the paper examines the evidence for and against fundholding under the following headings: efficiency, equity, quality, choice and responsiveness. The paper then addresses more recent changes to the British health care system and shows how these have changed the role of the family doctor irrevocablly.

Budgets↗