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Biomedical subjects

N Grey

Publications and source records attributed to N Grey.

11 recordsLinked to original sources
PubMed2001

A brief report on the Penn Inventory for posttraumatic stress disorder.

In this report we provide normative data for the Penn Inventory for posttraumatic stress disorder for men and women who were referred to a specialist outpatient clinic following a range of traumatic events. Data are provided from clinical assessment of 80 people. There was no significant difference between male and female scores. Using the Clinician Administered PTSD Scale to ascertain diagnostic status and Hammarberg's cut-off criterion of 35, the Penn Inventory showed a sensitivity of .90 for male participants and .89 for female participants and a specificity of .55 for male participants and .67 for female participants. The Penn Inventory correlated highly with other measures of psychological distress. We discuss that the Penn Inventory may be best used as a screening instrument or measure of change of general mental well-being after trauma, rather than a diagnostic tool for specific traumatic stress symptoms.

Adult↗
PubMed2001

A question of space: options for the restorative management of worn teeth.

The prevalence of tooth surface loss has increased in recent years. The essence of management is an effective preventive regime; however, in many instances restoration may also be necessary. A number of strategies is available for creating sufficient space to enable restoration and several techniques for restoration known. This article reviews the significance of the vertical dimension of occlusion and describes the restorative management of a patient affected by severe tooth wear.

Adult↗
PubMed1995

Traumatic spinal cord injury and psychological impact: a cross-sectional analysis of coping strategies.

Many studies have suggested a relationship between coping strategies used to deal with stressors and levels of psychological well-being. To explore this further the current study examined such relationships in people who have sustained a spinal cord injury. Measures of psychological impact and coping strategies were taken from those in their sixth week post-injury (N = 41) and those between four and seven years post-injury (N = 30). The results were analysed using stepwise multiple regression. This provided a number of models containing coping strategies that accounted for a certain proportion of the variance in each of the psychological impact variables. While the results help to identify specific coping strategies associated with better adjustment, they also highlight the need to adopt a longitudinal approach in the investigation of psychological responses to spinal cord injury.

Activities of Daily Living↗
PubMed1994

Psychological and emotional effects of the use of oral baclofen: a preliminary study.

Spasticity is a common problem following spinal cord injury. The drug of choice to control spasms is baclofen. There would appear to be no reported studies which have evaluated the psychological and emotional effect of this drug. This preliminary study investigated a number of such effects, including depression, anxiety and general mood state. First, we examined 10 subjects before and during the administration of baclofen. They were then compared to a control group of 12 subjects. A second cohort of 12 subjects taking baclofen were compared to a control group of nine subjects at a specific time after injury. Results indicated that whilst some significant differences were found, suggesting an increase in fatigue with use of baclofen, no major adverse psychological effects were noted. The implications of these results were discussed and suggestions for further research were highlighted.

Adolescent↗
PubMed1993

The Functional Independence Measure: a comparative study of clinician and self ratings.

In recent years the Functional Independence Measure has emerged as a standard assessment instrument for use in rehabilitation and therapy programmes for disabled persons, including those with spinal cord injury (SCI). This measure was devised to be rated by a clinician familiar with the patient. We studied 40 spinal cord injury patients who were rated on the FIM by a clinician within the 6 weeks prior to discharge, and who then rated themselves on the FIM at one month post discharge. There was a strong correlation between the differently rated scores. This suggests that the FIM can be given to patients as a self-report questionnaire, thus reducing time of assessment and increasing assessment potential.

Activities of Daily Living↗
PubMed1992

Treponema pallidum and Helicobacter pylori recovered in a case of chronic active gastritis.

A 49-year-old man complaining of epigastric pain underwent endoscopy, during which thickened stomach folds below the fundus were observed. Microscopic examination of gastric tissue biopsy specimens revealed chronic active gastritis. Dieterle stain revealed overwhelming numbers of "corkscrew-like" spirochetes. These were proved to be consistent with Treponema pallidum. A comprehensive study of the tissue revealed the added presence of Helicobacter pylori. This appears to be the first case report describing the involvement of H. pylori and T. pallidum together in a case of chronic active gastritis.

Chronic Disease↗
PubMedDate not supplied

High pressure areas.

The study highlighted the extent of occupational distress in a group of nurses in an NHS hospital trust. The levels of distress were similar across settings and similar to levels identified in current NHS-wide studies. Levels of work pressure and emotional exhaustion were higher than previous UK norms. High levels of distress were associated with younger age, high work pressure and low social support. For general mental well-being individual factors, such as satisfaction with social support, were more predictive than organisational factors. For work-specific distress, factors in the work environment, such as work pressure, patient contact and task orientation, were more important. Strategies for addressing the needs identified were reviewed and are now being implemented.

Burnout, Professional↗