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Biomedical subjects

P Leach

Publications and source records attributed to P Leach.

12 recordsLinked to original sources
PubMed2004

Generic waiting lists for routine spinal surgery.

National Health Service Hospitals are under pressure to reduce waiting lists within the constraints of a limited infrastructure. We implemented two systems to reduce waiting times for elective non-complex spinal surgery. The first of these was the introduction of managed generic waiting lists for both initial outpatient appointments and subsequent surgery. Thereafter, the MRI booking system was integrated with outpatient review appointments. Times from referral to first outpatient appointment and from scan to outpatient review and time on waiting list for surgery were analysed before and after implementation of these changes. Despite constant unit capacity there was a global decrease in waiting times. Before introduction of the generic waiting list, 37% of listed patients waited for more than 9 months; this figure fell to zero. Time from scan to outpatient review was 185 days before integration, 30 days after. Changes of this sort demand a quorum of consultants who will accept each others' recommendations. The generic waiting list will have impact only when there are large disparities in waiting times for different consultants. Targets are met at the expense of continuity of care.

Continuity of Patient Care↗
PubMed2002

Spontaneous thrombosis of a giant internal carotid aneurysm in a patient who presented with hypopituitarism.

This case report describes a 66-year-old woman who initially presented with features of hypopituitarism secondary to a giant intra-cavernous internal carotid aneurysm. She represented a year later with features suggestive of a subarachnoid haemorrhage, but repeat CT showed no change from the one performed previously. A repeat angiogram, however, showed complete spontaneous thrombosis of the aneurysm including the parent artery.

Aged↗
PubMed1991

Hidden PTSD in substance abuse inpatients among Vietnam veterans.

Alcohol use patterns among Vietnam combat veterans is an area with little research. This study evaluated three groups of Vietnam subjects on a chemical dependency unit who had a current Axis I diagnosis of alcohol abuse. No subject possessed a PTSD diagnosis. Two groups involved in-country veterans divided by presence or absence of PTSD based on the MMPI-PTSD scale (In-country and PTSD). The third group did not experience combat and was below the mean on the MMPI-PTSD scale (Noncombat). These groups were compared on the MMPI and the Alcohol Use Inventory (AUI), a measure of alcohol use patterns. Results showed that the PTSD Group had significantly higher scores on the MMPI and AUI reflective of deteriorated and binge drinking patterns. Discussion focused on the "hidden" dimension of PTSD among chemically dependent Vietnam veteran inpatients. The Relapse Prevention model was endorsed.

Alcohol Drinking↗
PubMed1973

Tinned babyfoods.

Explore the source record for details and available documents.

Dietary Proteins↗
PubMedDate not supplied

Promoting social health in northern Saskatchewan.

In response to concern about social health problems in Northern Saskatchewan, a Working Group on Social Health was established in 1989 in the Research and Development Committee of Northern Medical Services. The Group formulated a concept of mental health in social terms; found and interpreted indicators of the extent of social health problems; identified major determinants of social health problems, barriers to effective coping and problems in providing adequate support and services; and identified strategies and program models that could be more effective in promoting social health in this region. Indicators of problems and underlying determinants are discussed, along with strategies for change. These strategies are based on a community development model, and incorporate innovation and reaffirmation of values and ways that have traditionally given people strength.

Adaptation, Psychological↗