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Biomedical subjects

P M McWeeny

Publications and source records attributed to P M McWeeny.

6 recordsLinked to original sources
PubMed1980

Management of acute illness in infants before admission to hospital.

Parents and family doctors were questioned about the management of 150 infants with acute illness before their admission to hospital. When 108 of the children were first assessed the family doctor did not consider that admission was necessary, but follow-up was arranged in only 14 of these cases. Thus in 94 cases the initiative for recall was left to the parents, who in 44 cases already wanted their child to be admitted. Forty-eight infants were referred because the doctors thought that the parents could not cope. The parents of 31 of the children delayed in seeking help. As over half the children were ill for more than three days before they were admitted to hospital, regular follow-up could have been arranged. Doctors should normally retain the initiative for this rather than leave it to the parents' discretion.

Acute Disease↗
PubMed1979

Identification of some infants at immediate risk of dying unexpectedly and justifying intensive study.

Children who die unexpectedly in infancy often have symptoms of illness before death. Survey data are used to evaluate risks associated with symptoms. There is a 1 in 50 chance of unexpected infant death occurring in the next 9 days when two or more symptoms occur in infants defined to be at high risk by a discriminant score. The score is based on data collected on all infants at birth and by health visitors at 1 month. This system would identify 50% of cot deaths and provides a basis for prospective physiological studies.

Child Reactive Disorders↗
PubMed1977

Multistage scoring system for identifying infants at risk of unexpected death.

Obstetric and perinatal records have been assembled on 250 infant deaths and an equal number of live controls including 55 deaths associated with congenital anomalies. The information was used to construct a scoring system to identify high-risk infants at birth. Parents of 115 of the cases and their controls were also interviewed and all hospital, general practitioner, and health service records abstracted. Cases and controls were compared item by item in respect of all information available up to the age of one month and a scoring system constructed for use at one month. The 'at birth' and combined scoring systems are presented. The chance of death by age attained is presented for various risk groups. In a small prospective test, the multistage scoring system was nearly 50% more effective than the birth score alone.

ABO Blood-Group System↗
PubMed1976

Possibly avoidable deaths in hospital in the age-group one week to two years.

In a complete analysis of all infant deaths in hospital between the ages of 1 week and 2 years, over a two and a half year period in Sheffield 21 children (26%) were found to have died from treatable diseases. 15 (71%) of these children were admitted moribund but had shown no difference in preadmission clinical features from a group of children admitted with similar diseases but surviving. The essential difference between the infants who died and those who survived was in the adequacy of medical care before admission.

Attitude of Health Personnel↗
PubMed1975

Unexpected postneonatal deaths (cot deaths) due to recognizable disease.

At least a quarter of the babies dying as unexpected home 'cot deaths' do so from recognizable diseases. A study of the background of such children, compared with age and admission controls, suggests that the disease symptomatology in this group of children differs in no way from children who are successfully treated. The factors leading to the death of these children appear to lie in the general lack of ability of some parents to recognize the importance of symptoms, their negative attitude and inability to avail themselves of health services, and the amount of drive and persistence required to obtain general medical practice services in some areas. There is also the failure of some practitioners to recognize severely ill children.

Acute Disease↗