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Biomedical subjects

R A Collacott

Publications and source records attributed to R A Collacott.

54 records · Page 3Linked to original sources
PubMed1989

Clinical and therapeutic monitoring of epilepsy in a mental handicap unit.

Within a group of hospitals for the mentally handicapped serving the Leicestershire district, a cohort of 215 epileptic patients was identified, who were followed up for four years. The anticonvulsant medication of each patient was reviewed regularly until an optimal balance between seizure control, absence of medication side-effects, and reduction of polypharmacy was attained. After four years 172 patients remained in the study. A significant reduction in polypharmacy was attained overall. Some groups of patients showed a significant reduction in the frequency of seizures, while a small group of patients with frequent seizures remained difficult to control.

Adult↗
PubMed1987

Coffin-Lowry syndrome and schizophrenia: a family report.

A family is reported in which the mother and 4 of her 6 children are affected by a constellation of abnormalities including mental handicap, abnormal facies, short stature, soft fleshy hands with tapering fingers and skeletal abnormalities. The family is believed to represent a further group of individuals with Coffin-Lowry syndrome. Additionally, one affected daughter has symptoms suggestive of schizophrenia and one affected son has severe sensorineural deafness.

Abnormalities, Multiple↗
PubMed1986

The syndrome of mental handicap, cataracts, muscle wasting and skeletal abnormalities: report of a second case.

A severely mentally handicapped Caucasian male with cataracts, deafness, distal muscle wasting and skeletal abnormalities, including calcification of the pinnae, is described. The findings in this patient strongly resemble those in a male described in 1982 by Primrose, and it suggested that this unusual pattern of abnormalities constitutes a discrete entity, which we propose should be known as 'Primrose syndrome'.

Adult↗
PubMed1985

Medical and nursing services to St Kilda.

The problem of serving the smaller Scottish islands with an adequate medical service has existed since the middle of the nineteenth century. The problem is still unresolved. This paper examines the difficulties faced, through a historical perspective on the island of St Kilda, which lies some forty miles west of the Outer Hebrides.

Community Health Services↗
PubMed1984

The air-ambulance: Orkney's experience.

The paramount problem for the delivery of the medical services in the Orkneys has been that of effective transport. The development of an efficient air-ambulance service has had a major impact on medical care. The service started in 1934, but was abolished at the outset of the Second World War and did not recommence until 1967. This paper examines the evolution of the air-ambulance service in the Orkney Islands, and describes alternative proposals for the use of aircraft in this region.

Aircraft↗
PubMed1983

Hereditary physicians of the Scottish islands.

With the demise of the delivery of health-care by the Columban missionaries in the Scottish islands, there evolved a system of medical care by clan officers. These highly educated clan-physicians held office through hereditary tenure. Evidence is strongest for the existence of the Beaton physicians, but other families, including the O'Conachers, MacLachlans and MacLeas, held similar appointments. These hereditary physicians declined in importance with the demise of the clan system, when other physicians, holding patronage from the landlords, came to the islands.

Genealogy and Heraldry↗
PubMed1981

Neonatal tetanus in St Kilda.

Neonatal tetanus was prevalent in the Scottish Islands in the 18th and 19th centuries. In the island of St Kilda, neonatal mortality reached 690 per 1,000 live births, and was passively accepted by the community. Many speculative ideas concerning its aetiology were propounded until unsanitary conditions were counteracted by simple measures of hygiene in caring for the newborn babies.

History, 18th Century↗
PubMed1977

Urinary infection in a remote practice.

The results of these studies suggest that both the 'N-Labstix' nitrite test and the 'Uriglox' test for hypoglycosuria, although highly convenient, are far too inaccurate in the diagnosis of urinary infections. As yet, methods are still not available for the speedy and accurate diagnosis of urinary-tract infections in remote areas, and, inevitably, treatment will continue to be given on an empirical basis.

Bacteriological Techniques↗
PubMed1977

'Microstix'--a new diagnostic aid.

The usefulness of ;Microstix' as a diagnostic tool in urinary tract infections in general practice has been evaluated. The nitrite component detected only 53 per cent of cases of significant bacteriuria, and gave rise to a nine per cent false positive result. The culture media correctly detected 93 per cent of cases of significant bacteriuria, but this was associated with a false positive result of nine per cent.

Bacteriological Techniques↗
PubMed1977

Risks to trawler fishermen: Orkney waters.

Over a period of 26 months, emergency medical contact was made with 63 sick or injured trawlermen from Hull and Grimsby who had been fishing in the fishing grounds around the Orkney Islands. The majority of accidents were due either to falls in heavy weather, entanglement with winching or fishing gear, or burns and scalds in the galley. Nearly 80 per cent of the episodes of illness which were seen might not have required the emergency service had the trawler crews been properly screened before going to sea, or trained in elementary first aid.

Accidents, Occupational↗
PubMed1975

Screening for hypothermia in Orkney.

In a screening survey for hypothermia carried out amongst the elderly population of an island in the Orkneys, in which a 96 per cent response rate was obtained, oral temperatures were recorded using standard and low-reading thermometers. Out of 77 patients who entered the survey, only three had an oral temperature of 37 degrees C or higher. Six patients (eight per cent) had a temperature of 35 degrees C or lower, and these, depending on diagnostic criteria, could be considered to be suffering from hypothermia. A low body temperature was unsuspected in all six.

Age Factors↗