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Biomedical subjects

R B McGucken

Publications and source records attributed to R B McGucken.

9 recordsLinked to original sources
PubMed1984

Down's syndrome: is dissatisfaction with disclosure of diagnosis inevitable?

A survey of a representative sample of 62 parents of Down's syndrome infants revealed a high level (58 per cent) of dissatisfaction with the procedure for disclosing the diagnosis and with the immediate counselling services. From the replies and previous reports, a 'model procedure' was set up in one Area Health Authority to test the hypothesis that dissatisfaction is inevitable. Parents receiving the 'model procedure' reported 100 per cent satisfaction, compared with 20 per cent in a control group. It was concluded that dissatisfaction is not inevitable but results directly from organisational difficulties in not providing the necessary service.

Adaptation, Psychological↗
PubMed1984

Short stature caused by obstructive apnoea during sleep.

A 5 year old girl presented to a growth clinic with short stature. Obstructive sleep apnoea was diagnosed. After tonsillectomy her symptoms were alleviated and her rate of growth increased from 4.0 cm/year to 13.6 cm/year.

Body Height↗
PubMed1968

Mobile intensive care in myocardial infarction.

In the first six months of its existence a mobile intensive care unit was used to admit 95 patients with definite or probable myocardial infarction to the local district hospital. Though the area served was a rural one, with a radius of about 25 miles from the hospital, the average interval between receiving a call and starting intensive care was less than 30 minutes. Five patients with ventricular fibrillation were successfully resuscitated by the mobile team outside hospital. The mobile unit has made it possible to admit many more patients with myocardial infarction to hospital than before, and we believe its cost and use of skilled staff are justified by the results. The unit reduces the delay between the onset of symptoms and initiation of intensive care and thus diminishes the risk of primary ventricular fibrillation, which is maximal soon after the onset of symptoms. Since mobile intensive care removes the risk of transport it allows concentration of cases of acute myocardial infarction in the larger hospitals.

Acute Disease↗