Biomedical subjects

R J Haworth

Publications and source records attributed to R J Haworth.

7 recordsLinked to original sources

PubMed1986

Food intolerance in patients with oro-facial granulomatosis.

The study was initiated to investigate the role of food intolerance in the aetiology of oro-facial granulomatosis. Firstly, retrospective data were examined in 85 patients and in 16 of them it was evident that a food or flavouring was provoking the disorder. In a second series, eight patients completed a very-low-allergen diet: seven individuals were found to be intolerant of certain foods, ingestion of which resulted in facial swelling. It is concluded that food intolerance is an aetiological factor in some patients with oro-facial granulomatosis.

Adolescent↗

PubMed1983

Use of aids during the first three months after total hip replacement.

The supply and use of aids following total hip replacement was monitored to see why therapists supplied aids and how quickly and why patients stopped using them. Postal questionnaires were sent to 163 patients with unilateral or bilateral osteoarthrosis of the hip or rheumatoid arthritis 2, 6 and 10 weeks after discharge from hospital. Patients had 2.2 aids per person on admission and 5.8 aids per person 2 weeks after discharge. They used 2.3 aids per person 10 weeks after discharge. Improvement in the pattern of walking was the main reason for supplying walking aids, safety for providing bath aids, and pain/insufficient range of movement for supplying dressing and toilet aids. The main reason for discarding aids was that patients could manage without them. Disease group, sex and the presence of other orthopaedic or medical problems influenced the use of aids but these differences were not apparent until 6 weeks after discharge.

Activities of Daily Living↗

PubMed1981

Expectations and outcome of total hip replacement.

The preoperative function, expectations of pain relief and expectations of improvement in activities of daily living were compared with the results nine months after total hip replacement in 145 patients with osteoarthrosis or rheumatoid arthritis. patients improved functionally and their expectations generally were met. They were most satisfied with improvements in pain relief and mobility but 28% still expressed disappointment because specific expectations were not fulfilled. The expectations of doctors were higher than those of occupational therapists.

Activities of Daily Living↗

PubMed1980

Hoists in the home: their recommendation and use.

The number of hoists recommended from Mary Marlborough Lodge has increased considerably between 1970 and 1976. This paper reports on the recommendation of hoists and slings for 233 severely disabled patients and the use made of them at follow-up by 146 patients. Electric hoists accounted for 42% of all recommendations and were more frequently used by patients in their homes than manual ones. Manual hosts were more reliable than electric ones but generated a greater number of complaints. The selection of hoists and the type of training given are considered.

Adult↗

PubMed1980

A comparison of follow-up regimes in rheumatoid arthritis.

One hundred and thirty-two patients discharged from a rheumatology unit were randomly allocated to general practitioner care, attendance at hospital outpatient clinics, or follow-up by a senior occupational therapist attached to the hospital treatment team. At the end of 1 and 2 years a number of clinical and functional tests were applied, and information was gathered about the provision and use of aids and the provision of domestic support. In addition the standard of overall care was judged by an independent assessor. Although no significant intergroup differences in disease activity or function emerged, it is clear that patients prefer continuing contact with the hospital team, and this may lead to differences appearing in the future. The financial advantages of therapist follow-up are discussed.

Arthritis, Rheumatoid↗

PubMed1979

Are hospital assessments of daily living activities valid?

The level of functional achievement gained during a rehabilitation programme provides the basis for supplying aids and requesting community services on discharge. In a study of follow up regimes for patients with rheumatoid arthritis a comparison was made between functional assessments in hospital before discharge and at home shortly after discharge. A small number of the activities assessed showed a significant change at home and these changes were all towards a lower level of independence.

Activities of Daily Living↗

PubMed1978

The value of flexor hinge hand splints.

Functional hand splints have been in use in a number of spinal injury units in the USA since the early 1950s. The splints are designed to provide a pinch-grip either by harnessing wrist dorsiflexion or by external power. Such devices are little used in the United Kingdom. This paper describes the results of late provision of 62 such splints in a Disabled Living Unit. A proportion of tetraplegic patients found such splints of considerable functional value. It is estimated that some 30--60 patients each year would benefit from them if appropriate facilities for early fitting were available.

Adolescent↗