Biomedical subjects

S Brierley

Publications and source records attributed to S Brierley.

4 recordsLinked to original sources

PubMed2003

Meeting National Service Framework goals for patients presenting with acute myocardial infarction.

BACKGROUND: The National Service Framework for coronary heart disease established clear standards for the management of patients with acute myocardial infarction in March 2000. This study evaluates an emergency department's thrombolysis performance in light of these standards. SETTING: Inner city teaching hospital emergency department. METHODS: The data were prospectively collected using a formal clinical pathway for all patients receiving thrombolysis in the emergency department between February 2000 and January 2001. Cases were reviewed at monthly multidisciplinary audit meetings. Regular feedback complemented routine teaching for both nursing and medical staff. RESULTS: 127 patients were thrombolysed, of whom 92 (72%) were immediately eligible. Some 77% of these had a door to needle time of less than 30 minutes and 38% less than 20 minutes. Twenty per cent of patients had a call to door time of less than 30 minutes. Some 84% of patients managed by the emergency department team had a door to needle time of less than 30 minutes compared with 53% of those patients seen by duty physicians. CONCLUSIONS: The thrombolysis target set by the National Service Framework for April 2002 is achievable. The target set for April 2003 remains an ambitious goal. Overall call to needle times are undermined by call to door times. Emergency department teams may be more efficient than duty physicians in processing patients needing thrombolysis.

Cardiology Service, Hospital↗

PubMed1998

Initial data from the 30-element ORTEC HPGe detector array and the XSPRESS pulse-processing electronics at the SRS, Daresbury Laboratory.

Following the completion of the collaborative project between CLRC Daresbury Laboratory and EG&G ORTEC to develop the world's first 30-element HPGe detector for fluorescence XAFS, it has now been tested and commissioned at the SRS. The system was commissioned with the XSPRESS digital pulse-processing electronics and this has demonstrated processed count rates in excess of 10 MHz. Initial data have been recorded and are presented.

Journal Article↗

PubMed1998

An emergency department tackles bed management and home-based care.

Ipswich Hospital Emergency Department played a vital role in the Post Acute Treatment in the Home Program (PATH) of West Moreton District Health Service. PATH used two strategies to reduce the district reliance on acute hospital beds: a short-stay unit for rapid assessment, treatment and early discharge of patients with simple conditions; and a hospital-in-the-home program utilising community health services to treat acute conditions. The program enhanced existing services to create a new treatment stream for acute patients and to promote a cultural shift from fragmented care to district responsibility for total episode of patient care.

Chest Pain↗

PubMedDate not supplied

The effectiveness of a group discrete trial instructional approach for preschoolers with developmental disabilities.

Group behavioral classroom instruction for children with developmental disabilities has been shown to allow for increased efficiency, approximation to naturalistic arrangements, and enhanced opportunity for interaction, social teaching and observational learning. This study examines the effectiveness of a group instructional extension of one to one discrete trial teaching, which involves the overlapping of trials between students along with the use of sequential and choral group teaching. A multiple baseline design across tasks was employed to examine the effectiveness of the group instructional approach in promoting acquisition of educational skills among preschoolers with autism and other developmental disabilities. A time sample interval assessment of components of the group instruction was also conducted. The approach was demonstrated to consistently increase correct responding across the task areas. Results are discussed in terms of the advantages of the group instructional approach as an adjunct to one to one discrete trial instruction.

Child, Preschool↗