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Biomedical subjects

S Pullon

Publications and source records attributed to S Pullon.

6 recordsLinked to original sources
PubMed1997

Trainee interns in general practices.

AIM: To determine the impact of trainee interns (sixth year medical students) on general practices involved in medical student teaching. METHOD: Postal questionnaires were sent to general practitioners, nurses and receptionists in each of 30 general practices throughout New Zealand. Questionnaires were also sent to patients in practices where a trainee intern was present during the study period. RESULTS: Nearly all of the general practitioners, receptionists and nurses found advantages in having trainee interns. Advantages included enjoyment of teaching and personal satisfaction from student involvement in the practice. Two thirds felt that the advantages would increase if the attachment duration was extended. General practitioners reported an increased level of stress and decrease in productivity, with greater hours at work per week. Remuneration was considered inadequate by a third of the general practitioners. Patients found trainee intern involvement advantageous, with improvement in quality of both care and communication. Disadvantages included longer waiting time and longer appointment time. Younger patients were more likely to find disadvantages than older patients. CONCLUSION: Trainee interns in general practices can have a beneficial impact on the quality of primary care. There are disadvantages for health care professionals and patients, and appropriate compensation (in money or time) is important for community undergraduate medical education to continue to be acceptable.

Adult↗
PubMed1997

Baby feeding: the thoughts behind the statistics.

AIM: To investigate attitudes towards baby feeding and to identify reasons why women stop breast feeding. METHOD: A series of six focus groups were held with thirty eight mothers with babies aged between 3 and 18 months, who had been breast and/or bottle fed. RESULTS: The discussions identified a number of significant themes. Decisions on baby feeding were made before birth. Women felt under considerable pressure to breast feed and felt guilty about bottle feeding. Information available about baby feeding was generally inconsistent, unrealistic and incomplete although all women were well informed about the benefits of breast feeding. Most women found breast feeding more difficult than anticipated and needed more help with common problems. A number of difficulties were identified with bottle feeding. Those women who enjoyed breast feeding were most likely to continue. The best support for breast feeding came from other mothers and supportive partners. Ceasing breast feeding was difficult for some women. CONCLUSION: Exploring mothers' attitudes to breast feeding highlighted the need for non judgemental attitudes to baby feeding and consistent information and support on both breast and bottle feeding. Duration of breast feeding is likely to be improved if problems can be addressed. A larger, more detailed prospective study would more accurately identify problem areas and suggest ways of solving them.

Attitude↗
PubMed1988

Prevalence of dysmenorrhoea in Wellington women.

A survey of 1826 women in the Wellington region was carried out. Participants were asked about their general and gynaecological health and their menstrual, contraceptive and obstetric history. Detailed questions were asked about the menstruating women's last menstrual cycle. Half the women reported some dysmenorrhoea, and 520 had 'significant period pain.' Severity, duration and timing of pain were indexed. There was maximum prevalence at 20 to 24 years and positive associations with smoking, short cycles, and moderate to severe premenstrual symptoms. There was association with method of contraception but no association with sedentary occupation or body mass index. The apparent negative relationship with parity was not significant when age, smoking and premenstrual symptomatology were taken into account.

Adolescent↗