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At least 91 records · Page 5Linked to original sources
PubMed1991

Developing community mental health services for indigenous people of northern Ontario.

Inadequacies of three common models of mental health service delivery have been presented but each of these can contribute to an adequate system if the approach aims at the totality of mental health care. The key to service delivery and the provision of services in the local community by adequately trained and supervised mental health workers familiar with the culture and language and who are involved with other community workers in an inter-agency process. A major and the most important part of the work occurs in this level. This front line work must have the back-up and support of the system which has three roots. The clinical root is that of a support team of professionals, the local nursing station, hospital and the tertiary institutions. The second root is in training and education by recognized courses and other resources and the third in an adequate administration in which the indigenous population has been put in control.

Adolescent↗
PubMed1987

Drug prescribing for TPN patients at a teaching hospital serving a developing community.

Drug prescribing for TPN patients at Ga-Rankuwa Hospital was investigated as part of a larger retrospective survey of TPN products and practices. The medical records of 45 patients who received parenteral nutrition over the period April-August 1985 were examined. Relevant information was transcribed onto survey forms, classified and analysed. The major defined complaints were gastrointestinal (50%) and perinatal (34.5%). Twelve patients had more than one major complaint. Seventy-three per cent of the patients were admitted to paediatric wards and over 24% to (adult) surgical wards. There was one medical patient in the group. The only drug categories that were prescribed in more than 10% of cases were antimicrobial agents (64.9%) and analgesics (10.4%). The most frequently used individual drugs were gentamicin (17.5%), penicillin G (14.3%), piperacillin (17%) and aminophylline (11%). The implications of this pattern of drug use for TPN patient monitoring are discussed.

Aminophylline↗
PubMed1985

Drug utilization in internal medicine wards at a teaching hospital serving a developing community.

Drug utilization, i.e. prescribing, was investigated in four general internal medicine wards at Ga-Rankuwa Hospital, the main teaching hospital for the Medical University of Southern Africa. Survey forms for computer processing were designed to cover important patient parameters (including diagnosis) and to classify drugs into the most frequently used therapeutic groups. There were 154 patients in the survey which took place over a 2-week period in July 1983. Analysis of the diagnosis data showed that cardiovascular disorders (34,4% of the total) and infectious and parasitic diseases (29,2%) predominated. Data for drugs prescribed revealed a preponderance of anti-infective agents (29,7%), diuretics (12,0%), cardiovascular preparations (10,5%) and respiratory medicines (8,1%). The predominant two disease groups and four drug groups were subjected to further analysis. Detailed results which cover specific disease entities and individual drugs are presented. A clear picture of the respective disease patterns and drugs prescribed has emerged. The implications are discussed with reference to the population which the hospital serves, therapeutic needs and medical education.

Anti-Infective Agents↗