Self-assessments were received from 210 general practitioners responding to a series of six patients management problems published in a Norwegian medical journal. The physicians were invited to give their ratings on a five-point rating scale for 21 to 24 statements relating to each of the six case histories. From these ...

This paper presents the results of a five-year survey in a general practice of the annual incidence and prevalence rates of selected major chronic medical problems presented to, and recognized by, the family doctors. These rates are compared with figures from the second national morbidity survey, 1970-71. The difficulties of ...

Idiopathic, benign, recurrent or persistent headaches represent the overwhelming majority of headache problems presenting to the general practitioner. Many practitioners have an unrealistic fear of 'missing a tumour' which results in a tendency to pursue exhaustive investigation. With attention to the history detail, the clinician usually can categorise the headache ...

Technology for gas and vapor delivery has not changed substantively in decades. Technology possessing greater precision and reliability has been in use by nonmedical industries to regulate gas flows and to vaporize liquids. Adaptation of existing technology to the needs of anesthesia delivery systems requires stimulus from the anesthesia community ...

Samples of Air Force fighter pilots, trainee commercial pilots, and males drawn from the general community completed the Edwards Personality Preference Schedule (EPPS). Four significant effects were found for individual sub-scales; three (Achievement, Affiliation, and Nurturance) identifying air force fighter pilots. Commercial pilot trainees scored significantly less than the community ...

Total intravenous anaesthesia is a feasible alternative to the use of inhalational agents and the rationale behind such a technique is presented. The various intravenous agents are discussed, particularly with regard to their suitability for this form of anaesthesia, and their physiological effects compared with those of the inhalational anaesthetics. ...

A multipractice study with the aid of questionnaires concerning "The possible influence of patients' occupations on sterility" had to be given up, when three quarters of the general practitioners who originally enrolled failed to complete the investigation. To help other investigators involved in multipractice studies, an analysis was done of ...

This communication reviews the mechanisms involved in anaphylactic and anaphylactoid reactions to intravenous drugs used in anaesthesia. Although the mechanisms involved are pertinent to other drugs and substances used in clinical practice, the use of the intravenous route makes this a particularly worrying problem in anaesthetic practice. Despite the similarity ...

During the present epizootic (sylvatic rabies), rabies has been present in the Federal Republic since 1950. In general rabies incidence is lower in the low lying land of the north and west. In the central Federal Republic, rabies incidence is higher east of the Rhine than to the west. In ...

To the anesthesia practitioner, the possibility of malpractice claims constitutes a very real and ever-present problem for it lies within the risks inherent in the administration of anesthesia. Since the areas of anesthesia which may be subject to suit are legion, the problem of malpractice becomes too complex to afford ...

A germanium-gallium generator producing EDTA-free Ga-68 would permit the synthesis of a broad range of Ga-68 radiopharmaceuticals and thus facilitate the widespread application of positron tomography. We have investigated a solvent-extraction generator system producing the weak complex of Ga-68 with 8-hydroxyquinoline (Ga-68 oxine), free of EDTA. The conditions for optimum ...

The general systems theory (GST), the general theory of organization (GTO), and the general theory of critical periods (GTCP) have been applied to some nutritional problems. This theoretical approach seems to be in good agreement with most of the data of the literature and with the personal experience, pointing at ...

A short feasibility study to investigate the recognition rate and precision of family problems by general practitioners is described. The need for such work in preparing a taxonomy of family and social problems, and the difficulties involved are discussed. Further support by general practitioners is invited.

A simple way of introducing a problem orientated summary card into conventional NHS medical records is described.

The opinions on the performance characteristics of the mid arm circumference as anthropometric measurement for malnutrition screening are quite contradictory. In this paper we analyze the specificity and sensitivity of the arm tape under different conditions and conclude that the design of the tape characteristics should aim at an instrument ...

Using the Royal College of General Practitioners (RCGP) classification of disease, the patient problems encountered in six family practice offices were classified. The top 20 diagnoses are identified, collectively and individually, and compared with the top 20 diagnoses encountered in a similar, but larger study done in Virginia. The present ...

Three internationally recognized systems have been devised for classifying presenting problems in general practice. They are: the Royal College of General Practitioners' (1963) classification, the US Ambulatory Medical Care Classification of Symptoms (NAMCS), and the World Organization of Colleges and Academies of General Practice/Family Medicine (WONCA, 1976) classification which is ...

The features of ergonomics in Italy are described with particular reference to more general aspects of the history and the present situation, which is illustrated with emphasis on the main points and on the guide lines. Reference is made to present programmes and to problems being tackled in the near ...

The general methodology of the Finnish foundry project is presented. The project comprised dust measurements from all Finnish iron and steel foundries and a sample of nonferrous foundries, measurements of chemicals used in most foundries, and a mortality, morbidity and turnover study of active and retired foundry workers. The total ...

Problem-solving is a characteristic activity of scientists, Theoretical problems are formulated as a consequence of scientists' thirst for knowledge, and their solutions take the form of general propositions, termed hypotheses, which are consistent with, and provide provisionally satisfactory explanations of, empirical observations. Practical problems appear as the result of feedback ...

This paper is intended to provide an overview of the problems involved in the generation of information by means of questionnaires. It is divided into two parts; the first is concerned with data collection methods in general, and the second with questionnaires in particular. The subject is not covered exhaustively, ...

During 1972-3 a survey was made of the pattern of communication between 80 consultants in four hospitals in south-east England and 100 general practitioners in the catchment areas of these hospitals. This aimed to identify the factors which affect the efficiency of communication between these two groups and to look ...

In this paper I shall trace the history of the development of the referral system in Great Britain and comment on the role of the second opinion as it affects the three parties concerned: the patient, the specialist and the general practitioner.

When writing a laboratory report, the microbiologist often makes certain assumptions as to the clinician's understanding of laboratory procedures and reporting practices. The effect of these assumptions on the interpretations of the reports is discussed, with data from a survey of general practitioners. Possible ways of improving communication between the ...