Pub Date : 1981-10-01DOI: 10.1177/146642408110100502
R D Cohen
O ONE working in the National Heafth Service cay fail to be aware of the enormous problem of ~ handling information, whether it be clinical, administrative, financial or managerial. Even if the required information is theoretically available, the problem of getting hold of it at the time when it is wanted, at the place where it is wanted and in the form in which it is wanted all too often defeat us. Such
{"title":"Computing in the National Health Service.","authors":"R D Cohen","doi":"10.1177/146642408110100502","DOIUrl":"https://doi.org/10.1177/146642408110100502","url":null,"abstract":"O ONE working in the National Heafth Service cay fail to be aware of the enormous problem of ~ handling information, whether it be clinical, administrative, financial or managerial. Even if the required information is theoretically available, the problem of getting hold of it at the time when it is wanted, at the place where it is wanted and in the form in which it is wanted all too often defeat us. Such","PeriodicalId":76506,"journal":{"name":"Royal Society of Health journal","volume":"101 5","pages":"174-8"},"PeriodicalIF":0.0,"publicationDate":"1981-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/146642408110100502","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18315191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1981-10-01DOI: 10.1177/146642408110100512
T E Ware
{"title":"Inspection of Crown premises.","authors":"T E Ware","doi":"10.1177/146642408110100512","DOIUrl":"https://doi.org/10.1177/146642408110100512","url":null,"abstract":"","PeriodicalId":76506,"journal":{"name":"Royal Society of Health journal","volume":"101 5","pages":"210-3"},"PeriodicalIF":0.0,"publicationDate":"1981-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/146642408110100512","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18315199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1981-10-01DOI: 10.1177/146642408110100503
B R Saunders
HE modern world of the 1980s requires a different approach in the provision of local government -*services than the 1800s and this is particularly true for environmental sanitation. The larger numbers of people and their aspirations coupled with advanced technology in home comfort living conditions, shopping and leisure have a changing need for response and protection. Desperate means were required to deal with disease and squalor in 1835 particularly among the working classes and the poor. Our pioneers served us well in responding to the problems. The earlier needs were eventually translated into statutory functions such as standards for drainage, overcrowding, nuisance and infectious disease controls and as the service developed, food laws, work safety rules, hygiene and public control measures evolved. Methods of administering the various aspects of public health necessitated more and more legislation to provide the various powers of enforcement which in turn provoked a steady clamour of the less fortunate to attain acceptable conditions. Instead of the sanitary policeman covering the beat, organisation and management created departments of managerial, professional and technical staff supported by administrative assistants. Table A shows a typical public health section structure in 1960:
{"title":"Use of the special projects team in the Environmental Health Department.","authors":"B R Saunders","doi":"10.1177/146642408110100503","DOIUrl":"https://doi.org/10.1177/146642408110100503","url":null,"abstract":"HE modern world of the 1980s requires a different approach in the provision of local government -*services than the 1800s and this is particularly true for environmental sanitation. The larger numbers of people and their aspirations coupled with advanced technology in home comfort living conditions, shopping and leisure have a changing need for response and protection. Desperate means were required to deal with disease and squalor in 1835 particularly among the working classes and the poor. Our pioneers served us well in responding to the problems. The earlier needs were eventually translated into statutory functions such as standards for drainage, overcrowding, nuisance and infectious disease controls and as the service developed, food laws, work safety rules, hygiene and public control measures evolved. Methods of administering the various aspects of public health necessitated more and more legislation to provide the various powers of enforcement which in turn provoked a steady clamour of the less fortunate to attain acceptable conditions. Instead of the sanitary policeman covering the beat, organisation and management created departments of managerial, professional and technical staff supported by administrative assistants. Table A shows a typical public health section structure in 1960:","PeriodicalId":76506,"journal":{"name":"Royal Society of Health journal","volume":"101 5","pages":"179-85"},"PeriodicalIF":0.0,"publicationDate":"1981-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/146642408110100503","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18315192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1981-10-01DOI: 10.1177/146642408110100507
F Clough
education has a crucial function in mediating relationships between theoretical knowledge and professional practice, so that innovations in either area are likely to have implications for educational change. Moreover, the impact of new theory and of new practice may sometimes impose conflictual demands on professional education. In the context of this instability, it is not surprising that the redefinition of educational priorities is a recurrent problem for debate. Such debate may reflect basic insecurities within a profession, or chal-
{"title":"Priorities in nurse education.","authors":"F Clough","doi":"10.1177/146642408110100507","DOIUrl":"https://doi.org/10.1177/146642408110100507","url":null,"abstract":"education has a crucial function in mediating relationships between theoretical knowledge and professional practice, so that innovations in either area are likely to have implications for educational change. Moreover, the impact of new theory and of new practice may sometimes impose conflictual demands on professional education. In the context of this instability, it is not surprising that the redefinition of educational priorities is a recurrent problem for debate. Such debate may reflect basic insecurities within a profession, or chal-","PeriodicalId":76506,"journal":{"name":"Royal Society of Health journal","volume":"101 5","pages":"196-9"},"PeriodicalIF":0.0,"publicationDate":"1981-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/146642408110100507","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18315195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1981-10-01DOI: 10.1177/146642408110100509
J N Auckland, C Hunt, Y Whelbourn
A PREVIOUS report’ indicated a tendency for British males to delude themselves concerning ideal bodyweight and whether or not they needed to slim, whereas females were more realistic in these respects. That investigation concerned adults of varying ages. The study reported here set out to determine whether these findings could be confirmed in a population of young Polytechnic students. At the same time opportunity was taken to examine certain aspects of energy balance during slimming. Slimming (bodyweight loss) depends upon energy expenditure exceeding food energy input. Essentially, energy expenditure consists of dissipation of heat due to basal or resting metabolism (measured in
{"title":"Some relationships between body image, \"energy balance' and body weight loss in male and female students undergoing voluntary slimming.","authors":"J N Auckland, C Hunt, Y Whelbourn","doi":"10.1177/146642408110100509","DOIUrl":"https://doi.org/10.1177/146642408110100509","url":null,"abstract":"A PREVIOUS report’ indicated a tendency for British males to delude themselves concerning ideal bodyweight and whether or not they needed to slim, whereas females were more realistic in these respects. That investigation concerned adults of varying ages. The study reported here set out to determine whether these findings could be confirmed in a population of young Polytechnic students. At the same time opportunity was taken to examine certain aspects of energy balance during slimming. Slimming (bodyweight loss) depends upon energy expenditure exceeding food energy input. Essentially, energy expenditure consists of dissipation of heat due to basal or resting metabolism (measured in","PeriodicalId":76506,"journal":{"name":"Royal Society of Health journal","volume":"101 5","pages":"204-5, 209"},"PeriodicalIF":0.0,"publicationDate":"1981-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/146642408110100509","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18315197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1981-10-01DOI: 10.1177/146642408110100504
B A Qureshi
Growth and health depend on food. You are what you eat. Cultural eating habits are based on low cost and availability of a food in local market. Religious restric tions on a particular food are meant to prevent moral, psychological and physical harm. In English food; excessive use of chips may lead to obesity and heart disease. Low fibre with high fat may contribute to cancer colon. Bangladeshi rice eaters may develop 'post bulber duodenal ulcer'. Japanese raw fish diet may predispose to cancer of the stomach. Asian chapati diet may cause rickets and osteomalasia. Vegetarians may get iron deficiency anaemia. An Indian vegetable 'karela' in a curry may potentiate the action of chlorpropamide (diabenese) and lead to prolonged hypoglycemia result ing in fainting or coma. A Jamaican native dish of delicacy 'ACKEE' if cooked unripe can kill. This paper deals with such clinical points for a busy doctor and practical tips for other health workers who care for multi-ethnic groups in the U.K.
{"title":"Nutrition and multi-ethnic groups.","authors":"B A Qureshi","doi":"10.1177/146642408110100504","DOIUrl":"https://doi.org/10.1177/146642408110100504","url":null,"abstract":"Growth and health depend on food. You are what you eat. Cultural eating habits are based on low cost and availability of a food in local market. Religious restric tions on a particular food are meant to prevent moral, psychological and physical harm. In English food; excessive use of chips may lead to obesity and heart disease. Low fibre with high fat may contribute to cancer colon. Bangladeshi rice eaters may develop 'post bulber duodenal ulcer'. Japanese raw fish diet may predispose to cancer of the stomach. Asian chapati diet may cause rickets and osteomalasia. Vegetarians may get iron deficiency anaemia. An Indian vegetable 'karela' in a curry may potentiate the action of chlorpropamide (diabenese) and lead to prolonged hypoglycemia result ing in fainting or coma. A Jamaican native dish of delicacy 'ACKEE' if cooked unripe can kill. This paper deals with such clinical points for a busy doctor and practical tips for other health workers who care for multi-ethnic groups in the U.K.","PeriodicalId":76506,"journal":{"name":"Royal Society of Health journal","volume":"101 5","pages":"187-9, 195"},"PeriodicalIF":0.0,"publicationDate":"1981-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/146642408110100504","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18315193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1981-08-01DOI: 10.1177/146642408110100410
D O Ogunjumo
THE SOCIAL implications, and the magnitude of the economic burden caused by chronic osteomyelitis have been studied from fifty-six patients encountered in the Teaching Hospital of the University of Ife, Ile-Ife, Nigeria, between November 1976 and December 1977. The disease may become a social stigma because of the unpleasant odour of the discharge from the sinuses. Amputation, which is sometimes the last resort in the treatment of this disease, was rejected by patients for whom it was suggested because of its socio-economic and socio-cultural problems. The major sources of financial loss to the patients, and or to the health services included prolonged use of expensive antibiotics, maintenance during the usual long hospitalisation, the cost of surgical operations which often have to be repeated, expenses incurred in arranging for blood donors since free and willing donors are now scarce in this society, and the transport fares to and from the hospital during the repeated visits for the necessarily prolonged period of follow-ups. Besides, there is a waste of valuable manpower time since patients invariably lose time from work, and/or school.
{"title":"Socio-economic implications of chronic pyogenic osteomyelitis in a developing community.","authors":"D O Ogunjumo","doi":"10.1177/146642408110100410","DOIUrl":"https://doi.org/10.1177/146642408110100410","url":null,"abstract":"THE SOCIAL implications, and the magnitude of the economic burden caused by chronic osteomyelitis have been studied from fifty-six patients encountered in the Teaching Hospital of the University of Ife, Ile-Ife, Nigeria, between November 1976 and December 1977. The disease may become a social stigma because of the unpleasant odour of the discharge from the sinuses. Amputation, which is sometimes the last resort in the treatment of this disease, was rejected by patients for whom it was suggested because of its socio-economic and socio-cultural problems. The major sources of financial loss to the patients, and or to the health services included prolonged use of expensive antibiotics, maintenance during the usual long hospitalisation, the cost of surgical operations which often have to be repeated, expenses incurred in arranging for blood donors since free and willing donors are now scarce in this society, and the transport fares to and from the hospital during the repeated visits for the necessarily prolonged period of follow-ups. Besides, there is a waste of valuable manpower time since patients invariably lose time from work, and/or school.","PeriodicalId":76506,"journal":{"name":"Royal Society of Health journal","volume":"101 4","pages":"152-4"},"PeriodicalIF":0.0,"publicationDate":"1981-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/146642408110100410","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18282948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1981-08-01DOI: 10.1177/146642408110100411
S R Moore
nd most of the clientele is known by both Carol and e store owner. As a result of some clinical exposure that Carol had in pharmacy school, patients wishing to have their blood pressure checked can do so by Carol for a fee of $2.00. Ralph Jones is a pharmacist for the local hospital and is active in many community affairs. As an adjunct to his professional duties, Ralph is the chairman of the Lions Clubs glaucoma detection clinics and as such has been instrumental in holding one-day screenings at the local shopping centre for the last four years. Paul Clayton is a phamacist for a small chain of drug stores. At his store he actively displays numerous informational posters on health topics that should be of interest to his customers. Beside the checkout, he maintains a stock of health related brochures for the patients to take or look at while waiting. According to conventional wisdom in American pharmacy circles, these pharmacists are actively involved in public health activities. However, a closer
{"title":"The myth of the public health pharmacist in the U.S.A.","authors":"S R Moore","doi":"10.1177/146642408110100411","DOIUrl":"https://doi.org/10.1177/146642408110100411","url":null,"abstract":"nd most of the clientele is known by both Carol and e store owner. As a result of some clinical exposure that Carol had in pharmacy school, patients wishing to have their blood pressure checked can do so by Carol for a fee of $2.00. Ralph Jones is a pharmacist for the local hospital and is active in many community affairs. As an adjunct to his professional duties, Ralph is the chairman of the Lions Clubs glaucoma detection clinics and as such has been instrumental in holding one-day screenings at the local shopping centre for the last four years. Paul Clayton is a phamacist for a small chain of drug stores. At his store he actively displays numerous informational posters on health topics that should be of interest to his customers. Beside the checkout, he maintains a stock of health related brochures for the patients to take or look at while waiting. According to conventional wisdom in American pharmacy circles, these pharmacists are actively involved in public health activities. However, a closer","PeriodicalId":76506,"journal":{"name":"Royal Society of Health journal","volume":"101 4","pages":"155-7"},"PeriodicalIF":0.0,"publicationDate":"1981-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/146642408110100411","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18282949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1981-08-01DOI: 10.1177/146642408110100414
W A Watson
Education, information and motivation of managers, inspectors and food handlers is the only way to attempt to achieve consistently strict maintenance of food hygiene in all circumstances. Multiple antibiotic resistance in salmonellas is a serious global public health problem. Hygienic measures, including time and temperature control, to reduce salmonellosis will also serve to reduce other types of food poisoning and food borne diseases.
{"title":"The salmonella problem with particular reference to meat hygiene.","authors":"W A Watson","doi":"10.1177/146642408110100414","DOIUrl":"https://doi.org/10.1177/146642408110100414","url":null,"abstract":"Education, information and motivation of managers, inspectors and food handlers is the only way to attempt to achieve consistently strict maintenance of food hygiene in all circumstances. Multiple antibiotic resistance in salmonellas is a serious global public health problem. Hygienic measures, including time and temperature control, to reduce salmonellosis will also serve to reduce other types of food poisoning and food borne diseases.","PeriodicalId":76506,"journal":{"name":"Royal Society of Health journal","volume":"101 4","pages":"163-9"},"PeriodicalIF":0.0,"publicationDate":"1981-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/146642408110100414","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18282951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}