Asunto(s)
Servicios Comunitarios de Farmacia/normas , Diabetes Mellitus/prevención & control , Prescripciones de Medicamentos/estadística & datos numéricos , Hipoglucemiantes/administración & dosificación , Administración Oral , Servicios Comunitarios de Farmacia/economía , Análisis Costo-Beneficio , Diabetes Mellitus/diagnóstico , Prescripciones de Medicamentos/economía , Política de Salud/economía , Humanos , Evaluación de Procesos y Resultados en Atención de Salud/economía , Tiras Reactivas , Reino UnidoRESUMEN
A survey of speech therapists in the United Kingdom showed that they usually undertook the treatment of psychogenic voice disorders. Their pre-qualification education had provided advice that was usually reflected accurately in the experience they gained in practice, though during their education about a third had lacked any opportunity to treat or observe psychogenic voice disorders. The appropriate duration of treatment appears to be in doubt. At present, speech therapists acquire many of the psychological skills required for treatment after qualification. There is a substantial need for post-qualification courses, although more practical instruction on psychological treatment might advantageously be incorporated in initial education.
Asunto(s)
Trastornos Psicofisiológicos/terapia , Derivación y Consulta , Logopedia , Trastornos de la Voz/terapia , HumanosRESUMEN
Because the same three teachers at the London Hospital Medical College both taught and examined students over an 11-year period it was possible to compare what was taught with what was recalled at examinations. The results suggest that aspects of terminal care vary greatly in their perceived importance, at least as measured by their recall and selection for presentation in the final examination. Most aspects of the taught material increased their penetration into the students' recall over the 11 years. There is evidence that the caring aspects are stressed more by women; this difference was less for descriptions of pain, and absent from accounts of the pharmacology of analgesic drugs.
Asunto(s)
Educación de Pregrado en Medicina , Cuidado Terminal , Femenino , Humanos , Aprendizaje , Londres , Masculino , Dolor , Farmacología Clínica/educación , Enseñanza/métodosRESUMEN
Oral administration of single doses of bopindolol (1-4mg) caused significant reductions in the rises of systolic blood pressure and heart rate produced by exercise; only the reduction in the rise of heart rate was significantly dose-related. Resting heart rate was reduced by bopindolol. There were small effects on resting blood pressure. Bopindolol caused a significant attenuation of the rise in plasma renin activity produced by passive head-up tilting to 75-85 degrees. Bopindolol produced a dose-related attenuation of the increase in pulse rate evoked by passive tilting. All effects 1-4 were maintained for at least 24 h. There was no measurable effect on plasma potassium concentration, peak flow rate or forced expiratory volume (FEV1).