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1.  Nurses in the community: a manpower study. 
High priority is at present being given to the expansion of health visiting and home nursing services as part of the change of emphasis from institutional to community care. The aim of this study was to provide nurse managers in two regional health authorities with basic information about community nurses with could be used for service planning and development. The results of the study emphasise the particular problems of staffing the community nursing service in inner London, where home nurse and health visitors are younger, more recently appointed, and relatively less experienced than staff in other parts of the regions. High turnover rates and chronic recruitment difficulties in inner London prevent nurse managers from maintaining both the level and the quality of the services they aim to provide. Until these problems are remedied there is little prospect of achieving any significant shift in the balance of care in inner London.
PMCID: PMC1051968  PMID: 536675
2.  Cost-Benefit Analysis in a Computer-Based Hospital Information System 
A unique cost benefit analysis model is developed for a Hospital Information System which is being used in an ancillary (service) department. The objective of this analysis approach is to determine the financial impact of a proposed hospital/clinical information system at the department and hospital level. Based on industrial engineering techniques and compartmental analysis, the mathematical model is applied to the Dallas County Hospital District Radiology Department considering the procedure costs before and after installation of the Parkland On-Line Information System (POIS). Using the concepts of an “average procedure” and Standard Patient Load, preliminary results from the model indicated the unit procedure cost would drop from $8.66 to $8.63 each. Further savings were generated because of a 3% decrease in volume due to elimination of duplicate procedures. These combined effects give a preliminary calculated annualized savings of $70,887.
PMCID: PMC2232030
3.  Myotonic dystrophy and bonding failure. 
Archives of Disease in Childhood  1979;54(10):807-808.
PMCID: PMC1545657  PMID: 507908
4.  Deaths from ischaemic heart disease and infant mortality in England and Wales. 
Death rates from ischaemic heart disease (IHD) in English and Welsh counties are correlated, in both men and women, with the infant mortality rates of those counties when the individuals whose deaths are considered were young, thus confirming previous findings in Norway. In England and Wales, however, there is an equally good correlation between deaths from IHD and infant mortality patterns up to and including that for the same time period as the IHD deaths. The British data provide no grounds for concluding from these relationships that living conditions during early life per se bear a causal relationship to deaths from IHD.
PMCID: PMC1051954  PMID: 508999
5.  Sixteen years' experience of counselling, diagnosis, and prenatal detection in one genetic centre: progress, results, and problems. 
Journal of Medical Genetics  1979;16(3):166-175.
The work of one Genetic Centre over 16 years, covering about 14 000 kinships, is described. The numbers registered in a year increased from an average of 477 in the early 1960s to 1612 in 1976/1977. The increase is largely, but not entirely, attributable to the advent of prenatal diagnosis, and an account is given of our experience with this. In 1916 patients who had a successful amniocentesis, results indicative of fetal abnormality were found in 4.3% and a balanced translocation was found in an additional 0.9%. Results indicative of fetal abnormality were found in 3.5% of mothers referred because of a maternal age of 40 or more, 3.9% referred because of a high risk of neural tube defect, and 19.3% referred because of a high risk of an inborn error of metabolism. A number of cases with difficult diagnostic problems are described.
PMCID: PMC1012687  PMID: 469894
6.  Noise-induced hearing loss and blood pressure. 
Canadian Medical Association Journal  1979;120(9):1082-1084.
From a group of industrial workers who had a noise-induced hearing loss of at least 30 dB at 4000 Hz 62 were randomly selected after stratification. Controls matched for age and duration of employment were also selected. Resting blood pressures were measured and audiometry was repeated. The findings are presented by age group and for the two groups as a whole. No relation between systolic or diastolic blood pressure and hearing loss was found, and equal proportions of each group had blood pressures exceeding 140/90 mm Hg. Persons with greater hearing loss (more than 60 dB at 4000 Hz) did not have significantly higher blood pressures than their matched controls.
PMCID: PMC1819305  PMID: 445302

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