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  • 1
    Electronic Resource
    Electronic Resource
    Professionals’ beliefs about indicators of child sexual abuse (1993)
    Oxford, UK : Blackwell Publishing Ltd
    Health & social care in the community 1 (1993), S. 0 
    Details
    ISSN: 1365-2524
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: The objective of the study described here was to obtain information on the beliefs of professionals concerning possible indicators of a child having been sexually abused. Data were collected by means of self-administered questionnaires, distributed at meetings on child sexual abuse. The respondents were professionals working in the field of child sexual abuse. Twenty-three social workers, 14 psychologists, 12 nurses, eight medical doctors, including three paediatricians and three psychiatrists, three policemen and two nurses participated. The variables studied were the perceived prevalence of sexual abuse in British children under the age of 10 and the perceived prevalence of various possible signs of sexual abuse in two sub-groups of these children: those who had been sexually abused, and those who had not. The signs investigated were: behavioural problems, somatic complaints, enuresis, chronic urinary infections, fear of toileting, sexualized language, sexualized behaviour, comments suggestive of sexual activity, allegations of sexual abuse, sexually transmitted diseases and reflex anal dilatation.The results indicate that these professionals have widely differing beliefs about signs which might indicate that a child has been sexually abused. We conclude that data on the prevalence of indicators of child sexual abuse are essential to ensure that appropriate informed and consistent decisions can be made.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1365-2524.1993.tb00221.x
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Editorial (1997)
    Oxford, UK : Blackwell Publishing Ltd
    Health & social care in the community 5 (1997), S. 0 
    Details
    ISSN: 1365-2524
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1365-2524.1997.tb00125.x
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    The ethics of randomised controlled trials: A matter of statistical belief? (1996)
    Springer
    Health care analysis 4 (1996), S. 95-102 
    Details
    ISSN: 1573-3394
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract This paper outlines the approaches of two apparently competing schools of statistics. The criticisms made by supporters of Bayesian statistics about conventional Frequentist statistics are explained, and the Bayesian claim that their method enables research into new treatments without the need for clinical trials is examined in detail. Several further important issues are considered, including: the use of historical controls and data routinely collected on patients; balance in randomised trials; the possibility of giving information to patients; patient choice and patient autonomy; and how widely the results of clinical trials can be used. It is concluded that good statistical techniques in the design and analysis of medical studies are essential, but the statistical school used in developing such techniques is relatively unimportant.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02251209
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    Paper (German National Licenses)
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  • 4
    Electronic Resource
    Electronic Resource
    Neurophysiological reflex arc abnormality after total hysterectomy (1990)
    Springer
    International urogynecology journal 1 (1990), S. 200-205 
    Details
    ISSN: 1433-3023
    Keywords: Neuropathy ; Sacral reflex latencies ; Total hysterectomy ; Vesicourethral dysfunction
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract There is an increased awareness that total hysterectomy may be associated with subsequent vesicourethral dysfunction, but although several factors have been implicated in the cause, the precise etiology has yet to be defined. This study was carried out to determine whether damage to the pelvic innervation may be responsible for post-hysterectomy lower urinary tract dysfunction. Urodynamic evaluation and measurement of sacral latencies (SRLs) were performed in 36 women awaiting total hysterectomy. After operation vesicourethral function was altered in 30.6% of these patients, with the same incidence of neuropathy as detected by SRLs. Of the women with postoperative urinary dysfunction, 72.7% had evidence of pelvic neuropathy. The results show that there is an objectively demonstrable neurological abnormality incurred as a result of hysterectomy which is pertinent to the subsequent development of disordered micturition.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00499016
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    Paper (German National Licenses)
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  • 5
    Electronic Resource
    Electronic Resource
    Some Popular Versions of Uninformed Consent (2000)
    Springer
    Health care analysis 8 (2000), S. 41-53 
    Details
    ISSN: 1573-3394
    Keywords: autonomy ; distress ; double standards ; experimental treatment ; informed consent ; justice ; randomised controlled trials ; refusal
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A patient's informed consent is required by the Nuremberg code, and its successors, before she can be entered into a clinical trial. However, concern has been expressed by both patients and professionals about the beneficial or detrimental effect on the patient of asking for her consent. We examine advantages and drawbacks of popular variations on consent, which might reduce the stress on patients at the point of illness. Both informed and uninformed responses to particular trials, and trials in general, are discussed. The selection by doctors of patients, to whom entry to trials will be offered, is explored. Alternative forms of consent require restrictions on patients' knowledge, personal responsibility and freedom of choice.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1023/A:1009421824028
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    Paper (German National Licenses)
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