Knowledge and Attitudes After Acute Myocardial Infarction

Digna Sequi: A Study of Physiotherapy Students’ Professional Socialisation at the Coventry School of Physiotherapy ALAN KING

iv1A HA (;ridDipl’hys hlCSP Dipl’P -

Course: M a s t e r of A r t s , Sociological R e s e a r c h in Health Care. U n i v e r s i t y of Warwick, 1987 H o u s e d at: D e p a r t m e n t of Sociology, U n i v e r s i t y of W a r w i c k

THIS study investigated the professional socialisation of students at the Coventry School of Physiotherapy The whole student population of the school was surveyed in the series of semi-structured group interviews Following transcription of these, the content was analysed and ten separate themes categorised These themes indicated the extent t o which socialisation had occurred during the training period, the site of the most effective socialisation processes and the significant factors that influenced these processes Anticipatory socialisation was also demonstrated and an estimation of the validity of this type o f socialisation was elicited

A n attempt t o evaluate the significance of role models in the process of this professional socialisation was made, but it appedred from this research, that there was no direct identification w i t h individuals as role models from either clinical or academic departments However, the students constructed d e a l role models from components taken from these individuals throughout their training, principally during the clinical placements The research was not intended as a definitive study of the process of socialisation of students occurring in all schools of physiotherapy under the auspices of the Chartered Society of Physiotherapy At best it provides an initial analysis of this process at the Coventry School of Physiotherapy and as such it is a baseline pilot study to which further research could be directed Further research could also quantify the extent to which the factors cited here are significant In the complex process o f professional socialisation and identify the finer points of detail that a subsequent series of interviews might reveal A n extension of this research t o include other schools of physiotherapy might then establish whether the findings from the Coventry school could be generalised t o other physiotherapy student populations

Knowledge and Attitudes After Acute Myocardial Infarction CATHERINE MARY SACKLEY

XI*

MCSP

C o u r s e : Master of Science in R e h a b i l i t a t i o n S t u d i e s ,

University of Southampton, 1987 F u n d e d by: DHSS Remedial T h e r a p y R e s e a r c h Fellowship S chem e H o u s e d at: W e s s e x Medical L i b r a r y , U n i v e r s i t y of Southampton

A prospective survey was carried out of all new incident cases of acute myocardial infarction admitted t o the t w o acute Southampton hospitals, Southampton General Hospital and The Royal South

Hampshire Hospital between August 2 3 and October 3 1 1 9 8 6 Men aged 6 5 years and under were interviewed one or t w o days prior to discharge Out of a total of 5 0 eligible cases 4 2 were interviewed, giving a response rate of 84O0 The men were interviewed using a questionnaire designed t o measure attitude and understanding of myocardial infarction, its risk factors and prognosis The patients were asked t o report the advice they had received The levels of anxiety and depression were measured w i t h the Hospital Anxiety and Depression Scale The results indicated widespread ignorance and uncertainty Advice given to the patients was poorly understood and often forgotten The patients had very negative expectations of the resumption of activities A need was identified for more education and support. to help the patient and his family return to a normal lifestyle. within the limits of his physical capacity Reproduced by kind permission of t h e DHSS Crown Copyriqhr 1988

The Care of Patients Fitted with an External Fixation Device FIONA M TURNER ~~~

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&I Phil MCSP I)ip’IlB ~

-

.

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Thesis: M a s t e r of P h i l o s o p h y , U n i v e r s i t y of S u r r e y H o u s e d at: U n i v e r s i t y of S u r r e y

SEVERE lower limb fractures may be stabilised by an external fixation device such as the Denhain bar, which is a single sided fixator The feasibility of detecting healing in tibia1 shaft fractures using this device as a transducer was investigated The bar was instrumented w i t h strain gauges and calibrated in t w o modes (bending and torsion) to determine its reliability as a transducer Further experimentation was carried out on a bone fixator configuration to determine the limits of detectable strain in the bdr which results from, first. a complete break, and second, when the bone is fully healed The experimental work was fraught with practical difficulties and the results indicated that the bar did not behave as a reliable transducer This suggested that direct instrumentation of the bar is not a suitable technique for clinical application A lack of response from the strain gauges was found when the bar was rr) sifu w i t h

Phvsrotherapy, February 1988, vol 74, no 2

fully healed bone indicating that the device behaved as a redundant structure at this stage. The Denham bar is, however, a clinically popiilar device but subject to vJide variation in its application. Using the device as a basis for a theoretical analysis, strain energy techniques were employed to determine whether intermediary stages of healing could be detected by related changes in the level of strain. The extent of this analysis indicated that as healing bone reaches 1 Ooo to 15”n of normal strength, changes in the level of healing are not detectalile by the bar. The motion at the fracture site that the device permits wL1s also determined froin a further analysis using beam deflection techniques These results were compared w i t h an andysis o f the same configuration using the prime stress program. A nuintier o f fixator and physiological variables were identified. which were then selected for further analysis by the prime stress progrdin to determine their relative importance and contribiition to overall stiffness. From this final investigation, the maximum and iiiinitiiuni criteria for stability were established The analysis included n consideration of healing bone and the changes in fracture site motion which occtir as the strength of callus (healing lionel a p p r o a c h e s that o f i>urin
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