A questionnaire was sent to 508 consultants in Scotland likely to encounter deep vein thrombosis and pulmonary embolism to assess their current standard practice in diagnosis and treatment of these disorders. Replies were received from 358 (70.5%). In deep vein thrombosis 47% and in pulmonary embolism 33% of consultants usually depended on clinical observation alone for diagnosis. In deep vein thrombosis 37% used venography to supplement clinical diagnosis and in pulmonary embolism 13% used angiography and 53% used isotopic scanning. Almost all consultants treated deep vein thrombosis (95%) and pulmonary embolism (99%) with anticoagulants. Most consultants (81%) gave heparin by intravenous infusion. Although many consultants gave intravenous heparin for more than three days (49.5% in deep vein thrombosis and 61% in pulmonary embolism), 25% of these consultants did not use any laboratory monitoring of heparin's effect. Large numbers of consultants gave warfarin for more than three months (20% in deep vein thrombosis and 47% in pulmonary embolism). There was a significant tendency to give heparin (p less than 0.01) and warfarin (p less than 0.001) for longer periods in pulmonary embolism than in deep vein thrombosis. This survey shows a widely varying practice and underlines the need for further controlled studies to provide clear guidance in the management of deep vein thrombosis and pulmonary embolism.

Venography

Pulmonary angiography

10.1136/bmj.285.6342.630

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Citations (26)

The effects of itnravenous ZK36-374, a stsable prostacyclin analogue, on normal volunteers

Prostaglandins (1984)

J. J. F. Belch I. A. Greer M. McLaren Abby R. Saniabadi Susan R. Miller

10.1016/0090-6980(84)90114-x

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Citations (46)

Disorders of the spleen

Blackwell Scientific Publications eBooks (1994)

A. Cuschieri C.D. Forbes

The anatomy of the human spleen Functions of the spleen Pathology of the spleen Clinical aspects of splenomegaly The spleen in lymphoproliferative disorders The spleen in myoproliferative disorders The spleen and disorders of its circulation The spleen and storage disorders Splenomegaly in the tropics Surgical treatment of splenic disorders and trauma The epidemiology, pathogenesis and prevention of post-splenectomy sepsis.

Wandering spleen

Pathogenesis

Asplenia

Lymphoproliferative Disorders

Splenic disease

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Citations (2)

A Mobile Screening Unit, Practicalities and Problems

Scottish Medical Journal (1999)

S.R. McEwan Paul Arthur Anthony Scott Wendy Petrie C.D. Forbes

The need for a mobile screening unit to travel throughout Scotland to measure and modify cardiovascular risk factors in the apparently healthy working population was fulfilled by the conversion of a double-decker bus. The aim of the project was to assess the incidence of risk factors in healthy individuals and to modify their risk factors by individual counselling. Many unforeseen practical problems were encountered and overcome during the planning stage and during the project. The team of specially trained staff spent three and a half years screening more than 20,000 people throughout Scotland. This project provides a model for other screening projects involving a multicentre/scattered cohort.

10.1177/003693309904400404

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Citations (1)

Measurement and Management of Cardiovascular Risk Factors — is Screening Worthwhile?

Scottish Medical Journal (1993)

S.R. McEwan Huw Davies Elaine Allan David R. MacLean C.D. Forbes

Coronary heart disease has been described as Scotland's national disease and ways of reducing its incidence are therefore of paramount importance especially in younger males. A recent British Medical Journal paper 1 has indicated that general practitioners can make little impact on patients' lifestyles. This paper shows that a cohort of Scottish men (Social Class III-V) responded well (80%) to offers of screening for risk factors of CHD, continued to attend for review and showed highly significant changes in their risk factor profiles. A committed enthusiastic primary care team have shown the potential for reducing coronary risk factors in so-called healthy men.

10.1177/003693309303800605

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Citations (4)

To tell or not to tell

International Journal of Rehabilitation Research (1982)

C.D. Forbes Ivana Marková J Stuart Peter Jones

Dr. C. D. Forbes, University Department of Medicine, Royal Infirmary, Glasgow. Dr. I. Markova, University of Stirling, Department of Psychology, Stirling. Professor J. Stuart, Department of Haematology, Queen Elizabeth Hospital, Edgbaston, Birmingham. Dr. P. Jones Director Haemophilia Centre, Royal Victoria Infirmary, Newcastle upon Tyne.

Newcastle upon tyne

Queen (butterfly)

10.1097/00004356-198203000-00002

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Citations (9)

The surgeon and HTLV-III infection

British journal of surgery (1986)

C.D. Forbes

10.1002/bjs.1800730303

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Citations (3)

Book Review: New Books: Avoiding Heart Trouble

Scottish Medical Journal (1982)

C.D. Forbes

10.1177/003693308202700122

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Citations (0)