St Thomas' Hospital

About: St Thomas' Hospital is a healthcare organization based out in London, United Kingdom. It is known for research contribution in the topics: Population & Pregnancy. The organization has 12105 authors who have published 15596 publications receiving 624309 citations. The organization is also known as: St Thomas's Hospital & St. Thomas's.

Measurement of patellar tracking: assessment and analysis of the literature.

Abstract: Patellar tracking is defined as the motion of the patella relative to the femur or femoral groove on knee flexion and extension. Abnormalities of tracking (maltracking) are thought to relate to many disorders of the patellofemoral joint and may be defined easily or may be extremely difficult to observe. Accurate measurement of patellar tracking, and definition of normal tracking, have not been achieved yet in experimental conditions or in clinical conditions. Such information would be valuable in the diagnosis and treatment of patellofemoral disorders. In the current report, the literature is reviewed critically with an emphasis on methodology and results. The reporting of patellar tracking is affected significantly by basic definitions of coordinate systems and reference points. The method of muscle loading, range, and direction of knee motion, use of static or dynamic measurement techniques, and tibial rotation also will affect the results obtained. The accuracy of the equipment used is important as differences in tracking may be small. Comparison between existing studies is difficult because of differences in methodology. There is general agreement that the patella translates medially in early knee flexion and then translates laterally. Regarding patellar tilt, results are less consistent, especially in vivo and the results for patellar rotation are highly variable.

Work satisfaction, stress, quality of care and morale of older people in a nursing home.

Abstract: The aim in the present study, which was carried out in one nursing home for older people, was to determine the feasibility of working with care workers and very frail service users to investigate links between the levels of work satisfaction and stress of the staff, and the quality of care and morale of the residents. Most of the 44 care staff (70%) and 22 cognitively intact residents (82%) participated willingly in completing rating scales through self-completion questionnaire or by interview. Well-validated scales were used to measure job satisfaction, work stress, organisational commitment, perceived quality of care, and morale and mental health. The findings revealed a staff group with a fairly high level of job dissatisfaction and stress, who were, nevertheless, very committed to the nursing home. The morale of the residents was good although the residents rated the home atmosphere lower than the staff did. Significant correlations emerged, in the expected direction, between satisfaction, commitment, stress and quality of care perceived by staff. The correlations between home atmosphere perceived by residents, and their morale and mental health were low; further investigation is needed with a larger sample. This feasibility study supports the need for further research using a case-study approach in a small number of homes because of the labour-intensive nature of the data collection and the importance of triangulating data from many sources.