Publications
73 results found
Bradley S, Kramer T, Garralda E, et al., 2003, Child and adolescent mental health interface work with primary services: a survey of NHS provider trusts, Child and Adolescent Mental Health, Vol: 8, Pages: 170-176, ISSN: 1475-357X
Bower P, Macdonald W, Sibbald B, et al., 2003, Postal survey of services for child and adolescent mental health problems in general practice in England, Primary Care Mental Health, Vol: 1, Pages: 17-26
Gledhill l, Kramer T, Iliffe S, et al., 2003, Training General Practitioners in the Identification and Management of Adolescent Depression within the consultation: A Feasibility Study, Journal of Adolescence, Vol: 26, Pages: 245-250
Bower P, Garralda E, Kramer T, et al., 2001, The treatment of child and adolescent mental health problems in primary care: a systematic review, Family Practice, Vol: 18, Pages: 373-382
Kramer TR, 2000, Child and Adolescent Mental Health Problems in Primary Care, Advances in Psychiatric Treatment, Vol: 6, Pages: 287-294
Kramer T, Evans N, Garralda ME, 2000, Ethnic and cultural diversity among child and adolescent psychiatric (cap) clinic attenders, Child Psychology and Psychiatry Review
Kramer T, Garralda ME, 1998, Psychiatric disorders in adolescents in primary care, BRITISH JOURNAL OF PSYCHIATRY, Vol: 173, Pages: 508-513, ISSN: 0007-1250
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- Citations: 136
Kramer T, Iliffe S, Murray E, et al., 1997, Which adolescents attend the GP?, BRITISH JOURNAL OF GENERAL PRACTICE, Vol: 47, Pages: 327-327, ISSN: 0960-1643
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- Citations: 22
Gulmezoglu AM, Mohamed K, Hofmeyr GJ, et al., 1996, Fetal and maternal chatecholamines at delivery, Journal of Perinatal Medicine, Vol: 24, Pages: 687-691
KRAMER T, GARRALDA ME, HODES M, 1995, PRIMARY HEALTH-CARE AND ADOLESCENCE, BRITISH MEDICAL JOURNAL, Vol: 311, Pages: 1500-1500, ISSN: 0959-8138
Nikodem C, Hofmeyr J, Kramer T, et al., 1993, Audiovisual education and breastfeeding practices: a preliminary report, Curations, Vol: 16
Hofmeyr J, Esser J, Nikodem C, et al., 1993, Do high foetal catecholamine levels affect heart rate variability and meconium passage during labour?, SAMJ South African Medical Journal, Vol: 83, Pages: 739-742
HOFMEYR GJ, NIKODEM VC, WOLMAN W, et al., 1991, Companionship to modify the clinical birth environment: effects on progress and perceptions of labour, and breastfeeding, BJOG: An International Journal of Obstetrics & Gynaecology, Vol: 98, Pages: 756-764, ISSN: 1470-0328
<jats:title>Abstract</jats:title><jats:p><jats:bold>Objective—</jats:bold> To measure the effects of supportive companionship on labour and various aspects of adaptation to parenthood, and thus by inference the adverse effects of a clinically orientated labour environment on these processes.</jats:p><jats:p><jats:bold>Design—</jats:bold> Randomized controlled trial.</jats:p><jats:p><jats:bold>Setting—</jats:bold> A community hospital familiar to most of the participants, with a conventional, clinicallyâorientated labour ward.</jats:p><jats:p><jats:bold>Subjects—</jats:bold> Nulliparous women in uncomplicated labour.</jats:p><jats:p><jats:bold>Intervention—</jats:bold> Supportive companionship from volunteers from the community with no medical nor nursing experience, concentrating on comfort, reassurance and praise.</jats:p><jats:p><jats:bold>Main outcome measures—</jats:bold> Duration of labour, use of analgesia, perceptions of labour and breastfeeding success.</jats:p><jats:p><jats:bold>Results—</jats:bold> Companionship had no measurable effect on the progress of labour. Diastolic blood pressure and use of analgesia were modestly but significantly reduced. The support group were more likely to report that they felt that they had coped well during labour (60 <jats:italic>vs</jats:italic> 24%, <jats:styled-content><jats:italic>P</jats:italic><0.00001</jats:styled-content>). Their mean labour pain scores (26.4 <jats:italic>vs</jats:italic> 44.2, <jats:styled-content><jats:italic>P</jats:italic><0.00001</jats:styled-content>) and state anxiety scores (28.2 <jats:italic>vs</jats:italic> 37.8, <jats:styled-content><jats:italic>P</jats:italic>&a
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