Are problems in graduate nursing education unique?.


Fitting the graduate program to the student.


COGEN: Cooperative Graduate Education in Nursing.


Who shall be admitted to graduate study?.


Graduate education, as one dean sees it.


Nursing research and graduate education.


An extended master's degree program.

An extended master's degree program.


Modules in child nursing instruction.

Modules in child nursing instruction.


An experience in participant observation.


Editorial: Everybody's patient is nobody's patient.


Social forces, feminism, and breastfeeding.


Vietnamese evacuee camp: a learning environment.


Why a conceptual framework?

Why a conceptual framework?


Triage: coordinated home care for the elderly.


Educational preparation for nursing--1974. Each year a report of some of the most recent statistics on nursing education appears in the September issue of Nursing Outlook. The data presented are derived from The National League for Nursing's annual survey of state-approved schools of nursing in the 56 jurisdictions of the United States. The programs surveyed include those which prepare for beginning practice in nursing (baccalaureate, associate degrees, diploma, and practical nursing); those graduate programs that lead to masters and doctoral degrees in nursing; and those baccalaureate programs that conduct nursing programs for registered nurses only. Data on the status of state-approved basic schools (new schools, closed schools, and changes in existing schools) are obtained in September of each year from the state boards of nursing. In October, questionnaires are mailed to each school of nursing, as well as to those nursing programs that do not require state board approval (masters and doctoral programs, and baccalaureate programs for registered nurses). Information is also obtained from irregularly conducted surveys of all four-year colleges and universities in the United States that do not have state-approved basic nursing baccalaureate programs. The data obtained include admissions and graduations for the preceeding academic year, admissions for the current fall term, and enrollments as of October 15. Other information, such as data on men and minority students, is collected every three years. In recent years, enrollment figures for students who were admitted with advanced placement status have also been collected. With few exceptions, the schools have been most cooperative in providing the data, making it possible for us to obtain a 100 percent response rate for both registered nurse and practical nurse programs.


Sex education for the young.

Sex education for the young.


Symposium on perspectives in operating room nursing.


Applying the nursing process to patient care in the operating room. Using the nursing process in operating room nursing helps to assure personalized, continuous, and integrated care for the surgical patient. The steps in the nursing process clearly demonstrate the role and functions of the O.R. nurse as a professional member of the surgical team and as a component of the health care system. By this means the patient is assured of protection and quality care.


Assessment and communication for continuity of care for the surgical patient.


A master nurse clinician for intraoperative care. The intraoperative period has long been the missing link in the chain of continuity of care for the surgical patient. An intraoperative clinical nurse specialist who is able to work with patients, families, and health care team members preoperatively, intraoperatively, and postoperatively can effectively bridge the gap in care. Nursing care given to patients in the O.R. should be no different qualitatively from nursing care given sedated and/or unconscious patients in other nursing units. The C.N.S. in the O.R. can help make such care a reality through giving care to patients and families as a role model, directing care as an expert through written care plans or physical presence, doing formal and informal teaching of patients, families, and staff, and through research. Operationalizing the role of the C.N.S. for surgical patients during the intraoperative period requires the specialist to move out of the O.R. to assess patients and families preoperatively and to evaluate the postoperative results of care. Implementation of the specialist role in the O.R. clinical nursing setting is accompanied by the same frustrations and problems met by master clinicians in other nursing specialty areas.


The new graduate in the operating room.

The new graduate in the operating room. New graduate nurses today come to their first positions in nursing with varying knowledge bases and minimal clinical nursing skills. Gone are the days when new graduates begin functioning fully in a budgeted position on day one of employment. Mastery of psychomotor, cognitive, and affective skills necessary for nursing practice must be acquired through experience in the work situation. The more complex the clinical setting, the more stressful is the period of learning. The O.R. can be a highly stressful place. The need for anticipation, planning and organization to provide efficient care with meticulous attention to detail is coupled with the need to perform smoothly numerous technical skills. Safe, humanistic care cannot be implemented unless the nurse is also able to assess each patient's individual biopsychosocial status, and identify his unique nursing care needs. In order to learn to cope with this level of complexity, the neophyte nurse must be provided with a planned, supportive experiential learning situation that also provides the time necessary to achieve a beginning level of mastery. The program in Basic O.R. Nursing described here was one attempt to provide such an experience for new graduates.


Controlling operating room-related infection in cancer patients. This paper outlines the program for controlling surgical infections in one cancer research hospital dealing with a unique group of patients. Control must -begin before the patient comes to the surgical suite and must continue when the patient returns to the nursing unit. These patients are often elderly, debilitated, and receiving anti-cancer chemotherapy, and they undergo lengthy massive resections often requiring several procedures. Some of the guidelines that we have evolved over a long period may be helpful in stimulating others to establish, implement, or improve similar programs in their own units. It is obvious that any such programs will have to be tailored to meet the demands and personnel of each institution. The important thing is that each surgical department must work toward the goal of keeping postoperative mosocomial infection at the lowest possible rate.


Play therapy: preparing the young child for surgery. A child is not a miniature adult. His thought processes are pre-conceptual, pre-logical, and characterized by many fantasies. The child needs concrete information about his impending surgery: (1) what will happen; (2) what is expected of him; (3) that he is not to blame for his illness or injury, and (4) where the organ to be removed or repaired is located and that no other body parts will be harmed. Play therapy is an effective method for providing tangible information about the surgical experience and simultaneously decreasing the child's fantasies and fears about the surgery.


Symposium on community nursing in Canada.


A program in continuing education for primary health care. Influential recommendations have been made that preparation for expanded roles in primary health care be part of basic nursing education. Much of the learning required for the roles is already included in many, if not all, baccalaureate programs. Implementation of these recommendations implies that short "add-on" courses such as the one described here should be considered interim measures to upgrade skills and knowledge of present graduate nurses, both diploma and baccalaureate. For such measures, continuing education should be available in a variety of courses which could meet in a flexible manner the varying needs and objectives of diverse service settings. As the expectations of consumers and service settings change, and as roles and functions evolve, variations and modifications in course offerings can then continue. It would be expected that, with clearer perception of the role to be ascribed to nursing in primary health care, such course offerings could be based soundly on data derived from systematic study of the effect of nursing. It is anticipated that the experience and findings of this project may have a contribution to make to the development of future courses. The project showed encouraging results from a working collaboration of a variety of health care personnel in both instruction and evaluation, and demonstrated that such courses can involve a variety of students from a variety of relevant practice settings. It is also felt that the evaluation approaches and tools evolved hold promise, with further refinement, of contributing to the development of evaluative procedures.


Task analysis of the clinically trained nurse (C.T.N.)


The independent nurse practitioner. Alive and well and living in rural Saskatchewan. At this point, it is impossible to express analysis of the data collected in concrete terms as the project will not be finalized until October, 1976. It is possible, however, to make some personal observations. Each nurse practitioner has been truly independent in carrying out her role in the community, influenced to a degree by the communities' felt need and the attitudes of other health professionals. All began practice with a heavy emphasis on diagnosis and cure rather than comprehensive care. As time evolves and the nurses feel more confident in their new role, some are continuing a cure orientation, and others are beinning to find that they have a unique dimension to add to health care services. Those who were professional "nurses" in the true sense of the word before the project began have not stopped being nurses, but have only become more competent professionals by recognizing and responding to the health needs of today.


Community health nursing in Quebec.

Community health nursing in Quebec.


Community nursing in a Northern setting. A challenge.


Rebel with a cause.

Rebel with a cause.


The community clinical nurse specialist. A two-year perspective. I have described my role as a clinical nurse specialist in an official agency over the past two years. The circumstances of my setting and position, my personal feelings of commitment and accountability, have all influenced the direction of my position. In relation to my nursing practice, I have concentrated on areas that have appeared to me as high-risk. I believe that there is a very definite role in the community for nurses who have the expertise to deliver health care of a high quality with more independence than usually exists in a nursing role. Before a clinical nurse specialist can function in an official agency, however, there are limitations that must be resolved.


The role of the nurse working with employment upgrading programs. Working in a project where there are general objectives but no fixed program to reach them can be both a challenge and a frustration. But this work is never dull. The key points in the success of such a program are defined behavioral objectives for each student, an imaginative, flexible, and versatile nurse, and an administrative structure which is prepared to be flexible enough to say, "Do our thing your way."


A survey of the "care-cure" attitudes of physicians, nurses and their students.


Sensitivity training: a step toward involvement with patients.


A creative approach to individualized nursing care.


The alcoholic: an unperson?

The alcoholic: an unperson?


The child's developing concept of death: implications for nursing care of the terminally ill child.


The terminal hepatic microcirculation in the rat. The hepatic microcirculation was observed microscopically in the transilluminated liver of the rat. The portal and hepatic venous microvessels were classified into four orders according to their branching hierarchy, and the hepatic sinusoids into branching, direct and interconnecting types according to their topographic arrangements. The diameters of the various orders of microvessels and types of sinusoids were measured by serial photomicrography, and the velocity of the erythrocytes in these various microvessels and sinusoids by the dual-slit photometric technique. The microvascular volume flows were calculated from these data. In both portal and hepatic venous systems, the erythrocyte velocity and the volume flow significantly decreased in successive orders of the microvessels in apparent relation to the cross-sectional areas. The diameters of the three types of sinusoids did not significantly differ, but the velocity of the erythrocytes in the direct sinusoid was significantly faster than that in the branching sinusoid while that in the inter-connecting sinusoid fluctuated widely.


Changes in the metabolism of the shivering hind leg of the young ox during several days of continuous cold exposure. The effect of 4 days of continuous exposure to a cold environment on blood flow in, and oxygen and energy substrate uptake by the shivering hind leg has been studied in young steers. The animals shivered throughout the period of cold exposure and total oxygen consumption (total VO2) remained 40-50% greater than VO2 during thermoneutrality. Leg blood flow (leg Q) and oxygen uptake (leg VO2) increased two- and four-fold respectively on the first day of cold. Both had declined significantly by the final day, leg Q to a level 37% greater than, and leg VO2 to about double, pre-cold levels. The change in the relationships of leg Q and leg VO2 to total VO2 was examined by linear regression analysis, which suggested that the changing contribution of leg VO2 to total VO2 was entirely due to changes in leg Q, rather than in the arteriovenous difference in blood oxyhaemoglobin saturation across the leg. The net uptakes by the leg of free fatty acids (FFA), acetate, glucose and lactate all increased on the first day of cold. Both glucose and acetate uptakes were greater on day 4 than on day 1 in the cold, in spite of the lower leg VO2, but net uptakes of FFA and lactate were considerably lower. The decrease in net uptake of FFA is attributed mainly to an increase in the rate of lipolysis and release of FFA from fat depots in the leg, because of the associated progressive increase in the release of glycerol and oleic acid from the leg. The molar ratios of net carbohydrate substrate, acetate and FFA uptakes to leg VO2 are compared. The results suggest that tissues other than the leg muscles become increasingly important as sites of heat production, and that there are changes in the utilization of glucose, acetate and FFA by shivering muscle, during prolonged cold exposure.


The effects of vagotomy on ventilation and blood gas composition in dog, sheep and rabbit. The influence of vagotomy on resting arterial blood gases (PaCO2 and PaO2) and on the ventilatory responses to hypercapnia and hypoxia was studied in three different species of anaesthetized animals. After bilateral cervical vagotomy resting PaCO2 generally declined. In the dog, where this was studied more fully, resting PaCO2 declined significantly (8-13 +/- 0-67 mm Hg) over several hours, but PaO2 changes were not significant. After vagotomy tidal volume (VT), but not frequency (f), increased with increasing chemical drive. It is concluded that the increase in frequency in response to increased CO2 or decreased O2 is dependent on the vagal mechanisms. Minute volume, fractional inspiratory CO2 (VE, FICO2) and minute volume, fractional inspiratory O2 (VE, FIO2) relationships have been determined. Although vagotomy may not decrease the response of minute volume of ventilation in the lower part of VE, FICO2 curves (mild hypercapnia), it flattened the upper parts of the curves in sheep and rabbits, and to a lesser extent in dogs; it seemed that there was little species difference in this respect. Ventilatory responses to graded hypoxia were close to or slightly higher than pre-vagotomy values throughout the VE, FIO2 curves in all animals.


Renal regulation of phosphate excretion in the pig. Young pigs of about 25 kg in weight were given supplements of Na2HPO4 either in their food or by intravenous infusion and the effects on urinary phosphate excretion were studied. The results obtained showed that the amount of inorganic phosphate excreted in the urine increased with increase in the amount of phosphate filtered at the glomerulus. A threshold value for phosphate excretion in these pigs occurred at a plasma concentration of 2-03 mmol/l. while over a wide range of filtered phosphate load (0-21-1-14 mmol/min) phosphate was reabsorbed at a mean maximum rate of 0-19 mmol/min. Parathyroidectomy did not alter the relationship between phosphate excretion and filtered phosphate load which suggests that in the pig adjustment of renal phosphate excretion in relation to filtered load is not dependent upon parathormone.


Mast cells and gastric secretion in the rat. Gastric secretion of acid was measured in adult rats deprived of solid food for 48 hr. In control animals, values were obtained for the residual content of acid in the stomach, indicative of the rate of basal secretion, and for the quantities of acid secreted in 30 min following injections of histamine, pentagastrin, insulin and compound 48/80. The same measurements were made in groups of rats treated for 5 days with compound 48/80 (a regime which depleted the whole body of mast cells) and for 3 days with dexamethasone (which selectively depleted the gastric mucosa of mast cells). The content of residual acid was depressed to one third of the control value in the 48/80-treated rats, but the additional secretion due to histamine, pentagastrin or insulin was unaffected. A secretory response to a single injection of compound 48/80 could not be obtained in rats depleted of mast cells. In the dexamethasone-treated rats, the residual level of acid was increased to 1-5 times the control value, but the magnitudes of the responses to secretogogues were unchanged. It is concluded that basal secretion of acid into the stomach of the rat is stimulated by histamine derived from mast cells throughout the body, those of the gastric mucosa having no special significance in this respect. Mast cells are not involved in the mediation of the secretagogue actions of exogenous histamine, pentagastrin and insulin, but the present results do not preclude the participation of histamine from sources other than mast cells in the process of gastric secretion.


Aortic-iliac-femoral thrombosis in a horse.


Secretory responses to sympathetic stimulation of the cat's salivary glands in a state of resting secretion. The secretory effect of sympathetic stimulation on the cat's submaxillary gland was augmented greatly when studied against a background of slow secretion evoked by parasympathetic stimulation at a low frequency and imitating the slow resting secretion normally present in the waking state. The sympathetic secretory threshold was markedly lowered, and even at low frequencies sympathetic stimulation caused a large, well-maintained response. After an alpha-adrenoceptor blocking drug sympathetic stimulation alone lost its secretory effect, but during resting secretion part of the accelerating effect was found to remain; this effect was elicited via beta-adrenoceptors. A marked secretory effect of sympathetic stimulation was also obtained during resting secretion in the parotid gland, where the sympathetic secretory effect is normally very small.


Ethmoidal hematoma in the horse.

Ethmoidal hematoma in the horse.


Equine joint surgery in the standing position.


Evaluation of ComBotTM (Trichlorfon) when combined with phenothiazine, mebendazole or thiabendazole for use as a broad-spectrum anthelmintic in horses.


Successful acupuncture treatment of a cervical disc syndrome in a dog.


Aortic homograft for repair of septal defect in the heart.


Hypertrophic osteoarthropathy secondary to neurofibrosarcoma of the urinary bladder in a Cocker Spaniel.


A screening test for canine atopic dermatitis.


Responses of cats to ketamine-antibiotic combinations.


Unusual case of heartworm disease in a cat.


Tension-band wiring of a fractured patella (a photographic essay).


Patent ductus arteriosus in three Great Dane puppies (a photographic essay).


Intrascrotal testicular torsion in a sexually agressive dog.


Congenital cataracts in a Persian kitten (a case report).


Palpation of the genital tract for prediction of estrus in the cow.


Biotin in the nutrition of pigs.

Biotin in the nutrition of pigs.


Vasectomy: solution to the overpopulation problem in captive African lions?


Ways to save on your 1975 taxes.

Ways to save on your 1975 taxes.


Arizona septicemia in three boa constrictors.


Personal financial planning--II.

Personal financial planning--II.


How safe is your safe-deposit box?

How safe is your safe-deposit box?


Help clients remember by writing it down.


The New York plan.

The New York plan.


Oral care of the patient having head and neck irradiation.


Accepting disfigurement when death is the alternative.


Helping patients with endotracheal and tracheostomy tubes communicate.


Electronic larynx for aphonic patients.

Electronic larynx for aphonic patients.


Personal notes of a laryngectomee.

Personal notes of a laryngectomee.


Through a GLASS darkly.

Through a GLASS darkly.


Coping with newly diagnosed blindness.

Coping with newly diagnosed blindness.


Books for the hospitalized child.

Books for the hospitalized child.


Making vegetarian diets nutritious.

Making vegetarian diets nutritious.


Nurse in a Christian community.

Nurse in a Christian community.


How I spent my Christmas vacation.

How I spent my Christmas vacation.


Multiple assignments-try them!

Multiple assignments-try them!


The oxygen hood for newborns in respiratory distress.


Strengthening a disorganized family.

Strengthening a disorganized family.


Initiation into peer review.

Initiation into peer review.


Watching your finances: is joint ownership the answer for you?


Letter: Penicillin-"sensitive" methicillin-resistant staphylococcus aureus.


[Further thoughts on W.H.O.'s mission].

[Further thoughts on W.H.O.'s mission].


Nursing in Ireland.

Nursing in Ireland.


[Making life worth living for the elderly].


Hypertension Part II: Treatment and nursing responsibilities.


Declaration on procured abortion.

Declaration on procured abortion.


Management of the disruptive patient in the intensive care setting.


Nursing does have a future.

Nursing does have a future.


"Where are the nurses?".

"Where are the nurses?".


Home deliveries.

Home deliveries.


Developing a philosophy of family nursing.


Service-teaching.

Service-teaching.


"A little something called FNS".

"A little something called FNS".


Community medicine rotation.

Community medicine rotation.


Rehumanizing medicine.

Rehumanizing medicine.


The value of values in nursing education.


Update on aging: its problems, its promises.


Know your generics: "the phenothiazine drugs".


Writing a nursing term paper.

Writing a nursing term paper.


Legislation affects "Breakthrough" too!

Legislation affects "Breakthrough" too!


Community health highlights: Immunization Action Month.


Self-assessment and career choice.

Self-assessment and career choice.


Making a career choice: think twice!

Making a career choice: think twice!


Project tomorrow is now.

Project tomorrow is now.


1975 Convention--rights with responsibility.


How to protect yourself against malpractice.


Nursing's past and potential role in alcoholism.


When bill becomes law, then what? Example: the Nurse Training Act.


Breakthrough to Nursing. One down, two to go!


Victims of sexual assault.

Victims of sexual assault.


Rape and nursing intervention: locating resources.


The rape of Sheila Robinson.

The rape of Sheila Robinson.


A hospital "maven" speaks her mind.

A hospital "maven" speaks her mind.


Sensation of touch.

Sensation of touch.


Impressions of non-patients admitted to mental hospitals.


On their own: nursing students participate in demonstration projects in inner city, rural areas.


Editorial: Risk.

Editorial: Risk.


Cot deaths. I. The relevance of dehydration in some cot deaths.


Cot deaths. II. Prospective investigation into cot deaths.


Cot death. III. Leaflet for parents.

Cot death. III. Leaflet for parents.


Play material for the first five years. II.


Editorial: The NHS--a maintenance or breakdown service?


As others see us.

As others see us.


Family background and antisocial behaviour.


Wanderings in paradise.

Wanderings in paradise.


A look at health education in schools.

A look at health education in schools.


Bereavement.

Bereavement.


The Childminding Research and Development Unit.


The needs of the smaller child.

The needs of the smaller child.


Community health councils.

Community health councils.


Some thoughts on the lone mother and her child in Messenger House.


Developing relationships between mother and child. With special reference to babies placed in special care units.


Case study: the student.

Case study: the student.


A slimming club in Cyprus.

A slimming club in Cyprus.


The breastfeeding promotion group.

The breastfeeding promotion group.


A psychological study of child battering.


Editorial: Looking to the future.

Editorial: Looking to the future.


Staffing of the health visiting and school nursing services.


Health visiting in the seventies.

Health visiting in the seventies.


Play material for the first five years. 1.


The unlimited future of critical-care nursing.


Systems approach in assessing behavioral problems of critical-care patients.


Newer techniques in cardiac monitoring.

Newer techniques in cardiac monitoring.


Energy metabolism in shock.

Energy metabolism in shock. Shock produces a state of low-energy production secondary to lack of oxygen. Only 1/5 of the energy produced under aerobic conditions can be produced in shock and less so if shock continues and loss of nucleotide bases and substrate occurs. Carbohydrates and their intermediate compounds are responsible for the energy produced during shock. As cellular derangements and loss of energy supplying compounds are becoming better understood, their contributions to a condition of irreversible shock are receiving more consideration. Studies utilizing energy substrates, prevention of nucleotide loss, and supplying high-energy compounds have been done and show promise as a therapeutic modality.


Indications and techniques for ambulatory electrocardiogram monitoring. The development of the ability to record a patient's ECG during a full 24-hour day of normal activities has resulted in improved arrhythmia detection and potential for treatment. Improved methods of ECG data processing, using computer techniques, now allows quantitation of PVC frequency and improved correlation of the arrhythmia with events occurring during the period of recording. Knowledge of the natural occurrence and variability of ambulatory arrhythmias permits appropriate choice and timing of antiarrhythmic therapy.


The role of ambulatory real-time monitoring in ischemic heart disease. Pending the long-term solution of the problem of coronary atherosclerosis, and considering the unlikelihood of a universally effective, nontoxic, anti-arrhythmic regimen, it seems likely that ambulatory real-time monitoring is a promising avenue of approach for attacking the largest share of IHD mortality, namely the 2/3 who currently die before any medical attention.


Clinical aspects of renal biopsy.

Clinical aspects of renal biopsy.


The role of ambulatory monitoring in postinfarction patients. Ventricular premature contractions noted at the time of hospital discharge following myocardial infarction identify a population of patients at risk for late, sudden cardiac death. Patients with PVC's who are at exceptionally high risk can be identified by means of certain clinical and arrhythmic characteristics. Late ambulatory monitoring is the most effective single technique for identifying such individuals and for monitoring their response to anti-arrhythmic medication.


Urinary 17-ketosteroid and uropepsin excretion in active duodenal ulcer patients.


Renal disease and critical care.

Renal disease and critical care.


American Association of Critical-Care Nurses. President's message.


Letters: The use of intra-aortic balloon counterpulsation in the management of cardiogenic shock.


Some aspects of the nursing care for patients on hemodialysis. Currently the majority of patients receiving hemodialysis for chronic renal failure are treated as outpatients in hemodialysis units of large hospitals. In most of these units it is the nurses that handle the entire dialysis procedure with little if any direct supervision from physicians. The nurses are also the ones on the health team that have the most contact with the patients. Thus the nurse must have a thorough knowledge of the pathophysiology of renal failure, of the mechanics and technical aspects of the dialyzer, of the expected outcomes and complications of hemodialysis and, particularly, the needs of the hemodialysis patient. The nurses that choose to work with chronic hemodialysis patients can enjoy much satisfaction in assisting in maintaining both a productive life and a long-term relationship with chronic renal failure patients. The nurse makes the difference.


The limitations of emergency revascularization surgery.


Sinus bradycardia and A-V nodal escape with 2:1 retrograde A-V block.


Arrhythmias in the coronary-care unit. I. Physiologic bases of ectopic beats. Ectopic beats appearing in the wake of an acute myocardial infarction are best explained with a fundamental knowledge of myocardial cellular electrophysiology. When the physician or nurse has knowledge of the electrical events of intracellular recordings then normal as well as abnormal states of automaticity and conductivity are better understood.


Nursing implications in prevention of complications in peritoneal dialysis.


Electrocardiographic recognition of ventricular ectopic beats in lead V1--a preliminary report.


Dyspnea in the patient with cardiopulmonary disease. Dyspnea in the patient with cardiopulmonary disease has been defined and discussed, emphasizing those conditions which increase the work of breathing: increased elastic resistance; increased airway obstruction; and deformities of the chest wall, lung, and pleura. Methods of assessing the cardiopulmonary status of the patient as it relates to each condition were presented. Determining and understanding such clinical signs as patterns of breathing, cough and secretions, râles, rhonchi, wheezes, diminished or augmented breath sounds, poor or unequal expansion of the rib cage, and dullness or hyperresonance on percusion is extremely important for the nurse in order to accurately and comprehensively make a nursing assessment. Such an assessment can provide the information necessary to plan more effectively for the care of the patient with cardiopulmonary disease.


Dialysis--current status and future trends.


Vasodilator therapy in acute myocardial infarction. In the context of these studies, the evidence indicates that cardiac performance can improve significantly during vasodilator therapy in acute MI complicated by pump failure. Although the clinical course in uncomplicated patients is good, even without active therapeutic interventions, prognosis in patients with pump failure treated by standard methods (digitalis and diutetics) is discouraging. Hospital mortality approaches "40 per cent in patients with moderately depressed cardiac function and may reach as high as 100 per cent in patients with severe pump failure and/or cardiogenic shock." The evidence presented suggests that early and cautious vasodilator therapy may significantly alter this poor prognosis by its beneficial effects on both LV function and the determinants of myocardial oxygen consumption.


The ailing A-V junction.

The ailing A-V junction. The "ailing A-V junction" includes a spectrum of arrhythmias and conduction defects owing to abnormalities in impulse formation (junctional rhythms), impulse conduction (A-V dissociation), and impulse storage (ventricular pre-excitation). A schema is presented for the identification of these dysrhythmias based upon modern electrophysiologic concepts. Hopefully, precise electrophysiologic diagnosis will yield a rational approach to therapy.


Pacemaker bigeminy: pseudomalfunction.

Pacemaker bigeminy: pseudomalfunction. The first reported unique case of atrial synchronized pacemaker-induced bigeminy is described and related literature is briefly discussed. The arrhythmia reported in this case can be erroneously misinterpreted as a malfunctioning pacemaker unless the physician is fully familiar with the specific nature of the atrial synchronized pacemaker. By recognizing this type of pacemaker bigeminy as an arrhythmia simply related to a normally functioning pacemaker, unnecessary surgery can be avoided.


Continuing education and nursing service an example of working togetherness.


A short-term continuing education program for the development of a pediatric oncology nurse.


Mandatory continuing education for relicensure in nursing and the implications for higher education.


Computed tomography using the EMI scanner: Part I. The apparatus, the normal scan, and its variants.


The therapeutic use of cold.

The therapeutic use of cold.


Arrhythmias in the coronary-care unit. III. Physiologic bases of paroxysmal tachycardia-dependent A-V block. This vignette illustrates the application of electrophysiological principles to the clinical problems of acute trifascicular A-V block occurring during an acute MI. Paroxysmal trifascicular A-V block that occurs transiently during an acute MI can be explained electrophysiologically as being due to tachycardia-dependent or bradycardia-dependent A-V block or both. Tachycardia-dependent A-V block also referred to as phase 3 A-V block is a term used when a premature beat occurring during repolarization of the preceeding beat causes conduction failure. Bradycardia-dependent A-V block or phase 4 block is used to explain the slowing of conduction or block after a longer diastolic interval. Physicians and nurses can improve their care of the critically ill cardiac patient through a better understanding of pathophysiology.


Computed tomography using the EMI scanner: Part II. Intracranial pathology.


Anterior dislocation of the knee joint: report of a case.


Consultation in nursing.

Consultation in nursing.


Acute cerebellar ataxia: report of case.


Cancer of the posterior one-third of the tongue and the floor of the mouth: present forms of treatment.


ANA National Review Committee. Criteria for selection of members.


Personal factors - help or hindrance to continued learning by the nurse.


Near-drowning.

Near-drowning. It can be seen that the physiologic changes occurring in near-drowning are complex. The pulmonary changes including edema, shunting, and alterations in surfactant properties cause disturbances in oxygenation and acid-base balance which can have severe consequences for the near-drowning victim if immediate and intelligent treatment is not directed toward their correction. Although blood volume, serum electrolyte, and hematologic changes are generally not severe, they must still be considered. The secondary effects, which make up the clinical situation met with in patients eventually admitted to the hospital, may result in disaster in those who appear to have recovered from the acute episode unless careful vigilance is maintained. The possession of a sound knowledge base related to these aspects is essential in the treatment and care of near-drowning victims.


Chest pain.

Chest pain.


Letter: Cardiopulmonary resuscitation.

Letter: Cardiopulmonary resuscitation.


An experience in change.

An experience in change.


Correlates of professional obsolescence: part I.


The mountain goes to Muhammed.

The mountain goes to Muhammed.


Space satellite in health education.

Space satellite in health education.


Traveling teacher.

Traveling teacher.


The professional nurse and the care of the aged.


Principles for developing inservice educational programs from the nineteen fifty-sixth yearbook of the National Society for the Study of Education.


Retirement as a nursing concern.

Retirement as a nursing concern.


An empirical analysis of the relationship of selected structural factors to quality of patient care in nursing homes.


A pilot study in reality orientation for the confused elderly.


Attitudes of the aged toward death and dying: considerations for the administrator.


Pharmacology for licensed practical nurses.


Creating the new professional.

Creating the new professional.


Continuing education? Yes, but how?

Continuing education? Yes, but how?


Planning effective education in the long term care facility.


"Contact--may I help you?".

"Contact--may I help you?".


A survey of incident reports.

A survey of incident reports.


Editorial: Nursing care for older adults.


Living environments, geriatric wheelchairs and older persons' rehabilitation.


A happier healthier old age.

A happier healthier old age.


The neurosurgical nurse and computer work together.


Nursing responsibilities in arterial and intracranial pressure monitoring.


Surgical correction of cranial-facial anomalies.


Air embolism during surgery in the sitting position: its prevention, detection, and treatment.


Crisis intervention: the patient with interruption of spinal cord integrity.


The concept of neurosurgical care in a general hospital.


Transcutaneous electrical stimulation.

Transcutaneous electrical stimulation.


Trigeminal neuralgia: diagnosis and treatment with special reference to percutaneous radiofrequency rhizotomy.


Dignified death: a right not a privilege.


Sexuality in the aged.

Sexuality in the aged.


Gerontological nursing is not boring or depressing.


The cost of competency.

The cost of competency.


P.E.T. (Point Evaluation Tool) a method of evaluating professional nurse performance.


A nurse views credentialing.

A nurse views credentialing.


A pilot project in continuing education for critical care nursing.


ACNM; an organization full of promise.

ACNM; an organization full of promise.


Perspectives.

Perspectives.


A preliminary report: severe respiratory distress in transitional newborn lambs with recovery following nonnutritive sucking.


Continuing education vs. continuing competence.


Creative approaches to nurse-midwifery education. I. Mastery learning: an approach to individualizing learning.


Creative approaches to nurse-midwifery education. II. Designing and implementing modules: a guide for the educator.


Creative approaches to nurse-midwifery education. III. Meeting specialized problems with creative solutions: an experience with faculty exchange.


Creative approaches to nurse-midwife education. IV. Video taping: some practical guidelines.


Creative approaches to nurse-midwife education. VI. The use of an educational consultant: an approach to curriculum planning.


Issues in nurse-midwifery education.

Issues in nurse-midwifery education.


Editorial: Heroism in nursing.

Editorial: Heroism in nursing.


Educational administration: managing complexity.


Your aphasic patient; comprehending...communicating.


The nursing administrators growing role in facilities planning.


Emergency care: assessment and action. Part III.


Childhood leukemia: its changing aspects.


A block scheduling system.

A block scheduling system.


Maintaining continuity of care during shift change.


Caring for the child with a tracheostomy.


Mary: rights of a retarded child.

Mary: rights of a retarded child.


The nursing process; how to assess your patient's needs. Part II.


Reliability study of a nursing flow sheet.


Researchers? Of course!

Researchers? Of course!


As a nurse, how can you help?

As a nurse, how can you help?


Editorial: Accreditation: a credit to higher educational standards.


Myths about milk.

Myths about milk.


Accreditation: the American way.

Accreditation: the American way.


Sixteen or sixty; does it make a difference?


Selecting and teaching SP/VNs.

Selecting and teaching SP/VNs.


Hemorrhoids: how to care when it's simple.


The nursing process. Formulation... care plan. Part III.


Issues in caring for blind patients.

Issues in caring for blind patients.


Educational programs in practical/vocational nursing accredited by NAPNES as of November, 1975.


NAPNES; Practical/Vocational Nursing Accreditation Program--1976.


The nursing process: implementation and evaluation. Part IV.


Good night nurse.. and goodbye.... Part 1.


Urinary tract infection in women. Part I.


Caring for the hospitalized cerebral palsy patient.


Myasthenia gravis; a time of quiet desperation.


Cries of children.

Cries of children.


What are those animals doing on the "health care team?".


The first half-hour.

The first half-hour.


Editorial: Innovations in continuing education for '76.


When prevention fails. Suicide, Part II.


Self-catheterization in urinary tract disease. Part II.


Reality orientation: restoring the senile to life. Part 1.


Nursing in... the nursing home.

Nursing in... the nursing home.


Do unto others... legal lore for the LP/VN.


Editorial: Accreditation recognition renewed.


Diet therapy in renal failure.

Diet therapy in renal failure.


End-stage kidney disease current concepts in care. 1.


. . . But, I'm just like everybody else.


The slap-stick chart.

The slap-stick chart.


Editorial: Advertising and infant feeding.


Reality orientation: restoring the senile to life. 2.


An integrated basis for child health care in the developing countries.


Aetiological factors in genu valga, vara and varovalga in Nigerian children.


The role of health survey research in maternal and child health family planning programmes: Danfa Project, Ghana.


Coeliac disease in Iraqi children.

Coeliac disease in Iraqi children.


Congenital hypertrophic pyloric stenosis in Sudanese children.


Under-fives clinic in Malawi. The development of a national programme.


Pathological growth and maturation in infants and children associated with modern methods of feeding.


Field indicators of high risk of infant death based on birth information.


The 2 + 1 programme.

The 2 + 1 programme.


Advanced nursing education at the University of the West Indies.


The practice of nursing.

The practice of nursing.


Democratic education - its implications for nursing education.


Evaluation in nursing education.

Evaluation in nursing education.


Rock and 'bye, Baby.

Rock and 'bye, Baby.


Examinee strategies for increasing test scores.


Uterine contractile physiology: applications in nursing care and patient teaching.


Toward better preparation for involved fatherhood.


Prepared childbirth and the concept of control.


The cooperative roles of the physician and nurse in obstetric practice.


The effect of transcendental meditation upon modifying the cigarette smoking habit.


How to plan and present a school-community health fair.


School health service needs in Wisconsin.


Rethinking an ecologic-system model of man's health, disease, aging, death.


Sex -- role stereotyping in elementary school health education textbooks.


Safety and accidents -- a brief conceptual analysis, and a point of view.


Inherited and noninherited anemia screening: a program of community cooperation.


The physiological effects of inhaling exhaled cigarette smoke in relation to attitude of the nonsmoker. Fifty-six nonsmoking college students were exposed, in a closed environment, for a period of 20 minutes to the exhaled cigarette smoke of two smokers. After intervals of 5, 10, 15 and 20 minutes of being exposed to the exhaled smoke, heart rates and systolic and diastolic blood pressures were monitored. Differences between times on systolic pressure was the only statistically significant finding. The subjects were then divided into two distinct attitude groups: (1) those who objected ("disliked") to being in the presence of cigarette smoke, and (2) those who did not mind ("indifferent") being in the presence of cigarette smoke. Variances attributable to between groups was statistically significantly different for heart rate. The "dislike" group had the higher rate in comparison to the "indifferent" group. Between times was statistically different for both groups for systolic pressure. Between group systolic pressures were not significantly different. As expected, there was no significant finding concerning diastolic changes.


The training of adolescent health service personnel.


Life education: a new concept in health education instruction.


Levels of conciousness indicated by responses of children to phenomena in the intensive care unit.


Special contribution: national survey of marijuana use and attitudes.


Public hospital nurses (state) award.

Public hospital nurses (state) award.


Nurse practitioner as medical assistant.


Recent emphasis on an "old" discipline--community health education needs.


A white man tries.

A white man tries.


The New South Wales College of Nursing Annual Conference on National Nursing Issues.


My Papua New Guinea experiences: in retrospect.


Nursing--a quiet revolution or new approach to nursing education.


Understanding ward pharmacy.

Understanding ward pharmacy.


Editorial: Acceptable and unacceptable choices.


He's your client, but he's my patient: a symposium on attitudes toward the commitment of mental patients.


Humanizing institutional care for the aged.


Clinical experience for students redefined.


Therapeutic abortion and its aftermath.

Therapeutic abortion and its aftermath.


Court procedures in child abuse.

Court procedures in child abuse.


Breast feeding. A trilogy. Part 1. The physiologist's tale.


The present status of ascorbic acid.

The present status of ascorbic acid.


Breast feeding--a trilogy. Part 2. The psychologist's tale.


Counselling for abortion.

Counselling for abortion.


Sharing and caring.

Sharing and caring.


Editorial: The birth rate.

Editorial: The birth rate.


Breast feeding--a trilogy. Part 3. The sociologist's tale.


Getting it off my chest.

Getting it off my chest.


Haematinic preparations.

Haematinic preparations.


Epidural analgesia in practice.

Epidural analgesia in practice.


Effects of stress on the modern adolescent.


Antenatal education.

Antenatal education.


Social factors and feeding practices in hypernatraemia.


Complications in treatment of epilepsy.

Complications in treatment of epilepsy.


Editorial: Obstetric audit.

Editorial: Obstetric audit.


Contamination of infant feeds in hospitals.


Modern antenatal care--an appraisal. Part 1.


The concept of psychology in midwifery.

The concept of psychology in midwifery.


Programmed instruction.

Programmed instruction.


"We are different".

"We are different".


Some hazards of anaesthesia for obstetrics.


Case study: hydatidiform mole.

Case study: hydatidiform mole.


Recent advances in teaching methods.

Recent advances in teaching methods.


Epidural analgesia in obstetrics.

Epidural analgesia in obstetrics.


A brief look at SI units.

A brief look at SI units.


Why breast feeding is good for mother and baby.


Crisis in the national health service?

Crisis in the national health service?


Changes in infections in midwifery since the 1930s.


A Danish teaching scheme.

A Danish teaching scheme.


"Ambition, distraction, uglification and derision".


Diary of a WHO fellow.

Diary of a WHO fellow.


"Code 66!" From anxious "amateurs" to smooth-working code team.


Refining your I.V. therapy techniques.

Refining your I.V. therapy techniques.


Cancer chemotherapy.

Cancer chemotherapy.


Caring makes the difference. Nursing grand rounds.


Debbie got attention...the hard way.

Debbie got attention...the hard way.


What you should know about communicable diseases and their immunizations. A guide for nurses in ambulatory settings. Part III. Mumps, chickenpox, and diarrhea.


Getting control of Wayne.

Getting control of Wayne.


Fari's baby.

Fari's baby.


Job evaluations: giving and getting them--with less of a hassle.


Diabetic teaching: how to win your patient's cooperation in his care.


Rheumatoid arthritis: managing it more successfully.


Rheumatoid arthritis: understanding it more fully.


Rheumatoid arthritis: living with it more comfortably.


Families in crisis; knowing when and how to help.


Why not become a diabetes nurse specialist?


Juggling patients on the head of a pin or how much can a mere mortal do?


The alcoholic employee. How the nurse can help.


Microbiologic studies: Part 2. Improving your role in blood culture procedures.


Nursing and poetry don't mix.

Nursing and poetry don't mix.


Understanding the extrapyramidal system.


A "second skin" for patients with large, draining wounds.


Septic shock in a burn patient. Nursing grand rounds.


Anticonvulsant drugs and the epileptic's dilemma.


Standing firm.

Standing firm.


Electricity and electrical safety in the hospital.


You can prevent suicide.

You can prevent suicide.


Physical examination. Part 13. Examining the abdomen.


Syphilis and gonorrhea: an update for nurses in ambulatory settings.


Malpractice; how good is your insurance protection?


Microbiologic studies: Part 3. The problems with respiratory tract cultures--and what you can do about them.


Tips for improving urine testing techniques.


Physical examination. Part 14. Male genitalia.


Better ways to cope with C.O.P.D.

Better ways to cope with C.O.P.D.


Go fight city hall.

Go fight city hall.


Guidelines for more effective health teaching.


Proper charting is important.

Proper charting is important.


Salvaging an unwilling life. Nursing grand rounds.


HHNK (hyperglycemic hyperosmolar nonketotic coma); a newly recognized syndrome to watch for.


The spaghetti theory of leadership (and other saucy ideas).


The utilization review coordinator--a different kind of nurse.


Editorial: The OH team at work.

Editorial: The OH team at work.


OH Congress. The information gap.

OH Congress. The information gap.


OH Congress session. Asbestos.

OH Congress session. Asbestos.


OH Congress. The place of OH in the community.


OH Congress session. Ergonomics.

OH Congress session. Ergonomics.


OH Congress. Day-release as a scheme of study.


OH Congress. Stress and the young worker.


Plumbing the shallows.

Plumbing the shallows.


Safety. Splendid isolation.

Safety. Splendid isolation.


Editorial: Vital statistics.

Editorial: Vital statistics.


OH Congress. Hydrofluoric acid burns.

OH Congress. Hydrofluoric acid burns.


OH Congress session. Relationship between OH and other services.


OH Congress session. Noise and vibration.


The age of chivalry?

The age of chivalry?


Burn treatment in Bahrain.

Burn treatment in Bahrain.


OH Congress session. Shift work.

OH Congress session. Shift work.


Safety economics.

Safety economics.


Editorial: Opportunity lost.

Editorial: Opportunity lost.


Assessment of damages.

Assessment of damages.


A medical record system.

A medical record system.


Local authority OH services.

Local authority OH services.


Safety. Construction management.

Safety. Construction management.


Winter's scourge.

Winter's scourge.


Safety in space.

Safety in space.


Tutorial: health interviews. 7.

Tutorial: health interviews. 7.


Licence to work?

Licence to work?


Employment Medical Advisory Service (EMAS).


The Permanent Commission.

The Permanent Commission.


Pediatric orthopaedic nursing: a tradition and a challenge.


Safety: catering food hygiene.

Safety: catering food hygiene.


A ten-minute examination to pinpoint skeletal injuries.


Orthopedic nursing action.

Orthopedic nursing action.


Nursing care of the orthopedic patient in the operating room.


Scoliosis detection.

Scoliosis detection.


Parathyroid adenoma--an orthopedic problem?


Orthopedic nurses start thinking metric.


Intravenous regional anesthesia.

Intravenous regional anesthesia.


Continuous closed tube irrigation and suction therapy.


Articulation of health occupations programs career mobility in Oklahoma highschool - practical nursing - associate degree. II.


The nonoperative management of scoliosis.


Air borne contamination in operation theatres.


Acupuncture.

Acupuncture.


Role of the nurse and the midwife in MCH/family planning programme. A nurse or midwife plays a many-faceted role in maternal and child health services into which family planning has been integrated.  Many factors influence the role definition of these personnel, including professional preparation, work-situation, level of responsibility, regulatory policies, sociocultural factors, and personal attitudes and beliefs toward health and family planning.  In spite of variance in these factors, the nurse's or midwife's goal of maintenance, promotion, and restoration of the health and well-being of patients remains clearly defined.  Several broad areas in which she is expected to make her contribution include communication and transmission of information, motivation, case-finding and referral, clinical activities, supervision and education, administration and planning, and research and evaluation.  Maintenanc of high educational standards for nurses and midwives is required to prepare them to work with the medical profession toward the common goal of better national health standards.


Psyco-social care of the paralyzed child. A technique in intensive care nursing.