Metabolism during normal and diabetic pregnancy and its effect on neonatal outcome. Diurnal profile studies have been used to define the fetal carbohydrate and lipid substrate environment in normal and diabetic women during late pregnancy. In women with normal glucose tolerance the diurnal plasma glucose concentration was maintained within close limits (mean +/- S.D., 4.70 +/- 0.38 mmol/l) but in chemical and insulin-dependent diabetics there was a marked increase in both the mean diurnal glucose value and in the variability of the plasma glucose levels observed through the day (mean +/- S.D., 5.61 +/- 5.61 +/- 1.03 and 6.02 +/- 1.26 mmol/l respectively, P less than 0.01). No difference was observed between the peripheral insulin activity of the normal and chemical diabetic women, and the impaired glucose tolerance of the latter group was due to a deficient insulin response to goucose. The diurnal glucose variability, expressed as the standard deviation of the mean, was found to be inversely correlated with the residual C-peptide response in insulin-requiring diabetics. The mean diurnal plasma free fatty acid (FFA) concentration was slightly raised in chemical diabetic subjects compared to normal women (mean +/- S.D., 0.77 +/- 0.34 and 0.68 +/- 0.20 mmol/l respectively) but this difference was not significant. Insulin treatment produced a marked reduction in circulating FFA concentration, with a mean value in the insulin-dependent diabetic group of 0.45 +/- 0.11 mmol/l (P less than 0.001). Neonatal glucose assimilation during the first two hours of life correlated strongly with several functions of maternal carbohydrate tolerance. This was associated with higher plasma insulin concentrations at birth, and a marked tendency to hypoglycaemia in the infants of untreated chemical diabetic women. Impaired mobilization of triglyceride stores was also observed during the two hours after birth in the infants of diabetic women. This, however, appears to be due not to impaired lipolysis but to rapid re-esterification of FFA. These findings all indicate a state of functional hyperinsulinism in the infant of the diabetic women secondary to maternal hyperglycaemia.


Is an intermediate cardiac surgical intensive care unit really necessary?


A nursing care plan--the adult cardiac surgery patient.


Clinical pharmacology of antiarrhythmic agents.


Relationship between histidyl-tRNA level and protein synthesis rate in wild-type and mutant Chinese hamster ovary cells. A preliminary investigation was carried out to determine how conditional lethal mutants affected in particular aminoacyl-tRNA synthetases may be used to study the role of tRNA charging levels in protein synthesis. The relationship between rate of protein synthesis and level of histidyl-tRNA in wild-type cultured Chinese hamster ovary cells was determined using the analogue histidinol to inhibit histidyl-tRNA synthetase activity. This response was compared with that obtained using a mutant strain with a defective histidyl-tRNA synthetase that phenotypically shows decreased rates of protein synthesis at reduced concentrations of histidine in the growth medium. The approach used was based on measuring the histidyl-tRNA levels in live cells. The percentage charging was estimated by comparing [14C]histidine incorporated into alkali-labile material in paired samples, one of which was treated with cycloheximide, five minutes before terminating during the incubation, to produce maximal aminoacylation. Wild-type cells under histidinol inhibition exhibited a sensitive, sigmoidal relationship between the level of histidyl-tRNA and the rate of protein synthesis. A decrease in the relative percentage of acylated tRNA (His) from 46% to 35% elicited a large reduction in the rate of protein synthesis from 90% to 30% relative to untreated cells. An unpredicted result was that the relationship between protein synthesis and histidyl-tRNA in the mutant was essentially linear. High acylation values for tRNA (His) were associated with rates of protein synthesis that were not nearly as high as in wild-type cells. These findings suggest that the charging charging levels of tRNA (His) isoacceptors could play a regulatory role in determining the rate of protein synthesis under conditions of histidine starvation in normal cells. The mutant appears to be a potentially useful system for studying the pivotal role of tRNA charging in protein synthesis, assuming that the altered response in the mutant is caused by its altered synthetase.


Regulation of protein synthesis in mitotic HeLa cells. Mitotic HeLa cells (M cells) synthesize protein at about 25% of the rate of S phase cells. This decrease in protein synthesis is due to a reduction in the rate of initiation. However, extracts prepared from M cells are almost as active in protein synthesis as S cell extracts. Both cell extracts are quite active in in vitro initiation of protein synthesis. Moreover, two steps in initiation, binding of Met-tRNAf to 40S ribosomal subunits and binding of mRNA to ribosomes, show similar activity in both extracts. The difference in protein synthesizing activity observed in vivo is largely eliminated in the preparation of cell-free systems. The ribosomes of M cells contain small mol wt RNA, which inhibits protein synthesis in vitro. This RNA, which has possibly a nuclear origin, may be a cause of the reduction in the rate of protein synthesis in M cells.


Current concepts of hyperbaric oxygenation and its application in critical care.


Reality shock for nursing educators.

Reality shock for nursing educators.


The role of serum digitalis levels in clinical practice.


Alcohol, lipoproteins, and coronary heart disease.


Who cares? Nursing and sociology: the development of a symbiotic relationship. The paper has three aims: to illustrate ways in which sociology may help nurses to achieve their primary objective: good patient care; to show how nursing can contribute to sociology; and to indicate some conditions for a healthy relationship between the two activities. After a brief discussion of the nature of sociology, intended for non-sociologists, four examples of ways in which sociology may be relevant to nursing are discussed: (i) Implications for nursing of changing patterns of disease, dependency and death; (ii) Social and cultural variations in perceptions of, and responses to, pain and disease; (iii) Organizational analyses, with particular reference to the importance of nurse-patient communication; (iv) Sociological studies of inter-personal relationships, illustrated by a study of student nurse training. Nursing is described as the major caring profession; as such it has inherent interest for sociologists interested in health care. However, its sociological interest is enhanced by the fact that it is permeated by paradoxes. Reference is also made to current debate on the most appropriate model for health care: the traditional medical model places relatively greater emphasis on cure than does nursing, with its relatively greater involvement with care. It is suggested that current patterns of disease and dependency increase the importance of the care model, and that nursing could play a crucial role in such a shift of emphasis. Having shown that sociology can make positive contributions to nursing, attention is drawn to certain dangers. Nursing should thus make sure that the sociology which it welcomes into its domain is academically sound, and not ideology in disguise. It is also suggested that nursing education should encourage more critical thinking, to enliven nurses' appreciation of what sociology has to offer, and to improve their ability to evaluate the quality of health care.


Breast feeding in Cambridge, England: factors affecting the mother's milk supply. Mothers breast feeding 2 weeks after delivery were studied. One group (106 mothers) were advised to 'eat for two' during lactation to sustain their milk supply. They were compared at 3 months with a control group of 152 mothers. At 3 months only half as many advised group mothers had weaned their babies due to insufficient milk as control mothers. The numbers weaning for other reasons were similar in both groups. More breast feeding mothers reported an increased appetite during lactation than did mothers who had changed to artificial feeding. Smokers were more likely to have given up breast feeding between 2 weeks and 3 months than non-smokers but smoking was not associated with any particular weaning reason. Women taking a contraceptive pill during lactation more often experienced a diminution of milk supply than non-pill-takers. Sustained lactation benefits the mother since those who were still breast feeding were less likely to suffer from depression or fatigue at 3 months, and were more likely to  have lost weight. The early introduction of solids was less frequent among infants being breast fed at 3 months.


Nursing assessment of postcardiotomy delirium.


Hemochromatosis--cardiomyopathy and other complications.


A study in escape rhythm.

A study in escape rhythm.


Nursing in a changing society.

Nursing in a changing society. In this paper the technological, demographic, social and disease-pattern changes in British society are considered and their implications for the nursing and health services discussed. The influences of major nursing reports as well as the consequences of the growth of professionalism in nursing and the potential outcome of the spread of political consciousness among nurses are also highlighted. Nurses are admonished to come to terms with the 'real' diseases of today; those resulting from affluence and senescence. Although conceding that nurses have unique and professional roles, a plea is made for the importance of good team work in health care. The paper ends with the recognition that by building up the body of knowledge of nursing, not only will the planning of nursing care be enhanced but also the ability to change as the needs of society change.


The role of the nurse in support of breast feeding. The nurse can provide information about, and support of, breast feeding. The prenatal nurse can inform the mother of the advantages of breast feeding to herself and her baby. The labour and delivery nurse can aid the mother in her first contact with the baby and reassure the mother who has a Caesarean birth, or a premature or sick infant, that she too can nurse. The postpartum nurse can help breast feeding to continue by providing frequent maternal-infant contact during the mother's hospital stay. The nursery nurse supports breast feeding by refraining from giving the baby other fluids. The paediatric nurse continues the helping pattern by reinforcing the statements and actions of others which will further impress the mother with the appropriateness of her infant feeding method. Mothers need to be informed about infant feeding options in order to make a knowledgeable choice based on awareness of alternatives. The nurse's role in support of breast feeding varies with the time and place where patient care is provided. In each setting, however, the nurse plays a significant role in helping the mother to begin breast feeding and to enjoy it, at the same time providing her infant with optimum nutrition for his early growth and development.


Acute problems in the coronary care unit that do not require intervention. III. Accelerated idioventricular rhythms, types I and II.


The relationship between the level of nurse staffing and the patterns of patient care and staff activity. Data relating to patterns of nursing activity and all the interactions occurring between patients and nursing staff were obtained during observation periods of 1 week's duration on a total of 20 wards in three hospitals. When analysed these data reveal that in all wards there is a strong relationship between the nursing hours available and the various components of the nursing care provided. Indeed the linear relationship is so strong in some cases that it appears that these wards are a long way short of the staffing levels which produced the 'saturation' effect described by several American authors. The analysis of the interactions reveals, as one would suspect, that a disproportionate number of patients account for a large proportion of the interactions, but two further analyses will, it is hoped, shed a little more light on this aspect of the ward situation. The data are being subject to further examination to ascertain whether extra nursing staff leads to more or longer interactions and a longer term investigation is under way which is focused on patients with comparable diagnoses in different hospitals.


Psychological issues in intensive care unit staff.


Is the nursing profession really research-based? Modern nursing has its origins in the pioneering research of Florence Nightingale but a research approach to nursing problems was never transmitted as part of the traditions of the Nightingale pattern of nurse training. Although nurses in North America established nursing education programmes in centres of higher education as long ago as 1899, British nurses did not utilize these facilities until the 1950s. This militated against the proper preparation of British nurses for research and the innovation of nursing research activities was therefore drastically delayed in the United Kingdom. Such research as there was tended to focus on nurses rather than nursing. The Royal College of Nursing of the United Kingdom, together with the Department of Health and Social Security, London, sponsored a number of nursing care research projects in the late 1960s. This was followed, in the 1970s, by an upsurge of research interest and research activity among British nurses. But it is still very difficult to demonstrate any direct benefits from nursing research interest or activity on patient care. There are also problems associated with the lack of experimental and replicated studies, the death or research-minded nurses and the apparent lack of interest in implementing nursing research findings. This places a great responsibility on the teachers of nurses. Hope is on the horizon. This is fostered by recent syllabuses and guides produced by British statutory bodies responsible for basic and postbasic nursing research. In conclusion, the author argues that nursing research activity should not be permitted to become an end in itself. The search for a research base for nursing should be motivated primarily by a desire to achieve better nursing practice.


The contribution of clinical nurse specialists to the education of student nurses.


The under fives clinic--what difference does it make?


Vaginal discharge.

Vaginal discharge.


The American Heart Association and heart health education in the young.


Research in cardiovascular health education.


Streptococcal infections, rheumatic fever and school health services.


Writing and nursing.

Writing and nursing.


A breastfeeding protocol.

A breastfeeding protocol. Specific guidelines for assisting patients in breastfeeding their infants are outlined, beginning in the prenatal period and continuing through initiation of nursing and established lactation. Prevention of possible problems is emphasized, but included are methods for relieving difficulites encountered during breastfeeding, such as flat nipples, sleepy babies, sore nipples, oversupply, engorgement, multiple births, forceful expulsion of milk, and breast infections.


The high-risk mother viewed in relation to a holistic model of the childbearing experience. The high-risk antepartal mother is, first, a woman facing the experience of childbearing and, second, a woman for whom this experience is defined as high risk. Too often, health professionals concentrate on the latter almost to the exclusion of the former. In this article a holistic model of the experience of childbearing, common to all women, is proposed. It takes into account relevant social, cultural, and psychological as well as physiological factors. The model is then related to specific problems that may threaten the successful outcome of pregnancy. Appropriate implications for nursing are also discussed.


Congenital heart disease--its effect on the school-age child.


An education program for nurses from referring hospitals in a perinatal regionalization system. Administering high-quality perinatal care at a regional center involves more than providing in-center service. An outreach education program was developed for nurses in referring hospitals. The authors believe that through the carefully phased development of an outreach education program, quality perinatal care on all levels can be realized.


A discharge planning tool for use with families of high-risk infants. The transition from hospital care to home care for high risk infants can be facilitated by the process of discharge planning. A tool designed specifically to coordinate discharge counseling and instruction for parents of high-risk infants has been developed and implemented in a perinatal center. Preliminary results indicate that the tool enables the health team to make an objective, rather than subjective, decision in respect to discharge of infants. Use of the tool also standardizes and documents the nurse's role in discharge planning.


"Risk factors" in coronary heart disease--a childhood concern.


High blood pressure [hypertension] and the school-age child.


Counseling the parents of a critically ill newborn. Nurses caring for critically ill infants should be reminded of their responsibilities to the parents of these children. The parents' needs often go either unrecognized or unmet. Nurses in a neonatal intensive care unit should have a working knowledge of their additional responsibility of serving in the role of counselor. Knowing sufficiently what emotional factors should be considered, one can effectively implement this counseling.


Exercise--a preventive prescription.

Exercise--a preventive prescription.


Cardiac evaluation of the child and adolescent for athletics.


Teaching cardiopulmonary resuscitation in the schools.


Medication and hyperkinesis: a new concept.


School health education: some future challenges.


Which will it be--action or reaction?

Which will it be--action or reaction?


Coming to terms with your own sexuality first.


The Hite report.

The Hite report.


Child abuse prevention--implementation within the curriculum. The number of reported cases of child abuse and neglect is increasing. Most educators are aware of the problem; however, awareness alone has minimal impact on prevention. Specific planning is needed, and this article explores various avenues for including child abuse education as a part of the regular school curriculum. The ultimate goal is to develop educational strategies as one means of preventing abuse when school children grow to adulthood and become parents.


Instructional emphasis in family life and sex education: viewpoints of students, parents, teachers and principals at four grade levels. This study was conducted to assess and compare the opinions of four population groups -- students, parents, teachers and principals -- concerning the amount of teaching emphasis that should be given to family life and sex education at school grades three, six, nine and twelve. The population was derived from a large, county school corporation in north central Indiana. A large proportion of each population at each grade supported at least some instructional emphasis about the topic, with nearly a majority or more of the subjects of most of the 16 populations favoring major teaching emphasis. Some differences in endorsement among the populations and sub-populations (male vs. female students) at each grade and among the four grades were found.


Health education for the preadolescent: basic first aid. Accidents are the leading cause of death and disability in the preadolescent age group. For this population, the State of California now recommends specific accident and emergency health education. This article discusses the American Red Cross' self-paced Basic First Aid course which can meet the needs of the student as suggested and integrate the student-teacher-nurse in a health education experience profitable for all.


Guidelines for schools offering a health education major which accept international students. Prepared by the Committee for International Health Programs American School Health Association.


Are basic assumptions we hold about health education defensible? Underlying numerous programs designed to promote healthfulness are several implicit and/or overlooked assumptions. These suppositions are considered to be "understood." However, more often they lack validation in an empirical sense. The article is intended to prompt a systematic appraisal of certain presumptions about health, health education and health educators.


Podopediatrics.

Podopediatrics.


An analysis of policies regulating medication in the schools.


The misunderstanding and misuse of health education.


School-based health services.

School-based health services.


The real problem with people is...

The real problem with people is...


Regulation of protein synthesis during postnatal maturation of mouse brain. On a DNA basis, there is higher concentration of polysomes in the brain of newborn than in the brain of adult mice, but there is no maturation-dependent decrease in tRNA content during postnatal development. The amino acid incorporating activity of cell-free systems with polysomes or mitochondria from newborn brain exceeds that of adult controls significantly in contrast to a smaller incorporating rate of labelled amino acids into synaptosomal protein. Addition of polysomes isolated from newborn brain increases the amino acid incorporation by cell-free systems with adult brain tRNA and enzymes, whereas the polysomes from adult brain decrease the incorporating activity of newborn brain systems. The loading capacity of newborn brain tRNA exceeds that of the adult controls and the velocities of its aminoacylation are four times faster. Uncharged as well as precharged newborn brain tRNA increases the amino acid incorporating activity of tRNA-dependent cell-free systems with adult brain polysomes and enzymes. In contrast to polysomes and tRNA, the newborn brain enzymes involved in protein synthesis seem to be less active in cell-free amino acid incorporation than the enzyme fractions from adult brain. These data indicate that the different protein synthesizing activity in developing and adult mouse brain is the result not only of higher amino acid incorporating activities of the newborn polysomes, but also of a stimulated acceptance and transfer function of the newborn brain tRNA.


Formation of a preribosomal binary complex consisting of fMet-tRNA and IF-2 and its interaction with the ribosome.


Purification and properties of eIF-2 from pig liver.


Nucleotide regulation of protein synthesis.


You want to be a what?

You want to be a what?


An assertiveness training program for nurses.


Is that new baccalaureate program feasible? Or necessary?


Clinical instruction: effective/and ineffective teacher behaviors.


Faculty recruitment--or after the advertisements.


Organizing approaches to psychiatric nurse consultation.


Goodbye, appliance nurse.

Goodbye, appliance nurse.


Student consultation: a liaison psychiatric experience for nursing students.


Immunization and health advice for international travelers. Physicians are increasingly being called upon to advise travelers regarding health matters. Travel to virtually all parts of the world can be medically safe, given a modest investment of effort to provide appropriate immunizations and education of travelers regarding precautionary steps regarding food, drink and other matters. Instruction regarding the self administration of a few simple drugs is reasonalbe for most patients anticipating prolonged travel in tropical areas.


Use of antibiotics in the outpatient setting. Antibiotics with small but definable mortality, such as chloramphenicol, should not be used when safer drugs will suffice. Antibiotics with a low (1 to 5 per cent) morbidity should not be used when safer drugs are available. Therefore, cleocin, minocycline, or oral erythromycin estolate should rarely be used and regular erythromycin base is almost always preferable. Fever should not be treated with antibiotics since they are not antipyretics. "Colds" should not be treated with antibiotics, but antibiotics should be administered to patients with a history of chronic bronchitis, sinusitis, and recurrent otitis as soon as any symptoms begin. Intramuscular antibiotics should not be given except for benzathine penicillin. Use placebos instead of antibiotics when the patient's psyche demands an intramuscular injection. Make certain that the needle, syringe, and solution are sterile. Agents other than penicillin or cephalosporins should be used in patients with a definite history of penicillin allergy. Combination antibiotics or broad spectrum antibiotics like cephelosporins or tetracyclines should not be used when narrow spectrum antibiotics of known efficacy are available for specific syndromes such as streptococcal pharyngitis.


Hepatitis: update on diagnosis and management.


Urinary tract infections. An ambulatory care perspective.


Parasympathetic degeneration secretion of saliva in rats. In rats under chloralose anaethesia saliva was found to flow from the submandibular and parotid glands previously subjected to (partial) postganglionic parasympathetic denervation. Secretion started in the submandibular glands 8.8-11.8 hours, and in the parotid glands 14.0-12.6 hours after the denervation and lasted about 7 hours in both glands. It was not abolished by sympatholytic drugs but by atropine. It is regarded as an example of the "degeneration activity" described in many organs and species and provides a method for prolonged stimulation of salivary glands in rats.


Daily changes in the curved crown-rump length of individual sheep fetuses during the last 60 days of pregnancy and effects of different levels of maternal nutrition. A method is described by which daily changes in the curved crown-rump length (CRL) of individual sheep fetuses were observed during the last 50 to 60 days of pregnancy. The mean discrepancy between the derived value for CRL and the CRL measured directly in eight fetuses aged between 100 and 135 days and in 12 lambs born at 143 to 150 days was 1.5 +/- 0.2 per cent (mean +/- s.e.). In adequately nourished ewes between 100 and 115 days of gestation growth rate showed a between-fetus range of 4.2 to 7.5 mm.day-1 (n=16), remained constant within each fetus until about 132 days and then decreased by about 27 per cent (n=4). Decreases in growth rate of about 30 to 44 per cent occurred within three days of the introduction of maternal undernutrition at 115 or 120 days of gestation (n=6) and in two other fetuses maternal undernutrition effected an almost complete cessation of growth. The relationship between fetal CRL and weight is described and some physiological implications of the results are discussed.


The relation between structure and function of bile ducts in man, some laboratory animals and the Adelie penguin. The biliary trees of man, dog, cat, rabbit, rat, guinea pig and penguin were examined in histological sections and by latex casts. The trees of man, dog, and cat were similar with only minor differences. Tubulo-alveolar glands were present in all three species around large intrahepatic ducts and in large portal tracts there were zones of ductules (areas with many small bile ducts), surrounded by small vessels with no apparent relation to hepatocytes. Both these features were present in the guinea pig and tubulo-alveolar glands were present in the penguin liver. The biliary epithelium of the rat was comparatively simple but that of the rabbit appeared to be highly specialized. An estimation of the complexity of the biliary tree was obtained in the mammals by comparing the circumference of small portal venous branches with the circumference of the accompanying bile ducts, and obtaining a ratio. Man, dog, and cat had fewer and smaller bile ducts than the other species. The literature on the rate of formation and composition of bile in the species studied here was reviewed and it appears that the physiology of bile secretion can be related to the morphology of the biliary tree.


Oxygen consumptions and potassium contents of slices of rat renal cortex. An oxygen electrode respirometer for determining the oxygen consumption of slices of mammalian renal cortex is described and assessed. Though rat renal cortical slices incubated in potassium-free medium for one hour lost 102 +/- 14 mmol of potassium/kg dry weight, there was only a small, nonsignificant fall in oxygen consumption. In contrast the oxygen consumption of slices incubated in potassium-free medium with 10 mmol.1-1 ouabain was markedly reduced (by 32 +/- 6%), while such slices lost 180 +/- 15 mmol of potassium/kg dry weight. These disproportionate effects on potassium loss and inhibition of oxygen consumption suggest that in renal cortical slices the loss of potassium in low potassium medium is not primarily due to inhibition of the conventional sodium pump.


Water and electrolyte excretion during the oestrous cycle in sheep. Electrolyte excretion was observed during 24 oestrous cycles in housed sheep, together with mixed salivary Na/K ratio during 10 additional cycles. 1. The sharp fall in food and fluid intake at oestrus accompanied a peak of sodium excretion which changed to peak retention 3 days later, both in faeces and urine. 2. Potassium excretion declined with food intake at oestrus but subsequently failed to recover to pre-oestrous levels dispite full recovery of dietary intake. 3. Curiously, water intake also recovered completely whereas urinary and faecal water retention continued; faecal loss actually exceeded renal excretion on these liberal water intakes. 4. Changes in salivary, urinary and faecal Na/K indicated an aldosterone peak neither during the luteal phase nor at oestrus but three days later. The data raise questions concerning the regulation of water and electrolyte balance within the normal cycle. They also provide a baseline for the investigation of renal effects of gonadal steroids. Possible roles for aldosterone, ADH and progesterone in maintaining fluid and electrolyte balance are discussed, emphasising problems confronting species which have evolved with heavy obligatory potassium excretion but undependable supplies of sodium and water.


Parotid salivary flow and composition during infusion of acetylcholine and atropine into the carotid artery of conscious sodium-replete sheep. The rate of salivary flow and the concentrations of the major electrolytes in parotid saliva and arterial plasma of conscious sodium-replete sheep were measured during resting salivary secretion and when salivary flow was either increased by intracarotid infusion of acetylcholine at 10-30 nmol. min-1 for 20 min or reduced by intracarotid infusion of atropine at 14 nmol. min-1 for 50 min. During both treatments salivary phosphate concentration was always negatively correlated with salivary flow and salivary bicarbonate concentration was always positively correlated with flow. The chloride concentration of the saliva during the acetylcholine infusion experiments was positively correlated with salivary flow whereas when atropine was infused the chloride concentration was negatively correlated with flow. Acetylcholine infusion caused the potassium concentration of the saliva to increase significantly resulting in a marked increase in the total rate of loss of potassium in the saliva. The salivary potassium concentration fell significantly at the onset of the atropine infusion and then rose progressively so that the potassium concentration was elevated by the end of the infusion. In both treatments the concentrations of sodium and hydrion were negatively correlated with salivary flow rate. The maximum sodium concentration which occurred in the low-flow saliva of the atropine infusion was substantially higher than the concentration that would be achieved by equilibrium with the aqueous phase of arterial plasma. It was concluded that the negative correlation between salivary flow and sodium concentration occurred because the reabsorption of sodium from the saliva by the excurrent duct system was minimal in sodium-replete sheep which would have low levels of mineralocorticoids in the circulation. The inconsistency between this  study and previous reports presumably reflects differences in the criteria used to define the sodium status of the animals.


A different position on intubation.

A different position on intubation.


Economics and ethics are not mutually exclusive.


More than one way to bleed a pig.

More than one way to bleed a pig.


Where do they all come from? What attracts clients to the new clinic?


Feline inappropriate elimination. Part 1.


Clinical assessment of topical benzoyl peroxide in treatment of canine skin diseases.


Gunshot wound in the head of a dog.

Gunshot wound in the head of a dog.


Surgical correction of a persistent right aortic arch in a cat (a case report).


Tetanus in a dog.

Tetanus in a dog.


Tubercular infection in a sulfur-crested cockatoo.


Intestinal obstruction in a jaguar (a case report).


Socializing a red fox (a case history).

Socializing a red fox (a case history).


Selective scar revision and elective incision techniques applicable to the legs of horses.


Blood glucose 2: clinical application of blood glucose determination per se.


Fetotomy in cases of anterior presentation with flexion of both forelegs, and a note on fetotomy in cases of lateral flexion of the head and neck.


Effects of a single intrauterine infusion of gentamicin or Utonex suspension on conception in normal and infected cows.


A method for nonsurgical correction of rectal prolapse in lambs.


Contango: the latest song and dance.

Contango: the latest song and dance.


Special tax breaks for youngsters with jobs.


Head nurse growth: a priority for the supervisor.


Charge nurse for a day.

Charge nurse for a day.


Learning to live with a new leg.

Learning to live with a new leg.


Marijuana for the oncology patient.

Marijuana for the oncology patient.


Continuous ambulatory peritoneal dialysis.


Experience at Three Mile Island.

Experience at Three Mile Island.


Stroke: the double crisis.

Stroke: the double crisis.


Oral cancer: coping with the changes.

Oral cancer: coping with the changes.


Oral cancer: everyday concerns.

Oral cancer: everyday concerns.


Parents of hospitalized children have needs, too.


Preadmission program for rehospitalized children.


Care for the caretakers.

Care for the caretakers.


Partners: nurse practitioner and social worker.


How can an alcoholic change in 28 days?

How can an alcoholic change in 28 days?


Making the right moves in discharge planning: coordinating a workable system.


Making the right moves in discharge planning: building staff rapport between institutions.


Making the right moves in discharge planning: discharge planning guide.


Making the right moves in discharge planning: home or nursing home? Let the elderly patient decide.


Making the right moves in discharge planning: when a nursing home is the best choice.


Making the right moves in discharge planning: including the hospital staff nurse.


Making the right moves in discharge planning: home visits to evaluate planning.


Does a dirty case mean it's x-rated?

Does a dirty case mean it's x-rated?


Separation of aminoacyl-tRNAs on an amine-coated sephadex column.


OR wall material: is there a choice?

OR wall material: is there a choice?


Planning a personal strategy for getting involved in legislation.


Primary OR nursing in outpatient surgery.


Do patients value preoperative assessments?


Joint practice in a large, urban hospital.


A nurse's experience in Washington.

A nurse's experience in Washington.


Micturition control system for paraplegics.


Survey describes BSN grads after ten years.


Nurses' responsibility for verbal orders given during surgery.


OR phase-down during strikes.

OR phase-down during strikes.


Understanding the federal rules process.


The Pickwickian syndrome: challenge of self-care.


Clinical experience proposed for Ontario nurse graduates.


Transferable drug resistance in man and animals: genetic relationship between R-plasmids in enteric bacteria from man and domestic pets.


The response of Staphylococcus aureus to benzylpenicillin. The response to benzylpenicillin of 2 strains of Staphylococcus aureus was investigated in vitro using 3 techniques in parallel: continuous turbidimetric monitoring, continuous microscopic monitoring, and thin-section electron microscopy. Cultures of staphylococci were exposed to several concentrations of penicillin for various intervals of time before terminating the antibiotic activity with penicillinase. Bacterial lysis by penicillin was concentration-dependent and showed an optimal dosage effect which was very marked for one of the strains. The growth and division of cells continued for up to 1 h in the presence of penicillin. A variety of morphological responses was observed at each penicillin concentration. These changes ranged from complete bacterial lysis to apparently normal cells, and included several different types of aberrant morphological forms. On addition of penicillinase to cultures exposed to penicillin, there was a time interval before survivors began to divide. This period was increased by raising the concentration of penicillin or by increasing the period of exposure to penicillin. Bacteria resuming growth after surviving penicillin action exhibited markedly aberrant septation. Most of the survivors were found to originate from clumps of cocci rather than from individual cells or small groups.


Group therapy for women going through divorce.


Purposeful expression of feeling.

Purposeful expression of feeling.


Existentialist as helper?

Existentialist as helper?


Spring--the suicide season?

Spring--the suicide season?


Tetanus: the costly cure.

Tetanus: the costly cure.


Whither nursing? The touch of love.

Whither nursing? The touch of love.


The unexpected case of tetanus.

The unexpected case of tetanus.


Where does the nurse's responsibility begin and end in caring for a patient's belongings?


One breath at a time: a family teaching program for children with cystic fibrosis.


Whither nursing? It's a bird, it's a plane, it's supernurse!


The immune system.

The immune system.


Your guide to clinical laboratory procedures.


The nurse practitioner: an idea whose time has come.


Whither nursing?

Whither nursing?


An experiment in innovative staffing.

An experiment in innovative staffing.


Whither nursing? Nursing: fact and fantasy.


A challenge in office nursing.

A challenge in office nursing.


You and the law: nursing negligence in the administration of medication--could it happen to you?


Perspective.

Perspective.


Why wait?

Why wait?


Whither nursing? That's right, I'm a nurse.


A new beginning: the opening of a multidisciplinary cancer unit. Part II.


Hypertensive disorders in pregnancy.

Hypertensive disorders in pregnancy.


A new beginning: the opening of a multidisciplinary cancer unit. Part II. Staff development: preparing a nursing staff for the opening of a cancer unit.


A new beginning: the opening of a multidisciplinary cancer unit. Part II. Evaluation of a program for a cancer unit.


The use of Entonox in the relief of pain.


The cancer patient's view of chemotherapy.


Oncology nursing in the local community.


Nursing the patient with advanced liver metastasis.


Research highlights: problems and potential in cancer.


Cancer nursing and the law: life support for the incompetent patient. Guidelines for the judge's decision.


Cancer audit: nursing patient-care outcome audit. Criteria: metastatic breast carcinoma.


Programmed instruction: cancer care. Radiation therapy: internal radiation.


Neonatal resuscitation at the peripheral clinic.


The unplanned teenage pregnancy.

The unplanned teenage pregnancy.


Acute disseminated intravascular coagulation.


The management of the burned child.

The management of the burned child.


The neonatal unit.

The neonatal unit.


Speak up, get fired.

Speak up, get fired.


Building a new life: postnatal depression.


Building a new life: feeding worries.

Building a new life: feeding worries.


Building a new life: clinic checklist.

Building a new life: clinic checklist.


Building a new life: telephone talk.

Building a new life: telephone talk.


HVs--question or challenge?

HVs--question or challenge?


HVs--starting research.

HVs--starting research.


Feet for the future.

Feet for the future.


View from the doc.

View from the doc.


Feet sheet.

Feet sheet.


Community experience.

Community experience.


A caring approach.

A caring approach.


Current practice in gerontological nursing: preface.


Health care and the aging American Indian.


Psychosocial aspects of aging.

Psychosocial aspects of aging.


Sexuality and aging.

Sexuality and aging.


The family and its role with the elderly parent.


Agency collaboration in planning and service: the emerging network on aging: issues and conditions--some underlying principles.


The gerontological nurse specialist.

The gerontological nurse specialist.


Understanding the law and the nurse's role as health advocate for the elderly.


The law and the elderly.

The law and the elderly.


The nurse's role as advocate with the elderly.


Issues and trends in gerontology.

Issues and trends in gerontology.


Physiological changes of aging and nursing assessment.


Drugs for the aging: use and abuse.

Drugs for the aging: use and abuse.


Nutritional needs and effects of poor nutrition in elderly persons.


Sex, hormones and behaviour: Chairman's introduction.


Sex, hormones and behaviour.

Sex, hormones and behaviour.


Animal models for human sexuality.

Animal models for human sexuality. The value of animal models in biomedical research is firmly established, and many basic principles of human psychology have been explicated as the result of comparative studies. There is pressing need for non-human models in the behavioural sciences as represented by psychiatry, psychology and ethology; and such models should be constructed, provided their validity can be assured. Valid models cannot be based exclusively on similarity in the formal properties of behaviour. Commonality of descriptive terms as applied to different species does not guarantee identity of the concepts to which the terms apply. Model builders must evaluate interspecific similarities and differences in the causes, mediating mechanisms and functional outcomes of behaviour. The validity of interspecific generalization can never exceed the reliability of intraspecific analysis; and the latter is an indispensable antecedent of the former. Existing and potential models for homosexuality and other psychosexual characteristics of human beings are evaluated within the perspective provided by the foregoing generalizations.


Transsexuality: some remarks based on clinical experience. People with severe gender identity problems have always existed. Some hope to find a solution to their deep intrapersonal conflicts in a so-called sex transformation. The term 'transsexual' was coined by Cauldwell in 1949 and since then an unknown number of people all over the world, probably more biological men than women, have undergone a hormonal and surgical sex-transformation procedure. In this chapter we discuss the impossibility of real sex change from man to woman and vice versa. We briefly touch on two classical cases of sex transformation with some connection with Denmark: the Lili Elbe case of 1930 and the famous Chris Jorgensen case from the early fifties. We discuss the incidence of transsexuality and follow-up studies of patients, and give preliminary results from a Danish study of 110 people (81 men and 29 women) who during the past 25 years have applied for a sex-change operation. Of these, 56 individuals (42 men and 14 women) have had such operations. These are minimum figures since some transsexuals are known to have had operations in other countries but have not contacted Danish hospitals or health personnel.


Male homosexuality: perversion, deviation or variant? Male homosexuality has complex determinants: biological, psychological, social, cultural and situational factors may be relevant, either inhibiting hetereosexuality or leading towards homosexuality. Environmental factors seem paramount, particularly significant early relationships, usually within the family. Especially implicated are the personalities and interaction of the parents, recent interest being especially in the father's role. Also relevant is the family as a complex social system and the modes of communication within it, both verbal and non-verbal. Social research and sociopolitical pressures have helped to liberalize attitudes to homosexually 'deviant' behaviour but have not added significantly to its understanding. Many factors are involved in determining whether homosexual men seek therapy and reach a particular therapist. These factors relate to the patient's and therapist's personalities; to different therapeutic philosophies and therapeutic goals; and to the formal and informal referral networks in society.


Androgens and human sexual behaviour.

Androgens and human sexual behaviour. Androgens are generally believed to be necessary for normal sexual responsiveness in the human male and female. The evidence for this is limited and sometimes conflicting. This paper considers evidence from experiments in which exogenous androgens are given to people with impaired sexual response. Results from a study in which testosterone was given to unresponsive women are reported, together with the preliminary results of giving androstenedione to sexually unresponsive women taking oral contraceptives and giving testosterone undecanoate to hypogonadal males. In the first study, when testosterone was combined with counselling, significant effects were produced by the addition of testosterone. In the androstenedione study, where no counselling was given, beneficial effects of the androgen have been unusual. Examples of the evaluation of androgen replacement in hypogonodal males are also presented. Finally, some methodological problems of evaluating the effects of exogenous hormone in human sexual behaviour are briefly discussed.


[A healthy child, a sure future].

[A healthy child, a sure future].


The endocrine function of the human testis in regard to sexuality. It is well known that the testes play a determining role in male sexuality. However, the exact interrelations between endocrine testicular function and sexual behaviour are not well understood. If these interrelations are to be investigated a number of factors influencing testicular function have to be considered: circadian and seasonal variations, age-related changes, body constitution, physical activity and drug interactions, as well as the influence of endocrine and non-endocrine diseases. The paper emphasizes the complexity of the field and warns against seeing correlations between single random plasma sex hormone determinations and sexual behaviour.


Sexual differentiation of the brain of the sheep: effects of prenatal implantation of androgen. Film: general discussion.


Sex, hormones and behaviour. Final general discussion.


Reorientation of health personnel to meet the people's needs.


Basic sexual trends in the development of vertebrates. The chain of events occurring during sexual development involves successive steps: genetic sex, gonadal sex and body sex. The latter comprises the genital tract, secondary sex characters and neural structures mediating sexual interest and appetite. Body sex obeys a hormonal control. In the absence of any hormone it develops in conformity with the homozygous sex type--feminine in mammals, masculine in birds, newts and one lizard studied so far. Similar differences have been observed for sex behaviour in some mammals and birds. It has been suggested that the sex of the gonads is determined by the presence (or absence) of the histocompatibility antigen produced by the sex chromosome of the heterozygous sex (Y or W). However, in newt or Xenopus graft chimaeras as well as in bovine freemartins, testicular dominance over presumptive ovaries is obvious whatever the mode of chromosomal control of sex. A unifying concept for sex differentiation in all vertebrates, accounting for the long series of recognized data, is still difficult to delineate.


Sex-dimorphic behaviour development in the human: prenatal hormone administration and postnatal socialization. An interdisciplinary integrative approach must be utilized in the study of psychosexual differentiation. The approach must capitalize on data derived from non-human models, from experiments of nature, and from experiments of nurture. Studies from non-human primates strongly suggest the influence of prenatal sex hormone levels on postnatal sexually dimorphic behaviours. Starting from this basis we have studied sixty young adult men whose mothers received, during pregnancy, diethylstilboestrol, diethylstilboestrol and natural progesterone, natural progesterone, or synthetic progesterone. They have been compared with matched controls not exposed in utero to exogenous hormones. Studies of socialization patterns must document the differential developmental experiences, if any, of children with atypical and typical sex-typed behaviours. To this end, we are studying 60 boys whose behaviour before puberty was decidedly feminine, and their parents, and contrasting them with masculine boys and their parents. We are also studying 50 girls whose behaviour before puberty was 'masculine', and contrasting them with 'feminine' girls. Additionally, we are studying the sexually dimorphic behaviour of children of sexually atypical parents. The parents have either undergone sex-change surgery (male-to-female or female-to-male) or are homosexual. Data from the three studies are presented. A call is made to researchers working with non-human primates to test and extend these findings.


Psychosexual development: an examination of the role of prenatal hormones. Naturally occurring endocrine syndromes and the offspring from steroid-treated pregnancies are the major sources of evidence for a role of prenatal hormones in psychosexual development in man. Effects of prenatal androgens have been established for the sex-dimorphic behaviour clusters of energy expenditure (increased), parenting rehearsal (decreased), peer associations (shifted to male), and grooming-related behaviour (decreased); most of the information was obtained on the syndrome of congenital adrenal hyperplasia and in progestin-induced female hermaphroditism. Studies of children and adults exposed prenatally to exogenous oestrogens and/or progestagens suggest slight demasculinizing effects but cannot yet be considered conclusive. Gender identity is largely dependent on the sex of rearing; a direct role of prenatal hormones in its formation has not been shown. The evidence for the role of prenatal hormones in the development of sexual orientation is inconclusive.


Hormones and sexual differentiation of the brain. Male rats castrated on the first day of life exhibited predominantly heterotypical (homosexual) behaviour after androgen substitution in adulthood. In addition, an increased evocability of a positive feedback effect of oestrogen was observed in such genetic males. In homosexual men, an increased evocability of a positive oestrogen feedback on luteinizing hormone (LH) secretion was also found as compared to heterosexual men. These findings suggest that male homosexuality may be based, at least in part, on andogen deficiency during a critical period of brain differentiation. In addition, we have found significantly increased plasma follicle-stimulating hormone (FSH) and LH levels associated with decreased plasma free testosterone levels in homosexual men, but only in effeminate homosexuals. In view of these data, sexual deviations in the human may be based, at least in part, on discrepancies between the genetic sex and a sex-specific sex-hormone level during brain differentiation in prenatal life. Methods were therefore developed for determining genetic sex and sex-specific sex-hormone level during brain differentiation in prenatal life. Methods were therefore developed for determining genetic sex and sex-specific sex-hormone levels in amniotic fluid, in order to detect and possibly correct such discrepancies. Sex hormone-dependent brain differentiation may be mediated, at least in part, by neurotransmitters, which may be regarded as local hormones of the brain. Interestingly enough, we have found permanent abnormalities of mating and other non-mating behaviour associated with permanent structural and chemical alterations in discrete brain regions of rats after neonatal treatment with psychotropic drugs known to affect neurotransmitter metabolism in the brain. Therefore, changes in  neurotransmitter concentrations and/or turnover rates induced by psychosocial influences as well as by systemic hormones (particularly by sex hormones), when occurring during differentiation and maturation of the brain, may permanently affect sexual behaviour, sexual orientation and gender role behaviour throughout life.


Overseas internship.

Overseas internship.


Joint practice at Frontier Nursing Service.


Health career program Leslie County High School.


The Leslie County Humane Society.

The Leslie County Humane Society.


Making a career choice: think twice!

Making a career choice: think twice!


Self-assessment and career choice.

Self-assessment and career choice.


So you want to go to graduate school.

So you want to go to graduate school.


Surviving the job interview.

Surviving the job interview.


Reality shock: what it is, how to deal with it.


Leadership guidelines for decisionmaking.


Decisionmaking in nursing.

Decisionmaking in nursing.


A strategy for reading and responding to multiple choice test items.


The assertiveness blitz.

The assertiveness blitz.


Where the jobs are.

Where the jobs are.


Another perspective: Hawaii nurses face a crisis.


Collective bargaining issues affect us all.


A friendly visitor program: its impact on the social and mental functioning of the elderly.


The elderly alcoholic.

The elderly alcoholic.


Short-term adjustment of geriatric residents.


Territorial behavior of nursing home residents.


Stereotyped attitudes toward the aged in nursing homes.


Social behavior of the elderly: effects of fearfulness and perceived locus of control.


Group therapy for the institutionalized aged.


Empathy in nursing practice.

Empathy in nursing practice.


Clarity and freedom: ethical issues in mental health.


Empathic communication and its effect on client outcome.


Congruence - a necessary behavior in the nurse-patient relationship.


Self-disclosure and anxiety in nurses and patients.


The Japanese-American client.

The Japanese-American client.


Borrowing habits among low-income black women.


Sexual assault victims.

Sexual assault victims.


Patch work: a comparative study of the organisation of the work of health visitors.


A first experience of planning health visiting aims in a group practice.


'Appointments book rules, O.K?

'Appointments book rules, O.K?


Administering medications to children.

Administering medications to children.


Interventions with the adolescent drug user and the family.


Breast feeding and drugs: nursing implications.


The expanding role of the pharmacist in pediatric medicine.


Cancer chemotherapy in children.

Cancer chemotherapy in children.


The use of [14C]eukaryotic initiation factor 2 to measure the endogenous pool size of eukaryotic initiation factor 2 in rabbit reticulocyte lysate. [14C]Eukaryotic initiation factor 2 (eIF-2), obtained by reductive methylation of the purified initiation factor, was shown to be active in the unfractionated reticulocyte lysate. This allowed a direct measurement of the endogenous pool size of eIF-2 in rabbit reticulocyte lysate according to the principle of isotope dilution. A value of 20 to 30 pmol/ml of lysate was obtained. Although translational inhibition resulting from hemin deficiency appears to be characterized by a change from catalytic to stoichiometric utilization of eIF-2, the pool size of eIF-2 is too small to account for the normal period of protein synthesis before the onset of translation inhibition. This suggests, therefore, that additional events to eIF-2 alpha phosphorylation may be required for translational inhibition.


Personality correlates in a sample of male nurses in the British Royal Air Force. This descriptive study provides data relevant to two currently popular views of the male nursing image. Firstly, that male nurses tend to prefer the more technological or administrative aspects of nursing and secondly, that they exhibit to an unusually high degree what are commonly thought of as being amongst the more feminine personality traits. The sample consisted of 91 male RAF nurses working in RAF hospitals, and was of predominantly English nationality. Of the 39 SRNs in the sample 65.8% preferred general nursing to the more technical areas such as intensive care, operating theatre, orthopaedic and renal. The preference for general nursing was even greater, 76.1%, amongst the 30 SENs surveyed. The Eysenck Personality Questionnaire (EPQ) and a Level of Aspiration Test (LOA) were used to obtain measures of the personality traits of the sample. The scores obtained showed that the male RAF nurses were significantly less psychotic than male civilian nurses, male civilians or serviceman of similar age. They were also significantly less extraverted than servicemen as a whole and significantly more stable than the male civilian norm. A comparison of SRNs with SENs revealed only two significant differences. The SRNs were significantly less extraverted and had a significantly higher level of adpiration than the SENs.


Theory of nursing: creating effective care. Aspects are identified which are to be considered when attempting to identify those activities we wish to call nursing. Using conceptual analysis by means borderline and model cases, an exposition of the nature of nursing is reached, The process of theory building, the function of theories and their application to what has been identified as the sphere of nursing are explained. The relationship of 'micro theory' and 'paradigmatic theory' are described. The application of theory to nursing education are linked by the use of Peters' (1966) criteria for education. A model attempts to demonstrate the relationships pointed out in the text.


Perspectives and problems on quality of nursing care: an overview of contributions from North America and recent developments in Europe. The author focuses on the quality of nursing care and discusses the major problems inherent in control of the quality of nursing care. The concept of quality is analysed and the approaches of health care professionals to the concept are discussed. An overview of the American contribution to the relevant research is presented together with ongoing deveopments in Europe.


Nursing: the European Economic Community dimension. The author traces the history and discusses the implications of the EEC Nursing Directives, put into the perspective of the nursing histories of the nine countries within the European Economic Community. She focuses, in particular, on the strengths of the nursing profession in the United Kingdom and argues that the Nursing Directives can lead to enhancement of nursing services and nursing education, better cooperation between health care professions and a stronger voice for the nursing profession, throughout the EEC.


Nurses' perception of their psychological role in treating rehabilitation patients: a study employing the critical incident technique. This study presents the theoretical literature on the psychological role of nurses. The nurses' perception of their psychological role is empirically obtained, employing the critical incident technique. General aims and objectives of pschological care of physically ill patients are formulated and are found to generally support the theoretical literature. Nurses were clearly found to perceive their psychological role as covering a very broad spectrum, the ultimate of which was the ability to anticipate and meet the emotional needs of the patient. The importance of implementing the application of social science concepts and methods to nursing is discussed.


The relevance of a philosophical perspective on education. The relevance of philosophy to education is discussed from three aspects. The first concerns the nature of philosophy; the second concerns the nature of education; and the third concerns the nature of the curriculum. These aspects are then followed by an example from the practice of education. The paper ends by outlining some criticisms and conclusions about the relevance of philosophy to education.


The functions of the nurse in an integrated national health service. The British National Health Service was reorganized in 1974 when the hospital services and the community health services, previously administered separately, were brought together into one organization: the Area Health Authority. The reorganization was a culmination of developments triggered off as long ago as 1589 when the first Poor Law Act was passed, but more particularly, the reorganization was the natural outcome of a number of important government and professional nursing reports published during the past 30 years. From 1974 the community and hospital nursing services have, therefore, been amalgamated under the direction of one head of the nursing services: a district (or area) nursing officer, who, together with medical, administrative and financial colleagues, manages the health services on a day-to-day basis in a team managing by consensus. The nurse's role in the management teams is both executive and professional: the nurse's unique contribution is that he/she brings a nursing perspective to management. The new nursing service organization has provided new opportunities for reorientating middle nurse managers to a clinical role. It has also provided opportunities for innovating integrated teams of community and hospital nurses and for developing specialist nursing roles. Nurses are also now able to make other additional contributions to health care by their involvement in health care planning team activities and by their membership of the statutory area and regional nursing and midwifery advisory committees. But, on the whole, changes and influence on health care have been brought about chiefly by changes in the managerial structure of British nursing, which is a perspective of the British nursing profession that seems to have been all pervasive since Florence Nightingale's reforms and which is perpetuated by the powerfully socializing agent of British nurse training. As health care and nursing service organizations should be means towards the end of good patient care, it may be timely to focus on the suggestion of autonomous nurse practitioners supported by a separately organized administrative structure.


Nursing research: problems of aim, method and content.


Simplified ultrafiltration preceding dialysis.


Primary nursing--an easy transition.

Primary nursing--an easy transition.


Superstition and the renal nurse.

Superstition and the renal nurse.


Dialogue with dementia: nonverbal communication in patients with Alzheimer's disease.


Abuse and neglect--not for children only!


Alzheimer's disease: an overview.

Alzheimer's disease: an overview.


Know your community resources: facilitating the life review through group reminiscence.


Please give us love.

Please give us love.


Gerontological nursing education at the associate degree and diploma levels.


Entering the practice of nursing.

Entering the practice of nursing.


The perinatal bereavement crisis. Crisis theory, grief theory, and related psychosocial factors: the framework for intervention.


The perinatal bereavement crisis. Michele and James.


Quality care: easier said than delivered.


The perinatal bereavement crisis. Facilitating the grief process.


Health systems agencies.

Health systems agencies.


A broad perspective on breast cancer.

A broad perspective on breast cancer.


Vaginal lesion: etiology--a malfitting diaphragm?


Why are some women more susceptible to breast cancer?


Breast cancer: special nursing considerations.


Anticipatory guidance for the first two months of life.


Diagnosing breast cancer: the mammography debate.


What price visibility?

What price visibility?


A new concept in glassware depyrogenation process validation.


Grantsmanship: it can be learned. Part I.


Cis-platin stability in aqueous parenteral vehicles.


Use of incremental doses of cobalt 60 radiation as a means to determine radiation sterilization dose.


Alternate avenues: unique career paths for LP/VNs. Public health nursing.


Understanding aging: the physiology of growing older.


There's a place for prayer too.

There's a place for prayer too.


Is the removal of microorganisms by filtration really a sterilization method?


On-line measurement of the gaseous concentration and relative humidity in a 100% ethylene oxide sterilization cycle.


How to help meet your patients' spiritual needs.


Pharmacology update: hypotensive agents. Part II: Antiadrenergic agents.


The 1985 debate: let's professionalize nursing.


The 1985 debate: we can improve care with less drastic measures.


The 1985 debate: college does not make a better nurse.


The 1985 debate: in support of education and unity.


IV therapy: a practical approach to nursing care.


Scleroderma: the more you know, the more you can help.


Demystifying diagnostic procedures. Part IV: Hospital admission--EKGs.


The colostomy patient. Part I: Nursing concerns and considerations.


Why patients learn, why patients fail. Factors that influence patient compliance.


The elderly alcoholic.

The elderly alcoholic.


Volunteers: a help or a nuisance? That largely depends on you.


Alternate avenues: unique career paths for LP-VNs. Industrial nursing.


Feelings never grow old.

Feelings never grow old.


Psychogeriatrics.

Psychogeriatrics.


An EM radiation safety controller.

An EM radiation safety controller. A safety control system has been developed for use in high power RF/microwave radiation exposure facilities. The system features Fail-Safe RF detectors, visible "RF ON" indicators, door-status sensors and digital logic to maintain safe operating conditions in spite of human errors or unsafe equipment malfunctions.


Entry into practice: an update.

Entry into practice: an update.


Lenghthening labyrinth, diminishing days: the future of nursing.


Corporation for Independent Practice of Nursing.


ASHA resolutions--a report and an invitation.


Task differentiation among elementary, middle and high school nurses.


Follow-up survey results of medication used to treat hyperactive school children.


Utilization patterns of a rural elementary school health--sickroom.


Formative evaluation of a sex education course for young adolescents.


A comparison of the cognitive effects of two prototype health education curriculums on selected elementary school children.


Adolescent perceptions of sex education needs: 1972-1978.


Children's perceptions of vulnerability to health problems from a cross-cultural perspective.


An instrument to appraise attitudes of college students toward euthanasia.


Primum non nocere.

Primum non nocere.


On the science and art of health education.


Are you working too hard?

Are you working too hard?


The spiritual aspects of health.

The spiritual aspects of health.


The Barangay health workers: multipurpose health workers in Manilla.


Study tour appendix continued.

Study tour appendix continued.


The Hornsby and Ku-ring-gai Hospital Nurses Graduation Ceremony.


A.C.T.U.-A.C.S.P.A. submission on the Child Care Act.


Current trends in nurse education in the United Kingdom.


Case history--hyperthermia.

Case history--hyperthermia.


Pharmaceutical review.

Pharmaceutical review.


On your mark--new assessment techniques for determining eligibility for midwifery registration.


Feature study tour index (conclusion).

Feature study tour index (conclusion).


Mental disturbance and adolescence: an appraisal.


The hypochondriac with the broken leg in bed one: a case for liaison psychiatric nursing.


We can get there from here.

We can get there from here.


Your license: how you and the law can protect it.


A survey of patient education program in Michigan hospitals.


Maternal alcohol ingestion and pregnancy.


The benzodiazepines.

The benzodiazepines.


Royal Commission on the National Health Service.


The Association of Radical Midwives.

The Association of Radical Midwives.


The 'road to health'--child health in developing countries.


Contraception for teenagers.

Contraception for teenagers.


Nurses and accident prevention.

Nurses and accident prevention.


Sexual relations in pregnancy.

Sexual relations in pregnancy.


Health education and infant feeding - does mother know best?


Australian study links excess heat with birth defects.


Development of programmes to prepare the midwife for education of parents for childbirth and parenthood.


From a Council member's seat.

From a Council member's seat.


Breast feeding today.

Breast feeding today.


Libraries and the midwife. 1. Introduction to libraries and literature.


The pain is gone.

The pain is gone.


Case study: twin pregnancy and ectopic pregnancy.


Respiratory syncytial virus theory on Naples' deaths.


Mental health care in the Lower Rio Grande Valley.


A position paper on the role of the professional nurse in school health.


Governmental health nursing within the community nurse's practice.


The Bachelor of Science in Nursing Program at Southwest Missouri State University.


Stress and the intensive care unit: the family's perception.


Communication of sexual problems in office gynecology.


Physical assessment of the neonate.

Physical assessment of the neonate.


Preparation for parenthood.

Preparation for parenthood.


Induction of labor.

Induction of labor.


The competencies of professional nurse graduates at time of licensure.


Perspectives on licensure and the grandfather clause.


The battle goes on.

The battle goes on.


Guest editorial: of economists and economics, ceteris paribus.


From reform to relativism: commentary.

From reform to relativism: commentary.


Comment on Fox and his commentators.

Comment on Fox and his commentators.


Research in resource allocation in a prepaid group practice. Much that has been written about the concept, operation, and performance of HMOs--their use of resources compared with other health service systems--masks the real differences among HMOs themselves. Investigation of autonomous units within a unified HMO program shows a surprising diversity. Analytic formulations drawn from long-term and large-scale research fail to account for variations in staffing, budgeting, rate setting, and expansion when applied to institutional research. Judgment of intangibles remains a key aspect of most major decisions.


Gaps and voids between nursing service and education.


On the scene: organizational structures of nursing services at Northwestern Memorial Hospital.


Service and education together: a working model.


The adjunct appointment can provide realistic experience for leadership students.


Point of view: nursing service and education, is there a chasm?


NAQ forum: nursing education--gaps and voids.


The continuing practice unit.

The continuing practice unit.


The gingham dog and the calico cat.

The gingham dog and the calico cat.


The dichotomy--an educator's viewpoint.

The dichotomy--an educator's viewpoint.


Who bridges the gap?

Who bridges the gap?


Pitfalls in developing nurse internship programs.


On the scene: uniting service and education at Rush-Presbyterian-St. Luke's Medical Center.


Perspectives on nursing education: the transition process.


The bond.

The bond.


The ABCs of ABGs or how to interpret a blood gas value.


Two professions, two perspectives.

Two professions, two perspectives.


When infection leads to acute glomerulonephritis here's what to do.


Mrs. Elliot wasn't just overbearing - she was overwhelming.


Helping the family withstand the stress of disease. Nursing grand rounds.


Give your patient more personal space.

Give your patient more personal space.


Why the MS patient needs your help.

Why the MS patient needs your help.


Vision testing for special children.

Vision testing for special children.


The dollars and sense of nurses' salaries. Part 1.


Some views on nursing management.

Some views on nursing management.


Can appraisal systems work?

Can appraisal systems work?


Why do nurses go "off sick"?

Why do nurses go "off sick"?


The role of nurse managers - using imagination.


Focus on nursing.

Focus on nursing.


Nursing administration - looking to the future.


Occupational first aid. No. 7. Epilepsy.


Smoking under fire.

Smoking under fire.


Double standards.

Double standards.


How others see us--the OH nurse's view of the safety officer.


Safety: constructive criticism.

Safety: constructive criticism.


Counselling case studies.

Counselling case studies.


Occupational first aid. No. 8. Emergency bags: be prepared competition.


Spelling out the facts of death.

Spelling out the facts of death.


The ethics of the industrial physician.

The ethics of the industrial physician.


What can OH nurses prescribe?

What can OH nurses prescribe?


Pass on the lifting message.

Pass on the lifting message.


Safety: protecting laboratory workers.

Safety: protecting laboratory workers.


VDUs--a suitable case for treatment?

VDUs--a suitable case for treatment?


Where are students in the conflict between "real" and "ideal" nursing practice?


Trichomoniasis and other sexually transmitted diseases.


Single number measures of hearing protector noise reduction.


Mass psychogenic illness.

Mass psychogenic illness.


Who am I? How am I seen? What can I do about it?


The Catherine R. Dempsey Memorial Lecture. Bioethics and the occupational health nurse.


Stress due to nuclear accident: a survey of an employee population.


Hypertension counseling.

Hypertension counseling.


NLN survey on national health insurance.


Biofeedback for COPD patients.

Biofeedback for COPD patients.


The carpal navicular bone.

The carpal navicular bone.


Ankle replacement arthroplasty.

Ankle replacement arthroplasty.


Bone tumor quiz.

Bone tumor quiz.


Orthopedics in the operating room: a self assessment.


Types and usage of orthopedic shoes.

Types and usage of orthopedic shoes.


Circulatory conditions and related bone diseases.


Arthroscopy.

Arthroscopy.


Infection and procedures - an overview.

Infection and procedures - an overview.


Anatomical considerations and design features of total wrist joint.


Microvascular technique in orthopedic surgery.


Trauma quiz (hip dislocation).

Trauma quiz (hip dislocation).


Pulled elbow or babysitter's elbow.

Pulled elbow or babysitter's elbow.


Home instructions: amputee with prosthesis.


Trauma.

Trauma.


Emergency care of an alligator.

Emergency care of an alligator.


Fat embolism syndrome: a synthesis of current concepts.


X-ray interpretation. Test your skill.

X-ray interpretation. Test your skill.


Bone structure and function: a self study.


Infection in the orthopedic surgical patient.


Genetics in orthopedics.

Genetics in orthopedics.


Screening of newborn infants for hip dysplasia - the role of the orthopedic nurse.


Variations of the lower extremity in children.


Osteogenesis imperfecta.

Osteogenesis imperfecta.


Spondylolisthesis in the adolescent.

Spondylolisthesis in the adolescent.


School screening for spinal deformity.

School screening for spinal deformity.


Scoliosis questionnaire.

Scoliosis questionnaire.


Volkmann's ischaemic contracture: a complication following elbow injuries.


Chondrosarcoma.

Chondrosarcoma.


Pre and postoperative visits.

Pre and postoperative visits.


Reflex sympathetic dystrophy.

Reflex sympathetic dystrophy.


The nurse and the patient in pain.

The nurse and the patient in pain.


Adapting patients to their home environment.


Carpal tunnel syndrome.

Carpal tunnel syndrome.


Preoperative education for the total hip patient.


A search and rescue operation in British Columbia.


Meniscal lesions: diagnosis and surgical management.


The hinged long arm cast brace: an alternative to long arm casts.


Werdnig-Hoffmann's disease.

Werdnig-Hoffmann's disease.


Ganglia.

Ganglia.


Gout: diagnosis and therapy.

Gout: diagnosis and therapy.


Orthopedics in the emergency room: sprains and strains.


Chronic instability of the knee.

Chronic instability of the knee.


A means to provide patient education: "Rx package inserts, patient package inserts, device labeling".


Traction review.

Traction review.


X-ray interpretation.

X-ray interpretation.


Standards for nursing practice VIII ANA standard V: client/patient participation in care.


Recent surveys show John Q. Public thinks nurses function best as handmaidens to the physician.


Practice advisory.

Practice advisory.


Board adopts position on fetal monitoring.


Practice commission completes its pilot project in quality assurance.


Personality profile - Wintermeyer: clinical nurse specialist serves as role model.


Nurse-initiated change: a success story.


Common deformities of the lower limb.

Common deformities of the lower limb.


Attachment behaviors in abused children.


Ileal loop undiversion--a collaborative nursing approach.


The challenges of the PNP/A movement.

The challenges of the PNP/A movement.


Not for parents only: instructions for preparing formula.


Nurses launch successful political action.


Omphalocele: coping with a surgical emergency.


Urinary tract infections in children.

Urinary tract infections in children.


Developing a child's self-esteem.

Developing a child's self-esteem.


NAPNAP awarding continuing education units.


Nurses' exchange: charting preventive services.


The entry into practice quagmire.

The entry into practice quagmire.


Pediatric management problems. Epilepsy.


Why circumcise?

Why circumcise?


Play and learning in the first year: new insights.


Recognition, evaluation and management of the hyperactive child.


Dealing with the threats of hospitalization.


The entry into practice resolutions.

The entry into practice resolutions.


Early childhood masturbation: a developmental approach.


3 Strikes against our children: a PNA's concern.


A teaching-learning guide for parents. Home care for the child with an upper respiratory infection.


Testing for process: simulation and other alternative modes of evaluation.


Developing tests to evaluate student achievement in baccalaureate nursing programs.


Perspectives for nursing and goals of the National League for nursing 1979-1981.


Working paper of the NLN task force on competencies of graduates of nursing programs.


Infant restraints.

Infant restraints.


Teacher-made tests: from planning through interpretation.


The restricted response test: one alternative to multiple choice and essay tests.


Evaluation of the affective aspects of clinical performance.


Can a bureaucratic octopus play well?

Can a bureaucratic octopus play well?


Pediatric management problems: hydrocele associated with inguinal hernia.


Political, social, and educational forces on nursing: impact of social forces.


Some philosophical considerations in nursing's response to social forces.


Ethical aspects of decision making in nursing.


The group psychotherapist: a new breed.

The group psychotherapist: a new breed.


An alternative to constant observation: the Behavioral Check List.


Legal aspects of social trends in nursing.


A judgment of merit--evaluation of programs in nursing: methodology.


Therapy Latino style: implications for psychiatric care.


Evaluation as a tool for program improvement.


Communication through art therapy.

Communication through art therapy.


Program evaluation--a systematic means of program improvement.


The methodology of collecting, handling, and analyzing data.


The NLN pre-nursing and guidance examination--a validation study.


Associate degree nursing-problem or solution?


Facts and myths about nursing legislation.


Academic litigation as educational consumerism.


College teaching: putting the pieces together.


College teaching: putting the pieces together. Introduction.


Identification of learning styles.

Identification of learning styles.


Competencies of graduates of educational programs in practical nursing.


Implications of the Tuma decision.

Implications of the Tuma decision.


Words, words, words.

Words, words, words.


Patient classification system and outcome criteria.


How useful is the preclinical conference?


Client response to student home visits.

Client response to student home visits.


Quality assurance: examination of the concept.


Some common flaws in multiple choice exam questions.


The student and the alcoholic patient.

The student and the alcoholic patient.


A seminar for minority students.

A seminar for minority students.


Experiences in a weekend program.

Experiences in a weekend program.


Model, not maverick.

Model, not maverick.


A nurse for all settings: the nurse practitioner.


Cost of terminal care: home hospice vs hospital.


The RN student--unique characteristics, unique needs.


Community health nursing in a diploma program? Yes!


Using art therapy techniques in staff and patient education.


Evaluating clinical proficiency.

Evaluating clinical proficiency.


Do new graduates use conceptual frameworks?


Diploma programs in nursing accredited by the NLN Sept. 16, 1979-Sept. 15, 1980.


The effects of the patient's diagnosis on professionals and students in a psychiatric setting: a labeling perspective.


Using the generation gap to ease changes in life style.


The effect of pre-term infants' decreasing mortality on their future morbidity: preliminary examination of long-term outcomes of stimulation programs for pre-term infants.


Advantages of the nurse-patient contract.


Deviance and education for leadership: a response.


Deviance and education for leadership.

Deviance and education for leadership.


Specifying affective behavioral indicators in nursing.


Specifying affective behavioral indicators in nursing: a response.


Comparison of primiparas' perceptions of vaginal and cesarean births. Twenty primiparous mothers who had cesarean births were compared with 30 primiparous mothers who had vaginal deliveries to determine differences in their perceptions of the birth experience. The effect of general versus regional anesthesia on the satisfaction level of the cesarean mothers was also investigated. All subjects were between 20 and 32 years of age, were interviewed within 48 hours postpartum, and completed a 29-item questionnaire that measures maternal perceptions about the labor and delivery experience. Satisfaction with the birth experience was significantly lower among cesarean mothers and among those who had general anesthesia. The cesarean group displayed greater hesitancy in naming their infants and tended to view their deliveries as abnormal and having social stigma. The presence of a support person in the operating room for a cesarean birth seemed to lessen anxiety among these mothers. These findings suggest that a cesarean birth has a negative impact on the mother's perceptions of her labor and delivery experience. There is a need for further study of factors that can enhance this experience for families.


Statistical reporting: how accurate? How appropriate?


Rape: the process of recovery.

Rape: the process of recovery. Based on tape-recorded interviews with 11 rape victims, the victims' reports of rape, rape sequelae, and disruptions of the social system were analyzed. Victims who articulated their feelings were able to cope with fears, interact with others, and return to normal routines faster than those who did not discuss their feelings.


Nursing education in West Africa.

Nursing education in West Africa.


Attitudes of psychiatric nurses toward same sex orientations. This descriptive survey attempted to discern attitudes of a sample of 67 psychiatric nurses toward lesbianism. The sample included nurses employed at two midwestern psychiatric facilities and students beginning the masters program in psychiatric nursing at a midwestern university. Two questionnaires were administered: MacDonald's Attitude toward Homosexuality Scale--Female (ATHS--F) and the TAW Attitude toward Lesbianism Scenario. Scores on the ATHS--F range from 28 to 252, reflecting increasingly negative attitudes toward lesbianism; scores for this sample ranged from 28 to 232. Demographic variables which showed relationships to ATHS--F scores were type of education (p = .058), religious preference (p = .002), and level of religious devotion (p = .001). The TAW scenario proved more efficacious in determining affective components of attitudes than behavioral aspects.


Prenatal nipple conditioning for breastfeeding. Twenty-two primigravida women who planned to breastfeed began conditioning their nipples six weeks before their expected delivery date by nipple rolling twice a day for two minutes each time; providing gentle friction against the nipple with a terry cloth towel for 15 seconds once a day; and nipple airing for two hours a day, allowing outer clothing to rub against the nipple. Each woman served as her own control, conditioning one nipple but not the other. No nipple ointments or soap were used on either nipple during the course of the study. Each woman was given instructions on breastfeeding techniques to be used after delivery. The women completed two checklists: One revealed how consistently they followed the nipple-conditioning regime; with the other, they rated nipple pain on each breast, for every nursing, during the first five days postdelivery. Ratings were: 1--negligible pain or no pain, 2--definite pain, 3--extreme pain. Seventeen women successfully completed the study. Effect of skin color on the amount of nipple pain was also investigated. The prenatal nipple-conditioning regime significantly reduced the amount of total nipple pain experienced during the first few days of breastfeeding. The amount of extreme pain experienced on the conditioned nipple was significantly (p less than .01) reduced compared to the control nipple. Fair-skinned women reported more nipple soreness on unconditioned nipples, and olive-complected women reported significantly (p less than .01) less nipple soreness on unconditioned nipples.


Re: 'Competence of Nursing Graduates in Technical, Communicative, and Administrative Skills'.


Re: 'Relationship between Length of Time and Contamination in Open Intravenous Solutions'.


Systems of life. No 55. Calcium homeostasis. 2. Clinical disorders.


Speakman - it's good news for nurses - but what happens next?


Measures of transactional analysis ego states for nurses. Factor analysis of 432 registered nurses' responses to three measures of the transactional analysis ego states of parent, adult, and child were run in order to develop shorter scales tailored to nurses. The analysis resulted in four 10-item scales labeled parent, adult, adapted child, and natural child. Reliability coefficients ranged from .79 to .85. Interscale correlations ranged from -.20 to .18. Means, standard deviations, and percentile scores were presented for each scale. Implications for nursing research are discussed.


Nursing staff attitudes toward the geriatric nurse practitioner student. This study investigated nursing staff attitudes toward the geriatric nurse practitioner as an agent of change in a long-term care facility, based on two University of Miami GNP students' practicum in a county nursing home. Nursing personnel were surveyed before and after the practicum to measure their acceptance of the GNP. While nursing staff initially held a wait-and-see attitude, posttest ratings were favorable. Recommendations for improving quality of care in the setting were made by student participants, and a six-month follow-up revealed that a number of changes had been implemented.


Top Posts Review.

Top Posts Review.


Reasons for rocking the boat.

Reasons for rocking the boat.


Concerns of final semester baccalaureate nursing students. At 10 taped group meetings data pertaining to concerns of 19 final semester baccalaureate nursing students were collected. When data were categorized according to task-, self-, or client-related concerns, an important finding was the low frequency of client-related concerns. Recommendations and suggestions for further research were made.


Newsmakers: 'A very exciting time for nurses'.


Insider-out: the health worker as researcher. This article discusses two dimensions related to the insider-outsider dilemma in conducting anthropological research in the health setting. One dimension concerns advantages of the insider's special knowledge in selecting and conducting successful research in a health institution. The other dimension deals with the ambiguity and confusion of roles attributed by staff to the investigator who may be seen as practitioner as well as social scientist. The patient may also see the researcher as performing dual, and possibly conflicting, roles. The advantage gained in the first dimension may be negated, to some extent, by the disadvantages associated with the second.


Blocked- and integrated-content baccalaureate nursing programs: a comparative study. This study evaluated the differences between blocked- and integrated-content baccalaureate nursing programs related to faculty satisfaction, senior students' critical thinking ability, and students' state board examination performance. Faculty satisfaction had 10 factor scores--7 directly teacher-related factors and 3 indirectly teacher-related factors. Analysis of 85 faculty members by a one-dimensional, nested multivariate analysis of variance design revealed that faculty satisfaction was not a function of the type of content program. Analysis of 104 senior students by a one-dimensional, nested univariate analysis of variance design revealed no significant difference in critical-thinking ability between the two types of content programs. When 230 students' SBE scores were subjected to a one-dimensional, nested multivariate analysis of variance, blocked-content program students scored significantly higher than integrated-content program students. Recommendations for further study are made.


Give us this day.

Give us this day.


Effect of family preparation on the state anxiety level of the CCU patient.


Pressure scores - 2. A survey in Macclesfield.


Nurses' knowledge of glycosuria testing in diabetes mellitus.


A study on incontinence in a psychiatric hospital.


A laboratory evaluation of incontinence underpads.


The Kylie.

The Kylie.


Rudiments of care - 5. Helping the patient communicate with others.


Top posts review: the end--or the beginning?


Nurse could you care more?

Nurse could you care more?


The ageing brain: the problem before us.


First at the scene: advanced ambulance training.


First at the scene: the mobile resuscitation training crew.


First at the scene: the relief of pain at an accident. Entonox has proved to be a valuable and relatively safe analgesic.


Hallamshire Hospital: it did happen...but ever so quietly.


Nursing care studies: an 82-year-old man with a highly malignant reticulosis. A patient with acute exacerbation of chronic bronchitis and congestive cardiac failure.


Rudiments of care. 6. Protecting patients and others.


Nurses and the law. 12. Confidentiality.


At the receiving end.

At the receiving end.


First-line management training: the setting up of a programme within Warwickshire AHA.


Decision making on the district.

Decision making on the district.


Cancer chemotherapy: a guide for nurses. Side-effects of chemotherapy.


The first line of defence.

The first line of defence.


Intensive care of the newborn. 1. The low birth weight baby.


Nursing care study: a patient with a fractured facial skeleton.


Behaviour therapy with the mentally handicapped.


Bringing people back to nursing: the hospitals of today need the nurses of yesterday.


Studying work.

Studying work.


Radiotherapy. 6. Moulds and markers.

Radiotherapy. 6. Moulds and markers.


The Royal Commission on the NHS.

The Royal Commission on the NHS.


'A report to make people think'.

'A report to make people think'.


Teaching the nursing process: the nursing process--handle with care.


Teaching the nursing process: a challenge for nurse teachers.


Intensive care of the newborn. 2. Respiratory distress: its cause and management.


Tuberculosis: specialty or just another disease?


A trial of a new ostomy system.

A trial of a new ostomy system.


Systems of life. No. 56. The adrenal glands - 1.


The loss of dentures in hospital.

The loss of dentures in hospital.


The greatest challenge.

The greatest challenge.


Beautiful things keep happening.

Beautiful things keep happening.


The many faces of stress.

The many faces of stress.


Si tibi deficiant medici - (if you would be free of physicians).


Nursing care study: circumcision as a day case.


Tennis elbow.

Tennis elbow.


Teaching the nursing process: the nurse educator.


Teaching the nursing process: the nursing process--a conflict for nurse teachers?


Intensive care of the newborn--3. Disorders in the newborn--1.


Data protection.

Data protection.


The importance of being Ernest.

The importance of being Ernest.


Watch the patient - not his blood gases.


Counselling: sharing the burden.

Counselling: sharing the burden.


Counselling.

Counselling.


The nurse counsellor's role at St Thomas'.


Counselling: the nurse counsellor's role at Guy's.


Counselling: the nurses I know.

Counselling: the nurses I know.


Counseling: patient counselling and education.


Nursing care study chronic schizophrenia.


Teaching the nursing process: the nursing process - a framework for care studies.


Intensive care of the newborn--4: Disorders in the newborn--2.


Nurses and the law. 13. Life and death.

Nurses and the law. 13. Life and death.


Emergency resuscitation in a psychiatric hospital.


Management audit - the Exeter method.

Management audit - the Exeter method.


Cancer chemotherapy: a guide for nurses. Outpatient and in-patient treatment.


Euro-hiccoughs.

Euro-hiccoughs.


Nurse could you care more?

Nurse could you care more?


After the act: an opportunity within our grasp.


Women of the world, unite.

Women of the world, unite.


Some thoughts after 30 years nursing.

Some thoughts after 30 years nursing.


Intensive care of the newborn. 5. Deborah: a spina bifida baby.


A new gastric bag.

A new gastric bag.


In the midst of death.

In the midst of death.


Nursing care study: the riddle of communication - I.


Meniscectomy.

Meniscectomy.


Teaching the nursing process: revitalising the nursing care plan.


Teaching the nursing process: a clinical teacher's view.


Survey of skin conditions occurring in long-stay and psychogeriatric wards.


Acute myocardial infarction.

Acute myocardial infarction.


A visit to Split.

A visit to Split.


Technology in nursing: radiotherapy. 7. Simulators.


Achievement and conflict in undergraduate nurses.


Monitoring nurse-patient conversation in a ward.


Getting it together.

Getting it together.


Familiar problems in a foreign place.

Familiar problems in a foreign place.


Nurse could you care more.

Nurse could you care more.


What's wrong with being a ward sister anyway?


Accountability for nursing care -- towards a new structure.


Weaning -- fact and fashion.

Weaning -- fact and fashion.


Teaching the nursing process: a framework for the nursing process: problem-oriented recordings.


An experiment in health education.

An experiment in health education.


Nursing care study: the riddle of communication -- 2.


Intensive care of the newborn. 7. Experiences with newborn and very young infants.


Educational aspects of a geriatric secondment.


Quality of life for the elderly.

Quality of life for the elderly.


An identity crisis resolved.

An identity crisis resolved.


Five on a course.

Five on a course.


A survey of systems in use for disposal/disinfection of bedpans and associated equipment.


Research for nursing.

Research for nursing.


Education for care.

Education for care.


The making of angels.

The making of angels.


Rehabilitation of a patient after cerebrovascular accident.


Nursing staff deployment.

Nursing staff deployment.


The riddle of communication-3.

The riddle of communication-3.


Intensive care of the newborn--8. A baby with gastroschisis.


The effect of hospitalization on the developmental tasks of childhood.


Infant nutrition and obesity.

Infant nutrition and obesity.


Avoiding and distancing a descriptive view of nursing.


Nursing research: its direction and future.


Death in the afternoon.

Death in the afternoon.


The sexist in nursing: who is she?

The sexist in nursing: who is she?


Patients' rights--choices in self-care.

Patients' rights--choices in self-care.


Killer diarrhoea need not kill.

Killer diarrhoea need not kill.


Child care has changed in Kasai Mohalla.


Mother and child health: a fact sheet.

Mother and child health: a fact sheet.


A health child, a sure future: World Health Day 1979.


Health care: focus on the child and mother.


Protection for every child from preventable diseases.


Research orientation in nursing-XII.

Research orientation in nursing-XII.


Nutrition and child health.

Nutrition and child health.


Illness and pain--the psychological aspect.


Dr. Sankaran speaks on nursing affairs.

Dr. Sankaran speaks on nursing affairs.


Habitat--for whom?

Habitat--for whom?


The role of the nurse in alleviating anxiety in hospitalized patients.


The role and status of a nurse in hospital setting - some problems.


Abel Wolman's charter.

Abel Wolman's charter.


Public health education through primary health centres.


Health personnel: nurses and para-medical manpower.


A case study: congenital hypertrophy of the pylorus.


Health care system-related factors affecting population control.


Trends in utilisation of maternal care services in a rural community.


Sleep well, night nurse!

Sleep well, night nurse!


The right ot strike.

The right ot strike.


Education in the shadow of apartheid.

Education in the shadow of apartheid.


Layman's guide to common complaints: 7. Burns and scalds.


Specifically objective.

Specifically objective.