A course in behaviour modification.

A course in behaviour modification.


The effect of pregnancy on patients receiving group therapy.


A home for Anna-Maria.

A home for Anna-Maria.


Social skills training for psychiatric patients.


Nursing care study: glaucoma.

Nursing care study: glaucoma.


[Behavioural principles: a multi-disciplinary approach to the management of severely mentally handicapped children].


OH care for NHS staff - 4. Counselling, absenteeism and research.


Cancer of the tongue.

Cancer of the tongue.


Nurses and the law - 5. The Mental Health Act.


Nurses and the law of Scotland. Wills.

Nurses and the law of Scotland. Wills.


A student nurse in outpatients.

A student nurse in outpatients.


Initial assessment of the multiply injured patient.


Blunt trauma to the neck.

Blunt trauma to the neck.


Chest injuries--adding insult to injury: mediastinal emphysema.


Blunt abdominal trauma.

Blunt abdominal trauma. Blunt abdominal trauma is a possible sequel of many accidents and can result in death from hemorrhage or sepsis if it is not detected early and managed aggressively. A thorough history of the causative accident, a systematic abdominal examination, selected laboratory studies, and x-ray films are helpful in establishing the diagnosis. Peritoneal lavage is, however, the most reliable assessment tool (besides an exploratory laparotomy) for confirming significant viscus injury and intra-abdominal hemorrhage. Nurses who are assisting in the evaluation of trauma victims should be thoroughly familiar with the mechanics responsible for blunt abdominal injury, the initial steps for stabilizing the victim, and the usual tests and procedures that aid in diagnosis.


Emergency nursing care of the burned patient. The emergency nursing care of patients with major burns presents one of nursing's greatest challenges. Priority is given to lifesaving measures. After a quick overall assessment, a careful estimate of fluid and electrolyte loss is made. An issue in burn care is whether colloids should be given in the immediate postburn period. Large amounts of fluid are always given, and balanced salt solutions are being used increasingly without colloid. The patient's response to fluid therapy can be monitored by central venous pressure readings, vital signs, and hourly measurements of urinary output. Psychologic and physiologic stress intensify the problems and should be kept to a minimum. Only after other aspects of care have been attended is attention directed to care of the burn wound.


Autotransfusion--a technique for the trauma patient. The use of autotransfusion--the retrieval and reinfusion of shed blood--has been demonstrated to be a beneficial therapeutic modality for the trauma patient. The use of autotransfusion is indicated for major blood losses of the patient who experiences blunt or penetrating trauma and has an external or a cavitational bleeding source. Advantages and disadvantages are numerous. It does appear that because of the low incidence of complications and the many advantages, autotransfusion will become a widespread resuscitative technique for use with the trauma patient. The procedure also has clinical application for those other than trauma patients. The nursing implications suggested by this new modality are many, including legal considerations, safety factors, protocol adoption, and new nursing roles. Perhaps the most positive benefit to nursing is the opportunity for clinical nursing staff (ER and OR) to become involved in nursing research that they can apply directly to their clinical setting.


The psychologic impact of trauma.

The psychologic impact of trauma.


Development of a regional trauma center: nursing approach.


Symposium on the nursing management of the cancer patient receiving chemotherapy: foreword.


Cancer chemotherapy--a nursing model.

Cancer chemotherapy--a nursing model.


People with Hodgkin disease: the nursing challenge.


Nursing management of the adolescent: the effect of cancer chemotherapy on psychosocial development.


Nursing the woman receiving adjuvant chemotherapy for breast cancer.


Nursing process and chemotherapy for the woman with cancer of the reproductive system.


EGA: a welcome reprieve.

EGA: a welcome reprieve.


The nursing officer's guide to management. 3. Leadership and making decisions.


Pilot beware!

Pilot beware!


Managing the violent patient.

Managing the violent patient.


The interpretation of psychopathology.

The interpretation of psychopathology.


Security systems in high-security hospitals.


Violence in the home.

Violence in the home.


Helping patients to help themselves. 3. Patients with Parkinsonism and multiple sclerosis.


Just passing through - to independence.

Just passing through - to independence.


Leeches in medicine (they still hang on!).


The nursing officer's guide to management. 5. Training and development of staff.


The nursing officer's guide to management. 6. Industrial relations.


Sign of the running man.

Sign of the running man.


Tumours of the bone.

Tumours of the bone.


Nursing care study: disseminated sarcoma.


Let's not poison the breast milk!

Let's not poison the breast milk!


Immunology - why bother?

Immunology - why bother?


Helping patients to help themselves. 4. The elderly patient.


Case load - with a difference.

Case load - with a difference.


Democracy stifled in the NHS.

Democracy stifled in the NHS.


The nursing officer's guide to management. 9. The wider setting.


The nursing officer's guide to management. 10. Money matters.


The big unisex wards controversy: more laughter, less tension; vive la différence!


Healthy competition.

Healthy competition.


Where now for male midwives?

Where now for male midwives?


Sickle cell--menace in the blood.

Sickle cell--menace in the blood.


Some inborn errors of metabolism.

Some inborn errors of metabolism.


Sex problems in marriage.

Sex problems in marriage.


Psychiatric nursing today. 3. Care conflicts. 4. Training and career development.


Wednesday's children.

Wednesday's children.


The uniform that brings confidence.

The uniform that brings confidence.


Record keeping - a boon or a bind? 3. The forward.


Community nursing: undergrads' nurse: self-confidence rewarded.


The case of the 'Scarborough Three.'.

The case of the 'Scarborough Three.'.


Epilepsy symposium. Basic concepts and diagnosis.


Epilepsy symposium. Nursing management.

Epilepsy symposium. Nursing management.


Epilepsy symposium. Anchor-man - the GP.


Epilepsy symposium. Drug treatment.

Epilepsy symposium. Drug treatment.


Psychiatric nursing today. 5. Better than Briggs.


Immigrants: do we understand them enough to help them? 1. Identifying the problem.


The impossible client.

The impossible client.


Epilepsy symposium. Part 2. Psychological changes.


Epilepsy symposium. Part 2. Chronic idiopathic epilepsy.


Epilepsy symposium. Part 2. Epilepsy and convulsions in children.


Nursing care study: curing a nine-year fixation.


Aphasia and the nurse. Part 1.

Aphasia and the nurse. Part 1.


Glue ear.

Glue ear.


Making a speech.

Making a speech.


Learning to learn again.

Learning to learn again.


Immigrants: do we understand them enough to help them? 2. Background.


Sensory deprivation - a primary concept of nursing.


Is your medicine really necessary?

Is your medicine really necessary?


Fashionable priorities.

Fashionable priorities.


Physiotherapy for occupational health nurses. 1. Introduction.


Urethral stricture in the male.

Urethral stricture in the male.


Psychiatry as an emergency service.

Psychiatry as an emergency service.


The effect of footwear on venous pressure at the ankle.


Reassurance unobtainable.

Reassurance unobtainable.


Aphasia and the nurse. Part 2.

Aphasia and the nurse. Part 2.


Attachment scheme or geographical patch?


Community nursing: relief for the sensitive stoma.


Immigrants: do we understand them enough to help them? 3: Foreground.


Improving the quality of antenatal care.


Beyond the protocol.

Beyond the protocol.


NrDx - what?

NrDx - what?


The law.

The law.


Living with cancer.

Living with cancer.


Breast cancer and weight gain: an unexpected finding.


Institutional growth - to be embraced or avoided?


"What the heck is PSRO?".

"What the heck is PSRO?".


Which way to the playground, Alva?

Which way to the playground, Alva?


Whatever happened to accreditation?

Whatever happened to accreditation?


Concepts of illness and health care intervention in an urban community.


Writing criteria (4th article in series on quality assurance).


Reaching out to improve health and welfare at the barangay level.


The nurse as a health worker--new horizons.


Parents' perceptions, attitudes, and needs regarding sex education for the child with myelomeningocele.


Integration in the nursing curriculum.

Integration in the nursing curriculum.


Temporal experience and motor behavior among the aging.


Community-oriented curriculum at the Pamantasan ng Lungsod ng Maynila College of Nursing.


The effect of nonnutritive sucking on transcutaneous oxygen tension in noncrying, preterm neonates.


The association of knowledge and perception of medications with compliance and health states among hypertension patients: a prospective study.


What is a module?

What is a module?


The educational qualifications, experiences and training of full-time clinical instructors in some schools of nursing in selected regions in Luzon and how these affect their performance: an appraisal.


How to design a module.

How to design a module.


Philippine nurses: bust after a boom.

Philippine nurses: bust after a boom.


Supply and demand of nurses.

Supply and demand of nurses.


Nursing personnel recommendation, 1977.

Nursing personnel recommendation, 1977.


A killer walked the hall. Legally speaking.


When a colleague's drinking becomes your headache. Leadership at work.


In geriatric patients: that 'minor' skin problem could be trouble.


The alcoholic nurse. What we try to deny.


Could you cope with this case? When one small clue can mean survival.


Nursing decisions: series 3; number 9. Experience in clinical problem solving. Mike J.: a young man with a fractured femur. Part 1: traction.


Protecting your patient from hypnotic drug hazards.


What do you say when the baby is stillborn?


Janet's advocacy jitters. Opinion exchange.


Malpractice can also be a crime.

Malpractice can also be a crime.


Aspiration: foiling a silent killer.

Aspiration: foiling a silent killer.


How much dare you tell your patient?

How much dare you tell your patient?


How the 'patient bill of rights' makes honesty easier.


A nurses' guide to sleuthing (or, how to collect evidence, hospital style).


Practical advice about a delicate pediatric problem.


Crushing tablets, opening capsules: when is it safe?


'I failed her...but she made me a nurse.'.


Nursing decisions. Series 3. No. 10. Experiences in clinical problem solving. Mike J.: a young man with a fractured femur. Part II: spica cast.


Cathy's policy caper.

Cathy's policy caper.


When there's a problem of motivation.

When there's a problem of motivation.


Sexism 'devalues' nursing's input.

Sexism 'devalues' nursing's input.


Crisis year ahead for nursing, warns association president.


Three ways of tackling the system.

Three ways of tackling the system.


How to fight: use your voice to work system.


Seminar gives guidelines on how to handle family abuse cases.


More than reputations at stake in nurse discipline procedure.


The chewing response in dogs--various causes and treatments.


Small animal clinical otology. Tumors.

Small animal clinical otology. Tumors.


In vivo and in vitro susceptibility of Treponema hyodysenteriae to carbadox before and after repeated in vitro passage in sublethal concentrations of drug.


Left-displaced abomasum in a beef cow.

Left-displaced abomasum in a beef cow.


Beef bull selection: guidelines to improve reproductive performance.


Ketamine and xylazine anesthesia in the goat.


Conjunctival papilloma in a Hereford bull (a case report).


Results of a clinical study to determine frequency of dosage for amoxicillin trihydrate in cats.


Albendazole in treatment of Mesocestoides corti (Cestoda) infections in dogs.


Compound intussusception in a kitten (a case report).


Use of a modified occipital view for radiographic examination of the skull.


Ovariohysterectomy in dogs and cats.

Ovariohysterectomy in dogs and cats.


Intestinal adenocarcinoma in a cat.

Intestinal adenocarcinoma in a cat.


Intrauterine foreign body in a dog.

Intrauterine foreign body in a dog.


Endoscopic examination of avian gonadal tissues.


Ruptured trachea in the horse: a method of surgical reconstruction.


Diazepam/xylazine/ketamine combination for short-term anesthesia in the horse.


Urolithiasis in a guinea pig (Cavia porcellanus).


How does an individual retirement account (IRA) work?


Trichodectes canis: severe pediculosis in coyotes.


Making the most out of your cash balance.


Planning to incorporate? Here's what to do on a Section 351 transfer of accounts payable.


Restrictions on antibiotics proposed by the FDA: a practitioner's point of view.


Avoidance responding in the show dog.

Avoidance responding in the show dog.


Anal sac infection in a dog as the possible cause of chronic staphylococcal infection in a family.


Gingival hyperplasia induced by sodium diphenylhydantoin in the dog: a case report.


Adverse reaction to quinacrine hydrochloride in a dog.


Root canal therapy in dogs.

Root canal therapy in dogs.


Traumatic subcapsular splenic cystic hematoma in the dog/a case study.


Clinical evaluation of chloramphenicol tablets in dogs.


Congenital anomalies in a Labrador hunting dog.


Large animal practitioner's skyhook.

Large animal practitioner's skyhook.


Milk production by dairy cattle in Pennsylvania and North Carolina after deworming (treatment at freshening and systematically over the first three months of lactation).


Clinical use of a prefabricated casting system (Minute-on) in the horse.


Hard hat: a sensible new look in veterinary haberdashery.


Small animal clinical otology. Necropsy of the ear--1: Gross examination.


Parasitism in the companion bird.

Parasitism in the companion bird.


Internal fixation of a humeral fracture in a Komodo dragon lizard (Varanus komodoensis).


Tax clinic: how much may I deduct for use of a personal automobile for business purposes?


Making out a will is not enough.

Making out a will is not enough.


Job-enrichment improves staff morale and productivity.


The role of the nurse in the field of mental handicap. 2.


Nurse education in Botswana.

Nurse education in Botswana.


Nursing assessment and nursing diagnosis of the client with a cerebrovascular accident.


Patient teaching assignment.

Patient teaching assignment.


Human rights and health care.

Human rights and health care.


Nurse as consumer advocate.

Nurse as consumer advocate.


Infective endocarditis: Part II. Current therapy.


Tell me a story.

Tell me a story.


Giving a great back rub.

Giving a great back rub.


The cell cycle and cancer chemotherapy.

The cell cycle and cancer chemotherapy.


Theoretical framework for coronary care nursing education.


Living with cerebral palsy.

Living with cerebral palsy.


Reducing muscle spasms in a child with cerebral palsy.


Position paper on home care.

Position paper on home care.


Nursing practice standards: where are we at--where are we going?


Nonverbal communication in labor.

Nonverbal communication in labor.


Working with parents of high-risk infants.


What needs to be done about taxes after a person dies?


I have to teach them basic nursing procedures.


Patient care as an excuse for arrest and harassment.


On National Health Insurance.

On National Health Insurance.


Thoracic outlet syndrome.

Thoracic outlet syndrome.


What a rural FNP needs to know.

What a rural FNP needs to know.


Staying well while growing old: how do the elderly view their world?


Staying well while growing old:pre-retirement counseling.


Preventive care in the elderly.

Preventive care in the elderly.


Staying well while growing old: autonomy: a continuing developmental task.


Staying well while growing old:sex and the elderly.


Drugs and the elderly.

Drugs and the elderly.


External drainage of cerebrospinal fluid.


Maintaining the hospitalized child's home ties.


Curriculum in patient education.

Curriculum in patient education.


How long is that thermometer accurate?

How long is that thermometer accurate?


Home early after delivery.

Home early after delivery.


When is an office tax deductible?

When is an office tax deductible?


Statement on flexible patterns of nursing education.


Roles, responsibilities, and qualifications for nurse administrators.


Action at 1978 Convention sets direction for nursing.


Maryland sets precedent nurse midwife law.


Year of the Nurse commands attention nationwide.


Year of the Nurse paves way for increased media coverage.


Incidence and characteristics of antibiotic-tolerant strains of Staphylococcus aureus. Thirty clinical isolates of Staphylococcus aureus were tested for tolerance to oxacillin, cephalothin, and gentamicin by using killing curves and broth dilution susceptibility tests. Tolerance was defined as the presence of>/=100 colony-forming units per ml remaining after 24 h of incubation of the killing curve suspensions. Nineteen of 30 isolates were tolerant to oxacillin and cephalothin, but none was tolerant to gentamicin. Among the tolerant isolates, there was a wide spectrum of tolerance, with from 0.2 to 43% of the colony-forming units in the starting inoculum remaining after 18 to 24 h of incubation. Tolerance was unrelated to phage type or to any of several other characteristics studied.


Has Medibank affected public hospitals?

Has Medibank affected public hospitals?


Developments in family planning overseas. 2.


Nursing practice--whose responsibility?

Nursing practice--whose responsibility?


Multi-level preparation for nursing impact on nursing practice.


The health of Aboriginal and Islander children of urbanized communities.


Childbirth as they like it.

Childbirth as they like it.


The role of the clinical instructor.

The role of the clinical instructor.


Nurses have rights, too.

Nurses have rights, too.


The illusion of Final Authority.

The illusion of Final Authority.


The child in hospital. Play and emotional needs.


Wanted: the professional nurse.

Wanted: the professional nurse.


The case for an urgent decision to approve post-registration nursing degree programmes.


You and the law: minors in the health care system.


Standards: are they really necessary?

Standards: are they really necessary?


A center for self-care hemodialysis.

A center for self-care hemodialysis.


Mothers have needs too.

Mothers have needs too.


A nursing approach to adult aphasia.

A nursing approach to adult aphasia.


Crohn's disease: mourning the losses.

Crohn's disease: mourning the losses.


Digitalis: antiarrhythmic and toxic effects.


Priorities in cancer nursing research.

Priorities in cancer nursing research.


Continuing care unit.

Continuing care unit.


Living with cancer - coping behaviors.

Living with cancer - coping behaviors.


To care for the child at home: discharge planning for the child with leukemia.


Reflections of a cancer nurse.

Reflections of a cancer nurse.


Cancer nursing and the law. Informed consent. A specific case.


Cancer audit: nursing patient-care outcome audit criteria: laryngectomy with radical neck dissection.


Programmed instruction: cancer care. Cancer chemotherapy.


Influence of magnesium on the steady-state-derived order of substrate addition and product release in tRNATrp aminoacylation by beef pancreas tryptophan: tRNA ligase: significance of the deduced mechanism.


Energy expenditure, heart rate, rhythm and blood pressure in normal female subjects engaged in common hospitalized patient positions and modes of patient transfer.


China's nurses: redefining roles to improve health.


Transcultural nursing research with schizophrenics.


Inter-relating nursing care and the social sciences: specialist disciplines in an applied course.


The student nurse as therapeutic consultant.


Menstrual disorders in adolescence.

Menstrual disorders in adolescence.


Chromosomal map location of the methicillin resistance determinant in Staphylococcus aureus. Three-factor genetic crosses performed by transformation have shown that the methicillin resistance determinant of Staphylococcus aureus strain DU4916 (the mec-4916 marker) is linked to a novobiocin resistance (Novr) marker (nov-142) and mutational sites affecting pyrimidine (pyr-141), purine (pur-102), and histidine (hisG15) biosynthesis in S. aureus strain 8325. The linkage group thus defined is pyr-141-hisG15-nov-142-pur-102-mec-4916. Phage 80alpha previously propagated on a novobiocin-resistant, methicillin-sensitive (Mecs) 8325 strain was used to infect 21 novobiocin-sensitive, methicillin-resistant clinical isolates (including strain DU4916). Among the novobiocin-resistant transductants so obtained from each recipient, between 1 and 5% were methicillin sensitive (reflecting cotransduction of Novr and Mecs). These results are consistent with the genetic determinant of methicillin resistance having a single chromosomal locus in most, if not all, strains of S. aureus.


Urinary tract infections in children: diagnosis and management.


The function of the histidine tRNA isoaccepting species in hemoglobin synthesis. Rabbit reticulocytes contain two RNA isoaccepting species for histidine as resolved by various chromatographic methods, while rabbit liver contains only one. These isoacceptors cannot be distinguished on the basis of coding properties, consistent with the "Wobble Hypothesis" (Smith, D.W.E., Meltzer, V.N., and McNamara, A.L. (1974) Biochim. Biophys. Acta 349, 366-375). Their function in hemoglobin synthesis in reticulocyte lysates has been investigated. Each of the tRNA isoacceptors of reticulocytes and the tRNA species of liver can incorporate histidine into positions in hemoglobin encoded by both of the histidine code words, CAC and CAU, and it is likely that each can incorporate histidine into all of the histidine-containing positions of hemoglobin. Even in experiments in which the two histidine tRNA species of reticulocytes are placed together in a lysate and are therefore in competition with each other, each incorporates histidine into all of the histidine-containing positions. There is no evidence that any residues are incorporated preferentially by either of the tRNA species. The two species are attached to reticulocyte ribosomes in the same proportion as they occur in the reticulocyte, also suggesting that neither of them is used preferentially in hemoglobin synthesis. The first of the two reticulocyte histidine isoacceptors and the histidine tRNA of rabbit liver contain Q base.


Protein synthesis in rabbit reticulocytes XXI. Purification and properties of a protein factor (Co-EIF-1) which stimulates Met-tRNAf binding to EIF-1. The peptide chain initiation factor, Co-EIF-1 has been purified to homogeneity. Upon sodium dodecyl sulfate-polyacrylamide gel electrophoresis, the homogeneous preparation gives a single protein band corresponding to a molecular weight of approximately 20,000. In the crude preparation, Co-EIF-1 exists in two molecular forms: Co-EIF-1H (Mr = 200,000) and Co-EIF-1L (Mr = 20,000). Both forms are equally active in all the reactions studied. Upon heating, the heavy form (Co-EIF-1H) is completely converted into the light form (Co-EIF-1L). Radioactively labeled [14C]Co-EIF-1 was prepared by reductive alkylation using [14C]formaldehyde and borohydride. [14C]Methyl-Co-EIF-1 binds specifically to EIF-1; EIF-1.[14C]Co-EIF-1 complex was analyzed by gel (Sephadex G-100) filtration. EIF-1.Co-EIF-1 complex is distinctly more stable towards heat than EIF-1 alone and the quarternary complex, Met-tRNAf.EIF-1.Co-EIF-1.GTP is more resistant to aurintricarboxylic acid than the ternary complex, Met-tRNAf.EIF-1.GTP. Both the quarternary complex, Met-tRNAf.EIF-1.Co-EIF-1.GTP, and the ternary complex, Met-tRNAf.EIF-1.GTP, are equally sensitive to Mg2+ in the presence of EIF-2 (TDF). In the presence of Co-EIF-1, the initial rate of Met-tRNAf binding to 40 S ribosomes was significantly increased.


Enuresis treatment.

Enuresis treatment.


mRNA-induced dissociation of initiation factor 2. The GTP-dependent initiator methionyl-tRNA (Met-tRNAi) binding protein, eukaryotic initiation factor 2 (eIF2), binds mRNA, as well as Met-tRNAi with high affinity and both RNA species appear to bind to the 48,000-dalton subunit of eIF2. Binding of mRNA by eIF2 produces an alteration in its molecular  configuration resulting in dissociation of component subunits as assayed by isoelectric focusing. In contrast, GTP, GDP, or Met-tRNAi produce no subunit dissociation. Phosphorylation of the 37,000-dalton eIF2 subunit by the heme-controlled translational repressor does not alter the ability of mRNA to produce subunit dissociation of eIF2. A role for mRNA binding by eIF2 in initiation of protein synthesis or in recycling of eIF2, or both, is postulated.


Destabilization of eukaryotic 40 S translational initiation complex by ApUpG and partial characterization of a factor required for this activity.


Chronic hemodialysis in children.

Chronic hemodialysis in children.


Maximize the return on your investment.

Maximize the return on your investment.


Methods of teaching - revisited. Part 1.


Continuing education in nursing as an enterprise. Dual roles for CEN (inservice) personnel: educator versus manager.


Acute care of the medical-surgical patient: a program for non-critical care nurses.


Health and older women: a look at the knowledge base.


The support of hospital inservice programming: an AHEC priority.


(A Sherlock Holmes mystery): The Case of the Missing Ladder.


A resource model for continuing education in nursing.


Nursing care of the aging adult in contemporary society: a course evaluation.


Inhibiting helplessness in elderly people.


Effect of dietary amino acids on transfer ribonucleic acid charging levels in rat liver. In order to examine the mechanism of the effect of dietary amino acids on hepatic polysome aggregation and protein synthesis, tRNA charging levels (tRNA acylated with amino acids) were measured in the livers of rats meal-fed (trained to eat for 2 hours/day) a 15% casein diet at the high and low point of polysome aggregation, and of meal-fed and control-fed (ad libitum feeding from 1800 to 0800 hours) rats fed an isoleucine deficient diet. The charging levels of tRNAs for two of the amino acids tested, namely isoleucine and phenylalanine, did not drop with the diurnal changes that occur in polysome aggregation, whereas, the feeding of an isoleucine deficient diet resulted in a 25% decrease in the ile-tRNA charging levels. Although it is not clear how amino acid supply regulates polysome aggregation and protein synthesis, it would not appear to be mediated via a decrease in tRNA charging levels.


Prevention today; better health tomorrow.


An open mind in caring for the elderly.

An open mind in caring for the elderly.


Dependency and the double-bind in the aged.


Depression [papers].

Depression [papers].


Sexuality among the aging.

Sexuality among the aging.


Alcoholism.

Alcoholism.


Draining wound management.

Draining wound management.


Caring for the elderly.

Caring for the elderly.


Know your community resources. Developing assessment clinics for the elderly.


Perinatology.

Perinatology.


Body image.

Body image.


Immunology.

Immunology.


Toward better patient teaching. Part II.


Trends in nonionizing electomagnetic radiation bioeffects research and related occupational health aspects. The international literature (circa 1970-1977) on biological and clinical phenomena associated with exposure to microwave or radiofrequency (RF) electromagnetic (EM) fields was selectively reviewed. It was concluded that the mechanisms by which EM fields exert their biological effects are becoming better understood as investigative technology and methodology improve. Concurrent with this trend, there is some recent eivdence in the West which supports traditional Soviet and some European claims that EM fields can affect nervous system function and morphology in small mammals, birds and invertebrates at power levels below those defined as thermogenic in the West. These experimental findings coupled with the pressure of public opition may eventually have a significant effect on the establishment of revised occupational exposure limits and on unique positions regarding maximum permissible exposure (MPE). At present, the exposure level established in the Soviet Union is 0.01 m W/cm2 for a work day, while the United States adheres to a level of 10 m W/cm2 averaged over 0.1 h. At the same time, however, findings from clinical studies conducted in the West do not corroborate findings from extensive clinical surveys of occupational workers collected in Russia and in some East European countries. The latter continue to report a plethora of psychophysiological dysfunctions and impairments of a reversible nature as a result of chronic exposure to EM fields of relatively low power density (e.g., less than 10 m W/cm2, and occasionally below the 1 m W/cm2 level). Neither is there any recent compelling evidence to support certain speculations that modulated EM fields can be used to remotely control human behavior. Interaction between the concerned research and development communities in the East and West has increased substantially in the 1970s. Such interaction promises to provide a medium in which differences in doctrine, experimental methodology and protocol, and the interpretation of biological and clinical phenomena may be resolved.


Potentially hazardous microwave radiation source--a review. An increasing proliferation of microwave sources and their continuously broadening scope of applications result in the necessity of an assessment of the potential radiation hazard in various situations. Recently, there has appeared quite a large number of references dealing with specific sources. This paper provides a review of various microwave radiation sources to assist in a general understanding of the basic characteristics of the sources which are pertinent to microwave radiation hazards.


Bladder assessment in the postpartum patient. Bladder assessment is a crucial function of the postpartum nurse. Information about the rationale for and the method of performing bladder assessment is meager in nursing literature as well as in other sources. The anatomical-physiological facts about the effects of pregnancy and delivery on the urinary tract are presented. Bladder distention and the methods of ascertaining it are described, along with ways to encourage voiding. The article also covers the issues of timing and volume of voidings of the postpartum patient.


Principles and practice: Sharon's story.


The unwed pregnant adolescent: implications for the professional nurse. To promote better care fo the unwed pregnant adolescent, an overview of adolescent development, feelings, and behaviors is given, followed by a generalized description of the patient herself. Then, to help enhance the care given to this patient, who needs strong support and encouragement during this crucial time, the role of the nurse if outlined.


Meeting the challenge of mandatory continuing education in rural Kansas.


Gerontological nursing: a sequence in the Master of Nursing program, University of Kansas College of Health Sciences, School of Nursing.


A conference report. The family and older persons: policy, research and practice.


Why do nurses hate doctors?

Why do nurses hate doctors?


Contraceptive counseling for the younger adolescent woman: a suggested solution to the problem. The younger adolescent woman seeking contraceptive counseling presents clinicians with special problems specific to her age group. These include long-term physiological considerations plus psychological and social dynamics. An individualized clinic program, with emphasis on backup contraceptive methods, is suggested as a comprehensive solution.


The first coital experience of one hundred women. A retrospective survey of the first coital experience of 100 women, with emphasis on the incidence of bleeding and pain, is reported. Eleven of the women interviewed had vaginismus on pelvic examination. The article includes a discussion of the etiology and treatment of vaginismus, as well as possible applications of survey findings in teaching and counseling patients.


Children of short stature. Part 2.

Children of short stature. Part 2.


Who helps? coping with the unexpected outcomes of pregnancy. Death in our obstetric and neonatal units causes grief, not only to the families of the patient, but to the nursing and medical staff. It is a primary duty of hospital administrators and nursing leaders to assist the staff to resolve their grief processes in order that they can more effectively support the bereaved. This article explores some effective means of providing such support to staff members through self-awareness and group sessions.


Fetal monitoring in labour.

Fetal monitoring in labour.


Pain in labor: a conceptual model for intervention. A conceptual model, based on the Grantly Dick-Read fear-tension-pain cycle concept, for intervening in pain in labor is presented. The model can serve as a guide to help break the cycle and to establish a new cycle which operates on positive, rather than negative, forces, i.e., education, purposeful activity, and supportive care, each directed toward breaking a specific segment of the cycle. The conceptual model can be used in educational settings and as a tool for determining priority of focus for nursing intervention with the labor patient.


Community experience in an integrated area.


The first stage of labour--how long?

The first stage of labour--how long?


The mammography controversy: a case for breast self-examination. More and more nurses are held legally accountable for their practice. The mammography controversy and the directives in the NIH guidelines must be taken into account by nurses because of their implications for preventive health care and early detection of breast cancer. Mortality rates from breast cancer are high enough that the importance of regular, competent BSE by women cannot be overestimated. Nursing is in an ideal position within the health care delivery system to promote BSE. In the meantime, the answer to the question of whether to use mammography as a routine screening device for asymptomatic women under age 50 can only come from research that is designed to demonstrate the relative risks and benefits of the procedure for this age group.


Group process and childbirth education: a position paper. Each childbirth education class has a group life of its own, and the responsibility for the group functioning is shared among all members. Experimental learning derived through group functioning has the potential for being as significant as the learning of specific skills. Formulating a contract between the teacher/leader and the members of the class can help in clarifying realistic objectives and goals. The teacher/leader can assist couples to learn new behavior and to confront their own feelings about becoming patents.


Research and the nursing administrator.

Research and the nursing administrator.


Research in nursing administration: a neglected issue.


A study: the impact of task characteristics on employee response in hospital nursing.


Nursing administrators; roles in research: the WICHE program.


Nursing research and WICHE: impact on patient care.


Research and the American Nurses' Association.


NAQ Forum: nursing research.

NAQ Forum: nursing research.


Evaluation research: issues in evaluation of nursing programs.


Instrument development: measuring quality outcomes in ambulatory maternal-child nursing.


The inquisitive nurse: bringing research to the bedside.


Job satisfaction research--an aid in decision making.


The ABCs of time management.

The ABCs of time management.


Vantage point.

Vantage point.


Moving ahead: if you want a real challenge, become an epilepsy nurse specialist.


Sharing: an affair of the heart.

Sharing: an affair of the heart.


Paraprofessionals can be taught to deliver professional-level care.


Teaching patients to manage systemic lupus erythematosus.


ADH and aldosterone: how to recognize their effects.


Depression: you see it--but what do you do about it?


Sex counseling and the SCI patient.

Sex counseling and the SCI patient.


Caring for the chronically ill--one day at a time.


Fitting antiembolism stockings.

Fitting antiembolism stockings.


Difficult patients: our difficult patient was a 45-year-old child.


An early case of asbestosis. Case history.


Working back to healthiness: rehabilitation Polish-style.


Into Europe--3 Eire. (occupational health).


Safety: what are statistics worth?

Safety: what are statistics worth?


Where there's a will--there's a new OH nursing course.


Surrey: one of industry's universities.

Surrey: one of industry's universities.


Into Europe - 4. Belgium.

Into Europe - 4. Belgium.


Safety: improving the lot of the homeworker.


The occupational health nurse's emerging role in administering the plant employee protection program.


Record keeping--key to professional accountability.


The need for privacy.

The need for privacy.


Assessment: determining the problem and the treatment provider.


Nurse-exemplary.

Nurse-exemplary.


Saccharin yesterday--hamburger today--apple pie tomorrow.


Chemical hazard identification--our need to work together.


Recovery from alcoholism--only the first hurdle.


Health education for the diabetic.

Health education for the diabetic.


Resistance of staphylococci to penicillin-G and cloxacillin. Staphylococcus aureus and epidermidis species from patient cultures and hospital environmental samples were studied for resistance to Penicillin-G and Cloxacillin, a penicillinase resistant penicillin. Only 4--7% of the 232 Staphylococcus aureus strains were sensitive to Penicillin-G; 40--41% were sensitive to Cloxacillin. Patient strains (57) of Staphylococcus epidermidis were sensitive to Penicillin-G in 29% and to Cloxacillin in 53% of the cases. The incidence of sensitivity of the hospital strains (50) of Staphylococcus epidermidis to Penicillin-G was 78% and to Cloxacillin was 93%. In view of their high resistance to Cloxacillin, the strains were evaluated for sensitivity to Gentamicin, an alternate choice for antibiotic therapy. Approximately 90% of the Staphylococcus aureus strains were sensitive to Gentamicin while 99% of the Staphylococcus epidermidis strains were sensitive. This study indicates that differences may exist in regard to antibiotic resistance patterns in various localities and this should be evaluated.


Rural health care.

Rural health care.


The pediatric nurse practitioner in the Army health care system: a description of three roles.


Nurses' exchange: Mickey Mouse to the rescue!


Drug abuse counseling.

Drug abuse counseling.


The process of adolescence: its psychologic and physiologic basis.


Health screening of the adolescent.

Health screening of the adolescent.


Adolescent gynecology: problems and ponderings.


Pediatric management problems: dog bites.


Host defense mechanisms--the immune compromised host.


Rx for responsible self care.

Rx for responsible self care.


Whatever happened to sulphur and molasses?


The mother on the pediatric ward: insider or outlawed?


Developmental nursing care: infant stimulation for high risk children.


Treat children's television with T.L.C.

Treat children's television with T.L.C.


The ABC's: 3R's and H.

The ABC's: 3R's and H.


An update of current trends for pediatric nurses. 1. Infectious diseases.


Trends in immunization.

Trends in immunization.


A recently recognized infectious disease.


Update on common exanthematous communicable diseases.


Pediatric drug information (erythromycin).


Is the DDST as good as you think it is?

Is the DDST as good as you think it is?


Charting a course for future action for diploma programs in nursing. Papers presented at 1978 Annual Meeting of the Council of Diploma Programs; April 1978.


Reimbursement: an issue of conflicts.

Reimbursement: an issue of conflicts.


Nursing service charts its course - a challenge to nursing education.


Charting a course for future action for diploma programs in nursing. Student selection.


Faculty preparation and teaching load.

Faculty preparation and teaching load.


The child with cancer: a plan of care.

The child with cancer: a plan of care.


"Guinea pigs" get the best treatment. Cooperative children's cancer therapy research.


Diploma nurses ten years after graduation - nurse career-pattern study.


Guidelines for the implementation of open curriculum.


Nursing education accepts the challenge from nursing service and charts its course of action.


Interaction between nursing service and nursing education.


Responsibilities and liabilities of board members in health care agencies.


Responsibilities and liabilities of board members in health care agencies. Introduction.


Pediatric management problems: infectious mononucleosis.


Board members' responsibilities for program development and evaluation.


Board members' responsibilities for agency finances.


Board members' responsibilities for personnel.


Overview of board members' responsibilities and liabilities.


A framework for effective boardmanship.

A framework for effective boardmanship.


Effective boardmanship: hiring and evaluating the agency administrator.


Evaluation of the agency administrator.

Evaluation of the agency administrator.


On hiring an executive director.

On hiring an executive director.


So you want to hire an executive? United Community Chest of Greater Rochester.


Community health administration in a cost-containment era.


Community health administration in a cost-containment era. Reaction of an agency administrator.


Small expectations.

Small expectations.


The nurse educator: humanist or behaviorist?


Student research in service agencies.

Student research in service agencies.


The struggle for women's rights in Denver: a personal account.


Educational preparation for nursing--1977.


Patientology: just another ology?

Patientology: just another ology?


Helping the high-risk student achieve.

Helping the high-risk student achieve.


Technology in nursing. Respiratory function. 7. Differential lung function studies.


Strangers in no-man's-land. The work of CHANNEL.


Nurses in practice collaborate in teaching clinical nursing research.


Myocardial infarction. Nursing care study.


The clinical nurse specialist - 4. Community liaison.


OH care for NHS staff - 2. Health supervision.


Injuries to the elbow.

Injuries to the elbow.


Comments on the analysis of the Burlington randomized trial.


Goal attainment: a possible model for assessing the role of the health visitor.


Owed to the Nightingale.

Owed to the Nightingale.


The B.N.Sc. curriculum at Queen's University.


Owed to the Nightingale. 2. Ward evaluation.


OH care for NHS staff. 3. Health and safety at work.


De Lange's syndrome. Nursing care study.


The clinical nurse specialist. 5. The role of the clinical nursing officer.


Nursing degree course for registered nurses.


Over to you...and in Wakefield.

Over to you...and in Wakefield.


Miliary tuberculosis.

Miliary tuberculosis.


Nursing care study: rehabilitation of patient with myxoedema.


Psychiatric problems in A & E departments.


OH care for NHS staff--5. Towards an effective service.


No problem is insurmountable.

No problem is insurmountable.


Research orientations in nursing. IX. A question of ethics.


Welfare of nurses and patient care.

Welfare of nurses and patient care.


Geneve convention: rights and duties of nurses.


Nurse in the ambulatory care unit.

Nurse in the ambulatory care unit.


Physiotherapy for occupation health nurses. 2. Therapeutic heat and cold (Part 1).


How to cut administrative costs.

How to cut administrative costs.


Japan's modern approach to an age-old problem.


To push or not to push?

To push or not to push?


The on-off effect - a side-effect of long-term levodopa treatment.


Correct me if I'm wrong: is there safety in numbers?


Phaeochromocytoma--surgery can bring a complete cure.


Care of the unwell neonate.

Care of the unwell neonate.


Horrifying whoop returns as too few mothers opt for vaccination.


Nursing care study: meconium aspiration.


Community nursing. Immigrants: do we understand them enough to help them? 4. Communication.


Community nursing. Psychiatric nursing - from a health centre.


Transplanting and deep-freezing cows' eggs.


Physiotherapy for occupational health nurses: 3. Therapeutic heat and cold (part 2).


A positive approach to cystic fibrosis.

A positive approach to cystic fibrosis.


Of mopeds and mince pies.

Of mopeds and mince pies.


Cystic fibrosis: the challenge in research and management.


Cystic fibrosis: the nurse-teacher and carer for mother and child.


Cystic fibrosis: 7 rules for physiotherapy.


An English nurse in a 'new world' in a Tokyo hospital.


Giving schizophrenics a better chance.

Giving schizophrenics a better chance.


Community nursing: health visiting: where do we go from here?


Why I decided against nursing.

Why I decided against nursing.


Against a subtle enemy: cancer nursing is NURSING.


Opening soon - the hospital they thought would never open.


Against a subtle enemy.

Against a subtle enemy.


Against a subtle enemy: inside the Royal Marsden.


Against a subtle enemy: the long search.


Against a subtle enemy: help of a different kind.


Against a subtle enemy: the dissenting voice of Jean Robinson.


Holiday-makers: thorns in the hospitals' flesh.


Open ward versus rabbit warren.

Open ward versus rabbit warren.


A nurse's guide to contact lenses.

A nurse's guide to contact lenses.


Danger! Guard against radiation.

Danger! Guard against radiation.


The importance of 'bonding' for newborn baby, mother...and father.


Fighting hypothermia.

Fighting hypothermia.


Nursing care study: Mike--a man with tuberous sclerosis.


Diagnosing appendicitis.

Diagnosing appendicitis.


Endometriosis--a gynaecological enigma.

Endometriosis--a gynaecological enigma.


Community nursing: EEC directives: their implication for the patient in the community.


Cancer--the delivery of nursing care (Part 1).


National health surveys for dermatology and its relationship to primary care.


Cutaneous groin lesions.

Cutaneous groin lesions. The groin, the lowest portion of the abdominal wall near the junction with the thigh, is the site of a disproportionately large amount of dermatologic disease. Because of its close proximity to the genitalia it is the site of numerous sexually transmitted disorders. Maceration of the skin, which can occur quite readily in this area as the result of heat, perspiration, friction, and irritation, is a second factor enabling many cutaneous diseases to begin and to fluorish. This paper discusses the major cutaneous groin disorders with particular emphasis on practical diagnostic and therapeutic features.


Cutaneous lesions of sarcoidosis.

Cutaneous lesions of sarcoidosis. Sarcoidosis is a disease of varied clinical and dermatologic manifestations. The extent and severity of the skin lesions may be of value in the diagnosis and prognosis of the systemic disease.


Basal cell carcinoma: a practical approach to diagnosis and therapy. Basal cell carcinoma is the most common cancer of the skin, and the majority of those afflicted are elderly Caucasians with sun-damaged skin. Knowledge of the indications for and contraindications to the various treatment modalities is required in order to choose the proper treatment for each patient. Only long-term follow-up can detect recurrent or new lesions.


Squamous cell carcinoma of the skin.

Squamous cell carcinoma of the skin. Squamous cell carcinoma of the skin is not an uncommon problem. It is often accompanied or preceded by actinic keratoses, arsenical keratoses, or other skin cancers. The most common cause is exposure to sunlight. This paper will deal with squamous cell cancer of the skin and actinic keratoses.


Keratoacanthoma: clinical and therapeutic considerations. Keratoacanthoma is a rapidly growing tumor of the skin which causes concern to both the affected individual and the examining physician. In spite of its clinical and histological similarity to squamous cell carcinoma, the lesion has, as a rule, a benign course with spontaneous involution in a period of weeks to several months. Recognition of the lesion and familiarity with its biological behavior are indispensable for adequate management. The different types of tumor, complications, and therapy are discussed.


Primary cutaneous malignant melanoma: recognition, properties, and management. The fact that malignant melanoma occurs on a readily observable organ, the skin, and behaves in a predictable biological pattern in many cases suggests that its rate of cure should be high. Yet, despite advances in recognition and management, a significant percentage of patients still succumb to their disease. More sensitive methods of early detection and more effective therapies are required to improve survival.


Circadian rhythms. How the patient's biological timetable affects your care.


Nursing experience: would it have been murder by omission?


Can you hear between the lines?

Can you hear between the lines?


Opinion exchange: Ronni's chart request.


Leadership at work: a patient's wealth can threaten his nursing care.


How do you expose an errant M.D.? - Very, very carefully!


Professional work rates professional pay.


The emergency C-section patient: why she needs help--what you can do.


An on-the-run guide to neurological drugs.


The complete Swan-Ganz.

The complete Swan-Ganz.


Foods that foil drugs.

Foods that foil drugs.


Experiences in clinical problem solving. Nursing decisions: bronchogenic carcinoma: pre-op and post-op care.


The cancer care team in the community hospital.


Big nurse: little ego.

Big nurse: little ego.


Learning needs of foreign nurses.

Learning needs of foreign nurses.


An emergency room audit for a small hospital.


Masks of a nursing supervisor.

Masks of a nursing supervisor.


Promoting written care plans.

Promoting written care plans.


Nursing service administration in the small hospital.


A human resource framework for administrative practice.


Emergency services management. Law for the nurse supervisor.


Violence in emergency departments. Supervisor overseas.


Higher education for the infection control practitioner.


Three-pronged approach: ANF board adopts new focus for programming.


Health policy fellow reports: shaping federal health policy requires nurse participation.


Senator Inouye, Robert Derzon advise nurses on health issues.


Membership dues: where your money goes.

Membership dues: where your money goes.


Joint statement endorses family centered birthing.


National plan of action issued for women's rights.


When a nurse is the patient...

When a nurse is the patient...


Educating patients about arthritis--key to treatment.


Chautauqua--dynamic approach to continuing education.


Is nursing audit affecting patient care?


Supervisor, nurse jointly appraise performance.


Comparative in vivo activities of cefsulodin, sulbenicillin, and gentamicin against Pseudomonas aeruginosa. The in vivo activities of cefsulodin, sulbenicillin, and gentamicin were compared in mice infected intraperitoneally with Pseudomonas aeruginosa. In mice infected with sulbenicillin- and gentamicin-susceptible strains, cefsulodin was about 12 to 60 times more active than sulbenicillin and had an activity similar to gentamicin. In mice, the activity of cefsulodin was independent whether the strains were resistant to gentamicin or not, but it was considerably affected by resistance of the strains to sulbenicillin.


Denver nurses lose discrimination suit against city.


Control of surgical nosocomial infections.


Intraoperative nursing assessment.

Intraoperative nursing assessment.


CDC reports increases in infection control program.


Is the "good" nurse also a "problem" nurse in your OR?


First assisting can be part of nursing role.


Visits by RR nurses defended.

Visits by RR nurses defended.


Outpatient cataract surgery.

Outpatient cataract surgery.


Artificial lens implantation.

Artificial lens implantation.


Isolate the infection, not the patient.

Isolate the infection, not the patient.


HMO plan a health care alternative.

HMO plan a health care alternative.


OR nurses' problems and responsibilities in consent forms.


Perioperative role, certification shape OR nursing's future.


All RN staff in OR reflects evolution in nursing care concept.


Can nurses communicate directly with physicians?


OR nurses' concerns about air-powered units.


Self-assertion key to new roles.

Self-assertion key to new roles.


Assertion opens options for OR nurses.

Assertion opens options for OR nurses.


OR nursing care of trauma patients.

OR nursing care of trauma patients.


Embolization of cerebral arteriovenous malformations.


Do we base decisions and actions on rationale or ritual?


Determining need for ancillary personnel.


Reducing hospital employee absence.

Reducing hospital employee absence.


Teleconference systems expand CE possibilities.


Disaster planning: a team effort.

Disaster planning: a team effort.


Theatre nurses meet changing social needs.


Should fathers attend cesarean section deliveries?


Program integrates OR, professional nurses' needs.


Liver enzyme induction by 1,1,1-trichloro-2,2-bis-(p-chlorophenyl)ethane (DDT) is accompanied by an increase in the specific activity of elongation factor 1. Homogenates of liver were obtained from control rats and from rats that had received DDT [1,1,1-trichloro-2,2-bis(p-chlorophenyl)ethane]. The postmicrosomal supernatant fractions were used for the purification of elongation factor 1 by hydroxyapatite chromatography and phosphocellulose chromarography. The amount of binding factor present was essentially the same for both groups of animals, but the specific activity, as measured by the binding assay, was about twice as high in the DDT-treated preparations. After sucrose-gradient sedimentation, the difference in specific activity was found to reside in the low-molecular-weight (50000) form of elongation factor 1. The implications of an increased reactivity of elongation factor 1 during the induction of membrane enzymes are discussed.


See the nurse.

See the nurse.


Relationship of methods of treatment of relapse rate and serum levels of calcium and phosphorous in parturient hypocalcaemia.


Increasing the role of the family in nursing homes.


A changing relationship.

A changing relationship.


Social considerations in Northern health care.


The development of a rehabilitation nursing program through a triple appointment.


Management of a patient with amyotrophic lateral sclerosis.


Recollections of Native health care.

Recollections of Native health care.


Developing direction on new streets: rehabilitating the street person.


Communication and cooperation.

Communication and cooperation.


Point of contact.

Point of contact.


Health in our time?

Health in our time?


Home nursing for northerners.

Home nursing for northerners.


Adoption or assimilation?

Adoption or assimilation?


Caring for Indian outpatients.

Caring for Indian outpatients.


Canada's "barefoot" midwives.

Canada's "barefoot" midwives.


Indian nurses face the challenge.

Indian nurses face the challenge.


A statement on Indian health.

A statement on Indian health.


Focus on Native health.

Focus on Native health.


Tackling the treadmill test.

Tackling the treadmill test.


Blood glucose, insulin, cholesterol and triglyceride levels in women treated for six months with the weekly oral contraceptive R2323. The recent development of steroids such as R2323 which are administered once a week potentially improves patient usage since daily motivation is not required.  However, other steroid contraceptives have been associated with alterations in lipid and carbohydrate metabolism.  Thus, the effects of R2323 on lipid and carbohydrate metabolism were monitored over a 6-month period in 21 women.  At the onset of the study, 19 had normal glucose tolerance tests and 2 tested as "borderline abnormal." Among those with normal results, there was no change in either the blood glucose or plasma insulin levels at the 6-month test, except the 3-hour glucose value significantly decreased.  The 2 women with borderline abnormal control tests had normal glucose curves after 6 months of treatment.  In addition, no significant alterations were noted in studies of the fasting cholesterol and triglyceride levels in normal women.  It is important that new steroids continue to be investigated since, if a structural change can be related to a metabolic change, new, safe steroids can be developed.


Comparative clinical trial of the progestins R-2323 and levonorgestrel administered by subdermal implants.


Common diagnostic uses of echocardiography.


The rationale for a ban on detergent phosphate in the Great Lakes Basin. Immediate reduction of phosphorus loadings to the Great Lakes is essential to slow accelerated eutrophication. The Great Lakes National Program Office of the US Environmental Protection Agency now advocates adoption of bans on detergent phosphates as the most practical and feasible means of immediately reducing the phosphorus loadings to the Great Lakes. This change in policy from previous reliance on removal by sewage treatment has been adopted for the following reasons: (1) Bans on phosphates will reduce capital and operating costs of treatment and, were adopted, have met with consumer acceptance. (2) In practice, treatment plants have not met design expectations for phosphate removal. (3) Neither nitrilotriacetic acid nor other substitutes for phosphates have proved to be a public health problem. (4) Reduction of phosphorus loadings to treatment plants avoids increasing levels of chlorides and total dissolved solids in effluents. (5) Water quality has improved in small lakes with phosphorus reduction. In summary, detergent phosphate bans alone will not reduce phosphorus loadings to the Great Lakes sufficiently for the long term but the Environmental Protection Agency has concluded that such action is necessary in addition to continued efforts to control non-point sources.


Balance sheet for phosphorus in the UK.

Balance sheet for phosphorus in the UK. A balance sheet for the inputs, uses and outputs of phosphorus in the UK economy has been drawn up. The major import is fertilizer, amounting to about 200 kt P per year. After fertilizers, the other imports (in kt P) are in animal feeds (63), detergents (38) and human food (14). The major outputs are sewage (50), animal excreta (26) and refuse (21); soil losses are about 20 kt. The flowpaths for phosphorus through humans, animals and plants are described. The discrepancy of about 210 kt P/yr is explained by the fact that the amount of phosphorus in the soil increases each year by almost as much as the amount of fertilizer phosphorus added. In view of UK dependence on this imported resource it is suggested that priority is given to work which might eventually have some practical application in preventing or reversing the immobilization of phosphorus in the soil.


Can the availability of phosphorus be critical for mankind? The biological cycle of phosphorus differs from that of other bulk elements in so far that the complete cycle has a long half-life. The cycle is described and man's inputs are analysed. The immediate problems are the inputs to the environment of phosphate through fertilizers and detergents, but the long-term problem is the availability of workable sources of phosphate.


The use of phosphate in detergents and possible replacements for phosphate. About 5% of the total phosphate mined worldwide is used in detergents. The chemical form in which phosphate is used in detergents is predominantly pentasodium triphosphate (PSTP). The most significant feature for the use of PSTP in detergents is its ability to form soluble and strong complexes with calcium and magnesium ions. This provides a strong synergism with regard to detergency when PSTP is used in combination with synthetic surfactants. Other important features of PSTP are its ability to disperse dirt in the washing solution, its weak alkalinity, its crystalline form when dry (which enables production of crisp powders) and, last but not least, its toxicological acceptability. The development of PSTP for use in detergents has a history of over 25 years. In certain areas of highly developed countries where effluents from major centres of population can reach stagnant surface waters a rapid increase of eutrophication of these surface waters is observed. Phosphates are being recognized as one of the essential nutrients contributing to the eutrophication and detergents are one of the many sources of phosphate discharged to the environment. This is now causing demands for reduction in or even banning of the use of phosphates in detergents. Major reserach projects and some practical approaches to meeting these demands are described. The potential environmental impact of removing phosphate from detergents remains, however, doubtful, as it has been demonstrated in Sweden that phosphate removal by sewage treatment is the most effective measure to control phosphate discharges. This makes the case of phosphates in detergents an example of how science and technology can become entangled with politics.


On women, networks, patronage and sponsorship.


Abortion attitude of nurses: a cognitive dissonance perspective.


Elevated blood pressure and type A in women: a method of case finding.


Power, powerlessness and potential--nurse's role within the health care delivery system.


Testimony presented to National Conference on Health Research Principles.


The rights of nurses.

The rights of nurses. The rights of nurses are those of all individuals in society. This paper examines some of the fundamental issues underlying the 'rights of nurses' in the context of the declaration of a belief in the inalienable rights of all members of society.


Attitudes and beliefs versus study results: exemplified by attrition in a school of nursing in Israel during 1968-1974. Head nurses and faculty members have their own beliefs on and attitudes towards the process of selecting candidates to schools of nursing. Many times these are based on impressions and/or everyday experiences that might have a crucial influence on perception of the issue. These impressions are not always verified when a study is conducted. This article reports on some of the issues and findings regarding attrition in one school for registered nurses in Israel during the years 1968-1974. It also describes what head nurses and faculty members thought to be valid criteria in the selection process, though findings revealed that things are not always as they are believed to be. For example, psychological tester recommendations were thought to be crucial in selecting candidates and preventing attrition, but no significant correlation was found between the recommendations and attrition. Head nurses thought that the main reason for attrition was dissatisfaction, although this was not found to be a stated reason. This belief of the head nurses should evidently be investigated. Findings support the author's belief that local studies are important and that faculty members and head nurses should communicate on the issue of student nurse selection and education.


Effect of hospitalization on weight of psychiatric patients. The hypothesis that patients hospitalized for long periods and receiving psychotrophic drugs increase in weight is tested, and it was discovered that women patients were somewhat heavier than their 'standard' weights. This, however, was not due to hospitalization or drug effects. Contrary to expectation, the ratio of observed/'standard' weight frequently observed in affective disorder patients, we discovered puzzling higher mean ratios in men with this illness. This paper shows that small research projects can be carried out by nurses who are actively involved in patient care. It also demonstrates that small scale investigations, replicating locally some other research, testing its validity in a different setting are eminently worthwhile.


The professional association, the nurse and the student nurse in Spain.


Student nurse rural fieldwork in mainland Tanzania.


Discussion of a project on peer evaluation in the faculty of nursing, University of Toronto, Canada.


Nursing electives--a survey of available options.


Toward a unified voice: individual and collective responsibility of nurses.


Should nurses diagnose and prescribe?

Should nurses diagnose and prescribe?


Changing attitudes to health and illness: the effects on nursing practice.


Evaluation--by the people.

Evaluation--by the people.


USSR: nursing homes for the aged.

USSR: nursing homes for the aged.


Observation on health care for the elderly in the USSR.


Assessment of perceived role losses in the gerian.


Know your community resources. The expanded role of a community mental health nurse: outreach nurse at a suburban housing project for the elderly.


The rape of geriatrics by fundamentals nursing instructors.


Preventative nursing intervention with the elderly.


Attitudes toward old people: a study of nurses who care for the elderly.


Issues and opinions. I. Sterilization of the mentally retarded minor.


Issues and opinions. II. Sterilization and the mentally retarded: HEW's new regulations.


Nurse-midwifery prototypes: clinical practice and education featuring Cook County Hospital Nurse-Midwifery Service.


Teaching ethics to nurse-midwives.

Teaching ethics to nurse-midwives.


A project report: follow-up of trained nurse-midwives. A follow-up study of 17 nurse-midwives, working in various Caribbean countries and previously trained in programs sponsored by the Medical Department of the Western Hemisphere Regional Office of IPPF, indicated that while the nurse-midwives viewed their training as beneficial, the skills and knowledge they acquired were not fully recognized nor utilized by the health systems in which they worked.  Data was obtained by administering questionnaires to all 17 nurse-midwives and by conducting personal interviews with 10 of the respondents.  Additional information was obtained by discussing the role of midwives with a number of physicians and other health personnel involved in family planning programs in Caribbean countries.  Of the 17 respondents, 7 worked in government facilities, 7 in Family PLanning Association programs, and 3 no longer worked in family planning related jobs.  All the respondents felt their training had increased their level of self-confidence.  41% said their role had changed as a result of training and 58% said that it had not changed.  Training did not significantly improve the status and pay for most of the nurse-midwives; only 5 received new titles and only 7 received salary increases after training.  Although 15 of the respondents said that they utilized most of the skills they acquired in training, in some of the countries there were legal barriers which prevented full utilization of their skills and in other countries doctors were frequently unwilling to allow them to perform many of the functions for which they were trained.  These findings lead to the suggestion that efforts should be made to promote additudual changes within the medical community toward nurse-midwives by 1) furnishing physicians with literature on programs which effectively utilize midwives and 2) encouraging representatives of international groups to discuss the feasibility of expanding the role of nurse-midwives with Caribbean medical personnel.


Malpractice and legal aspects of nurse-midwifery practice in New York State.


Is breast-feeding best for babies?

Is breast-feeding best for babies?


Recertification: a time to consider.

Recertification: a time to consider.


Touch.

Touch.


The abused child, the abusing adult: both are victims, both need your help.


Testing of laminar flow equipment.

Testing of laminar flow equipment.


The abused child, the abusing adult: a non-judemental attitude.


Rubber closures as a source of haze in freeze dried parenterals: test methodology for closure evaluation.


Evaluation of high efficiency filters.

Evaluation of high efficiency filters.


Toward better patient teaching. Part III.


Sterility tests and sterilization chapters in USP XX.


Staphylococcus aureus endocarditis. Combined therapy with vancomycin and rifampin. Two children with persistent bacteremia and endocarditis due to Staphylococcus aureus failed to respond to vancomycin therapy, even though serum levels greatly exceeded the inhibitory concentrations. The Staphylococcus from one patient was resistant to methicillin; the other patient had a penicillin hypersensitivity. There was a wide disparity between the minimum inhibitory and the minimum bactericidal concentrations of vancomycin. Striking clinical and laboratory evidence of improvement was demonstrated with the addition of rifampin therapy.


Sterile filtration of gases: a bacterial aerosol challenge test.


Time-release depot for anticancer drugs: release of drugs covalently bonded to polymers.


The specificity of aminoacylation: a tRNA-tRNA interaction model.


Homelessness.

Homelessness.


Compensation for handicaps as a result of vaccination.


Perinatal loss and the medical team. Part 2.


What is counselling?

What is counselling?


Homeless young people in cities.

Homeless young people in cities.


Industrial relations in the National Health Service.


Perinatal loss and the medical team. Part 1.


Care of the schizophrenic at home.

Care of the schizophrenic at home.


Successful breast feeding.

Successful breast feeding.


The Trade Union and Labour Relations Acts (1974 & 1976).


The EEC midwives directives: the current position--what is it?


"Neonatal and perinatal infections".

"Neonatal and perinatal infections".


Midwives: advocates or adversaries?

Midwives: advocates or adversaries?


Working in a cold environment.

Working in a cold environment.


Case hisotry: Old World leishmaniasis.

Case hisotry: Old World leishmaniasis.


Safety: how well does the Factory Inspectorate travel?


Into Europe - 5. West Germany. Occupational health services.


Baccalaureate preparation for action-practice nursing.


Teaching psychosocial wellness in family community health nursing.


The eligibility of older people for community services: mental health aspects. Roles and attitudes toward retirement and pre-retirement planning.


Assessing educational needs: advantages and disadvantages of eighteen techniques.


Yes you can!

Yes you can!


The patient history: an outline for collection.


Constructing classroom achievement tests.


New diagnostic techniques advance early cancer detection, Arthur D. Little reports.


The concepts--who is not touched?

The concepts--who is not touched?


Limb lengthening utilizing the Wagner distraction apparatus.


Understanding your scoliosis surgery: a preoperative teaching booklet for Harrington instrumentation and spinal fusion patients.


Sharing: cervical traction, skeletal traction.


Sharing: leg fracture (case report).

Sharing: leg fracture (case report).


An overview: anterior cervical spine fusion.


Patient teaching in metabolic bone disease.


Decubitus ulcers and the karaya treatment program.


Lighter cast bracing.

Lighter cast bracing.


Triple arthrodesis.

Triple arthrodesis.


Device legislation.

Device legislation.


Traction function and application: Buck's traction - pelvic traction.


Orthopedic management of familial dysautonomia.


Consumer perception of professional nursing.


Joint practice the most rewarding thing i've ever done.


Is alienation a nursing problem?

Is alienation a nursing problem?


Development of standards and the evaluation of nurses and nursing services in Nigeria.


Nursing the terminally ill patient.

Nursing the terminally ill patient.


Self-image and job satisfaction.

Self-image and job satisfaction.


The nature of nursing supervision.

The nature of nursing supervision.


The organization and administration of libraries including library resources.


Elements of psychiatric nursing.

Elements of psychiatric nursing.


Citizenship and leadership course. (Man 'o' War) in relation to expanding role and experiences of student nurses in university college hospital.


My image of the nurse.

My image of the nurse.


A point of view on health education.

A point of view on health education.


A look at spiritual faith healing.

A look at spiritual faith healing.


The Oguntolu Family Health Clinic of the Institute of Child Health. University of Lagos.


A home health agency's approach to marketing.


Differences in perception of education and practice.


The nurse and the society.

The nurse and the society.


What master's students want to know.

What master's students want to know.


Financial and administrative aspect of health services planning. Implications of finance and administration for nursing libraries in Nigeria.


One master's curriculum in community health nursing.


Infertility - a socio-cultural definition.


Care study of a young boy with right inguinal hernia with associated hydrocele.


Faculty preparation: an MPH or MSN degree?


An administrator's view of staff educational needs.


Hospice home care program.

Hospice home care program.


How nurse practitioner students construct their role.


Communication in the nursing process: a sociological perspective.


Quo vadis.

Quo vadis.


Personality profile of pediatric nurse practitioners associated with role change. In a study of personality needs conducive to desired role change for nurse practitioners, 125 nursing students in a four-month pediatric nurse practitioner training program at Northeastern University, Boston, Massachusetts, were given the Edwards Personal Preference Schedule before and after the course. Students in the program were found to have needs associated with the assertiveness and flexibility required by the new role. Before and after training they were low in need for order, endurance, abasement, and deference and high in need for autonomy and aggression. During training, the need for order, endurance, and abasement decreased further. Inconsistent with this interpretation was the finding that students were actually lower in dominance and higher in succorance after training. The decrease in dominance may be related to the program's special emphasis on counseling; the high succorance at the end of the program may have resulted from the transitional state associated with leaving the program.


Baccalaureate nursing students' identification with the women's movement. To determine if nursing and nonnursing students changed their attitudes about themselves and the "typical nurse" in relation to feminist movement goals, results of 291 questionnaires were studied. A significant difference was found in the view of self and typical nurse for female nursing students, the nurses showing more feminist leanings as they progressed in school. Male nurses, nonnurses, and females in typical and atypical female majors rated themselves lower than female nurses on the feminist scale.


Women with cured breast cancer a study of mastectomy patients in North Carolina. A study of 49 postmastectomy patients in North Carolina, four years following the surgery, revealed that the women did not feel they had been prepared for their postoperative experiences; were not, in general, familiar with Reach to Recovery as a supportive organization, nor perceived it as such; only occasionally examined their remaining breast; and had a number of persisting physical complications. The extent of physical disability was found to be related to the quality of life inasmuch as women with a high number of physical symptoms were much more likely to have a higher number of symptoms of depression than women with fewer complications. Social supports mediated the effects of surgical complications on mental outlook, but only up to a point. Sexual adaptation was found to be associated with the quality of the marital-sexual relationship and its importance to the woman.


Relationship between loss of auditory and visual acuity and social disengagement in an aged population. When 122 residents, aged 58 to 95 years, of two public-high-rise dwellings were interviewed on the Social Lifespace Measure, Perceived Lifespace Measure, Role Count Measure, and Total Disengagement Index and given vision and auditory tests, no relationships were found among the variables. There were no relationships between the variables and age and sex. Implications for nursing are discussed.


The work of the nursing officer.

The work of the nursing officer.


Masculinity and femininity in nursing.

Masculinity and femininity in nursing. The concept of the "ideal nurse" was rated by 186 undergraduate and graduate nursing students on the 24-item Personal Attributes Questionnaire. PAQ contains independent subscales that measure masculinity and femininity as well as a bipolar subscale in which masculinity and femininity represent opposite endpoints on a single continuum. The ideal nurse was rated as being highly masculine, highly feminine, and midway between masculine and feminine endpoints on the bipolar subscale. Compared to undergraduate females, graduate and male nursing students rated the ideal nurse as being more masculine. Implications of these findings in the field of nursing are discussed.


Generalized expectancy, situational perception, and morale among institutionalized aged. This article was based on a larger study which sought to identify selected personality and situational variables that contribute to high morale of the institutionalized elderly. The relationship of generalized expectancy of control and perceived situational control to morale of the institutionalized aged was examined within a framework developed for the study. Locus of control, self-report, trust, self-rated health, and the Revised Philadelphia Geriatric Morale scales as well as a situational control of daily activities (SCDA) interview schedule were administered individually to 30 residents, aged 65 to 96, in four skilled nursing facilities. Congruence between internal orientation and self-determined SCDA resulted in higher morale than incongruence; however, congruence between external orientation and other-determined situations resulted in lower morale than incongruence.


Body fluids: bile.

Body fluids: bile.


On the spot. St John ambulance spreads its wings.


Illness as a deviant role; a clue to the rejection of symptoms.


A methodologic framework to study nurse-patient communication. Communicative interaction patterns among nurses and patients in a complex hospital setting were examined, using the methodologic framework, synchronology. Extensive videotaped time-series data of patient-health care personnel interactions, involving four patients admitted for elective surgery, were collected approximately 16 hours a day from admission to discharge and computerized in both mnemonic word form and numeric files. These interactional data were instrumental in the methodologic development. Communicative interaction is conceptualized as a dynamic, ongoing behavior process which can be studied by identifying the observed effects of presenting behaviors on the participants. The process is complex, contex-related, and multivariate in nature. Synchronology provides a structure for in-context description and analysis of the complex verbal and nonverbal interaction patterns, preservation of multivariate data, and identification of key concepts in human interaction which are of use in education, practice, and research.


Survey of doctoral programs in U.S.A. conducted by AACN.


Patient role-play by learners.

Patient role-play by learners.


Registration and voting participation of four faculty groups. This study compared registration and voting behavior of nursing faculty, male medical school faculty, female education school faculty, female music school faculty, and the general population of the voting area in the 1972 general election and all 1974 elections. The faculty groups voted in higher proportions than the general population. Nursing faculty registered at a higher rate than the other three faculty groups; nursing faculty voted more than music and education faculty and less or at the same rate as medical school faculty. The male medical faculty registered less frequently than the female faculty, but generally voted in larger percentages. The medical faculty were found to be more consistent voters. The fact that nursing faculty were largely of lower rank and younger age than the other three faculty groups was suggested as a factor in their lower voting consistency.


Nursing care study: cerebrovascular accident.


How is the topic of protection of human subjects taught in undergraduate and graduate nursing research courses?


The use of isolators in surgery.

The use of isolators in surgery.


Diabetic retinopathy.

Diabetic retinopathy.


Bomber put the world at my feet.

Bomber put the world at my feet.


Och, nurse, leave the leerie.

Och, nurse, leave the leerie.


The work of the nursing officer - 2.

The work of the nursing officer - 2.


A follow-up of drug clinic attenders.

A follow-up of drug clinic attenders.


Infection control in Kuwait.

Infection control in Kuwait.


The containment of exotic diseases.

The containment of exotic diseases.


Epidemiology of communicable diseases.

Epidemiology of communicable diseases.


Take two young men.

Take two young men.


Muscular dystrophy: can it be prevented?


Nursing care study: fractured pelvis.

Nursing care study: fractured pelvis.


Post-traumatic nitrogen metabolism in the elderly.


Black hat.

Black hat.


Regional nurse staffing: a system for recording the utilisation of nursing staff.


A tale of four teeth.

A tale of four teeth.


Psychiatric nursing: the myth today.

Psychiatric nursing: the myth today.


Exploring the work of a hospital chaplain in a psychiatric hospital.


Owed to the Nightingale but what about the future?


Rehabilitation of the injured hand.

Rehabilitation of the injured hand.


Nursing care study: neglect of diabetes leading to bilateral amputation.


Psychosexual problems in gynaecology - 1. Their nature.


Volunteer in Guatemala.

Volunteer in Guatemala.


Body-wise with yoga.

Body-wise with yoga.


My experience in hospital: Beverly S (aged 10).


Maintaining a paediatric environment within a general hospital. Overcoming traumatic anaesthesia.


Impressions of a summer school.

Impressions of a summer school.


Health education - 1. The problem.

Health education - 1. The problem.


Nursing care study: a goal reached.

Nursing care study: a goal reached.


Peritonitis.

Peritonitis.


Psychosexual problems in gynaecology - 2. The way they present.


We have been conned.

We have been conned.


Indian tea party.

Indian tea party.


Regional nurse staffing 2: A system for recording the utilisation of nursing staff.


Body fluids: pleural and pericardial fluid.


The honest art of cancer nursing.

The honest art of cancer nursing.


Port health control in the UK.

Port health control in the UK.


Sciatica.

Sciatica.


Psychosexual problems in gynaecology - 3. The role of the nurse.


Health education - 2. How do we communicate?


Better geriatric care - making it happen.


Non-clinical projects for the trainee nurses.


Quiet night.

Quiet night.


Treatment room work: an analysis.

Treatment room work: an analysis.


Technology in nursing. Respiratory function - 8. Clinical aspects of inhalation therapy.


Causes and prevention of road accidents.


Nursing care study: cimetidine therapy for a bleeding duodenal ulcer.


Protection for theatre staff against halothane pollution.


The Russian gun.

The Russian gun.


Carcinoma of the cervix.

Carcinoma of the cervix.


Doing my general.

Doing my general.


The Swan-Ganz catheter: a review.

The Swan-Ganz catheter: a review. Right heart catheterization, first reported in 1905, is now used for bedside assessment and management of the critically ill patient. A Swan-Ganz catheter and pulmonary artery pressure monitoring are the tools employed. In spite of the complications cited, the occurrence of hazard to the patient is infrequent. The catheter is particularly valuable in the hemodynamic evaluation of cardiac function. Right and left heart pump performance can be assessed by pressure measurements. The ability of the left heart to provide an adequate cardiac output can be numerically calculated, and its adequacy at a cellular level can be evaluated by determining arterial-venous oxygen saturation difference. One of the more important and newest uses of the Swan-Ganz catheter is the preventive function it plays in anesthesia administration. Implications of the Swan-Ganz catheter for nursing practice are: (1) explanation and support to patient and family; (2) technical understanding and knowledge of set-up; (3) care and maintenance of the catheter after insertion; (4) the understanding of physiologic principles underlying the use of the catheter; and, most important, (5) ability to correlate clinical observations and physiologic changes occurring in the patient with pressure measurements.


Temporary cardiac pacing: causes, recognition, and management of failure to pace. Proper management of temporary cardiac pacing is based on the knowledge of the system's vulnerable points and the practice of preventive maintenance measures. This article has described emergency measures for and systematic analysis of pacing failure keyed by the presence or absence of pacing spikes, as well as the correction of such failures. The authors have addressed only one aspect of pacing failure, however. The reader is also encouraged to become familiar with sensing failure and the complications of insertion of pacing catheters.


Monitoring cardiovascular status with noninvasive techniques. Useful information regarding a patient's cardiovascular status can be gained through noninvasive monitoring techniques. Health assessment skills developed over a period of time by the nursing practitioner will aid in identifying problems, planning care, and understanding the total patient profile more comprehensively.


Twenty-four hours ambulatory monitoring: a new electrocardiographic tool. In summary, this author has been able to assist in alerting the physician to the critical findings of his patients' cardiac analyses so that immediate medical intervention could be initiated. The implications for such a tool are far-reaching. Heart disease is still America's number one killer, but with devices such as this one, advances are being made to undermine its life-threatening effects.


Nursing interventions with obese cardiac patients. There is much conflicting data and many opinions regarding the relationship between obesity and cardiovascular disease. The best information shows that there is a relationship between multiple factors and cardiac problems. Nurses need to assist patient populations to assess their learning needs and should present material regarding multiple risk according to those needs. Classification of patient status as primary, secondary, or tertiary can assist in this process. Nurses need to help fill the void in proven data in this area by conducting longitudinal research into multiple risk factors and a variety of interventions.


A coronary teaching program in a community hospital. In conclusion, the teaching program we developed appears to meet the needs originally established by the audit. Nurses are provided with a method of assessment, evaluation, and documentation. The program also provides a means of teaching continuity while following a structured time schedule that allows for recognition and satisfaction of individual patient needs. The patient teaching record provides the final tool as a reference and ongoing source of evaluation.


Drugs used in the care of the cardiac patient.


Basic cardiopulmonary resuscitation.

Basic cardiopulmonary resuscitation.


Intra-aortic balloon pumping: concepts and patient care. Definite indications for intra-aortic balloon support include cardiogenic shock (with or without complicating mechanical defects) following acute myocardial infarction, unstable angina pectoris refractory to medical therapy, and left ventricular failure following cardiopulmonary bypass. Balloon effectiveness is based upon diastolic augmentation and reduction of left ventricular pressures and work load, as well as an increase in coronary artery perfusion pressure. The highly skilled nursing management required by the patient with balloon assist is based upon the nursing process principles of assessment, planning, implementation, and evaluation, combined with a thorough knowledge of cardiovascular and other integral systems and balloon function and physiology.


Chest trauma.

Chest trauma. For any patient with obvious or suspected chest trauma, one must first assure an adequate airway and adequate ventilation. One should never hesitate to administer oxygen to a victim with a chest injury. The nurse should be concerned with adequate circulation--this may mean the administration of intravenous fluids, specifically volume expanders, via large-bore cannulae. Any obvious open chest wound should be sealed, and any fractures should be splinted. These patients should be rapidly transported to the nearest Emergency Department capable of handling this type of injury. The majority of patients who arrive in the Emergency Department following blunt or penetrating trauma should be considered to be in critical condition until proven otherwise. On presentation, it is essential to recognize those signs, symptoms, and laboratory values that identify the patient's condition as life-threatening. Simple recognition of these signs and symptoms and early appropriate intervention may alter an otherwise fatal outcome.


Aphasia: providing better nursing care.

Aphasia: providing better nursing care. The ability to communicate affects the total person and penetrates nearly every aspects of living. To best assist those persons experiencing language loss, the nurse needs to gain basic knowledge about the types of aphasia and about techniques to guide these persons in regaining communication skills that promote self-care. For the aphasic, relearning each small step in communication is a triumph. It is hoped that we can aid these individuals in experiencing many triumphs.


Guidelines for nurses in disaster preparedness and relief.


Role of health workers in the rural context.


Nurse and the people's health.

Nurse and the people's health.


Research orientations in nursing - X. The instrument.


Welcome, Miss Test-tube!

Welcome, Miss Test-tube!


Where service is with smile! A note on the nursing services of our Armed Forces.


Research orientations in nursing - XI. Mulling it is really getting interesting!


Physiotherapy for occupational health nurses. 4. Massage.


The other Miss Nightingale.

The other Miss Nightingale.


Introduction to ECG.

Introduction to ECG.


Danger! Guard against radiation (Part 2).


Inducing labour with the Cardiff infusion system.


Anorexia nervosa: a challenge to the nurse.


Cancer--the delivery of nursing care (Part 2).


Physiotherapy for occupational health nurses. 5. The use of exercise.


Play is everybody's business in the children's ward.


The hazards in toilet training.

The hazards in toilet training.


What do health visitors do?

What do health visitors do?


Preparing the elderly to return home (Part 2).


The nursing services in Wales: foreword.


The nursing services in Wales.

The nursing services in Wales.


The nursing services in Wales: introduction.


The nursing services in Wales: planning and capital developments.


The nursing services in Wales: midwifery.


The nursing services in Wales: Welsh Nursing and Midwifery Committee.


The nursing services in Wales: mental illness services.


The nursing services in Wales: nursing the elderly.


The nursing services in Wales: education and training.


The nursing services in Wales: manpower.


Care of the dying.

Care of the dying.


Myasthenia gravis--a frustrating disability.


Nursing care study: transient neonatal myasthenia gravis.


Improving life for children in mental handicap hospitals.


Testing the effectiveness of cryosurgery for genital warts in men.


Confusing causes of confusion.

Confusing causes of confusion.


Physiotherapy for occupational health nurses. 6. Employee fitness.


If moonshine don't kill me.

If moonshine don't kill me.


Measuring the subjective aspect of pain.


The impact of technology on nursing.

The impact of technology on nursing.


The unkindest cut of all?

The unkindest cut of all?


New technique to repair injured tendon.

New technique to repair injured tendon.


Tympanoplasty.

Tympanoplasty.


Community nursing: toy libraries and play.


Community nursing: no substitute for love and trust.


Ridge Hill: a new style of care for the mentally handicapped.


Fibre is good for you.

Fibre is good for you.


The primary health care team. Working together: the team concept.


The primary health care team.

The primary health care team.


The primary health care team. One family with problems. 1. The doctor's view.


The primary health care. One family with problems. 2. The health visitor's contribution.


The primary health care team. The Rcn Society of Primary Health Care Nursing.


The primary health care team. One family with problems. 3. The nurse's role.


Nurses deserve special treatment.

Nurses deserve special treatment.


Drugless in Gaza.

Drugless in Gaza.


Nurses are worth more.

Nurses are worth more.


Nursing care study: tetralogy of Fallot. Paul's progress, through surgery to new prospects.


Nursing care study: a teenage homosexual. I'm Jack, I'm 14, I'm gay.


Schizophrenia: a sense of identity.

Schizophrenia: a sense of identity.


Drugs: the bitter pill in pregnancy.

Drugs: the bitter pill in pregnancy.


Reflux and urinary obstruction: how damage to the child can show up later.


Amenorrhoea: what a woman fears - infertility or disease.


Community nursing: too cold or too hot?

Community nursing: too cold or too hot?


To affiliate to the TUC or not? that is the question for the Rcn.


Community nursing: how dependent are stroke patients?


Poisons. 1. Acute poisoning.

Poisons. 1. Acute poisoning.


Student's view: digging grave of good nursing.


Industrial action: is the target management or patients?


Nursing care study: how a bothersome bladder meant continuous help. Two-level congenital urinary obstruction.


Nursing care study: making for easier eating. Temporo-mandibular ankylosis.


Social care: loneliness. When age brings a crisis, the nurse can restore hope.


Social care: loneliness. The group solution to isolation.


Genetics: your fate in your genes.

Genetics: your fate in your genes.


Hyperkinesis: the overactive child makes the whole family suffer.


Community nursing: let's integrate.

Community nursing: let's integrate.


Community nursing: CPN - a lifeline keeping psychiatric patients at home.


The scandal of the Prestwich secure unit.


Poisons. 2. Haemoperfusion - new technique.


Bridging the classroom gap.

Bridging the classroom gap.


The way out of the stop-go cycle. Nurses are worth more.


Reversing one of nature's mistakes.

Reversing one of nature's mistakes.


Health visiting study. A first baby: David completes the picture.


Social care. Disturbed children: children at odds with the world.


Syringomyelia: the patient who feels no pain.


Madness: scientific weaknesses among the jungle of theories.


Hirschsprung's disease: preserving the child's dignity.


Community nursing. Community physio: a new colleague for the distric nurse.


Why it is right for family planning nurses to prescribe the pill.


Pituitary stalk-section and some of its effects on endocrine function in the fetal lamb. A detailed description is given of a method to section the pituitary stalk of the fetal lamb after 105 days gestational age. The approach to the stalk is made through a window in the frontal bone. In order to prevent regeneration of the hypothalamo-pituitary connections a silicone plate is introduced through the probe used to fracture the stalk. The surgical outcome and viability of 11 pituitary stalk sectioned fetuses is described over periods of up to 23 days. The presence of pituitary infarction following stalk section was related to damage of the anterior hypophysial vesssels if the probe was deviated from the mid-line at any time in its course. The effect of this procedure on fetal plasma T4 and PRL concentrations and the initiation of premature labour by the continuous infusion of cortisol into the fetus is described.