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Biomedical subjects

A J Tierney

Publications and source records attributed to A J Tierney.

50 records · Page 3Linked to original sources

Preventing chemotherapy-induced alopecia in cancer patients: is scalp cooling worthwhile?

Alopecia (hair loss) is often singled out as the most distressing side-effect of cancer chemotherapy treatment. This paper provides a comprehensive and critical review of the research literature on scalp cooling, a procedure introduced to prevent chemotherapy-induced alopecia. In spite of a considerable amount of research (both nursing and medical) over a 15-year period, the evidence on scalp cooling is inconclusive. Although concerned with a specialist issue, this paper may interest the general reader as it illustrates the value of a literature review in raising questions about current practice and in identifying issues for future research.

Alopecia↗

Toilet training.

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Adolescent↗

Nursing research in Europe.

Nursing research has been developing in Europe for over 30 years. Yet it is still a relatively new activity in some countries and extremely variable in a region where countries vary greatly in size, language, culture, politics and socioeconomic status and in the role and status of nursing and healthcare systems. While such diversity limits a comprehensive account of nursing research throughout Europe in a short article, an overall view is given below, based on experience in the UK and participation in the Workgroup of European Nurse Researchers (WENR).

Europe↗

Successful outcome in a case of cystic adenomatoid malformation of the lung complicated by fetal hydrops, using extracorporeal membrane oxygenation.

Severe fetal hydrops associated with cystic adenomatoid malformation of the lung inexplicably resolved spontaneously at 33-34 weeks' gestation. Following postnatal resection of the lesion which was of the macrocystic variety, the infant's respiratory status deteriorated, requiring 1 week of complicated support with extracorporeal membrane oxygenation. The baby survived and was discharged.

Adult↗

HIV infection and community nursing staff in Scotland--1. Experience, practice and education.

To assess the effects of human immunodeficiency virus (HIV) for the work of community nursing staff, and to find out how community staff regard their contribution to the prevention of HIV infection, the care of people with AIDS and their preparation for this role was ascertained in a postal survey of one in five field staff carried out in Scotland. The 1,205 respondents represent an 85% response rate. While only 3% of respondents had experience of patients with AIDS, 11% had been involved with known asymptomatic HIV infection and 30% had encountered those they considered to be at high risk of infection. While the workload generated by HIV-infected patients for individual nurses at this time was small, there were variations in the proportions of staff involved according to type of staff and employing health board. Only one-fifth of those who had encountered HIV-positive patients had offered them health education, and fewer had referred patients to their general practitioners or offered counselling. However, community nursing staff do consider that they have a role to play in health education, counselling and terminal care, but feel ill equipped to carry out this role. There is an urgent need for policies which clearly specify the roles that community nursing staff should be playing and for in-service education programmes which assist them to draw on the knowledge and skills that they have to enable them to apply them to help patients with HIV infection.

Acquired Immunodeficiency Syndrome↗

Chemotherapy support.

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Antineoplastic Combined Chemotherapy Protocols↗