Search PubMed⌕ Search

Biomedical subjects

A Nash

Publications and source records attributed to A Nash.

At least 55 records · Page 3Linked to original sources

Teaching palliative care in general practice: a survey of educational needs and preferences.

We surveyed general practitioners in the Bath District Health Authority to determine their educational needs in palliative care and their preferred methods of learning, in order to develop an appropriate education program. The survey confirmed our ideas as to the content of the program. There was support for our hypothesis that the majority would favor didactic approaches and would feel generally uncomfortable with experiential methods. The issue of professionals' needs in stressful situations proved to be a surprisingly strong one.

Curriculum↗

Bioavailability of intranasal metoclopramide.

After intranasal administration of metoclopramide, (5 mg in 0.5 ml sterile water) the maximum plasma concentration of 13.5 +/- 7.3 (mean +/- s.d.) ng ml-1 was achieved. Absolute bioavailability was 50.5 +/- 29.5%, 110 +/- 41 min later. We conclude that the intranasal route does not allow rapid absorption of the drug and is not associated with greater bioavailability than the oral route.

Absorption↗

A terminal case? Burnout in palliative care.

Nursing terminally ill patients is stressful and can lead to burnout. However, with proper support systems palliative care can be rewarding and satisfying.

Adaptation, Psychological↗

Interaction between Six-month-old peers.

12 pairs of previously unacquainted 6-month-old infants were observed in both the presence and absence of toys. Interactive episodes that began when an infant touched the peer or a toy held by the peer were examined. The infants' immediate reactions to these events, which provoke conflict between toddlers, were neutral or positive. Furthermore, the patterns of occurrence of these behaviors indicated social influence over time: the outcome of 1 episode influenced the initiation of the next, and, when toys were present, 1 infant's tendencies to touch the peer and the peer's toys could be predicted from his or her partner's corresponding tendencies. The conclusion from previous research that in the absence of toys infants explore other infants needs further consideration: the frequency of peer contact when toys were absent was not reliably predicted by an infant's tendency to play with toys when they were present. It appears that the increase in peer contact that occurs in the absence of toys is mediated by corresponding increases in individual infants' gestural activity, which increases the likelihood of contact; however, gestural activity does not predict the initiation of contact when toys are present and does not predict an infant's tendency to reciprocate the peer's overture in either trial.

Humans↗

Responses of six-month-olds to the distress of their peers.

Observations of 12 pairs of 6-month-old infants interacting in a laboratory playroom in the presence of both mothers indicated that the estimated frequency, duration, and temporal distribution of one infant's distressed vocalizations were statistically independent of those of the peer. The absence of toys in the environment was a reliable predictor of the extent of an infant's distress, whereas the peer's estimated frequency and duration of distress and the infant's own gender and locomotor status were not. Infants watched their distressed peers during a majority of distress episodes and occasionally directed other behaviors to them but only rarely became distressed themselves. However, there were some indications in the pattern of distress in the trial when toys were absent that suggest one infant's distress had cumulative effects on the peer. Such cumulative effects would seem to be tempered by environmental conditions and the reactions of caregivers.

Crying↗