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Biomedical subjects

B Bullough

Publications and source records attributed to B Bullough.

At least 19 recordsLinked to original sources

Are transvestites necessarily heterosexual?

A survey of 372 male cross-dressers gathered data about present and childhood experiences and attitudes in light of the growing knowledge about transvestism. This article focuses on data related to sexual orientation, particularly in relationship to the definition of transvestism in the Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association. It is argued that transvestism is not necessarily a heterosexual phenomenon.

Adult↗

Alternative models for specialty nursing practice.

Specialization in nursing dates from the early part of the twentieth century. Since 1925 the specialty movement has escalated, and the specialty programs have been moving to the master's degree level. There are two different models for specialization: One is the nursing model that focuses on advanced content from the behavioral sciences, education, and nursing. The specialists who use the nursing model focus on the caring role of the nurse. The specialists who follow the other model, the collaborative model, bring their nursing skills with them, and they acquire advanced knowledge of medicine and the behavioral and biological sciences. They work closely with physicians, diagnosing and treating patients. Most of the specialists within the collaborative model are covered by an additional level of state certification or licensure.

Critical Care↗

Methylxanthines and fibrocystic breast disease: a study of correlations.

Daily methylxanthine ingestion from drug and dietary sources was studied by means of questionnaires from a sample of 102 women who visited the office of a radiologist for xeromammograms. The mammograms were used to measure the level of fibrocystic breast disease. Fibrocystic breast disease was found to be positively correlated with both caffeine and total methylxanthine ingestion. These positive findings are discussed in light of the fact that most recent studies of this link have been negative.

Adult↗

Nurse practitioners and clinical nurse specialists: are the roles merging?

Although the origins of clinical nurse specialists (CNSs) and nurse practitioners (NPs) are different, some nurse educators believe that the roles of these advanced specialists should merge, while others believe that, from a philosophical point of view the roles are distinct, and should be kept separate. In order to throw light on this controversy, CNS and NP alumnae from a Master of Science program in upper New York State were surveyed. Graduates of the past 10 years were asked about their current role functioning, satisfaction with their work and career choice, and opinions about a number of professional issues, including the merging of NP and CNS preparation. The most impressive finding was the overlapping functions and opinions of the graduates actually involved in the clinical role. Although differences in traditional areas associated with the two groups were noted, they were not nearly as large as the literature suggest. The majority of the graduates supported the merging of the two roles. Such a merger has advantages for both types of specialists, nursing school curriculums, the health care system, and ultimatley the consumer.

Attitude of Health Personnel↗

Theophylline and fibrocystic breast disease.

After literature reports linking fibrocystic breast disease (FBD) to methylxanthine ingestion, a pilot study was undertaken to investigate the possible contribution of theophylline to this effect. The major goal of this project was to measure the effect of theophylline therapy on FBD in asthmatic women. All women attending an allergy clinic or an obstetrics/gynecology clinic over a 9-month period were examined to clinically assess FBD and were asked to complete a detailed questionnaire covering health history, other risk factors, and drug and dietary methylxanthines. The sample included 62 asthmatic women, 66 allergic but not asthmatic women, and 72 nonallergic and nonasthmatic women. By use of the FBD clinical taxonomy with its 19-point scale going from 0 to 18 that was developed for this study, the three groups did not differ significantly in terms of mean severity of FBD. On analyzing the effect of each of the methylxanthines on FBD severity, there is clear evidence that total methylxanthines was a contributing factor in FBD severity with or without adjustment for relevant variables, such as age, menopause, pregnancies, and groups. Theophylline was significant only when adjustments were made for age, pregnancy, and menopause in contrast to caffeine that was only significant with no adjustments.

Adult↗

Kegel's exercises with biofeedback therapy for treatment of stress incontinence.

True stress incontinence due to a weakened pelvic floor is one of the most frequently cited urologic complaints of multiparous women past age 40. One treatment modality currently used to treat stress incontinence is exercising the pubococcygeus muscle. Combining biofeedback therapy with a vaginal probe (perineometer) helps patients identify the muscle, provides immediate feedback and assists the nurse and patient in assessing problem resolution. This article describes an intervention program using biofeedback, and measured Kegel's exercises on a small number of women with symptoms of stress incontinence. The lessening of symptoms became a major factor in continued compliance with the exercise program.

Adult↗