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Biomedical subjects

C Gamble

Publications and source records attributed to C Gamble.

15 recordsLinked to original sources

The effects of family work training on mental health nurses' attitude to and knowledge of schizophrenia: a replication.

The association between expressed emotion and the outcome of schizophrenia is well established, and the efficacy of family work for schizophrenia has been demonstrated. Mental health nurses are an expanding group in mental health service provision but their training does not include family work. Although there is some evidence that training mental health nurses in schizophrenia family work increases their knowledge of, and changes their attitudes towards schizophrenia, very little research has been conducted in this area. This paper replicates a previous study, and investigates whether mental health nurses can change their attitude and beliefs, and increase their knowledge about schizophrenia. Knowledge increased and attitudes changed during the initial period (3 months), and the gains were maintained throughout the 9-month course. However, in order to incorporate the skills learnt into their routine practice, mental health nurses will continue to need ongoing recognition, support, and enthusiasm from colleagues and managers.

Accreditation↗

Schizophrenia family work: mental health nurses delivering an innovative service.

1. Mental Health Nurses (MHNs) have an unique role in providing care to the mentally ill. The Thorn Nurse Initiative designed to prepare and evaluate the work of MHNs has been successful in providing nurses with the skills of Family Work for Schizophrenia. 2. The effectiveness of family work in improving MHNs' knowledge of and attitudes about schizophrenia has been demonstrated, and there is increasing evidence of the efficacy of MNHs in delivering family work. 3. The impact of schizophrenia on families tends to go unrecognized, and there is an urgent need to train nurses in family work to help families cope with this illness. 4. Families are extremely valuable and a positive resource for clients. The emphasis of family work is to promote and support all families in improving their knowledge of schizophrenia, and its effects, and in developing their coping skills.

Education, Nursing↗

Presence and expression of Friend erythroleukemia virus-related sequences in normal and leukemic mouse tissues.

The nature and distribution of sequences related to the murine erythroleukemia virus, Friend spleen focus-forming virus (SFFV), have been analyzed by using a radioactive cDNA probe specific for the SFFV genome (cDNA(sff)). From the proportion of high molecular weight viral [(32)P]RNA which hybridized to cDNA(sff), it was estimated that these sequences represent about 50% of the SFFV genome, indicating a genetic complexity of about 3300 nucleotides. cDNA(sff) hybridized extensively (80-95%) to SFFV virion RNA and to cellular RNA from murine and rat cells productively or nonproductively infected with SFFV. Only background homology was detected between cDNA(sff) and viral RNA from a number of murine [Friend murine leukemia virus (MuLV), Moloney-MuLV, and Kirsten sarcoma virus] and nonmurine (Rous sarcoma virus, feline leukemia virus, baboon endogenous virus, and Mason-Pfizer mammary tumor virus) retroviruses. Limited homology was also detected to a number of murine xenotropic and mink cell focus-inducing viruses (20-35%) as well as Rauscher leukemia virus (50%). Nucleotide sequences homologous to cDNA(sff) were also detected in the DNA of normal cells of several mouse strains as single or a few copies per cell. Thermal denaturation analysis indicated that duplexes formed between cDNA(sff) and normal DBA/2J cellular DNA have a reduction in melting temperature of 2 degrees C when compared with the dissociation of hybrids between cDNA(sff) and homologous sequences in SFFV-infected mouse spleen cell DNA. Examination of cellular RNA from uninfected mouse cells indicated that SFFV-related RNA sequences were also expressed in varying degrees in different tissues of adult DBA/2J mice. The highest amounts were observed in cells from bone marrow and spleen, whereas considerably lower amounts were found in cells from the thymus and kidney. No SFFV-related sequences could be detected in RNA extracted from liver, muscle, or fibroblasts. The presence of these SFFV-related sequences in normal, uninfected mouse cell DNA and their differential expression in hematopoietic tissues suggest that these sequences may be an integral part of the program of both normal and leukemic hematopoietic cell differentiation.

Animals↗

Drug information services in an oncology institution.

Information requests received over a 14-month period in the drug information service of an oncology hospital were reviewed. Requests were classified as to the nature of the question, category of requestor and geographical distribution of both questions and requestors. Inquiries were tabulated as either oncology-related or nononcology and further divided into one of 12 information categoreis. Those questions concerning investigational chemotherapy and unproven cancer remedies were tabulated. An average of 104 requests monthly were received. Prescribing practitioners accounted for 47.7% of all inquirers. Overall, 39.4% of total requests were oncology-related. The majority (72%) of total requests originated within the institution. The greatest number of requests (17.7%) were of a general review nature. The second greatest number (14.3%) were efficacy-related questions which solicited an opinion as to the appropriateness of drug use. Methods need to be developed for measuring the impact of drug information services on prescribing habits.

Cancer Care Facilities↗

Relation between lipophilicity and pharmacological behavior of minocycline, doxycycline, tetracycline, and oxytetracycline in dogs.

Four tetracyclines were studied in dogs to determine the relation between their lipophilicity and various other pharmacological characteristics. Lipid solubility correlated inversely with the mean concentration of drug in arterial plasma and renal uptake and excretion, and directly with the biliary concentration gradient (level in bile/level of free drug in serum). Only the more lipophilic congeners minocycline and doxycycline passed the blood-brain and blood-ocular barriers in detectable concentrations. Mean levels of minocycline in the brain exceeded those of doxycycline by almost threefold; the difference was of borderline statistical significance (P = 0.05 to 0.1). Lipophilicity correlated inversely with the concentration of antibiotic in renal medulla but not in renal cortex or in the liver. When intestinal loops containing saline, milk, or 10% Gelusil were studied, the only combination exhibiting striking intraluminal accumulation was doxycycline in milk. These results indicate that lipophilicity correlates with many, but not all, of the transport characteristics of tetracycline antibiotics.

Animals↗

Working with schizophrenic clients and their families.

This article presents a history of schizophrenia family work. It describes research carried out into the subject and how and why the knowledge gained is now being disseminated to mental health nurses.

Curriculum↗

A clinical study of schizophrenia family work.

This article presents a care study which outlines the interventions that are necessary to enhance a family's knowledge of schizophrenia, daily living, performance and coping skills.

Activities of Daily Living↗

The Thorn nurse training initiative.

An innovative comprehensive diploma course has been devised for mental health nurses who are providing care for those suffering from serious mental illness. The course addresses the devolution of long term hospital care and is primarily clinically based. This article describes the background to the research carried out and recognises the importance of the course's development in the light of recent government legislation. In addition, it identifies how and why this innovative nurse training is now being disseminated to mental health nurses and highlights the importance of introducing this model of clinical work into routine community practice.

Community Mental Health Services↗