Biomedical subjects
Publications and source records attributed to C Hyde.
Deprotection peak profiles have been determined as a measure of internal aggregation during Fmoc-polyamide continuous flow solid phase synthesis. The results have been correlated with amino-acid structure and discussed in terms of minimising aggregation during synthesis.
This paper provides a review of four studies, which use the generic Medical Outcome Study Questionnaire 36-Item Short Form Survey (SF-36) to investigate the quality of life of patients with end-stage renal disease. Both English and translated versions of this instrument have been demonstrated to be valid. It is difficult however, to compare results from western and eastern populations as cultural differences may influence how people rate their quality of life. The SF-36 has been demonstrated to be a valid instrument when used to measure the quality of life of ESRD patients. Research findings from Europe and the United Kingdom demonstrate that patients who are treated with a successful renal transplant can experience a QOL which, is superior to that achieved with any dialysis modality and which is very close to the QOL scores of the general population. It is acknowledged that while the studies cited in this article all used the SF-36 the research design employed in each instance is not exactly comparable, and any conclusions drawn here require further testing.
This paper explores the current situation regarding the provision of renal services to patients with end-stage renal disease in Japan. The statistical data reveal that Japan is in a predicament regarding the current rate of incidence of end-stage renal disease in the population. The discussion highlights the fact that nephrology nursing practice is as yet not recognised as a speciality in its own right in Japan. Therefore Japanese nurses who work in the field of nephrology are still struggling to establish their own professional identity and to improve the professional level of their practice. This situation persists in Japan despite support from the literature, which confirms that appropriately qualified nephrology nurses are well equipped to provide specialised care. The recent decision by the Japanese Association of Nephrology Nurses is to establish the position of the specialised dialysis nurse, which does not cover the area of kidney transplantation and will start in 2004. It is expected that it will be an important challenge to improve professional skills and nephrology nursing status in Japan.
Diverticular disease is a gastrointestinal disorder. Christine Hyde discusses the physiology and care of related conditions in the large bowel, examining potential surgical outcomes.
Approximately 4,034 Australians are currently receiving dialysis therapy due to End Stage Renal Disease (ESRD) and of these 627 are performing haemodialysis within the home environment. Initial emphasis on the medical model, which considers bodily pathology and the technological potential to prolong life, is now expanding to incorporate a more humanistic picture of the individuals response to treatment and their quality of life (QoL). This uncertain partnership of technology and human experience has led to an increasing awareness of the need for health professionals to attain an understanding of the illness experience as it impacts on the patient's life. The importance of considering not only absolute survival time but the quality of that survival has triggered rapid growth in the areas of coping and QoL research. This paper provides a review of the literature which focuses on QoL and coping in haemodialysis patients and demonstrates the paucity of research which investigates the special concerns of home dialysis patients.
This paper argues that the role of the nephrology nurse goes far beyond the generally accepted parameters of technical expert to include the roles of care giver, advocate, educator, facilitator, mentor and referral agent. Patients with End Stage Renal Disease, who require long term dialysis, experience many stressors which they must cope with in order to achieve an acceptable quality of life. Nephrology nurses who understand the stress of living with dialysis, and who are familiar with the coping strategies a patient may use, are ideally placed to facilitate the process of adaptation from the patient and their families perspective.
The information for this article was collected at the Department of Veterans Affairs Domiciliary in White City, Oregon. The intent is to show the transition from a paper record to an entirely computerized patient record system and to show the impact on nursing practice at the Domiciliary. Clinicians using the paperless record have verbalized positive experiences and derived much benefit because of easier and quicker access to patient records, thereby allowing more time for direct patient care.