Biomedical subjects
Publications and source records attributed to C M Fleming.
A photographic method is described for recording children's teeth in large numbers on location. The essential features of the dental study were that the photography should be consistent, accurate, and fast, since the subjects were to be photographed at a rate of 45 children per hour. Details are given on how this was achieved including the technique and equipment used.
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In today's society, the role of the nurse is complex, challenging, and, at times, conflicting. The realities of limited resources, regulations, technology, and professional and personal integrity often given rise to ethical dilemmas and difficult decisions. To deal with these, forums designed specifically for nurses are needed. At Calvary Hospital, Bronx, NY, a Nursing Ethics Group was established to explore ethical choices nurses make daily and to deal with controversies that arise in the care of advanced cancer patients. The Nursing Ethics Group's goal was to promote responsible and ethical nursing practice by increasing awareness of the ethical dimensions of nursing, facilitating communication among nurses, and familiarizing nurses with ethical principles and components of the decision-making process. The group evolved in three phases: exploration of feelings and issues, consideration of an ethical decision-making model, and values clarification. Although membership is open to all, a core group has been established to plan agendas and provide continuity. Plans call for integrating sessions on values clarification and the ethical decision-making process into the orientation program and continuing education programs for all staff.
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American Indian children and adolescents suffer from a high prevalence of alcohol, drug, and mental (ADM) disorders. Unfortunately, the systems of services for these children and youth have never been able to address adequately their mental health needs. Thus, the revolutionary changes now taking place within these service systems, in particular the marked increase in the direct provision of services by Indian tribes and organizations, provides a unique opportunity to address these historical shortcomings. In this paper, we describe our existing knowledge concerning the quality of ADM services for American Indian children and adolescents and their critical sociodemographic, sociocultural, and epidemiologic contexts. We then consider the implications of these studies for improving the quality of care as well as its measurement and monitoring.