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Biomedical subjects

C McDaniel

Publications and source records attributed to C McDaniel.

34 records · Page 2Linked to original sources

Phase I study of DABIS maleate given once every 3 weeks.

DABIS maleate is an alkylating quaternary nitrogen. In a phase I study DABIS maleate was administered as a single intravenous infusion once every 3 weeks. 32 patients with solid tumours were studied, at least 3 per dose level (50-1400 mg/m2). Dose-limiting toxicity was severe paresthaesias in the face, around the mouth and in the tongue. Cerebellar ataxia developed at 750 mg/m2 or higher. Haematological toxicity was minimal. Nausea and vomiting were mild to moderate. No other non-haematological side-effects were noted. The recommended dose for phase II studies at once every 3 weeks is 750 mg/m2 intravenously as a 15 min infusion.

Adenocarcinoma↗

Compendium of instruments measuring patient satisfaction with nursing care.

Recent changes in health care delivery have encouraged a search for comprehensive and established measures of patient satisfaction with nursing care (PSNC), which studies have found to be the most important predictor of overall satisfaction with hospital care and an important indicator of outcome. Twenty-one current PSNC instruments are described in a compendium, which provides information on the developer and the date of publication or first use, types of items and subscales, mode of administration, reliability and validity formulas, and availability.

Consumer Behavior↗

Reorganization of community psychiatric services by professional nurses.

This article describes the reorganization of one part of an individual, home visiting service for mentally dysfunctional women into a group intervention. Deinstitutionalization has been followed by escalating health care costs, cost containment, and restructuring of services, affecting the already constrained resources for community psychiatric services. Faced with these challenges, a nursing staff, under the administration of a clinical specialist psychiatric nurse, began reorganization of a home visiting service with one trial group. The model group used the prior success reports of groups that were adapted prospectively with a focus on immediate needs and led by nurses for women. The aims were to enhance social supports of the clients while reducing their relapse rates and to reduce the personnel time and cost. Evaluation found that these objectives were met. Thus, the involvement of nurses in the assessment, planning, implementation, and evaluation of its services demonstrates success in the redesign and reorganization of community psychiatric services.

Adult↗

Nursing administration research as a paradigm reflection.

Nursing administration research: What has been done? What needs to be done? McDaniel analyzes the research completed in recent years, describing the extant research as atomistic, focused on the nurse provider, not on the organization, administration, or patient. She suggests directions for future nursing administration research: multisite and multivariate analyses of the complex and dynamic nature of health systems, including international perspectives.

Administrative Personnel↗

The perception of biological motion by human infants.

When a small number of lights are placed on the limbs and joints of a moving human (or animal), the motions of the lights (biological motion) are sufficient to enable adult observers to perceive immediately the activity of the human. This perception of biological motion has been hypothesized to be an intrinsic capacity of the visual system. The results of this experiment, which demonstrate that infants 4 to 6 months of age exhibit a preference for biological motion patterns, support that hypothesis.

Age Factors↗

Conflict of interest: its relationship to integrity in the academic setting.

Conflict of interest is an issue not only for business leaders, government officials, and researchers, but also academicians. As an ethical issue, conflict of interest involves competing interests as well as raises questions related to an individual's integrity. A case is used to discuss these ethical issues in the academic setting. Recommendations are provided to prevent, reduce, or avoid these ethical tensions, with particular attention to the development of policies to support institutional and, thereby, personal and professional relationships among faculty and students.

Conflict of Interest↗

Ethical issues in restructuring of psychiatric services.

The restructuring of health care services is occurring at an increasing rate. Among those most common are the types known as vertical integration, illustrated by the development of psychiatric services within acute care settings. These restructured psychiatric services have implications for psychiatric care and nursing. In some instances, they raise ethical issues. The purpose of this article is to explore ethical issues in restructuring of psychiatric services and to offer suggestions for retaining quality nursing care.

Ethics, Nursing↗

Ethics and mental health service delivery under managed care.

The delivery of mental health services under managed care takes on different dimensions affecting the ethical considerations of providers and patients. In this article, we explore five key issues that are especially relevant to the psychiatric population: conflict of interest, confidentiality, patients' rights, underserved patients and allocation, and levels of ethical analysis. Implications for nursing are also discussed.

Delivery of Health Care↗

Anonymous grading: an ethical teaching strategy.

Increasing emphasis on student rights, as well as attention to ethics, has focused awareness on strategies that faculty can implement to ensure that the subject of ethics is illustrated in classroom teaching. The author discusses anonymous grading as one strategy to operationalize ethics in the classroom. As an ethical concept, justice is a primary concern in the implementation of impartial and fair evaluation of students' work.

Educational Measurement↗