Biomedical subjects
Publications and source records attributed to C McVey.
In order to examine the lagged relationship between daily events and somatic symptoms, 48 students completed the Students Assessment of Daily Experience Questionnaire and the Somatic Symptoms subscale of the General Health Questionnaire for five days. Undesirable events were correlated with somatic symptoms three to four days later.
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The widespread mediocrity perceived by nurse managers in their staffs can be viewed from a different perspective--the present state of society in general. This may enable leaders to deal with some of the prevailing staff attitudes as indicative of "problems of workers" rather than "problems workers." Seen in this way, they become amenable to innovative approaches--especially through empowerment of workers to be "part of the solution." Personnel who continue to grow and develop often can be encouraged to internalize a vision which will eliminate mediocrity, increase job satisfaction and improve patient care.
Increases in medical expertise and technological advances have enabled the survival of very preterm babies who form a new and growing population. Comparisons between the foetus, full-term baby and the very preterm baby indicate that by the time the foetus is of 23 weeks gestation, many of the abilities, for example, sensing touch, hearing, seeing, moving and even learning may be common to all three. Thus, the very preterm infant who has been described as a unique organism, is not passive, but is a sentient being who is unlikely to survive without the medical and technical support of the Neonatal Intensive Care Unit (NICU) where he/she is exposed to frequent and regular medical procedures. Many of these procedures would be, for any normal, fully developed human being at best uncomfortable and at worst painful. Reviews within the past 10 years have shown that the neurochemical, anatomic and functional systems of newborns are developed enough to perceive pain. More importantly, rat pup studies have indicated that not only may the very preterm baby experience pain but it may experience it more intensely than the more mature infant. Moreover, there may be serious consequences of repeated painful medical intervention. Alleviation of pain and/or distress in very preterm infants is, therefore, an important issue.
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