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Biomedical subjects

C Miller

Publications and source records attributed to C Miller.

At least 343 records · Page 19Linked to original sources
PubMed1994

The physiologic effects of air transport on the neonate.

As a member of a neonatal air transport team, whether fixed-wing or rotary-wing, you must have a basic understanding of flight physiology. The negative effects of altitude on the human body can be very detrimental, if not fatal, for the compromised neonate. This article looks at the physiologic stressors of air transport such as hypoxia and gas expansion. It also discusses environmental stressors such as noise, vibration, motion, temperature, and humidity. The key to successful neonatal air transport is the transport team knowing what physiologic changes to expect, properly assessing the infant, preventing stressors if able, and properly intervening as necessary.

Aerospace Medicine↗
PubMed1994

Medical data capture and display: the importance of clinicians' workstation design.

The Department of Veterans Affairs is developing, testing and evaluating the benefits of physicians' workstations as an aid to medical data capture in an outpatient clinic setting. The physician's workstation uses a graphical user interface to aid the clinician in recording encounter data. Various input devices including keyboard, mouse, pen, voice, barcode reader, and tablet are available on the workstations, and user preferences will be examined. Access to general services such as electronic mail and reference databases is also available. The workstation provides a wide variety of patient specific data from the hospital information system, including image data. The single data collection process by the clinician will also provide data for the cost recovery process.

Computer Peripherals↗
PubMed1994

Provisional practice: the nature of psychosocial bone marrow transplant nursing.

PURPOSE/OBJECTIVE: To develop an empirically based description of the key concepts guiding psychosocial nursing practice for the patient undergoing bone marrow transplantation (BMT). DESIGN: Retrospective, descriptive. SETTING: National Cancer Institute-designated comprehensive cancer center. SAMPLE: Medical records of 23 adults (11 males, 12 females; X age = 33 years) who have undergone BMT. METHODS: All psychosocial-related charting was extracted manually from the subjects' medical records and nursing care plans. Text was analyzed for content, coded, and sorted into 42 categories. The investigators wrote category definitions. MAIN RESEARCH VARIABLES: All present and past psychosocial problems that had been identified; psychosocial assessment; psychosocial-related admission and discharge teaching; and references to pain and sleep disturbances that included or implied psychosocial overlay. FINDINGS: Thematic categories were present in each of five core concepts: discovering the lived reality, managing the flow, emerging awareness, keeping watch, and behind closed doors. Synthesis of these concepts led to one encompassing concept--the provisional nature of psychosocial BMT nursing practice. CONCLUSIONS: The results provide empirical evidence that five key concepts exist within psychosocial BMT nursing and can be applied to a new paradigm of nursing care. IMPLICATIONS FOR NURSING PRACTICE: Provisional practice, as a new paradigm, requires further development. The five concepts derived from this study provide a useful framework for delineating significant psychosocial needs of patients and families and for designing tailored nursing therapeutics. The study suggests that preparation for practicing BMT nursing should include education in specific psychosocial strategies, documentation, and coping with the personal implications of practice in this setting. The study raises important issues in psychosocial care requiring further clarification and elucidation. These center around the nature of uncertainty, caring, and social support in BMT.

Adaptation, Psychological↗
PubMed1994

Case report: fatal lymphoproliferative disease seven weeks after liver transplantation.

A 42-year-old man developed a lymphoproliferative disorder and died seven weeks after undergoing liver transplantation for primary biliary cirrhosis. At autopsy, diffuse large cell lymphoma was noted to involve almost every organ. Molecular analyses of DNA isolated from an enlarged periportal lymph node indicated the presence of Epstein-Barr virus sequences and several JH immunoglobulin gene rearrangements (consistent with the presence of more than one greatly expanded clone of lymphoid cells of B-cell lineage). This case underscores the possibility of the rapid emergence of lymphoproliferative disorder related to Epstein-Barr virus early after liver transplantation, masked by a concurrent episode of acute rejection.

Adult↗