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Biomedical subjects

C W Kennedy

Publications and source records attributed to C W Kennedy.

9 recordsLinked to original sources

The view from within: how patients perceive the seclusion process.

1. Reported patient perceptions of seclusion revealed many negative feelings. The quest for the human element, dignity, to understand and to be understood, and to be reassured was a theme throughout. 2. Whatever nurses can do before or during the seclusion process that results in more positive perceptions by patients helps promote more comfortable feelings and more appropriate behavior. Frequent reviews of seclusion policies and procedures are important. 3. Debriefing may be one of the most important ways that staff can help the patient in diminishing the emotional impact of seclusion. It provides an opportunity to clarify the rationale for the seclusion, offer mutual feedback, and promote the patient's self-esteem.

Adolescent

Splenic injury. An assessment of splenic conservation.

Splenic salvage has been undertaken increasingly in the past decade. The optimal method is not determined in adults. Sixty-seven consecutive cases of splenic injury were reviewed during a time of change in management policy. Splenic salvage rose from 10% of cases in 1980-83 to 57% in 1984-88. Treatment by observation resulted in 46% of patients undergoing delayed laparotomy. Injury to other intra-abdominal organs required laparotomy in 23% of patients with multiple injuries. Operative splenic salvage in the adult is feasible and may result in a higher rate of splenic salvage.

Adolescent

Confirming communication of nurses in interaction with physicians.

Communication is an essential component of the theory and practice of nursing. This study used a confirmation/disconfirmation framework to describe the communication characteristics of 40 registered staff nurses videotaped in a decision-making task with a resident physician. Nurses were found to be confirming in 87% of their discourse. Differences in confirmation proportions were not found when educational preparation and sex were examined. Older nurses and nurses with more years of professional experience were more confirming in their communication than younger and less experienced nurses. Implications of the study are discussed.

Adult

Distribution of 238Pu in tissues of fish from the canal in Miamisburg, Ohio.

The 238Pu concentrations of various tissues were measured for seven species of freshwater fish from an ecosystem containing elevated levels of 238Pu. The highest levels of 238Pu were found in the gastrointestinal tracts and gills, while the lowest levels were found in muscle tissue. A rapid uptake of 238Pu was observed for hatchery bluegills introduced into this system. High plutonium concentrations in the gastrointestinal tracts and gills suggest that these organs are potential uptake sites. The presence of 238Pu in certain tissues (liver, gonads, bone, and muscle) indicates that there is translocation of 238Pu from the uptake sites.

Animals

Reconstruction of the posterior cruciate ligament: preliminary report of a new procedure.

The integrity of the posterior cruciate ligament is necessary for the stability of the knee. The popliteus tendon is a promising, practical, and anatomical donor for reconstructing the posterior cruciate ligament. The procedure can be performed relatively easily using a posterolateral Henderson incision in association with the standard anteromedial parapatellar approach. We have performed the operation in 2 patients, produced good results at 4 and 6 month follow-up examination.

Adult