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Biomedical subjects

C Westerman

Publications and source records attributed to C Westerman.

5 recordsLinked to original sources

Systematic process and outcome evaluation of brief staff training in psychosocial interventions for severe mental illness.

This study evaluated systematically the integrity and effectiveness of a topical staff training programme. The integrity of the training was evaluated in terms of its adherence to the trainer's protocol, using an observational instrument. To assess effectiveness, multiple measures of learner satisfaction, learning, generalisation and impact were administered longitudinally to N = 45 multi-disciplinary mental health professionals in the UK. The integrity evaluation indicated that the training had been delivered appropriately. Significant effects of the training were obtained on the learning assessments (knowledge gain and skill enhancement) and on the generalisation measure. No adverse effects were found, and learner satisfaction was very favourable. The findings indicate that a brief in-service training programme can be delivered consistently and can foster good practice amongst mental health staff, leading to benefits for their clients.

Adult↗

Effects of AIDS counseling and risk reduction training on the chronic mentally ill.

The chronic mentally ill are a high-risk group for HIV infection. In this study 27 chronic mentally ill psychiatric outpatients were randomly assigned to either an AIDS education and risk reduction training group or to a no-treatment control group. Training was conducted during four 2-hour group meetings that were scheduled over 4 days. Treated patients were instructed on modes of HIV transmission and high-risk groups and practices. They were instructed on the importance of using condoms and also taught problem-solving and refusal skills to cope with high-risk sexual and drug and alcohol situations. Assessments were made immediately before and after training as well as during a 2-week follow-up. Participants who received training showed significant improvement in their knowledge about AIDS, their confidence to deal with high-risk situations, and on behavioral measures of coping in high-risk situations. No such improvement was noted in the control group. There was also evidence of maintenance over the 2-week follow-up. Although the magnitude of change was small, the results of the study are encouraging considering the brevity of treatment, the high degree of risk and difficulty faced with this patient population, and the fact that even a small amount of behavior change can make the difference between encountering and avoiding the HIV virus.

Acquired Immunodeficiency Syndrome↗

Doxorubicin delivered by subcutaneous pellets suppresses uterine sarcoma xerografts in athymic mice.

An in vivo model system has been developed to test the sensitivity of human malignancies xerotransplanted into athymic mice for sensitivity to a chemotherapeutic agent, delivered by subcutaneously placed, slow-release pellets. Pellets were specially created to release set amounts of doxorubicin (DX). BALB/c nude mice were injected with equal aliquots of minced human mixed mullerian sarcoma (MMS) of the uterus and divided into groups: control and DX-treated (750 micrograms/day). The tumor growth rate in the DX-treated group of mice was significantly reduced when compared to controls in two experiments, 1 (P less than 0.001) and 2 (P less than 0.01). Final tumor weight was also significantly less in the DX-treated group (P less than 0.001). This model system, utilizing pellet delivery of chemotherapy to human malignancies heterotransplanted into athymic mice, may be an effective means of screening the activity of anticancer agents on human tumors, avoiding more cumbersome drug administration methods.

Animals↗

Hyperalimentation worksheet.

Parenteral hyperalimentation is an important means of nutritional support for critically ill patients. Calculating the amount of additives necessary for the appropriate compounding of hyperalimentations is a tedious process with many opportunities for error. A new computer program written in Pascal has been created to reduce pharmacy processing time. Menus and single-keystroke entry are implemented wherever practicable. A hard-copy printout and an individualized label are generated on command. Program testing has resulted in an 88% reduction of processing time.

Computers↗

Sales-nurse wanted.

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Community Health Nursing↗