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Biomedical subjects

D Baldwin

Publications and source records attributed to D Baldwin.

At least 163 records · Page 9Linked to original sources
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Poststroke family function: an evaluation of the family's role in rehabilitation.

Stroke affects long-term quality of life and well-being for not only the patients themselves but also their families. However, the focus of most rehabilitation programs has been on managing the acute stage of stroke and evaluating the effectiveness of short-term treatments. Families usually share in treatment, especially in the long term, and they are ultimately responsible for the patient's welfare. This article reviews the literature as it relates to the clinical problems that make rehabilitation a family issue.

Adaptation, Psychological↗
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Student satisfaction with classroom use of computer-assisted instruction.

In summary, the number of schools using CAI is increasing, and available CAI programs are multiplying rapidly. We believe that a critical factor in classroom use of CAI is the selection of appropriate topics for presentation by this method of media instruction. Faculty must know students' reactions and level of satisfaction with CAI to ensure that selection of this teaching methodology is made wisely, and that this methodology is an effective one for the student. Therefore students must be included in the process of evaluating media instruction.

Computer-Assisted Instruction↗
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Difficult dialogues: impact on nursing education curricula.

Efforts to raise consciousness and heighten sensitivity toward the issues of races, class, ethnicity, and gender are being espoused throughout society today. Within higher education there is currently a national debate over whether or not curricula are exclusive of certain ethnic and cultural perspectives. The National League of Nursing (NLN) in 1989 resolved that innovative nursing curricula be developed that (1) enhance caring practices through faculty-student relationships and faculty-faculty relationships that are egalitarian and humane and characterized by cooperation and community building; (2) incorporate social values that recognize diverse life-styles and multicultural and multiracial perspectives; and (3) include contact with or participation by persons at risk including disenfranchised populations such as women, poor, elderly, and homosexual persons. The purpose of this article is to share two faculty members' experience of creating a "difficult dialogue" in a doctoral nursing education course. Generally speaking, difficult dialogues are encountered when academia attempts to include the experiences of white women, women of color, and men of color in the curriculum. The dialogues are difficult because engagement in this type of discourse may lead to feelings of discomfort and uneasiness among faculty and students. Although these feelings were experienced by class participants, the end result was a constructive and powerful learning experience. The willingness of the black students and faculty in the course to share their lived experiences of discrimination and oppression in a white society and the willingness of the white students and faculty to hear a different lived experience from their own was education at its best.(ABSTRACT TRUNCATED AT 250 WORDS)

Communication↗
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Guiding dialogue in the transformation of teacher-student relationships.

The National League for Nursing at its 1989 biennial convention resolved that nursing curricula be revised to reflect enriched caring practices through egalitarian teacher-student and teacher-to-teacher relationships that reflect cooperation and a sense of community. The distribution of power relationships between student and teacher, teacher and teacher, and teacher and administrator must be reconceptualized and realized before any significant change in nursing education's curriculum can occur. Revising curricula to incorporate such a change in teacher-student relationships begins with dialogue with teachers that is authentic. Authentic dialogue will cause examination and reexamination of assumptions and ideologies about teacher-student relationships.

Communication↗
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The relationship between self-esteem, health habits, and knowledge of BSE practice in female inmates.

This article reports on data derived from an investigation of the self-esteem, health habits, and knowledge of breast self-examination (BSE) practice in female inmates. A descriptive correlational study was conducted with a prison sample of 197 adult females incarcerated in a women's state prison. Major findings of the study suggest that female inmates in general had medium to high self-esteem, poor health habits before incarceration, and minimal knowledge about BSE practice. Only 26% reported correct knowledge related to frequency in BSE practice, and few reported that they knew correct BSE technique. In addition, findings suggest that a correlation does not exist between self-esteem and knowledge of BSE practice, and participants' last grade completed served as a good predictor of women's knowledge of BSE practice.

Adult↗
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Amputations associated with arteriovenous access.

This study was performed to investigate the common characteristics of hemodialysis patients who need upper limb amputations. An index case was identified and involved questioning physicians and reviewing hospital and office records. Hemodialysis patients who have diabetes and leg amputations are at high risk for ischemic episodes that may lead to amputation of the arm, distal to the arteriovenous access site.

Adult↗
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Role of dopamine in schizophrenia and Parkinson's disease.

The neurotransmitter dopamine (DA) and the dopaminergic neurones play an important role in schizophrenia and Parkinson's disease (PD). A decrease in DA in the substantia nigra of the brain has been implicated as the cause of PD. By contrast, it is argued that a functional excess of DA or oversensitivity of certain DA receptors is one of the causal factors in schizophrenia. These factors are reflected in the treatment of both conditions; drugs aimed at increasing DA are prescribed to patients with Parkinson's disease, while most antipsychotic drugs block and reduce the effects of DA. In schizophrenia the antipsychotic effects of traditional 'neuroleptic' drugs such as chlorpromazine are highly correlated with their ability to block DA receptors and reduce the effects of DA. This article examines the role of DA in these two conditions.

Brain Chemistry↗
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Insulin-resistant diabetes with insulin receptor autoantibodies in a male patient without acanghosis nigricans.

A 51-yr-old, nonobese, male patient presented with hyperglycemia and a recent 40-pound weight loss. Severe insulin resistance was documented in studies in which high amounts of insulin were infused using the Biostator GCIIS. Diabetic control was finally achieved with subcutaneous injections of 470 U of insulin per day. Positive laboratory findings included a mild pancytopenia, elevated erythrocyte sedimentation rate, decreased C3 and properdin, and increased IgA. Antinuclear or other autoantibodies were not present. Insulin antibody levels were within the range usually present in insulin-treated diabetic patients. Acanthosis nigricans was not present. Incubation of the patient's serum with IM-9 lymphoblastoid cells revealed that an insulin receptor antibody was present in a serum dilution of 1:80. Insulin-resistant diabetes mediated by insulin receptor antibodies may present in patients with immunologic findings but without overt dermatologic stigmata.

Acanthosis Nigricans↗