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Biomedical subjects

D Cooper

Publications and source records attributed to D Cooper.

288 records · Page 16Linked to original sources
PubMedDate not supplied

Professional holistic care of the person with a stoma: online learning.

Stoma care nurse specialists are valued for their diverse expertise, but it is essential that all practitioners who regularly care for people with stomas have the opportunity to develop professionally and influence this important area of practice. The vision of a clinical and educational team from Suffolk and south Norfolk led to the development of innovative web-based learning material. The aim is to inspire nurses to engage actively with people who have a stoma. 'Professional care of the person with a stoma' is about caring for the whole person, physically and emotionally, from the period before surgery, to their continuing care in the community. An overview of four aspects of stoma care is presented here as a way of sharing with a wider audience the expert practice harnessed during the development of this web-based module.

Body Image↗
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Study protocol for the evaluation of the potential for durable viral suppression after quadruple HAART with or without HIV vaccination: the QUEST study.

PURPOSE: By protecting and stimulating HIV-specific CD4 cell responses, treatment of primary HIV infection (PHI) with potent quadruple HAART could lead to prolonged suppression of HIV replication after cessation of antiretroviral therapy. The QUEST trial investigates this hypothesis and aims to determine whether addition of a therapeutic vaccine to HAART increases the likelihood of prolonged viral suppression compared to HAART alone. METHOD: 148 patients with PHI were recruited. Participants were treated with open-label HAART for at least 76 weeks. Participants with sustained viremia <50 copies/mL were randomized to one of three 5-month, double-blinded study treatment groups: HAART alone, HAART + ALVAC-HIV (vCP1452), or HAART + ALVAC-HIV (vCP1452) + Remune. After a further month of HAART alone, all treatment was stopped where plasma HIV-1 RNA remained at <50 copies/mL. Intensive virologic and immunologic monitoring during a 24-week observation period followed treatment interruption. Patients who met treatment reintroduction criteria were offered HAART rescue.

AIDS Vaccines↗
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Enrolled over and died.

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Education, Nursing, Continuing↗
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Managing malignant ulcers effectively.

This article aims to bring together current methods of research, thinking and practice related to the treatment and care of patients with a malignant ulcer. With appropriate care and treatment, interventions can effectively decrease social isolation and anxiety while increasing cosmetic comfort for the sufferers of this distressing problem. It is important to stress that the psychological support and interventions offered to this client group are of equal importance as the level of physiological treatment and care.

Bandages↗
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Relationship between incidence of phlebitis and frequency of changing IV tubing and percutaneous site.

Using stratified random sampling, 130 patients from three hospital units were assigned to three treatment groups to test the relationship between the frequency of changing intravenous (IV) tubing and percutaneous sites and the incidence of phlebitis. Measures of pain, skin temperature, and erythema were collected every 12 hours. Chi-square analysis indicated there were no significant differences in rates of phlebitis whether the tubings were changed every 24 hours or 48 hours. Further, there were no significant differences in the incidence of phlebitis between 48- and 72-hour site change groups. Clinically, subjects in the 24-hour tubing change groups had lower rates of phlebitis. Analysis of the relationship of other factors such as environment, IV medication (heparin, potassium chloride, antibiotics, and corticosteroids), diagnosis, and age showed no statistically significant relationships. It was concluded that more frequent tubing changes are not harmful to subjects and, in fact, may be beneficial.

Adult↗
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Sudden death in the six-month postinfarction period.

Complex ventricular arrhythmias that appear during convalescence following an MI and up to a period of 6 months post MI are known to increase the risk of sudden death. The majority of subjects with this complication have above-normal left ventricular filling pressures, a hemodynamic measure of congestive heart failure. In this clinical setting, it is therefore important to consider and search for evidence of congestive heart failure. Drug therapy for arrhythmias is more effective in patients whose congestive heart failure has been adequately treated. Not infrequently, after cardiac compensation the arrhythmia subsides without any further intervention.

Arrhythmias, Cardiac↗
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Habit-forming questions.

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Attitude of Health Personnel↗
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Problem drinking.

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Alcohol Drinking↗