Toxic and depressant effects of alcohol given orally in combination with glutethimide or secobarbital.
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Biomedical subjects
Publications and source records attributed to D Douglas.
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Using a modified Delphi method, the factors influencing length of inpatient stay (LOS) were explored. Row/column effects loglinear modelling was used to compare ratings between the first and second rounds, and between the clinical and non-clinical groups. Rating scale modelling was used to classify and determine the relative importance of each factor. Six important and 48 significant determinants of LOS were found, and four unimportant factors were identified. The relationship among these factors and the implications of this study are explored.
Blood banks have intensified their efforts to discourage donations from individuals at risk for the human immunodeficiency virus (HIV-1). Since the onset of HIV-1 donor screening in April 1985, a marked reduction in seroprevalence has been seen at the authors' institutions: from 51 cases per 100,000 donors in 1985 to 13 per 100,000 in the first 6 months of 1988. Data from 3.5 years have been analyzed for temporal trends in the association of HIV-1 seroprevalence with donation site (urban vs. non-urban) and donor gender. The association of HIV-1 seropositivity with an urban donation site decreased through 1987 as the urban-to-nonurban donation odds ratio declined from 6.48 in 1985 to 2.54 in 1987. Despite this decrease, both men and women who donated in urban areas had a significantly higher seroprevalence than those in nonurban areas. Male donors had a higher overall HIV-1 seroprevalence than female donors. However, the male-to-female odds ratio declined from 2.94 in 1985 to 1.96 in 1988, and male gender was no longer significantly associated with HIV-1 seropositivity. This change in the donor profile appears to reflect declining numbers of seropositive men who acknowledge risk factors and greater numbers of women with no identified risks for HIV-1. This study documents a dramatic decrease in HIV-1-seropositive donors and suggests that the deferral of high-risk individuals has become increasingly successful.
Communication is a dynamic process involving the use of verbal and nonverbal techniques. The intrapartum nurse must use effective communication techniques when eliciting information during the initial interview and throughout the labor and delivery process. The use of effective communication techniques positively affects the clients birth outcome and satisfaction with the birthing experience. This article provides an overview of communication techniques and illustrates specific communication interventions useful in the clinical setting.
The word 'outcome' is very much in vogue within today's healthcare system, yet its meaning varies between different levels of service, occupational groups and care environments. Using practical examples, this article aims to clarify the concept of outcome, and to explore some of the issues surrounding its use.
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