Breastmilker helps many mothers in postnatal wards.
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Biomedical subjects
Publications and source records attributed to D Irvine.
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13 men and 43 women (average age 76) attending a low-vision clinic with visual acuity of 6/18 (Snellen) or less had acuity measurements made under standard (measured) hospital conditions, under normal home conditions, and under home conditions with augmented lighting. Median levels of ambient lighting in the home were 1/10 of those in hospital, while levels for reading were 1/7. Augmented lighting at home (a 60 watt bulb in a small adjustable lamp) improved visual acuity in 82% of subjects, restoring all but 11% to the levels achieved in hospital or above. Improvement was unrelated to disease. General levels of lighting are often so poor in the homes of elderly people that the number of people functioning as "blind" is twice what it need be. Simple improvements to lighting would reduce the prevalence of "visual disability" (less than 6/18 Snellen) from 520/100,000 home-based adults to about 300.
Most elderly visually disabled people have lower levels of visual acuity for both reading and getting about in their homes than would be inferred from clinic measurements. Even with optimum optical correction, performance can be much improved by simple modifications to existing facilities, individual advice, and in most cases the addition of a simple adjustable reading lamp.
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A postal survey of 776 principals representative of general practice in Britain is described. Doctors working in health centres are compared both with colleagues in other group practices and with doctors who have no group practice allowance. Young doctors are mainly in group practice, especially health centres; the proportion of doctors who are not in groups is diminishing steadily, and they are mainly older. With some notable exceptions health centres provide most space, equipment, and staff; group practitioners in privately-owned premises spend more of their money on their practices, more often use appointment systems, and tend to make more efficient use of premises and staff. Overall, however, the picture is still one of general practice geared to the needs of practitioners working alone. Premises with space for sophisticated organization and for future teaching needs are unusual.Scotland, the North of England, and Wales have fewer young doctors. Average lists are higher in the North of England, and less money is invested in practice premises.Young doctors look for modern premises and the tools and staff for the job. If their career expectations are to be met the tremendous improvements made in some practices must be extended rapidly to the remainder.
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This study was undertaken to examine the practice pattern of nurse practitioners employed in Ontario acute care settings. A descriptive design, incorporating quantitative and qualitative methods for data collection, was used. The acute care nurse practitioners' practice pattern varied in terms of scope of practice, model guiding practice, reporting relations, and extent of role implementation. Role implementation encompassed activities representing the four role components: clinical practice, education, administration or management, and research. The acute care nurse practitioners engaged most frequently in the clinical component of the role. They performed medical and advanced nursing functions. They emphasized that they do not work in isolation and that they do not replace physicians or residents.