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D J Dean

Publications and source records attributed to D J Dean.

30 records · Page 2Linked to original sources

The development of professional and political awareness in nursing.

The fiduciary relationship between the client and the professional who has been hired to provide a service rarely exists today between nurses and patients, Nurses are employed by the State and operate in organizations where elements of both the bureaucratic and professional models are integrated. This paper discusses nursing's adaptation to the ever-changing health system in the United Kingdom and how this has resulted in the involvement of senior nurses in the political process. The mechanisms which result in policy output are discussed with reference to the power of nurses. It is argued that all nurses have a role in the decision-making process through the use of influence which will result from the development of political awareness.

Attitude of Health Personnel↗

De novo synthesis and secretion of heterogeneous forms of human chorionic gonadotropin and its free alpha-subunit in the human choriocarcinoma clonal cell line JEG-3.

The clonal human choriocarcinoma cell line JEG-3 secretes hCG and heterogeneous forms of its free alpha-subunit. We have studied the relationship of these forms in de novo biosynthesis experiments. Cells at near confluence were labeled with [35S]methionine by continuous (10-min to 24-h exposure) and by pulse-chase (5-min exposure, 10-min to 4-h chase) techniques. Media and cell lysates, chromatographed in Sephadex G-100 or, after reduction, electrophoresed on 12-20% gradient sodium dodecyl sulfate-polyacrylamide slab gels (SDS-PAG:), were analyzed by immunoprecipitation with antisera to hCT-alpha and hCG-beta. The intracellular labeled free alpha-subunit observed in lysates at all time points of either continuous or pulse-chase experiments was the same size or was slightly smaller on G-100 (apparent mol wt, 21,600 +/- 3,900) than urinary standard alpha-subunit (CR119 alpha; apparent mol wt, 22,700 +/- 1,500) and also somewhat smaller on SDS-PAGE (apparent mol wt, 19,400 +/- 600) than urinary standard alpha-subunit (apparent mol wt, 20,200 +/- 1,100). However, the predominant form of secreted free alpha-subunit, at chase times as early as 30 min, migrated with a higher apparent molecular weight in both systems (SDS-PAGE, 22,100 +/- 400; G-100, 29,300 +/- 2,700). We have not observed this secreted large free alpha-subunit in the cell lysate, and our data suggest that the small intracellular alpha-subunit is a precursor of the larger secreted alpha-subunit and not vice versa. The beta-subunit of secreted hCG was somewhat larger (apparent mol wt, 31,500 +/- 1,000) on SDS-PAGE than standard beta-subunit (CR119-2 beta and CR115 beta; apparent mol wt, 29,900 +/- 1,900). Secreted intact hCG migrated with urinary standard hCG (CR119) on G-100, but analysis of 35S-labeled intracellular hCG was complicated by co-precipitating large mol wt proteins. De novo synthesis and secretion of a large form of free alpha-subunit as well as a large beta-subunit in hCG may be due to posttranslational oligosaccharide addition during the secretory process.

Cell Line↗

Rabies neutralizing antibody response to different schedules of serum and vaccine inoculations in non-exposed persons. 4.

Early and persistent antibody is needed for maximum protection to be afforded to persons severely exposed to rabies. With vaccine alone, detectable antibody production takes 7-10 days, and the passive antibody introduced with antirabies serum or gamma-globulin is commonly used to fill this gap. However, administration of antirabies serum or gamma-globulin with vaccine interferes with the antigenic action of the vaccine.The studies reported in this paper provide further evidence that the interfering effect of serum can be overcome by giving booster doses of vaccine, as recommended by the WHO Expert Committee on Rabies, 10 and 20 days after the end of the usual 12- to 14-dose series of vaccine inoculations. While the results do not clearly indicate whether a single booster dose might be sufficient, the authors consider the second booster useful to ensure both degree and length of antibody duration.

Adult↗

Staff ward meeting.

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Nursing Service, Hospital↗