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Biomedical subjects

G B White

Publications and source records attributed to G B White.

At least 19 recordsLinked to original sources

Understanding the ethical issues in infertility nursing practice.

Nurses are actively involved in planning and providing nursing care to infertile individuals and couples in a variety of health care settings. Infertility is a health problem with ethical and physical, psychological, and social dimensions. Rather than evaluating the ethical advantages and disadvantages of each reproductive technology, the author suggests that the ethical issues that face nurses in caring for infertile individuals be assessed from the standpoint of possible harm to the individual and family. From this perspective, a lack of accurate information about treatment outcomes appears to be a serious ethical issue and one that nurses can, in part, remedy.

Adult

Ethical analyses in the development of congressional public policy.

A wide range of conflicting established moral viewpoints makes development of public policy related to infertility difficult. Where there are pluralities of viewpoints and no single established moral approach, uniform solutions are questionable. The Office of Technology Assessment (OTA), is a nonpartisan analytic support agency that serves the United States Congress by providing objective analyses of major public policy issues related to scientific and technological change. Because analysis of ethical issues is an important part of technology assessment, OTA included a thematic analysis of ethical issues in the report, Infertility: Medical and Social Choices. A consideration of whether infertility is a disease was an important conceptual starting point, and religious perspectives were reviewed as possible sources of moral and ethical insight.

Biomedical Research

The changed pattern of malaria endemicity and transmission at Amani in the eastern Usambara mountains, north-eastern Tanzania.

Parasitological and entomological studies on malaria were conducted between 1980 and 1982 on the Amani hills in the eastern Usambara mountains of north-eastern Tanzania. Malaria vectors were scarce on the Amani hills until the late 1960s and it was generally presumed that any cases of malaria transmission must have been contracted by people while visiting lower altitudes where malaria is holoendemic. However, the malaria vectors Anopheles funestus and An. gambiae have both become more abundant during the 1970s and 1980s and sporozoite-positive specimens of both have been found. Malaria asexual parasite rates have been shown to have increased, for instance from 52.7% in 1980 to 53.8% and 63.7% in 1981 and 1982, respectively. The percentage of parasitized children aged below 1 year whose parents report that they have not visited lowland localities away from the Amani hills has increased, from 71.4% in 1980 to 80.0% and 91.0% in 1981 and 1982, respectively, suggesting possible local malaria acquisition. These parameters have been confirmed by increasing sporozoite rates from 0.0% in 1967-1971 to 0.09% in May-June 1973 and 11.1% in August and December 1980. Various factors including climatological changes and increased agricultural activities are attributable to this changed malaria endemicity and transmission.

Adolescent

Teaching ethics using games.

Many students find analysis of ethical dilemmas difficult due to the ambiguity and uncertainty they see in these situations. Games have been developed and are used in a wide variety of educational experiences. An ethics game entitled 'Rights: Helter Skelter' has been used with nursing students in their first course focused on ethics and nursing. This game enhances their ability to tolerate high levels of uncertainty while they analyse ethical dilemmas.

Education, Nursing

Nosema algerae (Nosematidae, Microsporida): laboratory infections of Anopheles larvae and prospects for field application.

Different larval instars of Anopheles arabiensis were infected experimentally using different dosages of Nosema algerae spores. The N. algerae infections killed most of the exposed larvae at the instar treated. Chronic infections in adults developing from treated larvae decreased fecundity and shortened the life of the adults. The possibility of applying N. algerae as a control agent against An. arabiensis larvae is discussed.

Animals

Aetiology of juvenile-onset diabetes. A prospective study.

110 people in whom insulin-dependent diabetes developed when they were less than 30 years old were studied as soon as possible after diagnosis. There was evidence for clustering of cases with BW15-positive phenotypes during the winter peak (1976) but not during the autumn peak (1975). Subjects who were BW15-positive, and in particular those who were both B8 and BW15-positive, had higher neutralising antibody titres to Coxsackle virus types B1-B4 58% of cases had islet-cell antibodies (I.C.A.), but the presence of I.C.A. was not correlated with HLA phenotypes or viral antibody titres. In 41 subjects (37%), who gave a definite history of antecedent illness, evidence indicated that this was a precipitating infection and not the initiating event producing islet-cell damage. Nearly half the subjects had had diabetic symptoms for more than 4 weeks before diagnosis.

Adolescent

Man-biting species of Chrysops meigen, Culicoides latreille and Simulium latreille in Ethiopia, with discussion of their vector potentialities.

Human filariasis and its vectors are little known in Ethiopia. Wuchereia bancrofti is confined to the western lowlands and cannot be the aetiological agent of elephantiasis in the highlands. Onchocerca volvulus is widespread in the south-western highlands. Loa loa and Dipetalonema perstans are reported here for the first time and appear to be uncommon. Studies were conducted in 1973, mostly near Jimma in Kaffa Province, on potential vectors of all but the first of these parasites. Among Simuliidae, the only blackflies of apparent medical importance were S. woodi ethiopiense and a possibly new member of the S. damnosum complex. The former is less seasonal and much less numerous than the latter, but may be more widespread and important along smaller and higher streams. Onchocerca larvae were recovered from "damnosum", but not from the small number (46) of ethiopiense examined. In August, at the height of the rainy season, the biting-rate of ethiopiense at 1,710 m altitude on the Gilgil Ghibe river reached 9.5/man-hour at 10-1100 hours and about 12/man-hour at 14-1600 hours. At the same time and place, the attack of "damnosum" reached a midday climax of about 1,800/man-hour; this peak could be delayed or suppressed by rain. Another possibly anthropophilic blackfly, S. dentulosum, tended to become most common in December afer the rainy season had passed, but proved incompetent to bite man successfully. The only feasible loiasis vector found in Ethiopia was Chrysops streptobalius; however, this tabanid was not closely associated with man. Up to 34/man-day were caught in watermeadows by the Gojeb river (altitude 1,160 m) in October. Man-biting species of Ceratopogonidae in various parts of Ethiopia were Culicoides fulvithorax, C. grahamii, C. kingi and C. milnei. The first two of these were anthropophilic in lowlands, but apparently not so in highlands. C. milnei was extremely abundant biting man highlands. C. milnei was extremely abundant biting man and domestic animals both indoors and outdg cycle was irregular, usually displaying a succession of ill-define nocturnal peaks; sometimes it attacked in daylight. Up to 35,000 C. milnei per trap-night were caught in light traps. Most of the females entering light traps in a stable were already engorged with blood. It seemed very likely that C. milnei would prove to be of veterinary importance. No firm indication was obtained as to what may transmit D. perstans in Ethiopia.

Animals