In a previous subchronic neurotoxicity study, increases in motor activity were observed for female rats after 9 and 13 weeks of exposure to 5000 ppm of isopropanol vapor. The present study was conducted to evaluate the reproducibility of these effects and, if reproducible, to assess the potential for reversibility following cessation of exposure. Two groups, each containing 30 female Fischer 344 rats, were exposed to concentrations of zero (control) and 5000 ppm of isopropanol vapor for 6 h per day, 5 days per week. Fifteen of the animals in the control and 5000 ppm groups were exposed for 9 weeks (designated as the 9-week subgroup), while the other 15 animals in each group were exposed for 13 weeks (designated as the 13-week subgroup). Motor activity was assessed for both subgroups prior to exposure and following 4, 7 and 9 weeks of exposure. Motor activity was also measured for rats in the 13-week subgroup following 11 and 13 weeks of exposure. These motor activity measurements were made 18-20 h following the end of the last exposure for that week. In addition, to evaluate the reversibility of motor activity effects, measurements were made on three occasions during the week following the final exposure for rats in both the 9-week and 13-week subgroups and weekly thereafter for five additional weeks for rats in the 13-week subgroup. Increases in cumulative test session motor activity counts were observed following 4, 7 and 9 weeks of exposure for rats in the 9-week subgroup. Increases in cumulative test session motor activity counts were also observed following 4, 7, 9, 11 and 13 weeks of exposure for rats in the 13-week subgroup. Reversibility of this effect was observed for rats in the 9-week subgroup within 2 days following the last exposure. Reversibility was also noted for rats in the 13-week subgroup but not until Study Week 15 (2 weeks following the last exposure). Minor changes were observed in the shape of the motor activity habituation curves for isopropanol-exposed animals in the 9-week and 13-week subgroups at ca. 50% of the measurement intervals beginning at Study Week 4. While most of these statistical changes were observed in conjunction with increases in cumulative test session motor activity, some were observed following time points where recovery of the cumulative test session motor activity counts had occurred. No change in the shape of the motor activity habituation curve was observed at 42 days following the last exposure, indicating that complete recovery of motor activity effects had occurred. Thus, repeated exposure of female rats to 5000 ppm of isopropanol produced reversible increases in motor activity.

2-Propanol↗

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Physical and biological properties of compound membranes incorporating a copolymer with a phosphorylcholine head group.

A copolymer (PMB) having a polar head group 2-methacryloyloxyethyl phosphorylcholine (MPC) copolymerized with n-butyl methacrylate (BMA) may provide a haemocompatible surface for implantable devices. Pure PMB membranes and compound membranes composed of PMB coated onto polyurethane (PU + PMB) and poly(vinyl chloride) (PVC + PMB) have been prepared. Fundamental studies on these membranes included the analysis of molecular distribution and orientation, the characterization of surface physical properties and the examination of blood membrane interactions. The experimental techniques used were Fourier transform infrared spectroscopy (FTIR), atomic force microscopy (AFM) and scanning electron microscopy (SEM). Significant differences between PU + PMB and PVC + PMB membranes were found. Compound PVC + PMB and pure PMB membranes exhibited favourable surface properties for haemocompatibility and also showed low adhesion of blood components, whereas PU + PMB displayed the contrary. This leads to the hypothesis that the underlying material has a major influence on the surface properties of compound membranes.

Biocompatible Materials↗

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Organizational issues in health informatics: a model approach.

In this paper, we present a model that describes the stages of the implementation of an information system in a health care organization. The model offers no explanation of the implementation process but rather describes in a cyclic order the domains that are relevant when implementing a system. The model offers thus an opportunity to identify gaps in our knowledge and understanding of implementation processes and provides also the conceptual basis for a higher education course of health informatics that is focusing on organizational change and the pivotal role of information and communication technology.

Delivery of Health Care↗

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Validation of the defining characteristics of potential for violence.

A high incidence of violence occurs in contemporary society, which is reflected in the violence exhibited by psychiatric patients. To validate the defining characteristics of potential for violence, 125 registered nurses were asked to rate the relevance of defining characteristics of the diagnosis. A diagnostic content validity index was used to ascertain which defining characteristics the nurses believed to be the most critical in the identification of violence potential. Nine major and 20 minor characteristics were identified by these nurses.

Adult↗

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Risk for suicide and risk for violence: a case for separating the current violence diagnoses.

PURPOSE: To identify accurate descriptive terms for risk for violence and risk for suicide and to provide operational definitions for these terms METHODS: The Delphi technique, with two rounds, was used to differentiate the operational definitions that represent risk for suicide from those that represent risk for violence. The expert panel consisted of 23 healthcare professionals with a minimum of a master's degree. In addition to the expert panel, a control group (N = 11) participated to assess content validity. FINDINGS: Thirty-six definitions were agreed upon for suicide, 39 for violence. CONCLUSIONS: These definitions represent the basic distinctions between the two behavioral manifestations.

Adult↗

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Geropharmacology: an individualized approach.

Pharmacologic care of the elderly is a multifaceted problem. This article approaches geropharmacology from an individualized perspective. The practitioner should plan and prescribe health care for the aged, with a knowledge of physiologic changes in the elderly, an understanding of the pharmacokinetic and pharmacodynamic mechanisms of iatrogenic drug reactions, and an awareness of the social and ethical issues related to geropharmacology.

Aged↗

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The reproducibility of caloric tests of vestibular function in young and old subjects.

The test-retest repeatability of the hot caloric response alone and of the hot and cold caloric responses combined, was evaluated in 29 subjects, over a 6-month period. The subjects were from two different age groups, 20-30 years (15 subjects) and 65-75 years (14 subjects). Intersubject variability was statistically significant in both age groups, though of greater magnitude in the older subjects. Once a vestibular caloric response baseline was established, for any given subject, there was reasonably reliable test-retest repeatability over time, in both age groups, with coefficients of reliability greater than 0.90.

Adult↗

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Nursing development units: progress and developments.

Nursing development units (NDUs) are centres where groups of nurses, midwives, public health nurses and health visitors use a comprehensive planned strategy to develop themselves and their practice. Some of the early defining work on NDUs is considered and a brief history is outlined in this article. The strategic approach taken by the Eastern Health Shared Services in Dublin has led to the development of many NDUs in the Dublin area over a five-year period. The NDUs are based on a strategic, supportive approach. Six now exist in the state-funded health service system, but the project has also been widened to include the private and voluntary sectors and this has stimulated several other units to emerge. Focus group work with NDU leaders and facilitators has led to a gradual redefining of the principles of NDUs and the emergence of an accreditation system run by the board. The authors summarise these findings.

Accreditation↗

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A prospective audit of hospital-acquired deep vein thrombosis and pulmonary embolism.

The incidence of symptomatic deep vein thrombosis and pulmonary embolism acquired in hospital was studied, and the effectiveness of current thromboprophylaxis was assessed in an open study of 8648 admissions to the Doncaster Royal Infirmary between April and July 1994. On admission, all patients were assessed for their likely risk of thromboembolic problems according to THRIFT criteria. Treatment, prophylaxis, complications and outcome were recorded on discharge. A high risk sub-group was followed up for up to 42 days after discharge. The overall rate of clinically apparent hospital-acquired thromboembolic complications was 0.4% (n = 35). The rate of clinically apparent thromboembolic disease in the high risk group was 2.1% (n = 17). The incidence of thromboembolic problems appeared not to be reduce by prophylaxis apparently even when stratified by risk group. These findings suggest that thromboembolic complications may be less common than would be expected from published literature. Thromboprophylaxis as currently practised within our institution does not seem to affect the incidence of deep vein thrombosis or pulmonary embolism, and these results would appear to argue against a 'blanket' policy for pharmacological thromboprophylaxis.

Adolescent↗

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Computers in nursing. A package deal.

Explore the source record for details and available documents.

Computers↗