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Biomedical subjects

J A Gibbs

Publications and source records attributed to J A Gibbs.

5 recordsLinked to original sources

Why walk when you can ride? Clinical ambulation incentives for the immobile elderly.

1. Gerontological nurses in long-term care settings should be selective in the use of wheelchairs for residents with ambulation ability. 2. The gerontological nurse specialist can facilitate change in a long-term care setting through the implementation of an ambulation incentive program. 3. The benefits of an ambulation incentive program support rehabilitation-focused care as opposed to custodial care in a long-term care facility. 4. Quality of life outcomes for elderly residents are supported through multidisciplinary collaboration in the implementation of an ambulation program.

Activities of Daily Living

Blood transfusion: a possible risk factor in retrolental fibroplasia.

The effect of blood transfusion on the occurrence of RLF was evaluated in 58 infants who weighed less than 1001 g at birth (Group I) and 70 oxygen treated infants of various birth weights (Group II). Although there was no significant difference between Group I infants with or without exchange transfusion as to birth weight, gestational age, duration of oxygen therapy, peak Pa02's, or multiple births, there was a significantly increased incidence of pre-retrolental fibroplasia in transfused over non-transfused Group II infants. When Group II infants were stratified for prematurity and oxygen duration, this difference persisted in those not already at risk for RLF. This increased incidence of retinopathy in transfused infants suggests that blood transfusion may be a risk factor in the pathogenesis of RLF.

Apnea

Creamatocrit: simple clinical technique for estimating fat concentration and energy value of human milk.

A simple micromethod has been devised for estimating the fat and energy content of human milk based on the centrifugation of milk in a haematocrit centrifuge. The percentage of cream, or "creamatocrit," is read from the haematocrit capillary tube and is linearly related to the fat and energy content. The technique, which is rapid and cheap, may be used in clinical practice, in research, and in epidemiological studies.

Centrifugation

The biology of human drip breast milk.

The milk which drips from the opposite breast during breast feeding is used in some centres for feeding premature babies, yet there is little scientific information on the biology of this secretion. Drip breast milk (DBM) differs from expressed breast milk (EBM), both in its contents and in the change in its composition over the period of lactation. The fat concentration and energy value of DBM are low, compared with levels reported for EBM: protein, fat, sodium and energy value in DBM fall with the duration of lactation, whereas magnesium and calcium rise, and lactose, potassium osmolality and lysozyme remain constant. The milk fat content of DBM produced by individual donors is linearly related to the daily volume of DBM produced. Studies on 477 women admitted to the Oxford General Practice Obstetric Unit over 1 yr showed that, of the 75% who were lactating successfully 2 wk after delivery, 19% were producing DBM by 2--4 wk. Women who produced DBM did not differ in age or parity from those lactating women who did not, and their babies did not differ in birthweight, gestation, centile or sex. The suitability of DBM as a food for premature infants is discussed.

Breast