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Biomedical subjects

J Burns

Publications and source records attributed to J Burns.

At least 487 records · Page 27Linked to original sources

Approaches to memory assessment in the chronic psychiatric elderly.

Approaches to memory assessment generally fall into two categories: a) Evaluation of the integrity of specific cognitive processes, and b) Quantitative measurement of performance levels on global dimensions of behavior. The California Verbal Learning Test (CVLT) is an exemplar of both the process and global approaches, while the Wechsler Memory Scale-Revised (WMS-R) represents the global approach. Despite the popularity of both instruments little extant research, examining their convergent/divergent properties or their compatibility, exists. In the present study we replicated, on a mixed sample of normal and psychiatric elderly, a previous study's pattern of CVLT/WMS-R convergent and divergent findings. In addition, we found that both instruments are similar in their discrimination between normal and psychiatric elderly subjects.

Journal Article↗

Personal, professional and practice development: clinical supervision.

This article investigates current research concerns in relation to clinical supervision and offers a rationale for using case studies as a means of evaluation. Three case studies are used to illustrate how development and growth can occur as a result of clinical supervision. The use of case studies as a means of evaluation is analysed. Case studies provide unique insights into the dynamics and processes of clinical supervision. Any improvement in practice ought to bring about improvements in client care, thus case studies can add to the accumulating, qualitative data that support the link between clinical supervision and improved client care. This article recommends that more case studies should be carried out and that the findings are compiled on a centralized database in order that evidence supporting the widespread use of clinical supervision is readily accessible.

Absenteeism↗

Community-based nursing education in Pakistan.

The nursing profession is not looked on favorably by Muslim families. In one rural area there were only three nurses for 1 million people. Community health and public health care have been lacking in the nursing curriculum. Therefore, preparing recruits for the community health nursing (CHN) posts in the Community Health Sciences Department (CHSD) and for faculty of the School of Nursing has involved a sequence of continuing education: inservice and on-the-job training in the CHSD and courses in the new BScN program. Those who joined with a diploma in nursing and a year of midwifery, and who followed this sequence, could be selected as Aga Khan University (AKU) scholars, and be sponsored for support in the two-year BScN program with its community health orientation. After two more years of advanced experience, the CHN is given the opportunity to apply for master's studies abroad. All who were accepted have returned to work at the Aga Khan University and have increased their career opportunities.

Community Health Nursing↗

Prevention and management of pneumococcal disease.

Pneumococcal pneumonia is associated with high mortality in immunocompromised and older people. The authors discuss the role nurses have in increasing awareness of vaccination and use of preventive interventions to target at-risk patients.

Drug Resistance↗

Ready or not: assessing youths' preparedness for independent living.

This article discusses the utility of the Ansell-Casey Life Skills Assessment (ACLSA) in assessing life skills necessary for living successfully in the community upon emancipation from out-of-home care. ACLSA, completed by youths and their caregivers, identifies skills that have been mastered and those yet to be learned. Assessment information can be used for goal setting, strength identification, and relationship building, as well as to direct program planning and training in self-sufficiency services.

Activities of Daily Living↗

Monitoring change in diabetes care using diabetes registers--experience from divisions of general practice.

BACKGROUND: The quality of care for patients with type 2 diabetes has been the subject of a number of government initiatives over the past decade. General practice has an especially important role in diabetes care. METHODS: The National Integrated Diabetes Program was introduced in 2001. Changes in the frequency of assessment and the physiological markers of diabetic control were assessed in a cohort of 2731 patients with type 2 diabetes from 16 general practice diabetes registers during 2000-2002. RESULTS: Frequency of assessment was better in patients living in low socioeconomic postcodes but did not change significantly over the 3 years. There were improvements in intermediate outcomes (HbA1c, systolic and diastolic blood pressure, lipid levels) over the period. DISCUSSION: These data provide a benchmark for improvement in the quality of diabetes care in general practice.

Adult↗

[Osteochondrosis dissecans of the talus. Results of a follow-up study].

26 of 38 surgically treated patients with Osteochondrosis dissecans of the talus underwent a follow-up-examination 4 years and 7 months in average after surgical treatment. Mechanical reasons seem to be one of the most common etiological factors. Sport activities with sprained ankles or recurrent micro-trauma of the ankle joint could be found as one of the most anamnestic answers. Most of the operatively treated patients showed a good postoperative result (congruent to 70%). The success of operation seems to be more dependent on the age of the patient than on the stage. Although signs of osteochondrosis could be seen long time postoperatively this disease leads to an osteoarthrosis only in a few cases and this seems to be more dependent on the age of the patient than on the stage. Because there is no randomised and prospective study comparing operative and non-operative treatment no exact stage dependent recommendation can be given whether the treatment should be done conservatively or surgically.

Adolescent↗