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Biomedical subjects

J C Reed

Publications and source records attributed to J C Reed.

At least 541 records · Page 30Linked to original sources

Management an experimental approach.

An experimental teaching procedure was devised and tested for integrating the nursing process, nursing care plans, the research process and management principals. The integration defined as the problem oriented process (POP) was tested with 16 students over two semesters. The results indicated that the POP was a successful integration that aided the student in "getting it all together." As one of the students put it: This experience will give future students, as it did me, a better understanding of how research is best utilized. The students can use almost all their past learning experiences, bringing it all together in one situation. He (the student) can use his communication skills to detect a problem, his research skills to design planned intervention and evaluation and his interpersonal skills to measure his effectiveness as a change agent. Finally, he can use his nursing skills and knowledge of pathophysiology in a setting most like what he will find upon graduation.

Curriculum↗

Calendar life-span versus fission life-span of Paramecium aurelia.

The hypothesis that paramecia use fissions, not days, to measure length of cell life-span was investigated. Parallel cell lines were grown at 27 C and at 24 C. The daily fission rate of the cells at 24 C was lower than at 27 C. If the cells count fissions, not days, the life-span in fissions should remain unchanged, whereas the cell life-span in days should increase in the lines with reduced daily fission rate. The results showed a significant increase in cell life-span in days when the cells were cultivated for 70-100% of their life cycle at 24 C. The life-span as measured by fissions, however, remained unchanged regardless of the time of the life cycle when cells were shifted to 24 C. The data indicate that, as a model system for cellular aging, paramecia are comparable to cells which use cell doublings to measure life-span.

Animals↗

Radiologic-pathologic correlation from the Armed Forces Institute of Pathology. Lymphangiomyomatosis.

The radiologic patterns caused by interstitial lung disease evoke a long list of differential diagnostic possibilities. Though the problem may at first seem insoluble, subdivision into conditions that spare the pulmonary architecture, as opposed to those that lead to an end-stage "honeycomb lung", and consideration of the clinical findings will frequently narrow down the list. Occasionally, key associated findings such as pleural effusion, pneumothorax, and systemic involvement of many organs will help rule out inappropriate diagnoses. Lymphangiomyomatosis is a rare cause of "honeycomb lung" that may result in a very specific combination of radiologic and clinical findings.

Adult↗

Radiologic differential diagnosis. Radiologic pattern: solitary cavity.

The differential diagnosis of a left lower lobe cavity in this young patient with a history of productive cough should include hiatal hernia, pulmonary abscess, bronchiectatic cyst and bronchopulmonary sequestration. Hiatal hernia should be ruled out by barium swallow; acute pulmonary abscess by the lack of a history suggestive of a necrotizing pneumonia; bronchiectasis by bronchogram; and intralobar bronchopulmonary sequestration should be confirmed by aortography.

Adult↗

Non-health professionals and the school-age child. Treatment of minor acute health problems.

In order to meet the minor acute health needs of the school-age child in an effective and efficient manner, school health workers were trained to follow standards of problem solving with the aid of a problem-specific reporting form for seven common minor acute problems. During the operation of the program, the workers displayed a high degree of compliance with standards of the problem-solving process. The program resulted in a substantial reduction in the work load for the minor acute problems, and there was a reduction in the number of unnecessary trips to the clinic for minor problems.

Allied Health Personnel↗

Skull volume in infants. Methodology, normal values, and application.

Skull volume was determined from measurements on roentgenograms in 53 infants with normally shaped skulls. A positive relationship existed between occipitofrontal circumference (OFC) and skull volume. Formulas related OFC to skull volume for each sex at different age intervals were computed. With these formulas and published data, percentile ranks for skull volume were calculated for age and sex. In seven infants with abnormally shaped skulls, the relationship between OFC and skull volume differed from infants with normally shaped skulls. The OFC was not a reliable indicator of cranial volume in infants with abnormally shaped skulls. Serial determination of skull volume is proposed as a method of following the brain growth of these infants.

Brain↗

The air bronchogram in interstitial disease of the lungs. A radiological-pathological correlation.

The air bronchogram classically signals an end-air-space or "alveolar" filling process such as alveolar proteinosis and bronchioloalveolar-cell carcinoma. However, it can also occur in interstitial diseases, possibly leading to compressive atelectasis and causing crowding of tissue around open airways. In addition, such disease processes may encroach on distal airways, producing obstructive pneumonia which may then surround open proximal airways, as in sarcoidosis and lymphoma. In mixed "alveolar" and interstitial processes such as Pneumocystis carinii pneumonia and the late stages of hemosiderosis, "alveolar" filling may mask the interstitial disease.

Adenocarcinoma, Bronchiolo-Alveolar↗

Congenital respiratory cyst. RPC from the AFIP.

The radiologic finding of a thin-walled cystic structure in the lung should raise the question of a possible congenital respiratory cyst. This is often a difficult diagnosis to confirm, and the presence of radiologic findings such as loculation of the cyst, ill-defined or shaggy borders, interstitial reticulations, or pleural thickening should all be considered suggestive of postinflammatory processes such as abscess, cystic bronchiectasis, or even tuberculosis. A history of previous pneumonia should also be considered evidence to question the diagnosis of congenital respiratory cyst and suggest the possibility of a pneumatocele.

Adult↗

Pulmonary parenchymal Hodgkin's disease. RPC from the AFIP.

The radiographic findings of mediastinal lymphadenopathy associated with pulmonary parenchymal nodules (with possible cavitation) should alert the radiologist to the possibility of Hodgkin's disease. The pulmonary parenchymal lesions are almost always associated with lymphadenopathy and are rarely an isolated finding.

Adult↗