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Biomedical subjects

J Wright

Publications and source records attributed to J Wright.

At least 667 records · Page 37Linked to original sources

Staff stress and satisfaction in small staffed houses in the community: 2.

The first part of this article focused on the stresses and satisfactions arising out of the performance of the direct care role for staff working in three houses in the community for young people with severe learning disabilities and challenging behaviour. This article focuses on the experience of home/work conflict by staff and the impact of organisational issues in relation to staff-staff and staff-management communication, the processes for decision making and standard setting, operational policies and rotating shifts and their effects on the morale and stress levels of staff.

Burnout, Professional↗

Coccygeal muscle injury in English Pointers (limber tail).

A condition colloquially referred to as "limber tail" and "cold tail" is familiar to people working with hunting dogs, primarily Pointers and Labrador Retrievers. The typical case consists of an adult dog that suddenly develops a flaccid tail. The tail either hangs down from the tail base or is held out horizontally for several inches from the tail base and then hangs straight down or at some degree below horizontal. Initially, the hair on the dorsal aspect of the proximal tail may be raised and dogs may resent palpation of the area 3-4 inches (8-10 cm) from the tail base. Most dogs recover spontaneously within a few days to weeks. Anecdotal reports suggest that anti-inflammatory drugs administered within 24 hours after onset hasten recovery. Less than one half of affected dogs experience a recurrence. Affected Pointers almost always have a history of prolonged cage transport, a hard workout the previous day, or exposure to cold or wet weather Most owners and trainers familiar with the condition do not seek veterinary assistance. In cases where people are not familiar with this disease, other conditions such as a fracture, spinal cord disease, impacted anal glands, or prostatic disease have been incorrectly diagnosed. We examined 4 affected Pointers and found evidence of coccygeal muscle damage, which included mild elevation of creatine kinase early after onset of clinical signs, needle electromyographic examination showing abnormal spontaneous discharges restricted to the coccygeal muscles several days after onset, and histopathologic evidence of muscle fiber damage. Specific muscle groups, namely the laterally positioned intertransversarius ventralis caudalis muscles, were affected most severely. Abnormal findings on thermography and scintigraphy further supported the diagnosis.

Animals↗

Histological measures of cochlear blood flow. A validation study.

Cochlear blood flow in guinea pigs was assessed using histological assessment of various red blood cell and vessel lumen parameters. Cochlear blood flow was either enhanced by administration of carbogen or inhibited by induced positive airway pressure. The resulting enhancement or reduction of blood flow in the cochlea was verified by laser Doppler velocimetry. The results generally indicate that the two measures of cochlear blood flow agree. This agreement was especially apparent when histological parameters of the vessel lumen were considered and when external wall vessels were evaluated.

Animals↗

Modifying the body: piercing and tattoos.

This article examines body piercing and tattooing. The author describes the motives expressed by individuals undergoing these practices, the health and social consequences of body modification and the laws governing the procedures. The implications for healthcare professionals are also detailed.

Beauty↗

Older women's experience of the menopause.

Older women are often stereotyped as less productive and less healthy, bemoaning the end of their fertile life and crying out for hormone replacement therapy (HRT). The author of this article challenges these images and suggests that the menopause marks a beginning rather than an end. Nurses should take a more positive approach to women entering the later part of their lives.

Aged↗

Roller-coaster ride.

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Abortion, Spontaneous↗

K is for knowledge.

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Humans↗

Making their minds up.

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Choice Behavior↗

Practice development: individualized care.

This article describes the development of a person-centred approach to working with older people. The main focus is on developing the ward leader as a key facilitator of practice development work. This process was enabled through external facilitation of the role and project management. The stages of the project work are outlined using an established practice development framework, which ensured a systematic approach to the change process. Registered nurses developed their skills and knowledge in clinical leadership and by the end of the project, nursing care had moved away from meeting the physical needs of the patients only, to a more individualized approach to patient care.

Aged↗

Executive roundtable II. Talking about quality.

In the last issue of Healthcare Executive, we introduced the first in a two-part series on quality in healthcare. The series, which is predicated on a five-hour roundtable discussion among eight healthcare leaders, was moderated by Thomas C. Dolan, Ph.D., FACHE, CAE, ACHE's president and chief executive officer, and jointly sponsored by ACHE and the Bayer Quality Network, an educational forum for sharing innovative and effective continuous quality improvement methods with healthcare executives. In Part I, participants spoke about current issues as they relate to quality. They discussed the reliability of existing quality data and expressed a need for more practical indicators and measurement systems. The consumer mindset was discussed, as leaders debated the value of customer satisfaction surveys and ways to create more realistic consumer expectations. In terms of employers and third parties, participants suggested tailoring quality information and presenting it in a simplified fashion. Finally, leaders emphasized the need for better performance information, as well as the use of outcomes data for both educational and quality improvement purposes. In Part II, the dialogue remains compelling. Participants cover new ground as they talk about the role of accreditors in regulating quality, of governance teams and senior management in creating an organizational culture to support quality, and of physicians in attracting both business partners and patients based on quality. Following is the second in our two-part series.

Accreditation↗

Sleep apnoea.

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England↗