A diagnosis of tubular colonic duplication was made via contrast radiography and colonoscopy in a six-month-old, intact female Boston terrier. Clinical signs of increased frequency of defecation, tenesmus, and constipation, which had been present since birth, resolved following surgical correction of the duplication. The literature addressing diagnosis and treatment of tubular colonic duplication in dogs is reviewed.

Animals↗

PubMedDate not supplied

Community nurses take on the task of selling themselves.

Nurses are increasingly called upon to promote and justify their services within a market-driven NHS. If purchasers fail to understand the complexity of nursing, a reductionist approach--involving purchasing of only minimal nursing tasks--may result. This article uses a case study approach to illustrate the considerable scope of community nursing practice. It concludes that nurses need to become bicultural, developing the ability to communicate nurturing and healing values in a way that can be understood in the increasingly commercial NHS context.

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