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Biomedical subjects

K Hayes

Publications and source records attributed to K Hayes.

149 records · Page 9Linked to original sources
PubMedDate not supplied

Developing interactive continuing education on the Web.

BACKGROUND: To meet the continuing education needs of advanced practice nurses, on-line continuing education modules were designed as part of a grant-funded nurse practitioner learning project. METHOD: Three modules were planned from the results of a nurse practitioner (n=187) survey of computer availability and skills, topic preference, and their potential for taking on-line continuing education. RESULTS: The development and implementation of two of the three modules demonstrates the interactive framework, extensive use of links, pre- and posttesting, and on-line registration. The two modules were designed to be interactive, realistic self-studies that closely resemble clinical practice. CONCLUSIONS: Outcome data are currently being collected on-line and will be analyzed for efficacy of this delivery system for continuing education.

Education, Distance↗
PubMedDate not supplied

Bringing home mental healthcare. In-home peer counseling benefits the elderly.

Elderly persons who live alone often feel isolated and depressed, especially when they live in remote rural areas. Humboldt County, CA, is known for its rugged mountain terrain and as much as 39 inches of precipitation each winter. This can lead many homebound elderly to feel isolated. So in 1987 Humboldt Home Health Services, Eureka, CA, together with other county agencies, established a free, in-home peer counseling program for area residents over age 60. After attending a free, five-day peer counseling session, representatives from HHHS and other county agencies discussed which agency would be responsible for certain peer counseling program tasks and began the counselor recruitment process. In June 1989, 12 volunteers attended the first training session. Once they complete their training, the volunteer peer counselors commit to working at least eight hours a week for one year. The eight hours are taken up by counseling sessions, travel time, meetings with supervisors, group discussion, and record keeping. Peer counselors have been trained to listen and respond to calls for help. Unlike professional counselors, however, they do not diagnose and treat complex pathological problems. On the other hand, because they have smaller caseloads than professional counselors, peer counselors are able to spend more time with their clients.

Aged↗
PubMedDate not supplied

The suicidal adolescent.

It is the author's opinion that by educating dentists on the warning signs of suicide and the protocol for managing suspected cases, the tragic deaths of many adolescents may be prevented. Educational material should be presented in the undergraduate dental curriculum and periodically reinforced in the dental literature and continuing education courses. Dentists and their staffs must be constantly alert to warning signs of this ever-increasing problem. Suspected cases should be thoroughly investigated and followed up.

Adolescent↗
PubMedDate not supplied

Rubella arthritis in adults. Isolation of virus, cytology and other aspects of the synovial reaction.

Rubella virus was isolated from three consecutive samples of synovial fluid after 1 to 4 days of arthritis in adults with typical naturally acquired rubella. In the two samples suitably prepared, cells in the synovial fluid were mononuclear, with numerous monocytes and macrophages. Detailed studies in one case revealed a close similarity in all respects to the illness caused by Ross River virus, another member of the Togaviridae. Cells in the synovial exudate of this patient showed intense phagocytosis. A fine nodular cytoplasmic distribution of virus antigen was detected by immunofluorescence in 45% of the cells. There was no depletion of the complement components C'3 and C'4 in serum or synovial fluid, and no evidence of excessive immune complexes in the circulation or of immune-complex uptake by cells in the synovial exudate or intima. Synovial intima from the suprapatellar region merely showed slight hyperplasia without cellular infiltration, indicating that the lodgement of virus and the inflammatory cellular reaction to it can be confined to limited regions of the synovial lining, at least in the early stages.

Adult↗