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Biomedical subjects

K Kelly

Publications and source records attributed to K Kelly.

334 records · Page 19Linked to original sources

Studies of blood pressure in hyperlipidemic school children.

To assess determinants of blood pressure and racial differences in blood pressure in hyperlipidemic children, and to compare blood pressure in hyperlipidemic and random recall groups of children, studies were carried out on 513 school children (ages 6 through 19 years), and 309 adults (ages 20 through 64), recalled by virtue of elevated cholesterol or triglyceride levels in the Cincinnati Lipid Research Clinic's Princeton School prevalence study. For systolic and diastolic blood pressure in children, there were positive simple correlations with plasma triglyceride and inverse correlations with plasma high density lipoprotein cholesterol. Race did not enter the multiple regression equations as a significant explanatory variable for children's systolic or diastolic blood pressures, but was a significant variable for adults' blood pressures; blacks had higher pressures. Major explanatory variables for systolic blood pressure in children included weight, pulse, and age; 46% of the variance was explained. Major variables for diastolic blood pressure in children included age, pulse, and Quetelet index; 25% of the variance was explained. After covariance adjusting for Quetelet index, blood pressures within race did not differ between the hyperlipidemic and the random recall groups. Quetelet index was the covariable that related positively to blood pressure and plasma triglycerides, and negatively to high density lipoprotein cholesterol. Although relative ponderosity does not appear to be an independent coronary heart disease risk factor variable, its inverse relationship to high density lipoprotein cholesterol and positive association with triglyceride and blood pressure in school children should provide a basis for prudent, early, therapeutic approaches to overweight children and those with persistently elevated blood pressure. (Arteriosclerosis 1981; 1:280-286).

Age Factors↗

Cross-reactivity of food allergens in latex allergy.

Allergy resulting from exposure to latex proteins has been reported with increasing frequency in certain patient and occupational groups. Patients with latex allergy demonstrate cross-reactivity with some food allergens. Although amino acid homology of a few polypeptides from food and latex have been reported, no information is available comparing food and latex allergens. In the present study, we have obtained antibody from latex-sensitive patients by affinity absorption with various food and latex allergen extracts. The antibodies were then evaluated for reactivity with various antigens by ELISA. The results indicated that IgE cross-reactivity existed between different latex and food antigens. Hence, care should be exercised during evaluation of patients, as the clinical response may not be directed to the primary sensitizing antigen and may represent cross-reactivity of antigens.

Allergens↗

The Iowa model: a proposed model for nursing administration.

The purpose of the Iowa Model is to serve both as a heuristic device and as a framework for articulating knowledge for nursing administration research, practice, and education. The model delineates two domains of knowledge (systems and outcomes), each with three levels (patient aggregates, the organization, and the health care system). Concepts useful for knowledge development are identified for each level. Practice, research, and curricular applications of the model are made.

Clinical Competence↗

Creating a resource database for nursing service administration.

In response to the current information explosion in nursing service administration (NSA), the authors felt a need to collect and organize available resources for use by their faculty and graduate students. An electronic database was developed to facilitate the use of the collected print and software resources. This article describes the creation of the NSA Resource Database from the time the need for it was realized to its completion. There is discussion regarding the criteria used for writing the database, what the database screens look like and why and what the database contains. The article also discusses the use and users of the NSA Resource Database to date.

Databases, Bibliographic↗

Staphylococcal food poisoning associated with an Easter egg hunt.

Staphylococcal contamination of intact, hard-boiled eggs resulted in the food poisoning of an estimated 300 children out of 850 who had participated in an Easter egg hunt. Enterotoxigenic staphylococci that were isolated from the Easter eggs matched that obtained from an infected cook who prepared the eggs three to five days before the hunt and which he left unrefrigerated. Experimental studies demonstrated that heated eggs can absorb 2 mL of contaminated cool water through intact eggshells. When water was inoculated with pathogenic staphylococci at even low contamination levels, rapid growth and enterotoxin production within cooked eggs could be easily duplicated. This is the first large outbreak of its type; safeguards can and should be employed to prevent future ones.

Adolescent↗

Nursing management innovations: a need for systematic evaluation.

While emphasis in nursing is placed on research on clinical interventions, there has been little attention to the equally important management interventions. The concept of a management intervention or innovation is introduced here and five types of management innovations in nursing are identified. An overview of the research base for four of the innovations demonstrates the need for systematic evaluation.

Diffusion of Innovation↗