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Biomedical subjects

L Goodwin

Publications and source records attributed to L Goodwin.

47 records · Page 3Linked to original sources

The neonatal cisterna magna: ultrasonic evaluation.

The normal topography of the region of the cisterna magna can be delineated by cranial ultrasound in neonates. Evaluation of this region requires ultrasonic imaging of the echodense occipital bone and the inferior vermis, as well as approximation of the plane of the foramen magnum. It also requires imaging of the anechoic cisterna magna and fastigium of the fourth ventricle. In order to appreciate subtle alterations in size and/or position of these structures, standardized measurements for the midsagittal height of the cisterna magna and the distance of the fastigium of the fourth ventricle from the plane of the foramen magnum were established. Normal values established by measurement in 59 patients were cisterna magna 4.52 +/- 1.29 mm and fastigium of the fourth ventricle 16.05 +/- 3.03 mm. These dimensions were demonstrated to be abnormally increased in posterior fossa arachnoid cysts, Dandy-Walker syndrome, and hydrocephalus.

Arachnoid↗

The role of the nursing administrator in collective bargaining.

There is little doubt that collective bargaining is here to stay in hospital nursing, and it adds a new dimension to the nursing administrator's area of responsibility. Careful planning and preparation for participation, trust and open communication, an attitude of acceptance, and a focus on the positive aspects of the negotiations will place the nursing administrator in an advantageous position in regard to collective bargaining in any practice setting.

Collective Bargaining↗

The Nurse Practitioner Rating Form. Part I: Conceptual development and potential uses.

Most research and evaluation studies of nurse practitioner practice have used data collection instruments developed for that specific study, choosing and defining variables of interest to them and developing ad hoc measurement instruments with psychometric properties that are largely unknown. The primary focus of such studies and the instruments used in them has been on activities related to the assessment and management of medical problems. Such focus in the early studies is understandable, since these are the activities that have been added to the traditional nursing functions to form the nurse practitioner role. However, the nursing components of the role, such as patient teaching and attention to patients' psychosocial needs, have not been adequately studied. The Nurse Practitioner Rating Form (NPRF) was designed specifically to measure both the medical and nursing components of the nurse practitioner role.

Communication↗

Recruitment for phase I of the trials of hypertension prevention.

Phase I of the Trials of Hypertension Prevention was a multicenter, randomized, controlled trial designed to determine the efficacy of seven nonpharmacologic interventions in reducing blood pressure among persons with high-normal diastolic blood pressure. The initial goal for recruitment was to enroll 2,100 participants over a nine-month period. The two major strategies for reaching potential participants were direct mailings and work site screenings. The yield from the first screening visit to randomization was 13% overall, with clinic-specific yields ranging from 4.5% to 31.7%. After five months of recruitment, approximately 60% of the goal for that point in the recruitment timetable had been randomized. Clinical centers falling short of their goals at that time altered their recruitment strategies and intensified their efforts, and centers that had exceeded their goals recruited additional participants. As a result, 2,182 participants, or 104% of the goal for recruitment, were randomized over a 13-month period. Those clinics using a cohort, or wave, type of enrollment were most successful in achieving their recruitment goals within the prescribed timetable.

Adult↗