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Biomedical subjects

M Black

Publications and source records attributed to M Black.

229 records · Page 13Linked to original sources
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World summit for children.

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Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

A follow-up study of behavior problems associated with child sexual abuse.

The objectives of this study were to examine: (a) behavior in children evaluated for sexual abuse, (b) the stability of their behavior over 4 months, and (c) the relationship between aspects of the abuse and the children's behavior. The Child Behavior Checklist (CBCL) was completed by parents of 93 prepubertal children evaluated for sexual abuse and 80 nonabused children matched on age, gender, and race. A follow-up CBCL was completed after 4 months by 45% of parents of abused children. Sexually abused children had significantly more behavior problems than comparison children, including depression, aggression, sleep and somatic complaints, hyperactivity, and sexual problems. At follow-up, only those children who initially had externalizing behavior in the clinical range improved significantly. During the initial evaluation, behavior problems were associated with the child's disclosure of abuse and during follow-up, behavior problems were associated with abnormal physical findings. However, behavior problems were not related to characteristics of the abuse or perpetrator, likelihood of abuse, or therapeutic services. The persistence of behavior problems suggests that children suspected of having been sexually abused should receive an assessment of their psychological status and careful follow-up.

Analysis of Variance↗
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Developing collaborative partnerships in continuing nursing education: walking the talk.

The purpose of this article is to describe and analyze a reciprocal partnership developed among four university-based continuing education providers in Wisconsin. Members of this partnership collaborated in developing a statewide program to address the educational needs of nurses moving from acute or long-term care into community nursing. Components of the reciprocal partnership model were applied in developing this program. The partners identified that, despite the initial time investment, the collaborative approach was an advantage. The collaborative approach enhanced the quality of the program developed and reached a wider audience. Continuing nursing educators may want to consider partnership arrangements for program development and implementation.

Community Health Nursing↗
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Organizing public health nursing for the 1990s: generalist or specialist.

Since the 1930s, Public Health Nurses (PHNs) have been deployed in most health units in Canada to provide community-based care for all people living in defined geographical areas. PHNs have provided nursing services for all ages and stages for a variety of health and illness states. A literature review and a systematic analysis of the internal and external factors affecting Public Health Nursing practice in this community led to a recommendation to assign nurses to specific target populations (e.g. parent-child, school, adolescent, adult, seniors) instead of assigning responsibility for all health problems in a geographic location. We describe the processes of assessment, analysis, planning and implementation of the change from geographic assignment to target population assignment for Public Health Nurses.

Canada↗
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Wegener's granulomatosis and relapsing polychondritis: a case report.

Relapsing polychondritis, a rare disorder characterized by inflammation of cartilaginous tissue, is often associated with vasculitic features. Wegener's granulomatosis is an uncommon form of vasculitis, usually responsive to treatment with cyclophosphamide. A 59-yr-old man with relapsing polychondritis, initially well controlled by corticosteroid therapy, developed pulmonary infiltrates and glomerulonephritis. After pathological confirmation of Wegener's granulomatosis, cyclophosphamide therapy was instituted and remission achieved.

Cyclophosphamide↗
PubMedDate not supplied

Determining cost drivers for pediatric home health services.

A variety of cost constraints threaten the financial viability of home health agencies. Thus, tools must be developed that expand the critical information resources that will be the key ingredient in successfully navigating the challenges in the volatile home health market. Identifying and analyzing the core processes with the pediatric home care team provided a template that could be used with other agency patient populations by producing cost trajectories based on anticipated care requirements and capturing information that could be used for both internal and external benchmarking. The cost drivers of key processes and activities must be known so that they can be controlled and appropriate rates for capitation contracts can be established. Activity-based management uses cost driver analysis, activity analysis and performance analysis, to determine strategies for redirecting the work processes and agency activities to achieve lasting cost reductions.

Child↗