Transbronchial lung biopsy via flexible fibreoptic bronchoscopy: review of 108 cases.
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Biomedical subjects
Publications and source records attributed to M Nolan.
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The difficulties in the diagnosis of hypokalaemia are often considerable. This paper reports three patients who presented with hypokalaemia. Investigations are described which may help to distinguish Bartter's syndrome from pseudo-Bartter's syndrome.
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Hearing, speech, and language were studied in 26 children who survived severe perinatal asphyxia. The results of hearing tests showed that most children had a favourable outcome. Only 1 child had sensorineural deafness. Hearing loss in 6 others was due to middle-ear disease which resolved after treatment, and on retesting was found to be normal. The study also showed that neither gentamicin treatment nor incubator noise seemed to affect hearing. The results of speech and language assessment were less encouraging and about one-third of the children without serious mental or physical handicap had deficits in speech and language. It is suggested that the quality of life in such children could be improved if these deficits were detected early and adequately treated.
This paper reports on a study set up to assess the corrosive behaviour of mercury and zinc air batteries in the gastric juice environment of the stomach. The results show a relatively rapid rate of corrosion for charged mercury batteries. In contrast, the zinc air battery showed no visible corrosion under the same conditions. In view of the toxic dangers from leakage of mercury batteries, it is recommended that steps be taken to ensure that such batteries do not remain in the acidic environment of the stomach, should ingestion occur.
Hearing and receptive vocabulary (E.P.V.T. full-range version) of the trainees of an adult training centre have been studied. A high incidence of hearing loss (47.1 per cent) was found. The correlation between receptive vocabulary and hearing loss was significant at the five per cent level for the adult Down syndrome subjects in the study. Recommendations are made on the services required, particularly with reference to audiology, that could significantly contribute to the reduction in the number of hearing-impaired mentally handicapped subjects who are at present in hospital care.
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The problems associated with earmoulds currently used by hearing-impaired persons, particularly children, are outlined. A new type of earmould which combines high efficiency with minimal feedback is described and evaluated.
The problems involved in producing efficient ear moulds for children have been examined. It is suggested that materials do exist such that the general quality of ear moulds could be significantly improved. However, manufacturing techniques require modification and a more comprehensive training programme for ear mould technicians is urgently required.
BACKGROUND: The present paper addresses a rather neglected dimension of family caregiving, its temporality. Many accounts of caregiving assume a state of stasis, and therefore, overlook factors which shape the evolving experience of family caregiving over the life course. METHODS: The paper begins by offering some reflections on theoretical and methodological issues identified by life-course researchers. RESULTS: Based both on theoretical propositions and a growing body of empirical evidence, this paper offers a heuristic for thinking about caregiving stages applied to families supporting people with intellectual disability. CONCLUSIONS: This heuristic is used to suggest further avenues of research and development.
Respite care is frequently provided within a hospital setting and such a service is likely to increase due to community care policies. Nurses need to challenge traditional assumptions on which respite care is based in order to provide a more flexible service.
The forthcoming community care legislation due in April 1993 has been adopted largely without criticism. While supporting the general principles underpinning community care this article sounds a cautionary note, highlighting the need to keep appropriate institutional alternatives to retain an element of choice.
The high incidence of falls among older people and the subsequent high rates of potentially preventable morbidity and mortality highlight the need for early identification of risk factors. This article discusses the major contributory factors and the role of community nurses in accident prevention assessment of older people.