Theatre nursing. Cervical myelopathy in rheumatoid arthritis.
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Biomedical subjects
Publications and source records attributed to M Taylor.
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My article considers elements of the philosophy of Buber and Marcel in relation to recent changes in nurse education which have potential for limiting the clinical contact time for student nurses. Under three headings, the nurse-patient relationship is discussed: time limitations, I-thou and I-It forms of relating, and the nature of presence. The literature supports the view that a nurse's openness or permeability in relating to patients in their real needs, is of major importance in meeting the patient's needs. The concept of presence indicates that changes occur in both parties in relationships in the influx of each other's presence. Being closed to the other's influx renders the relationship one of I-It in which objectification of the patient can occur--he or she is seen as a 'case'. Even counselling skills could fall into this category in a 'double glance'.
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This article describes the performance by local health departments of core public health functions. A post hoc analysis based on these essential functions was implemented using the 1994 dataset from a cooperative project with the Centers for Disease Control and Prevention (CDC) and National Association of County and City Health Officials, which involved a survey of the nation's 2,888 local health departments. Applying guidelines for each functional area drafted by the Office of Disease Prevention and Health Promotion/Office of the Assistant Secretary for Health, CDC, and the Public Health Foundation in conjunction with the health officers in five states, a score was created for each core public health function: (1) health-related data collection, surveillance, and outcomes monitoring, (2) protection of environment, housing, food, and water, (3) investigation and control of diseases and injuries, (4) public information and education, (5) accountability and quality assurance, (6) laboratory services, (7) training and education, and (8) leadership, policy development, and administration. The individual and summary scores provide a mechanism to measure and describe the 2,079 local health departments' performance of these core functions and to examine their relationship to several characteristics and practices--planning, administrative units, annual total expenditures, and jurisdiction population size. This article shows that the core performance index is highest for the data function and for local health departments serving a population of 50,000 or more people. In addition, the performance index increases as budget increases and is greater for all eight functions in those local health departments using health planning models such as Assessment Protocol for Excellence in Public Health (APEX-PH), Planned Approach to Community Health (PATCH), Healthy People 2000, or Healthy Communities 2000. These results may be used to facilitate cooperation between local, state, and federal health agencies and the communities they serve; strengthen the core functions at the local, state, and federal levels; and improve public health practice.
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The gross anatomy of the cranial thoracic air sacs was studied in the live turkey with a fiber-optic endoscope fitted with a video system. Thirty-five out of 39 (89.7%) of the turkeys had paired single thoracic air sacs with two ostia. The other 10.3% of the turkeys had paired cranial and caudal thoracic air sacs, each with a single ostium. The air flow pattern through the common thoracic air sac with two ostia is unknown. Furthermore, 42.3% of the turkeys with a single thoracic air sac had an invagination arising from the floor of the air sac that partially divided the single thoracic air sac creating a blind-ended sac. The blind sac formed by the invagination may trap small inhaled particulate matter.