A key part of the nurse's role is to observe, listen and deliver high quality nursing care and not to pass judgement. Unfortunately, many nurses exhibit prejudice and bias towards patients who appear different from the 'norm' or who do not somehow meet their standards. In this article, the author explores studies of such behaviour and uses attribution theory to explain possible causes and ways of avoiding judgmental attitudes.

Attitude of Health Personnel↗

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Nasopharyngeal carcinoma--the Irish experience.

Ten new cases of nasopharyngeal carcinoma were diagnosed at our unit during a recent twelve month period. An evaluation of these cases is presented. This stimulated an examination of the national data for the years 1981-1990 and it was discovered that 69 cases were diagnosed in that period. A chart review was performed of the patients with nasopharyngeal carcinoma that were treated at St. Lukes Hospital 10 years previously and compared to the 10 recently diagnosed patients. This data highlights: the young age at which this tumour can occur; that there has been no improvement in the early detection of these neoplasms and the importance of an ENT assessment for patients presenting with cervical lymphadenopathy, persisting middle ear effusion or atypical headaches.

Adolescent↗

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Children's perspectives on coping with asthma.

Little is known about how children with asthma perceive their own ability to cope with asthma symptoms. A descriptive study of children with asthma (N = 78) attending a camp in the Midwest sought to identify the frequency and effectiveness of coping strategies that school-age children use when having a problem with asthma. A self-report instrument, the Schoolagers' Coping Strategies Inventory (SCSI), was used to measure coping strategies from the children's perspective. Results indicated that 4 of the 5 most effective strategies were also used most frequently, including "try to relax or stay calm," "watch TV or listen to music," "do something about it," and "say I'm sorry or tell the truth." Self-report information about coping strategies adds important data to nurses' assessment of children with asthma.

Adaptation, Psychological↗

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The ADHA framework for theory development: a white paper requested by the 1992 house of delegates.

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Dental Hygienists↗

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Risk: the sociological view of perception and management.

In this final article on sociology we focus on one issue which is central to health and health care--risk--and consider the contribution of sociology to an understanding of the ways in which risk is perceived and managed.

Cultural Characteristics↗

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Lateral and anterior reciprocal electrocardiographic changes: relationship to ST segment elevation and underlying coronary artery disease in inferior myocardial infarction.

The electrocardiogram in patients with acute inferior myocardial infarction frequently displays ST depression in non-infarct leads. The significance of this finding is uncertain. The relationship between ST depression, ST elevation and arteriographic severity of coronary artery disease was explored. 22 patients with acute inferior myocardial infarction, receiving thrombolysis and undergoing acute (within seven hours of the onset of chest pain) coronary angiography were studied prospectively. The electrocardiographic ST segment elevation in the inferior leads and ST segment depression in the lateral and in the anterior precordial leads were measured. In each group of leads, the maximum value of ST deviation in any lead as well as the sum of the values for ST deviation in the individual leads was determined. Gensini scores of total coronary artery disease and component scores for the major coronary arteries were determined from the coronary arteriogram. There was a strong correlation of maximum inferior ST elevation with both maximum lateral ST depression (r = 0.96, p < 0.001) and with maximum anterior precordial ST depression (r = 0.78, p < 0.001). The corresponding correlations for sum of ST deviations were r = 0.91, p < 0.001 and r = 0.79, p < 0.001 respectively. There was no relationship between Gensini scores of coronary artery disease and measures of electrocardiographic ST segment depression or elevation. Electrocardiographic ST depression in non-infarct leads in patients with inferior myocardial infarction, does not provide information regarding the degree of coronary artery disease. The ST depression in both lateral and anterior precordial leads correlates with and is a reflection of inferior ST elevation.

Adult↗

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Down on the farm.

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Agriculture↗

PubMedDate not supplied

Everyone's evidence.

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Evidence-Based Medicine↗