Biomedical subjects
Publications and source records attributed to N Glass.
This article describes the experience for nurse healers of being a channel for healing. In particular this was explored by revealing "super" presencing--an essential theme of the lived experience of nurse healers, described in a recent research study. "Super" presencing not only enhances our knowledge but gives inspiration in an otherwise undernourished area of the healing profession of nursing.
This article explores the lived experience of nurse healers in nursing, reporting on three themes identified in a recent hermeneutic phenomenological research study. These themes, mapped out in the words of the participants, are termed responding, evolving, and weaving.
CONTEXT: The majority of prior studies examining intimate partner abuse in the emergency department (ED) setting have been conducted in large, urban tertiary care settings and may not reflect the experiences of women seen at community hospital EDs, which treat the majority of ED patients in the United States. OBJECTIVE: To determine the prevalence of intimate partner abuse among female patients presenting for treatment in community hospital EDs and describe their characteristics. DESIGN: An anonymous survey conducted from 1995 through 1997 inquiring about physical, sexual, and emotional abuse. SETTING: Eleven community EDs in Pennsylvania and California. PARTICIPANTS: All women aged 18 years or older who came to the ED during selected shifts. MAIN OUTCOME MEASURES: Reported acute trauma from abuse, past-year physical or sexual abuse, and lifetime physical or emotional abuse. RESULTS: Surveys were completed by 3455 (74%) of 4641 women seen. The prevalence of reported abuse by an intimate partner was 2.2% (95% confidence interval [CI], 1.7%-2.7%) for acute trauma from abuse, 14.4% (95% CI, 13.2%-15.6%) for past-year physical or sexual abuse, and 36.9% (95% CI, 35.3%-38.6%) for lifetime emotional or physical abuse. California had significantly higher reported rates of past-year physical or sexual abuse (17% vs 12%, P<.001) and lifetime abuse (44% vs 31%, P<.001) than Pennsylvania. Logistic regression modeling identified 4 risk factors for reported physical, sexual, or acute trauma from abuse within the past year: age, 18 to 39 years (odds ratio [OR], 2.2; 95% CI, 1.7-3.0); monthly income less than $1000 (OR, 1.7; 95% CI, 1.3-2.1); children younger than 18 years living in the home (OR, 2.0; 95% CI, 1.5-2.6); and ending a relationship within the past year (OR, 7.0; 95% CI, 5.5-8.9). CONCLUSION: If the prevalence of abuse in community hospitals throughout the United States is similar to the range of prevalence estimates found in this study, then heightened awareness of intimate partner abuse is warranted for patients presenting to the ED.
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This article focuses on the findings from a research project investigating hospital based RNs' attitudes and reactions to nursing degrees. Specifically, the results describe the tension and hostility which was predominating in clinical settings when the research was conducted. The reactions of both degree and non-degree nurses to the changes in nursing education are put forward. It is suggested by the author that while work environments have been characterised by destructive behaviours, nurses' verbalising their reactions to this situation, have provided a platform to deal more constructively with personal and professional change.
This article critiques the current debates regarding feminism, postmodernism, and feminist/postmodernism within nursing research. The critique classified the debates into three identifiable constructs: dissatisfaction, fragmentation, and integration. The authors propose a solution from the integration debate as an emancipatory "workable" turning point for nursing research. The solution is situated within feminism and draws on the epistemological constructs of both modernism and postmodernism. Nursing research is framed within the proposed ontological links that characterize the integrated solution.
A research study was conducted in 1995 with seven women nurses from Southern Cross University, Australia. The aim of this research was to investigate the possible relationship between female friendship, mentoring and nursing education. The researchers comprised six second-year nursing degree students and the programme co-ordinator for the Bachelor of Nursing programme. This research was framed in an emancipatory paradigm of critical social science and feminist theory. Reflective journalising and interviewing were used as the research methods. The results indicated that there is an inextricable link between female friendship and peer mentoring. These two 'features' created a productive climate for shared learning, shared caring, reciprocity and commitment to one another's personal and professional growth.
A 6-year-old girl was seen with a history of progressive trismus and expansion of the right mandible over a 9-month period. Desmoplastic fibroma was diagnosed on biopsy. This report reviews the diagnostic criteria and surgical management of this uncommon primary bone tumor of the maxillofacial region.
Preparing for surgical separation of conjoined twins involves coordination, communication, and multidisciplinary planning by several specialties. This article discusses the embryology, etiology, and incidence of conjoined twins and provides a historical perspective of the different types of conjoined twins. A case study describes the perioperative management of conjoined twins at Texas Children's Hospital's, Houston. Team members' roles are discussed, and the perioperative care of conjoined twins detailed.
This is an unusual case of fatal hepatic necrosis caused by disseminated type 5 adenovirus in a renal transplant recipient. This adult patient may have been colonized at the time of transplantation with a kidney from a pediatric donor. The adenovirus became invasive when the host's cellular immune system was suppressed by high doses of corticosteroids given to reverse acute allograft rejection.
The cardiovascular manifestations of the Marfan syndrome in older children and adults have been well described. Clinical, radiographic, and echocardiographic data regarding three patients with severe perinatal Marfan syndrome are described. Two of these patients had the syndrome at birth and died in infancy. The syndrome was diagnosed in the third patient at 6 months of age and the child is still alive at 3 years of age. The possible relationship among the Marfan syndrome, Ehlers-Danlos syndrome, and osteogenesis imperfecta is considered. Patients with Marfan syndrome and severe cardiorespiratory problems early in life tend to have a limited life expectancy.
Eight renal transplant recipients with neurogenic bladders or lower urinary tract dysfunction were managed with clean intermittent self-catheterization after transplantation instead of urinary diversion. A total of 85 treatment months was reviewed. Of the patients 5 continue to do well after 10 to 17 months of intermittent catheterization and 3 suffered immunological graft failures. In selected renal transplant recipients with lower urinary tract dysfunction clean intermittent catheterization is a reasonable alternative to urinary diversion.
Results of treatment of end-stage renal disease in 139 patients with diabetes mellitus revealed survival of 76% at 1 year and 48% at 5 years. These results compare favorably with other reports from Europe and the United States, probably because of the greater number of patients receiving renal transplants, and possibly because of the use of continuous ambulatory peritoneal dialysis as a recent treatment modality. Patients not receiving transplants were much older (mean age, 47.8 years) than those receiving transplants. Of those not given transplants, survival was best on CAPD. Comparison of those surviving at least 3 years was made with those expiring in the first year. Long-term survivors were younger, had diabetes for a shorter period, but had higher mean blood pressures and serum creatinine values than short-term survivors. Short-term survivors also had over a 50% incidence of prior myocardial infarction or cardiorespiratory arrest, while no long-term survivors had such a history. Long-term survivors were also more likely to have received a transplant, and short-term survivors were more likely to have received intermittent peritoneal dialysis or hemodialysis. A transplant from a living related donor is the treatment of choice for diabetics under age 40 and perhaps for older patients as well. The choice among CAPD, hemodialysis and cadaver transplant requires consideration of many factors.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.