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Biomedical subjects

P Parks

Publications and source records attributed to P Parks.

At least 37 records · Page 2Linked to original sources

Evaluation of UNIS: Urological Nursing Information Systems.

Unis is a nurse expert system prototype specifically designed to assist nurses caring for elderly, incontinent patients residing in nursing homes. Two studies measuring the performance level of UNIS were implemented. In the first study, results of sessions with UNIS on case studies of elderly, incontinent patients were compared to sessions with nurse experts. The relevance of questions, value of recommendations and overall performance were rated by an evaluation panel. In the second study, UNIS was implemented on two nursing units in a nursing home. The number of wet occurrences of patients residing on units where UNIS was consulted by nurses was compared to the number of wet occurrences of patients residing on units where UNIS was not consulted by nurses. The knowledge of urinary incontinence of nurses who consulted UNIS and those who did not consult UNIS were also compared. The results indicate that when judged by an evaluation panel, the relevance of the questions and value of the recommendations generated by UNIS were not rated significantly different than ratings assigned to nurse experts consulting on the same case studies. There was a significant difference between assigned ratings for overall performance; F.01 (4,16) = 10.4. UNIS scored the highest on four out of five case studies. In the second study, the number of wet occurrences of patients residing on units where nurses consulted UNIS decreased significantly; F.01 (2,9) = 34.67. The knowledge of urinary incontinence also improved significantly when nurses' consulted UNIS; F.001 (2,157) = 19.46. The methods and results of these two studies are presented.

Aged↗

Frequency of illness in mother-infant dyads.

The purpose of this study was to identify the frequency and types of illnesses experienced by mothers and their infants who were in the second half of the first year of life, the actions taken concerning these illnesses, the number of days the mother was hospitalized or in bed because of illness, and the subjective health status of both as rated by the mothers. During home visits mothers (N = 182) completed the Health Status Interview. They were asked about infant and maternal illness in the previous month and the actions taken in response to them. The number and types of illnesses reported indicate that mothers of full-term infants who were healthy at birth must deal with a number of minor illnesses in themselves and in their infants. The possible relationship of maternal illness to stress is discussed and suggestions are given for interventions by health professionals.

Adult↗

Carbamate toxicity. A case report.

The type of poisoning which inhibits acetylcholinesterase (AChE) most often encountered in an intensive care unit is that of organophosphates (OP). Carbamates also inhibit AChE but for a much shorter duration and they do not cause the same degree of central nervous system effects as OP. A case of carbamate poisoning is described, in which the pharmacological differences between carbamates and OP are stressed. The therapeutic and diagnostic differences between the two are also discussed.

Adult↗