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Biomedical subjects

R O'Toole

Publications and source records attributed to R O'Toole.

32 records · Page 2Linked to original sources

Identification of cultured pleural fluid cells by a direct immunofluorescence technique.

A preliminary study demonstrated intracytoplasmic polyvalent immunoglobulin in human pleural fluid cells using a direct immunofluorescence technique. Of 33 pleural-fluid cell samples tested, 31 contained cells that initially stained positive for polyvalent immunoglobulin. The two negative specimens were from malignant effusions. Eleven of the specimens were cultured for seven days; nine of the eleven cultured specimens tested negative for polyvalent immunoglobulin after four days in culture. The remaining two specimens showed a marked decrease in positivity. After adding cell-free pleural fluid to the cultures on day four, the nine negative samples became positive again by day seven; the two slightly positive cases became strongly positive. The significance of these findings is discussed.

Body Fluids↗

Teachers' recognition and reporting of child abuse.

Help for abused children, abusive parents and families depends upon early recognition and reporting of the problem. This research employs an experimental design using vignettes (brief descriptions of potential abuse) to manipulate the affect of parents' socioeconomic status, ethnic status and the child's level of injury on teachers' recognition and reporting of abuse. Results for teachers are compared to the authors' previous research on nurses' and physicians' judgments. Results indicate that, while all three professional groups responded to the child's level of injury, physicians' judgments were affected by parents' socioeconomic status and ethnic status, but teachers' and nurses' judgments were not affected by these variables. The signs of abuse and causal notions employed by the three groups also are compared. Implications for the teachers' role in recognition and reporting of child abuse are discussed.

Adult↗

Negotiating cooperative agreements between health organizations.

Comprehensive care and continuity of care are often dependent upon cooperation and coordination between organizations. Nursing administrators who understand the process through which cooperative agreements between health care organizations are negotiated can plan, direct, and monitor the process. This article covers four major aspects of the negotiations process and their implications for nursing administrators.

Administrative Personnel↗

An unattainable ideal.

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Community Mental Health Services↗

Nurse or educator?

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Education of Persons with Intellectual Disabilitie↗

Reliability of the Kirby-Bauer disc diffusion method for detecting methicillin-resistant strains of Staphylococcus aureus.

The resistance of Staphylococcus aureus to methicillin and related drugs can be reliably determined by using the Kirby-Bauer method of susceptibility testing if the incubation temperature is 35 C or below, but resistance may be missed at 37 C. The 1-mug discs of oxacillin and nafcillin or the 5-mug discs of methicillin may be used for this purpose but not the 1-mug discs of cloxacillin. The latter fail to discriminate between sensitive and resistant staphylococci by zone measurement; some resistant strains of staphylococci may show larger zones of inhibition than sensitive strains. Stability of these antibiotic-containing discs was studied under conditions of temperature and humidity variation that might be encountered in a clinical laboratory refrigerator. Oxacillin discs were the most stable and are to be preferred for susceptibility testing. Nafcillin discs were less stable, and methicillin discs lose their potency rapidly unless carefully stored in a refrigerator with a desiccant.

Cloxacillin↗

The meanings of menopause.

Multiple meanings have been assigned to menopause and to women experiencing menopause. Meanings are not inherent in reality but are assigned by humans in response to interaction. Once meanings are assigned to entities, they become coercive and influence interactions. Freidson's (1988) theoretical framework includes the imputation of responsibility, legitimacy, and seriousness to a deviance or illness and provides the basis for an analysis of the various meanings of menopause that are found in the literature. This analysis is concerned with the social, political, economic, and health care consequences of the assigned meanings of menopause for women.

Attitude↗

A situational approach.

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Rehabilitation, Vocational↗