The Enhancement of Penicillin Effectiveness in Vivo by Traces of Cobalt.
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Biomedical subjects
Publications and source records attributed to R Pratt.
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This article discusses different models of care in the UK for the small number of patients with HIV-related encephalopathy. A combination of intensive community support, residential care and respite care has been shown to be more effective than hospital care. The authors emphasise the importance of early neuropsychological assessment, the provision of a broad range of services with an appropriate skill mix of carers and the need for staff education and support.
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CR-BSI is one of the most serious complications in an already seriously ill patient. Incorporation of these recommendations into local protocols and routine clinical practice will help to bring about a significant reduction in the incidence of CR-BSI in all NHS acute care trusts. The evidence base will be reviewed in 2002.
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This paper describes a study which assesses a wide variety of both physical and psychosocial outcomes of patient care against nursing care standards, and as a function of two different staff mixes--an 80% registered nurse (RN) 20% enrolled nurse (EN) mix and an all-RN staffing regimen. The study is divided into three stages: Stage I which concerned the design of the investigation and development of research instruments and procedures; Stage II which concerned the field-testing of all research procedures and assessment of the reliability of research instruments and Stage III which will constitute the main study and is presently being conducted in an acute medical and an acute surgical ward. This paper is confined to a report on Stages I and II and provides the conceptual framework for the study, a description of the research instruments and the ways they were developed and a description of the research methods. The results from Stage II show that the principal research instruments are highly reliable with coefficients always in excess of 0.80, and that all of the research methods and procedures are practical and feasible. The study is significant because outcome-based evaluations, while attractive in principle, are in their infancy and little guidance appears in the literature about how to conduct these types of investigations. This paper attempts to address this deficiency.
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