The origins of wastage from nursing.
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Biomedical subjects
Publications and source records attributed to S Fox.
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This paper describes several recurring problems in implementing the obstetrics curriculum for residents in family medicine. Four broad remedial goals are proposed: to reduce tension between departments of family medicine and of obstetrics-gynecology; to maintain a curriculum that has a balance between family-centered obstetrics and high-risk obstetrics; to help residents make an informed decision about whether to practice obstetrics; and to train residents to do practice evaluation. Multiple strategies are proposed for accomplishing these goals. The paper concludes with the recommendation that a successful curriculum needs to be promoted by at least one enthusiastic faculty member. This person's role should include evaluating and updating the curriculum as well as anticipating and solving problems that interfere with the implementation of the curriculum.
Our entire experience (33 patients) of combined aortic and mitral valve replacement was reviewed. In 20 patients, coronary perfusion with moderate hypothermia (28-32 degrees C) was used with 7 operative deaths (35% mortality). Catecholamines were used in 14 patients (70%). Potassium cardioplegia was used in 13 patients with no mortality (P less than 0.02) and use of catecholamines in only 4 (P less than 0.05). These data suggest that potassium cardioplegia is the method of preference for myocardial preservation for combined aortic and mitral valve replacement.
We describe the cytologic presentation in fine needle aspirates of two examples of metastatic balloon cell melanoma. These hypervacuolated cells may be misinterpreted as adenocarcinoma or liposarcoma. Intermediate forms between the classic nonvacuolated round melanoma cell and the ballooned melanoma cell are described.
A procedure to determine the costs of nursing care delivery for comparative analysis between a conventional hospital obstetrical nursing care delivery model and a redesigned hospital-based perinatal case management model of nursing care delivery is described.