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Biomedical subjects

S Kruger

Publications and source records attributed to S Kruger.

At least 19 recordsLinked to original sources

Parents in crisis: helping them cope with a seriously ill child.

The serious illness of a child is a stressful event for a family. Parents react to the crisis in a variety of ways. Many reactions to the crisis of illness have been observed. Nurses' understanding of parents' reactions is important before interventions are initiated. Guidelines show common reactions of parents when their child is seriously ill. Interventions are suggested that are designed to strengthen parents' coping responses. Parents who have developed adequate coping and problem-solving skills will usually be stronger in future stressful situations. A case study demonstrates an application of these guidelines.

Adaptation, Psychological

The patient educator role in nursing.

A stratified random sample (N = 1,230) of staff nurses, nurse administrators, and nurse educators were surveyed for their perceptions of the extent of nurses' responsibility for patient education and of the level of achievement of patient education by nurses. It was found that all three groups rated nurses' responsibility for patient education at a high level. Although the staff nurse group had statistically significant lower ratings (p = .0005) for nurses' level of responsibility for patient education, all three groups rated nurses' responsibility above 4 on a 5-point scale, with 5 reflecting primary (highest) responsibility. However, achievement of patient education was rated by all three groups below 3, the "good" rating on a 5-point scale, with 5 reflecting an excellent rating. The findings of this study indicate that the role of the nurse as patient educator needs to be strengthened. The satisfactory achievement of patient education is essential for the advancement of the nurse's role as patient educator.

Adult

A double-blind, placebo-controlled trial of thymostimulin in symptomatic HIV-infected patients.

The potential therapeutic efficacy of the thymic hormone preparation, thymostimulin (TP1), in HIV infection has been studied in a multi-institutional, randomized, double-blind, placebo-controlled trial. Fifty evaluable patients with advanced AIDS-related complex (ARC) were injected with TP1 or placebo twice weekly for 6 months after 2 weeks of daily injections. The primary endpoint, progression to AIDS, was reached in nine TP1- and 11 placebo-treated subjects after 1 year. CD4 cell numbers were not affected by administration of the study drug. No toxicity was associated with TP1 treatment. We conclude that TP1 is ineffective in altering the progress of HIV disease in patients with advanced ARC.

AIDS-Related Complex

Tenure and promotion: an update on university nursing faculty.

The status of tenure and promotion practices in nursing schools in university settings was studied. Forty nursing administrators from nursing programs around the country responded to a questionnaire regarding requirements to achieve tenure and/or promotion in the areas of teaching, research and scholarly activities, clinical competence, and community service. Findings revealed that while a growing number of nursing programs were more integrated into the academic community, many programs continued to struggle with the need for more faculty prepared at the doctoral level and for increased research activities.

Adult

Carcinoma of the vagina. A case report and review of the literature.

The clinical details of a case of primary carcinoma of the vagina are described. The literature on the management of vaginal cancer is reviewed. Treatment must be individualized and planned according to the location and stage of the primary tumour. All patients treated for malignant lesions of the vagina must be followed up for life with regular pelvic and vaginal cytological examinations.

Carcinoma, Squamous Cell

The demonstration of a joint faculty/practice position.

When the final report was presented at the end of the second semester, suggestions were made to continue the position and also to expand it to other clinical areas. The decision was made to continue the position for a third semester and to seek a reciprocal arrangement by a nurse in practice. In such a position, a nurse in practice would take a leadership role in bringing strengths from practice to nursing education. Ideally joint positions will occur in other clinical areas. Each nurse in a joint position would strive to provide high quality of care, achieve academic excellence and conduct research. Although the author is no longer in the joint position, the results of this experience have been rewarding. Both institutions seek to develop similar positions. Communication and collaboration between practice and education have improved as each group recognizes the strengths of the other. An increase of sharing of skills and knowledge is observed. The author continues to provide support for activities which were begun during this experience. Many benefits have been realized from this experience; a parent education program continues to expand through the efforts of the nursing staff, the support group is on going under the supervision of the Head Nurse. A warm welcome awaits the author when she arrives on the pediatric unit for a visit! The author's overall goal to demonstrate a mechanism to improve communication and collaboration between nursing education and practice has been realized. Nurses have grown from this experience, patients have received improved nursing care and nursing knowledge has been augmented. This has been a vital experience in nursing.

Critical Care

Assays for antigen-stimulated lymphocyte-derived migration enhancement and inhibition factors from patients with thyroid diseases and their relatives.

Cell-mediated immunity to thyroid antigens was studied by means of an assay for antigen-stimulated leukocyte migration inhibition factor (LIF) in 5 groups of subjects: patients with Graves' disease, Hashimoto's thyroiditis, their relatives and normal controls. We also sought evidence for the possibility that the hypothesized migration enhancement factor (MEF) might be produced by lymphocytes from patients with autoimmune disorders. We found little evidence of LIF production and none of MEF production by the leukocytes of patients with autoimmune thyroid diseases upon exposure to thyroid antigens. Similarly, either no or only minimal amounts of LIF were demonstrated in culture supernatants of leukocytes of their immediate relatives.

Antibodies