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Biomedical subjects

S L Turner

Publications and source records attributed to S L Turner.

72 records · Page 4Linked to original sources

The homeless experience: clinic building in a community health discovery-learning project.

The concept of discovery learning is exemplified in this account of four students and their instructor who began and developed a nurse-run clinic for the homeless in a community health project. The students were registered nurses returning for their bachelor's degrees. They experienced frustration at learning the difference between care based on their assessments of patients' needs and care geared to clients' assessments of desired interventions. The journals that they kept reveal self-discovery as well as new respect for other humans. In addition, a new type of community care emerged, which gives all indications of surviving.

Ambulatory Care Facilities↗

Controlled study of exclusion of dietary vasoactive amines in migraine.

To assess the effects of dietary vasoactive amines in the aetiology of childhood migraine, 39 children were randomly allocated to either a high fibre diet low in these substances or a high fibre diet alone. Both groups of children showed a significant decrease in the number of headaches and there was no significant difference between the two groups. Dietary vasoactive amines have not been shown in this study to influence childhood migraine. The improvement seen in both groups emphasises the need for a control diet in studies designed to show that dietary manipulation improves disease.

Adolescent↗

Vasopressin-induced motor disturbances: localization of a sensitive forebrain site in the rat.

Arginine-vasopressin (AVP) microinjected into an area extending from the diagonal band of Broca to the anterior hypothalamus of the rat evokes severe motor disturbances, including barrel rotations and myoclonic/myotonic movements. These disturbances do not occur after administration of an artificial physiological solution or of oxytocin. Injection of this peptide into other areas of the brain does not cause these effects. This action of vasopressin is dose-related, can be prevented by the prior administration of an AVP receptor antagonist and involves a 'sensitization' process. It is possible that AVP, acting in this mediobasal region of the forebrain, might be involved as a causative agent in some convulsive disorders.

Animals↗

Neurotransmitter effects on body temperature are modified with increasing age.

This study reports effects on body temperature, in two different age groups of Sprague Dawley rats, of intracerebroventricular (ICV) administration of prostaglandin E2, noradrenaline, serotonin, dopamine, and carbachol. Young animals (3-5 months) developed fevers in response to administration of prostaglandin E2 (+ 1.02 +/- 0.26 degrees C), while no significant changes in colonic temperature were observed in the older (15-18 months) group of rats. Noradrenaline (10.0 micrograms), caused a decrease in colonic temperature in the younger group of animals (-2.02 +/- 0.70 degrees C), but had no significant effects on the body temperature of the older group. Similarly, differences between the temperature responses of the young as compared with the older group of animals were observed following ICV administration of carbachol, dopamine and serotonin. These data suggest that the roles of these substances in the hypothalamic control of body temperature may be modified with increasing age.

Aging↗

Cerasee, a traditional treatment for diabetes. Studies in normal and streptozotocin diabetic mice.

Cerasee, a wild variety of Momordica charantia is traditionally prepared as a tea for the treatment of diabetes mellitus in the West Indies and Central America. To investigate a possible hypoglycaemic effect, concentrated aqueous extracts of cerasee were administered to normal and streptozotocin diabetic mice. In normal mice, intraperitoneal administration of cerasee improved glucose tolerance after 8 hr, and in streptozotocin diabetic mice the level of hyperglycaemia was reduced by 50% after 5 hr. Chronic oral administration of cerasee to normal mice for 13 days improved glucose tolerance. The cerasee extracts did not significantly alter plasma insulin concentrations, suggesting that cerasee may exert an extrapancreatic effect to promote glucose disposal.

Administration, Oral↗

Performance of the large-reservoir oxygen mask (Ventimask).

The performance of large-reservoir Venturi masks ('Ventimask') giving nominal inspired oxygen (O2) concentrations ranging from 24% to 60% was assessed in a face model, in six normal subjects, and in ten patients with severe chronic airflow obstruction at the O2 flow rates recommended. Instantaneous oxygen concentrations were measured with a mass spectrometer ('Centronics MGA200') and volume-weighted to give mean inspired concentrations (FiO2). In human studies volume-weighting was achieved by simultaneous measurement of tidal volume from chest and abdominal motion by the use of a respiratory inductance plethysmograph ('Respitrace'). Reinspiration of dead space from the mask was assessed by measuring FiCO2, which varied from 0.2 to 0.4% (normals) and was 0.6 +/- 0.4% in patients. In normal subjects and patients breathing at rest the FiO2% in 24, 28, 35, and 40% ventimasks was within 1.9% absolute of nominal (range-1.2 to +1.9%) but the 60% mask read low (50.3%). Various factors can make FiO2 less than nominal but the human and model studies indicated that reinspiration of dead space from the mask was more important than hyperventilation. In tachypnoeic patients (frequency greater than 30/min), the O2 flow should be increased to 50% above recommended.

Aged↗

Incontinence aids for home use.

Specific knowledge of the relative merits and costs of equipment and techniques will enable individualized incontinence management for greater patient comfort.

Costs and Cost Analysis↗

Teaching strategies for critical thinking.

Critical thinking is a phase that is being heard frequently in nursing education. Nurse educators are encouraged to teach students to think critically because of the higher-order thinking skills that are required in our complex health care delivery system. The challenge to educators is the selection, development, and implementation of appropriate teaching strategies. This article describes a variety of strategies for teaching critical thinking within the context of nursing.

Computer-Assisted Instruction↗

An overview of nursing ethics for nurse educators.

Nursing ethics is a topic included in most health care institutions as a requirement for accreditation by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). This article provides an overview of nursing ethics in a format that allows the reader to understand the basic principles while applying the information to daily work situations in a format for use in a classroom environment. The issue of dilemma recognition is addressed as well as mechanisms that may be used to facilitate dilemma resolution. Information is also provided for use in the development of skills in ethical decision-making.

Beneficence↗