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Biomedical subjects

S Nelson

Publications and source records attributed to S Nelson.

377 records · Page 21Linked to original sources

Hemodynamic actions of a synthetic atrial natriuretic factor.

The recently discovered atrial natriuretic factor (ANF), as well as synthetic ANF, has been demonstrated to produce diuresis and vasodilation. However, the vascular actions appear to be selective. In view of this apparent relative specificity, the hemodynamic actions of synthetic ANF (atriopeptin II, 23 amino acid rat sequence) were examined in intact animals and in vascular beds as well as in isolated cardiac preparations. Administration of 1-100 micrograms/kg of ANF i.v. into conscious spontaneously hypertensive rats (SHRs) resulted in a dose-related fall in blood pressure. Heart rate decreased at the lowest dose. Cardiac output was depressed. Infusion of 1 microgram/kg/min also reduced blood pressure and decreased cardiac output slightly (approximately 15%). Intraarterial (i.a.) administration or i.v. injection of ANF into the blood supply of a kidney of anesthetized SHRs augmented renal blood flow and reduced renal vascular resistance. In contrast, i.a. administration into the hindquarters failed to increase blood flow or decrease resistance of this bed significantly. The specific dopamine1 (DA1)-receptor agonist SKF 82526 was examined for comparative purposes and was found to augment both renal and hindquarter blood flow following i.a. administration. The renal vasodilator actions of SKF 82526 but not ANF were antagonized by the specific DA1-receptor blocker SCH 23390 (hindquarter effects were not evaluated). ANF did not affect the force of contraction or rate of beating of isolated guinea pig atria or isolated hearts and therefore does not appear to possess direct inotropic or chronotropic properties. In conclusion, ANF lowered blood pressure in conscious SHRs; the lowering of pressure was accompanied by a slight fall in cardiac output, but there was no reflex tachycardia.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

In vitro effect of topical fluorides on sealant materials.

The purpose of this study was to determine by visual inspection and by scanning electron microscopy (SEM) whether commercially available, topical, acidulated phosphate fluoride (APF) and neutral sodium fluoride (NaF) agents cause surface roughening of five sealant materials: two unfilled resins, two filled resins, and one glass-ionomer material. In addition, the effect of treatment with 1.23% APF and sonification on weight of an unfilled and a filled sealant was compared to treatment with controls. Unfilled sealants exhibited no surface changes visually or on micrographs following any treatment. Filled sealants and the glass-ionomer sealant exhibited visually apparent changes depending on the treatment. SEM inspection of filled sealants with visually apparent changes showed loss of filler particles whereas the glass-ionomer sealant exhibited apparent destruction both of the matrix and the filler particle. No significant differences in weight were found between sonicated and unsonicated specimens. However, significant loss of weight was found with filled sealant specimens, but not unfilled sealant specimens, treated with 1.23% APF gel as compared with the specimens treated with water. The results of this in vitro study indicate that preventive therapies that combine use of topical fluorides and sealants may cause deterioration of filled sealants and glass-ionomer sealant material, but not unfilled sealants.

Acidulated Phosphate Fluoride↗

Nursing assistants' opinions of oral health care provision.

Understanding the attitudes and perceptions about oral health in nursing assistants (NAs) may facilitate efforts to improve daily oral care in long-term-care settings. By exploring the attitudes of individuals charged with daily oral care, we may gain insight into the level of care provided for the residents. To explore motivation for oral care by NAs, we developed a 28-item survey. The survey included descriptive information and a 20-item Likert-type instrument dealing with oral care for self-care and dependent individuals. Factor analysis was used to test the validity of the constructs intended to be measured by the survey items. The results indicated favorable responses to knowledge items and items related to the importance of oral health in general. However, the responses to questions related to amount of time to perform mouth care, the risk of being bitten by a resident, resident cooperation, and myths about oral health in aging revealed significant variation by NAs descriptive variables. An understanding of the implications of NAs' perceptions, values, and knowledge may provide impetus for new strategies for improving oral health and daily care in long-term-care facilities.

Adult↗

Obligate nasal breathing in an elderly woman: increased risk of nasogastric tube feeding.

The initiation of oronasal breathing when the nasal pathway becomes obstructed requires a complex interaction of neuromuscular responses which are normally present in all but very young infants. We describe an elderly lady who developed respiratory failure partially due to an inability to initiate oral breathing when her nasopharynx was compromised by a nasogastric tube.

Aged↗

Minitracheostomy: the benefits for patient care.

Sputum retention is a potential complication following thoracic surgery. This article describes minitracheostomy, a technique that is commonly used in thoracic units to clear secretions, examines its advantages and disadvantages and recommends its more widespread use in district general hospitals.

Humans↗

Pre-admission education for patients undergoing cardiac surgery.

Traditionally, preoperative information has been provided to patients on admission, the day before surgery. This was thought not to be the ideal time. An exploratory pilot study was undertaken to evaluate a new information service for patients about to undergo cardiac surgery. Questionnaires were administered to 20 patients who had attended a pre-admission education programme and 20 patients who had received information from the ward staff on admission. The aim was to assess whether patients fears and anxieties were reduced by the provision or pre-operative information before admission for surgery. One hundred percent of the patients felt that they benefited from the pre-admission programme and 76% felt that their anxieties had been relieved.

Adult↗

Déjà vu and the regulation of nursing in Victoria.

The issue of the regulation of nursing is a perennial one. In the current climate of review of regulatory practices in the State of Victoria, Australia it is perhaps surprising to note the consistency of issues and positions in this debate over the past seventy-five years. This paper examines the emergence of the first Nurses' Board of Victoria and the political struggles that its implementation entailed. It is argued that the mobilisation of civic discourse by nurses was the means used to extend nursing autonomy and control over regulatory practices. However, this civic discourse did not realise nursing's own interests but widened the role of nurses in the governance of the profession and health services more generally. The current debate over the role of non-nurses in nursing roles and issues of regulation is also discussed.

Employment↗

Monkeys bring HIV hope.

Explore the source record for details and available documents.

Acquired Immunodeficiency Syndrome↗