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Biomedical subjects

S Robinson

Publications and source records attributed to S Robinson.

405 records · Page 23Linked to original sources

The toxic handler: organizational hero--and casualty.

You've watched them comfort colleagues, defuse tense situations, and take the heat from tough bosses. You've seen them step in to ease the pain during layoffs and change programs. Who are they? The authors call them toxic handlers--managers who voluntarily shoulder the sandness, frustration, bitterness, and anger of others so that high-quality work continues to get done. Toxic handlers are not new. They are probably as old as organizations themselves. But there has never been a systematic study of the role they play in business. In this article, the authors introduce the role of toxic handlers, explaining what they do and why. Managing the pain of others is hard work. Toxic handlers save organizations from self-destructing, but they often pay a high price--emotionally, professionally, and sometimes physically. Some toxic handlers experience burnout; others suffer far worse consequences, such as ulcers and heart attacks. The authors contend that these unsung corporate heroes have strategic importance in today's business environment. Effective pain management can--and does--contribute to the bottom line. No company can afford to let talented employees burn out. Nor can it afford to have a reputation as an unhappy place to work. The authors offer practical advice for managers and organizations about how to support toxic handlers--before a crisis strikes. The role of toxic handler needs to be given the attention it deserves for everyone's benefit, because the health of employees is a key element in the long-term competitiveness of companies and of society.

Administrative Personnel↗

The evolution of a distance education initiative into a major telehealth project.

After a five-year collaboration in distance learning, the University of Texas Medical Branch in Galveston School of Nursing and the Lamar University Department of Nursing in Beaumont, Texas, opened discussions during the mid-1990s about working together to establish a cutting-edge telehealth clinic. Other participants in this dialogue were the UTMB Division of Pediatric Special Services (DPSS) and the East Texas Area Health Education Center (ETAHEC). DPSS hoped to provide telehealth services for children who had to commute routinely to receive comprehensive health care. ETAHEC, which specializes in building community-academic partnerships to improve the health of populations in its service region, had already worked with members of the team, providing support for the distance education collaboration between UTMB and LU. Several meetings between representatives from the two universities and ETAHEC resulted in the decision by LU to establish an infrastructure for distance learning that could also support telehealth activities. UTMB, which offered family nurse practitioner education at LU through the earlier distance learning initiative, had extensive experience in both distance education and telehealth. It provided the expertise to ensure that the two types of technology could be provided on the LU campus. Eventually, a third university came on board, and the program expanded to provide services in six public schools. A single telehealth clinic, in operation for two years with over 112 client visits, has grown into a major telehealth initiative linking an academic health science center, universities, and school districts in Texas.

Child Health Services↗

Experience counts.

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Adult↗

Role restrictions.

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Health Occupations↗

The attachment of certain gram negative bacteria to buccal epithelial cells from patients with Yersinia arthritis.

The frequency of attachment of certain members of the Enterobacteriaceae implicated in arthritis to buccal epithelial cells from patients with post-Yersinia reactive arthritis, Yersinia enteritis and from healthy controls was examined using a fluorescent labelling technique. Klebsiella K43 bound significantly more frequently to cells from reactive arthritis patients compared healthy controls (2 p less than 0.05) and after incubation overnight at 37 degrees C this binding increased still further. In addition, under these conditions Escherichia coli bound more frequently to arthritis cells as compared with controls (2 p less than 0.01). Upon examination for the presence of HLA B27. Yersinia 03 was found to bind significantly more frequently to B27 positive reactive arthritis patients compared with B27 negative individuals when the bacteria and cells were incubated overnight at 37 degrees C (2 p less than 0.01).

Adolescent↗

The binding to human lymphocytes of arthritogenic and non-arthritogenic bacteria.

The frequency of attachment of postulated arthritogenic bacteria to lymphocytes from patients with ankylosing spondylitis (AS) and from healthy controls was examined using a fluorescent labelling technique. No significant differences in attachment frequency were seen with the arthritogenic or control bacterial strains between the patient and control groups using an "immediate" rosette assay. However, after overnight incubation at 37 degrees C, Klebsiella K43 and Escherichia coli bound significantly more frequently to lymphocytes when compared with rosettes examined without prior incubation. With this modified bacterial attachment test cells from patients with AS bound significantly more Klebsiella K43 and E. coli than did the cells from controls (2 p less than 0.05 and 2 p less than 0.001 respectively). No differences in binding were seen with Yersinia enterocolitica serotype 03. These results discount the idea of a specific receptor for arthritogenic bacteria being present on the surface of lymphocytes from AS patients.

Arthritis, Infectious↗

Florence of Arabia.

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Adaptation, Psychological↗