Images in cardiovascular medicine. Magnetic resonance phase velocity mapping in dissecting aortic aneurysm. Demonstration of a proximal intimal tear.
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Biomedical subjects
Publications and source records attributed to S Thorne.
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Although the incidence rate of diabetes in children under the age of 3 years is increasing dramatically, no previous studies provide information about the day-to-day experience of caring for these infants and toddlers. Because a young child with diabetes is dependent on the parent for his/her very existence, the purpose of this phenomenological study was to gain knowledge and understanding of the parents' experiences so that appropriate interventions could be developed and implemented to support parental care for this unique population. Findings revealed three distinct phases in the parents' experiences: the diagnosis and child's hospitalization; adjusting to care at home; and long-term adaptation. Within these phases, parents described inordinate amounts of stress exacerbated by the child's young age and the complex, intrusive nature of diabetes management. On the basis of these findings, implications for practice are discussed.
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Particular regions of the X and Y chromosomes share DNA sequence homology to the extent that cross hybridisation occurs. Thus, chromosome painting with a whole Y chromosome probe consistently results in fluorescence on specific regions of the X chromosome as well as the complete Y chromosome. This phenomenon has been exploited to elucidate the structure of unusual X chromosome rearrangements, without Y involvement, in two females.
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At the University of British Columbia (UBC) School of Nursing, a model building challenge in the early 1970s launched 2 decades of model development and application projects. In this paper, selected creative applications will illustrate the utility of a nursing model beyond its explicit direction for clinical practice decision-making. The UBC Model for Nursing had been applied as a basis for curriculum development and teaching strategies in a baccalaureate programme as well as a foundation for nursing administrative decisions in a variety of clinical agencies.
The author adopts a critical stance toward the assumptions, beliefs and behaviours underlying western biomedical tradition as it is enacted within the health care arena, in this paper. On the basis of a cross-cultural comparison of how health belief systems depict the nature of health, the nature of illness and the role of healers, this paper will analyse the degree to which traditions other than western biomedicine seem to influence much of our decision making and behaviour as practitioners and recipients of health care. Thus, locating our relationship to biomedical thought within the context of non-dominant belief systems provides an unusual angle from which to evaluate critically the way we think and behave. In concluding that western health beliefs are powerfully influenced by traditions far beyond biomedical ideology, the author raises implications for nursing's future directions as active participants in a global health movement.
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In summary, chondroid syringoma is a rare sweat gland neoplasm characterized by its slow growth and unpredictable growth phase. When malignant, it has a significant potential for recurrence, metastases, and even death. Due to the rarity of this tumor, an accurate preoperative diagnosis is difficult. Therefore, it is important for the clinician to have a high degree of suspicion for chondroid syringoma when considering the differential diagnosis of solid cutaneous nodules. A patient has been presented with a chondroid syringoma with atypical features, but no unequivocal evidence of malignancy. This poses a therapeutic dilemma. At the present time, the best therapeutic option appears to be accurate diagnosis, wide local excision, and close follow-up. Further research will elucidate the role of adjunctive treatment modalities.
Malignant clear cell hidradenoma is an uncommon variant of sweat gland tumors. Histological sections show lobulated masses and anastomising cords of cells which were polygonal to slightly fusiform in appearance. Most of the cells have bland appearing ovoid nuclei with slightly eosinophilic to clear cytoplasm. Focal areas within the lesion may show malignant changes. These areas may demonstrate large pleomorphic hyperchromatic nuclei, numerous mitotic figures, and a tendency toward squamous differentiation with many of the neoplastic cells demonstrating individual keratinization. Treatment is wide local resection. Consideration of regional lymph node dissection should be entertained because of the tendency to angiolymphatic spreads. Radiotherapy has not been shown to be helpful. Various chemotherapeutic regimens have been tried with inconclusive results. An illustrative case report is presented.
Widowhood is not a similarly negative transition for all women. For some, it may represent a release from significant stressors and obligations. Some older widows have spent many years attending to the needs of others to the extent that their identities prior to caregiving have been submerged or forgotten. For some women, widowhood brings the freedom to rediscover their identities, establish independent goals, and take on new challenges. Such women may be hesitant to acknowledge to others the positive side of widowhood. Nurses can support widows in various circumstances by revising their pessimism about widowhood and by supporting widows in their efforts to grow and learn.