Reform? Rhetoric does not match reality.
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Biomedical subjects
Publications and source records attributed to T Smyth.
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Although the literature seems to suggest that the caring professions have embraced a view of the 'whole' person, there are some important weaknesses in current models and practices. Nurses, as people, are often left out of the care equation. To offer creative and rounded care, nurses need to accept all aspects of both their own personalities and those of their clients. This exploratory paper argues that aesthetics and the arts are influential forces in all our lives, however, despite this, they are rarely discussed explicitly in the nursing literature. The value of aesthetics and the arts to the nursing profession is introduced and explored through reflections on the concept of empathy.
This study explored general practitioners' (GP) perceptions of waiting times and the importance of these perceptions in choosing a surgeon. A randomly selected sample of GPs in the Hunter Area of New South Wales, Australia, provided information prospectively on patients referred to a surgeon. The results indicated that GPs feel a lack of private health insurance makes only a small difference in waiting time to see a surgeon but a large difference in the waiting time for an operation. Additionally, GPs consider that sizeable numbers of patients will wait longer than they consider reasonable for surgical consultations and procedures. However, perceptions of waiting times do not appear to have a major influence on the choice of surgeon.
This paper discusses the concept of marginality and its relevance to an understanding of the role of the clinical teacher. Despite having a rather chequered history, the notion of marginality has proved, nonetheless, to be a powerful and resilient stimulus for many writers from a variety of backgrounds. After a brief overview of the historical development of the concept, this paper focuses on the theoretical framework proposed by Dickie-Clark which is found to have value as both an accessible and flexible means of analysing a wide range of social and individual phenomena. It is this framework that is used to examine the position of the clinical teacher. The essence of the argument is that the clinical teacher is at a pivotal level at the intersection of two relatively distinct hierarchies (the formal educational and the informal clinical) which need to be reconciled if the clinical teacher is to be effective. Brief references are made also to Third World studies as an illustration of how seemingly remote concepts can be employed creatively to highlight some hitherto unconsidered aspects of the clinical teacher's role.
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Chromium (III) thiamin diphosphate (CrTDP) is a substitutionally inert complex which is a physical and kinetic probe of the binding mode of metal ion and coenzyme in thiamin diphosphate (TDP) dependent enzymes. CrTDP is prepared by reaction of aquated Cr (III) and TDP and purifed by ion-exchange chromatography. CrTDP binds to the apoenzyme of wheat germ pyruvate decarboxylase, giving an inactive holoenzyme. Chromium (III) ion binds to the apoenzyme in a manner that suggests, in light of the results with CrTDP, that there are two metal ion binding sites. Extension of the use of CrTDP to other enzymes can give specific information about binding and can introduce an active site reporter group
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