ABSTRACT
Examines the ideological nature of competence-based approaches to the management training of nurse managers. Explores the transition required from a "clinical" identity to a managerial one. Employs Habermas' theory of communicative action to analyse the ideological features and to provide a way of reflecting on the nature of the professional identity they are being encouraged to accept. Indicates some further avenues for research.
Subject(s)
Competency-Based Education/standards , Health Services Administration , Nurse Administrators/education , Staff Development/standards , Clinical Competence , Organizational Case Studies , State Medicine , United KingdomABSTRACT
Research has demonstrated that providing extra and sometimes unlimited food quantities following meals can be effective in reducing or eliminating ruminative vomiting in persons with developmental disabilities. In this study, providing access to white bread was evaluated as an alternative method of satiation-based treatment of rumination displayed by an 18-year old male with mental retardation. White bread was made available during 1-h periods following daily meals and this intervention produced a reduction in ruminating to near zero levels throughout the young man's waking hours. Long-term follow-up assessment revealed maintenance of low-frequency responding. Issues related to satiation treatment programs for ruminative vomiting are discussed.
Subject(s)
Bread , Feeding Behavior/psychology , Feeding and Eating Disorders of Childhood/diagnosis , Feeding and Eating Disorders of Childhood/prevention & control , Vomiting/prevention & control , Vomiting/psychology , Adolescent , Animals , Chronic Disease , Humans , MaleABSTRACT
Between May 1983 and October 1984, 51 patients who had 68 ureteral stones underwent treatment at the University of Minnesota. All 68 stones were removed successfully using percutaneous techniques. The 100% success rate is a great improvement over previous results at our institution. The primary factors appear to be the development of the retrograde-flush technique, familiarity with and access to a wider range of methods, and the increasing use of the retrograde ureterorenoscope to see stones in the lower ureter. The average patient was a 45-year-old man who had no other medical problems. The average hospital stay was 6.8 days. Experimental studies with dogs indicate that injection rates of up to 30 ml/sec of contrast material through a retrograde catheter in the ureter are safe if a vent is present in the upper collecting system.
Subject(s)
Endoscopy/methods , Ureteral Calculi/therapy , Adult , Aged , Animals , Dogs , Endoscopes , Endoscopy/adverse effects , Female , Humans , Length of Stay , Male , Middle Aged , Radiography , Risk , Therapeutic Irrigation/methods , Ureteral Calculi/diagnostic imagingABSTRACT
Although 3-N-ribosyluric acid (3-RUA) was not detected in the red cells of bovine fetuses, 3-N-ribosyluric acid 5'-monophosphate, the immediate precursor of 3-RUA, was synthesized from uric acid and 5-phosphoribosyl-1-pyrophosphate (PRPP) by hemolysates of fetal red cells. These preparations also synthesized 3-N-ribosylxanthine 5'-monophosphate from xanthine and PRPP. Partially purified extracts of fetal and adult erythrocytes of cattle had similar enzyme activity and the same specificity toward xanthine and orotic acid. Therefore, it was concluded that the absence of 3-RUA in fetal red cells was not a result of lack of the enzyme orotate phosphoribosyltransferase (EC 2.4.2.10).