Collaboration between communities and universities: completion of a community needs assessment.

Health care reform can provide opportunities for collaboration between universities and the public at large. An advanced community nursing class within a post-RN program at a university combined resources with a nearby rural community to complete a community health and social needs assessment. The partners in the project included the local hospital, health unit, and the university; funding was secured from the Regional Center for Health Promotion and Community Studies and the two health agency partners also made a financial donation. Community liaisons who were both registered nurses and residents of the community, we instrumental in completing tasks and activities related to the project. The students were taught the various data collection methods and participated in class assignments refining the necessary skills required for the actual assessment. This project benefited the community by providing baseline health status and social needs data in an era of dramatic health care reform while simultaneously affording undergraduate nursing students the opportunity to apply theory to practice.

[Language of caregivers to the elderly in a psychogeriatric nursing home]. / Taal van verzorgenden tegen ouderen in een psychogeriatrisch verpleeghuis.

Speech addressed to children is more redundant and less complex than speech directed to adults. To what extent do such 'baby talk' features occur in speech to demented elderly? This study is conducted to obtain descriptive information on the speech environment of institutionalized elderly people. The results show that caregivers use documented features of the simplified register of baby talk in communication with their psychogeriatric patients.

[Incidence of B streptococci in gynecologic patients, pregnant patients and newborn infants]. / Vorkommen von B-Streptokokken bei gynäkologischen Patientinnen, Schwangeren und Neugeborenen.

821 patients have been examined with regard to the presence of B streptococci. We isolated B streptococci in 5.4 per cent in gynaecologic outpatients, in 0.4 per cent in 236 pregnant women and in 5.8 per cent in 156 newborns. From 78 to these newborns we were able to examine the mothers during their stay in the delivery room, too. Only in one parturient and her newborn we could detect B streptococci. In three B streptococci positive newborns is was not possible to prove this germ in the vaginal content of their mothers. Clinical symptoms were not present in no case. Antibiograms were not peculiar.

[Surgical treatment of small-cell bronchial carcinoma]. / Die chirurgische Behandlung des kleinzelligen Bronchialkarzinoms.

The analysis of 284 resected small-cell bronchial cancers from 4 Lung clinics has shown that these represent 11% of all resected lung cancers. The 5-year survival rate was 24%. The male-to-female ratio was 9.5: 1. Two-thirds were detected by X-ray mass screening. The majority of them (60%) were peripheral tumors. 50% of the patients had a stage Ia cancer and showed a 5-year survival of 40%! This result speaks for the primary surgical therapy even for stage I small-cell bronchial cancers, and for a 6-month screening interval of the respective risk groups. Patients with stage II or III cancers showed a 5-year survival rate of only 10%. In such cases postoperative adjuvant chemotherapy should be carried out. But such a therapy seems to be little effective in stage Ia patients.