A model for health: its use in an undergraduate nursing programme

A great deal has been said about the need for health professionals to move away from a disease model of care and place more emphasis on health and its promotion and maintenance. One way of introducing a health approach to the service is to emphasise it in the basic education of nurses and doctors.The curriculum for the BA Nursing Studies programme at Glasgow College of Technology is based on a health model for nursing, a model based on activities of living. Initially the emphasis is on health and then the move is towards the study of dysfunction and disease processes. However, a strand of health education is retained throughout the programme, and students are encouraged to identify opportunities for health teaching in both hospital and community settings. The $\text{4}\text{1}\text{3}\text{-}\text{year}$ nursing programme gives a framework for a health approach which looks towards the year 2000.     

Role of metabolism in the immediate effects and pneumotoxicity of 3-methylindole in goats.

Rapid infusion of 3-methylindole (3-MI) dissolved in 10% Cremophor EL in water was immediately followed by pulmonary arterial hypertension, systemic arterial hypotension, decreased minute volume and periods of apnoea in goats. Rapid intravenous infusion of Cremophor EL/water alone caused similar immediate effects to those of Cremophor EL plus 3-MI in various dosages. Pretreatment of goats with piperonyl butoxide or phenobarbitone did not significantly alter these immediate cardiopulmonary responses. But pretreatment with piperonyl butoxide prevented clinical signs and pulmonary lesions of 3-MI toxicity, whereas phenobarbitone pretreatment shortened survival time and enhanced pulmonary pathology. Cremophor EL and 3-MI dissolved in Cremophor EL caused severe in vitro haemolysis of caprine and bovine erythrocytes. There was no relationship between the immediate effects of 3-MI and the subsequent development of 3-MI-induced pneumotoxicity and deaths in control goats or in goats pretreated with piperonyl butoxide or phenobarbitone. Induction or inhibition of mixed function oxidase activity had no influence on immediate responses to 3-MI but did change the severity of clinical and pathological responses. It is concluded that there is no apparent relationship between the immediate and the pneumotoxic effects of 3-MI. It is possible that the immediate effects are the result of intravascular haemolysis.     

Acute myocardial ischemia: MR imaging with Mn-TP

Cardiac-gated magnetic resonance (MR) imaging was performed in rats to determine the effects of manganese ethylenediaminetetraphosphonate (TP). Ten normal rats received Mn-TP in a dose of 50 mumol/kg through a tail-vein injection. Spin-echo MR images were obtained before and every 10 minutes after Mn-TP injection for 1 hour. Cardiac signal intensity (SI) increased more than 70% after Mn-TP injection and remained nearly unchanged 1 hour after injection. Myocardial T1 was 517 +/- 49 msec in eight control rats and 282 +/- 61 msec (P less than .001) in six rats 81 +/- 0 minutes after injection. Nine rats underwent occlusion of the left anterior descending coronary artery prior to MR imaging. Images were obtained before and 15, 30, and 60 minutes after Mn-TP injection. In normal myocardium, SI increased up to 82% and remained elevated for 1 hour. In ischemic myocardium, SI rose 11%, leading to a marked contrast between the two tissue zones. T1 was also different in the two regions: In normal tissue, it was 206 msec +/- 54; in ischemic tissue, 338 +/- 82 (P less than .001). With T1-weighted MR imaging, Mn-TP showed a potential for delineating the jeopardized area after acute myocardial ischemia.     

The pathogenesis of peripheral aneurysms of the central nervous system: a subject review from the AFIP

Most central nervous system aneurysms occur around the circle of Willis, and are congenital or arteriosclerotic in origin when in that location. Peripherally located aneurysms are either idiopathic or secondary to infection, tumor embolus (from choriocarcinoma and cardiac myxoma), Moyamoya disease, or trauma. The pathophysiologic features of these aneurysms are discussed.