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101.
Ann Wilson RGN RM DipN RCNT RNT BA MPhil Nurse Tutor Richard Startup MA LLB PhD Senior Lecturer 《Journal of advanced nursing》1991,16(12):1478-1486
A comparative study was conducted of the professional socialization process of student nurses in three nurse education centres in South Wales. Patterns and problem areas can be identified of relevance to issues in role theory and with practical implications for the more effective implementation of Project 2000. Three cohorts of students were interviewed using a semi-structured interview schedule whilst in the introductory block and at the end of the first year. The teaching and ward staff directly involved in the socialization process were also interviewed so that their views could be compared with those of the students. There were differences between the types of ward in the opportunities they offered for role modelling. It was doubtful whether the three categories of students, teaching staff and ward staff were all employing a single conception of 'the good nurse'. The student has to find her own pathway through the divergent and often conflicting values and philosophies of the teaching staff and those in authority on the wards. It is recommended that a more unified approach be adopted to reduce the conflict which learners experience. In accordance with Project 2000, the teaching staff should act as practitioners and thereby be perceived as a professional role model with clinical credibility. 相似文献
102.
103.
Spondylometaphyseal dysplasia, corner fracture type: a heritable condition associated with coxa vara
Langer LO Jr; Brill PW; Ozonoff MB; Pauli RM; Wilson WG; Alford BA; Pavlov H; Drake DG 《Radiology》1990,175(3):761-766
The authors present the radiographic features of a previously incompletely delineated bone dysplasia, which they call spondylometaphyseal dysplasia, corner fracture type. This is a dominant heritable condition associated with short stature and developmental coxa vara. The progressive hip deformity usually causes significant disability requiring surgical correction. Developmental coxa vara, simulated corner fractures of long tubular bones, and vertebral body abnormalities result in a diagnostic constellation. Knowledge of these distinctive radiologic features allows accurate diagnosis, which in turn should lead to appropriate genetic counseling and possibly to earlier, more efficacious surgical treatment of the coxa vara. 相似文献
104.
105.
Califf RM 《岭南心血管病杂志》1999,5(2)
标题 Flolan国际随机存活试验(FIRST);最后的结果作者 CaliffRM,etal.JAmCollCardiol,1996,27:141A(英文) 研究疾病:末期心力衰竭。目的:评估epoprostenol(前列环素)对末期心衰患者之病死率和发病率的影响。 设计:随机对照式。病人资料:471例(预定875例),平均年龄为(65±10)岁,左心室射血分数<25%,充血性心衰,NYHAⅢ或Ⅳ级,肺毛细血管楔压>15mmHg,心功能指数<2-5L/min·m2。随访:12个月;6个月评估… 相似文献
106.
J Calderón-Amador A Flores-Langarica A Silva-Sánchez L Donis-Maturano J Granados E Vega-Memije RM Lacy-Niebla T Hojyo-Tomoka L Dominguez-Soto L Flores-Romo 《Journal of the European Academy of Dermatology and Venereology》2009,23(4):438-440
Background Actinic Prurigo (AP) is a chronic pruritic dermatosis of unknown cause affecting sun exposed skin in defined ethnic groups with characteristic MHC alleles. However, the cutaneous dendritic cells have not been assessed.
Objective To assess in situ the epidermal Langerhans Cell (LC) status in Actinic Prurigo.
Study design Fresh skin samples from three AP patients were used to evaluate in situ the epidermal LC, comparing lesional and non-lesional sites in each subject.
Setting AP patients attending the Dermatology Department at the Hospital M. Gea-Gonzalez in Mexico city.
Methods Lesional and non-lesional skin samples were taken from each subject to prepare both epidermal sheets and conventional tissue sections. Three markers restricted to LC in epidermis (CD1a, ATPase, MHC-II) were used to quantify the LC per area in epidermal sheets.
Results Compared to non-lesional skin from the same subject, a significant reduction in the number of LC per area of epidermis was found in lesional skin; with any of the three markers evaluated.
Conclusion The frequency of epidermal LC decreases importantly in lesional skin from AP patients. 相似文献
Objective To assess in situ the epidermal Langerhans Cell (LC) status in Actinic Prurigo.
Study design Fresh skin samples from three AP patients were used to evaluate in situ the epidermal LC, comparing lesional and non-lesional sites in each subject.
Setting AP patients attending the Dermatology Department at the Hospital M. Gea-Gonzalez in Mexico city.
Methods Lesional and non-lesional skin samples were taken from each subject to prepare both epidermal sheets and conventional tissue sections. Three markers restricted to LC in epidermis (CD1a, ATPase, MHC-II) were used to quantify the LC per area in epidermal sheets.
Results Compared to non-lesional skin from the same subject, a significant reduction in the number of LC per area of epidermis was found in lesional skin; with any of the three markers evaluated.
Conclusion The frequency of epidermal LC decreases importantly in lesional skin from AP patients. 相似文献
107.
108.
对人流感病毒A/Udorn/72(H_3N_2)株与禽类流感病毒A/Mallard/NY/78/(H_2N_2)重组后的重组株分析表明,仅含禽类病毒的核蛋白(NP)或膜蛋白(M)的RNA片段的重组株,在松鼠猴的呼吸道繁殖是受限制的。另外。仅有禽类的RNAl和NS基因的重组株(Clone 12)在松鼠猴的气管内的繁殖也明显受限制,而只具有其中一个基因的Clone 9, Clone 2, 则限制就不明显。由此表明,禽类流感病毒的NP和M基因在宿主范围的繁殖限制中起主要作用,而RNAI和SN基因的结合,同样起着繁殖受限制作用。 相似文献
109.
110.
The equity debate within the British National Health Service 总被引:1,自引:0,他引:1
G. BRADSHAW RGN RM ADM PGCEA P. L. BRADSHAW MA Nurs RGN RMN RHV RNT 《Journal of nursing management》1995,3(4):161-168
The equity debate within the British National Health Service This paper begins by identifying the principles of equity and fairness on which the British National Health Service (NHS) was founded in 1948. It then goes on to summarize the viewpoints of those who more recently have argued that equity is an out-moded, Utopian and unachievable concept that should not be applied to the delivery of health care services. A brief review is conducted of the definitions of equity and inequity as these apply to health care. Brief attention is paid to the relationship between equitable distribution of health care and social class. The new contemporary significance of equity for all NHS managers is exposed through a debate concerning the impact of the recently introduced policies for the implementation of a quasi-market in health services in Britain. The inseparable relationship between equity and the rationing of resources is identified as central to the just distribution of health care. The paper presents evidence that the quasi-market solutions to improved economic efficiency and cost-containment are often in direct conflict with the equity doctrine on which the NHS was created. A brief conclusion how equity principles might be restored to health policy is proffered. 相似文献