THE RELATIONSHIP BETWEEN A PATIENT\u27S STRESS LEVEL DURING HOSPITALIZATION AND HIS PERCEPTION OF HIS SIGNIFICANT FAMILY MEMBER\u27S ROLE IN PROVIDING SUPPORT

A descriptive study was undertaken to investigate the relationship between a patient\u27s stress level during hospitalization and his perception of his significant family member\u27s role providing support. The following subproblems were also addressed: (1) What types of activities, presently or potentially performed by a significant family member, does the patient perceive as supportive? (2) What types of nursing activities, as perceived by the patient, are being done to encourage/discourage performance of family support activities? (3) What other factors does the patient perceive as encouraging/discouraging performance of these family role-related activities? The Hospital Stress Rating Scale (Volicer and Bohannon, 1975) was administered to 30 adult surgical patients on the third postoperative day to determine stress levels associated with hospitalization. An investigator developed semi-structured interview was also administered to these subjects to determine the patient\u27s perception of his significant family member\u27s role in providing support. The data obtained from the subjects were analyzed utilizing descriptive statistics and the Spearman Rank Correlation Coefficient. Application of the Spearman Rank Correlation Coefficient revealed the finding that there was no statistically significant association between a patient\u27s stress level and his perception of his family\u27s role in providing support. Resuits of this study suggested, however, that the family does play an important supportive role during the hospitalization phase of illness

Transferring employment between the public and private sectors in the United Kingdom: acquired rights and revising TUPE

This paper analyses the reasons for the United Kingdom's long-delayed response to the European Union’s Acquired Rights Directive. It assesses the British government’s overdue updating of the domestic legislation in 2006 in line with the latest version of the Directive, attributing its dilatory response to a combination of technical legal difficulties and conflicting political objectives. The paper concentrates on the ‘privatisation’ of public services, explaining the most recent protection now available to workers whose jobs are out-sourced to the private or voluntary sector. Member States contemplating reform of their own regulatory regimes may find the British experience instructive.</p

Computer‐based interactive tutorial versus traditional lecture for teaching introductory aspects of pain

In the health sciences, a wide range of computer‐based courseware is now available. The aim of the study described in this paper has been to compare the effectiveness of a computer‐based learning (CBL) software package and a traditional lecture (TL) for the delivery, of introductory material on pain. Nineteen undergraduate nursing students were divided into two groups to attend a one‐hour learning session which introduced clinical aspects of pain and which was delivered by either CBL or TL. Students were assessed for prior knowledge by a pre‐session test, and for knowledge gain by an identical post‐session test. In addition, a multiple‐choice question paper was used to examine differences in pain knowledge between the two groups, and a questionnaire was used to examine the students’ views on their experience during the learning session. The results demonstrated that both groups showed significant knowledge gain after their respective learning sessions. No significant differences between the groups in the magnitude of knowledge gain were found for clinical aspects of pain delivered during the learning sessions. The attitude questionnaire revealed that students attending CBL reported similar learning experiences to those attending the lecture

Reproducibility of the bronchoconstrictive response to eucapnic voluntary hyperpnoea

Background: Eucapnic voluntary hyperpnoea (EVH) is considered an effective bronchoprovocation challenge for identifying exercise-induced bronchoconstriction (EIB). However, the reproducibility of the hyperpnoea-induced bronchoconstriction (HIB) response elicited by EVH remains unknown and was therefore the focus of this study. Methods: Two cohorts of 16 physically active males (each cohort comprised 8 controls and 8 with physician diagnosis of asthma) participated in two studies of the short- and long-term reproducibility of the bronchoconstrictive response to an EVH test with dry air. EVH was performed on days 0, 7, 14, and 21 (short-term study), and 0, 35, and 70 (long-term study). HIB was diagnosed by a ≥10% fall in forced expiratory volume in 1 s (FEV1) after EVH. Results: On day 0 of the short-term study, FEV1 fell by 2 ± 1% (P < 0.05) and 27 ± 18% (P < 0.01) from pre-to post-EVH in control and HIB-positive groups respectively. The post-EVH fall in FEV1 did not differ across the short-term study test days. In the HIB-positive group, the day-to-day coefficient of variation, reproducibility, and smallest meaningful change for the fall in FEV1 were 12%, 328 mL, and 164 mL, respectively. On day 0 of the long-term study, FEV1 fell by 2 ± 2% and 25 ± 18% (P < 0.01) after EVH in control and HIB-positive groups respectively. The post-EVH fall in FEV1 did not differ across the long-term study test days. In the HIB-positive group, the day-to-day coefficient of variation, reproducibility, and smallest meaningful change for the fall in FEV1 were 10%, 196 mL, and 98 mL respectively. Conclusion: The EVH test elicits a reproducible bronchoconstrictive response in physically active males with physician diagnosed asthma. These data thus support the clinical utility of the EVH test for EIB screening and monitoring

Cooperation between interleukin-5 and the chemokine eotaxin to induce eosinophil accumulation in vivo.

Experiments were designed to study the effect of systemically administered IL-5 on local eosinophil accumulation induced by the intradermal injection of the chemokine eotaxin in the guinea pig. Intravenous interleukin-5 (IL-5) stimulated a rapid and dramatic increase in the numbers of accumulating eosinophils induced by i.d.-injected eotaxin and, for comparison, leukotriene B4. The numbers of locally accumulating eosinophils correlated directly with a rapid increase in circulating eosinophils: circulating eosinophil numbers were 13-fold higher 1 h after intravenous IL-5 (18.3 pmol/kg). This increase in circulating cells corresponded with a reduction in the number of displaceable eosinophils recovered after flushing out the femur bone marrow cavity. Intradermal IL-5, at the doses tested, did not induce significant eosinophil accumulation. We propose that these experiments simulate important early features of the tissue response to local allergen exposure in a sensitized individual, with eosinophil chemoattractant chemokines having an important local role in eosinophil recruitment from blood microvessels, and IL-5 facilitating this process by acting remotely as a hormone to stimulate the release into the circulation of a rapidly mobilizable pool of bone marrow eosinophils. This action of IL-5 would be complementary to the other established activities of IL-5 that operate over a longer time course

Analysis of ZDDP content and thermal decomposition in motor oils using NAA and NMR

Zinc dialkyldithiophosphates (ZDDPs) are one of the most common anti-wear additives present in commercially-available motor oils. The ZDDP concentrations of motor oils are most commonly determined using inductively coupled plasma atomic emission spectroscopy (ICP-AES). As part of an undergraduate research project, we have determined the Zn concentrations of eight commercially-available motor oils and one oil additive using neutron activation analysis (NAA), which has potential for greater accuracy and less sensitivity to matrix effects as compared to ICP-AES. The 31P nuclear magnetic resonance (31P-NMR) spectra were also obtained for several oil additive samples which have been heated to various temperatures in order to study the thermal decomposition of ZDDPs.Comment: Manuscript has been accepted for publication in Physics Procedia as part of the proceedings of the 23rd International Conference on Application of Accelerators in Research and Industry (CAARI 2014

Interview with Bettina Love: Creating Spaces That Matter

This is an interview with Dr. Bettina Love on her work with the Kindezi Schools, a small, high-performing charter group in Atlanta, Georgia. Dr. Love’s thought provoking responses provide insight into the dynamics that make Kindezi Schools successful at reaching their students. Additionally, she shares concerns about the dilemma of Opportunity School Districts (OSD) and the schism OSD’s create in minority communities. Lastly, she shares how Kindezi became an opportunity school for Atlanta youth. This interview will be beneficial for parents, principals, teachers, and stakeholders who are interested in understanding how and why creating spaces to nurture student learning matters