Ethics in community nursing

The purpose of this theoretical paper is to explore the ethics in a community nursing. Nursing, a practice discipline recognizes caring, morals, and values as integral to the practice of all nurses. The ethical principles of beneficence, autonomy, advocacy, and social justice will be discussed from the lens of caring. Caring nursing theorists, such as Jean Watson, Ann Boykin, and Savina Schoenhofer, articulate the importance of understanding communities and individuals as whole and autonomous. These theorists and others challenge nursing to engage in a responsive, ethical and philosophical discourse when the community is viewed as autonomous

A Catalog of Background Stars Reddened by Dust in the Taurus Dark Clouds

Normal field stars located behind dense clouds are a valuable resource in interstellar astrophysics, as they provide continua in which to study phenomena such as gas-phase and solid-state absorption features, interstellar extinction and polarization. This paper reports the results of a search for highly reddened stars behind the Taurus Dark Cloud complex. We use the Two Micron All Sky Survey (2MASS) Point Source Catalog to survey a 50 sq deg area of the cloud to a limiting magnitude of K = 10.0. Photometry in the 1.2-2.2 micron passbands from 2MASS is combined with photometry at longer infrared wavelengths (3.6-12 micron) from the Spitzer Space Telescope and the Infrared Astronomical Satellite to provide effective discrimination between reddened field stars and young stellar objects (YSOs) embedded in the cloud. Our final catalog contains 248 confirmed or probable background field stars, together with estimates of their total visual extinctions, which span the range 2-29 mag. We also identify the 2MASS source J04292083+2742074 (IRAS 04262+2735) as a previously unrecognized candidate YSO, based on the presence of infrared emission greatly in excess of that predicted for a normal reddened photosphere at wavelengths >5 microns

Pulmonary hypertension and thyrotoxicosis

Thyrotoxicosis is listed as a cause of pulmonary arterial hypertension (PAH). The aetiopathogenesis remains largely uncertain, but an autoimmune mechanism has been postulated, among others. In this setting, other causes of PAH need to be actively sought and excluded prior to attributing it to the thyrotoxicosis. The importance of recognising this condition is that it is usually reversible with restoration of a euthyroid state. We describe three patients who presented with thyrotoxicosis and features of PAH in whom other causes were excluded with various investigations. We also demonstrated reversibility of the pulmonary hypertension upon restoration of a normal thyroid state

Supplemented low-protein diets : are they superior in chronic renal failure?

CITATION: Herselman, M. G. et al 1995. Supplemented low-protein diets : are they superior in chronic renal failure? South African Medical Journal, 85(5):361-365.The original publication is available at http://www.samj.org.zaTwenty-two patients with chronic renal failure were randomly assigned to a conventional low-protein diet containing 0,6g protein/kg/day or a very-low-protein diet containing 0,6g protein/kg/day supplemented with essential amino acids; they were followed up for 9 months. There were no significant changes in body mass index, arm muscle area, percentage body fat, serum albumin and transferrin levels in any of the groups; neither was there any difference between the groups in respect of these parameters. Renal function, as measured by the reciprocal of serum creatinine over time, stabilised in both groups during intervention, with no significant difference between the groups. There was however no correlation between changes in renal function and changes in blood pressure, or dietary intake of protein, phosphorus, cholesterol, polyunsaturated and saturated fatty acids. There were also no significant changes and no significant differences between the groups in serum levels of parathyroid hormone and alkaline phosphatase, urine cyclic adenosine monophosphate, tubular reabsorption of phosphate, and the theoretical renal threshold for phosphate. The results of this study suggest that the supplemented very-low-protein diet was not superior to the conventional low-protein diet in terms of its effect on protein-energy status, renal function and biochemical parameters of renal osteodystrophy.Publisher’s versio

Tele-methylhistamine 1 distribution in rat brain

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/65997/1/j.1471-4159.1979.tb02303.x.pd

Spectropolarimetry of the 3.4 micron absorption feature in NGC 1068

In order to test the silicate-core/organic-mantle model of galactic interstellar dust, we have performed spectropolarimetry of the 3.4 micron C-H bond stretch that is characteristic of aliphatic hydrocarbons, using the nucleus of the Seyfert 2 galaxy, NGC 1068, as a bright, dusty background source. Polarization calculations show that, if the grains in NGC 1068 had the properties assigned by the core-mantle model to dust in the galactic diffuse ISM, they would cause a detectable rise in polarization over the 3.4 micron feature. No such increase is observed. We discuss modifications to the basic core-mantle model, such as changes in grain size or the existence of additional non-hydrocarbon aligned grain populations, which could better fit the observational evidence. However, we emphasize that the absence of polarization over the 3.4 micron band in NGC 1068 - and, indeed, in every line of sight examined to date - can be readily explained by a population of small, unaligned carbonaceous grains with no physical connection to the silicates.Comment: ApJ, accepte

Supplemented low-protein diets : are they superior in chronic renal failure?

CITATION: Herselman, M. G. et al 1995. Supplemented low-protein diets : are they superior in chronic renal failure? South African Medical Journal, 85(5):361-365.The original publication is available at http://www.samj.org.zaTwenty-two patients with chronic renal failure were randomly assigned to a conventional low-protein diet containing 0,6g protein/kg/day or a very-low-protein diet containing 0,6g protein/kg/day supplemented with essential amino acids; they were followed up for 9 months. There were no significant changes in body mass index, arm muscle area, percentage body fat, serum albumin and transferrin levels in any of the groups; neither was there any difference between the groups in respect of these parameters. Renal function, as measured by the reciprocal of serum creatinine over time, stabilised in both groups during intervention, with no significant difference between the groups. There was however no correlation between changes in renal function and changes in blood pressure, or dietary intake of protein, phosphorus, cholesterol, polyunsaturated and saturated fatty acids. There were also no significant changes and no significant differences between the groups in serum levels of parathyroid hormone and alkaline phosphatase, urine cyclic adenosine monophosphate, tubular reabsorption of phosphate, and the theoretical renal threshold for phosphate. The results of this study suggest that the supplemented very-low-protein diet was not superior to the conventional low-protein diet in terms of its effect on protein-energy status, renal function and biochemical parameters of renal osteodystrophy.Publisher’s versio

An investigation of eddy-current damping of multi-stage pendulum suspensions for use in interferometric gravitational wave detectors

In this article we discuss theoretical and experimental investigations of the use of eddy-current damping for multi-stage pendulum suspensions such as those intended for use in Advanced LIGO, the proposed upgrade to LIGO (the US laser interferometric gravitational-wave observatory). The design of these suspensions is based on the triple pendulum suspension design developed for GEO 600, the German/UK interferometric gravitational wave detector, currently being commissioned. In that detector all the low frequency resonant modes of the triple pendulums are damped by control systems using collocated sensing and feedback at the highest mass of each pendulum, so that significant attenuation of noise associated with this so-called local control is achieved at the test masses. To achieve the more stringent noise levels planned for Advanced LIGO, the GEO 600 local control design needs some modification. Here we address one particular approach, namely that of using eddy-current damping as a replacement or supplement to active damping for some or all of the modes of the pendulums. We show that eddy-current damping is indeed a practical alternative to the development of very low noise sensors for active damping of triple pendulums, and may also have application to the heavier quadruple pendulums at a reduced level of damping

The Efficiency of Grain Alignment in Dense Interstellar Clouds: A Reassessment of Constraints from Near Infrared Polarization

A detailed study of interstellar polarization efficiency toward molecular clouds is used to attempt discrimination between grain alignment mechanisms in dense regions of the ISM. Background field stars are used to probe polarization efficiency in quiescent regions of dark clouds, yielding a dependence on visual extinction well-represented by a power law. No significant change in this behavior is observed in the transition region between the diffuse outer layers and dense inner regions of clouds, where icy mantles are formed, and we conclude that mantle formation has little or no effect on the efficiency of grain alignment. Young stellar objects generally exhibit greater polarization efficiency compared with field stars at comparable extinctions, displaying enhancements by factors of up to 6. Of the proposed alignment mechanisms, that based on radiative torques appears best able to explain the data. The attenuated external radiation field accounts for the observed polarization in quiescent regions, and radiation from the embedded stars themselves may enhance alignment in the lines of sight to YSOs. Enhancements in polarization efficiency observed in the ice features toward several YSOs are of greatest significance, as they demonstrate efficient alignment in cold molecular clouds associated with star formation