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Adrenal function in hospitalised patients with pulmonary tuberculosis treated with rifampicinVenter, Willem Daniel Francois 13 February 2009 (has links)
Abstract
Introduction: Tuberculosis carries a high mortality in the days immediately after
treatment. It is also the commonest cause of adrenal insufficiency in the developing
world. Rifampicin is a potent hepatic enzyme inducer, and may contribute to adrenal
insufficiency by accelerating cortisol breakdown. The aim of the study was to determine
whether rifampicin induced accelerated catabolism of corticosteroids.
Methods: A prospective, randomised study comparing adrenal function in 20 patients
with pulmonary tuberculosis in the first five days treated with two different
antituberculosis regimens, one containing rifampicin, and the other ciprofloxacin.
Results: Demographic, clinical and laboratory results were similar in both groups. Both
groups showed a statistically significant and similar decrease in morning cortisol, with
similar responses to ACTH stimulation at both 30 and 60 minutes before and after four
days of treatment. In the entire cohort, 40% demonstrated an incremental cortisol rise of
<250nmol/l after ACTH stimulation on day 1. Mean basal cortisol concentrations were
substantially elevated and DHEA-S levels were consistently subnormal, resulting in a
high cortisol:DHEA-S ratio. No patient demonstrated overt adrenal insufficiency. There
were no significant differences between the two groups before or during therapy for any
electrolytes, hormones or calculated serum osmolality.
Conclusions: Rifampicin did not additionally impair adrenocortical function during the
initial period of therapy.
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Nurse and patient work: comfort and the medical-surgical patientWalker, Annette Clare, University of Western Sydney, Nepean, Faculty of Nursing and Health Studies January 1996 (has links)
This grounded theory study investigates the experiences and perceptions of comfort and discomfort of hospital patients admitted for medical-surgical conditions, with a focus on the post-accute stage of hospitalisation. In-depth post-discharge interviews were conducted with seventeen English speaking adults who had been admitted to nine Australian hospitals. A substantive theory of finding comfort and of managing discomfort was generated. Processes of self-talk (anticipating, interpreting, accepting, making allowances and maintaining perspective) and self-care (self-help and seeking help, which involved accommodating to the level and type of help available through deferring, avoiding, persisting or desisting) were used to find comfort and to manage discomfort. The study has implications for nursign practice, management, research and education. Existing practice in the areas of assessment, communication, individualised care planning and the management of discomfort need to be strengthened if nursing care is to make a difference for this category of patient. The study revealed that integrated caring by nurses perceived by informants as 'experts', contributed most to the experience of finding comfort and managing discomfort in this group of informants / Doctor of Philosophy (PhD)
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The relationship between aggression in selected male surgical patients, satisfaction with hospitalization, and attitudes of nursing personnelMcGivern, Diane O., January 1972 (has links)
Thesis (Ph. D.)--New York University, 1972. / Includes bibliographical references (leaves [69]-81).
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RELATIONSHIPS BETWEEN PAIN, ANXIETY, AND ATTITUDE TOWARD HOSPITALIZATION IN MEDICAL PATIENTS USING A TRADITIONAL AND A NON-TRADITIONAL SETTINGLockard, Dorothy Ellen, 1928- January 1977 (has links)
No description available.
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Identification of CCU patient visiting needsCook, Sonja Leslie January 1979 (has links)
No description available.
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Measurement of loneliness to cathectic investment under conditions of temporary separationVastola, Joanne Marie, 1952- January 1978 (has links)
No description available.
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Comparison of two procedures for nutritional assessmentSukow, Virginia Lee January 1979 (has links)
In this study two methods of nutritional assessment were compared by evaluating the attitudes of health professionals concerning usefulness of the procedure and by determining the accuracy of diagnoses and time involved using the methods. The two procedures of assessment were the traditional "eye-ball" or observation method and a written method involving laboratory and anthropometric measurements. Thirty-eight persons, including physicians, nurses, dietitians, a medical school instructor, and students of related disciplines, were the subjects of this study.In addition to being more up to date, the subjects felt the written method was significantly more useful than the traditional method in terms of accuracy, organization, logical order, preciseness, value, understandability, use of form, and completeness. The traditional method was found to be more appealing to the subjects in terms of time saved, ease of use, and simplicity. The traditional method was found to be much quicker to complete but the written method was found to give significantly more correct diagnoses. In conclusion, the written method was found to be significantly more useful due to its logical approach to diagnosing the nutritional status of the hospitalized patients; however, its use would be curtailed due to the amount of time required to complete the procedure unless protocol were established whereby some other member of the health care team could take the responsibility for completing the procedure, thus relieving thephysician of the duty.
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Reflection on a prior change process to identify considerations for the development of a future change strategy for the introduction of a case manager /Burns, Sharon. Unknown Date (has links)
Thesis (MNurs)--University of South Australia, 1997
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Identifying sleep-disruptive noise factors in healthcare environmentsVolchansky, Nadezhda V. January 2007 (has links) (PDF)
Thesis (M.S.)--University of North Carolina at Greensboro, 2007. / Title from PDF t.p. (viewed Feb. 28, 2008). Directed by Kenneth Gruber; submitted to the School of Human Environmental Sciences. Includes bibliographical references (p. 67-70).
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Determining the patient satisfaction factors for hospital room service & the association of room service with the overall satisfaction with the hospital experienceSchirg, Glenn Richard. January 2007 (has links) (PDF)
Thesis PlanA (M.S.)--University of Wisconsin--Stout, 2007. / Includes bibliographical references.
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