Effects of education on the therapeutic use of oxygen by emergency nurses

Nurses' factual knowledge increased and oxygen administration decisions improved following education. Variability in nurses' knowledge and decisions, both before and after education, suggests that factual knowledge is only one component of clinical decisions. If nursing education is to improve clinical practice, then we need to better understand the relationship between factual knowledge and clinical decisions.

Antihypertensive treatments obscure familial contributions to blood pressure variation

The linkage and association between inherent blood pressure and underlying genotype is potentially confounded by antihypertensive treatment. We estimated blood pressure variance components (genetic, shared environmental, individual-specific) in 767 adult volunteer families by using a variety of approaches to adjusting blood pressure of the 244 subjects (8.2%) receiving antihypertensive medications. The additive genetic component of variance for systolic pressure was 73.9 mm Hg(2) (SE, 8.8) when measured pressures (adjusted for age by gender within each generation) were used but fell to 61.4 mm Hg(2) (SE, 8.0) when treated subjects were excluded. When the relevant 95th percentile values were substituted for treated systolic pressures, the additive genetic component was 81.9 mm Hg(2) (SE, 9.5), but individual adjustments in systolic pressure ranged from -53.5 mm Hg to +64.5 mm Hg (mean, +17.2 mm Hg). Instead, when 10 mm Hg was added to treated systolic pressure, the additive genetic component rose to 86.6 mm Hg(2) (SE, 10.1). Similar changes were seen in the shared environment component of variance for systolic pressure and for the combined genetic and shared environmental (ie, familial) components of diastolic pressure. There was little change in the individual-specific variance component across any of the methods. Therefore, treated subjects contribute important information to the familial components of blood pressure variance. This information is lost if treated subjects are excluded and obscured by treatment effects if unadjusted measured pressures are used. Adding back an appropriate increment of pressure restores familial components, more closely reflects the pretreatment values, and should increase the power of genomic linkage and linkage disequilibrium analyses.

Hormonal breast and prostate cancer cytotoxic agents

Details 13 novel hormone compounds, designed and synthesised for the purpose of aiding the detection and treatment of breast and prostate cancers. Cellular and electromechanical studies of 3 of these synthesised hormones indicate a potential for human application.

A probabilistic movement model for shortest path formation in virtual ant-like agents

We propose a probabilistic movement model for controlling ant-like agents foraging between two points. Such agents are all identical, simple, autonomous and can only communicate indirectly through the environment. These agents secrete two types of pheromone, one to mark trails towards the goal and another to mark trails back to the starting point. Three pheromone perception strategies are proposed (Strategy A, B and C). Agents that use strategy A perceive the desirability of a neighbouring location as the difference between levels of attractive and repulsive pheromone in that location. With strategy B, agents perceive the desirability of a location as the quotient of levels of attractive and repulsive pheromone. Agents using strategy C determine the product of the levels of attractive pheromone with the complement of levels of repulsive pheromone. We conduct experiments to confirm directionality as emergent property of trails formed by agents that use each strategy. In addition, we compare path formation speed and the quality of the formed path under changes in the environment. We also investigate each strategy's robustness in environments that contain obstacles. Finally, we investigate how adaptive each strategy is when obstacles are eventually removed from the scene and find that the best strategy of these three is strategy A. Such a strategy provides useful guidelines to researchers in further applications of swarm intelligence metaphors for complex problem solving.

A critical ethnography of communication processes involving the management of oral chemotherapeutic agents by patients with a primary diagnosis of colorectal cancer: study protocol.

AIM: To describe the protocol used to examine the processes of communication between health professionals, patients and informal carers during the management of oral chemotherapeutic medicines to identify factors that promote or inhibit medicine concordance. BACKGROUND: Ideally communication practices about oral medicines should incorporate shared decision-making, two-way dialogue and an equality of role between practitioner and patient. While there is evidence that healthcare professionals are adopting these concordant elements in general practice there are still some patients who have a passive role during consultations. Considering oral chemotherapeutic medications, there is a paucity of research about communication practices which is surprising given the high risk of toxicity associated with chemotherapy. DESIGN: A critical ethnographic design will be used, incorporating non-participant observations, individual semi-structured and focus-group interviews as several collecting methods. METHODS: Observations will be carried out on the interactions between healthcare professionals (physicians, nurses and pharmacists) and patients in the outpatient departments where prescriptions are explained and supplied and on follow-up consultations where treatment regimens are monitored. Interviews will be conducted with patients and their informal carers. Focus-groups will be carried out with healthcare professionals at the conclusion of the study. These several will be analysed using thematic analysis. This research is funded by the Department for Employment and Learning in Northern Ireland (Awarded February 2012). DISCUSSION: Dissemination of these findings will contribute to the understanding of issues involved when communicating with people about oral chemotherapy. It is anticipated that findings will inform education, practice and policy.

Troubled minds: the lithium revolution

Ex-Changi prisoner of war, and psychiatrist, Dr John Cade, sought a pharmacological treatment for bipolar disorder in the 1940s ; and in so doing, marked the beginning of psychopharmacology.

Studies on the photochemical stability of organo phosphorus insecticides for textile mothproofing

The light stability of 0,0-diethyl-0-(4-ethylthiophenyl)phosphorothioate, a parent structure of a new class of fibre-reactive organophosphorus insectproofing agents for use on wool textiles was extensively examined. The rate of degradation of 0,0-diethyl-0-(4-ethylthiophenyl)phosphoro-thioate in polar and non-polar solution and on wool upon irradiation by simulated sunlight was investigated using high performance liquid chromatography.. The major photodegradation products in each case were correlated with the HPLC retention times of synthetically prepared compounds. The main product formed was the sulphoxide, 0,0-diethyl-O-(4-ethylsulphinylphenyl)phosphorothioate, whose insecticidal activity against the major textile pests was shown to be similar to that of the parent compound. In polar solution a polar product which could not be identified was formed. Both 4-ethylsulphinylphenol and 4-ethyIsulphony1-phenol were found on wool but not in solution. The effect of various ultraviolet stabilizers on the rate of photodegradation of 0,0-diethyl-0-(4-ethylthiophenyl)phosphorothioate was also examined. Ultraviolet absorbers of the 2-hydroxybenzophenone and 2-hydroxybenzotriazole classes conferred the best protection in each case. However, on wool typical wool dyes applied at conventional levels were also effective.

Identification and characterisation of novel compound(s) for the treatment of type 2 diabetes

The thesis shows that a plant extract favourably affects glucose utilisation and production in vitro, and identifies genes/biological pathways involved in its actions. The extract underwent fractionation and screening for effects observed. Chemical studies of active fractions led to the isolation of a compound shown to have potential anti-diabetic properties.

Meaning in life during midlife development

The thesis findings revealed midlife adults see meaning in life as comprising life philosophy / value, and purpose / reason, which guide and direct, and help to make sense of and cope with life. These aspects of life meaning are relevant but add unique contributions to a more global sense of meaning in life. The clinical portfolio explores the role of play in psychotherapy with children. Four case studies illustrate various ways in which play can be incorporated into therapeutic practice according to the child client's circumstances.

Changing spaces

Using Gidden's structuration theory to explore marginalised young people's perceptions of a six-week outdoor experiential program, this study uncovers the processes involved in increasing the agency and control the young people have over their future health and wellbeing to enable them to make significant changes in their life styles.

Companion animal visitation and its effectiveness with stroke patients

The study employed a randomised controlled trial design to determine whether a companion animal intervention had any effect on wellbeing and quality of life in patients who were admitted to hospital after suffering a stroke. The study found significant benefits for their wellbeing and improvements in quality of life.

Wild adventures in wellbeing

This study examined the foundations, features and wellbeing impacts of Australian outdoor adventure interventions (OAI). According to literature- and practice-based evidence, Australian OAI support positive impacts for individuals across physical, emotional, behavioural, social, cultural, spiritual, economic and environmental wellbeing in the Australian context.