Northfield and Salem Township (Mich.) residences, ca. 1874

Left to right: Res. of Geo. Sutton, Sec 34, Northfield Tp. Mich.; Res. of Geo. Renwick, Sec. 26, Northfield Tp., Mich.; Res. of A.C. Northrop, Sec. 10, Salem Tp. Mich.; Res. of Nelson Brundage, Sec. 35, Northfield Tp. Mich. (na5543); Res. of Dr. N.S. Halleck, Sec. 5, Northfield, Mich. Publication information: Chicago, Ill. : Everts & Stewart, 1874.

Map of Northfield Township. Town No.1 south. Range No.6 east [plat]

Publication information: Chicago, Ill. : Everts & Stewart, 1874

Top: Res. of William Doty, Sec. 11, Northfield Tp. Mich. Bottom: Res. of Wilson Yanson, Sec 1, Northfield Tp. Mich.

Northfield, Mich. residences. Publication information: Chicago, Ill. : Everts & Stewart, 1874.

Elder Northfield's home; or, Sacrificed on the Mormon altar; a story of the blighting curse of polygamy.

Wright III, 5347.

Northfield echoes. Northfield conference addresses for ...

Editors: 1894- D.L. Pierson.

Northfield addresses : delivered at the summer conferences at Northfield, Mass. /

Mode of access: Internet.

All about Northfield, Minn. : Directory of names and business firms, information in regard to the city, advantages shown up.

Includes advertisements.

The life of fuller purpose; addresses delivered at the Young women's conference, Northfield, 1913,

Mode of access: Internet.

Proceedings of the stockholders of the Vermont central railroad, at a special meeting holden at Northfield, Vermont, May 4, 5, 1852:

Mode of access: Internet.

Using the collaborative evidence based practice model : a systematic review and uptake of chlorhexidine-impregnated sponge dressings on central venous access devices in a tertiary cancer centre

Background: Greater research utilisation in cancer nursing practice is needed, in order to provide well-informed and effective nursing care to people affected by cancer. This paper aims to report on the implementation of evidence-based practice in a tertiary cancer centre. Methods: Using a case report design, this paper reports on the use of the Collaborative Model for Evidence Based Practice (CMEBP) in an Australian tertiary cancer centre. The clinical case is the uptake of routine application of chlorhexidine-impregnated sponge dressings for preventing centrally inserted catheter-related bloodstream infections. In this case report, a number of processes that resulted in a service-wide practice change are described. Results: This model was considered a feasible method for successful research utilisation. In this case report, chlorhexidine-impregnated sponge dressings were proposed and implemented in the tertiary cancer centre with an aim of reducing the incidence of centrally inserted catheter-related bloodstream infections and potentially improving patient health outcomes. Conclusion: The CMEBP is feasible and effective for implementing clinical evidence into cancer nursing practice. Cancer nurses and health administrators need to ensure a supportive infrastructure and environment for clinical inquiry and research utilisation exists, in order to enable successful implementation of evidence-based practice in their cancer centres.

Caracterización de los pacientes con hemorragia de vías digestivas altas no varicosa atendidos en el Hospital Universitario de la Samaritana, Cundinamarca

La hemorragia de vías digestivas altas (HVDA) es una emergencia frecuente. La etiología más común es la úlcera péptica. La restauración del volumen intravascular y la presión arterial son la prioridad del manejo. La endoscopia (EGD) debe realizarse luego de la reanimación inicial y lograda la estabilización hemodinámica, tratar la lesión subyacente mediante hemostasia. Se realiza un estudio en un hospital de referencia de tercer nivel, Cundinamarca, Colombia Materiales y métodos: Estudio descriptivo retrospectivo, datos obtenidos de la historia clínica electrónica de pacientes adultos que consultaron por urgencias en el Hospital Universitario de la Samaritana (HUS) por HVDA, diagnosticada por hematemesis, melenas, hematoquezia y/o anemia; a quienes se les realizó EGD durante abril del 2010 - abril del 2011. Resultados: Se atendieron 385 pacientes en el período de estudio, 100 fueron excluidos debido a hemorragia secundaria a várices esofágicas, historia incompleta y hemorragia digestiva baja, para un total de 285 pacientes analizados. El 69.1% eran mayores de 60 años. El 73.3% presentaba hipertensión arterial, el 55.1% reportaba ingesta de Anti-inflamatorios no esteroideos (AINES) y Aspirina (ASA). El 19.6% reportaba episodios de sangrado previos y 17.9% presentó inestabilidad hemodinámica. Sesenta y tres pacientes (22,1%) requirieron hemostasia endoscópica, treinta y dos (11.2%) presentaron resangrado. La mortalidad reportada fue del 13.1%, del cual 55.3% correspondía a hombres. Discusión: La mayoría de la población atendida en el HUS por HVDA son adultos mayores de 60 años. La úlcera péptica, continúa siendo el diagnóstico más frecuente asociado al uso de AINES y ASA.