PubMed Health⌕ Search

Biomedical subjects

A Klopp

Publications and source records attributed to A Klopp.

8 recordsLinked to original sources

Improving certified nurse aide retention. A long-term care management challenge.

In the long-term care industry, the turnover rate among nurse aides is extremely high. This adversely affects resident satisfaction, resident care, morale, and finances. It presents a challenge to long-term care administration. Refusing to accept high turnover as an impossible situation allows changes to be made. The authors describe how the staff at one intermediate care facility identified its problems, assessed the causes, and implemented corrective action.

Absenteeism↗

Transport of esterified retinol in fasting human blood.

The transport of retinyl palmitate in postabsorptive human blood has been investigated. For this purpose, lipoproteins were isolated from fasting serum of normal subjects as well as of patients with various diseases. The serum retinyl palmitate values of these individuals ranged from 2.0-30.3 micrograms/100 ml, with a mean value of 7.6 micrograms/100 ml. In the 14 human subjects investigated, 68.1% of the recovered retinyl palmitate was associated with the VLDL fraction and 28.9% with the LDL fraction. Nevertheless, the individual pattern of retinyl palmitate distribution among VLDL and LDL differed considerably within this group. No esterified retinol, however, was detected in the HDL as well as in the nonlipoprotein fraction (d greater than 1.21 g/ml) of human serum. It is concluded that the transport of esterified retinol in fasting blood is not restricted to chylomicron remnants. Nevertheless, in humans the serum transport of retinyl palmitate is preferentially mediated by lipoproteins of the VLDL fraction.

Adult↗

Comparison between three fluorometric micromethods for determination of vitamin A in serum.

Three common micromethods for vitamin A1 determination were applied to blood, and compared with each other. Methods under investigation were: silicic acid column technique described by Pollack et al [16], HPLC procedure published by de Ruyter and de Leenheer [6, 7] and correction formula method according to Thompson et al [20]. The serum levels of vitamin A were measured in 51 fasting individuals. The average overall agreement was 104% and 116% of the HPLC value for the silicic acid column technique and for the correction formula method, respectively. The mean values obtained by the three methods do not differ significantly. Using these techniques simultaneously, however, in some cases serum values for the same sample show wide differences. Although vitamin A is usually present in biological samples both as retinol and as retinyl esters, the simple correction formula method does not distinguish between them. Their separate estimation, however, can be achieved by different chromatographic procedures. The HPLC method therefore used offers several advantages over the described silicic acid column technique. This technique includes fluorescence detection and provides a rapid and simple estimation of retinol and retinyl palmitate levels using only 180 microliter serum. For these reasons, the HPLC assay is suggested for routine determination of vitamin A in blood.

Adult↗