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Biomedical subjects

B A Raymond

Publications and source records attributed to B A Raymond.

5 recordsLinked to original sources

Tuberculosis makes a comeback.

Tuberculosis (TB) has plagued mankind for many centuries. In the past, the number of people affected with this potentially deadly disease declined, but there has been a recent dramatic increase in TB incidence. This increase is attributed largely to people who are coinfected with TB and HIV and to the development of resistant strains of Mycobacterium tuberculosis during the last decade. The US social infrastructure also has contributed to a rapid rise in TB cases due to adverse socioeconomic factors and an increase in the number of immigrants and people infected with HIV. This article gives a historical overview of TB; discusses its diagnosis, transmission and prevention modalities; and provides a case study about a TB-infected patient who required emergent surgical intervention.

Aged

Interleukin-2 therapy: needs of the patient in a critical care setting.

IL-2 is a biotherapeutic drug and a biological response modifier. This drug has not been approved by the Food and Drug Administration for general use but continues to undergo clinical trials. Candidates for this therapy are patients with advanced carcinoma that has not responded to standard modalities of treatment. Administration of IL-2 can lead to systemic toxicity, which usually appears to be dose-related. As a result, high-dose therapy requires intensive care. The critical care nurse assesses and documents side effects that occur as a result of IL-2 therapy and must be aware of both the physical and psychological needs of the patient. Through successful assessment and intervention, the nurse can gain the knowledge required to manage, both physically and psychologically, patients who are undergoing this therapy.

Critical Care

Ethylene oxide. An occupational health hazard for hospital workers.

Hospitals present a variety of infectious, chemical, and physical hazards at levels comparable to the hazards encountered in many industries. Our society has acquired the scientific and technological capability to identify and abate hazardous chemical exposures. Thus, the knowledge needed to resolve the problem effectively is available, and now, it only needs to be applied. The knowledge related to EtO can be summarized into three major points. Exposure to EtO can result in cancer, reproductive abnormalities including genetic damage, and neurological disease. Prevention of exposure to EtO requires sensitive and informed hospital administrators, adequate aeration and ventilation, personal and area monitoring, a written compliance program, and employee information and education. Perioperative nurses must protect their patients and the perioperative team from potential hazards of EtO.

Environmental Monitoring