Methodological issues in psychoneuroimmunology research.
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to B Swanson.
Explore the source record for details and available documents.
The relationship of medical variables and discharge functional status to vocational and educational outcomes was examined in 79 closed head-injured patients who were consecutively admitted to an inpatient rehabilitation hospital during a two-year period. A follow-up study, conducted after hospital discharge (median, 16.5 months), found that 66% (n = 52) of the patients had returned to work or school, while 34% (n = 27) did not. Patients were divided into return and non-return to work groups. Traditional variables included age, severity of brain-damage as characterized by CT head scan, duration of post-traumatic amnesia, duration of coma, length of stay and acute inpatient rehabilitation program. Discharge functional scores were analysed by t-tests and chi-square analysis. Results suggest that traditional factors of younger age, shorter length of coma, minimal CT head scan findings and shorter length of stay were significant contributors to educational/vocational outcome. Their significance was enhanced by discharge functional profile measurement of medical, physical and psychological/neuropsychological integrity. Those functional measures not significant were in social, vocational, recreational and communication areas. These factors may continue to improve over a longer period of time and should be tracked in the post-acute rehabilitation phase for their significance in return to work/school.
As a result of major advances in treatment, persons with HIV/AIDS are living longer and requiring more care management. Effective management of HIV-infected patients with nutritional alterations can result in fewer secondary infections and hospital admissions, better clinical outcomes, and lower healthcare costs. In this article, nutritional alterations, interventions, and resources during the course of HIV disease and their implications for care management are discussed.
The effect of tachypnea on oral temperature measurement was examined in 53 patients in a medical intensive care unit. This study was a replication of Tandberg and Sklar's (1983) study. The effect on rectal/oral temperature difference exerted by normal respiratory rate (20 or less respirations per minute) versus tachypnea (greater than 20 respirations per minute) was studied. A t test demonstrated that mean rectal/oral temperature difference between the groups was significantly different, t = -3.26, df = 49.45, p less than .01, supporting Tandberg and Sklar's findings. The present study found a positive relationship between the variables, r = .33, p less than .05, as did the previous study, r = .49, p less than .001.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Clinical nurse researchers are challenged to formulate and test effective interventions to alleviate the symptoms associated with HIV/AIDS. Although many symptom-management studies have been conducted on specific populations, such as oncology patients, few related nursing studies of persons infected with HIV have been done. The authors offer suggestions for studying symptom management approaches for persons with AIDS. The suggestions represent the funding priorities identified by the National Institute of Nursing Research.