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Biomedical subjects

B Vaughan

Publications and source records attributed to B Vaughan.

At least 19 recordsLinked to original sources

Contraceptive use projections: 1990 to 2010.

Factors that will affect both contraceptive use and choice of method during the next 20 years are reviewed. Two factors are predictable: the changing age distribution of women and the revised upper-age limits for oral contraceptive use, with the effect of the latter as yet unknown. Less predictable factors include the number of women in each age group at risk for pregnancy, the effects of delayed childbearing and sterilization, and the impact of new contraceptive methods. Unpredictable factors include adverse publicity about oral contraceptives and breast cancer, concern about sexually transmitted diseases and acquired immunodeficiency syndrome, and changes in the availability of legal abortion. Numbers of women using oral contraception, other reversible methods, sterilization, and no method are projected from 1990 to 2010 under the assumption that use patterns in each age group resemble those observed in 1988. We conclude that discrepancies between projections of contraceptive use and fact are likely to occur because of the unpredictable nature of these few important variables.

Abortion, Legal

Birth spacing and child mortality in Bangladesh and the Philippines.

This analysis uses data from Bangladesh and the Philippines to demonstrate that children who are born within 15 months of a preceding birth are 60 to 80% more likely than other children to die in the first two years of life, once the confounding effects of prematurity are removed. The risks associated with short conception intervals are confined to children who are also high birth order; they persist in the presence of controls for prior familial child mortality, breast-feeding, mother's age, and socioeconomic status. In Bangladesh but not in the Philippines, these effects are confined to the neonatal period.

Bangladesh

Education for primary nursing.

It is argued in this paper that since practice is context bound, there can be no 'blueprint' offered through a formal educational programme for primary nursing. It is suggested that what may be needed is support on a much broader basis to help nurses to move from the relative safety of traditional approaches to work to the much riskier independent professional model of practice implicit in primary nursing. Three key areas have been identified which could be incorporated within an educational programme, namely development of self as an independent practitioner with the requisite skills of self-directed learning, the ability to accept responsibility discriminatingly and to account for practice through a well-established knowledge base; development of interpersonal skills required for the close personal nurse/client relationships required of primary nurses alongside appropriate support mechanisms; an understanding of the context in which practice occurs in order that the broad principles of primary nursing can be adapted to local needs. In this way, people may be helped to move from a dependency on central control and decision-making to become independent creative practitioners who are able to develop a local organisational model which suits their personal situation.

Education, Nursing, Continuing

A short illustrated history of magnetic resonance imaging.

The principles of Magnetic Resonance Imaging (MRI) evolved during the late 1970s and early years of the following decade. The author was fortunate in being able to visit many of the pioneer research projects in the U.K. and U.S.A. and attend two conferences. This paper briefly describes these projects and their role in the evolution of the present technology, illustrated by photographs obtained from colour slides taken during these visits.

History, 20th Century

Extended roles.

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Humans

Extubation and reintubation in the NICU: identifying opportunities to improve care.

An investigation was conducted to determine the overall incidence and reasons for extubation and reintubation in a NICU population in order to establish a baseline for ongoing quality assessment and evaluation monitoring. The investigators sought to identify factors associated with accidental extubation for which action plans to improve care could be developed.

Equipment Failure

Evaluation of a family care centre in NSW.

To evaluate the Mt Druitt Family Care Centre a number of variables were measured: clients' anxiety and confidence before and after attendance, feedback on their experiences at the Centre and mothercraft skills and abilities on disengagement. Forty-one new clients whose ages reflected those of the area's child-bearing population participated. Most frequently reported presenting problems were: children not sleeping, concern with play activities and feeding difficulties. After attending the Centre there was a significant increase in the confidence levels and a decrease in anxiety levels of the service users. Most reported satisfaction with the service.

Child

Two roles--one job.

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Education, Nursing