PubMed Health⌕ Search

Biomedical subjects

C R Carpenter

Publications and source records attributed to C R Carpenter.

9 recordsLinked to original sources

Promoting tobacco cessation in the military: an example for primary care providers.

The tobacco cessation program from one isolated duty station is presented. The cessation program used active duty Marines who wished to cease tobacco use. After completion of four classes, abstinence rates of 47% were obtained based on weekly follow-up self-reports for periods ranging from 7 to 32 weeks. Most relapses were noted in the first 2 weeks after quitting. The command expense was estimated at $165 per participant. Military health care professionals should actively participate in tobacco cessation regardless of access to specialized preventive medicine services. The cost benefit and optimal utilization of nicotine replacement therapy and newer tobacco cessation aids in active duty populations should be studied further.

Administration, Cutaneous↗

Recurrent pulmonary barotrauma in scuba diving and the risks of future hyperbaric exposures: a case report.

A 27-yr-old male scuba diving student suffered two episodes of pulmonary barotrauma 6 mo. apart after 12-ft training scuba dives. In the interval between these episodes, four uneventful hyperbaric chamber dives occurred. No definite cause or risk factors were identified. A MEDLINE review of diving literature revealed few studies of recurrent pulmonary barotrauma and no studies addressed risks of recurrent pulmonary barotrauma in the hyperbaric oxygen therapy environment following scuba pulmonary barotrauma.

Adult↗

Computer use in nursing management.

Nursing interest in computer use is on the increase; to date, however, its focus has been on clinical applications. Manually processing the volume of information needed to effectively and efficiently manage a modern nursing department becomes more difficult daily. This paper investigates published nursing management computer applications. It points to the need to look beyond the simple administrative to true management information systems, and outlines a role for the nurse administrator in preparing and implementing automatic data processing (ADP) plans.

Computers↗

Suppression of the mitogen-stimulated blastogenic response during reticuloendotheliosis virus-induced tumorigenesis: investigations into the mechanism of action of the suppressor.

Splenic lymphocytes from chickens infected with reticuloendotheliosis virus (REV) are suppressed in their ability to undergo PHA-induced blastogenesis. This suppression can be detected within 72 hr after virus injection and requires active viral infection since i.p. or i.v. injection of UV-inactivated REV does not result in inhibition of the blastogenic response. Suppressor cells from the spleens of REV-infected birds severely inhibit the ability of spleen cells from uninfected chickens to respond to PHA at a ratio of 1:20, suggesting that each suppressor cell may be capable of suppressing more than one target cell. Contact between suppressor and target cells is required for the rapid inhibition of the normal PHA response. The suppressive mechanism is cytostatic in nature, and apparently of host origin since neither REV, nor REV-infected (or transformed) cells mediate the suppression. The ability of the suppressor cells to impair the blastogenic response of spleen cells is sensitive to trypsin, suggesting that an inhibitory protein is exposed on the surface of the suppressor cells.

Animals↗

Defining the management role of the department medical director.

Through analysis of medical and administrative director positions it is possible to identify an organizational structure for medical departments that enhances departmental operations. Possible roles and tasks that describe managerial responsibilities are considered, and a review of the literature identifies options for how these roles or tasks can be shared between medical and nonmedical managers at the departmental level. These options are refined based on interviews with department-level managers at a case study hospital. Three models are then explored: unity of command, shared accountability, and split accountability. The unity of command model is recommended. In this model, the medical director assumes total authority and accountability for departmental operations through some sort of "enfranchisement." A more formal planning process and a review of job descriptions are also recommended.

Hospital Administrators↗