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Biomedical subjects

C R Nordstrom

Publications and source records attributed to C R Nordstrom.

4 recordsLinked to original sources

Bronchial atresia with relapsing pulmonary infection in a middle-aged man.

Congenital bronchial atresia (CBA) is a rare disorder, first reported in 1953. Less than 100 cases are reported in the literature, mostly in young, asymptomatic male patients with involvement of the apical-posterior segment of the left upper lobe. Patients may complain of fever, cough, or shortness of breath, symptoms that result from post-obstructive, sometimes recurrent, infections. Chest radiography and computed tomography reveal a tubular branching density representing mucus impaction or mucocele with surrounding focal hyperinflation. Surgical excision is reserved for symptomatic cases. We report an unusual case of CBA in a middle-aged man with a history of relapsing infections, who was found to have an atretic superior segment of the left lower lobe, with surrounding areas of organizing pneumonia.

Activities of Daily Living↗

Targeted goal setting: helping nurses manage a turbulent work environment.

Nurses in a mid-sized Midwestern US hospital were surveyed to investigate the interrelationships among workplace locus of control [WLOC], preference for proximal and distal goals, and goal setting behaviour. Correlational results found preliminary support for the idea that knowledge regarding an individual's WLOC orientation may help supervisors optimize goal setting with their nursing staff. Nurses with an internal WLOC engaged in more long-term, short-term, and overall goal setting behaviour compared to their external WLOC counterparts. Nurses with an internal WLOC also reported a greater preference for working with distal goals and perceived greater control over setting their goals compared to nurses with an external WLOC orientation. Contrary to expectations, supervisors were not more likely to possess an internal WLOC orientation or set more goals compared to non-supervisory personnel. Nursing supervisors did, however, perceive themselves as having significantly greater control over goal setting than non-supervisors. Based upon these findings, recommendations are proposed to help nursing supervisors work with their staff to optimize performance.

Adaptation, Psychological↗

Ayurveda: a multilectic interpretation.

Ayurveda, in practice, comprises far more than a medical tradition in Sri Lanka. It provides, in addition to a manuscript for health care, a popular knowledge paradigm by which the population addresses social, epistemological and ontological issues in their lives. The concept of health expands to include the many existential levels that are basic to a definition of the self and the many arenas of life in which it is made evident. The concept of 'multilectic' process is introduced in this paper to explain this dynamic that characterizes popular Ayurveda, a dynamic that Sri Lankans specify as consisting of a fundamental complex interplay of mutually interrelated factors that are capable of referencing multiple meanings and life contingencies neither contradictory, dichotomous, nor unidirectional in nature. Because of the extent to which Ayurveda is embedded in the everyday lives and fundamental conceptual frameworks of the Sri Lankans, it is likely to remain an integrating knowledge system and a powerful explanatory paradigm in their general lives as well as for their health care dilemmas.

Attitude to Health↗

Exploring pluralism--the many faces of Ayurveda.

This paper argues that because Ayurveda is commonly approached as a single coherent tradition of medicine characterized predominately by the doctrines, clinical practitioners, and medical infrastructure that supports it, the rich diversity of empirical indigenous medicine available in the daily lives of the Sinhalese is often obscured. Thus the numbers of IMPs, the wide range of services they provide, and the importance of Ayurveda and Sinhala medicine as basic explanatory models of health and illness within the general population may be significantly under-estimated in analyses of Sri Lanka's medical system. In practice, Ayurveda is a dynamic phenomenon that offers multifaceted approaches to healing. These diverse healing formats develop to meet the constantly changing needs of the society and of illness patterns. This analysis views illness and health care in terms of the multiple systems of knowledge and action, phenomena and interaction, that characterize them as well as in terms of the medical treatises and institutions that formalize them. In this light, Ayurveda emerges as a plural medical system in itself. As such, it remains a fundamental means of defining and treating illness in Sri Lanka.

Community Health Services↗