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Biomedical subjects

H D Ziegler

Publications and source records attributed to H D Ziegler.

5 recordsLinked to original sources

The need for leadership and management training for community nurses: results of a Ugandan district health nurse survey.

A joint Ugandan-American team conducted a nonrandom convenience survey of 14 Ugandan district health nurses from 12 of Uganda's 39 districts. The survey was designed to (a) identify what senior nursing personnel are actually doing in Ugandan districts, (b) determine whether these nurses believe that their nursing education prepared them for their roles, and (c) discover what these nurses believe should be added to the basic nursing curriculum to better prepare district nurses for their jobs. Supervision and general management made up the largest portion of the current district health nurse's actual and perceived roles. The nurses varied on how well their nursing education prepared them for their roles, but the majority voiced a need for further training in management skills. None of the nurses perceived herself to be a leader, and most displayed an inability to prioritize within their work settings.

Attitude of Health Personnel↗

Distance and contacts: interactions of black urban elderly adults with family and friends.

Distance is the major factor determining the frequency of social interaction with family and friends for elderly whites. Age, sex, marital status, length of residence, and income also affect the number of social contacts. These relationships have not been studied for elderly blacks. Utilizing data from a survey of 655 black urban residents 60 years old and older, this study investigated contacts with family and friends. The major finding was that the neighborhood is an important place for socializing with both family and friends for this population as is the case for working-class white elderly adults. A surprising finding is that, whereas social contacts increase with higher income for working-class elderly whites, for these black elderly adults who are of the working class and poor, social contacts decrease with higher income.

Aged↗

Access of the black urban elderly to medical care.

Access to medical care of 492 black urban respondents 60 years of age and older was measured in a house-to-house survey in a large midwestern city. Of those in this study, 93 percent indicated that they had a regular source of medical care, and 88 percent reported a visit to a physician or clinic within the past year. These percentages are higher than those reported for the general population of elderly people in the United States. Physical limitation, general health, and mental health were related to access to medical care. Respondents who reported poorer physical and mental health were more likely to have a regular source of care and to have seen a physician in the past year.

Black or African American↗

A scoring system for sick children.

A scoring chart for sick children was designed using the vital signs of temperature, respiratory and pulse rates, and the central nervous system. The scoring chart was used on 68 sick children who had been randomly selected from a child welfare clinic in Lagos. Analyses of the charts showed that although values overlapped when related to clinical impression, there was an inverse correlation with the severity of the illness. The correlation coefficient between the doctors' and nurses' scores was high. Despite the need for further modification and investigation the scoring chart was promising as a screening tool for use by people who were not doctors and, possibly in some situations, by those who were not nurses.

Child Health Services↗

Depression of tuberculin reaction in mild and moderate protein-calorie malnourished children following BCG vaccination.

Following BCG vaccination, mild to moderate protein-calorie malnourished children of the marasmic type were tuberculin tested with two types of tuberculin. The indurations of these malnourished children were compared to those of a similarly treated cohort of well-nourished controls. A large group of children who were initially malnourished became well-nourished over the time interval between BCG vaccination and tuberculin testing and these children were compared to the other two cohorts. A significant difference was found between the indurations of the malnourished and the well-nourished. The group which changed nutritional status had an average induration between that of the other two groups. Feeding for two days with a high protein-calorie mixture did not significantly increase the indurations of the malnourished. Supplementation with vitamin A had no discernible effect.

BCG Vaccine↗