Biomedical subjects

J Culver

Publications and source records attributed to J Culver.

10 recordsLinked to original sources

PubMed2000

Paying for the NHS. What about health needs?

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Health Services Needs and Demand↗

PubMed1997

Preventing transmission of blood-borne pathogens: a compelling argument for effective device-selection strategies.

Disease transmission from percutaneous injury occurs in 2% to 40% of health care workers (HCWs) after exposure to the hepatitis B virus (HBV), in 3% to 10% after exposure to the hepatitis C (HCV) virus, and in 0.2% to 0.5% after exposure to the HIV virus. According to a recently published case-control study from the Centers for Disease Control and Prevention, the following factors increase the risk of HIV seroconversion in HCWs after percutaneous exposure to HIV-infected blood: deep injury, visible blood on the device, procedures involving needle placement directly into a vein or artery, and terminal AIDS in the source patient. Postexposure use of zidovudine by HCWs appears to reduce the risk of HIV transmission by 79%. Institutions seeking to reduce the risk of HCW seroconversion should conduct analyses of specific tasks associated with these high-risk factors, and safety interventions should be installed when tasks and devices increase the risk of seroconversion. Although this type of outcome-based strategy may not significantly reduce the total number of needlestick injuries, reducing high-risk exposures minimizes disease transmission and maximizes the cost-effectiveness of the intervention.

Acquired Immunodeficiency Syndrome↗

PubMed1991

Employee health nurse counselor roles in the hospital setting.

Hospitals have diverse employee populations and environmental hazards such as bloodborne pathogens, chemicals, gases, radiation, chemotherapeutics, and heavy/repetitive lifting which require a situation specific approach in counseling and assessment. A major frustration in hospital employee health practice is insufficient staffing. Hospital worksites have excellent staff resources to channel employees and facilitate counseling and health teaching when EHS staff are limited. EAPs in hospitals are logical extensions of the employee health service either as direct providers of the service or as referral sources.

Counseling↗

PubMed1989

Implementing the American Cancer Society breast cancer awareness program in the workplace.

1. The goal of the American Cancer Society and of the National Cancer Institute is to increase the survival of women with breast cancer through early detection. 2. The key ingredients in promoting any program are enthusiasm and a rationale that identifies need, cost-containment, and program responsibility. 3. Utilizing nursing skills that allay fears but encourage thorough evaluation, engenders confidence in the department and the program. 4. Employees have more confidence in a program when results are communicated, and administrative support is more likely when justification is documented.

American Cancer Society↗

PubMed1978