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Biomedical subjects

J D Hess

Publications and source records attributed to J D Hess.

5 recordsLinked to original sources

Ardacin for steers grazing endophyte-free fescue pasture: effects on live weight gain, forage intake, nitrogen and fiber digestion, ruminal fluid kinetics, ruminal fermentation, and serum hormones and metabolites.

Growth and digestion studies were conducted to evaluate the use of ardacin as a feedgrade antibiotic for enhancing digestive function and growth in grazing steers. In Exp. 1, 90 yearling steers (average initial BW of 248 kg) used in a randomized complete block design (block = weight group) grazed fescue pasture without supplementation (CON) or with daily supplements (DM basis) of .4% of BW supplemental ground corn (CRN) or .4% of BW supplemental corn supplying 120 mg of ardacin (ARD). In Exp. 2, 12 ruminally and duodenally cannulated steers and three ruminally cannulated steers (Hereford x Angus; average BW of 347 kg) were used to evaluate the effects of the same supplements used in Exp. 1 on ruminal fermentation and digestion. In Exp. 1, ARD-supplemented steers weighed more (P < .01) at the conclusion of the study than CRN steers, which together weighed more (P < .01) than CON steers. Average daily gain was greater (P < .10) in supplemented than in CON steers; ARD steers had greater (P < .01) ADG than CRN steers. In Exp. 2, forage intake and harvesting efficiency did not vary (P > .10) with supplementation or type of supplement, but total intake reflected (P = .03) the addition of corn to the forage diet. Addition of ardacin increased (P = .02) ruminal pH compared with CRN steers. Ardacin decreased ruminal molar proportions of acetate and increased (P = .01) propionate proportions when compared with CRN steers. Total tract N digestibility was affected (P < .10) by supplementation and by addition of ardacin to the diet. Addition of ardacin to the ground corn supplement increased ADG, in part by enhancing acetate:propionate ratios and increasing N digestion.

Aminoglycosides↗

The ethics of compliance: a dialectic.

Compliance with prescribed therapeutic regimens is a construct that begs for consideration from an ethical perspective. This article offers a dialectical study of the nurse-client relationship, derived from Gadow's framework of ethical knowledge, that provides an alternative to compliance as context for nursing therapeutics. The dialectic move from compliance as thesis to isolated autonomy as antithesis is explored. Gadow's notion of engagement is elaborated on and offered as a synthesis that transcends the paternalistic and coercive assumptions underlying compliance and overcomes the dilemmas presented by the issues for power, consumerism, and beneficence that are inherent in isolated autonomy.

Ethics, Nursing↗

Supplemental cracked corn or wheat bran for steers grazing endophyte-free fescue pasture: effects on live weight gain, nutrient quality, forage intake, particulate and fluid kinetics, ruminal fermentation, and digestion.

Two experiments were conducted with beef steers (Exp. 1, average BW of 580 kg; Exp. 2, average BW of 247 kg) to evaluate the use of no supplements (CON) or daily supplementation with (OM basis) .34% of BW of cracked corn (CORN), .34% of BW of wheat bran (WBBW), or .48% of BW of wheat bran (WBISO; calculated to be isocaloric to CORN) on digestive responses (Exp. 1) and live weight gain (Exp. 2). In Exp. 1, type of supplement did not affect (P > .10) the dietary fiber or N constituents, but in vitro OM disappearance of the forage differed (P < .10) with supplementation and type of supplement fed. Supplemented steers consumed less (P < .05) forage and total OM. Particulate passage, fluid passage, and ruminal pH were not affected (P > .10) by supplementation. Ruminal NH3 N concentration showed (P < .05) a treatment x sampling time interaction and, in general, WBBW and WBISO steers had greater ruminal NH3 N than CORN and CON steers. Total VFA concentrations and molar proportions of propionate were lower (P < .10) in CON steers than in supplemented steers; no differences were noted (P > .10) among supplemented steers. Molar proportions of acetate were lower (P = .01) in supplemented steers than in CON steers and were greater (P = .03) in WBBW steers than in WBISO steers. Butyrate molar proportions were lower (P < .05) in CON steers than in supplemented steers and differed (P < .10) with type and quantity of supplement supplied. In situ forage NDF disappearance at 6, 9, and 24 h after feeding and rate of disappearance were greater (P < .05) in CON steers than in supplemented steers. In Exp. 2, CON steers weighed less (P = .01) than supplemented steers, CORN steers weighed more (P = .08) than wheat bran-supplemented steers, and WBISO steers weighed more (P = .02) than WBBW steers; ADG for 90 d followed a similar response. Results suggest that supplementation of wheat bran rather than corn did not seem to stop the reduction in forage intake or OM digestion associated with corn supplementation.

Ammonia↗

The art of stained glass: metaphor for the art of nursing.

The aesthetic is a way of knowing the meaning of and the meaning in the art of nursing. The art of creating stained glass offers a personal metaphor for nursing's essence; the art of caring. Both arts aim to fulfil the potential of their subjects to achieve a harmony that goes beyond their individual components. Stained glass artistry and caring in nursing require technical expertise, yet technical skill and knowledge are not the substance of either art. Both transcend space and time, and the art of stained glass and the art of nursing are influenced by the artist's/nurse's personal, social and cultural history. Just as the artisan transforms the glass and lead and is transformed in the creative moment, so does the caring transaction transform both patient and nurse. This personal reflection explores the nature of caring in nursing as mirrored by the author's work with stained glass.

Art↗

Education for entry into practice: an ethical perspective.

Educational preparation for entry into nursing practice is an issue that has been the subject of intense debate among nursing educators and leaders, but it has yet to be resolved. This issue is surrounded by practice, licensure, and education dilemmas that are examined from an ethical perspective. The ethical principles of justice, fidelity, and utility are informed by an ethic of care and are used to analyze the implications of this issue and its associated dilemmas for the nursing student and graduate, the client and society, and the profession. Moral questions are raised that must be answered by nursing educators because the status quo in nursing practice, licensure, and education is morally unacceptable.

Education, Nursing, Associate↗