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Biomedical subjects

J Nemes

Publications and source records attributed to J Nemes.

At least 559 records · Page 31Linked to original sources
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Effects of TRH on gastric acid secretion: a model for human study.

The possible effects of TRH administration on different parameters of gastric function were studied in 10 patients with different gastrointestinal complaints. Basal (BAO) and pentagastrin stimulated (6 micrograms pentagastrin/kg bw sc) maximal (MAO) acid output were determined and serum levels of TSH, total and free thyroxine (T4 and FT4), triiodothyronine (T3) were measured. After determinations of BAO and MAO and the hormones indicated above, one group of patients received a TRH injection (0.2 mg protirelin) intravenously. The second group of patients was injected with atropine (atropinum sulfuricum, 1 mg, iv). At different times following the injections in both groups of patients BAO, MAO and serum levels of TSH, total and free T4, T3, gastrin were determined. Injection of TRH resulted in an increase in TSH and with some delay in thyroxine and gastric acid levels. Atropine treatment was followed by a decrease in gastric acid secretion and a small decrease in TSH and no changes in the values of the other studied hormones. The results suggest a complex interrelationship between TRH, vagal system and pentagastrin-dependent gastric acid secretion operating in human subjects.

Adult↗
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Nurse practitioners in acute care units.

The launch of the UKCC's The Scope of Professional Practice and measures to reduce junior doctors' working hours have once again raised debate on what roles are appropriate for nurses. For many, the development of the nurse practitioner role, with its advanced skills and increased levels of autonomy, offers a very desirable template. Much can be learned from the experience of US nurses, and this article describes a relatively recent innovation--the development of the nurse practitioner role in the acute hospital setting. The role is not a physician substitute; rather, it strengthens and promotes a multidisciplinary approach to patient care and presents the nurse with an opportunity to improve the delivery of care provided in the inpatient environment. Most significantly, it remains a nursing role.

Hospital Units↗
PubMedDate not supplied

In the bond insurance game, small hospitals often shut out.

Smaller hospitals have trouble getting their bond issues insured, even if their credit rating is investment grade. Bond insurance companies typically adhere to policies that prohibit insuring hospitals of fewer than 150 to 200 beds.

Capital Financing↗