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Biomedical subjects

Jacinta Kelly

Publications and source records attributed to Jacinta Kelly.

5 recordsLinked to original sources

Adult human liver contains CD8pos T cells with naive phenotype, but is not a site for conventional alpha beta T cell development.

Normal adult human liver (AHL) contains populations of unconventional lymphocytes that have been shown in the mouse to mature locally. The presence of lymphoid progenitors together with IL-7, recombinase-activating gene, and pre-TCR-alpha expression in AHL suggests similar local T cell development activity in humans. Flow cytometry was used to characterize potentially naive hepatic alphabeta-T cells. We looked for evidence of TCR-alphabeta cell development in AHL by quantifying delta deletion TCR excision circles (TRECs) in CD3(pos) populations isolated from the liver and matched blood of eight individuals. Phenotypic analysis of hepatic T cells suggests the presence of Ag-inexperienced populations. TRECs were detected in all blood samples (mean, 164.10 TRECs/ micro g DNA), whereas only two hepatic samples were positive at low levels (59.40 and 1.92). The relatively high level of CD8(pos) T cells in these livers with a naive phenotype suggests that in addition to its role as a graveyard for Ag-specific activated CD8(pos) T cells, naive CD8(pos) T cells may enter the liver without prior activation. The almost complete absence of TRECs suggests that normal AHL is not a site for the development of conventional alphabeta T cells.

Adult↗

Accountability and recent developments in nursing: be bold, be holistic: a review of the literature.

Contemporary intensive care nurses are confronted daily with accelerated changes and unprecedented challenges. While advancements in critical care and medical technologies may reflect good intentions for patient care, misguided nursing development may pose a sea of fallibility for intensive care nursing. Conceivably, complex technological developments provoke exponential alienation of intensive care nurses from essential nursing duties. Accountability of the nurse is crucial. A winter of discontent is evident as intensive care nurses assume new roles amidst the new technology. Several themes will be presented in this article.

Critical Care↗

Spirituality as a coping mechanism.

Spirituality as a coping mechanism can be observed to be a powerful resource in the provision of comfort, peace, and resolution for patients confronted with critical illness. While the exact machinery of spirituality in adaptation and adjustment to illness is enigmatic, the complementary benefits are clearly illustrated in the analysis of recounted personal experiences. Analysis of interactions with patients living the experience of coping with critical illness provides nurses with a means of reflection and transformational learning which improves and preserves the spiritual heritage of nursing care.

Adaptation, Psychological↗

A personal reflection: surviving professional development.

The embarkation of a postgraduate program differs by the individual. For some, it's like a homecoming. For others, it becomes a bizarre and surreal world more akin to the likes of Franz Kafka, Tom Robbins, and H. R. Giger than Merriam-Webster. The author describes the experience of returning to the collegiate world in her own inimitable style.

Adaptation, Psychological↗

Evidence-based care of a patient with a myocardial infarction.

Quality nursing care of the patient with a myocardial infarction is realized in accordance with evidence-based practice and by the willingness of nurses to adjust nursing practice as new evidence emerges. The framework for the holistic care of the patient following a myocardial infarction encompasses a comprehensive assessment, planning, intervention and evaluation process. The intention of this case study is to illustrate the rationale and evidence base underpinning the holistic approach to the care of this patient group.

Communication↗