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Biomedical subjects

M Hind

Publications and source records attributed to M Hind.

At least 19 recordsLinked to original sources

Retinoic acid induces alveolar regeneration in the adult mouse lung.

Recent data suggests that exogenous retinoic acid (RA) can induce alveolar regeneration in a mouse and a rat model of experimental emphysema and disrupted alveolar development. This may be because RA is required during normal alveolar development and the subsequent provision of RA reawakens the gene cascades used during development. Here, additional evidence that RA is required during alveologenesis in the mouse is provided by showing that disulphiram disrupts this process. A further model of disrupted alveolar development using dexamethasone administered postnatally is then described, and it is further shown that RA administered to these adult mice restores the lung architecture to normal. Alveolar regeneration with retinoic acid may therefore be an important novel therapeutic approach to the treatment of respiratory diseases characterised by a reduced gas-exchanging surface area, such as bronchopulmonary dysplasia and emphysema.

Aldehyde Oxidoreductases↗

Interprofessional working and learning in a UK operating department.

This study explores the issues of working and training together for nurses and operating department assistants and practitioners (ODAs/ODPs), based on experiences in an operating department. Interviews and focus groups with nurses, ODAs/ODPs and medical staff were the means of collecting data.

Education, Nursing, Continuing↗

Healthcare support workers and the scrubbed role.

The scrubbed role is highly valued amongst many theatre nurses. A survey by Roberts (1989) found that 61.9% of 147 nurses stated that they preferred the scrubbed role to an anaesthetic role (4.8%). There is more recent evidence that nursing still dominates the scrubbed role, with over 50% of 108 nurses surveyed stating that they only worked in the scrubbed area of the operating department (Hind 1997).

Attitude of Health Personnel↗

Exploring the expanded role of nurses in critical care.

This paper reports on a small research study that explored the perceptions of staff in an intensive/coronary/high-dependency care unit on the expanded role of nurses in critical care. The research was undertaken in two phases. In the first phase, focus groups and interviews of nursing and medical staff were used as methods to explore their perceptions. Data were analysed by thematic content analysis and generated four categories: specialized skills; maintaining competence; how far nurses can go; and training and education. Using verbatim examples from the participants, these categories are described. In summary, it was found that both doctors and nurses were in favour of nursing role developments, and for the nurses this was driven by their desire to meet the patients' needs. In a smaller second phase, a questionnaire was developed based on information gained in the first phase. It was utilized to seek the views of all the nursing staff on specific role-expansion activities. Findings revealed substantial support for developing the role of critical care nurses in a number of activities: cannulation; venepuncture; ordering blood tests and X-rays; performing physiotherapy; inserting arterial lines; performing elective cardioversion; thrombolysis treatment and intubation. This research study has yielded important information. However, it is recognized that, whilst these roles may be new to this particular critical care unit, there are many other units where they may already be common practice. Whenever new roles are developed, it is important to evaluate their effectiveness in measurable terms and regular audit is advisable. Further research is therefore recommended on both the development and evaluation of new roles in critical care.

Attitude of Health Personnel↗

The role of the nurse anaesthetist: a survey of theatre nurses' views.

This article reports on the views of theatre nurses on the role of the nurse anaesthetist, which has received recent attention in the context of changing nursing and medical roles. 168 nurses working in 5 major operating departments were asked by way of questionnaire, for their views on nurse anaesthetists. 103 responses were received with 57 (55.3%) in favour of the development and 46 (44.7%) against. F and G grade nurses were found to be more favourable about nurse anaesthetists than their junior colleagues. In view of these findings, further investigation and discussion, notably with the medical profession and clinical managers, is recommended. The author believes that this proposed development must be given due thought and serious consideration before any attempts to introduce it are made.

Attitude of Health Personnel↗

Hasnija's story.

Hasnija Granov, a senior nurse in Reconstructive and Plastic Surgery from Kosevo Hospital, Sarajevo, came to the NATN 1996 Congress, kindly sponsored by Johnson & Johnson and Swann Morton. During her visit she talked about her experiences when Sarajevo was under seige. This is her story.

Humans↗

The incidence and severity of postoperative nausea and vomiting in patients exposed to positive intra-operative suggestions.

In a double-blind study, the effects of positive intra-operative suggestions on the incidence and severity of postoperative nausea and vomiting were studied in 60 patients randomly selected to undergo routine major gynaecological surgery. Patients who received positive suggestions suffered significantly less nausea and vomiting in the 24 h after surgery.

Anesthesia, General↗

An investigation into factors that affect oesophageal temperature during abdominal surgery.

The purpose of this study was to examine factors which influence changes in body temperature during surgical operation. Variables included were ambient theatre temperature and humidity, duration of surgery, age of patient, index of body fat, blood loss during surgery, and the volume of intravenous fluids received. Subjects were 30 female patients undergoing elective abdominal gynaecological surgery. Body temperature was measured using oesophageal probes and data were collected for the duration of the operation. Patients sustained a mean reduction in oesophageal temperature of 1.03 degree C. Bivariate correlations indicated that ambient temperature, age, body fat, volume of intravenous fluids and blood loss were associated with temperature reduction at the level of < 0.05. Step-wise multiple regression revealed two possible models including ambient theatre temperature, each of which accounted for 70% of the variance. Model 1 included age, while model 2 included volume of intravenous fluids and index of body fat. It was noted that older patients were generally in theatre at a time when the ambient temperature was lowest. Recommendations are made to minimize unnecessary reductions in body temperature during surgery for vulnerable groups, notably elderly and thin patients.

Adipose Tissue↗

Writing for publication.

Getting published can be a very rewarding experience. Seeing your work in print with the knowledge that many colleagues and other health care professionals are reading it can do your self-esteem no end of good. Having your work published also enables you to communicate information to an audience that you otherwise would not reach.

Humans↗

Ethical dilemmas in qualitative research: how do we respect autonomy?

This essay brings the concept of nursing research into light and in particular examines the principle of 'respect for autonomy', its relationship and limitations in the field of research on human subjects during qualitative research. This essay will also identify how ethical dilemmas, involving respect for autonomy, can develop during research and a systematical method of critical ethical analysis will be presented to demonstrate how nurse researchers can resolve such issues, if and when they arise. It is necessary to focus on one facet of the research process to illustrate the 'depth' of consideration required to ensure that such research is of the highest quality.

Ethics, Nursing↗