Some aspects of radiation protection in a diagnostic department, emphasizing elective examination of females of reproductive age.
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Biomedical subjects
Publications and source records attributed to R Bennett.
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Patient-controlled analgesia is a relatively new method of administering intravenous narcotics for postoperative pain relief. The technique involves the self-administration of a given analgesic in a bolus dose with the aid of a timed infusion and sequencing device. Ten morbidity obese patients undergoing elective gastric bypass surgery were treated in a prospective, unblinded, pilot project to evaluate the efficacy of patient-controlled analgesia. Analgesic therapy was satisfactory in all patients. The mean total dose of morphine sulfate administered during the first 36 hours postoperatively was 66 mg, an average of 1.7 mg/hr. There was a tenfold variation (17.5-175 mg) in the 36 hr total dose. The total dose was not related to body surface area, age, sex, dose per injection, or anesthetic agent. The large variation in individual narcotic analgesic requirements could be a major factor in the suboptimal management of postoperative pain with conventional dosing. Patient-controlled analgesia may circumvent these problems.
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The Friendly Visitor Program was designed to reduce social isolation. Visits were made by a pair of trained visitors to twenty-three isolated, elderly New York City residents. Pre- and post-testing visits to experimental and control Ss collected data on measures of isolation, adjustment, cognitive impairment and mental state. The major procedure was an hour long structured visit every two weeks for six months and a six month follow-up. For the experimental group only apartment upkeep and mental state improved and isolation diminished at the time of follow-up, indicating friendly visiting probably was therapeutic.
The exploratory visit to recent retirees, an outreach component of the International Ladies Garment Workers Union Friendly Visiting Program, was evaluated during a ten month period beginning in September 1973. An operations analysis found that need identifying activities of Friendly Vistors by type of service need. A post-test only control group effect study revealed exploratory visits were effective in establishing a link between the program and the retiree although they had no significant impact on the retirees' service needs.
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