Nurse development program.
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Biomedical subjects
Publications and source records attributed to R Gary.
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Limited research has been conducted exploring the relationship between verbal stimulation and intracranial pressure (ICP). The purpose of this study was to investigate effects of verbal stimulation on ICP in head-injured patients. The sample consisted of 12 head-injured patients with a mean age of 31.5 years and mean Glasgow Coma Scale score of 7.8. A message was recorded by a familiar voice (family) and an unfamiliar voice (researcher). The familiar voice message was played to each subject. After a rest period, the unfamiliar voice message was played. ICP was recorded before, during and after playing both taped messages. Results demonstrated little change in ICP of head-injured patients when exposed to recorded verbal stimuli. Paired t-tests demonstrated no statistically significant differences between means. Results suggest families of head-injured patients with normal ICP can verbally interact with the patients for short periods without significant increases in ICP.
Computed tomography (CT) permitted preoperative diagnosis of traumatic rupture of a congenital hydronephrotic renal pelvis. In cases in which renal pelvic rupture is suspected CT may obviate traditional cystoscopy and retrograde pyelography.
Retrograde or antegrade transurethral incision of urethral strictures that have formed after complete rupture of the membranous urethra has been advocated to restore urethral continuity. With this technique we encountered vascular complications in 2 patients, which consisted of opening of a patent vessel entrapped in the fibrous tissue of the stricture. The opened vein in 1 patient healed without bleeding. The opened artery in the other patient did not heal with catheter drainage and pressure dressings, resulting in recurrent severe hemorrhage that necessitated stage 1 urethroplasty with ligation of the artery. The entrapment of a patent vessel in fibrous scar tissue resulting from complete urethral rupture is believed to be responsible for these complications.
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