PubMed Health⌕ Search

Biomedical subjects

R I Morris

Publications and source records attributed to R I Morris.

13 recordsLinked to original sources

Pediculosis in a school population.

This nonexperimental, retrospective study of elementary, middle school, and high school children (a) determined the prevalence of pediculosis, (b) identified populations susceptible to head lice infestation, and (c) examined the role of the school nurse in pediculosis management. The findings showed the highest prevalence of pediculosis was among younger school-age children, and girls were 3 times more likely to be infested than boys. Hispanic children had the highest rate of infestation, followed by Caucasian children. African American children showed a 15% infestation rate, a finding not supported by other studies. The role of the school nurse in pediculosis management was restricted by time and budgetary constraints. Findings of this study support the need for a standardized data collection system for pediculosis in all school districts.

Adolescent↗

Female genital mutilation: perspectives, risks, and complications.

Female genital mutilation, traditionally known as female circumcision, is a surgically unnecessary modification of the female genitalia, practiced in nations in Africa, the Arab Peninsula, among some communities in Asia, and among immigrants and refugees from these areas who have settled in other areas. The practice is known across socio-economic classes and among many different ethnic and cultural groups, including Christians, Muslims, Jews, and followers of indigenous African religions. As people from these areas immigrate to North America, health care professionals need to understand the important aspects of this growing problem, including management of complications, cultural attitudes, and sensitivities.

Africa↗

Bridging cultural boundaries: the African American and transcultural caring.

This article discusses how to bridge cultural boundaries in the African-American culture. It also explains the influences of cultural trends in America and Africa on health care. The importance of cultural assessment in clinical practice is discussed, including the preparation of graduate nurses to acquire cultural assessment skills. A cultural assessment interview, using a modified cultural assessment tool, is provided.

Black or African American↗

People's Community Clinic: collaboration in the Third World.

A West African government undertook to improve primary health care (PHC) training of mid-level health workers. In partnership with a neighboring squatter settlement, the premiere local training institution created a community-sponsored clinic, providing low-cost, PHC services, and a birthing center, as well as student experiences. Their collaboration in mobilization, research, planning and operations are described. Their success should encourage other educational and training institutions to consider a similar approach.

Africa, Western↗

Lymphocyte response to IgG in patients with ankylosing spondylitis and their families.

Lymphocyte responsiveness to IgG was measured by an agarose method in nine patients with ankylosing spondylitis (AS), one patient with Reiter's Syndrome (RS), and thirty-six of their family members. Similar studies were also performed in five patients with rheumatoid arthritis (RA) and twenty-nine of their first degree relatives as well as in seven control families (twenty-seven subjects). Lymphocytes from the ten spondylitic patients and twenty-four of thirty-six family members responded in vitro to autologous IgG. Although most of these subjects had the histocompatibility antigen, B27, there was no association between B27 and response to IgG. Four of the five patients with RA and twenty of their twenty-nine first degree relatives responded in vitro to IgG, whereas only six of twenty-seven control family members gave a positive reaction. There was no difference in the incidence of antiglobulins (detected by agglutination tests) in the family members of patients with AS and RA or in control family members. These data indicate that lymphocyte responsiveness to IgG is the only aberrant immune response thus far described which is shared by patients with AS and RA and their family members.

Adolescent↗

HL-A W27 in psoriatic arthropathy.

Forty subjects with psoriatic arthritis (PA) underwent HL-A tissue typing. HL-A W27 was significantly increased in psoriatic spondylitis (35%), whereas statistical significance was not reached in patients with peripheral arthritis alone, although W27 was present in a frequency greater than in controls. Psoriatic spondylitis (often asymptomatic) occurred in 57% (23 of 40) of our PA patients. Of interest, psoriatic spondylitis was more often W27 negative than W27 positive; nevertheless, W27-positive and W27-negative spondylitis was clinically and radiographically indistinguishable except that W27-positive disease occurred exclusively in males and the duration of the psoriasis.

Adult↗

Preparing for the 21st century. Planning with focus groups.

The job market for nursing graduates is changing, and nursing schools must respond to the changes. The author describes the process of using focus groups to facilitate a constructive dialogue between nurse administrators, clinicians, educators, and students. The groups focused on adapting the curriculum to changing market conditions. Recommendations and outcomes are highlighted. Nursing educators are encouraged to critically examine their own programs in preparation for the 21st century.

Curriculum↗

Initiating hospice care. Why, when, and how.

Hospice services are under utilized for a variety of reasons, even though such services are efficacious not only for the dying patient, but also for the family. Home healthcare nurses are well placed to encourage hospice-appropriate clients to accept hospice care. The nature and advantages of hospice care are described, and obstacles to its acceptance are identified. Case studies illustrate why, when, and how to initiate hospice care, and strategies are outlined to help home healthcare nurses to promote the timely use of hospice care.

Aged↗

Perceptions of social support of African Americans with acquired immunodeficiency syndrome.

Using the grounded theory methodology with symbolic interactionism as the theoretical framework, this study explores the perceptions of support systems that exist for African Americans with AIDS. A convenience sample of five African Americans with AIDS was interviewed and the data analyzed using constant comparative analysis. Seven themes emerged: (a) independence and control over one's environment, (b) support from significant others, (c) keeping a positive attitude, (d) spirituality, (e) lack of family support, (f) appreciation for case management, and (g) avoidance of support groups. The analyses and conclusion derived from these themes have many implications for nursing, the most important being the need for education preparation of professional nurses as case managers.

Acquired Immunodeficiency Syndrome↗

Appropriate laboratory testing in rheumatic diseases.

The diagnosis and management of systemic rheumatic disease is predominantly based on clinical parameters. Nevertheless, specific laboratory diagnostic tests may often be critically helpful, for example, in ruling out septic and crystal-induced arthritis in the differential diagnosis of acute monoarthritis. In the evaluation of patients with polyarticular rheumatic disease syndromes, autoimmune testing may be helpful to corroborate the clinical diagnosis of such diverse illnesses as rheumatoid arthritis, systemic lupus erythematosus, Lyme disease, and anticardiolipin syndrome.

Acute-Phase Proteins↗