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Biomedical subjects

T Dunning

Publications and source records attributed to T Dunning.

7 recordsLinked to original sources

Complementary therapies in action--education and outcomes.

A study investigated the use of aromatherapy hand and foot massage on 11 patients in a rural rehabilitation setting. An education programme for nurses, carers and family members was developed and implemented. Clinical outcomes--pain, anxiety, joint flexibility and skin condition were evaluated using Likert scales completed before, and after, treatment at three time points and open questions to ascertain patients' feelings about the treatments. Each patient had three treatments, making a total of 33 massages. A significant reduction in pain and anxiety was apparent after all three treatments (p=0.05). Changes in skin condition (softer and more resilient) were highly significant (p=0.01). However, there was no significant change in joint flexibility (p<0.05). The main themes emerging from patients'comments were that aromatherapy massage facilitated communication, allowed emotional release and aided relaxation. Nine people undertook the education programme. They indicated that it covered appropriate information and they felt confident to deliver the aromatherapy massages, but the non-nursing participants would have liked more practice before they entered the clinical setting.

Aged↗

The anaesthetic foot. A case of severe diabetic peripheral neuropathy.

Diabetic foot care is an important aspect of management. Self-care by the patient is of paramount importance. The case history described in this article highlights the absence of pain associated with peripheral neuropathy and the consequences of inadequate foot care by the patient.

Aged↗

A quality control algorithm for DNA sequencing projects.

Heterologous DNA sequences from rearrangements with the genomes of host cells, genomic fragments from hybrid cells, or impure tissue sources can threaten the purity of libraries that are derived from RNA or DNA. Hybridization methods can only detect contaminants from known or suspected heterologous sources, and whole library screening is technically very difficult. Detection of contaminating heterologous clones by sequence alignment is only possible when related sequences are present in a known database. We have developed a statistical test to identify heterologous sequences that is based on the differences in hexamer composition of DNA from different organisms. This test does not require that sequences similar to potential heterologous contaminants are present in the database, and can in principle detect contamination by previously unknown organisms. We have applied this test to the major public expressed sequence tag (EST) data sets to evaluate its utility as a quality control measure and a peer evaluation tool. There is detectable heterogeneity in most human and C.elegans EST data sets but it is not apparently associated with cross-species contamination. However, there is direct evidence for both yeast and bacterial sequence contamination in some public database sequences annotated as human. Results obtained with the hexamer test have been confirmed with similarity searches using sequences from the relevant data sets.

Algorithms↗

How valuable are patients' blood glucose monitoring results?

Blood glucose testing by people with diabetes is an accepted method of assessing diabetes control, and is often the basis for adjusting the diabetes treatment regimen. This case report illustrates the importance of checking the patient's testing technique when the home and surgery test results differ.

Aged↗

Development of a nursing care manual to improve the knowledge of nurses caring for hospitalized patients with diabetes.

Nurses have a responsibility to ensure that they have adequate knowledge in order to provide competent care. A wide literature search failed to identify adequate documentation of the specific nursing care of people with diabetes, although the medical aspects are covered in detail. In addition, several papers document a deficiency of knowledge among nurses about diabetes and the appropriate care of patients with diabetes. This project sought to address the apparent lack of documentation. The aim was to formulate a Manual of Nursing Care of People with Diabetes Mellitus (the manual), to be used as a self-directed learning resource in the clinical setting. This article reports the development and evaluation of the manual.

Diabetes Mellitus↗

Developing a questionnaire: some methodological issues.

This paper discusses methodological issues that arose during the development of a questionnaire to be used in a survey of people who have non-insulin dependent diabetes and people who do not have the disease. The results of a pre-test and a pilot test undertaken to establish the validity, reliability and stability of the questionnaire are described. The preliminary study indicated that respondents' metabolic control was less than optimal and that they associated the seriousness of diabetes with modes of treatment rather than with control of blood glucose levels. It was concluded from the results that a full scale study was warranted and that a survey using the finalized questionnaire would yield reliable data which could be used to improve diabetes-related education and health promotion.

Adult↗