Biomedical subjects
Publications and source records attributed to V Gibson.
A patient who presented with scarring alopecia from a vesicular disorder was diagnosed as having localized cicatricial pemphigoid. The diagnosis was confirmed by histopathology and immunofluorescent studies. The clinical, immunologic, and therapeutic features of this entity are reviewed.
A foodborne outbreak of streptococcal pharyngitis occurred in association with a meeting of regional blood banking personnel held at a hotel in Kansas City, Missouri, on May 31-June 1, 1984. The incriminated meal was a salad buffet luncheon served on May 31. Of 106 persons identified as eating the luncheon, 60 (56.6 per cent) became ill. The most probable source of infection was an assortment of mousse desserts (p = 0.0532).
Staff in an NHS trust and a university faculty worked collaboratively to develop a specific course for nurses working in high dependency areas. Initial evaluation suggested that there has been a positive impact on practice in that nurses who had completed the course were willing to share new knowledge and undertake teaching; management of patient care had become more effective; and the nurses were more willing to care for sicker patients. Nurses had also developed critical and reflective skills and were keen to review and develop practices through activities such as audit. This project has highlighted not only the need for practice based experience in caring for the critically/acutely ill patient but also the need for formal educational input from expert staff. It is concluded that advances in practice must be supported by appropriate education and training, and organisations need to work collaboratively in order to respond to the needs of staff and patients.