[Chief organization of the Federal Organization of administrative nursing personnel].
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Compliance with regulations implementing section 504 of the Rehabilitation Act will require hospitals to revise hiring practices. Personnel administrators will need to examine employment screening and selection devices, especially, to ensure that they do not discriminate against handicapped applicants.
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During a four-week period, nine current or recent primary Epstein-Barr virus (EBV) infections were identified among 29 staff members of an obstetrics and gynecology outpatient clinic of an air force base hospital by EBV-specific serologic tests; i.e., early detection of IgM antibodies to EB viral capsid antigen (VCA), high titers of IgG antibodies to VCA, presence of antibodies to the D (diffuse) component of the EBV-induced early antigen (EA) complex and initial absence and later development of antibodies to the EBV-associated nuclear antigen (EBNA). Five of these individuals showed classical signs and symptoms of infectious mononucleosis (IM) so that the ratio between overt and silent infections was 1.25:1. All but one of these nine individuals gave positive monospot reactions. Three additional staff members were reported to be monospot-positive, of whom two, with prior histories of IM, had IM-like illnesses during the study period but the results of EBV-specific serologic tests were indicative of infections in the past. The EBV infections were limited to the nurses, corpsmen and administrative personnel, of whom none remained susceptible (antibody negative). The virus did not spread to the medical staff although two of the residents had no antibodies to EBV. The data indicate that under some circumstances IM may be more contagious than usually observed.
A multidisciplinary team involved in the care of patients with advanced cancer including physicians, nurses, social workers, physical therapists, nutritionists, clergymen, enterostomal therapists, biostatisticians and administrative personnel were studied over a period of eighteen months. A prospective study of staff attitudes and values about life, disease, and medical care which focused particularly on cancer, cancer treatment and patients with cancer was undertaken. Data were gathered from the staff by written responses to the following instruments: 1) Rokeach Value Survey and 2) a Personal Attitudes Toward Illness Questionnaire. This longitudinal prospective study demonstrated the reliability of scrutinizing individual and collective staff characteristics in a cancer care team. Although most team members had minimal previous contact with clinical research or with patients with advanced cancer, increased exposure did not result in changes in staff attitudes and values over the period of seventeen months.
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Structure and mode of operation of a neurosurgical central institute is demonstrated by the example of the Budapest clinic. In this clinic, which was founded by L. Zoltán in 1954, there are 140 beds, 53 physicians, 167 nurses and medical-technical assistants as well as 136 other auxiliary and administrative personnel. There are three operating rooms in which all interventions of modern neurosurgery can be performed; the neuroradiological department uses all commonly used methods including computer tomography. There are separate wards for adults and children in both the intensive care and the normal wards. All principal consultants are members of the clinic; the operative work is done by 23 neurosurgeons. In recent years, quite a number of new operation techniques have been introduced into routine practice. Among these there are the transsphenoid interna anastomoses, the Janetta technique in trigeminus neuralgia, etc. Much value is attached to international contacts and all important international congresses are attended. Every year, one of two physicians stay at foreign special institutes over a prolonged period of time. In 1978 alone, the Budapest clinic was visited by 40 foreign scientists. Further information is acquired by the subscription to 53 home and foreign journals. The institute takes an active part in the postgraduate education of the Academy for Postgraduate Medical Education. In the field of research, six main directions are followed, where necessary in close co-operation with foreign establishments. In the last 25 years, 740 publications have been published. The Central Institute has an assisting and advisory function for the other neurosurgical establishments in Hungary.
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