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Full-Text Articles in Medicine and Health Sciences
Group B Streptococci Causing Neonatal Bloodstream Infection: Antimicrobial Susceptibility And Serotyping Results From Sentry Centers In The Western Hemisphere, J. Andrews, D. Diekema, Stephen Hunter, P. Rhomberg, M. Pfaller, R. Jones, G. Doern
Group B Streptococci Causing Neonatal Bloodstream Infection: Antimicrobial Susceptibility And Serotyping Results From Sentry Centers In The Western Hemisphere, J. Andrews, D. Diekema, Stephen Hunter, P. Rhomberg, M. Pfaller, R. Jones, G. Doern
Stephen K. Hunter
OBJECTIVE: Group B streptococcal infection is a common cause of neonatal sepsis. Surveillance of antimicrobial susceptibility and serotype frequencies of invasive group B streptococci is important to ensure the effectiveness of therapeutic regimens and to guide vaccine development. STUDY DESIGN: Prospective surveillance of neonatal bloodstream infection was performed at all Western Hemisphere sites participating in the SENTRY Program. From January 1997 through December 1999, a total of 122 isolates of bloodstream infections with group B streptococci were collected and sent to the University of Iowa for antimicrobial susceptibility testing and serotyping. RESULTS: No isolates were resistant to penicillin. More than …
Sociodemographic Profile Of Older Adults With Hiv/Aids: Gender And Sexual Orientation Differences, David J. Brennan, Charles A. Emlet, Sarah Brennenstuhl, Sergio Rueda
Sociodemographic Profile Of Older Adults With Hiv/Aids: Gender And Sexual Orientation Differences, David J. Brennan, Charles A. Emlet, Sarah Brennenstuhl, Sergio Rueda
Charles Emlet
Health Care Ethics In Canada, Françoise Baylis, Barry Hoffmaster, Susan Sherwin, Kirstin Borgerson
Health Care Ethics In Canada, Françoise Baylis, Barry Hoffmaster, Susan Sherwin, Kirstin Borgerson
C. Barry Hoffmaster
No abstract provided.
Portraits Of Caregivers Of End-Stage Dementia Patients Receiving Hospice Care, S. Sanders, Howard Butcher, P. Swails, J. Power
Portraits Of Caregivers Of End-Stage Dementia Patients Receiving Hospice Care, S. Sanders, Howard Butcher, P. Swails, J. Power
Howard K. Butcher
The purpose of this study was to investigate how caregivers respond to the end stages of dementia with the assistance from hospice. Data were collected from 27 family caregivers over the course of 10 months, with each caregiver being interviewed up to 4 times during the time that the patient received hospice care. Chart review data were also collected. Four distinct caregiver portraits emerged: (a) disengaged; (b) questioning; (c) all-consumed; and (d) reconciled. Caregivers in each portrait differed in how they responded to the impending death of the care recipient, the disease progression, and hospice care. Recognizing the differences in …
Caregiving By Teens For Family Members With Huntington Disease, Janet Williams, Lioness Ayres, Janet Specht, K. Sparbel, M. Klimek
Caregiving By Teens For Family Members With Huntington Disease, Janet Williams, Lioness Ayres, Janet Specht, K. Sparbel, M. Klimek
Lioness Ayres
The purpose of this report is to describe caregiving by teens for family members with Huntington disease (HD). Thirty-two teens in HD families in the United States and Canada participated in focus groups from 2002 to 2005 in a study to identify concerns and strategies to manage concerns. An unexpected finding was 24 (77%) described caregiving activities. Descriptive analysis of caregiving statements identified themes of Tasks and Responsibilities, Subjective Burden, Caregiving in Context of Personal Risk for HD, and Decisional Responsibility. Teens took an active part in nearly all aspects of care with the exception of contacting health care providers …
Downward Delegation Of Implantable Cardioverter Defibrillator Decision-Making In A Restricted-Resource Environment: The Pitfalls Of Bedside Rationing, Christopher Simpson, Barry Hoffmaster, Paul Dorian
Downward Delegation Of Implantable Cardioverter Defibrillator Decision-Making In A Restricted-Resource Environment: The Pitfalls Of Bedside Rationing, Christopher Simpson, Barry Hoffmaster, Paul Dorian
C. Barry Hoffmaster
Implantable cardioverter defibrillators have been shown to reduce all-cause mortality in some patient populations at risk of sudden death. New Canadian guidelines recommend implantable cardioverter defibrillator therapy for these patients. However, the need for these devices exceeds the funded volumes in many Canadian jurisdictions. As a result, rationing of this resource has been necessary. While rationing at the macro (Ministry of Health) and meso (hospital) levels has achieved some level of acceptance by society, the responsibility for the decisions taken at the micro (individual) patient level actually rests with the physician at the bedside. This 'bedside rationing' creates a moral …