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Full-Text Articles in Medicine and Health Sciences

The Critically Ill Patient After Hepatobiliary Surgery, Stephen P. Povoski, Robert J. Downey, Paul S. Dudrick, Yuman Fong, William R. Jarnigan, Jeffrey S. Groeger, Leslie H. Blumgart Oct 1999

The Critically Ill Patient After Hepatobiliary Surgery, Stephen P. Povoski, Robert J. Downey, Paul S. Dudrick, Yuman Fong, William R. Jarnigan, Jeffrey S. Groeger, Leslie H. Blumgart

Faculty Publications and Other Works -- Nursing

Background

We analyzed the causes and results of utilization of critical careservices in the special care unit in patients after surgical proceduresperformed by the hepatobiliary surgical service during a 23-month period.

Results

Thirty-two of 537 patients (6.0%) required postoperative admissionto the special care unit. Twenty-one patients were admitted directly fromoperating room or from recovery room because of inability to wean fromventilator (n = 10), hypovolemic shock (n = 4), myocardialischemia or infarction (n = 2), sepsis (n = 2), uppergastrointestinal bleeding (n = 2), and acute renal failure (n=1). Eleven postoperative patients were …


Icu Resource Allocation: Life In The Fast Lane, David Crippen, Leslie Whetstine Jul 1999

Icu Resource Allocation: Life In The Fast Lane, David Crippen, Leslie Whetstine

Faculty Publications and Other Works -- Nursing

Introduction: what's the speed limit?

In 1973, the then United States President, Jimmy Carter, addressed the issue of declining petroleum resources and increasing automobile traffic by the institution of a rationing plan that mandated decreasing consumption fairly and equitably across the entire population of consumers. The national speed limit (NSL) decreased from 70 to 55 miles per hour, and, according to experts, constituted the perfect rationing plan [1]. It affected only those who used a scarce resource (gasoline) and it applied to all equally. In a perfect world, it should have been an extremely effective conservation method.

However, …


Hiv-Infected Women And Motivation To Add Children To Their Families, R.L. Sowell, Kenneth D. Phillips, T.R. Misener Jan 1999

Hiv-Infected Women And Motivation To Add Children To Their Families, R.L. Sowell, Kenneth D. Phillips, T.R. Misener

Faculty Publications and Other Works -- Nursing

The purpose of this descriptive study was to identify how susceptible women perceived their babies to be to perinatal transmission of HIV and to examine factors that influence a woman’s motivation to have a baby. The sample consisted of 45 African American women living in South Carolina and Georgia. Data were collected during face-to-face interviews. A researcher-developed scale, Motivation for Childbearing in HIV-Positive Women, provided reliable and valid data on factors that motivated or deterred a woman’s decision to have a baby. This study supported prior findings that HIV status is not the most important influence on a woman’s reproductive …


Health Care Provider's Influence On Hiv-Infected Women's Belief And Intentions Related To Azt Therapy, R.L. Sowell, Kenneth D. Phillips, C. Murdaugh, A. Tavakoli Jan 1999

Health Care Provider's Influence On Hiv-Infected Women's Belief And Intentions Related To Azt Therapy, R.L. Sowell, Kenneth D. Phillips, C. Murdaugh, A. Tavakoli

Faculty Publications and Other Works -- Nursing

This study examined how women’s relationship with their primary health care provider (PHP) and their perceptions about how effective their PHPs believe zidovudine (AZT) to be in decreasing perinatal transmission related to women’s AZT beliefs and intentions. It used a cross-sectional design to collect data from 59 HIV-infected African American women. Almost half the women (45%) had given birth since HIV diagnosis. Most of the babies born to HIV-infected mothers (87%) were seronegative. Data analysis with Pearson’s r indicated that the quality of the women’s relationship with their PHP was positively correlated to how important the PHP would be in …


Physiological And Pharmacological Factors Of Insomnia In Hiv Disease, Kenneth D. Phillips Jan 1999

Physiological And Pharmacological Factors Of Insomnia In Hiv Disease, Kenneth D. Phillips

Faculty Publications and Other Works -- Nursing

No abstract provided.