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Aging in a statistical sense is the increasing probability of death with increasing time of an organism’s existence (1, 2). Can we extrapolate this to self-regenerating tissues and most particularly to the stem cells that drive the replenishment of lost and damaged cells throughout life? To be succinct, how close is the linkage between the vitality of the stem cell population and organismal …
wrote the first edition of this book more than 20 years ago, and the discoveries in genetics since then have been phenomenal. The new knowledge and applications of human genetics to health and to society have made it even more necessary that nurses "think genetically" in their practice and, indeed in their lives. Genetic factors can be responsible in some way for both direct and indirec…
Social science students despise statistics. For one thing, most have a non-mathematical background, which makes understanding complex statistical equations very difficult. The major advantage in being taught statistics in the early 1990s (as I was) compared to the 1960s was the development of computer software to do all of the hard work. The advantage of learning statistics now rather than …
Health care today has reached a level of complexity that challenges all providers, leadership, and frontline health-care workers. Over the last few years, finance, quality, patient satisfaction, and operational efficiency have been the top priorities of most health-care organizations. It is a daily challenge to stay abreast of the latest areas of change and to integrate vast ranges of knowledge…
CLINICAL EMERGENCY MEDICINE CASEBOOK Unlike the comparatively calm and orderly world of many specialties and subspecialties in medicine, emergency medicine is not divided into specific areas of practice. Emergency patients come in all shapes and sizes, at any time of day or night, with a wide range and acuity of maladies. Emergency physicians must become experts in diverse areas of medicin…
The concept of ventilatory support is not new. It has been reported that BC Egyptians and Greeks described the theories of respiration. The Old Testament (800 BC) tells us that the Prophet Elisha induced mouth to mouth pressure breathing in a dying child! Much later, in the sixteenth century Theophrastus Bombastus von Hohenheim, or the “Famoso Doctor” Paracelsus, also known as the “wander…
As a registered nurse (RN) student pursuing an advanced degree in nursing, you must reevaluate personal and collegial perspectives on what truly constitutes professional practice. You are at a gateway for advancing your nursing practice and the profession. To advance in your professional career, you must broaden and build on your knowledge base. This involves Mezirow’s (1991) theory of adult …
Many factors have influenced the growth of community health nursing. To better understand the nature of this field, the forces that began and continue to shape its development must be recognized. Six are particularly significant: advanced technology, progress in causal thinking, changes in education, demographic changes and the role of women, the consumer movement, and economic factors.