BACKGROUND AND PURPOSE Intravenous heparin therapy is often used in patients presenting with transient ischemic attack (TIA) or stroke as either bridging therapy for anticoagulation with warfarin or primary therapy in suspected intracranial arterial dissection, crescendo TIAs, or suspected hypercoagulable states. We attempted to validate the use of a weight-based nomogram for heparin-adjusted t...

BACKGROUND The care of elderly persons in chronic care nursing wards is generally complicated by nutritional problems such as weight loss and worsening protein status. An inability or refusal of the patient to consume enough food often necessitates the use of expensive commercial formulas for nutritional support. The purpose of this study was to determine whether the use of an in-house (high-pr...

BACKGROUND More than 25 million patients have peripheral intravenous (IV) catheters placed each year in US hospitals. Infusion therapy is believed to account for one third of all nosocomial bacteremias. METHODS We performed a randomized, prospective, controlled study in a university-affiliated hospital to determine whether the use of an IV therapy team decreases peripheral venous catheter-rel...

background: this paper investigated the effect of daylight on morning and night melatonin, subjective general health using ghq questionnaire, sleepiness and alertness on elderly who lived in nursing houses. methods: nineteen nursing home residents participated voluntarily. they exposed to daylight from 9 to 10 a.m. and from 4 to 5 p.m. for 6 wk. the level of melatonin in the morning and at nigh...

UNLABELLED The Clinical Data Ware House needs to meet three functions: reporting quality indicators, clinical research, and continuity of care. This paper reports on one function, namely the development and testing of data exchange for continuity of nursing care for oncology patients. The proof of principle was carried out using system analysis, requirements setting, system design, system devel...

PURPOSE The aim of this study was to identify health-related changes occurring between 1983 and 1990 that characterize and differentiate 1996 long-term care outcomes (no services, home care, nursing home) among people aged 85 years and older. DESIGN AND METHODS Variables capturing health-related changes between 1983 and 1990 in a cohort (N = 616) of Aging in Manitoba Longitudinal Study partic...

Sister Mary Joseph Croke nursed with the Irish Sisters of Mercy during the Crimean War (1854—1856). Analysis of 161 pages of her journal entries from October 1854 to May 1856 reveals that Croke and her sisters worked as a systematic group that provided nursing care day and night. A contract with the war office gave them the necessary confidence in their "professional" rights. This helped them t...