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National Review (national + review)

Distribution by Scientific Domains

Medical Sciences	75%

Selected Abstracts

The scope of nursing in Australia: a snapshot of the challenges and skills needed

JOURNAL OF NURSING MANAGEMENT, Issue 2 2003
Jacqueline Jones RN
Contemporary nursing is an increasingly complex concept encompassing and encapsulating wide variation under the broad rubric of the nursing work place. This paper reports on a study that was designed to contribute to understandings of nursing practice by describing what nurses in Australia are doing everyday in various practice and work settings, the type of skills they need, the challenges they face and the interactions nurses have with other health workers. Drawing on the research which informed the National Review of Nurse Education in Australia in 2001, the paper raises issues critical to the management of contemporary nursing practice. Flexible approaches both to the day-to-day management of nurses and nursing, and educational preparation in partnership with key stakeholders, are a necessity if management of nursing is to keep pace with constant change in health care systems as well as facilitating the attraction and retention of nurses in those systems. [source]

National review of maternity care for women with HIV infection

HIV MEDICINE, Issue 5 2006
C McDonald
Objective To assess adherence to the British HIV Association (BHIVA) 2001 guidelines for the management of HIV-infected pregnant women. Methods A survey and a case note review were carried out using structured questionnaires sent to providers of adult HIV care in the UK and Ireland. Participants were women with HIV infection who delivered a live or stillborn infant between October 2002 and September 2003. The main outcome measures were the appropriate use of antiretroviral therapy, the use and timing of elective Caesarean section, and support for the avoidance of breast-feeding. Results Of 186 centres, 100 (54%) responded with data on 501 eligible pregnancies. Conclusions In general, practice was in accordance with the BHIVA 2001 guidelines. However, in a number of cases Caesarean sections were planned later than the recommended 38 weeks. [source]

National review of state wildlife action plans for Odonata species of greatest conservation need

INSECT CONSERVATION AND DIVERSITY, Issue 2 2010
JASON T. BRIED
Abstract., 1.,The overarching goal of United States wildlife action plans is to prevent wildlife from becoming endangered or declining to levels where recovery becomes unlikely. Effective plan implementation depends on establishing Species of Greatest Conservation Need (SGCN), defined as wildlife species with small or declining populations or other characteristics that make them vulnerable. 2.,Although nearly two-thirds of distinct Odonata species known from the U.S. (441 species as of 2005) were appointed as SGCN, over half the states neglected to assign dragonfly SGCN, damselfly SGCN, or both. Western and southern states listed proportionately fewer odonate SGCN than states of the Great Lakes, Mid-Atlantic, and New England regions, apparently reflecting geographic patterns of legal authority, available information, and involvement by Odonata specialists. 3.,Greater consultation of Odonata specialists is encouraged in any revision of state wildlife action plans, along with increased: (i) use of existing conservation lists, (ii) inferences from field guides and major faunal synopses, (iii) recognition of patterns of endemism, and (iv) application of empirical species distribution modelling. 4.,Legal and management restrictions aside, insects and other invertebrates are often neglected in mainstream conservation efforts because they are perceived as understudied. It is erroneous to assume ,not enough information' exists for well-studied microfauna such as Odonata and doing so further undermines the conservation of less conspicuous and charismatic taxa. [source]

Liver transplantation for incidental cholangiocarcinoma: Analysis of the Canadian experience

LIVER TRANSPLANTATION, Issue 11 2005
Peter Ghali
Cholangiocarcinoma is a biliary tumor, which not infrequently complicates primary sclerosing cholangitis. It carries a poor prognosis and, with the exception of carefully selected individuals in research protocols, contraindicates orthotopic liver transplantation. There has been some suggestion that cholangiocarcinomas incidentally discovered at the time of transplantation carry a better prognosis. The goal of this retrospective study was to perform a national review of outcomes after liver transplantation in Canadian recipients found to have incidental cholangiocarcinoma in their explanted native liver. Six of the seven liver transplant centers in Canada provided clinical and follow-up information on all liver transplant recipients found to have incidental cholangiocarcinoma in their explants. The diagnosis or suspicion of cholangiocarcinoma prior to transplantation were exclusion criteria for this study. Ten individuals with cholangiocarcinoma were transplanted between 1996 and 2003. The median duration of follow-up was 28 months. Eight of the 10 had PSC. All of the tumors were stage I or II. The 3-year survival for these patients was 30%. The median time to recurrence was 26 months (95% confidence interval 13uu-uu37), and the median time to death was 30 months (95% confidence interval 28uu-uu53). In conclusion, although early survival of patients transplanted for incidental cholangiocarcinoma appears good, intermediate- and long-term survival rates are not better than for individuals historically transplanted with known cholangiocarcinoma. Aggressive investigation for cholangiocarcinoma is mandated. Incidentally found tumours remain a difficult treatment problem, and prospective adjuvant chemo-, radio-, and immunotherapies should be investigated. (Liver Transpl 2005;11:1412,1416.) [source]