Hospital Restructuring and Downsizing in Canada: Are Less Experienced Nurses at Risk?

2000 ◽  
Vol 87 (3) ◽  
pp. 1013-1021 ◽  
Author(s):  
Ronald J. Burke ◽  
Esther R. Greenglass
Keyword(s):  
Young Women ◽  
Nursing Staff ◽  
Nursing Programs ◽  
Staff Nurses ◽  
Nursing Profession ◽  
Hospital Restructuring ◽  
Experienced Nurses ◽  
The Past ◽  
Younger Age ◽  
Nursing Data

The health care sector has undergone significant change during the past decade as hospitals struggle to provide the same service with fewer resources. This study examined perceptions of hospital restructuring and downsizing and their effects on nursing staff as a function of years in nursing. Data were obtained from 1,362 staff nurses by questionnaire. Nursing staff having less tenure generally described and responded to hospital restructuring and downsizing in more negative terms. Nursing staff having less tenure were in better health, reflecting their younger age. Some implications for hospital administration and the nursing profession are raised. Entrants to hospital-based nursing staff positions are the life blood of the profession. Their reactions to hospital restructuring and downsizing may influence their commitment to nursing as well as hospital functioning. The profession may have difficulty attracting young women and men into nursing programs. As longer tenured nursing staff retire, a potential shortage of nurses may result.

Breast carcinoma in young females below the age of 35 years - histopathological and prognostic significance

1970 ◽  
Vol 2 (3) ◽  
pp. 198-202
Author(s):  
D Ghartimagar ◽  
A Ghosh ◽  
OP Talwar ◽  
R Narasimhan
Keyword(s):  
Breast Carcinoma ◽  
Young Women ◽  
Early Stage ◽  
Prognostic Significance ◽  
Age Group ◽  
Breast Cancers ◽  
Young Females ◽  
Younger Age ◽  
Grade 3 ◽  
Group Grade

Background: Breast cancers rarely occur in young women but are known to have more aggressive behaviors and poorer outcome. We here compare the significance of breast carcinoma in female below the age of 35 to the age over 35 whose specimens were submitted to Manipal teaching hospital, Pokhara. Materials and Methods: All cases of mastectomy with carcinoma from January 2000 to September 2011 were included in the study. Clinical and histopathological datas of all cases were reviewed and collated. Results: A total of 148 mastectomy specimens were received, among which, 23 cases (16%) were below 35 years; whereas 125 cases (84%) were above 35 years of age. In both groups, Stage II was the commonest stage but stage III was much more common in older group (33% versus 9%) and stage I was more common in younger age group (39% versus 27%). Bloom Richardson grading showed that in the older age group, grade 1 is the commonest grade (50%) while in the younger group; grade 3 is the commonest (39%). Patients were followed for a varying period of 6 months to 5 years. Two cases (2% of followed up cases) in older group and 3 cases (15% of followed up cases) in the younger group showed recurrence. Conclusion: Breast carcinoma in the patients younger than 35 years though presented at an early stage has higher grade tumor and poorer outcome. DOI: http://dx.doi.org/10.3126/jpn.v2i3.6021 JPN 2012; 2(3): 198-202

DUODENAL ULCER IN CHILDHOOD

PEDIATRICS ◽  
1970 ◽  
Vol 45 (2) ◽  
pp. 283-286
Author(s):  
Mary Loretta Rosenlund ◽  
C. Everett Koop
Keyword(s):  
Duodenal Ulcer ◽  
Common Symptom ◽  
Peptic Ulcers ◽  
Older Children ◽  
Duodenal Ulcers ◽  
X Ray ◽  
Ulcer Disease ◽  
The Past ◽  
Younger Age ◽  
The Central Nervous System

There has been some disagreement concerning the admittedly rare incidence of duodenal ulcer disease in children. Because of conflicting reports from other pediatrics centers, we have reviewed the records of all patients admitted to The Children's Hospital of Philadelphia in the past 20 years (1948 through 1967) in whom duodenal ulcer was diagnosed by x-ray, at operation or on postmortem examination (Table I). There were 27 children between the ages of 15 days and 15½ years, with well established duodenal ulcers. Six of these were female (22%). The age at presentation was scattered, but the majority were between 2 and 11 years of age. Presenting complaints were varied: gastrointestinal bleeding was most common in the younger age group, while abdominal pain, usually persistent and intermittent, was the most common symptom in the older children. The diagnosis of duodenal ulcer was made by x-ray examination in 22 patients and at operation in 2; and the ulcers were discovered only at autopsy in 3 children. All the ulcers were duodenal; the precise location was not specified in 9, but 11 were bulbar and 7 were postbulbar. Complications of the ulcer were noted in 9 patients. Perforation occurred in 7 patients, leading to death in 4 (all had disease of the central nervous system) and repeated bleeding in 2. Etiology of the ulcer disease was determined in 15 of the children, but the cause was unknown in 12. Our series is concerned only with duodenal ulcers which, admittedly, comprise the greatest percentage of peptic ulcers.

The need to know: experiences of critically ill patients

2000 ◽  
Vol 9 (3) ◽  
pp. 192-198 ◽  
Author(s):  
JE Hupcey ◽  
HE Zimmerman
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Critical Illness ◽  
Critically Ill ◽  
Nursing Staff ◽  
Critically Ill Patients ◽  
Second Phase ◽  
The Past ◽  
Intensive Care Unit Nurses ◽  
Vivid Memories

BACKGROUND: Critically ill patients vary in their memories of their experience in the intensive care unit. Some have little recall and need to learn about their critical illness. Others have more vivid memories of their experiences, some of which were extremely unpleasant. Patients' not knowing what was happening may have exacerbated the unpleasant experiences. OBJECTIVES: To elicit the experience of knowing for critically ill patients and to explore the differences in perceptions between patients who were intubated and those who were not intubated during the illness. METHODS: Grounded theory was used to explore the meaning of knowing and not knowing and the process by which knowing occurs. Unstructured interviews were done with 14 patients. RESULTS: Knowing had 2 phases: the need to know (1) during and (2) after the critical illness. The first phase had 3 facets: needing information, needing to be oriented, and having confusing perceptions. The second phase had 2 facets: needing information about what had happened and piecing together events. Many experiences with knowing during and after a critical illness were similar for both intubated and nonintubated patients. The main difference was the intensity of the experience in some categories. CONCLUSIONS: Critically ill patients have a strong need to know throughout and after their time in the intensive care unit. Nurses must address this need for constant reorientation to the past and present in these patients. In addition, adequate nursing staff must be available for these patients.

Corticotrophic Hormone in the Treatment of Involutional Melancholia with Hypopituitarism and Pituitary Cachexia

1942 ◽  
Vol 88 (373) ◽  
pp. 559-565 ◽  
Author(s):  
R. E. Hemphill ◽  
Max Reiss
Keyword(s):  
Young Women ◽  
Clinical Applications ◽  
The Past ◽  
Involutional Melancholia ◽  
Secondary Hypoadrenalism

During the past three years some clinical applications of corticotrophic hormone have been studied, and in this paper is described a form of involutional melancholia in which hypopituitarism and secondary hypoadrenalism are factors. Nine such cases were treated with corticotrophic hormone; in addition two cases of pituitary cachexia in young women were similarly treated.

Correlates of Chlamydia trachomatis infection in a primary care sentinel surveillance network

Sexual Health ◽  
2012 ◽  
Vol 9 (3) ◽  
pp. 247 ◽  
Author(s):  
Megan S. C. Lim ◽  
Jane L. Goller ◽  
Rebecca Guy ◽  
Judy Gold ◽  
Mark Stoove ◽  
...  
Keyword(s):  
Control Strategies ◽  
Routine Data ◽  
Sex Partners ◽  
Surveillance Network ◽  
Inconsistent Condom ◽  
Chlamydia Trachomatis Infection ◽  
Multiple Sex Partners ◽  
The Past ◽  
Younger Age ◽  
The Impact

Background Chlamydia is the most commonly notified infection in Australia. Prevention strategies should be informed by routine data on at-risk populations. Methods: We calculated chlamydia positivity and correlates of infection using multivariable logistic regression for data collected between April 2006 and June 2009. Results: Chlamydia positivity was 5.6% in 12 233 females, 7.7% in 10 316 heterosexual males and 6.2% in 7872 men who have sex with men (MSM). Correlates of chlamydia positivity among females included younger age (odds ratio (OR) 2.27, 95% confidence interval (CI) 1.92–2.69), being born overseas (OR 1.50, 95% CI 1.25–1.82), multiple sex partners in the past year (OR 1.72, 95% CI 1.40–2.11) and inconsistent condom use with regular sex partners (OR 3.44 ,95% CI 1.65–7.20). Sex work was protective for females (OR 0.68, 95% CI 0.53–0.86). Among heterosexual males, correlates of positivity were younger age (OR 1.87, 95% CI 1.62–2.17), being born overseas (OR 1.35, 95% CI 1.16–1.58), symptoms at the time of testing (OR 1.64, 95% CI 1.40–1.92) and multiple sex partners in the past year (OR 1.83, 95% CI 1.46–2.30). Correlates of positivity among MSM were being born overseas (OR 1.23, 95% CI 1.00–1.51), being HIV-positive (OR 1.80, 95%CI 1.32–2.47), and reporting six or more anal sex partners in the past 6 months (OR 4.45, 95% CI 1.37–14.5). Conclusions: Our analysis identified subgroups at the highest risk of chlamydia in Victoria. These estimates will provide important baseline information to measure the impact of chlamydia control strategies.

scholarly journals Quitting behaviours and cessation methods used in eight European Countries in 2018: findings from the EUREST-PLUS ITC Europe Surveys

2020 ◽  
Vol 30 (Supplement_3) ◽  
pp. iii26-iii33
Author(s):  
Sophia Papadakis ◽  
Paraskevi Katsaounou ◽  
Christina N Kyriakos ◽  
James Balmford ◽  
Chara Tzavara ◽  
...  
Keyword(s):  
The Netherlands ◽  
Significant Proportion ◽  
Cross Sectional ◽  
The Past ◽  
Quit Attempt ◽  
Younger Age ◽  
Quit Attempts ◽  
Intentions To Quit ◽  
Near Future ◽  
European Union Member States

Abstract Background We examined quit attempts, use of cessation assistance, quitting beliefs and intentions among smokers who participated in the 2018 International Tobacco Control (ITC) Europe Surveys in eight European Union Member States (England, Germany, Greece, Hungary, the Netherlands, Poland, Romania and Spain). Methods Cross-sectional data from 11 543 smokers were collected from Wave 2 of the ITC Six European Country (6E) Survey (Germany, Greece, Hungary, Poland, Romania and Spain—2018), the ITC Netherlands Survey (the Netherlands—late 2017) and the Four Countries Smoking and Vaping (4CV1) Survey (England—2018). Logistic regression was used to examine associations between smokers’ characteristics and recent quit attempts. Results Quit attempts in the past 12 months were more frequently reported by respondents in the Netherlands (33.0%) and England (29.3%) and least frequently in Hungary (11.5%), Greece (14.7%), Poland (16.7%) and Germany (16.7%). With the exception of England (35.9%), the majority (56–84%) of recent quit attempts was unaided. Making a quit attempt was associated with younger age, higher education and income, having a smoking-related illness and living in England. In all countries, the majority of continuing smokers did not intend to quit in the next 6 months, had moderate to high levels of nicotine dependence and perceived quitting to be difficult. Conclusions Apart from England and the Netherlands, smokers made few quit attempts in the past year and had low intentions to quit in the near future. The use of cessation assistance was sub-optimal. There is a need to examine approaches to supporting quitting among the significant proportion of tobacco users in Europe and increase the use of cessation support as part of quit attempts

scholarly journals Problematizing the Postfeminist Gaze: A Critical Exploration of Young Women’s Readings of Gendered Power Relations in Advertising

2020 ◽  
Vol 40 (4) ◽  
pp. 546-562
Author(s):  
Alexandra Serra Rome ◽  
Stephanie O’Donohoe ◽  
Susan Dunnett
Keyword(s):  
Gender Inequality ◽  
Young Women ◽  
Lived Experiences ◽  
Power Relations ◽  
Media Culture ◽  
The Past ◽  
Critical Exploration ◽  
Gendered Power ◽  
Women As Readers ◽  
Blind Spots

This article explores young women’s engagements with gendered power relations embedded in advertising. Drawing on four case studies, we demonstrate how their readings of gendered ads are informed by postfeminist discourse, which, for all its contradictions, presents gender inequality as a thing of the past. Specifically, we illustrate and theorize the problematic workings of a postfeminist gaze directed at both models in ads and young women as readers of ads, with judgements shaped by postfeminist ideals and blind spots concerning intersections of gender, class, and race. We contribute to macromarketing scholarship by (1) illustrating how, in the context of gendered ads and young American women, gendered power relations and a postfeminist sensibility are both produced by and productive of gendered readers; and (2) highlighting the insidious nature and limitations of this sensibility informing young women’s lived experiences, engagements with media culture, and position in society.

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