Amateur wrestlers have opportunities to display all of these qualities in their careerscourage when faced with a superior opponent, gameness when continuing a match in spite of injury, integrity in ...making weight, and composure when maintaining self-control in spite of adverse and painful physical punishment. When I conducted a field study of a college wrestling team, I routinely took photographs during competition as a way to learn about the rules, procedures, techniques, and sites of action for this sport (Curry 1986, 1993).
Support workers are the group of staff that spends the most quality time with clients. As a result, healthcare assistants (HCAs) and assistant practitioners (APs) can find themselves in the position ...of being asked by patients and/or their families to discuss one of the most complex issues in healthcare—assisted suicide. Although there are slight variations between the different countries of the UK, assisted suicide remains illegal and so HCAs and APs have to tread a fine line between listening to their clients’ concerns, but staying completely neutral where their own opinion is at stake.
The purpose of this study was to evaluate the relationship between the cardiac and sympathetic baroreflex sensitivities within healthy, young individuals. The gains in cardiac (as measured by changes ...in R‐R interval, RRI, and heart rate, HR) and sympathetic (as measured by changes in muscle sympathetic nerve activity, MSNA) baroreflex during rapid changes in arterial blood pressure were compared in 27 normotensive individuals (18 men and 9 women; age 24 yrs ±1.24; body mass index 24 ±0.51 cm/kg2, mean ±SEM). Heart rate, arterial blood pressure (brachial artery catheter), and peroneal MSNA were recorded under resting conditions (HR 58 ±1.6 bpm; SBP 124 ±2.7 mmHg; DBP 71 ±1.7 mmHg; MAP 87 ±1.7 mmHg; MSNA BF 17 ±1.6 bursts/min) as well as during rapid changes in arterial blood pressure induced by sequential boluses of nitroprusside and phenylephrine (Modified Oxford technique). Integrated baroreflex sensitivities for MSNA and HR were analyzed using the slopes of the linear portions of the MSNA‐diastolic blood pressure and RRI‐systolic blood pressure relationships, respectively. When individual cardiac baroreflex sensitivity was compared to sympathetic baroreflex sensitivity, no correlation (R2=0.0003) was found. These results indicate that although both cardiac and sympathetic efferents function in baroreflex control of the autonomic system, there does not appear to be a direct correlation in their function within healthy normotensive individuals.
Research Support: NIH HL083947 and Swedish Medical Council grant 12170
Payment by results Curry, Tim
Nursing management (Harrow, London, England)
12, Številka:
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Journal Article
Recenzirano
Payment by results is the government's plan designed to give patients economic power by ensuring that funds follow them as they seek the best service available from many providers. This article ...concludes that there is no evidence to suggest that a fixed price system in itself will promote better quality and efficiency in delivering care, but there is evidence that market pressures can create efficiency gains. Payment by results is an ambitious and radical agenda, and nurses at all levels need to think carefully about its implications and how it will affect their workplaces. (Quotes from original text)
In an introduction to a special journal issue (see abstracts of related articles), the persistence of subtle racial biases in contemporary baseball following the Jackie Robinson era of racial ...acceptance in US sports is explored. Data from an unpublished honors project reveal disparities in racial distributions across field positions: black athletes are overrepresented in the outfield & underrepresented in the infield, particularly as the shortstop & catcher. One account offered for this discrepancy suggests that racial stereotypes, supported by the media, pigeonhole black players into positions assumed to require physical rather than intellectual ability. 1 Figure, 1 Reference. J. Goldshmidt
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