Angela P Clark

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OBJECTIVE Individuals with type 1 diabetes have decreased bone mineral density (BMD), yet the natural history and pathogenesis of osteopenia are unclear. We have previously shown that women with type 1 diabetes (aged 13-35 years) have lower BMD than community age-matched nondiabetic control subjects. We here report 2-year follow-up BMD data in this cohort(More)
BACKGROUND Prolonging the living-dying process with inappropriate treatment is a profoundly disturbing ethical issue for nurses in many practice areas, including the intensive care unit. Despite the frequent occurrence of such distressing events, research suggests that critical care nurses assume a limited role in end-of-life decision making and care(More)
BACKGROUND Excessive intravenous fluid prescription may play a causal role in postoperative complications following major gastrointestinal resectional surgery. The aim of this study was to investigate whether fluid and salt restriction would decrease postoperative complications compared with a more modern controlled liberal regimen. METHODS In this(More)
BACKGROUND Olfaction studies in the institution of Department of Otorhinolaryngology at Leicester Royal Infirmary have detected a previously unreported, variable phenomenon--'superosmia'--in which subjects' olfaction threshold concentrations are up to 100,000 smaller than the average value. OBJECTIVES The aim of this report is to define and quantify this(More)
OBJECTIVE To determine olfactory adaptation and clearance times for healthy individuals, and to assess the effect of common variables upon these parameters. STUDY DESIGN AND SETTING Fourteen healthy volunteers were recruited for a series of tests. Their initial olfactory threshold levels for phenethyl alcohol were determined. After olfactory exposure to a(More)
BACKGROUND In 1998, the National Association of Clinical Nurse Specialist (NACNS) developed the first ever core competencies for clinical nurse specialist (CNS) practice. PURPOSE This article describes the method used to develop, validate, and revise CNS core practice competencies. METHODS The stepwise method of identifying core CNS competencies(More)
Overview This project was designed to develop and disseminate nationally-endorsed criteria to guide the development, implementation and evaluation of Clinical Nurse Specialist (CNS) programs * in the U.S. The material presented here builds upon guidelines published in the Statement on Clinical Nurse Specialist Practice and Education (NACNS, 2004), and it(More)
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