Steven D Spaner

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Little research is found in the nursing literature regarding appendicitis in the pregnant patient. Appendicitis in pregnancy is associated with: perforation of the appendix, peritonitis, and increased fetal and maternal mortality and morbidity. Preterm labor and early delivery may further complicate the pregnancy. Advanced practice nurses may encounter(More)
OBJECTIVE To compare the intraocular pressure (IOP) responses of self-identified African American and white participants in the Ocular Hypertension Treatment Study to therapeutic trials of topical, nonselective beta-adrenergic antagonists or prostaglandin analogues. METHODS Multivariate models that adjusted for baseline IOP and corneal thickness were used(More)
Following Anastasi and Thurstone, the factor structure of evaluative anxiety was examined among six groups of primary age boys and girls (N = 8064). A factor matching technique was used to study hypotheses about the effects of group differences in socioeconomic status (SES), ethnicity, and sex on the pattern of the children's responses to the Test Anxiety(More)
Buerger's disease (thromboangiitis obliterans) is rarely seen in most clinical practices. Many advanced practice nurses may only see one or two cases in their lifetime, and some hospital-based nurses may never see the disease. Information about this occlusive peripheral arterial disease must be obtained for the vascular nurse to care for patients with the(More)
Advanced practice nurses caring for patients with venous disease may not be aware of the patient's understanding of illness, including the disease process, treatment, or outcomes. The advanced practice nurse uses his or her interpretation of illness to teach patients. Greater congruence between the nurse's and patient's understanding may result in enhanced(More)
The inclusion in a multiple regression model of a predictor variable which is highly correlated with other prediotor variables is usually not recommended. The argument is that the new predictor variable is accouihing for variance which has already been accounted for in the model. The following discussion is a defense for the procedure of including highly(More)
A review of nursing literature revealed no studies regarding physical examination or other interventions (except unit based) for abdominal aortic aneurysms (AAA). The physician literature was explored, revealing an excellent meta-analysis in 1999 of studies before that date with regard to physician accuracy in physical examination for AAA. These are(More)
Over 50 million persons in the United States have hypertension, making it one of the most common abnormalities found in the perioperative patient. Often discovered during the preoperative assessment of the patient scheduled for surgery, hypertension raises many concerns in the perioperative period, including hemodynamic control during anesthesia,(More)