bluuebunny/crossref_metadata_2025_split huggingface dataset:
Sporotrichoid Mycobacterium marinum infection of the face following a cat scratch
Authors: Phan Tai Anh , Relic John 
Published: February 2010

ABSTRACT Mycobacterium marinum infections in humans uncommonly affect the face and are not known to be associated with cat scratches. We describe a 24‐year‐old woman who presented with a 3‐month history of multiple tender, occasionally discharging cystic nodules involving the left side of her face in a sporotrichoid distribution. She had suffered a cat scratch to her left lower eyelid 3 weeks before the onset of the eruption and owned multiple tropical fish tanks. She was systemically well and had no lymphadenopathy. She had a background history of a 4.5‐mm‐thick nodular melanoma of her temple treated by wide local excision and negative sentinel lymph node biopsy 4 years prior. Skin biopsies showed multiple variably sized granulomas surrounded by thick cuffs of lymphocytes involving the superficial and deep dermis with no organisms seen on Ziehl–Neelsen, peroidic acid‐Schiff and methenamine silver stains. Laboratory investigations showed a mildly raised erythrocyte sedimentation rate but normal full blood count and C‐reactive protein. Fluid from the left cheek grew an acid‐fast bacillus identified as Mycobacterium marinum. The skin eruption cleared after 5‐month treatment with oral clarithromycin 500 mg twice daily and rifampicin 600 mg daily.
Hyaluronidase allergy: A rare cause of periorbital inflammation
Authors: Borchard Kate , Puy Robert , Nixon Rosemary 
Published: February 2010

ABSTRACTHyaluronidase is a bovine or ovine testicular protein that is used as an adjunct to co‐administered medicaments and fluids to enhance their dispersion and absorption through the degradation of hyaluronan. While it is a known potential allergen, there are few reports of hyaluronidase hypersensitivity. A 56‐year‐old lady presented 8 hours post glaucoma surgery with ipsilateral lacriminorrhoea, periorbital erythema, oedema, proptosis, pruritis and conjunctival chemosis. Right ocular motility was restricted and visual acuity was reduced. The reaction settled with oral corticosteroids and antihistamines. Hyaluronidase allergy was confirmed on skin prick testing. Hyaluronidase allergy is rare. In the few cases reported, reactions occurred at various doses and were acute (intraoperative), early (within hours), intermediate (within days) or delayed (within weeks). Anaphylaxis has also been described. Primary sensitization appears to be a prerequisite for most reactions. The variability in onset of symptoms and the response to skin testing would suggest that type I and type IV hypersensitivity may both contribute to this response. In this case, the timing fitted with a late phase type 1 reaction. This case shows that despite being less common than haemorrhage for acute reactions and infection for delayed reactions, allergy can account for orbital inflammation following ophthalmic surgery.
Amoebiasis cutis: Clinical suspicion is the key to early diagnosis
Authors: Verma Ghanshyam K , Sharma Nand Lal , Shanker Vinay , Mahajan Vikram K , Kaushik Rajani , Verma Santwana , Jindal Nidhi 
Published: February 2010

ABSTRACTAmoebiasis cutis is a rare manifestation of Entamoeba histolytica, primarily an intestinal pathogen, which occurs as a complication of amoebic dysentery. Primary cutaneous amoebiasis occurs from contamination of pre‐existing wounds. A high degree of clinical suspicion and demonstration of trophozoites from lesions are important for making an early diagnosis lest these patients should suffer significant morbidity. A HIV‐negative and otherwise healthy 40‐year‐old man presented with a well‐defined, indurated, painful, progressively enlarging plaque with overlying ulcers and pus discharging sinuses involving buttocks, perianal/perineal area and part of the left thigh of 3 years' duration. A wide array of investigations was unhelpful but demonstration of Entamoeba histolytica trophozoites in wet‐drop preparation from the ulcer margin was diagnostic. The trophozoites were also visualized both in H&E and periodic acid Schiff‐stained histological sections. Resolution of lesion was observed 2 weeks after treatment with oral metronidazole 800 mg three times a day and wound care.
True blue football fan: Tattoo reaction confined to blue pigment
Authors: Yoong Corinne , Vun Yin Yin , Spelman Lynda , Muir James 
Published: February 2010

ABSTRACTA tattoo reaction which appeared solely on the blue pigment of a 6‐month old red and blue football club tattoo of an ardent fan was investigated. The patient was otherwise asymptomatic and no other abnormality was detected on full physical examination. Histology revealed a florid sarcoidal granuloma reaction to blue pigment. Preliminary investigations for systemic sarcoidosis did not reveal any abnormality. The tattoo reaction flattened clinically with the institution of a short course of topical mometasone furoate 0.1% ointment and as the subject remained asymptomatic, close surveillance for the development of systemic sarcoidosis is to continue. The possibility of delayed type hypersensitivity is discussed.
Simultaneous scrofuloderma and intracranial tuberculomas: A rare presentation of systemic tuberculosis
Authors: Wong Kenneth Kien Siang , Oliver Guy Fergus 
Published: February 2010

ABSTRACTTuberculosis can involve multiple organ systems concurrently. We report a case of simultaneous brain tuberculomas and scrofuloderma occurring in the same patient. Skin biopsies confirmed scrofuloderma and the patient was successfully treated for tuberculosis with resolution of the brain masses. This case illustrates the importance of dermatological manifestations of systemic disease as an accessible source for diagnosis and guidance in appropriate therapy.
Bilateral tibialis anterior muscle herniation simulating a soft tissue tumour in a young amateur football player
Authors: Ceyhan Ali Murat , Chen Wenchieh , Yener Mahmut , Yildirim Mehmet , Yesildag Ahmet , Akkaya Vahide Baysal 
Published: February 2010

ABSTRACTMuscle herniation is a focal protrusion of muscle tissue through a defect in the deep fascial layer. Anterior tibial muscle is the most commonly affected muscle of the lower extremities because its fascia is the most vulnerable to trauma. Clinically it is characterized by asymptomatic or painful, skin‐coloured, soft, subcutaneous nodules of various size depending on the position. The diagnosis is usually made clinically based on its typical manifestations, but ultrasonographic examination is useful for detecting the fascial defect and excluding other conditions caused by soft tissue tumours such as lipomas, angiolipomas, fibromas, scwhannomas or varicosities. Although this entity is not rare, it has been less well documented in the dermatological literature. We report a case of bilateral tibialis anterior muscle herniation mimicking a soft tissue tumour in a young amateur football player.
Early‐stage testicular cancer: A rare association with dermatomyositis
Authors: Tan Eugene , Young David , McLaren Blair , Wright Alan 
Published: February 2010

ABSTRACTDermatomyositis has a known association with malignancy. We report a case of dermatomyositis occurring in early‐stage testicular cancer where the patient was in remission. It stresses the importance of considering testicular cancer as an association with dermatomyositis, as it is a potentially curable malignancy.
Allergic contact dermatitis to propyl gallate and pentylene glycol in an emollient cream
Authors: Foti Caterina , Bonamonte Domenico , Cassano Nicoletta , Conserva Anna , Vena Gino A. 
Published: February 2010

ABSTRACTA 62‐year‐old man, with a 20‐year history of seborrhoeic dermatitis, presented with a worsening of his dermatitis. He had previously been demonstrated to be allergic to various topical corticosteroids, so he had been using an emollient cream (Sebclair®), containing piroctone olamine and various anti‐inflammatory substances, for 6 months, with good effect. Patch testing to the cream and its ingredients revealed positive reactions to both propyl gallate and pentylene glycol. A positive reaction to propylene glycol was also detected, whereas patch testing to butylene glycol was negative. Complete remission followed avoidance of the offending substances.
Types and timing of breastfeeding support and its impact on mothers' behaviours
Authors: Kervin Beth E , Kemp Lynn , Pulver Lisa Jackson 
Published: February 2010

Aim:  To determine the types and timing of breastfeeding support for mothers of newborn babies and the extent to which this affects breastfeeding intentions and behaviours in a region with low rates of breastfeeding initiation and duration.Methods:  A cross‐sectional study by interviewer‐administrated questionnaire was undertaken of women birthing at a large teaching hospital in South Western Sydney, between August and October 2006 (n= 164), with a 2‐week follow‐up of breastfeeding or breastfeeding‐intending women (n= 107). Types, timing and satisfaction with personal and professional sources of support (e.g. antenatal classes, help at birth, practical lessons on how to breastfeed, providing information, and attitude towards breastfeeding) and the impact of these on breastfeeding intention and behaviours were assessed.Results:  Most women had intended to breastfeed (76.2%), and, within the first 24 hours, 77.4% of babies were breastfed to some extent (45.1% exclusively), and at 2 weeks 65.9% were breastfed (9.7% exclusively). Women felt most supported by their partners and least supported by their health‐care team. Antenatal classes, breastfeeding help within half an hour of birth and positive health‐care team attitudes were related to improved breastfeeding intentions and behaviours. However, these supports were infrequently reported. Personal support was commonly reported although support delivered by professionals was related to better breastfeeding behaviours.Conclusion:  Despite the effectiveness of professional support interventions, particularly those delivered in the antenatal and immediate post‐natal period, access to these sources of support was very low. For breastfeeding outcomes to be improved, effective professional support strategies need to be much more widely available.
‘Everybody expects the perfect baby … and perfect labour … and so you have to protect yourself ’: discourses of defence in midwifery practice in Aotearoa / New Zealand
Authors: Surtees Ruth 
Published: February 2010

SURTEES R. Nursing Inquiry 2010; 17: 82–92 ‘Everybody expects the perfect baby … and perfect labour … and so you have to protect yourself ’: discourses of defence in midwifery practice in Aotearoa / New ZealandIncreasing fears of litigation among those involved in childbirth impact differently on the 40 midwives I interviewed and observed in the field during the course of my doctoral research. ‘Defensive practice’ within a culture of ‘risk’ was a theme that emerged strongly from the interview transcript data from this study, the primary aim of which was to analyse the actions between women and midwives that constitute midwifery partnerships. The context for the analysis was a large ethnographic study undertaken with a variety of midwives working in a main city in Aotearoa/New Zealand in 2003. Complex and contesting forms of knowledge production were analysed drawing on insights from Foucauldian‐influenced discourse analysis. My work highlights the ways in which the practices of contemporary midwives in Aotearoa/New Zealand are caught within the intersection of an array of competing discourses. In the data from my study, the midwives talked of their complex negotiations of time and space, and their abilities to balance elements of risk within realms of restraint and responsibility in partnership with women. For the midwives I interviewed, ‘keeping ourselves safe’ takes place in different locations. Risk is located by some midwives as within the birthing body, and by some, within the spaces of labour ward itself. Both labouring bodies in the midwifery partnership, however, that of the pregnant body of the woman, and that of the working body of the midwife, together occupy spaces of risk/safety where they are amenable to various, and increasingly subtle, forms of governance.
Intervention to enhance empowerment in breast cancer self‐help groups
Authors: Stang Ingun , Mittelmark Maurice B 
Published: February 2010

STANG I and MITTELMARK MB. Nursing Inquiry 2010; 17: 47–57 Intervention to enhance empowerment in breast cancer self‐help groupsAs arduous psychological reactions and loss of control almost inevitably represent a challenge for women diagnosed and treated for breast cancer, a participatory intervention study was initiated that aimed to enhance empowerment in breast cancer self‐help groups. Women newly diagnosed with breast cancer were invited to participate. The intervention encompassed three professionally led self‐help groups running sequentially, each group for approximately 4 months. Each group of five to seven participants met weekly. Several empowerment strategies were initiated by two professional facilitators, aiming to promote empowerment processes and to manage stress. The participants experienced group participation as both empowering and as a valuable source of support, and although the group processes developed very differently, a strong sense of fellowship developed in all three groups. The discussion highlights the findings in relation to several theoretical perspectives including social capital, social cohesion, risky agreements, helper‐therapy and power/empowerment. We conclude that empowerment strategies that are implemented in professionally led breast cancer self‐help groups can contribute to participant empowerment and function as an important source of re‐discovery and confirmation of the participants’ strengths and abilities.
The textual organization of placement into long‐term care: issues for older adults with mental illness
Authors: Lane Annette , McCoy Liza , Ewashen Carol 
Published: February 2010

LANE A, McCOY L and EWASHEN C. Nursing Inquiry 2010: 17: 3–14 The textual organization of placement into long‐term care: issues for older adults with mental illnessArranging placement of older adults from hospital mental health units into nursing homes or assisted living facilities can be difficult and protracted. The difficulty in placing these individuals is often attributed to stigma; that is, personnel in nursing homes are reluctant to accept mentally ill older adults because of the fear of mental illness and violence. Using an institutional ethnographic approach, we argue the importance of exploring how nursing home access is organized, especially the institutional process of placement. Our study, examining the process of placing older adults from mental health units into nursing homes or assisted living facilities within a western Canadian city, reveals how three specific textual points within the institutional process of placement do not work well for older adults with mental illness. These textual points include: constructing the older adult as a ‘placeable’ person, the first‐level match and the second‐level match. After exploring why the three specific points in the process do not work well for mentally ill individuals, we reconsider the explanation of stigma, and then suggest implications for change.
Public health nursing practice with ‘high priority’ families: the significance of contextualizing ‘risk’
Authors: Browne Annette J , Hartrick Doane Gweneth , Reimer Joanne , MacLeod Martha LP , McLellan Edna 
Published: February 2010

BROWNE AJ, HARTRICK DOANE G, REIMER J, MacLEOD MLP and McLELLAN E. Nursing Inquiry 2010; 17: 27–38 Public health nursing practice with ‘high priority’ families: the significance of contextualizing ‘risk’Public health nurses (PHNs) play a vital role in supporting families at risk; few studies, however, have focused on how PHNs actually work with families to provide support, build trust, and use their clinical judgment to make decisions in complex, at‐risk situations. In this study, we report on findings from research that illustrate how PHNs use relational approaches in their work with ‘high priority’ families. Drawing on data collected from interviews and focus groups with 32 PHNs, we discuss three central features inherent to working relationally with families at risk: (i) contextualizing the complexities of families’ lives; (ii) responding to shifting contexts of risk and capacity; and (iii) working relationally with families under surveillance. These findings show that the ability to recognize risk and capacity as intersecting aspects of families’ lives, and to practice from a stance that recognizes risk as contextualized is foundational to effective working relationships with high‐priority families.
Power in telephone‐advice nursing
Authors: Leppänen Vesa 
Published: February 2010

LEPPÄNEN V. Nursing Inquiry 2010; 17: 15–26 Power in telephone‐advice nursingPower is a central aspect of nursing, especially in telephone‐advice nursing, where nurses assess callers’ medical problems and decide what measures that need to be taken. This article presents a framework for understanding how power operates in social interaction between nurses and callers in telephone‐advice nursing in primary care in Sweden. Power is analysed as the result of nurses and callers being oriented to five social structures that are relevant to their actions in this context, namely the organization of telephone‐advice nursing, the social stock of medical knowledge, the professional division of labour between nurses and doctors, structures of social interaction and structures of emotions. While structural constraints govern some actions to a high degree, calls take place in an organizational free room that give nurses more leeway for acting more creatively. The discussion focuses on the introduction of new technologies of control, for instance computerized decision support systems and audio recording of calls, and on how they reduce the free room. Empirical data consist of 276 audio‐recorded telephone calls to 13 nurses at six primary‐care centres and of qualitative interviews with 18 nurses.
Dealing with the patient’s body in nursing: nurses’ ambiguous experience in clinical practice
Authors: Picco Elisa , Santoro Roberto , Garrino Lorenza 
Published: February 2010

PICCO E, SANTORO R and GARRINO L. Nursing Inquiry 2010; 17: 39–46 Dealing with the patient’s body in nursing: nurses’ ambiguous experience in clinical practiceThe core of nursing in western countries is interaction with the patient and with his/her body in particular. As all nursing practices revolve around caring for the patient’s body, nurses need to understand the frailty of the body, the intimacy surrounding it, the story it tells, as well as the discomfort and difficulties both illness and close contact can generate in the nurse–patient relationship. With this study, we wanted to explore the ward experiences of a small group of nurses in their day‐to‐day interaction with patients and their bodies, to highlight their perceptions and possible difficulties in providing care. We collected qualitative data from in‐depth interviews with 14 nurses working in departments of general internal medicine, neurology, and geriatrics. The interviews were conducted between April and June 2006 and interpreted using an interpretive phenomenological approach. Analysis of the interview transcripts revealed that while the nurses recognize the centrality of the body in nursing, they also expressed a certain ambiguity toward it: being able to improve a patient’s well‐being through attentive care to the body is a major source of job satisfaction, but various coping and defense strategies are deployed to overcome care‐giving situations that elicit avoidance or refusal reactions to the patient’s body.
A review of empathy education in nursing
Authors: Brunero Scott , Lamont Scott , Coates Melissa 
Published: February 2010

BRUNERO S, LAMONT S and COATES M.Nursing Inquiry2010;17: 65–74 A review of empathy education in nursingThe ability for nurse educators to improve the empathy skill set of nurses has been the subject of several studies with varied outcomes. The aim of this paper is to review the evidence for empathy education programmes in nursing and make recommendations for future nurse education. A review of CINAHL, Medline, Psych Info and Google Scholar was undertaken using the keywords empathy, person centredness, patient centredness, client centredness, education and nursing. The studies included were required to have measured the effectiveness of empathy training in postgraduate and or undergraduate nurses. The included studies incorporated both qualitative and quantitative methods and were published in peer‐reviewed journals. Studies were ranked for level of evidence according to The Joanna Briggs Institute criteria. Seventeen studies from the literature review were found that met the inclusion criteria. Of the 17 studies, 11 reported statistically significant improvements in empathy scores versus six studies that did not. Several variables may affect empathy education that need to be accounted in future studies such as; gender, cultural values and clinical speciality experience. Models of education that show most promise are those that use experiential styles of learning. The studies reviewed demonstrated that it is possible to increase nurses’ empathic ability.
An exploration of ruling relations and how they organize and regulate nursing education in the high‐fidelity patient simulation laboratory
Authors: Limoges Jacqueline 
Published: February 2010

LIMOGES J.Nursing Inquiry2010;17: 58–64 An exploration of ruling relations and how they organize and regulate nursing education in the high‐fidelity patient simulation laboratoryRecently, schools of nursing have adopted the use of high‐fidelity human patient simulators in laboratory settings to teach nursing. Although numerous articles document the benefits of teaching undergraduate nursing students in this way, little attention has been paid to the discourses and texts organizing this approach. This institutional ethnography uses the critical feminist sociology of Dorothy E. Smith to examine the literature and interviews with Practical and Bachelor of Science in Nursing students, and their faculty about this experience. The research shows how discourses rationalize and sustain certain processes at the expense of others. For example, ruling discourses such as biomedicine, efficiency, and the relational ontology are activated to construct the simulation lab as part of nursing and nursing education. The analysis also highlights the intended and unintended effects of these discourses on nursing education and discusses how emphasizing nursing knowledges can make the simulation lab a positive place for learning.