To send content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about sending content to .
To send content items to your Kindle, first ensure firstname.lastname@example.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about sending to your Kindle.
Note you can select to send to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Clinical Nursing Skills provides students with a strong, industry-focused foundation in nursing across various clinical settings. It includes the essential theory as well as relevant practical examples, which illustrate the skills required to prepare students for the workplace and help them achieve clinical competence. Each chapter is written by leading academics and based on the registered nurse standards for practice. Pedagogical features include learning objectives, reflective questions, clinical tips, full-colour images, in-situ troubleshooting case studies, skills in practice case studies, keys terms and definitions, and research topics for further study. Clinical Nursing Skills is a highly practical and authoritative resource designed to educate the next generation of nurses. The book comes with free access to the VitalSource etext. This enhanced version of Clinical Nursing Skills houses homework assignments, tutorial assistance, guided solutions and additional content in one convenient resource, which you can download to your computer or mobile device.
The morbidity associated with bipolar disorder is, in part, responsible
for repeated calls for improved detection and recognition. No such
commentary exists for the improved detection of borderline personality
disorder. Clinical experience suggests that it is as disabling as bipolar
disorder, but no study has directly compared the two disorders.
To compare the levels of psychosocial morbidity in patients with bipolar
disorder and borderline personality disorder.
Patients were assessed with semi-structured interviews. We compared 307
patients with DSM-IV borderline personality disorder but without bipolar
disorder and 236 patients with bipolar disorder but without borderline
The patients with borderline personality disorder less frequently were
college graduates, were diagnosed with more comorbid disorders, more
frequently had a history of substance use disorder, reported more
suicidal ideation at the time of the evaluation, more frequently had
attempted suicide, reported poorer social functioning and were rated
lower on the Global Assessment of Functioning. There was no difference
between the two patient groups in history of admission to psychiatric
hospital or time missed from work during the past 5 years.
The level of psychosocial morbidity associated with borderline
personality disorder was as great as (or greater than) that experienced
by patients with bipolar disorder. From a public health perspective,
efforts to improve the detection and treatment of borderline personality
disorder might be as important as efforts to improve the recognition and
treatment of bipolar disorder.
We sought to determine attitudes toward patients with borderline personality disorder (BPD) among mental health clinicians at nine academic centers in the United States.
A self-report questionnaire was distributed to 706 mental health clinicians, including psychiatrists, psychiatry residents, social workers, nurses, and psychologists.
The study showed that most clinicians consider BPD a valid diagnosis, although nearly half reported that they preferred to avoid these patients. The clinician's occupational subgroup was significantly related to attitude. Staff nurses had the lowest self-ratings on overall caring attitudes, while social workers had the highest. Social workers and psychiatrists had the highest ratings on treatment optimism. Social workers and psychologists were most optimistic about psychotherapy effectiveness, while psychiatrists were most optimistic about medication effectiveness. Staff nurses had the lowest self-ratings on empathy toward patients with BPD and treatment optimism.
Negative attitudes persist among clinicians toward BPD, but differ among occupational subgroups. Overall, caring attitudes, empathy, and treatment optimism were all higher among care providers who had cared for a greater number of BPD patients in the past 12 months.
These findings hold important implications for clinician education and coordination of care for patients with BPD.
Dodder is a serious parasitic weed in the crops in which it is a problem (particularly citrus). Alternaria destruens is the active ingredient in a registered bioherbicide for control of dodder species. In greenhouse studies, the treatments applied to citrus parasitized with field dodder were a nontreated control; oil at 7.5% v/v in water; ammonium sulfate at 0.125% w/v in water; glyphosate at 0.02 kg ae/L; A. destruens at 1.8 × 1010 spores/L; A. destruens (1.8 × 1010 spores/L) + oil at 7.5% v/v in water; and a mixture of A. destruens (1.8 × 1010 spores/L) + oil at 7.5% v/v in water + glyphosate at 0.02 kg ae/L + ammonium sulfate 0.125% w/v (the mixture treatment). The highest disease or damage severity rating out of all treatments, measured as the area under the disease or damage progress curve (AUDPC), was obtained for the mixture treatment. By 35 d after treatment, all field dodder plants that received the mixture treatment were dead but the host plant, citrus, was not. These results indicate the feasibility of integrating glyphosate, ammonium sulfate, and A. destruens to manage dodder.