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• Brown, L R 1990-01-01 The destruction of the environment has accelerated since the Earth Day of 1970, the world's population has increased by another 1.6 billion, and over 500 million acres of forest have been lost. Carbon dioxide levels, greenhouse gases, and chlorofluorocarbons have increased in the atmosphere with evidence that global warming has started. The ozone hole has appeared, acid rain has destroyed forests, air pollution in major northern hemisphere cities has worsened, and species are disappearing, while toxic chemicals have been dumped indiscriminately. World grain production has fallen while population has increased. In Europe 14 countries have stabilized their population, and Japan, France, and Finland are on the way to zero growth.

Reduction of high fertility in 1/2 could halt the deterioration of living conditions. Japan and China achieved this within a decade. Energy efficiency has to be attained; US cars still consume too much gas. Solar energy with photovoltaic cells to provide power, fuel alcohol from plants, and solar thermal power plants have potential. Semiarid regions, such as northern Africa, could become major producers of solar energy. Various measures are mandatory to cut down on waste: to recycle paper bags, to use standardized glasses for beverages, and to utilize scrap metal in electric arc steel furnaces. Reforestation is also on the agenda, as major deforestation has occurred in the Brazilian Amazon region, in India, and in Europe because of acid rain.

Australia's national plan envisions planting 1 billion trees, and the US project is of similar magnitude during the 1990s. Only the US has succeeded in erosion control and topsoil stabilization when it converted erodible cropland into grassland or woodland during 1986-90. • Tom Andrews, RN, B.Sc. (Hons, M.Sc., Ph.D. 2005-03-01 Full Text Available The research aims were to investigate the difficulties ward staff experienced in detecting deterioration and how these were resolved. The emphasis within the literature tends to be on identifying premonitory signs that may be useful in predicting deterioration. Changes in respiratory rate is the most consistent of these (Fieselmann et al.

1993; Sax and Charlson 1987; Schein et al. 1990; Smith and Wood 1998 but in common with other signs, it lacks sensitivity and specificity. The sample consisted of 44 nurses, doctors (Interns and health care support workers from a general medical and surgical ward. Data were collected by means of nonparticipant observations and interviews, using grounded theory as originated by (Glaser and Strauss 1967 and (Glaser 1978. As data were collected, the constant comparative method and theoretical sensitivity were used as outlined in grounded theory. A core category of “visualising deteriorating conditions” emerged, together with its sub-core categories of “intuitive knowing”, “baselining” and “grabbing attention”.The main concern in visualising deteriorating conditions is to ensure that patients suspected of deterioration are successfully referred to medical staff.

The aim is to convince those who can treat or prevent further deterioration to intervene. Through intuitive knowing they pick up that patients have changed in a way that requires a medical assessment. To make the referral more credible, nurses attempt to contextualise any changes in patients by baselining (establishing baselines. Finally with the backup of colleagues, nurses refer patients by providing as much persuasive information as possible in a way that grabs attention. The whole process is facilitated by knowledge and experience, together with mutual trust and respect.

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