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1

Meade, Elizabeth, Gema Munoz-Mozas, Nicole Moodley, and Jacqui Williams. "Clinical experiences of using ports and non-coring needles." British Journal of Nursing 28, Sup14a (July 2019): S16—S19. http://dx.doi.org/10.12968/bjon.2019.28.sup14a.s16.

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The following case studies describe the use of the Smith Medical implanted ports and Gripper huber needles. Smiths Medical produces a range of implanted ports that include the Port-A-Cath and P.A.S. Port Power P.A.C. systems. The ports are easy to implant, maintain and remove. They are lightweight and have features that are designed to reduce complication rates, including a highly compressed septum to increase needle retention, a titanium chamber with a gouge-resistant floor, a bevelled chamber for optimal rinsing, a round shape to avoid overturning and the Ultralock connection. They are available in various configurations, with single and dual lumens. There is also a needle for power-injection of contrast media for certain types of diagnostic imaging scans (Smith Medical 18). The Gripper Plus needle is designed with an emphasis on safety, effectiveness and patient comfort. These non-coring needles have a bevelled tip that sits flush with the back of the port without impeding the flow of fluid; this also prevents holes forming in the septum ( Barton et al, 2018 ). The needle is available in different gauges and lengths, which can be tailored to reflect individual patient needs and the amount of adipose tissue present. It is essential to select the correct size, which will reduce the risk of dislodgement. The Gripper needles are compatible with paclitaxel and lipid solutions, and are recommended by the National Institute for Occupational Safety and Health (NIOSH) (1999) . They are compatible with both the Port-a-Cath and P.A.S. Port Power P.A.C. systems, and can be ordered from the same manufacturer, which has the potential to make ordering, training and support more efficient.
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2

Bowden, M. F. "Audit: prescription of ‘as required’ (p.r.n.) medication in an in-patient setting." Psychiatric Bulletin 23, no. 7 (July 1999): 413–16. http://dx.doi.org/10.1192/pb.23.7.413.

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Aims and methodThis audit examines the quality of ‘as required’ (p.r.n.) prescribing for in-patients before and after standard setting.ResultsThere were improvements in writing oral/intramuscular prescriptions and in the use of different drugs regularly and p.r.n. There was a trend for improvement in completion of guidelines for those on high doses but completion was not influenced by hidden p.r.n. prescribing. Writing p.r.n. prescriptions as a ranged dose was common and did not improve significantly.Clinical implicationsBy using some simple measures, improvements in some aspects of potentially problematic p.r.n. medication can be achieved.
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3

Vagliani, G., R. Nannini, A. Bondi, A. Di Silverio, and M. Fini. "Prostatic Intraepithelial Neoplasm: Anatomo-Clinical and Follow-Up Trends." Urologia Journal 63, no. 2 (April 1996): 165–69. http://dx.doi.org/10.1177/039156039606300202.

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Cellular proliferation in the prostatic ducts and acini presents a morphological continuum from benign proliferation without cytological atypia (hyperplasia) to proliferations with different degrees of dysplasia. The term prostatic intraepithelial neoplasm (P.I.N.) indicates the theoretical morphological extremity of that continuum. The criteria for differentiating P.I.N. into three grades are to be found in the cytological and architectural aspect as well as the integrity of the basal cell layer and the basal membrane. Clinically P.I.N. is strongly associated with prostatic carcinoma and diagnosis should be followed by further investigations for a co-existing carcinoma. All the elements (age, severity of P.I.N., P.S.A., D.R.E. and T.R.U.S. characteristics) which may be used for correct follow-up are discussed, as well as possible therapeutic options.
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4

Nunes, Charlotte. "‘A Cracked Sheet-Glass Mirror’: Conditions of Collaboration at the 1945 P.E.N. All-India Writers’ Conference." Literature & History 28, no. 1 (May 2019): 66–86. http://dx.doi.org/10.1177/0306197319829375.

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This article examines how P.E.N., an organisation born in imperial Britain, endeavoured in some cases and floundered in others to create conditions for collaboration between Indian and British writers. Drawing on the P.E.N. archives at the Harry Ransom Center (HRC), I examine communication among and between Indian and British writers in P.E.N.'s orbit during the World War II era and leading up to the Indian Independence Act of 1947. As a forum for collaboration among writers internationally not only to develop writing and editing projects together, but also to forge a unifying conception for the modern era of the relationship between literature and political freedom, P.E.N. aimed to create opportunities for exchange among Indian and British writers. Analysing Indian writers' articulation of the necessary conditions for cross-imperial collaboration, I consider how mutuality was compromised under political conditions of imperialism hinging on hierarchal notions of culture.
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5

Milton, John, John Lawton, Mark Smith, and Ann Buckley. "Hidden high-dose antipsychotic prescribing: effects of p.r.n. doses." Psychiatric Bulletin 22, no. 11 (November 1998): 675–77. http://dx.doi.org/10.1192/pb.22.11.675.

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Aims and methodThe Royal College of Psychiatrists' Consensus Statement on “The use of high-dose antipsychotic medication’ suggests only fully qualified psychiatrists (MRCPsych) should recommend the prescribing of high-dose antipsychotic treatment. We observed changes in anti-psychotic prescribing in two surveys of psychiatric in-patients conducted eight and 32 months after publication of the Consensus Statement.ResultsOverall mean chlorpromazine equivalent doses of antipsychotic drugs reduced between the surveys. When p.r.n. (as required) prescribing (usually done by junior doctors) is included, mean potential doses and numbers of patients who might receive ‘high-doses' increases substantially, although the reduction between surveys in total mean dose and proportion of patients on high-dose antipsychotic medication is preserved, and the actual use of p.r.n. medication was low (4–5% of p.r.n. prescriptions).Clinical implicationsWe recommend the development of local guidelines for junior staff concerning antipsychotic drug prescribing, regular monitoring of p.r.n. medication by consultants, and pharmacists' involvement in reviews of patients prescribed high-dose antipsychotic medication.
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6

Ridge, Emily. "Bureaucracy across Borders: Administering Cosmopolitan Hospitality at the English P.E.N., 1930–1945." Modernist Cultures 16, no. 3 (August 2021): 367–84. http://dx.doi.org/10.3366/mod.2021.0339.

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From its inception, hospitality was inscribed in the vision of the English P.E.N., one of its stipulated aims being to provide a ‘vehicle for friendliness and hospitality’. Yet several writers who took leading administrative and representational roles during the 1930s and 1940s – Storm Jameson, E. M. Forster and J. B. Priestley, for example – were uncomfortable with the kinds of hospitality the P.E.N. sometimes purported to offer. They were concerned about the wartime propriety of elaborate lunches, dinners and parties. At the same time, this was an organisation that also tirelessly advocated for more substantial forms of refuge for displaced writers. Drawing on extensive archival material, this essay will examine some of the ambiguities embedded in the P.E.N.’s conception of hospitality during this period: the perceived clash between a social etiquette of hospitality (expressed through P.E.N. social gatherings) and a wider politics of hospitality (expressed in its drive to facilitate refugee reception in Britain).
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7

Bruno, Christophe. "Psycho-Academic Dérive – A Proposal." A Peer-Reviewed Journal About 3, no. 1 (June 1, 2014): 194–97. http://dx.doi.org/10.7146/aprja.v3i1.116098.

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This artistic intervention presents a Psycho-Academic Dérive (P.A.D.), a post-digital humanities project about the interrelations between art, academy and the corporate world. P.A.D. establishes a correspondence between dérive in physical space and dérive in conceptual space, which blurs the border between digital and post-digital — if ever it is possible to blur it more.
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8

McLaren, Stuart, Frederick W. A. Browne, and Pamela J. Taylor. "A Study of Psychotropic Medication Given ‘As Required’ in a Regional Secure Unit." British Journal of Psychiatry 156, no. 5 (May 1990): 732–35. http://dx.doi.org/10.1192/bjp.156.5.732.

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Within the setting of a regional secure unit, all doses of medication given p.r.n. over three months were ascertained and the details of each administration determined from prescription charts and a semistructured interview with the nursing staff involved. Thirty-two patients were resident for all or part of the study, all compulsorily detained. Only 15 were given medication p.r.n.) compared with the other patients they were significantly younger and more likely to be detained under civil orders than under the criminal provisions of the Mental Health Act 1983. Rarely was the medication the sole intervention in a crisis. In terms of effects on the overall treatment programme of the patient, medication given p.r.n. seemed to have an impact in only one small subgroup.
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9

&NA;. "ADVICE P.R.N." Journal of Pediatric Orthopaedics 15, no. 8 (August 1985): 11–16. http://dx.doi.org/10.1097/01241398-198508000-00003.

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&NA;. "ADVICE P.R.N." Nursing 40, no. 11 (November 2010): 10–11. http://dx.doi.org/10.1097/01.nurse.0000389028.56630.1e.

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&NA;. "ADVICE P.R.N." Nursing 41, no. 1 (January 2011): 12. http://dx.doi.org/10.1097/01.nurse.0000391348.76809.5f.

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&NA;. "ADVICE P.R.N." Nursing 41, no. 3 (March 2011): 14–15. http://dx.doi.org/10.1097/01.nurse.0000394113.43823.43.

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&NA;. "ADVICE P.R.N." Nursing 41, no. 5 (May 2011): 14. http://dx.doi.org/10.1097/01.nurse.0000396444.97122.ac.

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&NA;. "ADVICE P.R.N." Nursing 41, no. 7 (July 2011): 10–11. http://dx.doi.org/10.1097/01.nurse.0000398644.85502.eb.

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&NA;. "ADVICE P.R.N." Nursing 41, no. 9 (September 2011): 18–19. http://dx.doi.org/10.1097/01.nurse.0000403273.06546.92.

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&NA;. "ADVICE P.R.N." Nursing 41, no. 11 (November 2011): 12–13. http://dx.doi.org/10.1097/01.nurse.0000406501.06943.d7.

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&NA;. "ADVICE P.R.N." Nursing 42, no. 1 (January 2012): 10–11. http://dx.doi.org/10.1097/01.nurse.0000408476.90455.0a.

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&NA;. "ADVICE P.R.N." Nursing 42, no. 3 (March 2012): 15. http://dx.doi.org/10.1097/01.nurse.0000411414.06409.8d.

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&NA;. "ADVICE P.R.N." Nursing 42, no. 5 (May 2012): 12–13. http://dx.doi.org/10.1097/01.nurse.0000413622.89980.2a.

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&NA;. "ADVICE P.R.N." Nursing 42, no. 7 (July 2012): 10. http://dx.doi.org/10.1097/01.nurse.0000415318.55219.8f.

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&NA;. "ADVICE P.R.N." Nursing 42, no. 9 (September 2012): 10–11. http://dx.doi.org/10.1097/01.nurse.0000418688.56572.d7.

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&NA;. "ADVICE P.R.N." Nursing 42, no. 11 (November 2012): 10–11. http://dx.doi.org/10.1097/01.nurse.0000421382.13241.00.

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&NA;. "ADVICE P.R.N." Nursing 43, no. 1 (January 2013): 10–11. http://dx.doi.org/10.1097/01.nurse.0000423967.54142.30.

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&NA;. "ADVICE P.R.N." Nursing 43, no. 5 (May 2013): 16–17. http://dx.doi.org/10.1097/01.nurse.0000428706.58507.e6.

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&NA;. "ADVICE P.R.N." Nursing 43, no. 7 (July 2013): 12–13. http://dx.doi.org/10.1097/01.nurse.0000431142.28275.d2.

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&NA;. "ADVICE. P.R.N." Nursing 24, no. 10 (October 1994): 10–14. http://dx.doi.org/10.1097/00152193-199410000-00006.

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&NA;. "ADVICE, P.R.N." Nursing 24, no. 11 (November 1994): 11–14. http://dx.doi.org/10.1097/00152193-199411000-00005.

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&NA;. "ADVICE, P.R.N." Nursing 25, no. 1 (January 1995): 15–17. http://dx.doi.org/10.1097/00152193-199501000-00012.

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&NA;. "Advice, P.R.N." Nursing 25, no. 2 (February 1995): 10. http://dx.doi.org/10.1097/00152193-199502000-00003.

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&NA;. "ADVICE, P.R.N." Nursing 25, no. 4 (April 1995): 10–14. http://dx.doi.org/10.1097/00152193-199504000-00004.

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&NA;. "ADVICE, P.R.N." Nursing 25, no. 5 (May 1995): 15–17. http://dx.doi.org/10.1097/00152193-199505000-00008.

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&NA;. "Advice, P.R.N." Nursing 25, no. 8 (August 1995): 9–10. http://dx.doi.org/10.1097/00152193-199508000-00002.

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&NA;. "Advice, P.R.N." Nursing 25, no. 10 (October 1995): 9–11. http://dx.doi.org/10.1097/00152193-199510000-00005.

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&NA;. "ADVICE, P.R.N." Nursing 25, no. 12 (December 1995): 14–15. http://dx.doi.org/10.1097/00152193-199512000-00011.

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&NA;. "Advice, P.R.N." Nursing 25, no. 2 (February 1995): 10. http://dx.doi.org/10.1097/00152193-199525020-00003.

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&NA;. "Advice, P.R.N." Nursing 25, no. 8 (August 1995): 9–10. http://dx.doi.org/10.1097/00152193-199525080-00002.

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&NA;. "Advice, p.r.n." Nursing 26, no. 2 (February 1996): 12–14. http://dx.doi.org/10.1097/00152193-199602000-00003.

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&NA;. "Advice, p.r.n." Nursing 26, no. 3 (March 1996): 10–12. http://dx.doi.org/10.1097/00152193-199603000-00002.

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&NA;. "Advice p.r.n." Nursing 26, no. 4 (April 1996): 12. http://dx.doi.org/10.1097/00152193-199604000-00003.

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&NA;. "Advice, p.r.n." Nursing 26, no. 5 (May 1996): 12–15. http://dx.doi.org/10.1097/00152193-199605000-00003.

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&NA;. "Advice p.r.n." Nursing 26, no. 7 (July 1996): 10. http://dx.doi.org/10.1097/00152193-199607000-00002.

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&NA;. "Advice, p.r.n." Nursing 26, no. 10 (October 1996): 18–19. http://dx.doi.org/10.1097/00152193-199610000-00009.

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&NA;. "Advice, p.r.n." Nursing 26, no. 12 (December 1996): 12–14. http://dx.doi.org/10.1097/00152193-199612000-00007.

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&NA;. "Advice, p.r.n." Nursing 26, no. 2 (February 1996): 12–14. http://dx.doi.org/10.1097/00152193-199626020-00003.

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&NA;. "Advice, p.r.n." Nursing 26, no. 3 (March 1996): 10–12. http://dx.doi.org/10.1097/00152193-199626030-00002.

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&NA;. "Advice p.r.n." Nursing 26, no. 4 (April 1996): 12. http://dx.doi.org/10.1097/00152193-199626040-00003.

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&NA;. "Advice, p.r.n." Nursing 26, no. 5 (May 1996): 12–15. http://dx.doi.org/10.1097/00152193-199626050-00003.

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&NA;. "Advice p.r.n." Nursing 26, no. 7 (July 1996): 10. http://dx.doi.org/10.1097/00152193-199626070-00002.

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&NA;. "Advice, p.r.n." Nursing 27, no. 1 (January 1997): 12–16. http://dx.doi.org/10.1097/00152193-199701000-00006.

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&NA;. "Advice, p.r.n." Nursing 27, no. 7 (July 1997): 12–13. http://dx.doi.org/10.1097/00152193-199707000-00006.

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