Duke Coal Could Suffer With Cold The national coal strike called by the United Mine Workers Union early this week left a number of industries wondering how their production would be affected and many thousands of workers across the country wondering if they will be laid off. The strike also raises questions at United States hospitals, and the hospital at Duke is no exception. The entire university, including the hospital, uses steam heat, but to produce the steam, coal is an essential part of the process. According to Joe J. Estill, head of engineering services at the physical plant, the weather and the duration of the strike are the two critical factors in whether or not the work stoppage will affect the hospital. Currently, he said, Duke has a supply of coal sufficient for 30 to 45 days of severe weather. If temperatures are mild, the supply will last for up to 120 days. But if the strike continues past those weather-dependent limits, the situation could cause concern since the selling of coal has ceased for the duration of the strike. In the meantime, officials at the university are keeping a close eye on the current coal stockpile here. If it appears the strike will be lengthy, certain energy saving measures will be taken, such as a general lowering of thermostats in non-critical areas. Fortunately, a union contract is expected to be signed and ratified by the union within the next two weeks. nteKcom duke univeusity mc6icM ccnteR. VOLUME 21, NUMBER 43 NOVEMBER 15,1974 At Nursing Workshop Students Witness Youth Involvement in Health DURHAM, NORTH CAROLINA More than 80 people from throughout the U.S. came to the School of Nursing recently to look at “youth in a changing culture” through the eyes of educators and the experiences of seven student nurses who have spent their summers and spare time working in local, national and international cultures. As the eighth workshop in a series of nine being sponsored by the School of Nursing, “Distributive Nursing and Youth in a Changing Culture” was designed to assist nursing faculties in preparing practitioners for distributive nursing (that is, a nursing practice designed for health maintenance which takes place primarily in the community), as well as to present a framework for linking this mode of nursing with today’s youth. One of the highlights of the two-day conference was a panel, moderated by nursing school instructor Pat Humphrey, of seven nursing students who ‘‘discussed what they’ve been doing on a voluntary basis to assist in improving health care throughout the world,” stated Joanne Hall, director of the distributive nursing project. “We can see,” she continued, “that you is not really the problem, as they have been often labeled. Youth is really the solution.” The students presented a wide-ranging view of their experiences in health care for different cultures. Their names and experiences follow; —Senior Marsha Bacon, who worked on a multi-disciplinary student health team, sponsored by the Student Medical Association, in Florida with farm laborers. —Sophomore Betsy Baldwin, who spent three summers working with “Amigas de las Americas” in rural South America. —Senior Karen Hilbert, who is working with the Human Sexuality Peer Information and Counseling Center on the Duke campus. —Senior Terri Kelley, who worked in a migrant project in eastern Virginia in the Co-Step Program of the U.S. Public Health Service. —Senior Marshall Sutton, who was a nurse with the Franciscan sisters at a medical center in Jordan, sponsored by the Pontifical Mission to Palestine, part of the Catholic Near East Welfare Agency. —Senior Karen Timlin, who works at the Edgemont Clinic in Durham, an outreach program offering primary health care for people in low income brackets. —Senior Kathy Ward, who spent last summer working at a mission hospital in West Africa, sponsored by the Christian and Missionary Alliance Church. According to Mrs. Hall, the conference centered around a variety of discussions on youth today—“by youth, ’ she said, “we are referring to adolescents and university-age populations.” Dr. Virginia Stone and several faculty members of the School of Nursing made conference presentations, as well as Dr. Lillian H. Bauder, sociologist from the University of Detroit; Joan Di Napoli, director of a continuing education project at the University of Texas; Celia tamper, clinical nurse specialist at the University of Wisconsin; Connie Mullinix, a family nurse practitioner for Orange and Chatham counties; and Dr. William Yancy, director of Duke’s Youth Clinic. Keynoting the conference, Dr. Bauder lectured on youth and youth movements. Dr. Yancy discussed adolescent medicine and the health care needs of the youth population. Mrs. Di Napoli offered a conference summary with comments on “re-experiencing youth” and the implications concerning youth for nursing and health care. Other participants from the School of Nursing included Theresa Horton, an associate professor of distributive nursing practice, and Anne Mandetta, a lecturer in human sexuality. . - fa" YOUTH AS THE SOLUTION—Student nurses participating in a recent School of Nursing workshop helped to show people from across the nation what they have been doing to improve health care all around the world. They include, left to right, Karen Timlin, Betsy Baldwin, Terri Kelley. Kathy Ward, Marsha Bacon, Marshall Sutton and Karen Hilbert. Hair Tells a Protein Story Holiday Pay Schedule The university has revised its pay schedule for all bi-weekly employees over the coming Thanksgiving and Christmas holidays. The new schedule, revised November 7, will include two separate one week pay checks to be issued on November 22 and on December 31. The pay schedule, through January 10,1975 when it will return to normal two-week intervals, is as follows; PAY AMOUNT OF PERIOD OF WORK DATE TIME WORKED FOR PAY Nov. 15 Nov. 22 Dec. 6 Dec. 20 Dec. 31 Jan.10 2 weeks 1 week 2 weeks 2 weeks 1 week 2 weeks Oct.28-Nov. 10 Nov. 11-17 Nov. 18-Dec. 1 Dec. 2-15 Dec. 16-22 Dec. 23-Jan. 5 By William Erwin Doctors may be able to judge some day whether a pregnant woman is eating enough protein simply by analyzing 100 hairs plucked from her head. Sorcery? Not at all, says Dr. Lowell A. Goldsmith, an associate professor of dermatology. Dr. Goldsmith recently received a $76,000 grant from the National Institutes of Health to prove that the test works. “Hair is very, very metabolically active, ” he explained. “Hair cells are always dividing and making proteins." This fast growth makes hair a sensitive indicator of the body's nutritional intake, he continued. “If someone has severe protein malnutrition, hairs plucked will have roots thinner than normal and with fewer cells than normal,” the professor said. For his study, Goldsmith will take hair samples from mothers-to-be three times during their pregnancies. He will gauge the diameter of the hair bulbs—the whitish sheaths exposed when hairs are pulled out. He will then dissolve some of the hairs in a liquid that has the same properties as hair removing creams. This will disclose how much protein and genetic material is in the hair bulbs. At the time the samples are taken, Goldsmith will question the patients about their eating and smoking habits. When the babies are born, he will note, among other things, how much (Continued on page 3)

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