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Teaching holistic nursing using clinical simulation: A pedagogical essay  [cached]
Mary Ann Cordeau
Journal of Nursing Education and Practice , 2012, DOI: 10.5430/jnep.v3n4p40
Abstract: Major nursing organizations that set standards for nursing practice and education emphasize the holistic nature of nursing practice. The patient-centered approach to holistic healing requires specialized knowledge, skills, and attitudes that move the student from focusing on the patient as an individual with physiological and/or psychological problems to a person on a healing journey. Strategies that foster the development of such knowledge, skills, and attitudes are necessary to prepare students to provide holistic care. Clinical simulation, an active teaching/learning strategy is effective for teaching holistic nursing practice. This pedagogical essay presents a holistic nursing clinical simulation scenario and grading rubric.
Comparison of the frequency of nausea and vomitting, patients, and surgeons, satisfaction based on different anesthesia techniques in cataract surgery
Jabal Amoli,Noryan Najaf Abadi
Journal of Mazandaran University of Medical Sciences , 2006,
Abstract: Background and purpose: Cataract surgery is the most frequent surgery in old patients. Forty six percent of people older than 75 years of age have cataract. These elderly patients frequently have associated diseases. It is important to select the best anesthetic method with least complications. This study compared 3 anesthetic methods. Regarding to patients, and surgens, comfort, frequency of nausea and vomiting in the patients undergoing cataract surgery.Materials and Methods: This cross sectional observational study with simple sample recruitment was performed on 120 patients divided in three groups of 40 cases, with general anesthesia, topical anesthesia +light IV sedation and local anesthesia + light IV sedation in summer 2004 in Feiz Medical Center. Data collected using check list. One way Anova and Chi-square tests were used to compare mean qualitative and frequency of qualitative variables. The level of statistical significance was set at P< 0.05.Results: There were significant differences in mean score of surgeons, and patients, comfort, mean severity of nausea after surgery and mean score of pain between 3 groups (P<0.001). There was no significance difference in frequency of vomiting after surgery between 3 groups (P=0.33)Conclusion: It has been suggested that topical anesthesia +light IV sedation is a safe and effective method for cataract surgery.
CATARACT
SARFRAZ HUSAIN SYED,MUHAMMAD ARIF,DR. MUHAMMAD SULTAN
The Professional Medical Journal , 2010,
Abstract: Objective: To observe the tendency of corticosteroids to raise the intraocular pressure after prolonged use of 0.1% dexamethasone eye drops during post operative period of cataract extraction. Study Design: Observational study. Period: From August 2008 to December 2009. Subjects and Setting: In the study 50 patients were included. These patients had age related cataract in one or both eyes.The IOP of every patient was measured preoperatively with the help of Goldman applanation tonometer. After cataract extraction, every patient received 0.1% dexamethasone eye drops four times a day for one month. The IOP was measured fortnightly. Setting: Department ofOphthalmology, Allied Hospital, Faisalabad and the clinics of the authors. Results: Topical administration of 0.1% Dexamethasone EyeDrops ,four times a day for one month after age related cataract extraction caused elevation of intraocular pressure more than 21 mm Hg in 8% of general population.
A Multidisciplinary survey on controversies in the use of EUS-guided FNA: assessing perspectives of surgeons, oncologists and gastroenterologists
Jesse Lachter, Yoav Rosenthal, Yoram Kluger
BMC Gastroenterology , 2011, DOI: 10.1186/1471-230x-11-117
Abstract: The aim of this study was to compare approaches among involved/relevant physicians to the controversies surrounding the use of FNA in EUS.A five-case survey was developed, piloted, and validated. It was collected from a total of 101 physicians, who were all either gastroenterologists (GIs), surgeons or oncologists. The survey compared the management strategies chosen by members of these relevant disciplines regarding EUS-guided FNA.For CT operable T2NOM0 pancreatic tumors the research demonstrated variance as to whether to undertake EUS-guided FNA, at p < 0.05. For inoperable pancreatic tumors 66.7% of oncologists, 62.2% of surgeons and 79.1% of GIs opted for FNA (p < 0.05). For cystic pancreatic lesions, oncologists were more likely to send patients to surgery without FNA. For stable simple pancreatic cysts (23 mm), most physicians (66.67%) did not recommend FNA. For a submucosal gastric 19 mm lesion, 63.2% of surgeons recommended FNA, vs. 90.0% of oncologists (p < 0.05).Controversies as to ideal application of EUS-FNA persist. Optimal guidelines should reflect the needs and concerns of the multidisciplinary team who treat patients who need EUS-FNA. Multi-specialty meetings assembled to manage patients with these disorders may be enlightening and may help develop consensus.Pancreatic cancer (PCA) is the fourth leading cause of cancer-related death in the United States [1]. Although relatively common, it is considered challengingly difficult both to diagnose early and to treat. Pancreatic solid tumors are often malignant, with adenocarcinoma being the most prevalent histological form. However, about 10% of the tumors are of various other histologies, with different natural history and management considerations [2]. Currently, the only option for a cure for PCA patients begins with surgical extirpation of the tumor.Yet, even with surgery the prognosis is often guarded or even poor. The less common pancreatic malignancies, mainly neuroendocrine cancers and lymphomas,
Monitoring Cataract Surgical Outcomes: 'Hand Written' Registration Method
Colin Cook
Community Eye Health Journal , 2002,
Abstract: The purpose of this hand written method of monitoring cataract surgery outcomes is to provide a practical method, assisting cataract surgeons and programme managers to monitor qualitatively the results of their cataract surgery. Such monitoring is the key to improving the quality and results of our cataract surgery.The hand registered method is quick, simple, and friendly to use!
Cataract surgery in children: Controversies and practices  [PDF]
UD Shrestha
Nepalese Journal of Ophthalmology , 2012, DOI: 10.3126/nepjoph.v4i1.5866
Abstract: Pediatric cataract is totally different from adult cataract. The objective of this review article is to describe the peculiarities of pediatric cataract and the controversies and practices in pediatric cataract surgery. The differences in the surgical technique are discussed in the article. There are lots of controversies regarding IOL implantation in children. The result of the review is that the pediatric cataract surgery should be performed in between 6-8 weeks of age. There is no contra-indication for IOL implantation. Surgeons can implant either polymethylmethacrylate (PMMA) or Acrysoft foldable IOL. DOI: http://dx.doi.org/10.3126/nepjoph.v4i1.5866 NEPJOPH 2012; 4(1): 138-149
Sutureless Cataract Extraction: Complications and Management; Learning Curves
Bernd Schroeder
Community Eye Health Journal , 2003,
Abstract: A key issue in converting to sutureless cataract surgery is training. This article first describes the main surgical steps and complications of sutureless cataract extraction and their management. The second part reports on the training of 11 surgeons in sutureless cataract extraction at Sagarmatha Choudhary Eye Hospital, Lahan. The stepwise, supervised training is described and the learning curves of 11 surgeons analysed.
Tagungsessay: Secondary Analysis in Qualitative Research—Utopia and Perspectives Conference Essay: Secondary Analysis in Qualitative Research—Utopia and Perspectives Ensayo: Análisis secundario en la investigación cualitativa – Utopía y perspectivas
Magdalini Dargentas
Forum : Qualitative Social Research , 2006,
Abstract: Der hier vorliegende Essay befasst sich mit dem Symposium Secondary Analysis in Qualitative Research – Utopia and Perspectives, das im November 2005 veranstaltet wurde. Das Symposium war das erste derartige Treffen zu qualitativer Forschung in Frankreich, wobei insbesondere Fragen der Sekund ranalyse und der Archivierung qualitativer Daten im Mittelpunkt standen. Forschende aus verschiedenen europ ischen L ndern, Wissenschaftsfeldern und Arbeitszusammenh ngen diskutierten im Verlauf des Symposiums ihre Praxis und ihre Erfahrungen im Umgang mit qualitativer Forschung und Sekund ranalyse. Da diese Variante des Arbeitens mit Material in Frankreich nahezu ungenutzt ist, diente das Symposium auch dazu, franz sische Forschende hiermit vertraut zu machen, europ ische Expert(inn)en zu treffen und mit diesen in einen konstruktiven Dialog zu treten. In dem Artikel werden zun chst qualitative Forschung, Sekund ranalyse und Archivierung in einer internationalen Perspektive situiert. Hiervon ausgehend werden Bezüge zur aktuellen Situation in Frankreich hergestellt und Informationen zur Organisation des Symposiums gegeben, um danach kurz die einzelnen Beitr ge zu skizzieren, die im Verlauf des Symposiums pr sentiert und diskutiert wurden. Zus tzlich werden einige aktuelle Trends für qualitative Forschung im Allgemeinen und Sekund ranalyse im Besonderen besprochen. Die meisten Beitr ge des Symposiums befassten sich mit M glichkeiten kumulierten Wissens bzw. mit kumulativer Wissensproduktion, mit der Erfordernis eines "epistemologischen Turn", mit der Institutionalisierung qualitativer Forschung in Frankreich und mit dem wachsenden Bedürfnis unterschiedlicher akademischer Disziplinen, die Traditionen und Standards qualitativer Forschung zu reflektieren. URN: urn:nbn:de:0114-fqs060495 This essay reviews the Symposium on Secondary Analysis in Qualitative Research—Utopia and Perspectives. The Symposium, which was held in November 2005, was the first academic meeting in France to focus on qualitative research, mainly through secondary analysis and archiving. Researchers from various European countries, academic fields and working contexts discussed their practices in qualitative research and secondary analysis. As secondary analysis is almost nonexistent in France, this Symposium has offered researchers an opportunity to become familiar with this method, to meet European experts, and to engage in constructive dialogues. This paper initially places qualitative research, secondary analysis and archiving in an international perspective. It then relates these practices to the c
Perspectives in Quantum Physics: Epistemological, Ontological and Pedagogical. An investigation into student and expert perspectives on the physical interpretation of quantum mechanics, with implications for modern physics instruction  [PDF]
Charles Baily
Physics , 2011,
Abstract: A common learning goal for modern physics instructors is for students to recognize a difference between the experimental uncertainty of classical physics and the fundamental uncertainty of quantum mechanics. Our studies suggest this notoriously difficult task may be frustrated by the intuitively realist perspectives of introductory students, and a lack of ontological flexibility in their conceptions of light and matter. We have developed a framework for understanding and characterizing student perspectives on the physical interpretation of quantum mechanics, and demonstrate the differential impact on student thinking of the myriad ways instructors approach interpretive themes in their introductory courses. Like expert physicists, students interpret quantum phenomena differently, and these interpretations are significantly influenced by their overall stances on questions central to the so-called measurement problem: Is the wave function physically real, or simply a mathematical tool? Is the collapse of the wave function an ad hoc rule, or a physical transition not described by any equation? Does an electron, being a form of matter, exist as a localized particle at all times? These questions, which are of personal and academic interest to our students, are largely only superficially addressed in our introductory courses, often for fear of opening a Pandora's Box of student questions, none of which have easy answers. We show how a transformed modern physics curriculum (recently implemented at the University of Colorado) may positively impact student perspectives on indeterminacy and wave-particle duality, by making questions of classical and quantum reality a central theme of our course, but also by making the beliefs of our students, and not just those of scientists, an explicit topic of discussion.
Genoma humano. Actualidades y perspectivas bioéticas. (Ensayo I) Human genome: Bioethical novelties and perspectives (Essay I)
Diana Martín Ross,Lourdes álvarez álvarez,José ángel Chávez Viamontes,Lina Marta Pérez
Humanidades M??dicas , 2002,
Abstract: Una de las investigaciones más fabulosas, sorprendentes y gigantes, comparada por muchos con el Proyecto Apolo o el Proyecto Manhattan, es el Proyecto Genoma Humano (PGH) mediante el cual se intenta ubicar y conocer el papel de los genes que constituyen al ser humano. De manera que los genes y el genoma, de forma particular y la Genética en general se han convertido en el “terremoto de la ciencia contemporánea” por ello hemos decidido incursionar en el empe o de conocer mas de cerca lo intrincado y misterioso del “Poder de los Genes” y los dilemas bioéticos que promueven las actuales investigaciones y la aplicación de sus resultados. En esta primera parte de este ensayo exponemos de forma precisa aspectos relacionados con la historia y actualidad del Proyecto Genoma Humano y la Terapia Génica, así como los beneficios y riesgos potenciales que implican, tanto para los países desarrollados como para los países del Sur One of the most fabulous, surprising and enormous investigations, compared by many with the Apollo Project or the Manhattan Project, is the Human Genome Project (HGP) by means of which it is intended to locate and to know the role of human genes. In this way, genes and genome, particularly and Genetics in general have become the "earthquake of contemporary science". That's why, we have decided to deepen into people's endeavour of knowing closely the entangled and mysterious world of “Genes' Power", as well as the bioethical dilemmas that the current investigations and the application of their results promote. In this first part of this essay we expose clearly aspects related to the history and novelties of the Human Genome Project and Genic Therapy, and also the benefits and potential risks that they imply, for developed and underdeveloped countries
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