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Search Results: 1 - 10 of 5203 matches for " Susan Hoe "
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Kangaroo Care (Skin-to-Skin) for Clustered Pain Procedures: Case Study  [PDF]
Raouth R. Kostandy, Susan M. Ludington-Hoe
World Journal of Neuroscience (WJNS) , 2016, DOI: 10.4236/wjns.2016.61006
Abstract: Background: Pain management for term newborns undergoingclusteredpainful procedures has not been tested. Kangaroo Care (chest-to-chest, skin-to-skin position of infant on mother) effectively reduces pain of single procedures, but its effect on pain from clustered procedures is not known. Aim: The aim was to test Kangaroo Care’s effect on pain in one term infant who received clustered painful procedures while determining feasibility of the Kangaroo Care intervention. Design, Setting, and Participant: A case study design was used with one healthy term newborn who received two heel sticks and one injection in one session in the mother’s postpartum room. Method: Heart rate and oxygen saturation (recorded from Massimo Pulse Oximeter every 30 seconds), crying time (total seconds of crying on videotape) and behavioral state (using Anderson Behavioral State Scoring system every 30 seconds) were measured before (5 minutes), during (10.5 minutes) and after (30 minutes) the three clustered painful procedures in a newborn who was in Kangaroo Care during all observations. One staff nurse administered the clustered procedures. Results: Heart rate increased sequentially with each heelstick, oxygen saturation remained unchanged, sleep predominated, and crying was minimal throughout the procedures. Conclusion: Kangaroo Care appeared to reduce pain from clustered painful procedures and can be further tested.
Clustered Pain Procedures in Skin-to-Skin Contact (SSC) Position for Full Term Newborns  [PDF]
Raouth R. Kostandy, Susan M. Ludington-Hoe
World Journal of Neuroscience (WJNS) , 2017, DOI: 10.4236/wjns.2017.71004
Abstract: As a part of their routine care, full term newborns face many painful procedures immediately after birth and during the first couple days of life. Skin-to-Skin Contact (SSC) has been recommended as a non-pharmacological pain management intervention in newborns. However, the use of SSC in labor and delivery rooms as well as in postnatal units and nurseries is limited due to the discomfort that the nurses and phlebotomists themselves experience during positioning the newborns and themselves to complete these routine procedures. The objective of this paper is to describe a step-by-step procedure that was developed and used in a randomized clinical trial to manage newborns pain during clustered pain procedures. The procedure worked well and no complaints of discomfort were reported by the nurses during the study.
Light Reduction Capabilities of Homemade and Commercial Incubator Covers in NICU
Susan M. Ludington-Hoe,Amel Abouelfettoh
ISRN Nursing , 2013, DOI: 10.1155/2013/502393
Abstract: Reduction of high-risk neonates’ exposure to aversive light stimulation is an important component of developmentally supportive care. In neonatal intensive care unit (NICU), usually light is reduced by reducing the room’s light level or by using incubator covers. Many types of incubator covers are in use, including homemade and commercial covers. A comparative study was used to determine the light reducing capabilities of 19 homemade incubator covers, 2 commercial covers, and 1 receiving blanket. The covers were tested by covering and uncovering an incubator and an oxygen hood in the NICU during daytime and nighttime lightings. The light reducing capabilities value was determined for each cover using an Extech light dosimeter when the cover was placed over and removed from an oxyhood, and an incubator. The study showed that the light reducing capability of the commercial covers was 91.2%, the homemade covers capability was 72.1%, and the receiving blankets capability was 55.1%. A significant difference between the commercial and homemade covers was found ( , ). Commercial incubator covers are the most effective covers to achieve light reduction; homemade covers can be effective if made large enough so that they completely cover all sides of the incubator. 1. Introduction Reduction of the exposure of high-risk neonates to aversive light stimulation is an important component of developmentally supportive care [1–3]. Neonatal intensive care units (NICUs) usually reduce light by reducing the room’s light level or by using incubator covers [4, 5]. Many types of incubator covers are in use, including homemade and commercial covers. Homemade covers are not standardized, and only one report of their light reducing capability during daytime and evening time could be found [6], and that report was based on a simulated level of light created in a windowless nursing school skills because reports of light reduction capability of homemade incubator covers in an actual NICU could not be found. The lighting in nurseries is known to be relatively constant [1, 5, 7], but light levels really are quite variable [8]. Two measures of light are referenced in the study presented here. A footcandle (ftc) is defined as a unit of illumination on a surface that is one foot from a point source of one candle; lux is defined as a unit of illumination that is equal to the direct illumination on a surface that is one meter from a uniform point source of one candle intensity or equal to one lumen per square meter (lumen/m2). The amount of light received by any infant varies from 15 to
Detection of virulence genes in Malaysian Shigella species by multiplex PCR assay
Kwai Thong, Susan Hoe, SD Puthucheary, Rohani Md Yasin
BMC Infectious Diseases , 2005, DOI: 10.1186/1471-2334-5-8
Abstract: A mPCR assay was designed for the simultaneous detection of chromosomal- and plasmid-encoded virulence genes (set1A, set1B, ial and ipaH) in Shigella spp. One hundred and ten Malaysian strains (1997–2000) isolated from patients from various government hospitals were used. Reproducibility and sensitivity of the assay were also evaluated. Applicability of the mPCR in clinical settings was tested with spiked faeces following preincubation in brain heart infusion (BHI) broth.The ipaH sequence was present in all the strains, while each of the set1A, set1B and ial gene was present in 40% of the strains tested. Reproducibility of the mPCR assay was 100% and none of the non-Shigella pathogens tested in this study were amplified. The mPCR could detect 100 colony-forming units (cfu) of shigellae per reaction mixture in spiked faeces following preincubation.The mPCR system is reproducible, sensitive and is able to identify pathogenic strains of shigellae irrespective of the locality of the virulence genes. It can be easily performed with a high throughput to give a presumptive identification of the causal pathogen.Members of the genus Shigella, namely S. flexneri, S. dysenteriae, S. sonnei and S. boydii have caused and continue to be responsible for mortality and/or morbidity in high risk populations such as children under five years of age, senior citizens, toddlers in day-care centres, patients in custodial institutions, homosexual men and, war- and famine-engulfed people. Yearly episodes of shigellosis globally have been estimated to be 164.7 million and of these, 163.2 million were in developing countries and the remaining in industrialized nations. The mortality rate was approximately 0.7% [1]. A recent study by Lee & Puthucheary [2] on bacterial enteropathogens in childhood diarrhoea in a Malaysian urban hospital showed that Shigella spp. was the third most common bacteria isolated. S. flexneri and S. dysenteriae type 1 infections are usually characterized by frequent pa
Three-year caregiver’s reports on driving performance: A divination or diagnostic tool for fitness to drive in Parkinson Disease patients  [PDF]
Hoe C. Lee
Advances in Parkinson's Disease (APD) , 2013, DOI: 10.4236/apd.2013.22009
Abstract: Objectives: This study aims to examine whether information provided by spouse or relatives can be employed to identify PD patients with deteriorated driving performance, using three-year caregiver’s reports on their driving ability as the outcome measure. Methods: Fifty-three idiopathic PD subjects were assessed on open roads. Prior to the driving assessment, participants were examined by a geriatrician with various clinical assessments. The caregivers filled out a questionnaire, the scores of which is a reflection of their concern on driving performanceof their PD relatives. The same measurements were collected for the subsequent two years. Hierarchical Poisson regression analysis, adjusting for gender, age and driving exposure (hours of driving per week), was then undertaken to determine whether the measures of driving assessment were associated with the score of the questionnaire. Results: During the three-year period, all PD participants were rated at least 3 questions positive in the caregiver’s questionnaire; the worst participant was rated positive eight times. Except the assessment criteria to gauge thetraffic rulesandregulations compliance,all other measures of the driving assessment were found to be significantly associated with the information provided by the caregivers. Conclusions: This study demonstrated that the information provided by caregivers was useful to identify PD patients with deteriorated driving performance. If adopted as part of the off-road driving assessment for PD patients, the questionnaire can provide reliable information to clinicians.
Quality service in radiology
J Hoe
Biomedical Imaging and Intervention Journal , 2007, DOI: 10.2349/biij.3.3.e24
Siu Loon HOE
Journal of Applied Quantitative Methods , 2008,
Abstract: When applying structural equation modeling (SEM) technique for analytical procedures, various issues are involved. These issues may concern sample size, overall fit indices and approach. Initiates of SEM may find it somewhat daunting in resolving these technical issues. The purpose of this paper is to highlight key issues in adopting SEM technique and various approaches available. This paper provides a discussion on the sample size, fit indices, standardized paths, unidimensionality test and various approaches in relation to SEM. It is hoped that having reviewed the paper, new researchers can devote more time to data analysis instead of procedural issues involved.
Facebook and learning: students’ perspective on a course
Jeffrey MOK Chi Hoe
Journal of the NUS Teaching Academy , 2012,
Abstract: Touted as a “technological powerhouse with unprecedented influence across modern life, both public and private” (Kirkpatrick, 2010, p. 15), Facebook has not only become a big part in the social lives of college students (Junco, 2011), but also in corporations (Shih, 2011) and academic institutions (Wankel, 2010). However, what does it really mean to students who are on the receiving end of the use of social media for learning? Do the students learn from these Facebook interactions? Or are they merely a fad and a social entertainment tool? What do the students really get out of these social media tools when evaluated against the learning and teaching goals of education? This paper looks at the relationship between learning and social media. It begins with the research question on the Singaporean undergraduates’ social networking profile and how they compare with the rest of the world. Two research questions were asked: How do they rate their learning experience when using the Facebook component of their Business Communication course and why do students use Facebook for learning. A total of 48 students were surveyed for this purpose. The results include the social networking profiling of the students, their ratings, feedback and reasons on the use of Facebook in their course. Other key issues such as its ease of use, its use as a communication tool and its social factor together with the “push” notion of learning are discussed. This includes discussion on some concerns about its use.
Is Distance Education the Answer to the Nursing Shortage?  [PDF]
Susan Mee
Open Journal of Nursing (OJN) , 2014, DOI: 10.4236/ojn.2014.43020

This study examined the effectiveness of distance education compared with campus based learning among nursing students. Distance education in nursing curricula is increasing. Academic nurse leaders must demonstrate the effectiveness of distance learning. This study is unique in that two cohorts, distance learners and campus learners, were taught synchronously by the same faculty member. Quantitative measures of student learning outcomes were compared using SPSS. There were no significant differences in learning outcomes between distance learners and campus learners. This study provides empiric support for distance education as a means to address the nursing shortage.

Fostering Competencies in Future Teachers: A Competency-Based Approach to Teacher Education  [PDF]
Susan Cydis
Creative Education (CE) , 2014, DOI: 10.4236/ce.2014.513130

The study investigated the characteristics of instruction and assessment used by instructors in teacher education courses that foster student competencies as perceived by students. The sampling method used to collect the sample of instructors and their courses was purposive, non-probability sampling. Student participants included those that were currently registered in classes of the respective instructors. A qualitative analysis of the data collected revealed that instructors used a variety of competency-based educational practices in their instructional and assessment tasks and that students perceived themselves as competent in the areas identified by the Teacher Education Accreditation Council (2009) as standards for student competencies in teacher education courses.

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