bluuebunny/crossref_metadata_2025 huggingface dataset:
Management of Shoulder Dislocation by Prakash Method
Authors: Ullah Ihsan , Kabir Samir Khan , . Khalid , Inaam Mohammad , Hassan Gul , Kiani Anwar Ul Haq
Published: April 2021

OBJECTIVES: The objective of the study is to evaluate the effectiveness and safety of shoulder reduction developed by Prakash. METHODOLOGY: This descriptive study was carried out at Rehman Medical and Surgical Center District Buner and Naseer Teaching Hospital Peshawar from June 2017 to December 2019. All patients with a history of trauma to either shoulder were subjected to anterior-posterior shoulder radiograph. Those having shoulder dislocation were enrolled in the study. Data including age, gender, previous dislocation history, duration of dislocation and associated fracture, and fracture type were recorded in patient case sheet. Patients having recurrent dislocation, polytrauma, low GCS, fracture-dislocations, and more than a week history of dislocation were excluded from the study. RESULTS: This study was performed on 30 patients. The mean age of the patients was 36.46±11.58 years. Among them, 83.3% (n=25) were male and 16.7% (n=5) were female. While dislocation occurred on the right shoulder in 63.3% (n=19) and in 36.7% (n=11) on the left side. All the patients have dislocation for the first time. The reduction was performed using Prakash’s method. The success rate was 90% (n=27) and 10% (n=3) the reduction failed, which was then reduced under anesthesia using the Hippocratic method. CONCLUSION: The Prakash's method for reducing anterior shoulder dislocation requires minimum assistance with no anesthesia, it is safe, less time consuming, has a high success rate, less pain, and has minimal complications.
Aggression, Body Esteem and Self-Esteem among College Students: Exploring the Influence of Gender
Authors: Kalsoom Um E , Noureen Khaista
Published: April 2021

OBJECTIVES:

Finding out the role of gender in aggression, self-esteem, and body esteem was the purpose of this study.

METHODOLOGY:

A cross-sectional research design was used. Different universities in Peshawar were visited, and 300 students were selected as a sample (N=300), which consisted of both boys (N=150) and girls (N=150) from the age-group 17-22 years. Purposive sampling technique was used to collect the data, and the measuring tools used were Rosenberg Self-Esteem, Buss Perry Aggression Questionnaire, and Body-Esteem Questionnaire.

RESULTS:

Although the research didn’t prove any difference in gender roles regarding self-esteem, it was revealed that boys are more aggressive as compared to girls. Furthermore, a correlation between self-esteem, body-esteem, and aggression was reported.

CONCLUSION:

The study gave the conclusion that gender has a role in levels of aggression found in students; however, both boys and girls are equally affected regarding self-esteem and body-esteem.
Impact of COVID-19 on Antenatal, Natal, and Postnatal Care of pregnant females at Akbar Niazi Teaching Hospital
Authors: Jabeen Nadia , Zaheer Fareeha , Ali Kinza , Faruqi Amna , Mughal Irfan Afzal , Irfan Asma
Published: April 2021

Objective: To determine the perception of pregnant patients regarding the COVID pandemic, preventive measures taken by the patients during the pandemic, and the impact of COVID on their Natal, Intrapartum, and Postpartum Care.Materials and Methods: This study included 850 patients presenting in the Obstetrics and Gynaecology department for antenatal care, inpatient care (delivery and caesarean section), and postpartum complications. Percentages were calculated for descriptive variables like demographic factors, source of information, and opinion of patients about COVID-19, preventive measures are taken by the patients, their Antenatal, Natal, and Postnatal fears. An independent t-test was applied and a p-value of ˂0.05 was taken as statistically significant.Results: We enrolled 850 patients in this study with a mean age of +28 years,mean gravidity of +3, 50% were matriculated and 75% of our patients belonged to middle-class families.. Among our patients, 96% were in fear of getting infected along with their fetus, if they visited the hospital for antenatal care, which is why a majority of them did not visit the hospital for antenatal care and a statistically significant percentage (80%) of them missed antenatal care for 5 months. While the same number of patients (96%, p-value ˂0.05) shared their fear regarding contracting the infection from the hospital during delivery and postnatal care in the hospital, and the same percentage were of the opinion that the baby would get infected during and after delivery in a hospital.Conclusion: Antenatal care is a basic right of every pregnant female. During emergencies like pandemics ways and means should be devised, not only to provide care but, also, to address the fears of pregnant females to prevent complications during this important phase of life.
Risk Factors of Premature Coronary Artery Disease
Authors: Mudassir Mujaddid , Iqbal Javed , Arshad Muhammad Shafique , Raza Ali , Qureshi Qudsia Anjum
Published: April 2021

Introduction: Coronary artery disease (CAD) is one of the commonest and leading causes of death throughout the world. It is becoming common in the younger age group as well. This study was carried out to analyze the risk factors present in young patients who presented with acute Myocardial Infarction (M.I).

Materials and Methods: In this descriptive cross-sectional study, we included 120 patients of age 20-35 years of age who presented with the first episode of acute M.I. Study was conducted at Pakistan Institute Of Medical Sciences, Islamabad, department of cardiology for all patients with first MI from 1st February 2016 to 31st January 2018. Twelve risk factors were studied including Gender, Hypertension, Diabetes mellitus, dyslipidemia, sedentary lifestyle, family history of premature CAD, obesity, smoking, dietary habits, profession, socioeconomic stress, drug addictions. The frequency of risk factors was calculated.

Results: Results showed that some of the risk factors were present in higher proportion e.g. smoking, sedentary lifestyle, poor dietary habits, and stressful socioeconomic conditions. Most of the patients in the younger age group were drivers. The results of our study showed that male patients were higher(93.3%) in proportion to female patients (6.7%). 33% of patients were drivers, 13% plumbers, 13% shopkeepers, 10% businessmen, 8% laborers, 5% policemen, 5% students, 5% bank officers, 3% engineers, 2% teachers, 1% doctors. 68.3% of patients were smokers. 58.3% of patients were having high-stress scores. 23.3% of patients were having moderate stress score.18.3% were having a low-stress score. 56% of patients were having dyslipidemia.48% of patients were obese. Family history was present in 26.7% of patients.

Conclusion: For patients presenting with premature CAD, Some of the modifiable risk factors include hypertension, sedentary lifestyle, fatty dietary habits, obesity, smoking, diabetes, dyslipidemia. The profession also affects the development of IHD as is evident from our study. So primary preventive strategies need to be implied to prevent the development of IHD, especially in individuals who are at risk.
A kriminológiai okkutatás és megelőzés múltja, jelene és jövője
Authors: Diczig István
Published: April 2021

The author provides an overview of the past 50 years’ research in the field of causation in criminology.
OUR EXPERIENCE IN TREATMENT OF HIRSCHSPRUNG'S DISEASE IN A 18-YEAR-OLD PATIENT. CLINICAL CASE
Authors: Agapov M. A. , Markaryan D. R. , Kakotkin V. V. , Lukyanov A. M. , Kubyshkin V. A.
Published: April 2021

Introduction: Hirschsprung's disease (HD) is a relatively rare condition, in which the intermuscular (Auerbach) and submucosal (Meissner) plexus are absent in the colon wall at various lengths. In the literature, HD is described mainly in relation to the pediatric surgery area of interests because up to 90% of cases of this disease are detected before the age of 5 years 6. However, in some patients, the symptoms of the disease are not severe, so patients survive to adulthood without an established diagnosis.Clinical case: we demonstrate our experience of surgical treatment of Hirschsprung's disease in a 18-year-old patient.Conclusion: Although Hirschsprung's disease is in most cases a disease of childhood, it is necessary to keep in mind its typical symptoms when an adult patient complains of constipation. Proper diagnosis and correctly selected surgical treatment can not only eliminate symptoms and improve quality of life, but also reduce the likelihood of serious complications.
PREEMPTIVE ANALGESIA IN ANORECTAL SURGERY: STUDY PROTOCOL FOR A PROSPECTIVE, RANDOMIZED, DOUBLE-BLIND TRIAL
Authors: Garmanova T. N. , Markaryan D. R. , Kazachenko E. A. , Lukianov A. M. , Agapov M. A.
Published: April 2021

Aim: To assess the efficiency of preemptive analgesia with Ketoprofen 10 mg 2 hours before procedure per os with spinal anesthesia to decrease postoperative pain and the amount of used analgesics.Methods: Patients of our clinic who meet the following inclusion criteria are included: they must be diagnosed with anorectal disease and planned anorectal procedure. After signing the consent all participants are randomly divided into 2 groups: the first one gets a tablet with 10 mg Ketoprofen, the second one gets a tablet containing starch per os 2 hours before surgery (72 participants per arm). Patients of both arms receive spinal anesthesia and undergo open hemorrhoidectomy. Following the procedure the primary and secondary outcomes are evaluated: opioid administration intake, the pain at rest and during defecation, duration and frequency of other analgesics intake, readmission rate, overall quality of life, time from the procedure to returning to work and the complications rate.Discussion: Multimodality pain management has been shown to improve pain control and decrease opioid intake in patients after anorectal surgery in several studies. Gabapentin can be considered as an alternative approach to pain control as NSAIDs have limitative adverse effects. Systemic admission of ketorolac with local anesthetics also showed significant efficacy in patients undergoing anorectal surgery. We hope to prove the efficacy of multimodal analgesia including preemptive one for patients undergoing anorectal procedure that will help to hold postoperative pain level no more than 3-4 points on VAS with minimal consumption of opioid analgesics.
THE SPECIAL EFFECT OF INTEREST RATE CUTS ON HOUSING PRICES
Authors: Lin Che-Chun , Tsai I-Chun
Published: April 2021

This study uses theoretical models and empirical research to explain that interest rates affect the structure of housing price formation and correction rather than affect the price alone. In particular, when interest rates are substantially reduced, the correction of housing prices toward fundamentals is absent; in other words, a housing bubble is likely to occur. This study first illustrates a model for explaining home price behavior. Data from the Case-Shiller U.S. National Home Price Index between January 1975 and August 2020 are adopted to observe the behavior of home prices. The empirical results show that the correction and bubble behavior of U.S. home prices have exhibited significant structural changes. Variation in money supply fails to explain the structural changes, however, interest rate variation can significantly affect the structural changes. According to the results, when interest rates rise or fall slightly, the correction of home prices toward the equilibrium value is significant. However, when interest rates fall substantially, the bubble behavior of home prices is significant. For governments that adopt low interest rates to revitalize the economy, the results of this study provide special reference values. Governments should provide additional intervention in housing markets when an extremely low interest rate exists.
A Possible Kilonova Powered by Magnetic Wind from a Newborn Black Hole
Authors: Ma Shuai-Bing , Xie Wei , Liao Bin , Zhang Bin-Bin , Lü Hou-Jun , Liu Yu , Lei Wei-Hua
Published: April 2021

The merger of binary neutron stars (NS–NS) as the progenitor of short gamma-ray bursts (GRBs) has been confirmed by the discovery of the association of the gravitational-wave (GW) event GW170817 with GRB 170817A. However, the merger product of binary NS remains an open question. An X-ray plateau followed by a steep decay (“internal plateau”) has been found in some short GRBs, implying that a supramassive magnetar operates as the merger remnant and then collapses into a newborn black hole (BH) at the end of the plateau. X-ray bump or second plateau following the “internal plateau” are considered as the expected signature from the fallback accretion onto this newborn BH through the Blandford–Znajek mechanism (BZ). At the same time, a nearly isotropic wind driven by the Blandford–Payne mechanism (BP) from the newborn BH’s disk can produce a bright kilonova. Therefore, the bright kilonova observation for a short GRB with “internal plateau” (and followed by X-ray bump or second plateau) provides further evidence for this scenario. In this paper, we find that GRB 160821B is a candidate of such a case, and the kilonova emission of GRB 160821B is possibly powered by the BP wind from a newborn BH. Future GW detection of GRB 160821B–like events may provide further support to this scenario, enable us to investigate the properties of the magnetar and the newborn BH, and constrain the equation of state of neutron stars.
Understanding Type Ia Supernova Distance Biases by Simulating Spectral Variations
Authors: Pierel J. D. R. , Jones D. O. , Dai M. , Adams D. Q. , Kessler R. , Rodney S. , Siebert M. R. , Foley R. J. , Kenworthy W. D. , Scolnic D.
Published: April 2021

In the next decade, transient searches from the Vera C. Rubin Observatory and the Nancy Grace Roman Space Telescope will increase the sample of known Type Ia supernovae (SNe Ia) from ∼103 to 105. With this reduction of statistical uncertainties on cosmological measurements, new methods are needed to reduce systematic uncertainties. Characterizing the underlying spectroscopic evolution of SN Ia remains a major systematic uncertainty in current cosmological analyses, motivating a new simulation tool for the next era of SN Ia cosmology: Build Your Own Spectral Energy Distribution (byosed). byosed is used within the SNANA framework to simulate light curves by applying spectral variations to model SEDs, enabling flexible testing of possible systematic shifts in SN Ia distance measurements. We test the framework by comparing a nominal Roman SN Ia survey simulation using a baseline SED model to simulations using SEDs perturbed with byosed, and investigating the impact of ignoring specific SED features in the analysis. These features include semiempirical models of two possible, predicted relationships: between SN ejecta velocity and light-curve observables, and a redshift-dependent relationship between SN Hubble residuals and host-galaxy mass. We analyze each byosed simulation using the SALT2 and BEAMS with Bias Corrections framework, and estimate changes in the measured value of the dark-energy equation-of-state parameter, w. We find a difference of Δw = −0.023 for SN velocity and Δw = 0.021 for redshift-evolving host mass when compared to simulations without these features. By using byosed for SN Ia cosmology simulations, future analyses (e.g., the Rubin and Roman SN Ia samples) will have greater flexibility to constrain or reduce such SN Ia modeling uncertainties.
Forward Modeling Helioseismic Signatures of One- and Two-cell Meridional Circulation
Authors: Stejko Andrey M. , Kosovichev Alexander G. , Pipin Valery V.
Published: April 2021

Using a 3D global solver of the linearized Euler equations, we model acoustic oscillations over background velocity flow fields of single-cell meridional circulation with deep and shallow return flows as well as double-cell meridional circulation with strong and weak reversals. The velocities are generated using a mean-field hydrodynamic and dynamo model—moving through the regimes with minimal parameter changes, counterrotation near the base of the tachocline is induced by sign inversion of the nondiffusive action of turbulent Reynolds stresses (Λ-effect) due to the radial inhomogeneity of the Coriolis number. By mimicking the stochastic excitation of resonant modes in the convective interior, we simulate realization noise present in solar observations. Using deep-focusing to analyze differences in travel-time signatures between the four regimes, as well as comparing to solar observations, we show that current helioseismology techniques may offer important insights about the location and strength of the return flow; however, it may not currently be possible to definitively distinguish between profiles of single-cell or double-cell meridional circulation.
Implications of High Polarization Degree for the Surface State of Ryugu
Authors: Kuroda Daisuke , Geem Jooyeon , Akitaya Hiroshi , Jin Sunho , Takahashi Jun , Takahashi Koki , Naito Hiroyuki , Makino Kana , Sekiguchi Tomohiko , Bach Yoonsoo P. , Seo Jinguk , Sato Shuji , Sasago Hiroshi , Kawabata Koji S. , Kawakami Aoi , Tozuka Miyako , Watanabe Makoto , Takagi Seiko , Kuramoto Kiyoshi , Yoshikawa Makoto , Hasegawa Sunao , Ishiguro Masateru
Published: April 2021

The asteroid exploration project “Hayabusa2” has successfully returned samples from the asteroid (162173) Ryugu. In this study, we measured the linear polarization degrees of Ryugu using four ground-based telescopes from 2020 September 27 to December 25, covering a wide-phase angle (Sun-target-observer’s angle) range from 28° to 104°. We found that the polarization degree of Ryugu reached 53% around a phase angle of 100°, the highest value among all asteroids and comets thus far reported. The high polarization degree of Ryugu can be attributed to the scattering properties of its surface layers, in particular the relatively small contribution of multiply scattered light. Our polarimetric results indicate that Ryugu’s surface is covered with large grains. On the basis of a comparison with polarimetric measurements of pulverized meteorites, we can infer the presence of submillimeter-sized grains on the surface layer of Ryugu. We also conjecture that this size boundary represents the grains that compose the aggregate. It is likely that a very brittle structure has been lost in the recovered samples, although they may hold a record of its evolution. Our data will be invaluable for future experiments aimed at reproducing the surface structure of Ryugu.
Carvacrol effect on topotecan cytotoxicity in various human cancer cells in vitro
Authors: Bayoumi Hadeel M. , Alkhatib Mayson H. , Al-Seeni Madeha N.
Published: April 2021

Purpose: To investigate the modulatory effect of the natural phytochemical, carvacrol, on Topotecan (TOPO) cytotoxicity and cellular uptake in different cancer cell lines.

Methods: The cytotoxicity of the carvacrol/TOPO combination therapy was determined in vitro using crystal violet assay. Coomassie blue and DAPI fluorescent stains were used for cellular morphology and molecular cell death assessments, respectively. Additionally, TOPO cellular uptake after carvacrol/TOPO combination therapy was determined.

Results: Treatment of HeLa and HCT116 with carvacrol/TOPO resulted in 7.70- and 5.71-fold reduction in TOPO half maximal inhibitory concentration (IC50), respectively, relative to TOPO single treatment. On the other hand, treatment of MCF-7, HepG2, SKOV3, and A549 cancer cells with carvacrol/TOPO resulted in increasing the IC50 of TOPO by 1.49-, 1.33-, 1.50- and 1.26-fold, respectively, relative to TOPO single treatment.

Conclusion: Carvacrol had enhanced TOPO cytotoxicity and cellular uptake in HeLa and HCT116 cancer cells but might cause TOPO resistance in MCF-7, HepG2, SKOV3 and A549 cells.
Décomposer pour mieux recomposer (1 re partie)
Authors: Ellingham Ivan , Alleaume Baptiste
Published: April 2021

La tendance formative dont il est question chez Carl Rogers est le reflet élargi au monde de la tendance actualisante. Elle est une croissance directionnelle propre aux systèmes vivants et à l’univers. Dans cet article, elle est mise en lien avec la tendance holistique de Jan Christiaan Smuts et avec les travaux de Fritz Perls. En s’appuyant sur les théories de Michaël Polanyi, Thomas Kuhn, Fritjof Capra et Alfred North Whitehead, cet article porte attention à un glissement contemporain de paradigme qui s’opère dans la compréhension du monde et auquel Rogers participe. Il s’agit d’un paradigme scientifique émergent qui, absorbant le modèle mécaniste de Descartes et de Newton, repose sur le fait que la tendance formative est un processus central. Dans le cadre de la théorisation de Rogers, la croissance psychothérapeutique expérientielle qui se développe participe plus largement de l’expérience du monde qui se déploie. Elle est systémique, holistique, organismique et processuelle.
Le soin et la démocratie à l'épreuve du totalitarisme sanitaire
Authors: Gori Roland
Published: April 2021

Nous assistons aujourd’hui à un retour des épidémies qui conduit à faire de l’épidémiologie la discipline médicale reine, la nouvelle conseillère du pouvoir. La médicalisation de l’existence franchit un pas supplémentaire dans l’effacement des subjectivités au profit d’une logique de gestion des populations. La nouvelle politique de santé publique (preparedness) qui s’impose depuis les années 1990 conduit à nous interroger sur l’avenir du soin et de la démocratie menacés par ce nouveau totalitarisme sanitaire.
Plaidoyer pour une politique de Santé Culturelle
Authors: Marinopoulos Sophie
Published: April 2021

Alors que nous traversons des crises multiformes, celle qui concerne la dégradation de nos relations présente des symptômes inquiétants que le développement personnel et la parentalité positive se sont appropriés dans une logique libérale associant « le prendre soin » avec le « profit personnel ». C’est avec les mots que nous pouvons lutter contre cette logique de consommation, des mots adressés aux parents pour les informer de l’importance de prendre soin des liens précoces à leur enfant en inscrivant l’éveil culturel et artistique ( eca ) dans le lien enfant parent ( lep ). La stratégie nationale pour la Santé Culturelle propose de nouveaux repères de santé, en vue de rendre au Sujet sa liberté d’être et de penser.
La déviance positive face au pluralisme normatif. Le cas de l’implémentation d’un progiciel de gestion intégré dans la filiale chinoise d’une entreprise manufacturière internationale
Authors: Lissillour Raphael
Published: April 2021

Les salariés sont de plus en plus confrontés à un pluralisme normatif au sein des organisations. Afin de maintenir leurs activi malgré la présence de normes contradictoires, ils peuvent en venir à adopter des comportements de déviance positive pour tenter de réconcilier les différents cadres normatifs qui coexistent. Cette démarche a été explorée au travers d’une étude de cas dans la filiale chinoise d’une entreprise manufacturière internationale, menée à la suite de l’implémentation d’un nouvel outil de rationalisation productive, un progiciel de gestion intégrée. Les données issues de 13 entretiens semi-directifs et de 3 focus-groupes ont permis de comprendre les cadres normatifs présents dans l’entreprise, tout en identifiant les types de déviance à l’œuvre. Nos résultats ont mis en évidence que l’entreprise faisait la promotion d’un cadre normatif, associé à la rationalité procédurale, au contrôle et à la synchronisation à flux tendu, alors que les équipes travaillaient selon un cadre normatif différent et étaient ainsi confrontées à des exigences contradictoires. Afin de pallier ce problème et de pouvoir garder le même niveau de performance, les salariés ont été amenés à adopter des comportements relevant de quatre types de déviance positive : matérielle, temporelle, procédurale, et le bricolage.
Villes sœurs et pays frères : le « sexe » des substantifs transféré en genre grammatical par adjectivation
Authors: Fujimura Itsuko
Published: April 2021

Ce travail a pour objectif de démontrer le comportement particulier des Noms d’Humains (NH) lors de leur adjectivation en français. Dans la combinaison [Nom non Humain (NnonH) + NH de parenté ou de souveraineté], la cooccurrence des deux N est contrainte en fonction de leur sexe et genre ( pays frère, *pays sœur, ville sœur, *ville frère ), tandis que dans [NnonH + NH affixé] se produit l’accord en genre ordinaire ( mouvement étudiant , vie étudiante ). À l’opposé, l’accord en genre ne se produit pas lorsqu’il s’agit de deux NnonH munis d’un genre grammatical mais démunis de dénotation sexuelle ( mot clé, position clé ). L’analyse détaillée de ces combinaisons, fondée sur un grand nombre de données, montre que la contrainte concurrentielle du premier type ne se produit pas nécessairement par l’analogie du second type. Certains NH comme mère , roi sont directement transférés en adjectif féminin ou masculin suivant le sexe d’origine sans passer par le patron dichotomique de l’accord morphologique. Nous affirmons enfin que l’analogie entre l’adjectivité et le trait humain en français provient de l’association entre le genre grammatical (m/f) et le sexe des humains.
Videotape as a Method for Staff Development of Nurses
Authors: Shaffer Mary K , Pfeiffer Isobel L
Published: April 2021

Instructional strategies are needed in continuing education for nurses to facilitate the transfer of theoretical knowledge to the practical application of community home visits. Protocol materials should be useful since they can develop problem-solving skills through simulation.

This study involved the development and field-testing of a videotape protocol designed to teach baccalaureate students the nursing process as it related to the home visit in community nursing. The videotape included two incidents a student might encounter when making home visits. Through Thelen's1 group investigation process the students were encouraged to suggest alternate plans of action. The videotape was field-tested with a group of senior students and compared with a similar group instructed by lecture-discussion.

Pretests and posttests were administered. Cognitive learning, affective response, and discussion participation were considered. There was no significant difference in cognitive learning; however, the other factors were significantly different at the 0.05 level. Videotape increased student discussions and students preferred the class using videotape. Follow-up use investigated the reaction to the videotape of public health nurses and other nurses.
An Employee Learning Needs Assessment Concerning Mental Health Needs of Residents in a Long-Term Care Setting
Authors: Canar Mary Jo , Johnson Joseph C
Published: April 2021

ABSTRACT

A quasi-competency-based employee learning needs/attitude assessment tool, based upon identified mental health needs of residents in a long-term care setting, was developed with the participation of an advisory group of professional health care providers, professional and non-professional employees and residents. The tool, which has a high construct and content validity and interrater reliability, was then used to assess the learning needs/attitudes of the advisory group and employees. The Identified mental health need statements were sorted into 18 categories for the development of inservice education programs.

No common learning needs across all groups were identified. Priority learning needs identified by employees included the following categories: Coping with Pain; Staff Need; Crisis Intervention; Sexual Needs; Religious Needs; Resident/Friend/Family Interaction; and Reminiscent Therapy. A correlation between the importance assigned to the item categories by the advisory group and the staff indicated a close compatibility for the categories of Opportunities for Personal Sustenance/Growth; Crisis Intervention; Physical Nursing Care; Security Need; Staff Need; Coping with Pain; and Sexual Needs.

The category of Resident/Family/Friend Interaction was recommended as the priority focus for staff development programs since it was a multi-item category and had previously been recognized by Administration as an employee learning need.

Attitudes of the staff toward the residents, as identified by the importance assigned to the mental health need statements, were very positive.
Empowering Nurses for Politically Astute Change in the Workplace
Authors: Mason Diana J , Costello-Nickitas Donna M , Scanlan Judith M , Magnuson Berna A
Published: April 2021

ABSTRACT

While studies of the shortage of nurses have documented the need for nurses to play a greater role in decision-making processes in their workplaces, it cannot be assumed that nurses have the confidence or skills for making changes in the workplace in politically astute ways that will be effective. This article describes a continuing education program that was designed to prepare nurses to realize their potential power and to develop skills for effectively bringing about changes in their workplaces. Based on a feminist model of empowerment, the program content and methods reflected three dimensions of empowerment; consciousness-raising, building self-esteem, and skill development. Both short- and long-term evaluations (immediate and at 7 months) demonstrated that education can be a vehicle for empowering nurses to effectively bring about changes in their workplaces. The program was sponsored by the Manitoba Nurses Union, The University of Manitoba Continuing Education Division, and The University of Manitoba School of Nursing.
Professional Values and Empowerment: A Role for Continuing Education
Authors: Weis Darlene , Schank Mary Jane
Published: April 2021

ABSTRACT

A commitment to values is increasingly important for professional nurses. For practitioners of nursing, advances in knowledge and technology are raising complicated ethical questions that need a response. The guiding of ethical decision-making is a primary function of a code of ethics such as the Code for Nurses document (1978). Among practitioners of nursing, values identified most frequently are reflected in the first six statements that deal with professional issues. Values inherent in the last five statements, which focus on social issues, such as professional empowerment, are not readily identified. Internalization of the social issue values is critical for the future of nursing.
Experiential Learning Strategies for Promoting Positive Staff Attitudes Toward the Elderly
Authors: Marte Annabelle Lee
Published: April 2021

ABSTRACT

It is generally acknowledged that American society devalues its elderly. Young people incorporate pervasive attitudes at an early age. These attitudes are later reflected in the views of health professionals.

An essential component of effective care for the elderly is the attitude of the caregivers. Staff attitudes are considered important because of their presumed influence on staff behavior and the quality of care delivered.

Attitude change is very difficult to achieve unless the individual is exposed to an experience that places the learning situation on a very personal level. Experiential learning activities can be tailored to provide that personal experience. If attitudes can be changed at the same time that factual information is being presented, experiential activities offer the educator a potent tool for learning. This paper suggests several such activities aimed at enhancing positive attitudes toward the elderly.
The Nursing Shortage: The Legal Impact on Documentation
Authors: Butler Pamelia L
Published: April 2021

ABSTRACT

In 1985, two significant events occurred in the health care industry. These events ultimately proved to have a deleterious effect on the nursing profession. In an effort to contain spiraling health care costs, the federal government implemented a reimbursement system based on diagnosis related groups (DRGs). One of the major foci of this system was the length of stay, i.e., the shorter the stay, the greater the monetary profit for the institution. Therefore, patients were being admitted and discharged "sicker." These two events resulted in nurses being torn between the need for adequate documentation and the delivery of patient care. When one adds to this mix the legal environment in health care, with its focus on the adage "if it is not documented, it was not done," nurses were becoming increasingly frustrated and frightened. In light of current legal trends, this article reexamines this adage and discusses implications for the nurse educator.
Learning Needs Assessment as a Vehicle for Integrating Staff Development Into a Professional Practice Model
Authors: Vogel Gerry , Ruppel Diane L , Kaufmann Connie S
Published: April 2021

ABSTRACT

Restructured nursing roles resulting from innovative professional practice models and participative governance systems create a demand for new and expanded competencies. The impact for nursing staff development is the concurrent requirement to develop programs that match the skill/competency requirements of nurses in emerging practice models. This article recounts how one nursing department implemented a learning needs assessment (LNA) process as a means of integrating staff development into professional nursing practice.
Nursing and Business: The New Frontier
Authors: Simpson Roy L
Published: April 2021

ABSTRACT

Understanding free market principles is important for fulfilling nursing's obligation to professional stewardship. Stewardship is the act of conserving and enhancing what we have received from those before us, then disseminating it to new generations in the hopes of creating a stronger, more vital profession. In order to do that, nursing needs an improved understanding of the marketplace. This will help nursing grow as a profession, particularly through entrepreneurial and intrapreneurial efforts.
A Model Program for Teaching Nurses Breast Assessment and Cancer Screening
Authors: Judkins Alice F , Boutwell W Bryant
Published: April 2021

ABSTRACT

The increasing incidence of breast cancer in the United States is well documented in the literature. Associated with this rise is a need for additional health care providers who are well versed in the detection of early breast cancer and who are dedicated public advocates of self-examination skills. To meet this challenge, approximately 300 muses throughout the U.S. and Europe have attended a course designed at M.D. Anderson Cancer Center during the past decade. This article provides an overview of the program, including demographic data describing nurses who completed the course during 1989.
Using a Newsletter to Deliver the Message of Cost Containment
Authors: Anderson Lorraine C K , Rainey Susan M
Published: April 2021

ABSTRACT

Nurse educators often ask themselves how they can affect the bottom line of their organization. At the University of Minnesota Hospital and Clinic, Education Services is using a newsletter to promote cost-effective practice. "Dollars and Sense" has proven to be an effective and efficient educational methodology. A small investment of time and resources can reap substantial savings at the bedside. This article discusses how to develop a similar newsletter.
Pathway to Excellence: A Peer Based Program in Continuing Education
Authors: Meyer Rosemary , Elliott Ruth Layman
Published: April 2021

ABSTRACT

Maintaining the professional knowledge and competency needed to practice in today's acute care settings is becoming increasingly difficult. This article introduces a continuing education program developed to assist staff nurses in meeting their learning needs. "Pathway to Excellence: Continuing Professional Education" is a peer education program or nursing education for nurses, by nurses, that can be implemented in all areas of clinical practice.
Breathing AIR into Adult Learning
Authors: Case Bette
Published: April 2021

ABSTRACT

This article summarizes adult learning principles using the acronym AIR: Active involvement, Individual differences, Relevance and motivation. Highlighted are practical strategies to operationalize each of the AIR concepts for professional development. Revisiting adult learning principles can assist continuing education and staff development personnel to face challenges effectively and "walk the talk" in adult learning endeavors.
Critical Path Education: Necessary Components and Effective Strategies
Authors: Aronson Barbara , Maljanian Rose
Published: April 2021

ABSTRACT

Proper use of Critical Paths based on a solid educational foundation aids caregivers in meeting the ultimate challenge of today's healthcare environment: to provide a higher quality of care at a lower cost. The components for a comprehensive educational program for Critical Paths include general principles, Path contents, Path development, guidelines for documentation, variance data collection and evaluation. A strategy to provide large numbers of staff with background information is through the use of self-learning packets; the case study approach is an appropriate strategy for Path specific education. Evaluation data indicate that both strategies are effective in assisting staff to develop and implement Critical Paths.
Coproviding Continuing Education Through Faculty Practice: A Win-Win Opportunity
Authors: Miller Virginia G
Published: April 2021

ABSTRACT

Practice incorporated as an integral component of the faculty role benefits faculty, their clients, students, the school of nursing, and the community. When practice includes education, particular benefits result for those who have limited access to continuing nursing education (CNE). This article describes one school's way of responding to these learning needs. Three essential elements to a successful venture are described: a) a need for CNE is identified, b) faculty with diverse expertise are available, and c) a working relationship exists between an accredited CNE provider and the faculty. Other schools of nursing are encouraged to develop similar programs.
Computer Generated Slides - Cheap!
Authors: Wells Susan E , Reynolds William J
Published: April 2021

ABSTRACT

Thirty-five miillimeter slides can enhance the quality of presentations. They can present complex ideas and transmit information more clearly. They can engage the learner and add a touch of professionalism. However, the cost of professionally generated slides may be prohibitive for individuals working for smaller institutions with limited budgets. This article describes a method that can be used to produce high quality color slides with a fast turnaround time at a reasonable cost. Equipment needed is a computer with a graphics program and a suitably equipped camera.
An Educational Program to Prepare Acute Care Nurses for a Transition to Home Health Care Nursing
Authors: Meyer Katherine A
Published: April 2021

ABSTRACT

This article describes a continuing education program that prepares nurses with experience in acute care nursing for the transition to home health care nursing. The program is a 12-credit hour, two semester college program consisting of 8 hours of theory and 4 hours of clinical practicum. A coalition of hospitals, home health agencies and an educational institution designed the program to maintain the economic welfare of nurses in an era of hospital layoffs, promote professional development and enhance the transition of nurses to home health nursing.
Teaching Psychosocial Care to Long-Term Care Nursing Assistants
Authors: Phillips Regina M , Baldwin Beverly A
Published: April 2021

ABSTRACT

This article describes a training program that teaches nursing assistants to provide psychosocial care and manage problem behaviors, not just provide basic physical care, for elderly nursing home residents. Addressed are the variety of techniques that can be used to approach nursing assistant students as adult learners in any healthcare setting-long term, acute or home care.
Attitudes and Participation of Registered Nurses in Continuing Professional Education in New South Wales, Australia
Authors: Kersaitis Cindy
Published: April 2021

ABSTRACT

This empirical study explored the attitudes and participation of registered nurses (RNs) in New South Wales (NSW), Australia in continuing professional education (CPE). A random sample of 500 RNs from across NSW was surveyed. Three hundred and forty seven (69%) responses were received. Findings showed a positive attitude toward CPE and a willingness to meet the necessary costs. However, the majority of RNs surveyed opposed the introduction of mandatory CPE, a finding that shows CPE may be an unnecessary measure in Australia. The findings suggest an already high participation rate in CPE as well as strategies alternative to mandatory CPE that would further enhance CPE participation.
Using Standardized Patients and Standardized Physicians to Improve Patient-Care Quality: Results of a Pilot Study
Authors: Foley Mary E , Nespoli Grace , Conde Eileen
Published: April 2021

ABSTRACT

Background: We conducted evaluation research with a sample of registered professional staff nurses in a large, inner-city, tertiary medical center for a pilot study of videotaped case scenarios using standardized patients and standardized physicians to enhance nurses' communication and collaboration skills.

Method: Change scores from pre-test to post-test on a self-reported rating scale to assess nurse-physician-patient interactions and communications for 28 nurses were compared with a control group of 38 nurses who did not participate in the videotaped sessions.

Results: Repeated measures of analysis of variance (ANOVA) detected no statistically significant differences between the intervention and control groups. However, positive changes were noted in some aspects of nurse-physician and nurse-patient interactions in the intervention group. Immediate feedback from the videotaped scenarios heightened nurses' awareness of the impact of their body language.

Conclusions: Nurses must continuously practice and enhance their collaborative and communication skills. This pilot study suggests that it is beneficial to use videotaping with standardized patients and standardized physicians to enhance such nurses' skills.
Factors Affecting Graduating Nurses' Nutritional Knowledge: Implications for Continuing Education
Authors: Lindseth Glenda
Published: April 2021

ABSTRACT

Nurses over 25 years of age and with more than 10 years of health-related work experience scored highest when tested for nutritional knowledge in a study of 129 midwestern graduating nurses. Significant differences (F [2, 128] = 5.8, p= .02) were revealed between nurses with 16 or more hours of clinical practice per week in comparison to those nurses with less than 16 hours of clinical practice per week. Cultural nutrition content was the area in which graduating nurses scored the lowest while food and nutrition policies/regulations was the area with which nurses were most familiar. These results have implications for hiring graduating nurses who will need the necessary nutritional care skills to provide quality nursing care today.
Nurse Manager Orientation: Guidelines to Meet the Challenge of a Rapidly Changing Role
Authors: Ziegfeld Connie , Matlin Carol , Earsing Karen
Published: April 2021

ABSTRACT

A management development program at The Johns Hopkins Hospital in Baltimore addresses the competency needs of 68 nurse managers. Orientation of new nurse managers is a significant component of the program. The orientation is based on performance standards and identification of organizational resources and opportunities to assist the managers to meet the standards. A convenience sample of 10 nurse managers, assistant directors, and directors of nursing reviewed the program 1 year after implementation and found it had improved the quality of orientation by providing structure and organization. The model can be applied to other institutions and practice roles.
Professional Development of Primary Care RNs
Authors: Stephens Nikki , Borum Cynthia , Swafford Katie , Embree Jennifer L.
Published: April 2021

Primary care (PC) nurses have challenges and barriers to professional development. This article describes how a Doctor of Nursing Practice Executive Leader Student Consulting Team identified PC nurses' challenges to engaging in professional development opportunities in a clinic at Eskenazi Health. The authors spotlighted and made suggestions for modifications of the professional development opportunities for PC nurses in the health care organization. Key points include how the team assessed for challenges, identified stakeholders for the process, and identified and tailored professional development opportunities for the PC nurses.

[
J Contin Educ Nurs
. 2021;52(4):165–167.]
ECHO: A Model for Professional Development in Nursing Through Learning Networks
Authors: Burman Mary E. , McGee Nancy , Proctor J'Laine , Hart Ann Marie , Moody Eric J. , Hardesty Canyon
Published: April 2021

Health research is published at a breathtaking pace and quantity; however, even when research is systematically developed into best practices and/or clinical guidelines, it often is not implemented into practice. Project ECHO (
E
xtension for
C
ommunity
H
ealthcare
O
utcomes) is an evidence-based professional development approach that can help nurses to stay current and apply new knowledge to practice. The purpose of this article is to describe ECHO as a model for professional development and capacity building through learning networks. This article describes the ECHO model, evidence supporting its use, the infrastructure needed to implement an ECHO network, and two nursing ECHO learning networks.

[
J Contin Educ Nurs
. 2021;52(4):198–204.]
Lethality Factors and the Suicide Attempt
Authors: Shneidman Edwin S
Published: April 2021

II: Methodoloqic Developments in Suicidology
Prison Psychiatrists: A Survey of Ethical Guidelines
Authors: Chalke Frank C R
Published: April 2021

ETHICAL ASPECTS IN PSYCHIATRY: A CANADIAN PSYCHIATRIST'S VIEW
Psychiatric Facilitation of Care When Requested for Assessment of Decision-Making Capacity
Authors: Hamm Brandon
Published: April 2021

Clinical situations in which psychiatrists are consulted to assess decision-making capacity often require complex management in addition to an opinion regarding decisional capacity. In these situations, the consultation-liaison psychiatrist's unique expertise may be useful in facilitating patient care. Some common contexts where this facilitation may be useful include the surrogate decision-making process, requests to leave against medical advice, and when considering nonconsensual interventions for incapacitated patients. In some instances, facilitation will be via psychotropic management and risk assessment. In other instances, skills may include supportive psychotherapy, empathic stakeholder engagement, mediation, and therapeutic-alliance building.

[
Psychiatr Ann
. 2021;51(3):106–111.]
LIPOMA ARBORESCENS: ARTHROGRAPHIC FINDINGS
Authors: Hermann George , Hochberg Fred
Published: April 2021

ABSTRACT: A rare intra-articular tumor of the knee is described. The tumor was delineated preoperatively by arthrography. The value of arthrography is discussed in nonmeniscal damage.
CONVERSION OF MGH HEMIARTHROPLASTY OF THE KNEE TO TOTAL KNEE ARTHROPLASTY USING CUSTOM TIBIAL COMPONENTS
Authors: Drinker Henry , Potter Theodore A , Bierbaum Benjamin E
Published: April 2021

ABSTRACT: Hemiarthroplasty of the knee, similar to that of the hip, is frequently accompanied by the late development of pain associated with erosion of the metallic implant through opposing cartilage and bone. The authors present two patients (3 cases) in which MGH condylar hemiarthroplasty of the knee was treated for this problem by the addition of custom tibial components rather than complete revision to a modern total knee replacement device. The method is presented not as a treatment of choice, but as an alternative to complete revision (requiring the removal of additional femoral bone stock and possibly the need for a more constrained device) which provided relief of symptoms without accelerated wear of prosthetic components in a small number of knees.