RESUMO
The behaviour of nursing staff in each ward of a psychiatric hospital was observed at 5-min intervals for between 7 and 10 h per day for 10 days. The nurses' behaviour was equally divided between interacting with patients, interacting with staff, solitary task oriented behaviour and other behaviours. There was less staff-patient interaction in the acute ward than in the long-term and psychogeriatric wards and senior nurses interacted less with patients and engaged in more solitary task oriented behaviour. Of the interactions with patients, almost 25% were rated as positive and only 0.3% negative. In the long-term wards almost 47% of the interactions were positive.
Assuntos
Relações Enfermeiro-Paciente , Enfermagem Psiquiátrica/normas , Análise de Variância , Avaliação de Desempenho Profissional , Feminino , Humanos , Masculino , New South Wales , Variações Dependentes do Observador , Psicometria , Fatores de TempoRESUMO
Adenocarcinoma of the ileo-cutaneous junction is exceedingly rare. We report a case. The clinical presentation and pathogenesis are discussed.
Assuntos
Adenocarcinoma/etiologia , Colectomia/efeitos adversos , Colite Ulcerativa/cirurgia , Neoplasias do Íleo/etiologia , Ileostomia/efeitos adversos , Músculos Abdominais/cirurgia , Adulto , Humanos , Masculino , Recidiva Local de Neoplasia/cirurgia , Complicações Pós-OperatóriasAssuntos
Adenoma/epidemiologia , Neoplasias Parotídeas/epidemiologia , Adolescente , Adulto , Idoso , Inglaterra , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , RecidivaAssuntos
Aminoácidos/uso terapêutico , Infecções/terapia , Nutrição Parenteral , Ferimentos e Lesões/terapia , Aminoácidos/metabolismo , Constituição Corporal , Proteínas Alimentares/administração & dosagem , Ingestão de Energia , Humanos , Nitrogênio/metabolismo , Necessidades Nutricionais , Nutrição Parenteral Total , Proteínas/administração & dosagem , Proteínas/metabolismoRESUMO
A simple technique of wound perfusion with bupivacaine (Marcain) which provides sustained postoperative analgesia is described. No complications nor side effects related to toxicity, hypersensitivity, infection, or impaired wound healing were encountered. Postoperative pain was reduced and analgesic requirements were significantly lower in patients undergoing both intermittent (P less than 0.01) and continuous (P = 0.1) wound perfusion (Student t test). Perfusion with isotonic saline was also found to be effective. This may represent a true therapeutic effect attributable to the removal or dilution of pain mediating substances in the wound.
Assuntos
Anestésicos Locais/administração & dosagem , Dor Pós-Operatória/terapia , Perfusão , Anestésicos Locais/uso terapêutico , Bupivacaína/administração & dosagem , Bupivacaína/uso terapêutico , Colecistectomia , Ensaios Clínicos como Assunto , Método Duplo-Cego , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Ópio/uso terapêutico , Perfusão/métodos , Projetos Piloto , Distribuição AleatóriaRESUMO
A double-blind study was carried out to investigate the prophylactic use of single-dose cefuroxime in elective abdominal surgery. Twenty-three patients received 1.5 g cefuroxime by intravenous injection immediately prior to induction of anaesthesia; 24 patients received no antibiotics. In the cefuroxime group, there were no cases of post-operative wound sepsis or septicaemia; in the control group, the incidence of these infections was 12.5% and 8.3% respectively.
