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2.
Am Surg ; 86(2): 152-157, 2020 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-32106909

RESUMO

The professional use of social media is increasingly prevalent today, particularly in medicine and surgery. Several recent movements have highlighted the strengths of this forum for networking and mentorship for females in surgery who otherwise may lack mentors locally. We sought to describe modern uses for and strengths of social media for women in surgery globally via a systematic review of the literature. Multiple efforts and avenues have promoted gender equality in surgery, while also uniting female surgeons in a collaborative virtual network of colleagues. In particular, movements on Twitter, such as #ILookLikeASurgeon and #NYerORCoverChallenge, as well as other collaborative virtual fora have brought visibility to female surgeons, while drawing the young population of students and trainees toward surgical careers. Social media provides a unique opportunity for female trainees and established surgeons alike to network and establish mentorship relationships, which may aid in fostering interest in surgery and closing the gender gap in our field.


Assuntos
Tutoria , Médicas , Mídias Sociais , Cirurgiões , Escolha da Profissão , Feminino , Humanos , Tutoria/métodos , Mentores/estatística & dados numéricos , Médicas/organização & administração , Médicas/provisão & distribução , Salários e Benefícios/estatística & dados numéricos , Sexismo , Mídias Sociais/organização & administração , Mídias Sociais/estatística & dados numéricos , Mídias Sociais/tendências , Cirurgiões/organização & administração , Cirurgiões/provisão & distribução
3.
Am J Surg ; 219(4): 552-556, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-32014295

RESUMO

BACKGROUND: We hypothesized that differences in motion data during a simulated laparoscopic ventral hernia repair (LVH) can be used to stratify top and lower tier performers and streamline video review. MATERIALS AND METHODS: Surgical residents (N = 94) performed a simulated partial LVH repair while wearing motion tracking sensors. We identified the top ten and lower ten performers based on a final product quality score (FPQS) of the repair. Two blinded raters independently reviewed motion plots to identify patterns and stratify top and lower tier performers. RESULTS: Top performers had significantly higher FPQS (23.3 ± 1.2 vs 5.7 ± 1.6 p < 0.01). Raters identified patterns and stratified top performers from lower tier performers (Rater 1 χ2 = 3.2 p = 0.07 and Rater 2 χ2 = 2.0 p = 0.16). During video review, we correlated motion plots with the relevant portion of the procedure. CONCLUSION: Differences in motion data can identify learning needs and enable rapid review of surgical videos for coaching.


Assuntos
Retroalimentação , Herniorrafia/educação , Internato e Residência , Treinamento por Simulação/métodos , Gravação em Vídeo , Dispositivos Eletrônicos Vestíveis , Competência Clínica , Feminino , Hérnia Ventral/cirurgia , Humanos , Laparoscopia/educação , Masculino , Tutoria/métodos , Movimento , Aprendizagem Baseada em Problemas
5.
Clin Ter ; 170(1): e59-e65, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31850486

RESUMO

INTRODUCTION: Breast cancer is the most common cancer in women worldwide, for which the survival rate is increasing over time. Growing evidence are showing that the effect of lifestyle could have the same weight of the effect of the usual clinical-pathological risk factors on survival rate. The DianaWeb study responds to the pressing request of patients diagnosed with breast cancer to know the most advanced point of scientific research on the prevention of recurrences, to have a virtual space to meet, where to receive advice and practical information for the daily management the lifestyle change. DianaWeb is a community-based participatory research, dedicated to breast cancer patients, aimed to monitor lifestyle, provide them tips to encourage sustainable lifestyle changes, and to analyze clinical outcomes. In order to achieve these aims, DianaWeb uses a specific interactive website (http://www.dianaweb.org/). METHODS: The web architecture has been designed essential and light, with a rigorous implantation that brings the figure of the woman to the center. In order to humanized the project the acronym used to identify the study was Diana (Diet and Androgens), a classical female name, who was illustrated as a female avatar, aimed to symbolize all women. The graphical interface was developed using seven pastel tones colors, which become a fundamental elements of the layout, such as frame, navigation menu, and separation interspaces. RESULTS: The project started in 2015, and in 4 days the web site was visited by more than 1000 people. A total of 2823 persons enrolled in the study, but 2182 did not send the full documentations, 61 persons abandoned the study, 641 timely answered to the questionnaires. CONCLUSIONS: The high number of participants' interaction within the web page, confirmed the high usability of the web page and the great interest of patients. Prevention of breast cancer recurrences with low cost technologies, easily available to everybody, is a priority for both public health and public finances.


Assuntos
Neoplasias da Mama/prevenção & controle , Promoção da Saúde/métodos , Internet , Tutoria/métodos , Recidiva Local de Neoplasia/prevenção & controle , Educação de Pacientes como Assunto/métodos , Telemedicina/métodos , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Pessoa de Meia-Idade , Fatores de Risco , Inquéritos e Questionários
7.
Artigo em Inglês | MEDLINE | ID: mdl-31847099

RESUMO

The aim of the present study was to analyse differences in the psychoneuroendocrine stress responses of high-level, young swimmers depending on whether an autocratic and democratic coaching style was applied. Modifications in cortisol and the motivational climate of 18 young swimmers (15.3 ± 1.86 years, 10 females and 8 males) were analysed before and after two training sessions with equivalent training loads but directed by two coaches applying different approaches, i.e., autocratic (A) and democratic (D). The basal testosterone levels of the coaches were also assessed. The basal testosterone concentration was higher in coach A than in coach D; the athletes perceived them as autocratic and democratic, respectively. Swimmers under coach A's instructions showed higher cortisol levels, suggesting higher cortisol production related to coaching style. Furthermore, differences in the motivational climate concerning ego (i.e., athletes comparing their ability with that of other athletes) were observed with coach A, whereas differences in motivational climate concerning the task (i.e., athletes comparing their ability with their own past performance) were observed with coach D. Cognitive variables showed negative perceptions affecting athletes' training experience and performance when they were screamed at or insulted by coach A. There were no gender or age differences in cortisol production or motivational climate. In conclusion, this study suggests that an autocratic coaching style modulates cortisol release in both genders, affecting young elite swimmers' motivational climate and training experience.


Assuntos
Atletas/psicologia , Tutoria/métodos , Sistemas Neurossecretores/fisiologia , Estresse Fisiológico , Natação/psicologia , Adolescente , Criança , Feminino , Humanos , Masculino , Natação/fisiologia
8.
Br J Nurs ; 28(21): 1394-1398, 2019 Nov 28.
Artigo em Inglês | MEDLINE | ID: mdl-31778343

RESUMO

A coaching pilot was developed following the publication of a number of reports that recommended a review into how student nurses are taught in clinical practice. A bespoke version of the Collaborative Learning in Practice (CLiP) model was developed, which used both coaching and peer learning to encourage students to lead the delivery of care for a designated group of patients. A senior student led a team consisting of two junior students and they were given the responsibility of directing and coordinating the team in the manner expected of a registered nurse. A qualified nurse was responsible for the supervision of the students and used a coaching approach to teach. Findings from an evaluation revealed that the students benefitted from being able to work autonomously and were able to enhance their leadership and management skills.


Assuntos
Docentes de Enfermagem/psicologia , Relações Interprofissionais , Tutoria/métodos , Recursos Humanos de Enfermagem/psicologia , Estudantes de Enfermagem/psicologia , Grupos Focais , Humanos , Aprendizagem , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Pesquisa Metodológica em Enfermagem
11.
J Athl Train ; 54(10): 1074-1082, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31633408

RESUMO

CONTEXT: Recent studies suggested that a large population of high school-aged athletes participate on club sport teams. Despite attempts to document emergency preparedness in high school athletics, the adherence to emergency and medical coverage standards among club sport teams is unknown. OBJECTIVE: To determine if differences in emergency preparedness and training existed between coaches of high school teams and coaches of high school-aged club teams. DESIGN: Cross-sectional survey. SETTING: Online questionnaire. PATIENTS OR OTHER PARTICIPANTS: A total of 769 coaches (females = 266, 34.6%) completed an anonymous online questionnaire regarding their emergency preparedness and training. MAIN OUTCOME MEASURE(S): The questionnaire consisted of (1) demographics and team information, (2) emergency preparedness factors (automated external defibrillator [AED] availability, emergency action plan [EAP] awareness, medical coverage), and (3) emergency training requirements (cardiopulmonary resuscitation/AED, first aid). RESULTS: High school coaches were more likely than club sport coaches to be aware of the EAP for their practice venue (83.9% versus 54.4%, P < .001), but most coaches in both categories had not practiced their EAP in the past 12 months (70.0% versus 68.9%, P = .54). High school coaches were more likely to be made aware of the EAP during competitions (47.5% versus 37.1%, P = .02), but the majority of coaches in both categories indicated that they were never made aware of EAPs. High school coaches were more likely than club coaches to (1) have an AED available at practice (87.9% versus 58.8%, P < .001), (2) report that athletic trainers were responsible for medical care at practices (31.2% versus 8.8%, P < .001) and competitions (57.9% versus 31.2%, P < .001), and (3) be required to have cardiopulmonary resuscitation, AED, or first-aid training (P < .001). CONCLUSIONS: High school coaches displayed much greater levels of emergency preparedness and training than coaches of high school-aged club teams. Significant attention and effort may be needed to address the lack of emergency preparedness and training observed in club coaches.


Assuntos
Traumatismos em Atletas/terapia , Reanimação Cardiopulmonar , Desfibriladores/provisão & distribução , Tratamento de Emergência , Tutoria , Esportes Juvenis/lesões , Adulto , Reanimação Cardiopulmonar/instrumentação , Reanimação Cardiopulmonar/métodos , Estudos Transversais , Tratamento de Emergência/métodos , Tratamento de Emergência/normas , Feminino , Humanos , Masculino , Tutoria/métodos , Tutoria/organização & administração , Tutoria/normas , Competência Profissional , Inquéritos e Questionários , Estados Unidos , Universidades
12.
J Athl Train ; 54(10): 1055-1060, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31633416

RESUMO

CONTEXT: Previous researchers have identified sport specialization as being associated with various negative outcomes (eg, overuse injuries and adverse psychosocial outcomes). However, little is known regarding how the underlying attitudes, beliefs, and values of sport stakeholders may be shaping this trend. OBJECTIVE: To examine the perceptions of coaches in the high school versus club sport setting and compare their attitudes and behaviors toward sport specialization. DESIGN: Cross-sectional survey. PATIENTS OR OTHER PARTICIPANTS: A total of 769 coaches (497 high school coaches, 272 club sport coaches). MAIN OUTCOME MEASURE(S): Participants completed a novel measure that surveyed their perceptions regarding various aspects of youth sport specialization. Additionally, each coach completed a questionnaire detailing his or her relevant demographic and sport background information. RESULTS: High school coaches and club sport coaches differed in their perceptions of sport specialization (t767 = 1.41, P < .001); club coaches (2.43 ± 0.25) were more likely than high school coaches (2.31 ± 0.21) to rate specialization as a positive, adaptive practice. The multiple linear regression equations for both the high school and club coaches indicated that no educational, experiential, or demographic factors predicted coaches' perceptions of specialization (P values > .05). CONCLUSIONS: Club sport coaches were more likely to possess attitudes in favor of sport specialization. Additionally, coaches' background characteristics did not predict their perceptions of specialization, suggesting that the competitive context itself (high school versus club) may be the most salient influencer of these perceptions. Athletes and sports medicine practitioners should be aware of the heightened expectation of specialized participation and resulting increased injury risk in these contexts. Pediatric sport researchers and practitioners should continue to explore how these different group perceptions manifest in participation behaviors and may link to overall athlete health, wellbeing, and development.


Assuntos
Atitude , Tutoria/métodos , Percepção Social , Especialização , Esportes Juvenis , Adulto , Atletas/psicologia , Comportamento Competitivo , Estudos Transversais , Humanos , Universidades , Esportes Juvenis/psicologia , Esportes Juvenis/normas
13.
Rev. Fund. Educ. Méd. (Ed. impr.) ; 22(5): 219-226, sept.-oct. 2019. graf, tab
Artigo em Espanhol | IBECS | ID: ibc-187494

RESUMO

Objetivo: Presentar la experiencia de iniciación a la investigación con estudiantes de medicina mediante asignaturas optativas: 'Proyectos de investigación de grado' (1, 2 y 3). Sujetos y métodos: Han participado estudiantes de segundo, tercero y cuarto año de los cursos académicos 2011-2012 a 2017-2018 que se matricularon sucesivamente en 'Proyectos 1' (identifi cación del tema, documentación y elaboración de hipótesis y objetivos), 'Proyectos 2' (diseño metodológico y adquisición de datos) y 'Proyectos 3' (divulgación científi ca). Cada grupo, de 2-4 estudiantes, trabajó bajo la dirección de un tutor, realizó presentaciones y elaboró un manuscrito sobre su actividad. En 'Proyectos 3', presentaron un póster con la actividad de los tres cursos que se expuso en una jornada monográfi ca. La evaluación de la satisfacción de los estudiantes se realizó mediante una encuesta. Resultados: En total, 546 estudiantes han iniciado la experiencia en 'Proyectos 1', de los que el 43,9% la completan. El número de tutores participantes ha sido de 83. Se han abordado 195 temas de investigación, de los que el 59% son de investigación clínica, el 31% de investigación fundamental y el 10% de otros. Las califi caciones obtenidas han sido superiores a 9 puntos sobre 10. La encuesta resalta que los estudiantes valoran el papel de los tutores y el potencial formativo de la actividad. Conclusión: El diseño de los cursos permite que el estudiante tome contacto con diferentes aspectos del proceso de investigación, actividad que consideran gratifi cante y apropiada a su formación como médico


Aim: To present the experience of an initiation in to research for medical students through optional courses: 'Research Projects of Degree' (1, 2, and 3). Subjects and methods: Medical students in their second, third, and fourth year from the academic years 2011-2012 to 2017-2018, enrolled consecutively in the subjects: 'Projects 1', identifi cation of the topic, documentation and elaboration of hypotheses and objectives; 'Projects 2', methodological design and acquisition of data; and 'Projects 3', scientifi c disclosure. Each group, of 2-4 students, did a research project under the supervision of a tutor; the research project was presented orally and on paper. In 'Projects 3', students made a poster about the activities performed during the three courses, posters were shown in a monographic exhibition. Evaluation of student satisfaction was carried out through a survey. Results: A total of 546 students started the experience in 'Projects 1', of which 43.9% completed it. The number of participating tutors was 83, addressing 195 research topics, of which 59% were clinical research, 31% fundamental research and 10% were termed others. The scores obtained in these courses were higher than 9 points out of 10. The survey highlights the important role of advisers and the training potential of the activity. Conclusion: The design of the course allows the students to be in contact with diff erent aspects of the biomedical research processes. Students considered the activity rewarding, useful, and appropriate to their training as a physician


Assuntos
Humanos , Masculino , Feminino , Adulto , Pesquisa Biomédica , Projetos , Tutoria/métodos , Educação Médica/métodos , Aptidão , Projetos de Pesquisa/normas , Projetos de Pesquisa/estatística & dados numéricos
14.
Pediatrics ; 144(2)2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31363070

RESUMO

Physician-scientists represent a critical component of the biomedical and health research workforce. However, the proportion of physicians who spend a significant amount of effort on scientific research has declined over the past 40 years. This trend has been particularly noticeable in pediatrics despite recent scientific work revealing that early life influences, exposures, and health status play a significant role in lifelong health and disease. To address this problem, the Duke University Department of Pediatrics developed the Duke Pediatric Research Scholars Program for Physician-Scientist Development (DPRS). The DPRS is focused on research training during pediatric residency and fellowship. We aim to provide sufficient research exposure and support to help scholars develop a research niche and scholarly products as well as identify the career pathways that will enable them to achieve their research goals. Herein, we describe the DPRS's organizational structure, core components, recruitment strategies, and initial results, and we discuss implementation challenges and solutions. Additionally, we detail the program's integration with the department's residency and fellowship training programs (with particular reference to the challenges of integrating research into small- to medium-sized residency programs) and describe the development and integration of related initiatives across Duke University School of Medicine. The program served as the basis for 2 successful National Institutes of Health Stimulating Access to Research in Residency (R38) applications, and we hope it will serve as a model to integrate formalized research training for residents and fellows who wish to pursue research careers in academic medicine.


Assuntos
Pesquisa Biomédica/educação , Pesquisa Biomédica/métodos , Pessoal de Laboratório Médico/educação , Pediatras/educação , Desenvolvimento de Programas/métodos , Pesquisa Biomédica/tendências , Escolha da Profissão , Competência Clínica , Humanos , Internato e Residência/métodos , Internato e Residência/tendências , Pessoal de Laboratório Médico/tendências , Tutoria/métodos , Tutoria/tendências , Pediatras/tendências
15.
Pap. psicol ; 40(2): 133-140, mayo-ago. 2019. graf, tab
Artigo em Espanhol | IBECS | ID: ibc-183643

RESUMO

Numerosos metaanálisis han demostrado cómo el uso de la tecnología es una práctica efectiva en el campo de la instrucción en escri-tura. Sin embargo, la mayor parte de estos estudios se han centrado en los efectos del procesador de Word para mejorar la escritura de los estudiantes. Este trabajo investiga y muestra los efectos de nuevas formas de instrucción en la escritura, como son los Sistemas de Tutoría Inteligente (STI), una de las herramientas más sofisticadas dentro del campo de los entornos virtuales de aprendizaje. Se ha revisado sistemáticamente la literatura de la última década procedente de Web of Science, ScienceDirect y Scopus. El potencial de los Sistemas de Tutoría Inteligente está claramente respaldado por los hallazgos actuales. Sin embargo, hay resultados contradictorios con respecto al rendimiento de los estudiantes. Esta revisión plantea una discusión sobre los resultados de cara a comprender mejor la relación entre tecnología e instrucción en escritura


Abundant meta-analyses have shown how the use of technology is an effective practice in the field of writing instruction. However, most of these studies have focused on the effects of the word processor to improve student writing. This article investigates and shows the effects of new forms of instruction in writing, such as intelligent tutoring systems (ITS), one of the most sophisticated tools in the field of virtual learning environments. The literature of the last decade from the Web of Science, ScienceDirect and Scopus has been systematically reviewed. The potential of intelligent tutoring systems is clearly supported by the current findings. However, there are contradictory results concerning students' performance. This review presents a discussion on the results in order to understand in more detail the relationship between technology and instruction in writing


Assuntos
Humanos , Redação , Aprendizagem , Tutoria/métodos
16.
Cultur Divers Ethnic Minor Psychol ; 25(4): 514, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31343193

RESUMO

Reports an error in "Do mentor support for ethnic-racial identity and mentee cultural mistrust matter for girls of color? A preliminary investigation" by Bernadette Sánchez, Julia Pryce, Naida Silverthorn, Kelsey L. Deane and David L. DuBois (Cultural Diversity and Ethnic Minority Psychology, Advanced Online Publication, Oct 01, 2018, np). In this article, all the authors were listed as being affiliated with DePaul University, but only Bernadette Sánchez is affiliated with DePaul University. The other authors were at the following affiliations while the work for the article was completed: Julia Pryce, School of Social Work, Loyola University Chicago; Naida Silverthorn, Institute for Health Research and Policy, University of Illinois at Chicago; Kelsey L. Deane, Department of Education and Social Work, University of Auckland; and David L. DuBois, Department of Community Health Sciences, University of Illinois at Chicago. All versions of this article have been corrected. (The following abstract of the original article appeared in record 2018-48484-001.) Objectives: The aim of this repeated-measures study was to examine the roles of cultural mistrust and perceived mentor support for ethnic-racial identity in a sample of girls of color. It was hypothesized that mentors' support for ethnic-racial identity measured at baseline would influence relationship quality, as well as the girls' ethnic identity and cultural mistrust, at the end of the intervention, adjusting for baseline measures. It was also hypothesized that girls' cultural mistrust toward Whites at baseline would be negatively associated with mentoring relationship quality at the end of the intervention. METHOD: Participants were 40 adolescent girls of color who were matched with racially-ethnically diverse women mentors in a community-based mentoring program. RESULTS: Mentor support for ethnic-racial identity as reported by youth significantly predicted relative increases in youth reports of relational but not instrumental satisfaction. Higher mentor support for ethnic-racial identity also significantly predicted increases in ethnic identity exploration, but only among girls with White mentors. Further, youth's reported greater cultural mistrust toward Whites was a significant predictor of decreased instrumental relationship satisfaction among girls with White mentors. CONCLUSIONS: Findings support the importance of further efforts to understand the roles of culturally relevant relationship processes and youth attitudes in mentoring interventions for girls of color. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Diversidade Cultural , Grupos Étnicos/psicologia , Tutoria/métodos , Mentores/psicologia , Identificação Social , Adolescente , Grupos de Populações Continentais/psicologia , Feminino , Humanos , Relações Interpessoais , Grupos Minoritários , Universidades
17.
Afr J Prim Health Care Fam Med ; 11(1): e1-e7, 2019 Jul 08.
Artigo em Inglês | MEDLINE | ID: mdl-31296015

RESUMO

BACKGROUND: The concept of mentoring in clinical practice has traditionally focused on moving graduates from novice to more respectable positions within the clinical practice hierarchy. With the growing emphasis on evidence-based practice, the role of research in generating evidence for practice cannot be overemphasised. Mentoring in clinical operational research for both students and junior members of academic staff in health professionals' training colleges is as important as mentoring for clinical skills. AIM: This study aimed at building consensus on possible ways of enhancing research mentoring for graduate students and members of academic staff in a college of health sciences. SETTING: The study was conducted within Moi University College of Health Sciences (MUCHS) in Eldoret, Kenya. METHODS: The study population was composed of academic staff members and registered graduate students by the end of 2015. All academic staff and graduate students were eligible to participate. The Delphi technique was used to not only collect individual opinions but also build consensus. During the first iteration, questions were sent for which open-ended responses were needed. Responses from the first round were grouped into patterns and themes that guided the writing of questions for the subsequent rounds. RESULTS: The response rate was 78%. There was consensus in appreciating that mentoring was fundamental for career growth in clinical practice and research and needed for improving and developing formal structure for effective mentoring. It was crucial to establish training programmes for mentors and for accrediting them. CONCLUSION: Enhancing of current research mentoring in MUCHS was needed and expected by graduate students and academic staff.


Assuntos
Consenso , Educação de Pós-Graduação em Medicina/métodos , Docentes de Medicina , Tutoria/métodos , Universidades , Humanos , Quênia
18.
Br J Community Nurs ; 24(7): 315-322, 2019 Jul 02.
Artigo em Inglês | MEDLINE | ID: mdl-31265338

RESUMO

As the world's population ages, efforts to improve quality of life (QOL) in old age are gaining public attention. In this study, a programme was conducted for older people with the aim of clarifying their life goals related to QOL and the meaning of their existence, and the effect of the programme in improving QOL was evaluated. Participants were randomly assigned to the intervention or control group after registration. The program consisted of four 90-minute classes. The primary outcome was the Philadelphia Geriatric Center Morale Scale score (PGC), and changes in outcomes were compared between groups. The intervention group had significantly improved PGC scores (P<0.003). Further, the scores of PGC subscales 'Acceptance of one's own ageing' and 'Lonely dissatisfaction' showed significant improvements after the intervention (P<0.001). The findings suggest the effectiveness of the developed program in improving QOL in people aged ≥65 years.


Assuntos
Envelhecimento/psicologia , Objetivos , Solidão , Tutoria/métodos , Satisfação Pessoal , Qualidade de Vida , Idoso , Feminino , Humanos , Japão , Masculino , Moral
19.
Nurse Educ Today ; 80: 52-58, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31260909

RESUMO

BACKGROUND: Mentoring programs are effective in improving some characteristics related to university adaptation, such as increasing student satisfaction, gaining social skills and effective communication, reducing stress and anxiety, and improving cognitive and psychomotor skills as well as academic performance. OBJECTIVE: The aim of this study was to determine the effect of mentoring program on adjustment to university and ways of coping with stress in nursing students. DESIGN: This quasi-experimental study was carried out using a nonrandomized control group pretest and posttest design. SETTING: The study was conducted at a university school of nursing in Turkey. PARTICIPANTS: Ninety-one first-year undergraduate nursing students were included in the study. METHODS: The 8-week peer mentoring program was conducted with the experimental group. The Adjustment to University Scale (AUS) and The Ways of Coping Inventory (WCI) were measured at preintervention and postintervention. RESULTS: The posttest mean scores of AUS of the experimental group were statistically higher than the control group (p < .05). The posttest mean scores of optimistic and seeking social support approaches of the experimental group were also statistically higher than the control group (p < .05). Mentoring program had an effect on self-confident, optimistic, seeking social support, submissive, and helpless approaches in the experimental group (p < .05). CONCLUSION: Mentoring program had a positive effect on adjustment to university and ways of coping with stress in nursing students. These study results indicate that this program can be used to increase the adjustment to university and ways of coping with stress in nursing students.


Assuntos
Adaptação Psicológica , Tutoria/métodos , Estresse Psicológico/terapia , Estudantes de Enfermagem/psicologia , Adolescente , Bacharelado em Enfermagem/métodos , Feminino , Humanos , Masculino , Apoio Social , Estresse Psicológico/psicologia , Inquéritos e Questionários , Turquia , Universidades/organização & administração , Adulto Jovem
20.
J Clin Neurosci ; 68: 188-193, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31303398

RESUMO

Endoscopic endonasal transsphenoidal approaches to craniopharyngioma has become increasingly popular over the last 15 years. We present the results of our retrospective series of craniopharyngiomata resected by an endoscopic, endonasal approach at a low-volume service in Australasia. Between the years of 2009 and 2017, 11 patients underwent pure endoscopic endonasal transsphenoidal resection for a craniopharyngioma at our institutions. The medical records, histopathology, intraoperative findings and patient imaging were retrospectively assessed. 11 patients were included with 5 male and 6 female patients. The mean age was 32.0 years (range 14-68 years). Of this patient series a gross total resection of the tumour was achieved in 8 of 11 patients (73%). In the immediate postoperative phase, 10 of the 11 patients developed diabetes insipidus (91%). The pituitary stalk was formally not seen in 4 patients and all were treated with vasopressin. Of the 7 patients where the pituitary stalk was identified it was formally divided in 6 and preserved in 1 patient where the tumour was separate to the stalk. The endoscopic endonasal transsphenoidal approach for excision of craniopharyngioma, utilising and progressing the surgical mentoring model, can achieve adequate decompression of critical structures. Furthermore, our aggressive approach to divide and remove the involved pituitary stalk results in high rates of gross macroscopic resection with excellent long-term disease control with a greater risk of postoperative diabetes insipidus and panhypopituitarism.


Assuntos
Craniofaringioma/cirurgia , Tutoria/métodos , Neuroendoscopia/métodos , Neoplasias Hipofisárias/cirurgia , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Resultado do Tratamento , Adulto Jovem
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