RESUMEN
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.
Asunto(s)
Relaciones Enfermero-Paciente , Enfermería Psiquiátrica/normas , Análisis de Varianza , Evaluación del Rendimiento de Empleados , Femenino , Humanos , Masculino , Nueva Gales del Sur , Variaciones Dependientes del Observador , Psicometría , Factores de TiempoRESUMEN
Adenocarcinoma of the ileo-cutaneous junction is exceedingly rare. We report a case. The clinical presentation and pathogenesis are discussed.
Asunto(s)
Adenocarcinoma/etiología , Colectomía/efectos adversos , Colitis Ulcerosa/cirugía , Neoplasias del Íleon/etiología , Ileostomía/efectos adversos , Músculos Abdominales/cirugía , Adulto , Humanos , Masculino , Recurrencia Local de Neoplasia/cirugía , Complicaciones PosoperatoriasAsunto(s)
Adenoma/epidemiología , Neoplasias de la Parótida/epidemiología , Adolescente , Adulto , Anciano , Inglaterra , Femenino , Humanos , Masculino , Persona de Mediana Edad , RecurrenciaAsunto(s)
Aminoácidos/uso terapéutico , Infecciones/terapia , Nutrición Parenteral , Heridas y Lesiones/terapia , Aminoácidos/metabolismo , Constitución Corporal , Proteínas en la Dieta/administración & dosificación , Ingestión de Energía , Humanos , Nitrógeno/metabolismo , Necesidades Nutricionales , Nutrición Parenteral Total , Proteínas/administración & dosificación , Proteínas/metabolismoRESUMEN
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.
Asunto(s)
Anestésicos Locales/administración & dosificación , Dolor Postoperatorio/terapia , Perfusión , Anestésicos Locales/uso terapéutico , Bupivacaína/administración & dosificación , Bupivacaína/uso terapéutico , Colecistectomía , Ensayos Clínicos como Asunto , Método Doble Ciego , Femenino , Humanos , Masculino , Persona de Mediana Edad , Opio/uso terapéutico , Perfusión/métodos , Proyectos Piloto , Distribución AleatoriaRESUMEN
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.