Pediatricians' and pediatric nurses' knowledge about pain in newborn infants and their practices in some provinces in Turkey [Türkiye'de bazi illerde çocuk servislerinde çalişan çocuk hekimi ve hemşirelerin yenidoganlarda agri konusundaki bilgi ve uygulamalari]

PubMed ID: 18095195This research was conducted as a descriptive study for the purpose of determining the status of pediatricians and nurses who work on pediatric wards about their recognizing, evaluating, and using appropriate nonpharmacologic interventions to treat pain in newborn infants. The study was conducted between March and May 2005. A total of 198 nurses and physicians were included in the sample, 31 of whom were from Sivas 1st Izzettin Keykavus State Hospital, 76 from Akdeniz University Medical Faculty Hospital. 45 from Mersin University Medical Faculty Research. Mersin State and Taurus State Hospitals and 46 from Ege University Medical Faculty Hospital. The data were collected using a 16-question survey form. Five of the survey questions were regarding the nurses' and physicians' sododemographic characteristics and 11 contained questions directed at obtaining physicians and nurses' information about pain in newborns. The results of the research showed that the physicians and nurses were knowledgeable about newborn pain. It was determined that the pediatric nurses used nonpharmacologic methods during invasive procedures in the newborns but the physicians did not. In conclusion it is recommended that this issue receive more discussion in continuing education programs at hospitals for the purpose of encouraging nurses and physicians to use nonpharmacologic methods during invasive procedures that are done in newborns to facilitate a multidisciplinary team approach for pain management in newborn infants

RECONSTRUCTION OF ATROPHIC MAXILLA BY ANTERIOR ILIAC CREST BONE GRAFTING VIA NEUROAXIAL BLOCKADE TECHNIQUE: A CASE REPORT

Anterior iliac crest bone grafting is a well-established modality in the treatment of alveolar bone deficiencies. However, this procedure may also have considerable postoperative morbidity which is mostly related to general anesthesia. Postoperative pain-related complications can be managed by neuroaxial blockade techniques which provide adequate surgical analgesia and reduce postoperative pain. This clinical report describes the reconstruction of a severely atrophic maxilla with anterior iliac crest bone grafting using combined spinal epidural anesthesia. Neuroaxial blockade techniques may be a useful alternative to eliminate general anesthesia related challenges of anterior iliac crest bone grafting procedures

Does Early Algebra Matter? The Effectiveness of an Early Algebra Intervention in Grades 3 to 5

A cluster randomized trial design was used to examine the effectiveness of a Grades 3 to 5 early algebra intervention with a diverse student population. Forty-six schools in three school districts participated. Students in treatment schools were taught the intervention by classroom teachers during regular mathematics instruction. Students in control schools received only regular mathematics instruction. Using a three-level longitudinal piecewise hierarchical linear model, the study explored the impact of the intervention in terms of both performance (correctness) and strategy use in students' responses to written algebra assessments. Results show that during Grade 3, treatment students, including those in at-risk settings, improved at a significantly faster rate than control students on both outcome measures and maintained their advantage throughout the intervention