MS

thesisAn ex post facto exploratory and descriptive study was conducted to determine if there were differences in the quality of patient care delivered under two forms of nursing care delivery systems. The two systems of nursing care delivery studied were team nursing and total patient care nursing. Both systems were evaluated over successive eight month periods in the setting of a rural 72-bed hospital. Quality of patient care was assessed by use of four instruments. The four instruments were: a) nosocomial infection rates, b) patient incident reports, c) patient satisfaction questionnaires, and d) patient care quality assurance audits. The data were analyzed using descriptive and inferential statistical techniques. Significant differences were not apparent between the two systems of nursing care delivery in the areas of nosocomial infection rates and patent satisfaction indices. Total patient care demonstrated statistically significant improvement in the areas of number of patient incidents (p = .05), and patient quality assurance audits (p = .008). Patient falls and medication errors were significantly reduced. Patient care was improved significantly in all areas measured, with the greatest change demonstrated in the areas of: a) the nurse's knowledge of patients' diagnoses, and conditions, b) the patients' treatments and the effects of therapy, c) patient and family teaching with associated charting, and d) increased interdisciplinary communication between health team members. Implications for nursing are vast. As health care costs and patient expectations continue to soar, the most efficient and effective nursing care delivery system is essential

The Mastery of Midwifery of the Worshipful Society of Apothecaries of London

The Worshipful Society of Apothecaries of London, perhaps unexpectedly given its name, is a City livery company. In late 2007, the Society comprised, in ascending rank, Yeomen (424), Liverymen (1244), the Court of Assistants (23 plus 6 Assistants Emeritus), two Wardens and the Master (these last three being elected annually from amongst the Assistants). By its constitution, 85 per cent of the membership has to belong to the medical professions and includes a number of pharmacists, veterinary surgeons and dentists. The remainder come from various professional backgrounds and there are a few honorary Freemen. [Excerpt]

Calcaneal Fractures in Non-Racing Dogs and Cats:Complications, Outcome and Associated Risk Factors

Objective To estimate the prevalence of complications and describe the outcome associated with calcaneal fractures in non‐racing dogs and in cats. Study Design Retrospective multicenter clinical cohort study. Animals Medical records of client‐owned dogs and cats (2004–2013). Methods Medical records were searched and 50 animals with calcaneal fractures were included for analysis. Complications were recorded and an outcome score applied to each fracture. Associations between putative risk factors and both major complications, and final outcome scores were explored. Results Complications occurred in 27/50 fractures (61%) including 23 major and 4 minor complications. At final follow‐up, 4 animals (10%) were sound, 27 (64%) had either intermittent or consistent mild weight‐bearing lameness, 7 (17%) had moderate weight‐bearing lameness, and 1 (2%) had severe weight‐bearing lameness. Fractures managed using plates and screws had a lower risk of complications than fractures managed using pin and tension band wire, lag or positional screws or a combination of these techniques (Relative risk 0.16, 95% CI 0.02–1.02, P=.052). Non‐sighthounds had reduced odds of a poorer outcome score than sighthounds (Odds ratio 0.11, 95% CI 0.02–0.50, P=.005) and fractures with major complications had 13 times the odds of a poorer outcome score (Odds ratio 13.4, 95% CI 3.6–59.5, P<.001). Conclusion This study reports a high occurrence of complications associated with calcaneal fracture stabilization in non‐racing dogs and in cats, and a poorer outcome score was more likely in animals with complications. A more guarded prognosis should be given to owners of non‐racing dogs or cats with calcaneal fractures than previously applied to racing Greyhounds with calcaneal fractures

Comparison of the international Burn Injury Database nurse dependency tool with the Safer Nursing Care Tool: Observational study

Background - Safe and effective nurse staffing is widely recognised as an important issue to ensure quality patient care and reduce mortality. There are many nurse dependency tools described in the literature but no gold standard tool that can be used in all specialities. In burn care there are even fewer burn specific tools and none reported for use in the UK to date. The international Burn Injury Database contains routinely collected information about burn injuries including nurse dependency data which so far has not been reported in the literature. Objective -This study aimed to confirm whether the international Burn Injury Database nurse dependency tool can be used to measure nurse dependency in burn services. Methods - Over a two week period, nurses on three burn services scored the nurse dependency of their burn injured patients daily using the international Burn Injury Database nurse dependency tool and Safer Nursing Care Tool. Additionally all the participating nurses were asked to score three fictional case studies using the same two tools to assess inter-rater reliability. Results - There was a statistically significant positive correlation between the international Burn Injury Database nurse dependency tool and Safer Nursing Care Tool scores (ρ = 0.87, 95% CI = 0.82-0.90). The case study scores showed a similar correlation pattern as the daily comparison recordings. The inter-rater reliability between the participants was comparable for both the international Burn Injury Database nurse dependency tool (α =0.74, CI = 0.71 - 0.77) and the Safer Nursing Care Tool (α =0.79, CI = 0.76 - 0.81). Psychological support variable had the weakest correlation with the nurse dependency tools and the lowest agreement between nurses

The Iowa Homemaker vol.30, no.2

Picnic Food, Marjorie Miller, page 3 This Is Iowa State, Margaret Schaeffer, page 4 Vicky Turns Tom-boy, Nancy Butler, page 6 She Lives Her Art, Gretchen Hall, page 7 What’s New, Jane Steele, page 8 Make It Your Home, Arline Hartel, page 10 Commencement Cues, Janet Sutherland, page 12 Cook’s Favorite at Kappa Sigma, Barbara Allen, page 14 Here’s An Idea, Carol Dee Legg, page 16 Information, Please, Doris Ann Cook, page 18 Extra Dollars For You, Janet Vana, page 2

Shift in the velocity of a front due to a cut-off

We consider the effect of a small cut-off epsilon on the velocity of a traveling wave in one dimension. Simulations done over more than ten orders of magnitude as well as a simple theoretical argument indicate that the effect of the cut-off epsilon is to select a single velocity which converges when epsilon tends to 0 to the one predicted by the marginal stability argument. For small epsilon, the shift in velocity has the form K(log epsilon)^(-2) and our prediction for the constant K agrees very well with the results of our simulations. A very similar logarithmic shift appears in more complicated situations, in particular in finite size effects of some microscopic stochastic systems. Our theoretical approach can also be extended to give a simple way of deriving the shift in position due to initial conditions in the Fisher-Kolmogorov or similar equations.Comment: 12 pages, 3 figure

Pathways between soil moisture and precipitation in southeastern South America

Southeastern South America (SESA) is found to be the main hot spot of soil moisture?evapotranspiration coupling of South America during a dry summer. However, only its eastern part is a soil moisture?precipitation hot spot. Pathways between soil moisture and precipitation are evaluated through studying the coupling of soil moisture with surface and boundary layer variables. The outcome suggests that both the moist static energy and its vertical gradient are important for the development of precipitation, as a result of the total surface heat fluxes that are affected by soil moisture only in the eastern part of SESA.Fil: Ruscica, Romina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinacion Administrativa Ciudad Universitaria. Centro de Investigaciones del Mar y la Atmósfera; ArgentinaFil: Sörensson, Anna A.. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinacion Administrativa Ciudad Universitaria. Centro de Investigaciones del Mar y la Atmósfera; ArgentinaFil: Menendez, Claudio Guillermo. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinacion Administrativa Ciudad Universitaria. Centro de Investigaciones del Mar y la Atmósfera; Argentina. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Departamento de Ciencias de la Atmósfera y los Océanos; Argentin

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