671 research outputs found

    Do The Benefits Of Sugammadex Outweigh Its Higher Cost Compared To Neostigmine?

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    Neuromuscular blocking agents (NMBAs) are frequently utilized in anesthetic practice to relax the vocal cords in preparation for endotracheal intubation and to facilitate optimal operating conditions for various surgical procedures. Residual muscle paralysis in the postoperative period is a serious consequence of NMBAs that can lead to severe consequences including airway obstruction, hypoxia, reintubation, aspiration, and pneumonia. Neuromuscular blockade (NMB) is overcome either by spontaneous recovery or, in most cases, with the use of a reversal agent. Two of the most common reversal agents are neostigmine, a cholinesterase inhibitor, and sugammadex, a modified gamma-cyclodextrin. Of the two medications, sugammadex is a significantly more expensive option per dose, which creates budgetary concerns and leads to restrictions on its usage. However, sugammadex provides a markedly faster, more reliable, and more effective reversal of neuromuscular blockade compared to neostigmine with fewer side effects. By accelerating recovery from NMB with fewer adverse effects, patients spend less time in the operating room (OR) and post-anesthesia care unit (PACU) with fewer respiratory complications. Taking these factors into consideration, the higher medication cost of sugammadex can potentially be justified and/or offset by its superior safety profile and savings in OR and PACU time

    Full Day Play vs. Part Day Play

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    Early education is an essential part of development (Jalongo, Fennimore, Pattnaik, Laverick, Brewster, & Mutuku, 2004), however, there is much debate about what type of program will best meet the needs of young children. Programs have great variation with children attending as little as 12 hours a week to children attending 40 to 50 hours a week. A qualitative research design was used to analyze playful learning within a high quality early education center examining possible differences between a full day program and a part day program. The focus of this study was on the amount of time children spend playing at a center, and how long they are using materials as the curriculum used intends. Results suggest that young children can become fully engaged in their learning when presented with intentional activities and interesting materials, regardless of how many hours they spend in a classroom

    When the Penny Drops: Understanding how social class influences speciality careers in the UK medical profession

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    In the UK, the medical profession is socially exclusive and socially stratified as doctors from more advantaged backgrounds are more likely to train for specialities with more competitive entry. However, in research to date the causes and consequences of social stratification have been overlooked. We explore this subject here, drawing on a qualitative study comprising in-depth interviews with 30 medical students and doctors from less advantaged socio-economic backgrounds negotiating medical school and early careers. Using Bourdieu's ‘theory of practice’ we show how socialisation in the family and at school influences how aspirant medics from less advantaged backgrounds view the world, suggesting some inclination towards more community orientated careers, which may be less competitive. However, these tendencies are encouraged as they lack stocks of social, economic and cultural capital, which are convertible to power and position in the field. While allowing for both choice and constraint our core argument is that speciality outcomes are sometimes inequitable and potentially inefficient, as doctors from more advantaged backgrounds have privileged access to more competitive careers for reasons not solely related to ability or skill. Our main theoretical contribution is to literature in the sociology of medical education where ours is the first study to open-up the ‘black box’ of causal factors connecting medical students' resources on entering the field of education and training with speciality outcomes, though our findings also have important implications for practitioners, the profession and for patients. We discuss the implications for safe and effective healthcare and how this informs directions for future research

    Introduction

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    Reconstructed life history metrics of the iconic seagrass Posidonia oceanica (L.) detect localized anthropogenic disturbance signatures

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    Substantial losses of the seagrass Posidonia oceanica have initiated investigations into localized resilience declines related to anthropogenic disturbances. In this study, we determined reconstructed shoot age and interannual growth metrics can detect anthropogenic impact effects on P. oceanica production. Interannual rhizome vertical growth, leaf production, and demographics of shoots collected from sewage and trawling impacted areas were examined using mixed effects modeling. Detected impact effects were specific to the type of impact, manifesting as an older-skewed age distribution of sewage outfall shoots and reduced vertical growth and reduced leaf production of trawling site shoots. A stress event period was also detected for all shoots >5 years old, with trawling impacted shoots indicating little recovery. Reconstructed age and growth metrics are simple to measure, incorporate multiple years of in situ shoot development, and are advantageous for identification of declining P. oceanica resilience prior to catastrophic losses.This research was supported by travel funds from the University of South Alabama Department of Marine Science

    Prospectus, November 29, 2018

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    Parkland Volleyball places second in the National Tournament; Humans of Parkland, Parkland band Prevalence release their new EP, Panic Button, International Observations: America through the eyes of a visiting Honduran Student; Parkland Safe Zone signs getting a makeover; The Parkland Softball Team gives backhttps://spark.parkland.edu/prospectus_2018/1028/thumbnail.jp
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