An Institutional Response to Date Rape

This article reviews the existing literature on date rape and its prevention. As a result of an analysis of the literature, a model for date rape prevention on university campuses has been developed. The model is based on an adaptation of Roark's (1987) prevention strategies at the institutional level and Neuman's (1989) Total Systems Model. It provides a comprehensive approach to date rape prevention at the primary, secondary and tertiary levels of prevention. The model also includes a date rape assessment guide and sample date rape prevention program.Cet article examine la documentation pourtant sur "les agressions sexuelles par une connaissance" (date rape) et les mesures préventives en vigueur. Après avoir analysé la documentation pertinente, un modèle portant sur la prévention des agressions sexuelles sur les campus universitaires a été développé. Le mod-èle et une adaptation des stratégies institutionelles de prévention (Prevention Strategies at the Institutional Level ) de Roark (1987) et du modèle des systèmes (Total Systems Model) de Neuman (1989). Il vise à intégrer les stratégies de prévention de premier, deuxième et troisième niveaux. Le modèle comprend également un guide d'évaluation des agressions sexuelles et un programmme de prévention

Ilizarov Treatment of Congenital Pseudarthrosis of the Tibia: A Multi-Targeted Approach Using the Ilizarov Technique

Congenital pseudarthrosis of the tibia (CPT) is one of the most challenging problems in pediatric orthopaedics. The treatment goals are osteosynthesis, stabilization of the ankle mortise by fibular stabilization, and lower limb-length equalization. Each of these goals is difficult to accomplish but regardless of the surgical options, the basic biological considerations are the same: pseudarthrosis resection, biological bone bridging of the defect by stable fixation, and the correction of any angular deformity. The Ilizarov method is certainly valuable for the treatment of CPT because it can address not only pseudarthrosis but also all complex deformities associated with this condition. Leg-length discrepancy can be managed by proximal tibial lengthening using distraction osteogenesis combined with or without contralateral epiphysiodesis. However, treatment of CPT is fraught with complications due to the complex nature of the disease, and failure is common. Residual challenges, such as refracture, growth disturbance, and poor foot and ankle function with stiffness, are frequent and perplexing. Refracture is the most common and serious complication after primary healing and might result in the re-establishment of pseudarthrosis. Therefore, an effective, safe and practical treatment method that minimizes the residual challenges after healing and accomplishes the multiple goals of treatment is needed. This review describes a multi-targeted approach for tackling these challenges, which utilizes the Ilizarov technique in atrophic-type CPT

Rehausser les soins palliatifs à l’aide des facteurs carative de Watson

Les soins palliatifs visent à soulager la souffrance des patients atteints de maladies terminales. Étant donné qu’un nombre toujours croissant de patients décident de mourir à domicile, les soins palliatifs communautaires offrent une solution de rechange à l’hospitalisation. On a recensé les écrits portant sur les besoins des patients en phase terminale en contexte communautaire et ceux de leur famille afin de déterminer leurs besoins prioritaires. On a constaté que ces patients avaient des besoins physiques, psychosociaux et spirituels, tandis que leurs proches avaient des besoins liés aux soins physiques des patients ainsi que des besoins d’information et des besoins psychosociaux. On a découvert que l’utilisation de la théorie de Watson sur le caring humaniste, et notamment de ses facteurs carative, constituait un modèle de soins infirmiers approprié pour guider les infirmières en soins palliatifs dans la satisfaction des besoins des patients et de leur famille

Enhancing palliative care through Watson’s carative factors

Palliative care is aimed at alleviating the suffering of patients with terminal illnesses. As more patients make the decision to die at home, community palliative care has become an alternative to hospitalization. The literature was examined in relation to the needs of terminally ill patients in the community and their families to determine their priority needs. Patients were found to have physical, psychosocial, and spiritual needs, while families had needs in relation to the physical care of their loved ones, as well as information and psychosocial needs. The use of Watson’s theory of human caring, and in particular her carative factors, was found to be an appropriate nursing model to direct palliative care nurses in meeting the needs of both patients and their families