Irrigación de la colostomía: revisión sobre algunos aspectos técnicos

OBJECTIVE: Performing a literature review about four technical aspects related to the colostomy irrigation: volume of water to be infused, postoperative moment to start the method's training sessions, maintenance of a 24-hour interval between the colostomy irrigations, and time spent for the execution of the procedure, aiming to contribute for the most adequate systematization of the method. METHODS: After searching in the designated sources, sixty-three articles were identified. RESULTS: It was observed that there is no consensus among the several authors: the volume of infused water varied from 500ml to 1500ml, although, in the clinical practice, the average infused volume is 1000ml; the postoperative moment to start the training sessions varied from five days to six months; the maintenance time of a 24-hour interval between the colostomy irrigations varied from two weeks to six months; time spent in the execution of the procedure varied from 20 to 90min. CONCLUSION: The knowledge of these results may be an encouragement to the nurses, especially stomatherapists, to reevaluate their practice, in order to standardize the technical aspects related to the procedure, having as basis the specialized assistance.OBJETIVO: Realizar uma revisão bibliográfica sobre quatro aspectos técnicos relacionados à irrigação da colostomia: volume de água a ser infundido, momento do pós-operatório em que se deve iniciar o treinamento para uso do método, tempo de manutenção de 24 horas como intervalo entre as irrigações e tempo gasto na realização do procedimento, visando contribuir para a sistematização mais adequada do método. MÉTODOS: Feitas as buscas nas fontes planejadas, foram identificados 63 artigos. RESULTADOS: Observou-se a inexistência de um consenso entre os diversos autores consultados: o volume de água infundido variou de 500ml a 1500ml, embora, na prática, o volume médio infundido seja de 1000ml; o momento do pós-operatório para início do treinamento variou de cinco dias a seis meses; o tempo de manutenção do intervalo de 24 horas entre as irrigações variou de duas semanas a seis meses; o tempo dispendido na realização do procedimento variou de 20 a 90 minutos. CONCLUSÃO: O conhecimento desses resultados pode servir de estimulo aos enfermeiros, preferencialmente estomaterapeutas, para reavaliar a sua prática, a fim de padronizar os aspectos técnicos a esta relacionados, tendo como pano de fundo a assistência especializada.OBJETIVO: Realizar una revisión bibliográfica sobre cuatro aspectos técnicos relacionados a la irrigación de la colostomía: volumen de agua a ser infundido, momento del post-operatorio en que se debe iniciar el entrenamiento para el uso del método, tiempo de manutención de 24 horas como intervalo entre las irrigaciones y tiempo gastado en la realización del procedimiento, visando contribuir en la sistematización más adecuada del método. MÉTODOS: Una vez realizadas las búsquedas en las fuentes planificadas, fueron identificados 63 artículos. RESULTADOS: Se observó la inexistencia de un consenso entre los diversos autores consultados: el volumen de agua infundido varió de 500ml a 1500ml, aunque, en la práctica, el volumen promedio infundido sea de 1000ml; el momento del post-operatorio para el inicio del entrenamiento varió de cinco días a seis meses; el tiempo de manutención del intervalo de 24 horas entre las irrigaciones varió de dos semanas a seis meses; el tiempo utilizado en la realización del procedimiento varió de 20 a 90 minutos. CONCLUSIÓN: El conocimiento de esos resultados puede servir de estímulo a los enfermeros, preferentemente estomaterapeutas, para reevaluar su práctica, a fin de patronizar los aspectos técnicos relacionados con ella, teniendo como cortina de fondo la asistencia especializada

Do Neurocognitive SCAT3 Baseline Test Scores Differ Between Footballers (Soccer) Living With and Without Disability? A Cross-Sectional Study.

Objective: To determine if baseline Sport Concussion Assessment Tool, third Edition (SCAT3) scores differ between athletes with and without disability. Design: Cross-sectional comparison of preseason baseline SCAT3 scores for a range of England international footballers. Setting: Team doctors and physiotherapists supporting England football teams recorded players' SCAT 3 baseline tests from August 1, 2013 to July 31, 2014. Participants: A convenience sample of 249 England footballers, of whom 185 were players without disability (male: 119; female: 66) and 64 were players with disability (male learning disability: 17; male cerebral palsy: 28; male blind: 10; female deaf: 9). Assessment and Outcome Measures: Between-group comparisons of median SCAT3 total and section scores were made using nonparametric Mann-Whitney-Wilcoxon ranked-sum test. Main Results: All footballers with disability scored higher symptom severity scores compared with male players without disability. Male footballers with learning disability demonstrated no significant difference in the total number of symptoms, but recorded significantly lower scores on immediate memory and delayed recall compared with male players without disability. Male blind footballers' scored significantly higher for total concentration and delayed recall, and male footballers with cerebral palsy scored significantly higher on balance testing and immediate memory, when compared with male players without disability. Female footballers with deafness scored significantly higher for total concentration and balance testing than female footballers without disability. Conclusions: This study suggests that significant differences exist between SCAT3 baseline section scores for footballers with and without disability. Concussion consensus guidelines should recognize these differences and produce guidelines that are specific for the growing number of athletes living with disability

Gesundheitsförderung für und mit Jugendlichen und jungen Erwachsenen : wissenschaftliche Erkenntnisse und Empfehlungen für die Praxis

Die Zielgruppe der Jugendlichen und jungen Erwachsenen ist im Kontext der Corona-Pandemie in den Fokus gerückt. Wie wichtig es ist, die Gesundheit der Jugendlichen und jungen Erwachsenen zu fördern, wird durch diese Fokussierung betont. Vor diesem Hintergrund ist es wichtig, die wissenschaftlichen Grundlagen als Basis für wirksame Massnahmen und Interventionen zu aktualisieren. So ist sichergestellt, dass die Grundlage für Programme und Projekte auf dem neuesten Stand ist. Der vorliegende Bericht zeigt, weshalb sich ein Engagement für die Gesundheit von Jugendlichen und jungen Erwachsenen lohnt. Aufbauend auf wissenschaftlichen Erkenntnissen wird gezeigt, warum die Themen Bewegung, Ernährung und psychische Gesundheit wichtige Pfeiler für die Gesundheit im Jugend- und jungen Erwachsenenalter sind. Es werden Interventionen und bewährte Handlungsansätze und Empfehlungen vorgestellt. Autorinnen und Autoren: Kapitel 1 Einleitung und Kapitel 10 Schlussfolgerungen: Dr. phil. Fabienne Amstad Kapitel 2 Lebensphase: Prof. Dr. med. Joan-Carles Suris, Dr. Yara Barrense-Dias Kapitel 3 Grundlagen: Prof. Dr. med. Julia Dratva, Matthias Meyer, dipl. SozÖk, Prof. Dr. phil. Karin Nordström Kapitel 4 Chancengleichheit: lic. phil. Dominik Weber Kapitel 5 Medien: MSc Jael Bernath, Prof. Dr. Daniel Süss Kapitel 6 Bewegung: Prof. Dr. Suzanne Suggs Kapitel 7 Ernährung: Dr. Sophie Bucher Della Torre Kapitel 8 Psychische Gesundheit: Prof. Dr. Frank Wieber, Prof. Dr. Agnes von Wyl, Dr. Annina Zysset Kapitel 9 Zusammenspiel: MSc Ronia Schiftan, MSc Anne-Françoise Wittgenstein Man

Nurse practitioner work patterns: A cross-sectional study

Aim: The aim was to determine how nurse practitioner (NP) roles are translated into clinical practice across Victoria, Australia. This paper reports details about NP work patterns and scopes of practice across multiple clinical settings and geographic locations.Design: A quantitative survey design was used. A data abstraction tool, based on previous work, was adapted for this study.Methods: All NPs in one state of Australia were eligible to participate in the study and invited to complete an online survey about their NP practice. A previously developed data collection tool, capturing practice patterns of NPs, was adapted for online use in REDCAP. The data were exported, and descriptive statistics were analysed using SPSS.Results: Participants were mostly female, with males accounting for 25%. Findings indicate several NPs working in outpatient settings, community settings and forensic care. Patterns of practice—prescribing and ordering diagnostics—are associated with clinical context and model of care of the NP work

The effectiveness of proprioceptive training in preventing ankle sprains in sporting populations: A systematic review and meta-analysis

a b s t r a c t Objectives: To systematically summarise the evidence on the effectiveness of proprioceptive training in reducing the incidence and recurrence rates of ankle sprains in the sporting population. Design: A systematic review and meta-analysis of randomised controlled trials. Methods: A computer-based literature search of MEDLINE, EMBASE, CINAHL, SPORTDiscus and PEDro (to October 2013) was conducted. Methodological quality of individual studies was assessed using the PEDro scale. Meta-analysis was performed on eligible studies to produce a pooled estimate of the effectiveness of the intervention. Results: Seven moderate-to-high quality randomised controlled trials involving 3726 participants were included. Results of the meta-analysis combining all participants, irrespective of ankle injury history status, revealed a significant reduction of ankle sprain incidence when proprioceptive training was performed compared to a range of control interventions (relative risk = 0.65, 95% CI 0.55-0.77). Results favouring the intervention remained significant for participants with a history of ankle sprain (relative risk = 0.64, 95% CI 0.51-0.81). Results looking exclusively at primary prevention in those without a history were also statistically significant (relative risk = 0.57, 95% CI 0.34 to 0.97), although the pooled effect was obtained from two non-significant trials. Conclusions: Proprioceptive training programmes are effective at reducing the rate of ankle sprains in sporting participants, particularly those with a history of ankle sprain. Current evidence remains inconclusive on the benefits for primary prevention of ankle sprains

Statewide mapping of nurse practitioner models of practice throughout Victoria

As nurse practitioner (NP) numbers increase, diversity and location of practice varies. This exploratory, prospective, observational, cross-sectional multicenter study was conducted to determine diversity and location of NPs in Victoria, Australia. An online survey about NP workplace and models was sent to 339 NPs throughout Victoria. Forty health services employe