The process of nurse adaptation to robotic surgery: A qualitative study

WOS: 000474634600009PubMed ID: 30884169Background This study aimed to reveal the experiences of nurses in robotic surgery and their adaptation to this method. Methods This research was planned within the framework of qualitative research methods. The study population consisted of robotic surgery nurses in Turkey. Focus group interviews were conducted after the flow process was developed, and the interviews were supported using a semistructured interview form. Two focus interviews were conducted with 15 participants. Results As a result of the content analysis, 11 themes were created in four categories. The categories of the study were designed as follows: (1) Training in Robotic Surgery Nursing, (2) Adaptation to Technology in Robotic Surgery Nursing, (3) Changing Roles and Adaptation Process in Robotic Surgery Nursing, and (4) Future of Robotic Surgery. Conclusions The lack of clarity regarding the roles and responsibilities of robotic surgery nurses and the lack of arrangements for working conditions are thought to cause professional dissatisfaction and disengagement from work

Effects of Water Loading on Observed and Predicted Plasma Sodium, and Fluid and Urine Cation Excretion in Healthy Individuals

Rationale & Objective: The discovery of sodium storage without concurrent water retention suggests the presence of an additional compartment for sodium distribution in the body. The osmoregulatory role of this compartment under hypotonic conditions is not known. Study Design: Experimental interventional study. Setting & Participants: Single-center study of 12 apparently healthy men. Intervention: To investigate whether sodium can be released from its nonosmotic stores after a hypotonic fluid load, a water-loading test (20 mL water/kg in 20 minutes) was performed. Outcomes: During a 240-minute follow-up, we compared the observed plasma sodium concentration ([Na + ]) and fluid and urine cation excretion with values predicted by the Barsoum-Levine and Nguyen-Kurtz formulas. These formulas are used for guidance of fluid therapy during dysnatremia, but do not account for nonosmotic sodium stores. Results: 30 minutes after water loading, mean plasma [Na + ] decreased 3.2 ± 1.6 (SD) mmol/L, after which plasma [Na + ] increased gradually. 120 minutes after water loading, plasma [Na + ] was significantly underestimated by the Barsoum-Levine (−1.3 ± 1.4 mmol/L; P = 0.05) and Nguyen-Kurtz (−1.5 ± 1.5 mmol/L; P = 0.03) formulas. In addition, the Barsoum-Levine and Nguyen-Kurtz formulas overestimated urine volume, while cation excretion was significantly underestimated, with a cation gap of 57 ± 62 (P = 0.009) and 63 ± 63 mmol (P = 0.005), respectively. After 240 minutes, this gap was 28 ± 59 (P = 0.2) and 34 ± 60 mmol (P = 0.08), respectively. Limitations: The compartment from which the mobilized sodium originated was not identified, and heterogeneity in responses to water loading was observed across participants. Conclusions: These data suggest that healthy individuals are able to mobilize osmotically inactivated sodium after an acute hypotonic fluid load. Further research is needed to expand knowledge about the compartment of osmotically inactivated sodium and its role in osmoregulation and therapy for dysnatremias. Funding: This investigator-initiated study was partly supported by a grant from Unilever Research and Development Vlaardingen, The Netherlands B.V. (MA-2014-01914)

Clinical value of serum hepatocyte growth factor, B-cell lymphoma-2 and nitric oxide in primary breast cancer patients,” European Review for Medical and

Abstract. -OBJECTIVES, The present study was undertaken to determine the clinical significance of serum levels of HGF, Bcl-2 and NO in the diagnosis and prognosis of breast cancer patients. PATIENTS AND METHODS, Forty four primary invasive breast cancer patients and fifteen health control subjects were enrolled in the present study. Serum HGF, Bcl-2 and No levels were assayed and correlated with clinico pathological parameters. ROS curve analysis was also done for each biochemical marker. CONCLUSION, This study demonstrates that the serum levels of HGF, Bcl-2 or NO may help in the diagnosis of breast cancer patients and may aid in disease prognosis. However, larger study with more patients are required. RESULTS