Articles: cations.
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Tohoku J. Exp. Med. · Apr 2022
Effective Risk Communications through Personalized Consultations with Pregnant Women and Parents by Radiologic Technologists after the 2011 Fukushima Daiichi Nuclear Disaster.
The Great East Japan Earthquake and Tsunami that occurred in March 2011 not only resulted in the loss of many human lives due to earthquakes and tsunamis, but also led to the occurrence of nuclear accidents involving the widespread diffuse release of radioactive materials at the Fukushima Daiichi Nuclear Power Plant (FDNPP). The nuclear accident created great apprehension among residents of the Fukushima Prefecture, where the FDNPP is located, and residents of Northeastern Japan outside of Fukushima, such as the south region of the Miyagi Prefecture, which is adjacent to the northern part of Fukushima Prefecture. The Miyagi Prefecture is located approximately 50 to 120 km from the FDNPP. ⋯ In the face of the actual nuclear disaster, radiologic technologists carried out personalized consultation activities with the aim of eliminating anxiety among pregnant women and parents with infants at two local governments in the south region of Miyagi. After the activities, we conducted questionnaire survey on the activities, and were able to obtain evaluations and various opinions. This paper discusses regarding the efforts to personalized consultation and the results of questionnaire survey conducted by the radiologic technologists in the southern Miyagi following the FDNPP accident.
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Critical care nurse · Apr 2022
An In Situ Mock Code Program in the Pediatric Intensive Care Unit: A Multimodal Nurse-Led Quality Improvement Initiative.
Lifesaving resuscitation is required for approximately 1 in 100 patients in the pediatric intensive care unit. Certification renewal alone is insufficient to guarantee adequate knowledge, skills, and confidence among staff members involved in infrequent resuscitation events. ⋯ An in situ mock code program using a multimodal approach to education can be a successful educational adjunct to biennial pediatric advanced life support certification.
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Review
Assessing Operative Skill in the Competency-Based Education Era: Lessons from the UK and Ireland.
Decisions regarding the operative competence of surgical residents in the United Kingdom and Ireland are informed by operative workplace-based assessments (WBAs) and operative number targets for index procedures. This review seeks to outline the validity evidence of these assessment methods. ⋯ Operative WBAs are reliable. Scores achieved correlate with both time spent in training and recorded operative experience. Trainers and residents have concerns regarding the subjectivity of these assessments and the opportunistic nature in which they are used. Operative number targets are not criterion-referenced, lack validity evidence, and may be set too low to ensure operative competence.
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Acta Anaesthesiol Scand · Apr 2022
Observational StudyCentral Venous Catheter Related Complications in Hematological Patients: An Observational Study.
The frequency of central venous catheter (CVC)-related complications in hematologic patients has previously been studied but some uncertainty remains. Therefore, this observational cohort study was designed primarily to investigate mechanical and infectious complications related to CVC insertion in hematologic patients and secondarily to identify factors associated with these complications. ⋯ Patients with hematologic malignancies have a high risk of both grades 2-4 bleeding and sCRI after CVC insertion. This underlines the importance of optimizing the conditions at the insertion and also of daily inspections, evaluation of future needs, and extra precautions to avoid sCRI in these susceptible patients.
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Anesthesia and analgesia · Apr 2022
Randomized Controlled TrialWhy a Propofol Infusion Should Be the Anesthetic of Choice for Auditory Brainstem Response Testing in Children.
Auditory brainstem response (ABR) testing is considered to be relatively resistant to effects of volatile anesthetics. The impact of newer anesthetics on interpretability of ABR testing is unknown. This study compared sevoflurane versus propofol anesthesia on qualitative interpretability of ABR click-testing in children. ⋯ Sevoflurane produced more false positives for hearing loss and suggested more severe hearing loss than propofol. False-positive ABR tests, produced by certain anesthetic agents, can have significant life-long impact and negative psychosocial and developmental implications. Use of the intravenous anesthetic propofol is superior to sevoflurane for ABR testing in children.