Essays on Insertion

Summary: APSIC Guide for prevention of Central Line Associated Bloodstream Infections (CLASBI)

The recommendations provided for insertion are optimal site selection, hand hygiene, alcohol based chlorhexidine skin preparation and maximum barrier precautions (Ling et al 2016). It is important to know the proper catheter infection site because it can affect the risk of infection and phlebitis. It is preferred to use subclavian site for adult patients. Hand hygiene is also important because it provides protection before the catheter insertion and maintenance. There should be proper aesthetic technique. Alcohol based chlorhexhidine in skin preparation is the standard procedure used in central and peripheral venous catheters. Lastly, maximum barrier precautions must be done ...

My ultimate goal after completing my Bachelor in Science of Nursing is to become an Intensive Care Unit Nurse. I took the Certified Nurse Assistant course about one year ago and started working as a Clinical Partner at a Medical Surgical Unit around that time. Over time working in this unit, I have realized I would rather work with more critical patients, and that is the reason behind my choice to concentrate in ICU nursing. I like the fast paced environment of this type of unit. Also, the acuity of ICU patients will make me develop strong critical thinking ...

Introduction

Cruciate ligaments are arranged like the letter X hence they are also called cruciform ligaments. The ligaments are primarily found on the knee and function in not only stabilizing the joint but also in allowing a wide range of motion. In the knee, the anterior cruciate ligament (ACL) and the posterior cruciate ligaments (PCL) criss-cross to form the cruciate ligament. The two ligaments are strong round bands that extend from head of the tibia to the intercondyloid notch of the femur (Margheritini, 2011). The anterior cruciate ligament lies lateral and crosses the medial posterior cruciate ligament like the limbs ...

Indwelling Catheter-Associated Urinary Tract Infection

In the article, Poudel, Baniya and Pokhrel (2009) conduct a prospective study to investigate the microbiological profile as well as the resistance pattern of the strains that cause urinary tract infection associated with the use of Foley’s Catheter. In the study, 100 catheterized adult patients, all above the age of 16, in a hospital participated. The patients used the indwelling Foley’s catheters for both short and long intermediate purposes. 3 ml urine samples were aseptically taken from the patients at the repeat of the catheterization and repeated on unevenly in subsequent days and weekly until the patient ...

Multiple choice questions

Multiple Choice Questions

Increased erythropoietin production Increased heart rate Increased cardiac output Enhancement in oxygen extraction The answer for this question is b. increased heart rate. A reduction in tissue oxygenation as happens in anemia stimulates increased production of erythropoietin through a complex feedback mechanism. Increased production of erythropoietin enhances erythropoiesis in anemia. Increased extraction of oxygen in anemia is a compensatory mechanism that is mediated by an increase in 2, 3-diphosphoglycerate concentrations. Increased cardiac output is the main hemodynamic compensatory mechanism in anemia that aims to increase blood flow to the body organs. An increase in heart rate ...

Thesis

Improved Detection and Characterization of Obscured Central Gland Tumors of the Prostate:

requirementsRequirements for the degree of

2016

©2016 by All rights reserved Approved by First Reader Boris Nicolas Bloch, M.D.

Associate Professor of Radiology and

Director of Bioimaging Science Second Reader Kevin Thomas, Ph.D.

Assistant Professor of Bioimaging and Health Emergency

DEDICATION I would like to dedicate this work to my patient spouse Landry, my wonderful children Charlie and Phoenix, and my dog Armani. (Delete this page if you don't need it. Be sure to delete all the text on the page, and the page break after it, not the section break before it. To see the section and page breaks, ...

Chapter I: Introduction

In the United States, Prostate cancer (PCa) is the most common non-cutaneous malignancy after lung cancer in men with an incident of 126 per 100,000 people. The American Cancer Society (ACS) reported that the number of new cases of men diagnosed with PCa by 2016 will be an approximately 180,890 cases. PCa is still considered as the second leading cause of cancer death in men. Also, the ACS added that the estimation for death will occur from PCa is 26,120 deaths in 2016. Today, many studies stated that mortality rate is gradually decreasing compared with the ...

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GENERAL INFORMATION ON DENTAL IMPLANT TREATMENT

Objective of dental implants After losing teeth, the supporting bone segment is no longer essential and begins to gradually disappear (Misch, 2008). Once this begins, the missing portions can be replaced with removable dentures or fixed bridges; this process enhances visual appeal, corrects speech impediments and improves mastication. However, complications can occur when replacing living tissues with artificial apparatuses. Dentures have been shown to decrease the efficiency of the chewing process, initiate additional bone loss and often experience inadequate retention (Knowles, 1958). Furthermore, dentures may require additional support, which affects the healthy teeth that are ...

The critical care units of hospitals treat frequently treat patients by administering oxygen via the insertion of tubes into tracheostomies, the nose, or the mouth; nosocomial infections may result, leading to ventilator-associated pneumonia, or VAP (CDC.gov, 2015). The infection is not generally associated with non-sterile techniques during insertion, but rather from tube contamination. The nosocomial infection is most often diagnosed in intensive care departments and research has been directed toward identifying methods of oral care as a means of prevention. Comparisons of the effectiveness of sodium bicarbonate swabs with that of chlorhexidine swabs have been made and the hospital ...

Evidence-Based Practice (EBP) can be termed as the integration and option of best research evidence with clinical expertise, skill and patient values. It seeks to improve the care process and the care outcomes based on the evidence collected over time and tailoring that to the needs of the patients within a particular setting. The EBP process is aimed at improving judgment and decision making but this is also based on the experience of the nurse in understanding the research evidence and relating the same to specific scenarios within the clinical setting. It is a process that is facilitated by ...

Abstract

According to the Centers for Disease Control and Prevention, central line-associated bloodstream infections lead to the deaths of thousands of people every year in the United States. These infections actually represent about 10% of all hospital-acquired infections translating to about 71, 900 infections per year in US hospitals. Also, this condition adds billions of dollars to the total health care system costs. However, these infections are actually preventable. This paper analyzes literature related to this topic and tries to establish the best method for solving the problem of central line-associated bloodstream infections. The paper suggests the standardization of central ...

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Introduction

The nature of supply chain industry demands that organizations exchange amongst themselves private and sensitive data that is necessary for the movement of the underlying goods and services. A secured environment for an exchange of such data is a major concern for the cybersecurity industry managing the supply chain networks and transactions. The risk of cybersecurity in the supply chain industry is growing as attackers and hackers become more knowledgeable and have access to latest technologies using advanced a form of hardware and software tools. The malware ...

Sorting Algorithms

Introduction Sorting refers to arranging items in a desired manner. This operation finds plenty of applications in real life like searching algorithms, processing data, and for producing human-friendly output. The sorting problem has caught the attention of many researchers. As a result, we find many algorithms to optimize this problem in the required fashion. In this report, we will consider two important sorting algorithms to give readers brief idea about how data management and ordering is done. These sorting algorithms are Insertion sort and Shell sort.

Insertion Sort

It is one of the simplest sorting algorithms based on comparisons between items ...

Introduction

The treatment for multitudes of diseases and disorders resulting from genetic reasons have been ambiguous since long as the only cure could be the correction of genes and DNA in the specific region. Gene therapy gave a promising horizon to the correction of such genetic defects whereby molecular tools are applied to reverse the mutation or any other changes in the DNA. The advancing biomedical research have offered several tools for gene therapy since last few decades that have been able to perform the desired roles but with one or the other limitations. Lately, CRISPR-Cas9 based tools for gene ...

The ultrasound-guided peripheral intravenous catheters are used at the emergency department as alternative to traditional intravenous access due to optimal outcomes (Stone et al., 2013). This new type of technique of vascular access has been chosen for an emergency department patient due to its benefits it has come with especially to patient-centered characteristics that include obesity and past history of intravenous drug abuse. The rates of obesity are currently on the rise in the U.S. and therefore, the subset of emergency department patients are in need for alternative methods of intravenous access are increasing (Stone et al., 2013). Additionally, ...

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Abstract

In today's world, there are hundreds of developments that are taking place in medicine and nursing. These advances are made possible through thorough research and verifications using clinical projects. The steps in propelling forward the field of medicine are made upon identification of an individual problem that gives researchers a basis for their research, or rather a problem statement. One of the problems that have been identified is the CLABSI (Central Line Associated Blood Stream Infections). Many patients suffer severe infections that arise during treatment of an initial infection. Most of these infections, especially when not handled appropriately lead ...

Introduction

The article, “Genotyping and identification of mycobacteria by fingerprinting Techniques” by Khosravi and Seghatoleslami (2009) shows how fingerprinting can be used to identify mycobacteria in combating Tuberculosis (TB) which for a long time has been a serious health concern by the World Health Organization (WHO). Some of the techniques used in molecular epidemiology like MIRU-VNTR and spoligotyping are described in the article.

Summary

The article has deeply illustrated the various ways of carrying out Genotyping of mycobacteria for carrying out epidemiological studies. It has also shown that through molecular typing of MTB the disease can be controlled. The study of the epidemiology ...