Use of music and play in pediatric nursing care in the hospital context

Objective. To identify and analyze scientific publications on the use of music and play in pediatric nursing care in the hospital context. Method. In this bibliographic study, papers were sought that were published in Portuguese or English between 2004 and 2009 and included the descriptors: hospitalized child, childhood, child recreation, nursing team, nursing, pediatric nursing, alternatives therapies, music, music therapy, play and playthings, play therapy, playing. For the review, the bibliographic databases used were MEDLINE, ScIELO and LILACS. Results. Seventeen publications were obtained, among which: 59% adopted a quantitative method; mainly nursing developed the activities (88%); per type of article, reviews on the theme and assessments of clinical changes associated with the use of music and play were frequent (59% and 18%, respectively); and the utility of this kind of therapies in nursing care is acknowledged (94%). Conclusion. Play and music are useful therapies that can be used in nursing care for pediatric patients.

O Botafumeiro: parametric pumping in the Middle Age

The pendular motion of a giant censer (O Botafumeiro) that hangs in the transept of the cathedral of Santiago de Compostela, and is cyclically pumped by men who pull at the supporting rope, is analyzed. Maximum angular amplitude attainable, and number of cycles and time needed to attain it, are calculated; the results agree with observed values (~ 82°, ~ 17 cycles, ~ 80 seconds) to the few percent accuracy of both the analysis and the observations and parameter measurements. The energy gain in a pumping cycle is obtained for an arbitrary pumping procedure to two orders in the small fractional change of pendular length; the relevance of the ratio (characteristic radial acceleration during pumping)/g to the gain is discussed- Effects due to rope mass, air drag on both Censer and rope, and the fact that the Censer is not a point mass, are considered. If the pumping cycle is inverted once the maximum amplitude has been attained, the Censer could be swiftly brought to rest, avoiding the usual violent stop. Historically recorded accidents, rope shape, and the influence of relevant parameters on the motion are discussed.

A source book for mediæval history; selected documents illustrating the history of Europe in the Middle Age,

Bibliography: p. 613-614.

Facilitation of learning in specialist nursing training in the PICU : the supervisors´ concerns in the learning situation

With the aim to unfold nurses’ concerns of the supervision of the student in the clinical caring situation of the vulnerable child, clinical nurses situated supervision of postgraduate nursing students in the Pediatric Intensive Care Unit (PICU) are explored. A qualitative approach, interpretive phenomenology, with participant observations and narrative interviews, was used. Two qualitative variations of patterns of meaning for the nurses’ clinical facilitation were disclosed in this study. Learning by doing theme supports the students learning by doing through performing skills and embracing routines. The reflecting theme supports thinking and awareness of the situation. As the supervisor often serves as a role model for the student this might have an immediate impact on how the student applies nursing care in the beginning of his or her career. If the clinical supervisor narrows the perspective and hinders room for learning the student will bring less knowledge from the clinical education than expected, which might result in reduced nursing quality.

Hôtel-Dieu de París: reformas materiales, estructurales y funcionales entre los siglos XII y XVIII

El presente estudio tiene como objetivo conocer y divulgar la historia del Hôtel-Dieu de París entre los siglos XII y XVIII, periodo de tiempo en el que se llevaron a cabo grandes obras en sus instalaciones, se cambió el sistema de administración y se desarrolló una estructura funcional de las Hermanas Agustinas con la aparición de supervisoras y especialistas en diferentes áreas. La metodología usada para este estudio es de investigación cualitativo-descriptiva que se inicia con una búsqueda bibliográfica y continúa con el análisis hermenéutico de los documentos encontrados. Las conclusiones de este estudio versan sobre la problemática del paso de la gestión de la asistencia sanitaria caritativo-religiosa a la gestión laica de la misma con la pérdida del cariz altruista; del desarrollo de súper-estructuras físicas para la atención sanitaria y de las jerarquías organizativas y funcionales de esas súper-estructuras, todo esto en el amplio contexto temporal de seis siglos.

Capitalism, the state and health care in the age of austerity:A Marxist analysis

The capacity to provide satisfactory nursing care is being increasingly compromised by current trajectories of healthcare funding and governance. The purpose of this paper is to examine how well Marxist theories of the state and its relationship with capital can explain these trajectories in this period of ever-increasing austerity. Following a brief history of the current crisis, it examines empirically the effects of the crisis, and of the current trajectory of capitalism in general, upon the funding and organization of the UK and US healthcare systems. The deleterious effect of growing income inequalities to the health of the population are also addressed. Marx’s writings on the state and its relation to the capitalist class were fragmentary, and historically and geographically specific. From them, we can extract three theoretical variants: the instrumentalist theory of the state, where the state has no autonomy from capital; the abdication theory, whereby capital abstains from direct political power and relies on the state to serve its interests; and the class-balance theory of the state, whereby the struggle between two opposed classes allows the state to assert itself. Discussion of modern Marxist interpretations include Poulantzas’s structuralist abdication theory and Miliband’s instrumentalist theory. It is concluded that, despite the pluralism of electoral democracies, the bourgeoisie do have an overweening influence upon the state. The bourgeoisie’s ownership of the means of production provides the foundation for its influence because the state is obliged to rely on it to manage the supply of goods and services and the creation of wealth. That power is further reinforced by the infiltration of the bourgeoisie into the organs of state. The level of influence has accelerated rapidly over recent decades. One of the consequences of this has been that healthcare systems have become rich pickings for the evermore confident bourgeoisie.

Relationships between adrenocorticotropic hormone and cortisol are altered during clustered nursing care in preterm infants born at extremely low gestational age

Little is known about the effects of clustered nursing care on hypothalamic pituitary axis (HPA) responses in preterm infants in the neonatal intensive care unit.

The organisational context of nursing care in stroke units: A case study approach

Background Internationally the stroke unit is recognised as the evidence-based model for patient management, although clarity about the effective components of stroke units is lacking. Whilst skilled nursing care has been proposed as one component, the theoretical and empirical basis for stroke nursing is limited. We attempted to explore the organisational context of stroke unit nursing, to determine those features that staff perceived to be important in facilitating high quality care. Design A case study approach was used, that included interviews with nurses and members of the multidisciplinary teams in two Canadian acute stroke units. A total of 20 interviews were completed, transcribed and analysed thematically using the Framework Approach. Trustworthiness was established through the review of themes and their interpretation by members of the stroke units. Findings Nine themes that comprised an organisational context that supported the delivery of high quality nursing care in acute stroke units were identified, and provide a framework for organisational development. The study highlighted the importance of an overarching service model to guide the organisation of care and the development of specialist and advanced nursing roles. Whilst multidisciplinary working appears to be a key component of stroke unit nursing, various organisational challenges to its successful implementation were highlighted. In particular the consequence of differences in the therapeutic approach of nurses and therapy staff needs to be explored in greater depth. Successful teamwork appears to depend on opportunities for the development of relationships between team members as much as the use of formal communication systems and structures. A co-ordinated approach to education and training, clinical leadership, a commitment to research, and opportunities for role and practice development also appear to be key organisational features of stroke unit nursing. Recommendations for the development of stroke nursing leadership and future research into teamwork in stroke settings are made.

Age and growth of Heterotis niloticus around Pategi in the middle River Niger, Kwara State

Biological studies of Heterotis niloticus were conducted for three years in the middle River Niger. Scales were found to be the most suitable structure in ageing Heterotis which was validated by length/histogram curve. Annual rings were found to be formed between March to June. Growth was rapid in the first two years and they reached sexual maturity at 2 years. The male grow longer while the female are bulkier. The length-weight relationship of male and female Heterotis did not differ significantly and the resulting equation for male was W = 1.25L super(2.5) and W = 1.6L super(2.7) for females respectively where W = weight (g) and L = total length. The total length to body scale relationship was found to be L = 14.3R super(2.6) where (R = oral radius of scale Heterotis growth was found to be allometric

Land-use patterns and cultural change in the Middle to Late Bronze Age in Ireland: inferences from pollen records

In Ireland, the Middle to Late Bronze Age (1500-600 cal. B.C.) is characterised by alternating phases of prolific metalwork production (the Bishopsland and Dowris Phases) and apparent recessions (the Roscommon Phase and the Late Bronze Age-Iron Age transition). In this paper, these changes in material culture are placed in a socio-economic context by examining contemporary settlement and land-use patterns interpreted from the pollen record. The vegetation histories of six tephrochronologically-linked sites are presented that provide high-resolution and chronologically well-resolved insights into changes in landscape use over the Middle to Late Bronze Age. The records are compared with published pollen records in an attempt to discern if there are any trends of woodland clearance and abandonment from which changes in settlement patterns can be inferred. The results suggest that prolific metalworking industries correlate chronologically with expansive farming activity, which indicates that they were supported by a productive subsistence economy. Conversely, declines in metalwork production occur during periods when farming activity is generally less extensive and perhaps more centralised, and it is proposed that disparate socio-economic or –political factors, rather than a collapse of the subsistence economy, lies behind the demise of metalworking industries.

Connecting the Nation : classrooms, libraries, and health care organizations in the Information age : update 1995 /

Mode of access: Internet.

Facilities and services for long-term chronic illness and convalescent care in the metropolitan St. Louis area; a study of present bed availabilities and future requirements for long-term care in chronic hospitals, chronic care units of general hospitals and skilled nursing homes.

Includes bibliography.