Suchergebnisse

Objectives: to identify the application of the nursing process and analyze the records of each stage. Methods: This was a retrospective and descriptive study with a quantitative approach, based on the reports and records of the process presented in the records of ward B and that were in the SAME of a University Hospital in Campina Grande. After data collection, the data were analyzed by the descriptive method and the absolute and relative frequencies were calculated. Results: Of the 115 (100%) charts collected, the records presented all stages of the process, except for the expected results. The most frequent diagnoses were ineffective breathing pattern and intolerance to activity and interventions, to check vital signs and oxygen saturation. In 68 (59,1%) the actions implemented were recorded, 114 (99,1%) did not present the patient's answers and 71 (61.7%) made changes to the care plans. Conclusion: It was concluded that it is necessary to improve the registration of the nursing process.

Background: Fibreoptic bronchoscopy is one of the most vital procedures performed in health care setting. Globally, several studies have reported findings of fibreoptic bronchoscopy while only few studies have been reported in Nepal. The aim of this study was to perform two year retrospective analysis of diagnostic fibreoptic bronchoscopy at tertiary referral centre.Methods: A hospital based retrospective observational study was conducted at Tribhuvan University Teaching Hospital, Kathmandu, Nepal. Consecutive bronchoscopy reports from June 2017 to May 2019 were included. Data entry and analysis was done in Microsoft Office Excel 2010. Descriptive statistics was performed to obtain clinico-demographic profile of patients, indications and findings of bronchoscopy. Results: A total of 238 bronchoscopy procedures were analyzed. Mean age of patients was 55.02 years with range from 15 to 84 years. Majority of bronchoscopy were performed in male patients (58%). One hundred and twelve patients (47.05%) had no endobronchial lesion. Endoscopically visible tumor was the most common abnormality seen in 57 (23.9%) patients with highest prevalence in 55-65 years followed by extrinsic compression of bronchial tree seen in 13 (5.5%) patients. Bronchioalveolar lavage for routine examination (n=207) was the most commonly performed procedure during bronchoscopy followed by bronchial biopsy (n=55).Conclusions: Fibreoptic bronchoscopy is an extremely useful tool for evaluation of tracheobronchial pathology. Baseline bronchoscopic findings from tertiary referral centre in Nepal was obtained in this study. Keywords: Bronchoscopy; fibreoptic.

I would argue that history students should understand that the whole body of historical writing consists of interpretations of the past. They should be able to analyse a wide variety of texts and form their own opinions on a historical topic, and should be able to construct a coherent argument, using evidence to support their opinion. In doing so, they should be actively aware that their argument is no more "true" than that offered by any other historian. It is as much a product of their personal biography and the social formation in which they live as of the evidence used in its construction. Even this evidence is the product of other personal biographies and other social forces.

I would argue that history students should understand that the whole body of historical writing consists of interpretations of the past. They should be able to analyse a wide variety of texts and form their own opinions on a historical topic, and should be able to construct a coherent argument, using evidence to support their opinion. In doing so, they should be actively aware that their argument is no more "true" than that offered by any other historian. It is as much a product of their personal biography and the social formation in which they live as of the evidence used in its construction. Even this evidence is the product of other personal biographies and other social forces.

Die Verfasserin schildert die Disziplin 'Sportgeschichte' als ein Produkt des Kalten Krieges und analysiert die institutionelle Entwicklung der Disziplin seit der deutschen Wiedervereinigung. Im Mittelpunkt der Darstellung stehen die Aktivitäten des Sportwissenschaftlichen Instituts der Universität Potsdam, dessen Schwerpunkt die Forschung und Lehre über den Sport in beiden deutschen Diktaturen ist. Die Verfasserin argumentiert, dass auch im Sport die 'Zeitgeschichte' eine 'Streitgeschichte' ist, wodurch die Fortführung der akademischen Forschung auf diesem Gebiet begründet wird. Abschließend werden Publikationen zum Thema zusammengestellt. (ICG)

Abstract: The system of hospital accreditation that has developed in Australia involves a quasi non‐government organization, the Australian Council on Hospital Standards (ACHS), "surveying" hospitals and issuing certificates to those which meet published standards. The surveying process has the potential to influence the internal hospital balance of power between doctors and the hospital administration, and to place additional demands on statutory health authorities. The ACHS was set up formally in 1977 following a protracted process of discussion, research and inter‐organizational conflict that had its origins in proposals framed in the 1920s. The roles played by the sponsors of accreditation (the Australian Medical Association and the Australian Hospital Association) and by its detractors, especially the Health Commission of New South Wales, are explained using concepts developed in theories of inter‐organizational relations.

International and intercultural competencies are of great significance for professional success in academia, business, and politics as well as for a life in a society like ours, where migration has had a lasting impact. Only approx. 30 % of the German students spend a semester abroad to acquire and deepen their competencies in this area; German higher education institutions thus face the challenge of ensuring that students may also deepen their international knowledge and expand on their intercultural competencies "at home". However, university-wide and strategic efforts to internationalize the curricula – i.e. introduce an inter-national and intercultural dimension as well as a global perspective into the content of the curricula, the learning outcomes, the learning and teaching processes, and the support ser-vices (Leask 2015:149) – are thus far hardly visible in German higher education.The pilot scheme "Internationalization of the Curricula" at the University of Goettingen, funded by the Lower Saxony Ministry for Science and Culture, is unique in Germany and aims at facilitating the strategic and systematic internationalization of the curricula of all the University's study programs. It links internationalization measures to digitalization and diversity.On the basis of reflections on the necessity for the internationalization of the curricula, this article sketches fundamental theoretical and methodological considerations with regard to the conception of the project and the design of the internationalization process.