No Going Back: Advantages of Ultrasound-Guided Upper Arm PICC Placement

2008 ◽  
Vol 13 (4) ◽  
pp. 191-197 ◽  
Author(s):  
Liz Simcock
Keyword(s):  
Success Rate ◽  
Ultrasound Guided ◽  
Upper Arm ◽  
Exit Site Infection ◽  
Catheter Migration ◽  
Audit Data ◽  
Change In Practice ◽  
Before And After ◽  
The Usa ◽  
The Uk

Abstract Background, Method and Purpose: The use of peripherally inserted central catheters (PICCs) in the UK has been steadily increasing since they were first introduced in 1995. Ultrasound-guided upper arm placement - which has become prevalent in the USA over the last few years - is gradually attracting interest amongst PICC placers in the UK. The literature shows that upper arm placement improves insertion success rate (Hockley, Hamilton, Young, Chapman, Taylor, Creed et al, 2007; Hunter, 2007; Krstenic, Brealey, Gaikwad & Maraveyas, 2008) and patient satisfaction (Polak, Anderson, Hagspiel, & Mungovan, 1998; Sansivero, 2000; McMahon, 2002). Following a switch to upper arm placement at her institution, the author examined audit data from before and after the change in practice to see if there were other measurable clinical improvements. Results: Comparison of data from a four-year period shows that upper arm placement in our patient population increased insertion success rate and line longevity, while reducing exit site infection, thrombosis and catheter migration. Implications for Practice: This data shows that ultrasound-guided upper-arm placement improves patient outcomes. PICC placers still using the more traditional antecubital approach should consider a change in practice.

scholarly journals Antipsychotic long-acting injections: Prescribing practice in the UK

2009 ◽  
Vol 195 (S52) ◽  
pp. s37-s42 ◽  
Author(s):  
Thomas R. E. Barnes ◽  
Amber Shingleton-Smith ◽  
Carol Paton
Keyword(s):  
Demographic Variables ◽  
High Dose ◽  
Clinical Settings ◽  
Audit Data ◽  
Younger Age ◽  
Prescribing Practice ◽  
The Usa ◽  
Oral Antipsychotic ◽  
Long Acting ◽  
The Uk

BackgroundData from the USA, Australia and Europe suggest that the proportion of patients with schizophrenia prescribed an antipsychotic long-acting injection (LAI) varies from around a quarter to a third. Use of LAIs has been associated with male gender and younger age.AimsTo characterise the use of LAIs in people with schizophrenia in three clinical settings in the UK.MethodThe study used audit data from quality improvement programmes conducted by the Prescribing Observatory for Mental Health.ResultsLong-acting injections were found to be prescribed for between a quarter and a third of patients, depending on the clinical setting. Flupentixol, risperidone and zuclopenthixol were most commonly prescribed and were combined with an oral antipsychotic in half of cases, frequently constituting high-dose prescribing. The use of LAIs was not consistently associated with age, gender or ethnicity.ConclusionsAntipsychotic LAIs are commonly prescribed. We did not replicate previous findings with respect to demographic variables associated with their use.

scholarly journals Citizenship, community, and counter-terrorism

2013 ◽  
Vol 12 (3) ◽  
pp. 445-473 ◽  
Author(s):  
Malcolm N. MacDonald ◽  
Duncan Hunter ◽  
John P. O'Regan
Keyword(s):  
National Security ◽  
Security Policy ◽  
Policy Documents ◽  
Counter Terrorism ◽  
Security Discourse ◽  
Violent Extremism ◽  
Before And After ◽  
The Usa ◽  
The Uk ◽  
Semantic Prosody

This paper analyses a corpus of UK policy documents which sets out national security policy as an exemplar of the contemporary discourse of counter-terrorism in Europe, the USA and worldwide. A corpus of 148 documents (c. 2.8 million words) was assembled to reflect the security discourse produced by the UK government before and after the 7/7 attacks on the London Transport system. To enable a chronological comparison, the two sub-corpora were defined: one relating to a discourse of citizenship and community cohesion (2001–2006); and one relating to the ‘Preventing Violent Extremism’ discourse (2007–2011). Wordsmith Tools (Scott 2008) was used to investigate keywords and patterns of collocation. The results present themes emerging from a comparative analysis of the 100 strongest keywords in each sub-corpus; as well as a qualitative analysis of related patterns of the collocation, focusing in particular on features of connotation and semantic prosody.

Duty, desire, and Japaneseness

2017 ◽  
Vol 2 (2) ◽  
pp. 206-239
Author(s):  
Levi Durbidge
Keyword(s):  
High School ◽  
High School Students ◽  
Study Abroad ◽  
Language Learning ◽  
Structured Interviews ◽  
School Students ◽  
Before And After ◽  
High School Programs ◽  
The Usa ◽  
The Uk

AbstractThis qualitative study draws on identity theory to explore the short-term study abroad and language learning experiences of Japanese high school students from a private high school near Tokyo as they travelled to the UK and the USA. Data were collected through semi-structured interviews both before and after the program, combined with daily journals written by the students, and then subjected to thematic analysis. Several themes emerged among the students’ accounts of their experiences, including drawing on Japanese cultural identities to interpret difficult intercultural experiences, seeing English-mediated identities as a means to overcome pressure to conform to idealized notions of Japanese femininity, and feeling a sense of duty to parents as a motivator to study abroad. These findings demonstrate the diversity of experiences in high school programs and highlight a need for further research on students travelling from non-English-speaking backgrounds to study abroad.

An early mainstream economist from Hungary: István Varga (1897–1962)

2003 ◽  
Vol 53 (2) ◽  
pp. 195-213 ◽  
Author(s):  
K. Majoros
Keyword(s):  
Austrian Economic ◽  
National Income ◽  
Anglo Saxon ◽  
Turbulent Times ◽  
The Usa ◽  
New Ideas ◽  
Modern Economic ◽  
The Uk ◽  
Economic Thinking ◽  
Lasting Influence

The study introduces a Hungarian economic thinker, István Varga*, whose valuable activity has remained unexplored up to now. He became an economic thinker during the 1920s, in a country that had not long before become independent of Austria. The role played by Austria in the modern economic thinking of that time was a form of competition with the thought adhered to by the UK and the USA. Hungarian economists mainly interpreted and commented on German and Austrian theories, reasons for this being that, for example, the majority of Hungarian economists had studied at German and Austrian universities, while at Hungarian universities principally German and Austrian economic theories were taught. István Varga was familiar not only with contemporary German economics but with the new ideas of Anglo-Saxon economics as well — and he introduced these ideas into Hungarian economic thinking. He lived and worked in turbulent times, and historians have only been able to appreciate his activity in a limited manner. The work of this excellent economist has all but been forgotten, although he was of international stature. After a brief summary of Varga’s profile the study will demonstrate the lasting influence he has had in four areas — namely, business cycle research and national income estimations, the 1946 Hungarian stabilisation program, corporate profit, and consumption economics — and will go on to summarise his most important achievements.

Effect of new dietary supplement on sperm quality

2012 ◽  
Vol 153 (45) ◽  
pp. 1787-1792 ◽  
Author(s):  
Mária Horváth ◽  
Endre Czeizel
Keyword(s):  
Adverse Effect ◽  
Clinical Trial ◽  
Dietary Supplement ◽  
Male Fertility ◽  
Sperm Quality ◽  
Sperm Count ◽  
Before And After ◽  
The Usa ◽  
New Treatments

Introduction: There is a decline in male fertility thus new treatments are needed. Aims: To test the efficacy of a new dietary supplement developed in the USA and registered as a curing drug in Hungary (OGYI). Methods: In a clinical trial 100 men with low sperm quality (spermium count 5–20 M/ml, good motility 10–40%, and adverse shape 30–50%) were examined. Results: Sperm parameters were measured before and after a 3-month treatment and after another 3-month without treatment. This dietary supplement statistically and clinically significantly improved sperm count and motility. In 74 cases this dietary supplement demonstrated a beneficial effect on sperm quality (more than 10% increase in sperm count, or quality of motility, or shape); in 16 cases the improvement exceeded 30%. No adverse effect could be accounted for this treatment. Conclusions: This new dietary supplement may contribute to the treatment of male infertility. Orv. Hetil., 2012, 153, 1787–1792.

Neurosurgical activity during COVID-19 pandemic: an experts' opinion from China, South Korea, Italy, the USA, Colombia, and the UK

2020 ◽  
Vol 64 (4) ◽  
Author(s):  
Marco M. Fontanella ◽  
Giorgio Saraceno ◽  
Ting Lei ◽  
Joshua B. Bederson ◽  
Namkyu You ◽  
...  
Keyword(s):  
South Korea ◽  
The Usa ◽  
The Uk
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