Diss. (sammanfattning) Umeå : Umeå universitet, 2010. / Härtill 4 uppsatser.

Unplanned extubation is premature removal of endotracheal tube, is an adverse event; which can either, be accidental during a nursing procedure or self deliberate by the patient. The AACN Synergy Model for Patient Care was used as conceptual model for this study. A retrospective descriptive design revealed that over a period of two years, 327 patients admitted to the intensive care unit require intubation of which 40.4% were self-deliberate extubation and 59.4% accidental extubation. Of the accidental extubated patients, 29.8% had physical restrains, 57.6% received sedation, 43.9% had analgesic infusion and 38.9% were on neuromuscular blockade. A means Glasco Coma Scale was 9.4 and 56% of the patients were reported as being. Most patients (89.9%) required re-intubation. The findings also revealed that 49.1% of the nurses who cared for the patients when the extubation occured had one patient at the time. Also, 84.2% of nurses had 0-6 years of nursing experience and 74% of nurses had less than five years of ICU experience. / Health Studies / M.A. (Health Studies)

A synopsis of the importance and the nature of reading serve as the point of departure for this study. The pupils involved are learning restrained as well as A comprehensive reading problem analysis table, compiled for analysis of individual reading problems, facilitates identification of the remedial reading areas, as well as the underlying subskills causing the problems to be accommodated in remedial reading. A control chart, developed for recording the information concerning the pupil's reading problem area and underlying subskills, facilitates compilation of an integrated remedial reading programme. Existing exercises, selected from the works of various authors and adapted, provide guidelines and exercises for particular remedial reading areas. These guidelines serve as a point of departure for the compilation of a specific remedial reading programme for a particular pupil with reading problems. Two case studies elucidate how a remedial reading programme can be compiled according to the pupil's background, reading problems and inadequacies in the underlying subskills. Group A learning disabled pupils although learning disabled pupils in Group B and C can also be involved. The total reading process is illustrated by means of a reading model. The two main components, namely, word identification and comprehension, form the basis of this study. The different subcategories featuring in each component are highlighted. This model serves as a framework for the diagnosis and remediation of reading problems. A teaching model is used to illustrate the complexity of teaching. The factors ( within the teaching model are indicated, as well as the ways they may serve when reading is taught. The reduction and choice of reading content for a specific pupil are set out as important aspects to be taken into consideration in reading remediation. Determining each pupil's reading levels, namely, his/her independent level, instructional level and frustrational level, enables the teacher to choose the appropriate reading material. / Teacher Education / D. Ed. (Orthopedagogics)

INTRODUÇÃO: A instabilidade multiligamentar do joelho, normalmente, é provocada por um trauma que determina sua luxação, um evento pouco frequente, mas, que pode trazer sequelas devastadoras. Mesmo com o tratamento cirúrgico preconizado é alto o índice de complicações. A mobilização precoce no pósoperatório provoca afrouxamento dos ligamentos reconstruídos, o que leva à instabilidade residual. A imobilização melhora a estabilidade, mas provoca dor e rigidez. Este trabalho tem o objetivo de avaliar se o uso do fixador externo articulado proporciona melhora na mobilidade, estabilidade e na função subjetiva de pacientes submetidos à reconstrução ligamentar. MÉTODOS: Neste ensaio clínico randomizado com grupos paralelos, 33 pacientes do ambulatório do Instituto de Ortopedia e Traumatologia do Hospital das Clínicas da Universidade de São Paulo com mais que 3 semanas de lesão dos ligamentos cruzados anterior e posterior associado à lesão de ligamento colateral fibular e/ ou ligamento colateral tibial foram submetidos à cirurgia de reconstrução multiligamentar, após alocação cega aleatória ao grupo 0 - controle (18 pacientes), com órtese rígida ou ao grupo 1 - fixador externo articulado por 6 semanas (15 pacientes), no período entre novembro de 2010 e novembro de 2013. Após seguimento mínimo de um ano de pós-operatório, a estabilidade dos ligamentos reconstruídos foi avaliada ao exame físico, foram mensurados os déficits de extensão e de flexão residual em relação ao joelho contralateral não acometido e foi aplicado o questionário específico para sintomas do joelho de Lysholm. RESULTADOS: Não houve diferença na avaliação da estabilidade articular nem na extensão entre os grupos. No grupo 1, o déficit de flexão passiva foi menor (4,8º +- 5,4º contra 18,2 +- 14,8º, p < 0,05) com mais pacientes, obtendo déficit de flexão considerado normal, de até 5º (64% contra 18%, p < 0,05) e com classificação excelente ou boa no questionário de Lysholm (73% contra 35%, p < 0,05). CONCLUSÕES: Comparado ao protocolo de reabilitação com órtese rígida removível, o uso do fixador externo articulado no tratamento cirúrgico das lesões multiligamentares do joelho proporciona os mesmos resultados de estabilidade ligamentar, aumenta a amplitude de movimento final, com manutenção da extensão e redução do déficit de flexão e proporciona melhores resultados funcionais / INTRODUCTION: Multiligament knee instability is normally caused by a trauma which results in its dislocation, an infrequent event, but one which can have devastating aftereffects. Even with the recommended surgical treatment the rate of complications is high. Early post-operative mobilization provokes loosening of the reconstructed ligaments, which leads to residual instability. Immobilization improves the stability, but causes pain and stiffness. This study aims to assess whether the use of an articulated external fixator provides improvements in the mobility, stability and the subjective function of the patients submitted to ligament reconstruction. METHODS: In this randomized clinical trial with parallel groups, 33 patients of the outpatient clinic of the Institute of Orthopaedics and Traumatology of the Hospital das Clínicas of the University of Sao Paulo with more than 3 weeks of injury to the anterior cruciate ligaments and the posterior cruciate ligaments associated with injury to the fibular collateral ligament and/or medial collateral ligament, were submitted to multiligament reconstruction surgery, after blind random allocation to either: Group 0 - control (18 patients), with rigid bracing, or to Group 1 - articulated external fixator for 6 weeks (15 patients), in the period from November, 2010 to November 2013. The stability of the reconstructed ligaments were assessed after 1 year postoperatively by physical examination, the deficit of residual extension and flexion was measured in relation to the unaffected contralateral knee and the Lysholm knee scoring scale questionnaire was applied. RESULTS: There was no difference in the assessment of joint stability or of the extension between the groups. In group 1 the passive flexion deficit was less (4.8º +- 5.4º versus 18.2 +- 14.8º, p<0.05) with more patients obtaining a flexion deficit considered normal, or up to 5º (64% versus 18%, p<0.05) and with excellent or good classification in the Lysholm knee scoring scale questionnaire (73% versus 35%, p<0.05). CONCLUSIONS: Compared to the rehabilitation protocol with removable rigid bracing, the use of an articulated external fixator in the treatment of multiligament knee injuries provides equal results for ligament stability, increases the amplitude of the Range of Motion, maintains the extension and reduces the flexion deficit, and provides better functional result

Text in Afrikaans / Practical research has shown that children experiencing learning restraints may suffer from high stress levels. These children encounter difficulty adapting to normal scholastic challenges and their performance often appear marginalised. The objective of this study is to explore the phenomenon of stress experienced by three eleven year old learners with learning restraints in the intermediate phase. The literature study on this topic has shown that learning restraints not only affect a child scholastically, but in his entire being. Based on this understanding, learning restraints may cause stress due to habitual underachievement in the learning environment. These learners might not necessarily have extremely poor cognitive abilities, but perceive themselves as incompetent or "dumb". In the empirical study, projection techniques were mainly utilised to determine stress levels experienced by learning restrained learners, from their internal frame of reference. From these findings, certain recommendations are proposed for psychotherapy. / Educational Studies / M. Ed. (Guidance and Counseling)

The purpose of this study was to contextualise the Swaziland correctional services environment and inmate population, analysing how best to respond to the needs of the organisation and providing strategies that can have an impact on crime and recidivism. Offenders in Swaziland are incarcerated because alternatives to imprisonment or the resources necessary to make a visible impact on the inmate population are not provided. There is also very little scientific information available on the profiles of inmates to determine who really needs to be incarcerated, who could be incarcerated for a shorter time and who could be taken care of in the community. In addition to the above, Swaziland correctional services finds itself in a predicament where it has to provide concrete evidence that it is effective and adding value to the social and economic reconstruction of the country. This implies the frequent assessment of the organisation's performance to ensure the continuous delivery of cost-effective, innovative and high quality correctional services. In an attempt to understand the breadth of the problems faced by Swaziland correctional services, this thesis sets out to assess the environment in which Swaziland correctional services operates and to suggest mechanisms which can be used to rehabilitate and reduce the inmate population in order to add value and sustain the delivery of an effective correctional service. This study would seem to be of value not only to correctional practitioners, but also to the police and judiciary in that they will have a better understanding of dilemmas faced by Swaziland correctional services. This will assist the police and judiciary to take more informed decisions with regard to effective law enforcement, detention of awaiting-trials and sentencing practices. With Swaziland and other African countries embarking on a new route in corrections, the academic world can also play a major role in enlightening reform in legislation, policies and practices. / Penology / D.Litt. et Phil. (Penology)

No description available.

The purpose of this study was to contextualise the Swaziland correctional services environment and inmate population, analysing how best to respond to the needs of the organisation and providing strategies that can have an impact on crime and recidivism. Offenders in Swaziland are incarcerated because alternatives to imprisonment or the resources necessary to make a visible impact on the inmate population are not provided. There is also very little scientific information available on the profiles of inmates to determine who really needs to be incarcerated, who could be incarcerated for a shorter time and who could be taken care of in the community. In addition to the above, Swaziland correctional services finds itself in a predicament where it has to provide concrete evidence that it is effective and adding value to the social and economic reconstruction of the country. This implies the frequent assessment of the organisation's performance to ensure the continuous delivery of cost-effective, innovative and high quality correctional services. In an attempt to understand the breadth of the problems faced by Swaziland correctional services, this thesis sets out to assess the environment in which Swaziland correctional services operates and to suggest mechanisms which can be used to rehabilitate and reduce the inmate population in order to add value and sustain the delivery of an effective correctional service. This study would seem to be of value not only to correctional practitioners, but also to the police and judiciary in that they will have a better understanding of dilemmas faced by Swaziland correctional services. This will assist the police and judiciary to take more informed decisions with regard to effective law enforcement, detention of awaiting-trials and sentencing practices. With Swaziland and other African countries embarking on a new route in corrections, the academic world can also play a major role in enlightening reform in legislation, policies and practices. / Penology / D.Litt. et Phil. (Penology)

Text in Afrikaans / Practical research has shown that children experiencing learning restraints may suffer from high stress levels. These children encounter difficulty adapting to normal scholastic challenges and their performance often appear marginalised. The objective of this study is to explore the phenomenon of stress experienced by three eleven year old learners with learning restraints in the intermediate phase. The literature study on this topic has shown that learning restraints not only affect a child scholastically, but in his entire being. Based on this understanding, learning restraints may cause stress due to habitual underachievement in the learning environment. These learners might not necessarily have extremely poor cognitive abilities, but perceive themselves as incompetent or "dumb". In the empirical study, projection techniques were mainly utilised to determine stress levels experienced by learning restrained learners, from their internal frame of reference. From these findings, certain recommendations are proposed for psychotherapy. / Educational Studies / M. Ed. (Guidance and Counseling)