425 research outputs found
Alumni Author Nicky P.E. Tomboulides
Sacred Heart University\u27s Office of Alumni Engagement hosted an Alumni Author Spotlight on September 17, 2016 at RML. It Is a Green Clean World: The World Travels of Takis and Mimi by alumni author Nicky P.E. Tomboulides.https://digitalcommons.sacredheart.edu/libraryhistoryphotos/1084/thumbnail.jp
Supplemental Material - Introducing the ‘3 Fs model of complexity’ for people with dementia accessing a NHS mental health in-patient dementia assessment ward: An interpretive description study
Supplemental Material for Introducing the ‘3 Fs model of complexity’ for people with dementia accessing a NHS mental health in-patient dementia assessment ward: An interpretive description study by Lesley Jones, Nicky Cullum, Ruth Watson and John Keady in Dementia</p
A national survey of computerised decision support systems available to nurses in England
Aim: to examine the characteristics of computerized decision support systems (CDSS) currently available to nurses working in the National Health Service (NHS) in England.Method: a questionnaire survey sent to a stratified random sample of 50% of all NHS care providers (Trusts) in England, asking respondents to provide information on CDSS currently used by nurses.Results: responses were received from 108 of the 277 Trusts included in the sample. Electronic patient record systems were the most common type of CDSS reported by Trusts (n = 61) but they were least likely to have features that have been associated
with improved clinical outcomes.Conclusions: the availability of CDSS with features that have been associated with improved patient outcomes for nurses in the NHS in England is limited. There is some evidence that the nature of the Trust affects whether or not nurses have access
to CDSS to assist their decision making.
Implications for nursing management The implementation of CDSS is increasing throughout the NHS. Many CDSS are introduced without adequate evidence to support its introduction and there is little evaluation of the benefits once they are
implemented. Policy makers and nursing management should consider whether the introduction of CDSS aids nurse decision making and benefits patient outcomes
Tissue engineered braided hybrid fiber scaffold for anterior cruciate ligament reconstruction
The knee joint is the largest and most complex joint in the human body. Its stability is largely dependent on the anterior cruciate ligament (ACL), a dense fibrous connective tissue that attaches the femur to the tibia. Under high tensile and torsional forces the ACL will tear and does not heal without surgical intervention. This is due to the low blood supply and ligament retraction from the synovial tissue that envelops a tear. We explored the potential of a novel ACL reconstructive device composed of a hybrid poly(desaminotyrosyl-tyrosine dodecyl dodecanedioate)(12,10) [p(DTD DD)] and type I bovine collagen fiber scaffold as an alternative to current autograft and allografts techniques. The three phase process initially tested the fabrication and characterization of p(DTD DD) fibers and compared them to poly(L-lactic acid) (PLLA), a common biomaterial. Data suggested that p(DTD DD) fibers, with their higher strength, lower stiffness, favorable degradation products and comparable cell compatibility, may be a superior alternative to PLLA fibers for development of an ACL reconstructive device. The second phase tested electron beam (E-beam) sterilized hybrid scaffolds composed of parallel 75% p(DTD DD) and 25% collagen fibers. Hybrid scaffolds were implanted for up to 4 weeks in the ACL space of New Zealand White (NZW) rabbits. At 4 weeks there was far more cell infiltration, vascular tissue and granuloma. Inflammatory cells were concentrated on the outer part of the scaffold, which is the natural repair reaction to surgery and not the implant. The third phase used a similar scaffold in a braided configuration, a larger sheep model and a longer 12 week time point. Analysis showed an increase in the amount of cellular infiltration and vascular tissue after 12 weeks. There was a decrease in the amount of eosinophils and no change in the number of multi nucleated giant cells after 12 weeks. Cellular infiltration was apparent at the center of the scaffold, which suggests that spacing between fibers is large enough to allow cells to migrate freely throughout the scaffold. Data suggests there is a definite potential in using a braided hybrid fiber scaffold composed of p(DTD DD) and Collagen as an ACL reconstructive device.Ph.D.Includes bibliographical references (p. 102-113)by Nicky Tova
A Tear by Nicky Manuputty: a Review of Alto Saxophone Playing Techniques and the Meaning of the Work
A TEAR is a work of Nicky Manupputty who is a Saxophonist. The uniqueness of this song is that Nicky Manuputty uses a distinctive and different tounging. He has his own characteristics in playing saxophone in this work, namely tounging techniques resembling 'del-del' and resembling 'ta-ya' tounging. Therefore, the author is interested in researching the work A TEAR. The author found the technique of combining 'del-del' and 'ta-ya' tounging. The technique is the "dah-ya" tounging technique. In the 'dah-ya' technique, the author finds a tounging sound that is almost the same as that used by Nicky Mannuputty. The method used is descriptive qualitative method, by collecting data through youtube (https://youtu.be/76KrrEAQUek ), observation, literature study, articles/journals and documentation. The meaning of A TEAR is an expression of sadness. The results of this study are: 1) Showing the work of A TEAR live. 2) Introducing the works of Indonesian composers. 3) Knowing the techniques used by Nicky in his work, and the meaning of the work A TEAR
Alumni Author Spotlight September 17, 2016
Alumni author spotlight- Nicky P.E. Tomboulides, Ryan Matura Library.https://digitalcommons.sacredheart.edu/libraryhistoryphotos/1086/thumbnail.jp
Electromagnetic therapy for treating venous leg ulcers (Review)
BackgroundLeg ulceration is a common, chronic, recurring condition. The estimated prevalence of leg ulcers in the UK population is 1.5 to 3 per 1000. Venous ulcers (also called stasis or varicose ulcers) comprise 80% to 85% of all leg ulcers. Electromagnetic therapy (EMT) is sometimes used as a treatment to assist the healing of chronic wounds such as venous leg ulcers.ObjectivesTo assess the effects of EMT on the healing of venous leg ulcers.Search methodsFor this fourth update, we searched The Cochrane Wounds Group Specialised Register (searched 30 January 2015); The Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2014, Issue 12).Selection criteriaRandomised controlled trials comparing EMT with sham-EMT or other treatments.Data collection and analysisStandard Cochrane Collaboration methods were employed. At least two review authors independently scrutinised search results and obtained full reports of potentially eligible studies for further assessment. We extracted and summarised details of eligible studies using a data extraction sheet, and made attempts to obtain missing data by contacting study authors. A second review author checked data extraction, and we resolved disagreements after discussion between review authors.Main resultsThree randomised controlled trials (RCTs) of low or unclear risk of bias, involving 94 people, were included in the original review; subsequent updates have identified no new trials. All the trials compared the use of EMT with sham-EMT. Meta-analysis of these trials was not possible due to heterogeneity. In the two trials that reported healing rates; one small trial (44 participants) reported that significantly more ulcers healed in the EMT group than the sham-EMT group however this result was not robust to different assumptions about the outcomes of participants who were lost to follow up. The second trial that reported numbers of ulcers healed found no significant difference in healing. The third trial was also small (31 participants) and reported significantly greater reductions in ulcer size in the EMT group however this result may have been influenced by differences in the prognostic profiles of the treatment groups.Authors' conclusionsIt is not clear whether electromagnetic therapy influences the rate of healing of venous leg ulcers. Further research would be needed to answer this question
Alumni Author 2016
Alumni author Nicky P.E. Tomboulides shared her book, It Is a Green Clean World: The World Travels of Takis and Mimi, Ryan Matura Library September 17, 2016.https://digitalcommons.sacredheart.edu/libraryhistoryphotos/1085/thumbnail.jp
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