3 research outputs found
Ultrasound-Guided Intravenous Insertion: A Boon to Outpatient Infusion?
No full textUltrasound-guided peripheral intravenous (USPIV) insertion is widely used across healthcare settings. With proper education, healthcare providers can use portable ultrasound technology to visualize and confirm accurate vessel cannulation, thereby ensuring success with peripheral intravenous (PIV) placement, which in turn might reduce patient treatment delays, increase patient satisfaction, and reduce pain. This single-center quality improvement study investigated the implementation and effectiveness of USPIV insertion in patients at a medium-sized Midwestern referral hospital's outpatient infusion department. With a focus on patient satisfaction and nurses' perceived difficulty, the study aimed to evaluate the impact of portable ultrasound technology on PIV placement compared with standard of care/landmark PIV techniques. While the primary outcomes of patient satisfaction and nurse-perceived difficulty in PIV placement showed no statistically significant difference, the results highlight high patient satisfaction (mean of 3.51, scale of 5, SD = 1.04) and minimal pain in the ultrasound group (mean of 1.27 on scale of 10), Notably, although the ultrasound group had significantly longer PIV insertion times (median of 283 seconds) than standard approaches (median of 183 seconds), the ultrasound group demonstrated a significantly higher success rate on the first attempt (93% vs. 73% in standard group). The number of PIV insertion attempts influenced treatment delays which contribute to overall workflow efficiency. Despite challenges in nurse training and confidence, the findings support the potential benefits of routine ultrasound use for PIV insertion in outpatient infusion departments
Bird species richness and diversity at montane Important Bird Area (IBA) sites in south-eastern Nigeria
No full textThe mountains of south-eastern Nigeria are a western extension of the Cameroon mountain range, which is classified as an endemic bird area (EBA). Unlike its eastern extension in Cameroon, most of the ornithological surveys in the western extension of the Cameroon highlands in Nigeria have produced only limited checklists and inventories. There is a clear need for quantitative baseline data so that conservation problems can be identified. Twenty line transects covering a total transect length of 28.8 km were used to survey five sites (Afi Mountain Wildlife Sanctuary, Oban and Okwangwo Division of Cross River National Park, Sankwala Mountains and Mbe Mountains) in the westernmost extension of the Cameroon Mountains EBA in south western Nigeria. Vegetation measurements were taken to control for the potential confounding effect of variation in vegetation density and structure on detectability of birds between sites. The 193 bird species recorded in Afi, 158 in Sankwala, 124 in Oban, 100 in Mbe and 73 in Okwangwo Division included most of the Cameroon highlands restricted range species. The results show that the mountains of south-eastern Nigeria are important parts of the Cameroon EBA, particularly the Afi Mountain Wildlife Sanctuary. However these sites are threatened by fire and livestock grazing on the hilltops, shifting agriculture on the hillsides and lowlands, and logging for timber in some parts, as well as wildlife hunting for bush meat.Peer reviewe
