Biomedical subjects

D Radjenovic

Publications and source records attributed to D Radjenovic.

5 recordsLinked to original sources

PubMed2001

Computer-based remote diabetes education for school personnel.

Teachers are expected to respond quickly and accurately to any diabetes incident that may occur to children in the school setting. Access to diabetes information is crucial for student safety, health, academic achievement, and social competence. This paper describes a technique to provide Web-based diabetes information using computer audio and video to enrich a text-based training experience. Two groups of teachers were presented with diabetes training material via either paper or a Web-based computer system. Both groups were then evaluated for diabetes knowledge and satisfaction. Subjects using the Web-based system had significantly (t = 2.22; p < 0.033) higher knowledge scores (72.5% versus 66.4% correct) and were significantly (t = 3.9; p < 0.001) more satisfied with the training session (4.2 versus 3.1 on a five-point scale) than subjects who used paper documents traditionally used for teacher training. With the advantages in learning and the reduced cost of a Web-based system, diabetes distance education is a viable and desirable alternative to paper-based diabetes education.

Adult↗

PubMed1996

Using information technology strategically in home care.

As home healthcare agencies examine new and innovative ways to deliver quality care more efficiently, the historical role of information technology as a way to automate clerical tasks will be significantly broadened to facilitate the true value of technology to home care providers. More importantly, a reduction in time spent on paperwork will allow agency caregivers to spend more time with clients. This article looks beyond the boundaries of desktop computing and examines the costs and benefits of network computing to develop strategic advantages for home healthcare agencies.

Community Health Nursing↗

PubMed1988

Immunosuppression with azathioprine and prednisone in recent-onset insulin-dependent diabetes mellitus.

We randomly assigned 46 patients (mean age, 11.7 years; range, 4.5 to 32.8) with newly diagnosed insulin-dependent diabetes mellitus within two weeks of beginning insulin to receive either corticosteroids for 10 weeks plus daily azathioprine for one year or no immunosuppressive therapy. Half the 20 immunosuppressed patients completing the one-year trial had satisfactory metabolic outcomes (hemoglobin A1c less than 6.8 percent; stimulated peak C peptide greater than 0.5 nmol per liter; insulin dose less than 0.4 U per kilogram of body weight per day) as compared with only 15 percent of the controls. Three of 20 immunosuppressed patients, but no controls, were insulin independent at one year. Two of these continue to receive azathioprine without insulin after more than 27 months of follow-up. The response to immunosuppression correlated with older age, better initial metabolic status, and lymphopenia (less than 1800 lymphocytes per cubic millimeter) resulting from immunosuppression. The side effects of azathioprine included vomiting in one patient and mild hair loss in several others. Prednisone use resulted in a transient cushingoid appearance, weight gain, and hyperglycemia. The growth rate remained normal in all patients. We conclude that early immunosuppression with short-term use of corticosteroids plus daily azathioprine can improve metabolic control in some patients with insulin-dependent diabetes mellitus, but results from this unblinded study are preliminary and require further confirmation and long-term follow-up.

Adolescent↗

PubMedDate not supplied

Time-series designs in clinical nursing research: human issues.

Prospective time-series research methods require substantially greater commitment and effort from both subjects and investigators compared to designs that involve one-time data collection. Human issues such as retention, confidentiality, burnout, and clinician-researcher role conflict have not been adequately addressed in existing literature on time-series methodology. To maintain the scientific integrity of a time-series design and minimize unnecessary costs associated with subject and staff attrition, these issues should not be overlooked.

Adult↗

PubMedDate not supplied

Research utilization by undergraduate students.

In our experience as nurse educators, baccalaureate students, after completing an introductory research course, are not prepared to critique research studies skillfully and determine their potential use in professional practice. Also, staff nurses need help determining the appropriateness of implementing research findings into clinical practice. To remedy this situation, a research utilization component was successfully incorporated into a senior-level clinical course. This approach has implications for improving patient outcomes.

Diffusion of Innovation↗