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Biomedical subjects

E J Monti

Publications and source records attributed to E J Monti.

7 recordsLinked to original sources

Multiple paradigms of nursing science.

Of the many controversies that have accompanied the growth of nursing as a discipline, few have been debated as long and as vigorously as the question of which paradigm should guide nursing science. Despite more than 20 years of discussion, the question remains unresolved. This article discusses the concept of paradigm, explores the paradigms that influence nursing science, and presents a comparison of the advantages and disadvantages of theoretical unification and mutiparadigmism. Additionally, the implications and consequences of multiparadigmism for the present and future development of nursing as a science within a practice discipline are presented.

Humans↗

Employee and independent contractor relationships.

Most practitioners find themselves at a disadvantage in dealing with business issues and relationships. As health care continues to change, knowledge of contracts and business relationships will help CRNA practitioners navigate new as well as traditional practice settings. This article discusses the advantages and disadvantages of two business relationships: employee and independent contractor.

Contract Services↗

The use of an anesthesia simulator in graduate and undergraduate education.

The use of simulation for educational training is common in many industries but is a new advancement in student instruction in anesthesia, medicine, or allied health. The Human Patient Simulator (HPS) allows students and clinicians to learn and practice a variety of technical skills as well as manage basic and complex clinical situations in a modifiable and reproducible environment. The HPS has been extensively integrated in many graduate and undergraduate Nursing and Allied Health courses at the Medical College of Georgia. Use of the HPS stems from the theory of situated cognition, which states that students best learn "what to do" and "how to do" in a real world environment. The HPS provides a real world environment for student learning in various fields. The theory of situated cognition is discussed in conjunction with the implementation of the HPS into various classes.

Anesthesia↗

The safe use of disposable syringes in anesthesia: cost effective or costly?

Many anesthesia practitioners reuse disposable syringes and multidose drug vials from case to case despite the known hazards of blood-borne disease transmission. This practice may be hazardous to both patients and practitioners. Microscopic amounts of blood in the intravenous tubing can cause contamination of syringes, needles, and drug vials. Contaminated multidose vials have been associated with the transmission of both hepatitis B and bacterial infections. This article examines the potential risks of contamination from the reuse of disposable syringes and the myth about the cost savings of this practice.

Anesthesiology↗

An introduction to oxygen free radicals.

Oxygen free radicals are byproducts from the fundamental metabolic activities within the body. Normally, radicals are neutralized by enzymatic activity or natural antioxidants. Thus the generation of free radicals poses no problem so long as the balance between oxygen radical production and eradication remains in balance. There are multiple medical conditions, such as myocardial infarction, carcinogenesis, and neurologic trauma, to name a few, that may be aggravated by the presence of oxygen free radicals. This article will present an overview of oxygen free radicals: their normal formation and control and how they might further injure tissue in particular diseases. The implications for health care professionals are highlighted.

Antioxidants↗

Potential mechanisms of interferon neurotoxicity.

This article examines potential mechanisms underlying the neurologic toxicities associated with interferon therapy in patients with cancer. The following mechanisms for interferon-related toxicities have been proposed: changes in certain neuroendocrine hormone levels; structural similarities and common pathways between interferon and specific neuroendocrine hormones; and the immunoregulatory effects of interferon. Strategies for the assessment and management of interferon-related neurologic toxicities are discussed. A reduction in dose or discontinuation of interferon may be recommended if interferon neurotoxicity develops. Additional interventions may include reorientation strategies, provision of uninterrupted periods of rest, and safety precautions. Directions for future research are recommended.

Antineoplastic Agents↗