The role of the nurse practitioner in developing wellness promotion programs for employees in acute care hospital settings.
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Biomedical subjects
Publications and source records attributed to F E Khoiny.
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Pelvic inflammatory disease is one of the most serious complications of sexually transmitted diseases. It is a medical and public health problem of great magnitude, and adolescents are at greater risk for its development than any other age group. Its sequelae of infertility, ectopic pregnancy, chronic pelvic pain, and dyspareunia may have a devastating impact upon a teenager's life. The epidemiology, pathogenesis, clinical features, differential diagnosis, and management and prevention of this clinical syndrome are presented.
Currently, depot-medroxyprogesterone acetate is the only contraceptive injection available in the United States. Its use was approved by the U.S. Food and Drug Administration in October 1992. This article describes the mechanisms of action, advantages, disadvantages, and contraindications of this very effective contraceptive agent. In addition, the initial workup, the treatment, and the follow-up of the teen receiving depot-medroxyprogesterone acetate are presented.
Dysfunctional uterine bleeding (DUB) is a common gynecologic problem, occurring most frequently at the extremes of a woman's reproductive life. The primary cause of DUB is anovulation; however, because DUB is a diagnosis of exclusion, a detailed history and a thorough physical and pelvic examination with appropriate diagnostic tests are essential in order to rule out other pathologic causes of abnormal uterine bleeding. Knowledge of the physiologic basis, differential diagnoses, and diagnostic and management modalities for DUB enables the nurse practitioner to provide optimal care for the patient.
This article describes factors that contribute to the effectiveness of computer-assisted instruction as a teaching strategy. According to the literature reviewed, three major variables that can influence computer-assisted instruction are the quality of the software programs, the environment of use of the computer, and the characteristics of the learner. The nurse educator should be aware of the significance of each variable to provide an optimal learning experience for the students.