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Biomedical subjects

G Roberton

Publications and source records attributed to G Roberton.

8 recordsLinked to original sources
PubMed2006

Sub-Tenon block: a learning curve of 100 cases.

This study measures the learning curve for accomplishing sub-Tenon blocks for ophthalmic surgery applicable to anaesthetists skilled in peribulbar techniques. We defined criteria for a good block in terms of chemosis, subconjunctival haemorrhage, globe movement and the need for additional peribulbar block. The overall success rate, by our definitions, was 72% and 56% for the two operators. The overall requirement for an additional peribulbar block was 10%. The rate of additional blocks and reduction in globe movement reached a plateau after about 60 procedures for both operators. The rates of chemosis (6% and 12% overall) and subconjunctival haemorrhage (6% and 12% overall) did not trend with increased experience. The results applied to both a cataract and a vitreo-retinal surgery casemix.

Adolescent↗
PubMed1998

Functional upper airway obstruction.

Functional disorders of the vocal cords can present with acute, dramatic upper airway obstruction, with features mimicking asthma or functional dysphonia. We report the case of an eighteen-year-old female with acute airway obstruction initially misdiagnosed as asthma. Laryngoscopy, bronchoscopy and psychiatric assessment confirmed a diagnosis of functional disorder of the vocal cords. Although a diagnosis of exclusion, it must be borne in mind in order to reduce unnecessary medical therapy and surgical intervention. It is only with the correct diagnosis that patients can receive appropriate therapy.

Adult↗
PubMed1996

[Pedagogic training: another conception of the student/faculty relation in the Institute of Nursing Science Education].

The nurses' training course which is now compulsory since the new program to get the Nursing Degree, is not easy to apply for trainers within a legal context which is not accurate enough. Through IFSI investigated the nurses' training course is as follows: Sometimes not formalized, sometimes institutionalized, the application of the nurses' training course is very different from an institution to another and even within each IFSI. It is not proved that students' needs and expectations are taken into account; the main concern of the teaching staff is "how to pu in the 245 hours reserved for the nurses' training course". The question "why a nurses' training course inside the nursing studies" is not raised. The survey also points out an inadequacy between the educationanl method and students' expectations. To help in that way, I have related my own experience regarding the nurses' training course and then I have mentioned the result of a bibliographical compilation in connection with it. In this first part, the examination of the nurses' training course through the educational method shows that there is no idea of this principle and therefore, trainers cannot give a meaning of this activity. The comments upon the subjects in the second part roung concepts from Education Sciences, allow us to build up a thoery giving a meaning and a purpose to the nurses' training course. This theorization supports an "a posteriori" analysis regarding practice, and entitles me to define a possibel foundation of this activity and so, adjusts the idea I have of the nurses' training course which is the subject of the third part. My own opinion is based on a balance between the different logics which can occur in an educational situation. Taking the conflicting opinions into account in the educational relationship, the trainer makes the student aware of his own responsabilities, he enables him to become independent and to succeed in a real profesionalism. This propsect is coherent according to the requirements and purposes of the training. Today the reflection upon the nurses' training course goes on and is different from a teacher to another. Anyway, due to its regulation, trainers have to wonder about it and maybe it will bring something new within the training leading to the nursing degree.

Attitude of Health Personnel↗