Cancer pain management through a pharmacist-based analgesic dosing service.
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Analgesics↗
Biomedical subjects
J Lyons
Publications and source records attributed to J Lyons.
The utilization of visual information in the control of rapid sequential aiming movements.
Two experiments were conducted to examine the role of vision in the execution of a movement sequence. Experiment 1 investigated whether individual components of a sequential movement are controlled together or separately. Participants executed a rapid aiming movement to two targets in sequence. A full vision condition was compared to a condition in which vision was eliminated while in contact with the first target. The size of the first target was constant, while the second target size was varied. Target size had an influence on movement time and peak velocity to the first target. Vision condition and target size did not affect the time spent on the first target. These results suggest that preparation of the second movement is completed before the first movement is terminated. Experiment 2 examined when this preparation occurred. A full vision condition was compared to a condition in which vision was occluded during the flight phase of the first movement. Movement initiation times were shorter when vision was continually available. Total movement time was reduced with vision in two-target condition, but not in a control one-target condition. The time spent on the first target was greater when vision was not available during the first movement component. The results indicate that vision prior to movement onset can be used to formulate a movement plan to both targets in the sequence [Fischman & Reeve (1992).
Adolescent↗
Reflective education for professional practice: discovering knowledge from experience.
To continually develop as a discipline, a profession needs to generate a knowledge base that can evolve from education and practice. Midwifery reflective practitioners have the potential to develop clinical expertise directed towards achieving desirable, safe and effective practice. Midwives are 'with woman', providing the family with supportive and helpful relationships as they share the deep and profound experiences of childbirth. To become skilled helpers students need to develop reflective skills and valid midwifery knowledge grounded in their personal experiences and practice. Midwife educators and practitioners can assist students and enhance their learning by expanding the scope of practice, encouraging self-assessment and the development of reflective and professional skills. This paper explores journal writing as a learning strategy for the development of reflective skills within midwifery and explores its value for midwifery education. It also examines, through the use of critical social theory and adult learning principles, how midwives can assist and thus enhance students learning through the development of professional and reflective skills for midwifery practice.
Adult↗
Early use of inhaled nedocromil sodium in children following an acute episode of asthma.
BACKGROUND: Current guidelines on the treatment of childhood asthma recommend the introduction of an anti-inflammatory drug in children who have persistent symptoms and require regular treatment with a bronchodilator. The efficacy and safety of inhaled nedocromil sodium (Tilade Mint aerosol) administered using a Fisonair spacer at a dose of 4 mg three times daily was compared with placebo in the treatment of asthmatic children aged 6-12 years who are symptomatic and recovering from an acute exacerbation of asthma. METHODS: A group comparative, double blind, placebo controlled trial was performed in children who were recovering from an acute episode of asthma following treatment in the emergency department of the hospital or in children referred from their general practitioner following a wheezing episode and documented evidence of at least two previous episodes of wheezing. A two week baseline period on existing bronchodilator treatment was followed by a 12 week treatment period on either nedocromil sodium (2 mg/puff) or placebo. Both treatments were administered using a Fisonair spacer at a dose of two puffs three times daily. Changes from baseline values in daytime asthma and night time asthma symptom scores, usage of rescue bronchodilators, mean peak expiratory flow (PEF) recorded twice daily on diary cards, patients' opinion of treatment, and withdrawals due to treatment failure were measured during the primary treatment period (last six weeks of treatment). RESULTS: One hundred and forty two children aged 6-12 years entered the baseline period. Sixty three were withdrawn due to failure to meet the entry criteria (18) or the criteria for asthma symptom severity (15) or reversibility (9), because they developed uncontrolled asthma (2), because they took disallowed treatment (2), or for other non-trial related reasons (17). Seventy nine patients (46 boys) of mean age 8. 8 years entered the treatment period. There were significant differences in the changes from baseline values during the last six weeks of treatment in favour of nedocromil sodium compared with placebo in the primary variables of daytime asthma and night time asthma, morning and evening PEF, and the usage of rescue inhaled bronchodilators; 53% of patients reported nedocromil sodium to be very or moderately effective compared with 44% placebo. Improvement in asthma symptoms, PEF, and reduction in use of rescue bronchodilators did not reach statistical significance until after six weeks of treatment. Twenty two patients were withdrawn or dropped out during the treatment phase, 12 due to uncontrolled asthma or persistence of asthma symptoms, four due to suspected adverse drug reactions (nedocromil sodium 3 (headaches 2, angio-oedema/urticaria 1), placebo 1(persistent cough)), and six due to non-treatment related reasons. Seventy one adverse events were reported by 27 patients in the nedocromil group and 75 by 30 patients in the placebo group. CONCLUSIONS: Asthma symptoms, use of bronchodilators, and lung function can be improved significantly in children recovering from an acute exacerbation of asthma or wheeze and currently receiving treatment with bronchodilators alone by the addition of inhaled nedocromil sodium at a dose of 4 mg three times daily administered using a Fisonair holding chamber.
Acute Disease↗
A cluster of drug-resistant Streptococcus pneumoniae among nursing home patients.
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Bacterial Vaccines↗
The control of sequential goal-directed movement: learning to use feedback or central planning?
Fifteen participants practiced a two-target sequential aiming movement with either full vision of the movement environment, vision during flight, or vision while in contact with the first target. After 100 acquisition trials, participants performed a retention test in their own condition and then were transferred to each of the other two vision conditions. Both performance and kinematic data indicated that rather than becoming less dependent on visual information with practice, subjects learned to adjust their movement trajectories to use the visual information available in their particular vision condition. Although transfer to a degraded vision condition disrupted performance, when vision was augmented participants quickly adjusted their aiming trajectories to use the added information. The findings suggest that at least part of learning involves the development of rapid and efficient procedures for processing afferent information, including visual response-produced feedback.
Adolescent↗
The evolution of cancer care for children and adults.
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Adult↗
Influence of spatial mapping on manual aiming asymmetries.
Two experiments were conducted to examine manual asymmetries in a one-dimensional aiming task. In Exp. 1, 10 right-handed adults slid a computer mouse 13 cm on a graphics tablet with both the right and left hands to targets of 3 different diameters. Under these conditions, the movement time for the right hand was significantly faster as expected. In Exp. 2, subjects performed similar movements to move a cursor 13 cm on a computer monitor. Thus the study was identical except the stimulus-response mapping was indirect. In this situation, there were no significant difference for either movement time or movement error between hands despite these performance measures indicating the target aiming was more difficult in Exp. 2. Because increases in task difficulty generally result in a greater advantage for the right hand, as indicated by Todor & Smiley, 1985, the present studies suggest that superiority of the right hand in aiming tasks may be diminished when spatial translation is required. Perhaps the spatial translation requires greater involvement of the right hemisphere, a process associated with manual advantage for the left hand, previously suggested by Roy and MacKenzie.
Adult↗
Learning with technology: use of case-based physical and computer simulations in professional education.
This presentation will clarify contemporary ideas on the role of technology in education and how it can be employed to improve student learning experiences and outcomes. The paper will emphasise RMIT's role in providing quality education that is relevant to today's world and professional practice. It will examine a specific collaborative (RMIT & ACU), interdisciplinary project 'Pregnancy Simulator: Developing and Enhancing Student Learning of Assessment Skills'. This project consist of a physical pregnancy model connected to a multi-media computer-assisted learning package for the purpose of enhancing student learning of abdominal assessment skills. Our paper outlines an innovative technology-based teaching project and includes current educational issues or problems encountered in professional education, steps already taken to address these difficulties and how this project intends to facilitate learning. It identifies expected learning outcomes for midwives, nurses and medical students, and examines pedagogical principles applied to technological applications designed to provide guided discovery for allowing students to build confidence and competence in professional education. The case-based physical and computer simulations contextualise learning to assist transfer of learning to real world situations. This paper will also discuss how technology-based projects can be evaluated and integrated into university curricula to enhance student learning.
Computer Simulation↗
Learning with technology: use of case-based physical and computer simulations in professional education.
This paper describes a multimedia technology project in midwifery education and how it is being developed to improve student learning experiences and outcomes. The role of the university providing quality education relevant to today's world and professional practice is emphasised. A collaborative (Royal Melbourne Institute of Technology and Australian Catholic University) interdisciplinary project 'Pregnancy Simulator: Developing and Enhancing Student Learning of Pregnancy Assessment Skills' was developed with university and direct Commonwealth support. This project consists of a physical simulation of a pregnant woman at term and case-based multimedia computer simulations designed to develop and enhance student learning of abdominal assessment skills. A key feature of the development has been to design a learning experience explicitly on an authoritative theory-based view of teaching, in this case Diana Laurillard's 'Conversational Framework'.
Computer Simulation↗
Hand, space and attentional asymmetries in goal-directed manual aiming.
Two experiments were conducted to explore the interaction of the two cerebral hemispheres in motor control, by examining hand, space and attentional asymmetries in goal-directed aiming. In Experiment 1, right-handed subjects moved to targets more quickly with their right hand than their left hand. In addition, each hand was faster when moving in its own hemispace. Although in a control condition, movements were initiated more quickly with the left hand, visual distractors disrupted left hand performance more than right hand performance. For contralateral aiming, ipsilateral distractors caused the greatest interference. In Experiment 2, when targets and distractors were all presented at the midline, a right hand advantage was found for movement time along with a left hand advantage for reaction time, independent of target and distractor location. Our findings are discussed in terms of a right hemisphere role in movement preparation and the allocation of attention in space, and greater left hemisphere involvement in movement execution.
Adolescent↗
I Lost It in the Lights: The Effects of Predictable and Variable Intermittent Vision on Unimanual Catching.
In this study, 2 competing views of interceptive action were examined by assessing the influence of variability in the interval between visual samples in a unimanual ball-catching task. Subjects were required to catch tennis balls projected over a distance of 14 m, under conditions of intermittent vision in which the between-sample intervals were either predictable or unpredictable. Results indicated that, although performance was best with shorter between-sample intervals, the temporal predictability of samples did not reliably affect catching performance. This suggests that between-sample retinal expansion provides sufficient information for the timing of the interceptive act.
catching↗
Nursing home research from investigators' perspective.
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Aged↗
Stories from mental health.
Mental health nursing has always been a particularly challenging area in which to work. Not only in providing quality nursing care for clients who can be unpredictable, demanding and at times aggressive, but also in adjusting to changes in philosophy, focus and even contexts of work. It would be fair to say that mental health services in NSW are in a state of crisis. Mental health nurses are feeling the effects, but despite the difficulties remain strongly committed to their speciality. The Association and the membership benefit greatly from the energy, enthusiasm and ideas that mental health nurses generate. This issue of The Lamp acknowledges the important contribution of mental health nurses to the profession of nursing.
Humans↗
The influence of target perturbation on manual aiming asymmetries in right-handers.
Ten right-handed subjects performed 100 target-aiming movements with each hand. These movements were directed toward a small target on the midline. On 60% of the trials, the target remained stationary. On other randomly placed trials, the target "jumped" to a location 3 cm to the right (20%) or left (20%) of its original position when the cursor had travelled 6.5 cm. Although no hand differences were evident in the control condition, the right hand acquired the new target location more quickly than the left hand when the target was perturbed in either direction. Kinematic data revealed that this advantage was not due to initiating an adjustment to the initial movement more rapidly, but rather less time decelerating the corrective movement. Movement adjustments on perturbed trials were implemented more rapidly in left space than right space independent of the hand doing the aiming. These asymmetries may reflect the differential role of the two cerebral hemispheres in the control of goal-directed movements.
Female↗
Functional wild-type and carboxyl-terminal-tagged rat substance P receptors expressed in baculovirus-infected insect Sf9 cells.
The rat substance P (SP) receptor (SPR) was expressed in insect Sf9 cells by infection with recombinant baculovirus. The receptor bound SP with high affinity (KD = 360 pM) and had a rank order of affinity of SP > neurokinin A > neurokinin B. Ligand activation of the receptor resulted in an increase in both inositol lipid hydrolysis and intracellular Ca2+ concentration ([Ca2+]i). However, high-level expression of the receptor, in the absence of ligand, was correlated with increased basal turnover of inositol lipids and an elevated rate of Ca2+ influx. These results demonstrate that the Sf9 cells provide a suitable environment for the high-level expression of a functionally active SPR. Two carboxy-terminal epitope-tagged receptors (SPR-KT3 = SPR-TPPPEPET, COOH; SPR-Glu = SPR-EEEEYMPME, COOH) were also expressed. The affinity of the KT3-tagged receptor for ligand was similar to that of the wild-type receptor (KD = 405 pM), and that of the Glu-tagged receptor was slightly lower (KD = 1,082 pM). The high-affinity SP binding site of all three receptors was sensitive to guanosine 5'-O-(3-thiotriphosphate) pretreatment. The maximal signal-transducing ability of the epitope-tagged receptors was comparable to that of the wild-type receptor ([Ca2+]i rise as a percentage of wild-type: SPR-KT3, 80-100%; SPR-Glu, 88-100%). These data show that heterologous expression in the baculovirus system results in high expression of functional wild-type and tagged receptors.
Animals↗
Optimizing the use of vision in manual aiming: the role of practice.
The purpose of this study was to determine how subjects learn to adjust the characteristics of their manual aiming movements in order to make optimal use of the visual information and reduce movement error. Subjects practised aiming (120 trials) with visual information available for either 400 msec or 600 msec. Following acquisition, they were transferred to conditions in which visual information was available for either more or less time. Over acquisition, subjects appeared to reduce target-aiming error by moving to the target area more quickly in order to make greater use of vision when in the vicinity of the target. With practice, there was also a reduction in the number of modifications in the movement. After transfer, both performance and kinematic data indicated that the time for which visual information was available was a more important predictor of aiming error than the similarity between training and transfer conditions. These findings are not consistent with a strong "specificity of learning" position. They also suggest that, if some sort of general representation or motor programme develops with practice, that representation includes rules or procedures for the utilization of visual feedback to allow for the on-line adjustment of the goal-directed movement.
Adult↗
Intermittent vision and discrete manual aiming.
This study was designed to assess how the precision requirements of discrete aiming movements affect the utility of brief visual samples provided during execution of movement. Subjects pointed with a hand-held stylus to targets with indices of difficulty of 3, 4, 5, and 6 bits with full vision, no vision, and in conditions in which 20-msec. visual samples were provided every 80, 140, or 200 msec. While intermittent vision required slightly longer movement times for targets with a high index of difficulty, subjects' accuracy was similar to the full-vision situation. Moreover, with intermittent vision, the movement trajectories resembled the full-vision and not the no-vision situation. It would appear that brief visual samples of the movement environment are sufficient for reasonably precise closed-loop control.
Adult↗