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Biomedical subjects

M Paech

Publications and source records attributed to M Paech.

24 records · Page 2Linked to original sources

Preoperative rectal indomethacin for analgesia after laparoscopic sterilisation.

A randomised, double-blind, placebo-controlled study was conducted among 56 day-case patients to determine the effect of the preoperative administration of rectal indomethacin on postoperative pain and opioid requirements after laparoscopic sterilisation. Outcome in women receiving indomethacin did not differ significantly from the placebo group, but there was a trend to lower subjective pain scores, reduction in early postoperative pain assessed objectively and lower parenteral pethidine requirements in the first three hours postoperatively. Indomethacin did not appear either to cause side-effects or to significantly reduce morbidity from the other postoperative sequelae of laparoscopy. Despite evidence for postoperative analgesic effect, the clinical benefits of premedication with rectal indomethacin were minor.

Adult↗

A comparison of oral midazolam solution with temazepam as a day case premedicant.

Seventy-five women undergoing elective day case gynaecological surgery were randomised into one of three groups to receive an oral formulation of midazolam IV solution 10 mg, temazepam 20 mg or placebo for premedication. The two treatment groups showed a significant reduction in anxiety score compared with placebo (P less than 0.002 and P less than 0.04 for placebo compared with temazepam and midazolam respectively). Similarly the treatment groups showed a significantly greater sedation score compared with placebo. Recovery as assessed by letter deletion and memory tests was no worse for the treatment groups than for placebo. Patient acceptance of the two treatment groups was significantly greater than that of placebo. There was no significant difference between treatment groups with respect to anxiolysis, sedation or recovery. As a day case premedicant, midazolam IV solution 10 mg orally was found to be as effective as temazepam 20 mg and superior to placebo, in terms of anxiolysis and sedation, but did not offer any clinical advantage over temazepam in this setting.

Administration, Oral↗

Predicting success in a pre-registration nursing program.

This article describes a pilot study which was carried out to determine whether, a relationship existed between either the matriculation scores or the biological science background of beginning student nurses, and their academic success in the three year pre-registration nursing program at Royal Adelaide Hospital. Information was obtained from the academic record cards of students who commenced the program in 1985. Statistical analysis using the Pearson r and Two-sample T-test indicated a positive correlation between matriculation scores and academic results in each of the three years of the course. Surprisingly only 6 of the total number of students (N = 119) had not studied biology at matriculation level and hence analysis of this subject as a predictor of success was not possible.

Achievement↗

Screening the vision of school-aged children: an interdisciplinary research approach.

The authors are registered nurses (RNs) and members of an Interdisciplinary Vision Screening Research Group investigating how best to screen children's vision, incorporating the assessment of binocular visual function. The aims of this pilot study were: to detect any visual skill problems of children in a Reception class (n = 28) using the Oyarzun Vision Screening Kit; to describe the behaviour of the children during the screening; to calculate the time taken to screen each child and to establish the interrater reliability (IRR) between the RNs and an optometrist. Thirteen of the children (46%) had at least one visual problem, necessitating follow-up assessment. Other results and research implications are also discussed.

Child↗

Challenging healthcare economics and technology to save the environment.

Nurses as frontline healthcare personnel can become strong advocates for a healthy environment, and the place to start is in the healthcare setting itself. The growing environmental awareness behooves nurses to address many professional practices that harm the environment. Below, how nurses in South Australia are questioning a hospital's practices and choice of technology.

Australia↗