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Biomedical subjects

S Schneller

Publications and source records attributed to S Schneller.

8 recordsLinked to original sources
PubMed1992

Does dual chamber or atrial pacing prevent atrial fibrillation? The need for a randomized controlled trial.

Partially due to recent reports that cardiac antiarrhythmic therapy may have adverse effects on patient survival, clinicians have become more interested in the nonpharmacological prevention of atrial fibrillation. There is a large body of literature that suggests that the rate of development of atrial fibrillation in paced sick sinus syndrome patients is much lower in those patients who have received an atrial-based system, rather than a VVI system. However, all the published studies to date are retrospective, and fraught with potential bias favoring the AAI or DDD group. The authors strongly believe that the only way to determine if these suggestive but uncertain retrospective analyses are correct is to apply the same scientific rigor to this problem as has been applied to many other problems in cardiovascular medicine and perform a prospective randomized trial. A proposed trial design is discussed.

Atrial Fibrillation↗
PubMed1989

Medical considerations and perioperative care for rheumatoid surgery.

Surgery on patients with RA should be undertaken after careful consideration of a number of issues. These include an overall assessment of the status of the patient's arthritis, general health and preparedness for the procedure and the rehabilitation which follows. Special attention must be given to organs that may be affected by the systemic involvement which occurs with rheumatoid disease. Sites requiring specific review include the cervical spine, lungs, airway, bone, and bone marrow. Intraoperatively and postoperatively rheumatoid patients may require supplementary corticosteroids and an adjustment of the dose of their antirheumatic medications. Various systemic rheumatic diseases can have predominantly hand signs and symptoms at their onset. It is valuable to be familiar with the clinical features of gout with tophaceous inflammation, psoriatic arthritis, Raynaud's disease, and amyloidosis.

Arthritis, Rheumatoid↗
PubMedDate not supplied

A consortium approach to nursing staff development.

Within a consortium framework, four teaching hospitals have developed a curriculum for nursing staff development. Since 1980, the institutions have realized significant savings. The courses provide networking and integration of new research and facilitate technological transfer. Other institutions may also find a collaborative approach beneficial.

Hospitals, Public↗
PubMedDate not supplied

The nurse as an educator.

The rapidly changing healthcare system offers challenges and opportunities for nurse educators. Increasing evidence of health promotion/consumer empowerment, cost containment, increase in chronic illness, and the continued expansion of medical technology requires nurses with broad educational competencies. These competencies include preceptoring, patient education, and formal presentation skills. In this article, the authors describe the development and implementation of a multifaceted staff development curriculum designed to support the nurse as an educator.

Curriculum↗
PubMedDate not supplied

Preceptor development. Use a staff development specialist.

Preceptor orientation is a well identified need. Less often identified is the critical role the staff development specialist plays in the ongoing support and development of preceptors. In this article, the authors explain activities of coaching, facilitating, mentoring, and consulting. These role components are essential in the ongoing development of preceptors. This support also may help retain preceptors.

Humans↗