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1 – 10 of 14Kelly L. Mutch, Kimberly B. Heidal, Kevin H. Gross and Brenda Bertrand
The purpose of this research was to assess the preferred route of nutrition support (enteral versus parenteral) for treatment of severe acute pancreatitis in the acute care…
Abstract
Purpose
The purpose of this research was to assess the preferred route of nutrition support (enteral versus parenteral) for treatment of severe acute pancreatitis in the acute care setting. Further, in cases when enteral nutrition is the preferred route, is nasal‐bridling a lower‐morbidity and cost‐effective method?
Design/methodology/approach
A retrospective review of pre‐existing data from an 870‐bed hospital system. Medical records were reviewed via an online database system (n=25\; patients) with severe acute pancreatitis. Length of stay and cost were analyzed.
Findings
More patients received TPN versus the nasal‐jejunal (post‐pyloric) tube feeds group. No significant relationship was found between total cost and number of co‐morbidities or between either of the two treatment groups. However, a medium to large effect size was shown which could indicate a significant relationship in a larger sample size.
Originality/value
The findings of this research add to the literature already available and will be of interest to those who specialize in this area.
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Brenda Bertrand, Carrie Livingston-Bowen, Christopher Duffrin and Amanda Mann
According to Joint Commission standards, patients should be educated about drug-nutrient interactions. Because nurses are well-suited to educating patients, this paper aims to…
Abstract
Purpose
According to Joint Commission standards, patients should be educated about drug-nutrient interactions. Because nurses are well-suited to educating patients, this paper aims to assess their knowledge of ACE inhibitor drugs, nutrient interactions and high- and low-potassium foods.
Design/methodology/approach
Licensed nurses from a teaching hospital in the US south eastern Atlantic region completed a self-administered questionnaire (n=83). Means, standard deviations and 95 percent confidence intervals were calculated for continuous data and frequency and percentage distribution for discrete data. Student's t-test was used to evaluate responses by ACE inhibitor patient load and nursing education.
Findings
Mean nurse knowledge of ACE inhibitors and potassium was 62±16 percent and identifying high- and low-potassium foods was 32±23 percent. Most identified five from 12 high-potassium foods and did not know the designation of six, one from 14 low-potassium foods and did not know the designation of 11. Knowledge scores and identifying high- and low-potassium foods were similar regardless of ACE inhibitor patient load and nursing education.
Practical implications
ACE inhibitors are the fourth most commonly used drug class in the USA. Nurses are well positioned to recognize potential drug-nutrient interactions owing to changing or adding a drug, dose delivery method, dietary change or a patient's physical or clinical status that may indicate nutrient deficiency. The findings suggest that the nurses surveyed were proficient in identifying ACE inhibitors pharmacology, but that most were unable to identify foods that increase drug-nutrient interaction risk, and thus this is an area in which additional training might be beneficial.
Originality/value
Case menus were used to portray real-life scenarios in which healthcare practitioners can provide patient education about ACE inhibitor drug and dietary potassium interactions.
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Shilpi Saha and Saraf Pavan Kumar
The purpose of this paper is to investigate the moderating role of organizational culture in affective commitment and job satisfaction relationship.
Abstract
Purpose
The purpose of this paper is to investigate the moderating role of organizational culture in affective commitment and job satisfaction relationship.
Design/methodology/approach
Responses were collected from 712 employees working in nine different Indian central public sector enterprises /state-owned enterprises (SOEs) by using a questionnaire-based survey. Theoretical analysis is based on social exchange theory and managerial grid theory. Data were analyzed by using partial least squares structural equation modeling.
Findings
The establishment of organizational culture as a moderator in Indian organizations is unique. This study has utilized data from employees working in different departments of organizations to provide unbiased responses. The results demonstrate that impact of affective commitment on employees’ job satisfaction is moderated by supportive and innovative cultures. Additionally, this research also proves that bureaucratic culture does not play a crucial role in moderating the relationship between organizational commitment and employees’ job satisfaction.
Research limitations/implications
Results are relevant to top-level and middle-level management in which people are involved in the governance of the organization, both directly and indirectly. There should be fixed working hours and optimum time management. Due to growing pressure, few employees who have personal obligations toward their families, such as nursing mothers and stressed individuals, should be provided with flexible working hours. In this way, culture can become supportive to cater to different needs of employees.
Originality/value
Till date, organizational culture as moderator has received very less attention in India. The establishment of organizational culture as a moderator in Indian SOEs is unique. The results add to the growing literature of commitment from non-western context as this study is based on Indian samples. This study has utilized data from employees working in different departments of organizations to provide unbiased responses.
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Omar Alejandro Valdés-Saucedo, Liliana Judith Vázquez-Rodríguez, Brenda López-Zárate, Lorena Garza-Tovar, Nora Aleyda García-Gómez, Alfredo Artigas, Alberto Monsalve, Javier H. Humberto Ramírez-Ramírez, Francisco Aurelio Pérez-González, Rafael Colás and Nelson Federico Garza-Montes-de-Oca
This paper aims to analyse the surface evolution of pure recycled titanium subjected to isothermal and cyclic oxidation conditions using dry air as oxidant gas. It is important to…
Abstract
Purpose
This paper aims to analyse the surface evolution of pure recycled titanium subjected to isothermal and cyclic oxidation conditions using dry air as oxidant gas. It is important to mention that the cyclic oxidation behaviour of pure titanium is a process that has been barely studied.
Design/methodology/approach
An isothermal and cyclic oxidation reactor was built for these purposes. This installation allows the oxidation of material under the action of any atmosphere and for temperatures up to 1,200°C. For this study, the oxidation behaviour of the material was studied at 850°C and 950°C.
Findings
Oxide growth under isothermal oxidation conditions in air follows a parabolic behaviour with an activation energy of 118 kJ/mol, and the oxide phase formed on the surface of the metal was rutile. The cyclic oxidation of the material indicates that oxide is spalled from the surface following linear behaviours; this phenomenon is controlled by the thermal stresses experienced by the samples during heating and cooling cycles.
Originality/value
The material is obtained from the production of electrolytic copper, and during its reprocessing practices at high temperature, it was thought that it could experience some abnormal oxidation. In addition, given that pure titanium is currently used for biomedical application, some surface degree can be given by means of oxidation and subsequent spallation process situation that is found during the cyclic oxidation experiments, which could be a low-cost method to engineer a surface for these purposes.
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Several African American educators served as an inspiration in the development and scholarship of an African American female who teaches at a Predominantly White Institution (PWI…
Abstract
Several African American educators served as an inspiration in the development and scholarship of an African American female who teaches at a Predominantly White Institution (PWI) of higher learning. This chapter shares the author's foundational beginnings and persistence in academe while teaching and leading in a race-conscious society. She shares some of her upbringing, education, and early teaching experiences. She also shares her motivation to learn and serve (Bethune, 1950, 1963), while walking in circles. Sizemore (1973, 2008) to provide a roadmap of her journey to support new and developing African American female professors. She uses poetry and the dimensions of African American culture (Boykin, 1983) to guide her sharing. The author uses her exploration of identity development as an African American womanist who advocates as an African American first, to share how she has developed as a scholar whose renewal of purpose targets becoming a full professor.
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Brenda L.H. Marina, Cindi Chance and Judi Repman
This chapter focuses on accountability and accreditation policies and practices in teacher education in the United States, England, Wales, and China. Despite the differences…
Abstract
This chapter focuses on accountability and accreditation policies and practices in teacher education in the United States, England, Wales, and China. Despite the differences between countries, issues and problems of teacher education from country to country are remarkably similar. As a profession, we must examine where we are and where we need to be to meet the needs of our global society. We can begin by defining quality teaching and the essential skills for 21st-century teachers and students. As part of a global profession, teachers and educators must not work in isolation. It will be up to the leaders in the profession to educate political and accreditation bodies by sharing models that will meet the needs of our changing world. Can we give up the nostalgic notions of education and provide assistance to education preparation professionals to move toward new rapid-change models?
THERE is a danger in reviewing developments in the reprographic field that one will merely degenerate into giving a catalogue of the recent hardware. Yet the hardware is…
Abstract
THERE is a danger in reviewing developments in the reprographic field that one will merely degenerate into giving a catalogue of the recent hardware. Yet the hardware is important. One is reminded of Verner W. Clapp's remark regarding the effectiveness of the American Council on Library Resources that at the end of 11 years, $10 million and 413 grants, contracts and projects, the work of the Council on Library Resources had brought about a great many improvements but that, on the whole, the state of the art was just about where it was when they started!.
Machine Intelligence and the Human Window Writing in Applied Artificial Intelligence (Vol. 5 No. 1, 1991, pp. 1–10), Donald Michie of the Turing Institute, Glasgow, UK, considers…
Abstract
Machine Intelligence and the Human Window Writing in Applied Artificial Intelligence (Vol. 5 No. 1, 1991, pp. 1–10), Donald Michie of the Turing Institute, Glasgow, UK, considers Machine Intelligence and the Human Window. He says that:
National Library Week was first launched in America in the spring of 1958 with the slogan “Wake Up and Read”. It is now an established, continuing, year‐round programme to help…
Abstract
National Library Week was first launched in America in the spring of 1958 with the slogan “Wake Up and Read”. It is now an established, continuing, year‐round programme to help build a reading nation and to spur the use and improvement of libraries of all kinds. The sponsors seek the achievement of these objectives because they are the means of serving social and individual purposes that are immeasurably larger.