Leonardpennington1363

The purpose of this study was to describe nursing faculty experiences with workplace incivility and the effect it has on their health. This article reports results of the qualitative portion of a larger study.

Nursing faculty have reported the physical and psychological impact of incivility on their lives. The negative effects that workplace incivility, specifically, has on nursing faculty require ongoing research and attention.

Using an electronic survey, 249 nursing faculty from one Southeastern US state responded to two open-ended questions about workplace incivility and its effects. Data were analyzed using qualitative content analysis.

Four categories related to experiences with workplace incivility emerged the experience; personal and professional impact; a reciprocal, organizational culture problem; and survival.

Nursing faculty experiences with workplace incivility constitute an organizational culture problem with both personal and professional implications.

Nursing faculty experiences with workplace incivility constitute an organizational culture problem with both personal and professional implications.

Cardiac output (CO) monitoring is the basis of goal-directed treatment for major abdominal surgery. A capnodynamic method estimating cardiac output (COEPBF) by continuously calculating nonshunted pulmonary blood flow has previously shown good agreement and trending ability when evaluated in mechanically ventilated pigs.

To compare the performance of the capnodynamic method of CO monitoring with transpulmonary thermodilution (COTPTD) in patients undergoing major abdominal surgery.

Prospective, observational, method comparison study. Simultaneous measurements of COEPBF and COTPTD were performed before incision at baseline and before and after increased (+10 cmH2O) positive end-expiratory pressure (PEEP), activation of epidural anaesthesia and intra-operative events of hypovolemia and low CO. The first 25 patients were ventilated with PEEP 5 cmH2O (PEEP5), while in the last 10 patients, lung recruitment followed by individual PEEP adjustment (PEEPadj) was performed before protocol start.

Karolinska UniveThis method may become a tool for continuous intra-operative CO monitoring during general anaesthesia in the future.

Clinicaltrials.gov identifier NCT03444545.

Clinicaltrials.gov identifier NCT03444545.

Female urethral stricture (FUS) is not frequent but can be the cause of significant morbidity. A somewhat overlooked condition for years, it has received significant attention in recent times. In this review, we update the current evidence surrounding FUS management.

It is estimated that FUS is present in about 1% of all women having check-ups for lower urinary tract symptoms. Etiology is considered as idiopathic in half of the cases, iatrogenic in one-third, whereas infection/inflammation and trauma account for the rest. Symptoms presented are usually nonspecific and nondiagnostic. Pelvic examination, uroflowmetry, endoscopy, and urethrography are the most frequently employed diagnostic tools. Urodynamics/video-urodynamics can be used to document obstruction and to differentiate true anatomic strictures from functional disorders. Urethral dilation (UD) is the most frequent management procedure, sometimes followed by self-dilation, but recurrence is high, at over 50%. By contrast, reconstructive surgery is far more efficient, with overall curative rates of around 90%.

A high index of suspicion is required to identify FUS patients. UD is advised as a first approach but after one or two failed attempts, reconstruction at a referral center should be considered.

A high index of suspicion is required to identify FUS patients. SIK inhibitor 1 UD is advised as a first approach but after one or two failed attempts, reconstruction at a referral center should be considered.

Developments in robotic reconstructive urology have introduced novel treatments for complex upper and lower urinary tract disease. Short-term and mid-term data demonstrates excellent outcomes and minimal morbidity, suggesting the advanced instrumentation and visualization of robotics represent a new treatment paradigm in patients that are historically difficult to treat. Here we review recent developments in the robotically assisted surgical management of urethral and ureteral strictures.

The minimally invasive approach, enhanced precision and reach, and near-infrared fluorescence imaging capabilities of robotic platforms have proven to be valuable additions in reconstructive urology where perfusion is often compromised, or anatomy is distorted. These benefits are leveraged heavily in recent descriptions of robotic-assisted posterior urethroplasty and ureteroplasty. Short-term to mid-term follow-up data for these procedures show excellent patency rates with low morbidity and complication rates when compared with open approaches. Long-term data for these procedures are not yet available.

The role of robotics in reconstructive urology is being actively investigated. Initial findings demonstrate excellent results with low morbidity in the treatment of upper and lower urinary tract disease. Long-term data will ultimately determine the role of robotics in the reconstructive armamentarium.

The role of robotics in reconstructive urology is being actively investigated. Initial findings demonstrate excellent results with low morbidity in the treatment of upper and lower urinary tract disease. Long-term data will ultimately determine the role of robotics in the reconstructive armamentarium.

To investigate macular microvascular characteristics imaged by optical coherence tomography angiography (OCTA) in uveal melanoma (UM) patients following Conbercept injections after plaque radiotherapy.

Prospective comparative analysis comprising 15 UM patients with Conbercept injections and 30 patients without Conbercept injections after plaque radiotherapy by OCTA. The Conbercept group received intravitreal Conbercept injections at the time of plaque removal, 1 month, 3 months, 6 months , 9 months and 12 months after plaque removal (total, 6 injections). The control group had no intravitreal Conbercept injection.

After initiation of Conbercept injections, superficial retinal vascular density (SVD) in whole image and parafovea region were significantly higher at 6 months, while there was no significant difference at 9 months and 12 months. in ANOVA analysis, SVD in whole image remained stable after Conbercept injections (P=0.069), while the SVD decreased significantly after plaque radiotherapy in control group (P=0.