Development of a prognostic tool for the occurrence of feather pecking and cannibalism in laying hens.

In July 2015, a German voluntary decree stipulated that the keeping of beak-trimmed laying hens after the 1st of January 2017 will no longer be permitted. Simultaneously, the present project was initiated to validate a newly developed prognostic tool for laying hen farmers to forecast, at the beginning of a laying period, the probability of future problems with feather pecking and cannibalism in their flock. For this purpose, we used a computer-based prognostic tool in form of a questionnaire that was easy and quick to complete and facilitated comparisons of different flocks.

RESULTS FROM LATARJET SURGERY FOR TREATING TRAUMATIC ANTERIOR SHOULDER INSTABILITY ASSOCIATED WITH BONE EROSION IN THE GLENOID CAVITY, AFTER MINIMUM FOLLOW-UP OF ONE YEAR.

Objective: Evaluate the results from the Latarjet procedure in patients with anterior recurrent dislocation of the shoulder who present bone loss of the glenoid cavity greater than 25%.

Methods: Twenty six male patients underwent the Latarjet procedure, The bone loss was evaluated by means of radiography using the Bernageau view and by means of CAT scan. The patients were evaluated with regard to range of motion, using the Rowe and UCLA scales, before and after the operation, and by radiographs to assess the presence of arthrosis, position and consolidation of the graft and positioning of the screws.

Strategies for nurse aide job satisfaction.

With average turnover costs equaling four times an employee's salary, administrators cannot afford to lose nurse aides. This study explored why aides leave and ways to improve your facility's work environment.

Nurturing the nurturers.

The nurse-retention problem plagues hospitals nationwide, but nowhere is the crisis more evident than in rural areas, where, if nothing is done, more hospitals likely will join the growing numbers that have simply closed. Researchers designed a study to identify effective strategies for managers and administrators to pursue in retaining nurses in rural hospitals. They asked nurses to rate 43 strategies according to the degree of influence each would have on the decision to remain on the job.

Intrauterine treatment of a fetal pulmonary cyst by chorioamniotic shunt.

This is a report of a prenatal diagnosis and successful intrauterine drainage of a pulmonary cyst by placement of a thoracoamniotic shunt at 36 weeks gestation. At the time of delivery the newborn had no signs of pulmonary hypoplasia or respiratory insufficiency.

Management strategies to minimize nursing turnover.

The nursing shortage continues nationwide. Many factors contribute to the recurring crisis. Some realistic recommendations for short- and long-term solutions are presented here.

One more time--solutions to the nursing shortage.

The shortage of registered nurses continues nationwide. Reviewing factors that contribute to the recurring crisis, the authors recommend short- and long-term solutions, which focus on retention as more effective and less expensive than recruitment. The authors also discuss the complex issues of employing agency RNs and recruiting of foreign-educated RNs.

Pictures of performance: the key to improved nursing productivity.

A useful way to measure, track, and control nursing productivity is available, in addition to techniques for establishing productivity objectives and visualizing and displaying daily productivity performance. Many incentives for productivity improvement are available as well.

The development and management uses of a patient classification system for a high-risk perinatal center.

A patient classification system for a labor and delivery unit, a maternal-fetal intensive care unit, and an antepartum monitored unit is a complex but necessary component for staffing units with frequently changing patient census and varying patient acuity. This article describes the processes used to develop such a classification system and to predict staffing needs, in advance, in four-hour time blocks in the labor and delivery unit and in eight-hour time frames in the maternal-fetal intensive care unit and the antepartum monitored unit. The article also identifies direct nursing care and indirect nursing care activities and defines the levels of care needed.

Scimitar syndrome and associated pulmonary sequestration: report of a successfully corrected case.

A case of scimitar syndrome with pulmonary sequestration is reported. Anomalous pulmonary venous return from the right lung to the infradiaphragmatic vena cava inferior was diagnosed by pulmonary angiogram and sequestration of the right lower lobe was confirmed by aortogram. Venous return from the sequestrated lung was partly into the vena cava inferior and partly into the left atrium.

Patient classification systems in burn care.

Patient classification systems (PCSs) are required by the Joint Commission for the Accreditation of Hospitals. Usually computerized, PCSs can project staffing needs, insure equitable patient care assignments, and provide a basis for nursing charges. Two types of PCS are currently in use: prototype and factor.

[Benign and malignant intra-abdominal tumors in childhood].

31 children with intraperitoneal masses were operated upon during a 10 year period between 1975 to 1985, 15 tumors were malignant (3 hepatoblastomas, 6 NHL, 3 RMS, 1 mesothelioma, 1 teratocarcinoma of the ovary, 1 haemangioendothelioma of the liver). 16 benign lesions included 3 solitary liver cysts, 2 haemangiomas of the liver, 2 parasitic cysts, 3 ovarian cysts, 2 choledochal cysts, 2 intraperitoneal encapsulations, 1 mesenteric cyst, 1 duplication of the intestine. Half of the benign masses were found in the first month of life, two thirds (69%) under 1 year of age, later the malignant tumors are more frequent.

Antibiotic-associated pseudomembranous colitis as cause of intestinal obstruction in a five-day-old newborn.

The case report is presented of a newborn that developed pseudomembranous colitis and intestinal obstruction after antibiotic therapy with cefoxitin and gentamicin in the first week of life. At laparotomy on the fifth day a complete obliteration of the descending colon by pseudomembranes was encountered. After resection of the diseased segment the recovery was uneventful.

Variance analysis. Using standards to predict nurse staffing patterns.

The use of standards to predict required nurse staffing patterns has received attention in recent years because of pressures for cost containment, revenue limitations and the increased availability of data. The establishment of a standard hour system can lead to a comparison of actual hours to the standard hours predicted and adjusted for case mix and changes in volume. The authors previously developed nurse staffing prediction models based on information from a 220-bed short-term hospital.

Neonatal nesidioblastosis--diagnosis and preoperative management.

Two infants were admitted for severe, intractable hypoglycemia. "Fasting" tests lasting 45 and 30 minutes respectively revealed hypoglycemia with inappropriately elevated levels of plasma insulin and plasma C-peptide. Subsequently, somatostatin was infused to test the individual sensitivity of the B-cells.

[Wide gap esophageal atresia without esophagotracheal fistula (author's transl)].

Standard treatment of infants with "wide gap" esophageal atresia usually requires a staged procedure consisting of gastrostomy at birth (with or without cervical esophagostomy) and then a bowel interposition between the oesophagus and stomach at 1 year of age. Because this approach procedures significant morbidity and swallowing dysfunction, an alternative method for treating the wide gap atresia is recommended. The upper and lower esophageal pouch can be elongated by preoperative bougienage.

[Postoperative arrhythmias in heart surgery].

After a brief comment on the origin and a summing up of types of postoperative cardiac arrhythmias in open heart surgery, mainly the therapy of these arrhythmias is discussed Besides drug therapy (antiarrhythmica) and cardioversion resp. pacing especially the possibility of a metabolic therapy is presented. In the postoperative phase after the trauma by the operation with the heart lung machine - which is similar to the shock phase after a myocardial infarction - a disordered energy metabolism with a decreased effectiveness of insulin occurs.