Simulation With Advanced Care Providers in a Nurse Residency Program.

As many hospitals are implementing residency programs for new graduate nurses, the utilization of high-fidelity simulation has become common. This pilot program compared simulation with participation of only new graduate nurses and new graduates with advanced care providers. Results found a statistically significant increase in knowledge of differing roles and skills in simulations that included both groups.

Cyclosporin use in the precolectomy chronic ulcerative colitis patient: a community experience and its relationship to prospective and controlled clinical trials. Pacific Northwest Gastroenterology Society.

Objective: To define what effect seminal and controlled clinical trials have on practice patterns within a gastroenterological community. To define whether these practice patterns reproduce reported treatment methods and whether results comparable with those reported in such trials are noted within a community practice setting.

Methods: Mailed surveies, with telephone follow-up, were sent to all members of the Pacific Northwest Gastroenterology Society.

Altered motility and duration of bacterial overgrowth in experimental blind loop syndrome.

To better understand the pathogenesis of the increased motility previously described in the blind loop rat, we studied the relationship between duration of bacterial overgrowth and both myoelectric activity and bacterial flora in this model. Myoelectric studies and quantitative bacterial cultures were performed on self-filling and self-emptying (control) blind loop rats one, two, and three weeks postoperatively. All self-filling blind loop rats had greater random action potential activity and higher frequencies of migrating action potential complexes than controls (P less than 0.

Altered myoelectric activity in the experimental blind loop syndrome.

Nutrient malabsorption and diarrhea are characteristic of the blind loop syndrome. Alterations in motility have been implicated as a cause of bacterial overgrowth, but the possibility that altered motility may result from alterations in the flora has not been explored. The purpose of this study was to characterize the myoelectric activity of the small intestine in the blind loop rat model.

Myoelectric effects of Clostridium difficile: motility-altering factors distinct from its cytotoxin and enterotoxin in rabbits.

Clostridium difficile is a bacterium that causes antibiotic-associated pseudomembraneous enterocolitis. This bacterium produces a cytotoxin that induces tissue culture assay positivity and an enterotoxin that causes in vivo mucosal injury. In previous studies we have described two altered myoelectric patterns in response to certain diarrheagenic organisms in an in vivo rabbit model.

Probing the dynamics of Münchausen's syndrome. Detailed analysis of a case.

During a 10-week period we made in-depth observations of a patient with Münchausen's syndrome who had chronic myelogenous leukemia. Probably because he perceived that his life expectancy was brief, he disclosed his wanderings and regularly used methods of deception. These methods were usually based on his knowledge of pathophysiology.

Heat production and oxygen consumption of the isolated rabbit heart: their relation to mechanical function.

A method is described for simultaneous determination of the heat production and the oxygen consumption of the isolated, isovolumetrically beating rabbit heart. The perfusion of the heart was performed via the aorta at a constant flow rate with carbogen saturated Tyrode's solution at a temperature of 37.0 degrees C.