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Surveys02:16

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Often, psychologists develop surveys as a means of gathering data. Surveys are lists of questions to be answered by research participants, and can be delivered as paper-and-pencil questionnaires, administered electronically, or conducted verbally. Generally, the survey itself can be completed in a short time, and the ease of administering a survey makes it easy to collect data from a large number of people.
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Surveying is the art and science of mapping the earth's surface. It involves measuring distances, angles in horizontal or vertical directions, and levels to understand the shape and size of land features. Surveying techniques are essential for various tasks, such as identifying the levels of a land area with reference to a specific point, and mapping undulations and water bodies.There are two main types of surveying: plane surveys and geodetic surveys. Plane surveys assume the earth is flat,...
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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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Surveys are essential for marking property boundaries near water bodies. Different types of surveys are defined, each with its own function. Land surveys mark the property boundaries, while route surveys determine the position of properties on nearby highways. Topographic surveys create maps by capturing the three-dimensional features of the land. Hydrographic surveys focus on the shapes of underwater areas and the movement of streams through the properties. Mine surveys determine the relative...
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Surveying near highways, rough terrain, or power lines involves significant risks. Working along highways is particularly dangerous and requires the use of warning signs and flagmen. It is safest to avoid working directly on roads and use offsets whenever possible. When highway work is unavoidable, it must follow all safety guidelines. Surveyors should wear bright clothing, such as orange reflective vests, to ensure visibility to motorists, coworkers, and hunters. In construction zones, wearing...
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Errors and mistakes in surveying refer to inaccuracies in measurements and data recording. The errors are deviations from the actual value caused by human sensory limitations, equipment flaws, or environmental effects. These errors are typically unintentional and can result from the inherent imperfections in the instruments used, atmospheric conditions, or the observer’s inability to perceive exact measurements. On the other hand, mistakes are caused by the surveyor's lack of...
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双方向グレン手術後の術後管理の実態：アンケート調査

Bennett Weinerman1,2, Soon Bin Kwon2,3, Eva W Cheung1

  • 1Division of Pediatric Critical Care and Hospital Medicine, https://ror.org/00hj8s172Columbia University College of Physicians and Surgeons, New York, NY, USA.

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まとめ

双方向グレン手術を受けた小児の術後管理については、提供者間でコンセンサスが欠如している。本研究では、管理戦略のばらつきが明らかになり、患者の転帰を最適化するための標準化されたエビデンスに基づいた目標設定の必要性が強調された。

キーワード:
小児双方向グレン手術先天性心疾患小児心臓集中治療

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科学分野:

  • 小児心臓病学
  • 心臓手術
  • 集中治療医学

背景:

  • 双方向グレン手術は、単心室先天性心疾患（CHD）の重要な段階的手術である。
  • これらの患者の最適な術後管理戦略については、依然として十分に研究されていない。
  • 年間約1000人の米国小児がCHDのためにこの処置を必要としていると推定される。

研究 の 目的:

  • 双方向グレン手術後の管理戦略について、小児心臓集中治療提供者を対象にアンケート調査を実施する。
  • 術後の管理における現在の実践と、コンセンサスまたはばらつきのある領域を特定する。
  • 標準化された管理プロトコルの必要性を強調する。

主な方法:

  • 匿名、12の質問からなるウェブベースのアンケートが、小児心臓集中治療提供者に電子メールで送信された。
  • アンケートは、人口統計学的データを収集し、術後の生理学的目標に焦点を当てた。
  • 大部分が経験豊富なアテンディングである35人の提供者が回答した。

主要な成果:

  • 双方向グレン手術後の術後管理に関しては、著しいコンセンサスの欠如が存在する。
  • SpO2、平均動脈圧、pHなどの特定の目標値について、75%未満のコンセンサスしか観察されなかった。
  • 実践パターンは非常に多様であり、ケア戦略の最適化が必要であることを示している。

結論:

  • 双方向グレン手術患者の現在の術後管理は、著しい提供者間のばらつきを特徴としている。
  • エビデンスに基づいた、転帰主導型の目標設定の開発が明確に必要とされている。
  • これらの脆弱な小児のケアと転帰を最適化するためには、標準化されたプロトコルが不可欠である。