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reaction paper

reaction paper

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Published by api-26570979

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Published by: api-26570979 on Oct 15, 2008
Copyright:Attribution Non-commercial


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Lida Swafford Dahm M.D.
and L. Stanley James M.D.
Division of Perinatal Medicine of the Department of Anesthesiology,Obstetrics and Gynecology, and Pediatrics, College of Physicians andSurgeons, Columbia University and Babies Hospital, New York, New YorkNewborn infants lose heat rapidly at birth and during the first
half hourof life. This investigation was undertaken to determine
whether theinitial heat loss was due principally to evaporation,
and whether or notestablishment of breathing would be irregular
or delayed if the initialcold stress was reduced.Five groups,
each of 10 infants, were studied during the first half hourof life. Infants in Groups I and IV remained wet and were exposed
toeither room air or placed under a radiant heater. Those in
Groups II, III,and V were dried promptly and exposed to room
air, wrapped in ablanket or warmed by means of a radiant heater.
Heat loss due toradiation and convection together was twice
that from evaporation.Reduction of cold stress by placing the
infant under a radiant heater assoon as he is born does not
impede or delay the onset of breathing.Wet infants exposed
to room air lost nearly five times more heat thanthose who
were dried and warmed.In vigorous infants, the simple maneuver
of drying and wrapping in awarm blanket is almost as effective
in diminishing heat loss as placingthem under a radiant heater.
However, in depressed or immatureinfants who may be more asphyxiated
or have reduced energy stores,radiant heat maintains body temperature
while allowing access to thepatient.
Rosie B GadiazaGroup 6.St. Claire Medical Center
Reaction Paper:
 The article explained the importance of providing care to theneonate. On the said article, it discussed that proper drying andwrapping can promote proper heat loss. Therefore, it is a mustthat the delivery room must have appropriate temperatureconducive to the welfare of the infant. For me, the role of thenurse is vital for the wellness of the infant, as a nurse on thedelivery room, we are the first to hold and care for the baby, thatis why we must be very careful and watchful in what we are doing.On the article, it explained that simple matters of drying can be avital step towards establishing a stable circulation of theneonate’s system. The duties of the nurse on duty in the delivery room can widelyaffect the wellness of the baby. Nurses are the front liners on theirhealth. We must ensure that the appropriate measures in thedelivery room are strictly observed in order to minimize thefatalities that are open to the neonate. Nurses must master theirskills on assessment and be able to give an appropriate and bestaction during the delivery.
Radiation exposure and associated risksto
personnel during useof fluoroscopic guidance for selectedorthopaedic surgical procedures
ME Miller, ML Davis, CR MacClean, JG Davis, BL Smith and JRHumphries
Because of the increased use of fluoroscopic guidance techniques incertain
orthopaedic surgical procedures, surgeons and other
personnel who are involved in these procedures arevoicing growing concern
over possible associated radiation healthhazards. Using thin-layer lithium
fluoride chips for thermoluminescencedosimetry, we directly measured the
radiation exposure encounteredby the primary surgeon during seven
operative procedures that weredone utilizing fluoroscopic guidance
techniques. Dosimetry studieswere also carried out using a
tissue-equivalent phantom model todetermine the directions of maximum
scatter radiation. These studiesindicated that the standard protective
apron that is commonly wornduring the use of fluoroscopy provides adequate
protection to most of the body; however, the surgeon is exposed to
significant levels of scatter radiation to the head, neck, and hands,
Dosimetry studiesshowed that positioning the fluoroscopic beam vertically
to the fracturesite of the supine patient, with the x-ray source posterior
to the patient,provided the lowest levels of scatter radiation to the
surgeon in thenormal working position.
Rosie B. GadiazaGroup 6St. Claire Medical CenterReaction Paper:
 The article is about the effects of fluoroscopic guidelines onpersonnel during surgical procedures. The article helped me realizethe importance of providing safety not just on the client but on also onyourself. As health practitioner, we must also ensure that the safety of patient as well as the persons involve on the operation is secured. Theprotective devices that the personnel wear during the operation cannotfully guarantee the safety of its user. As the article discussed, theprotective devises can only provide certain measures of safety.

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