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Biomedical subjects

K Hugo

Publications and source records attributed to K Hugo.

8 recordsLinked to original sources
PubMed2001

Perspective transformation in RN-to-BSN distance education.

This study examines perspective transformation (or professional resocialization) in RN-to-BSN students obtaining their degree by distance education. A socialization scale was used to compare newly admitted and graduating RN-to-BSN students who had taken their courses onsite, by distance education, or a mixture of the two methods. The scores of entering and graduating RN-to-BSN students also were compared to those of graduates from the generic program to identify if program and experience are factors in scores achieved. Results indicate that all BSN graduates had significantly higher scores than the diploma-prepared nurses entering the RN-to-BSN program. RN-to-BSN graduates who had used distance education had the highest scores, followed by the onsite RN-to-BSN students. Students who had taken a mixture of distance and onsite courses had scores similar to those of generic program graduates. Experience and full-time employment status were significantly associated with higher scores among graduating RN-to-BSN students. Implications for nurse educators working with RN-to-BSN students who use distance education are discussed.

Adult↗
PubMed1999

Metabolic and immunologic effects of insulin lispro in gestational diabetes.

OBJECTIVE: To compare the immunologic response to insulin lispro with that to regular human insulin, thereby assuring its safety for use in women with gestational diabetes, and to verify that it is effective. RESEARCH DESIGN AND METHODS: We compared the metabolic and immunologic effects of insulin lispro and regular human insulin in 42 women >18 years of age diagnosed with gestational diabetes by oral glucose tolerance testing at 14-32 weeks of gestation. Patients were randomized to receive regular human insulin or insulin lispro before consuming a test meal. Serum insulin, blood glucose, and C-peptide concentrations were measured. Throughout the remainder of gestation, patients received premeal insulin lispro or regular human insulin combined with basal insulin and performed blood glucose self-monitoring before and after each meal. Insulin antibodies and HbA1c were determined at enrollment and 6 weeks later. In addition, 10 patients received continuous intravenous insulin (4 lispro, 6 regular human insulin) and dextrose infusions intrapartum to assess placental insulin transfer. RESULTS: Anti-insulin antibody levels were similar in the two groups. Insulin lispro was not detectable in the cord blood. During a meal test, areas under the curve for glucose, insulin, and C-peptide were significantly lower in the lispro group. Mean fasting and postprandial glucose concentrations and end point HbA1c were similar in the two groups. The lispro group demonstrated fewer hypoglycemic episodes (symptoms and blood glucose concentrations <55 mg/dl). No fetal or neonatal abnormalities were noted in either treatment group. CONCLUSIONS: Insulin lispro may be considered a treatment option for women with gestational diabetes.

Adult↗
PubMed1997

Supporting women during breast diagnostics.

Breast cancer is the most frequently diagnosed cancer among Canadian women. It is estimated that, in 1997, there will be 18,400 new cases of breast cancer and 5,100 breast cancer deaths among Canadian women; one in nine Canadian women will develop breast cancer at some time in their lives.

Breast Neoplasms↗
PubMed1996

Self-instructional intervention for teaching generalized problem-solving within a functional task sequence.

Effects of an intervention that combined self-instruction with multiple exemplar training on the generalized problem solving of five high school students with severe mental retardation were examined. Innovative features of the intervention included (a) preteaching self-instruction to proficiency with one exemplar before introducing multiple exemplars and (b) embedding problem situations within a functional task sequence. Findings indicated that all students learned to perform five trained problem responses and five generalized responses while self-instructing. The self-instructional intervention appeared to decrease training time required to self-instruct as well as to decrease variability with which participants verbalized their self-instructions.

Adolescent↗
PubMed1977

[Differential therapy of advanced bladder carcinoma and of postoperative adjuvant chemotherapy (author's transl)].

Advanced bladder carcinoma still has a poor prognosis. While the five-year-survival in stage T1N0M0 is about 80%, less than 50% of the patients in stage T2N0M0 survive 5 years. This prognosis could not be altered by a more radical operation or by radiation therapy. Therefore we started postoperative adjuvant chemotherapy in 1972. First we tested the effect of three different cytostatic drug therapy schedules. Although successful treatment was achieved in several cases, there were other patients who did not respond to one of the three therapy schedules. We then started applying all three schedules, one after the other, in intervals of 4 weeks. Therapeutic procedure now is: After diagnosis by cystoscopy and histology and TNM-classification, urologic therapy is performed (electroresection, cystectomy, etc.). Then in stage T2-4N0-1M0-1 postoperative adjuvant chemotherapy follows. Thus far, we have achieved complete remission in all patients except one (after radiation therapy). No definite comments as to survival can be made at this time.

Antineoplastic Agents↗
PubMedDate not supplied

The integration of problem-based learning strategies in distance education.

The authors explore the redesign of a traditional distance nursing program to integrate problem-based learning (PBL) strategies. Using pre- and postcourse questionnaires, learning satisfaction was compared between students who attended the PBL course face-to-face and those who received the course via audio-teleconferencing. Tutor and student perceptions of PBL via audio-teleconferencing are also described. Study results suggest that audio-teleconferencing is an effective means of delivering PBL by distance education.

Adult↗
PubMedDate not supplied

Heart disease risk factor prevalence and profiles in a randomized community sample of Canadian women.

This study examined the prevalence and profiles of behavioural and biomedical risk factors of heart disease in a randomized community sample of 843 Canadian women. Sociodemographic characteristics were also examined to determine their association with women who have multiple primary risk factors versus risk factor-free women. A greater proportion of high-risk women (n = 81) reported to have less education, lower income and employment levels and were more likely to live without a partner than women with no primary risk factors (n = 135). These findings contribute to the understanding of the growing complexity of addressing heart health beyond lifestyle behaviours as articulated by the Victoria (1992), Catelonia (1995), Singapore (1998) and Women's International (2000) Declarations on Heart Health. Public health planning should continue to address physical activity, smoking and dietary behaviours across age groups with a concentrated effort to target high-risk, socio-economically disadvantaged women. Risk assessment for heart disease must also include sociodemographic characteristics for tailoring heart health programs in the community.

Adolescent↗