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PubMed1978

Creativity and hospital costs: it's all in the approach.

Although most hospitals do consider costs before deciding to fund a new undertaking, many of them fall short of the necessary inventiveness when it comes to developing low-cost alternatives in problem-solving situations. Thus, too often, solutions to problems are found in a climate of crisis that overshadows considerations of cost. If hospitals would take a creative approach to cost containment and regard it as a philosophy or an attitude rather than a program, they might find that they have less trouble in slowing down cost increases to the annual rate of inflation.

Attitude of Health Personnel↗
PubMedDate not supplied

[Object loss and creativity - a demonstration based on Ferdinand Hodler's work cycle on Valentine Godé-Darel].

An attempt is made to present Hodler's cyclus of paintings on Valentine Godé-Darel against the background of certain considerations on "object deprivation and creativity". The importance of object deprivation for Hodler is explained on the basis of his biography. Against this background it becomes clear that the ultimate question is not why Hodler was able but why he was compelled to paint in the presence of suffering and death.

Art↗
PubMed1981

[Humor, creativity and psychotherapy].

Humor must be clearly distinguished from joke and comic. It presents the characteristics described by Freud for the creative processes in general and has an effect to provoke a removal of the sexual and aggressive inhibitions on a intrapsychical level, thus allowing to the individual to fight against the social constraints. The author defends the idea that humor can usefully be employed in the outline of the corrective emotional experience in the psychotherapeutically relation: it assures not only a removal of inhibitions, but it also protects the individual against the anxiogenic feelings and gives him the possibility to assert himself narcissistally towards the outside world.

Aggression↗
PubMed1994

Suicide ideation and creative problem solving.

This investigation utilized the recent technology for the assessment of creativity to examine the association between problem solving and suicide ideation. Three kinds of problem-finding and -solving tasks were administered to 81 (nonclinical) college students. One of these tasks assesses "problem generation" and was expected to be particularly informative, given that individuals considering suicide may perceive many problems but find few solutions. Results supported this expectation: Problem generation scores were significantly correlated with suicide ideation, even after stress was statistically controlled. A secondary analysis suggested that the originality and flexibility of solutions may be influenced by the particular problem an individual faces.

Adaptation, Psychological↗
PubMed1993

Creativity: a work in progress.

Through the integration of autobiographical, theoretical, and clinical material, the author attempts to describe a developmental path leading to a "creative" solution to object loss. The implications of this model are considered both for the particular type of individual described and for general psychoanalytic theory and technique.

Adaptation, Psychological↗
PubMed1993

[Artefacts as a creative process--a case report].

The psychological treatment on a 13-year-old girl with dermatitis artefacta during dermatological inward treatment is presented. On the base of the biographic background the psychodynamic conflict, underlying the manipulative behaviour, is revealed. With the help of pictorial expressions and a special hypnotherapeutic technique ("working with parts") the young patient succeeds in integrating her ambivalent feelings and in getting a deeper insight of her problems. The manipulations are regarded as a creative attempt to solve an intrapsychic conflict of ambivalence.

Adolescent↗
PubMed1996

Transcending old age: creativity, development and psychoanalysis in the life of a centenarian.

The author of this paper presents therapeutic work with an elderly patient during the tenth and eleventh decades of her life. The author's focus is on the interplay of the creative, developmental and therapeutic processes in the revision of psychic structure. The paper depicts the experience of very old age, particularly the confrontation with mortality. It notes transference and countertransference reactions to the elderly patient. Poems the patient wrote during the last ten years of her life convey her experience of the described processes. The paper gives further confirmation to the recently acquired appreciation of the suitability of elderly individuals for psychoanalytic treatment.

Adaptation, Psychological↗
PubMed1997

Creative inservices to meet mandatory education requirements.

To meet the mandates of federal and accreditation bodies, home care organizations must be prepared to conduct required education. There is a need to be creative and heighten the interest of the staff while doing more with shrinking education dollars. This article presents one agency's approach to the annual mandatory inservice program that allows the staff to have fun while learning.

Community Health Nursing↗
PubMed1997

[Beautiful literature and audiovisual media provide a change to stimulate human creativity].

The aim of this study was the attempt to determine which films and books had an influence on the mental resources of medical students. We used a special form, created in accordance with the group thinking theory called "brain storm on a paper". We examined 111 six year medical students taking part in the workshops. Each group of students consists of 9-12 persons. It was impossible to describe and analyze in that paper all novels which made the impression on the examined students. The obtained outcomes indicated that the progress of young people mentality was limited by simple and traditional ground basis. That basis was consisted of obligatory set books and actually popular films. There were only a few items which were to teach an optimism or to promote an active and creative attitude to the life. In our opinion that findings should be very important to every person who cares for a mental condition of young people.

Audiovisual Aids↗
PubMed1997

[Creativity and antipsychotic drugs].

For the authors, the creative abilities of a schizophrenic patient are indicators of the therapeutic efficacy of an antipsychotic treatment and the incidence of adverse effects. The new antipsychotic drugs available, unlike conventional neuroleptics, show enhanced efficacy and do not exacerbate the negative symptoms. They may even alleviate them. With regard to clozapine, the authors illustrate the foregoing by two examples of a favorable course in two patients. Clozapine induced an indisputable clinical improvement and hence the opportunity for undeniable artistic activity. Lastly, the new antipsychotics contribute to changing the image that we have of schizophrenic patients.

Adult↗
PubMed1996

Migrant health care: creativity in primary care.

Historically, migrant health care services have always been in a precarious position for funding. The government currently proposes major cuts in federally and state-funded programs for indigent and underserved populations, making this state of precariousness the rule, rather than the exception. The primary care practitioner, therefore, must provide quality, cost-effective care with minimal resources. Case studies illustrate how services can be provided using creativity and community resources.

Adolescent↗
PubMed1998

Creative, paranormal, and delusional thought: a consequence of right hemisphere semantic activation?

OBJECTIVE: There is a rapidly growing body of evidence for an association between schizophrenic syndromes and the absence of a clear pattern of hemispheric dominance for language. Independent work with healthy subjects suggests that one feature of right hemispheric (RH) linguistic processing is a coarse as opposed to a focused semantic activation. We provide a comprehensive review of the literature to these hitherto unrelated fields of research and present an experiment assessing functional hemispheric asymmetries for language processing in healthy volunteers, differing in the susceptibility to schizophrenia-like experiences and thoughts. BACKGROUND: Forty right-handed men were administered a lateralized tachistoscopic lexical decision task. They also completed the Magical Ideation (MI) scale, which examines a variety of paranormal experiences and beliefs. RESULTS: Although the 20 subjects with MI scores below the median displayed the expected right visual field/left hemisphere (RVF/LH) superiority in lexical decision accuracy, the 20 high scorers were equally proficient in both visual fields. Compared to the low scorers, they made significantly more correct decisions in the left visual field/right hemisphere (LVF/RH). CONCLUSIONS: These results corroborate previous findings of a reduced LH language dominance for subjects scoring high on scales measuring proneness to schizophrenic behavior and thought ("schizotypy"). We propose that this dominance failure, which is commonly observed in patients with acute signs of psychosis, facilitates the emergence of paranormal and delusional ideas by way of RH associative processing characteristics, that is, coarse rather than focused semantic activation. As unfocused semantic processing is also characteristic of creative thinking, the use of the RH semantic system may constitute a selective evolutionary advantage allowing the genes predisposing to schizophrenia to proliferate despite the obvious disadvantages of this devastating disease.

Adolescent↗
PubMed1998

The effects of aerobic training on children's creativity, self-perception, and aerobic power.

The article examines whether participation in an aerobic exercise program (AE), as compared with a traditional physical education class (PE), significantly increased children's perceived athletic competence, physical appearance, social acceptance, behavioral conduct, and global self-worth; increased their figural creativity; and improved aerobic power as measured by an 800-meter run around a track. Further research on the effects of different types of AE is discussed, as well as the need for aerobic conditioning in the elementary school.

Child↗
PubMedDate not supplied

Sticking together! A creative approach to documenting insulin double checks.

Patient care and family teaching are the heart of the rehabilitation staff nurse's role. Documentation of the various aspects of patient care and family teaching is a necessary but time-consuming process. In this article you will learn how the nurses of one rehabilitation center welcomed a creative time-saving method of working together to improve documentation compliance for double checking insulin administration. The development of the process, education of the staff and the outcomes are included.

Documentation↗
PubMed2006

Whole-organism studies of adhesion in pad-bearing lizards: creative evolutionary solutions to functional problems.

Understanding the evolution of complex functional traits is a challenge for evolutionary physiology. Here we investigate the evolution of subdigital toepads in lizards, which have arisen independently at least three times, although with subtle anatomical differences. Some designs (anole, gecko) appear functionally equivalent, whereas other designs (skink) are inferior. The functional equivalence of geckos and anoles highlights the creative aspect of the evolutionary process in that these two groups have arrived at the same functional endpoint along very different trajectories. However, this functional equivalence does not result in equivalence for performance at whole-organism tasks (e.g., running uphill), as the evolution of behavior (e.g., toe-furling) has enabled geckos to be superior climbers than anoles. We also show that adaptive increases in the toepad size within a closely related lizard genus (Anolis) has resulted in concomitant evolution of enhanced clinging ability and increased perch heights. A third insight is that pad-bearing geckos are capable of carrying tremendous loads (up to 250% of body weight) up smooth surfaces, and that the toepad itself does not appear limiting. This comparative and whole-organism approach to lizard toepads underscores how organisms can evolve multiple solutions to evolutionary problems.

Adaptation, Physiological↗
PubMed1985

Knee flexor moments during propulsion in cycling--a creative solution to Lombard's Paradox.

The function of two joint muscles in the human lower extremity was studied during a cycling task with efficiency of their action discussed in light of Lombard's Paradox. Special pedals were designed to monitor reaction forces parallel to the sagittal plane of the body. Net moments of force about the hip, knee and ankle and EMG patterns in selected lower extremity muscles were recorded in five subjects pedalling against a constant load. The most original aspect of this study was the clear difference in hip and knee action during the propulsive phase of the pedalling cycle. A knee flexor moment was consistently observed in all subjects starting approximately half way through the propulsive phase of crank rotation (0-180 degrees) and presented as a creative solution to Lombard's Paradox.

Bicycling↗
PubMed2001

A creative process for reinforcing aseptic technique practices.

Issues in aseptic technique challenge every perioperative practitioner. Equally challenging for educators is how to creatively present information to large groups of staff members in a way that facilitates learning. This article describes the process used to address practice issues in aseptic technique and to present educational inservice programs to a large number of staff members. Two clinical educators formed a work group comprising staff RNs and surgical technologists to address this topic. Work group members then planned and presented a two-part education session to review these issues with surgical staff members.

Asepsis↗
PubMed2001

Creative arterial bypass grafting can be performed on the beating heart.

BACKGROUND: To demonstrate that compromise is unnecessary in either the design or performance of beating heart surgery, we report our experience, over 1 year, of total arterial revascularization where composite or creative grafting was utilized. METHODS: We performed 321 off-pump coronary artery bypass operations, of which, 290 (90%) were done with only arterial conduits. The mean number of distal anastomoses was 2.48, with a range of 1 to 5. There were no aortic anastomoses. One hundred eighty-nine patients (65%) were male, and 101 (35%) were female, with a mean age of 67 years. Comorbidities included chronic renal failure (CRF), 21 (7%); diabetes, 92 (32%); obesity, 68 (23%); hypertension, 212 (73%); chronic obstructive pulmonary disease, 189 (65%); cerebral vascular accident (CVA), 39 (13%); smoking, 164 (56%); and hypercholesterolemia, 151 (52%). The mean ejection fraction was 56%, with a range of 21% to 71%. All procedures were performed with external stabilizers with or without vacuum assist. The complete arterial revascularizations included a T-graft (internal thoracic [ITA]/radial arteries [RA]), 130 (45%); a sequential graft (ITA +/- RA), 118 (41%); a U-graft (coronary-coronary graft perfused by the ITA or right gastroepiploic artery), 5 (2%); an I-graft (ITA/RA), 4 (1%); an X-graft (ITA/RA), 2 (12); and a Y-graft (ITA/RA), 31 (10%). RESULTS: The postoperative incidence of atrial fibrillation was 80 of 290 (27%); CVA, 5 of 290 (2%); bleeding resulting in take-back, 5 of 290 (2%); CRF, 8 of 290 (3%); deep sternal infection, 4 of 290 (1%); and readmission (30-day) for angina, 4 of 290 (1%). The observed perioperative (30-day) mortality was 9 of 290 (3.1%), with the STS predicted rate of 3.82%. CONCLUSIONS: Our experience indicates that once the operating surgeon has learned to safely expose the lateral and inferior walls of the heart, the type of conduit and the method of revascularization should be no different than that used with cardiopulmonary bypass. However, we still recommend conventional methods of revascularization (on-pump with saphenous vein conduits) for the ischemic patient.

Aged↗