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The arachnoid and the myth of Arachne.

The discovery of the arachnoid membrane is a relatively recent advance. Ancient anatomists noted the presence of the dura mater and pia mater, but the intervening arachnoid membrane was left undescribed. It was not until the 17th century that anatomists discovered a layer separating the pia mater from the dura mater and named this cobweb-like layer the "arachnoid." Arachnoid means "spider-like" and has an interesting etymology that can be traced to the ancient Greek myth of Arachne.

Arachnoid↗

The Greek goddesses speak to nurses.

The Greek goddess myths are a uniquely creative medium to teach affirming feminine images to nurses learning about the impact of gender in their personal and professional lives. The author briefly reviews the stories of the goddesses and strategies for integrating goddess literature into nursing courses.

Female↗

Health, healing, and the myth of the hero journey.

The purposes of this article are to examine the epistemic nature of myth and its relationship to nursing ontology, practice, and knowledge development, and to interpret the myth of the hero journey as it relates to the meaning of health and healing within the unitary-transformative paradigm. A discussion of the qualities of myth as a path toward understanding is followed by an analysis of the relationship of myth to nursing's ontology within the unitary-transformative paradigm. Joseph Campbell's depiction of the myth of the hero journey is elaborated and related to literature on health and healing. Reflections on possible implications for nursing practice and knowledge development are shared. The mythic hero journey calls for a particular way of being a nurse. Nurse as guide, sojourner, and midwife are offered as metaphors for this way of being.

Adaptation, Psychological↗

Intraoperative awareness in children: myth or reality?

PURPOSE OF REVIEW: This review will outline old and recent data about the prevalence, causes and potential consequences of intraoperative awareness in children and give details on its detection. RECENT FINDINGS: Recent studies have confirmed the higher incidence of intraoperative awareness in children than in adults while using modern anaesthetic techniques. To detect this complication in children, the Brice interview, commonly used in adults, has to be adapted to children's cognitive capacities, with an extended follow-up. Neither the old nor the recent studies clearly identify predictive risk factors. Children describe the same perceptions as adults during their awareness period (mainly auditory and tactile sensations), but with fewer negative thoughts. Moreover, they do not seem to be affected by this experience, as they do not have long-term psychological sequelae. The prevention of intraoperative awareness in children is the same as in adults, the major factor being awareness of this complication. SUMMARY: Intraoperative awareness is a reality in school-aged children. A larger multicentre study and large-scale follow-up is required in order to confirm the higher incidence of awareness and identify the risk factors and long-term psychological sequelae of this complication in the paediatric population.

Adolescent↗

The myth of the precious baby.

Each year tens of thousands of pregnancies are conceived through assisted reproductive technologies, and increasing numbers of pregnant women are aged older than 40 years. The obstetric management of these pregnancies, including more liberal recourse to cesarean delivery, has at times reflected the belief of providers that they are dealing with "precious babies". A leitmotif in discussions of the "precious child" is the concept that precious equates to irreplaceable (ie, mother who has tried harder to conceive may well have less chance to succeed again in the future). We believe that the obstetrician who decides to modify obstetric care because of these factors is, in fact, substituting physician assumption for patient autonomy. Although it is not counterintuitive to believe that a woman who has gone through assisted reproductive technologies would willingly (perhaps even eagerly) undergo cesarean delivery to avoid even remote risks, it is not safe to assume that women who conceived naturally would not. It is our contention that ultimately all women are best served if every pregnancy were treated as although it had preeminent value.

Cesarean Section↗

A history of orthotopic heart transplantation.

Orthotopic human heart transplantation today is performed at more than 150 U.S. centers, and the average survival is more than 10 years. Its prevalence and success, however, belies the fact that just 40 years ago, no one had ever attempted the procedure in humans and that the procedure seemed destined for failure just a year after the first transplant. This article reviews the history of orthotopic heart transplantation, beginning with ancient Greek legends and culminating in modern successes.

Brain Death↗