Carré Technologies (Canada)

This integrative review (IR) explores progression and completion in Doctor of Nursing Practice (DNP) programs, including student and faculty perspectives. The purpose of this study is to develop a better understanding of what promotes progression and completion in a DNP program. The review included the appraisal and synthesis of research, non-research evidence, and gray literature for post-BSN and post-master's DNP programs. Common themes and subthemes were identified regarding student progression and completion. Three themes emerged: circumstances that facilitate, circumstances that hinder, and creating student experience that supports progression and completion. Successful progression and completion include students' internal motivation; program structure; and support of family, peers, faculty, and employers. The faculty role is critical, requiring experienced advisors and mentors. DNP programs are encouraged to better define progression and completion.

A acne é uma doença inflamatória causada na pele que afeta a camada pilossebáceos, ela pode causar cicatrizes e manchas na pele, além disso, também pode causar efeitos psicológicos graves. Existem vários fatores para a manifestação de acne, porém, o mais comum é a carga hormonal, entre a variedade de acnes, a mais frequente é a acne vulgar que pode ser inflamatória ou não inflamatória, a acne tem um elevação maior a partir dos 11 anos e permanece nessa elevação até os 30 anos. Mas, poder ser mais recorrente no período da puberdade, ocasionando lesões de diferentes graus e aspectos. O óleo essencial de melaleuca tem sido uma alternativa eficaz para o tratamento de acne, conforme os estudos que estão sendo realizados, o óleo vem de uma árvore australiana chamada Melaleuca alternifólia, ele é usado como uma forma de tratamento que possui propriedades antibacterianas e antioxidantes, tem propriedades químicas e terapêuticas que são necessárias para combater a variedades de micro-organismos que desencadeiam a origem da acne. O objetivo, a princípio, foi realizar o tratamento com o óleo essencial de melaleuca em acnes nos grau II e III, usado para tratamento estético, pois através de levantamos de artigos e estudos, o óleo essencial é considerado seguro, pois age no combate de infecções bacterianas, tem propriedades ricas para a penetração tecidual.

We established the incidence of coronary artery spasm provoked by 0.4 mg of methergine in 1089 consecutive patients undergoing coronary angiography. The test was performed after routine coronary arteriography. Subjects included patients with angina, both typical and atypical, patients who had recently had myocardial infarction and patients with either valvular disease or congestive cardiomyopathy. Patients with spontaneous spasm, left main narrowing or severe three-vessel disease were excluded. One hundred thirty-four patients experienced focal spasm. Focal spasm was uncommon in patients with atypical precordial pain (1.2%), angina of effort (4.3%), valvular disease (1.95%) or cardiomyopathy (0%). It occurred most often in patients with angina at rest and less often in patients with angina both at rest and induced by exercise. Spasm was provoked in 20% of patients with recent transmural infarction, but in only 6.2% of patients studied later after infarction. Spasm was superimposed on fixed atherosclerotic lesions in 60% of the patients. No serious complications were encountered. Although the patients who underwent provocation tests in this study are not representative of all patients with coronary artery disease, spasm occurred in 20% of patients who experienced a coronary event and in 15% of patients who complained of chest pain.