Osteomyelitis

  1. Infection of bone that results in inflammation, necrosis, and formation of new bone
  2. Can be Hematogenous (blood borne infection), Contiguous focus (Contamination from bone surgery, open fracture, or trauma) or Osteomyelitis with vascular insufficiency (Patients with diabetes or vascular disease, most common in feet)
  3. High Risk: Elderly, poorly nourished or obese, immunocompromised w/ chronic illness, those receiving long term corticosteroid therapy, IV drug users
  4. Clinical Manifestations: Area becomes tender, swollen, warm, painful.  May describe constant, pulsating pain.
  5. PREVENTION IS THE GOAL. Treatment is often difficult because drug penetration of the infection is difficult due to low vascularization of the bone. Infection often  requires long-term antibiotics (3-6 weeks).

With love,
Shannon and Darcy :)

5 Fun Facts about Total Knee Replacement

1)  patients are placed in continuous passive motion device immediately after surgery

2) the knee replacement lasts 15-20 years 

3) patients are required to mobilize within the first day postoperative 

4) the most common complication of total knee surgery is VTE 

5) Patients are placed on antibiotics before surgery and 24 hours after surgery 

 

1271W

KneeReplacement

Photo URL:

http://doereport.com/imagescooked/1271W.jpg

http://www.foothillstherapy.com/files/2015/03/KneeReplacement.jpg

Pelvic Fracture – 5 FUN Facts!

-They are more common in younger and middle-aged adults who participate in risky behavior.

-There is a high mortality rate (as high as 30%) associated with unstable pelvic fractures due to hemorrhage, pulmonary complication, fat emboli, thromboembolic complications and infection.

-S/S: echymosis, tenderness over the symphisis pubis, anterior iliac spines, iliac crest, sacrum or coccyx; local edema, numbness or tingling of the pubis, genitals and proximal thighs; and inability to bear weight without discomfort.

-Hemorrhage and shock are the two most serious complications.

-Nurse Assessment: injuries to the bladder, rectum, intestines, and pelvic vessels/nerves to assess for urinary tract injury check for blood in urine.

By: Marcia Rocha & Marissa Cuomo

Reflection for Project 2 and 3 – 10/7/15

Reading log 2

Dirk and Swales for project 2: Dirk is a good reference for writing any type of paper. I can actually look back and read his advice and use it. For Swales, I can apply acknowledging who my audience is, realizing that my audience is part of a discourse community. This means that I will pay attention to details such as the lexis, common goal, and the exchanging of information.

Reading log 3

Dirk and Swales for project 3: Dirk can be applied in the same way that I applied his writing to project 2. The interesting oddity about Dirk is that he talks about so much information but all of it is important. He also boosts the writer with confidence but yet gives direct guidelines in which an excellent writer should follow. In utilizing swales writing I am referring to the specific six criterion to help explain why the CI Climate Symposium is a discourse community. I love the format in swales because the number system makes it convenient to go back and refer to the information.

 

Reflection for Project 2

Reflection for Project two PowerPoint slides

I need to implement more sources. I refer to Swales a lot but I need to explore other ways to back up my argument. I also have a lot of repetition so it was suggested that I could use some of the repeat slides as dialogue. I felt that my presentation was too short but once I find two more sources it will not only help strengthen the argument but help add a little meat to the project.

Besides that I mostly received positive feedback regarding flow and great images. For step one I also accomplished convincing my audience that Women’s collegiate soccer for Antelope Valley College is in fact a discourse community.

 

Medication Interview

My dad had a stroke 10 years ago, after that he was prescribed lipitor and daily baby aspirin. I asked him what he knew about the medications and why he was taking them. He said aspirin was to prevent more clots and that Lipitor was a beta blocker for his cholesterol (close but not quite). Mostly he knew that it was very very expensive until it went generic. He didn’t know the side effects or mechanism of action of either of these meds, and the fact that he brought up the term “beta blocker” makes me suspect he was also prescribed one of those but just forgot. However, my dad hasn’t taken any of his prescribed medications in 4 years, so I can’t be too mad at him for having so little idea of what he was taking. Instead, he became a very strict vegan and decided he didn’t need any of his medications anymore. After 6 months of this new lifestyle, he went to his doctor for a physical and blood work and she told him “Just keep doing what you’re doing.” This was a huge validation for all his hard work, and he has been able to stay a vegan (despite me and his girlfriend complaining) ever since. Now the only medications my dad takes are supplements and homeopathic. He takes red rice yeast for his blood pressure, ginko biloba to prevent alzheimers, and saw palmetto for prostrate health. Instead of over-the-counter medications, he only takes homeopathic when he has a cold and completely swears by it. One of the big things I noticed when talking to my dad was how self-assured he is about his lifestyle and medication choices. Going off your meds because you “feel like you don’t need them anymore” is probably not a good idea. But for him, it was like he took charge of his own health and that independence made him so much more responsible than he was before. Because the choices are his own, he is very very committed to his health, while he didn’t even pay attention to the pills he was prescribed.

Training and Repairing

 

3D printing new parts while working on units.
3D printing new parts while working on units.

After our trip to the Cook Islands, only one of our four ROVs were functioning, and nearly half of the team graduated, leaving only a few that are able to repair the units. In addition to the necessary ROV repairs, Paul’s fixed wing mapping UAV (the Snowy Plover) is in the need of a few repairs and upgrades as well.

Upgrading the derelict 2.6 unit with 2.7 motors... it lives again!
Upgrading the derelict 2.6 unit with 2.7 motors… it lives again!
Chase and Rebecca repairing a bad wire in a battery tube.
Chase and Rebecca repairing a bad wire in a battery tube.

The team now has three direct faculty members: Dr. Sean Anderson, Dr. David Claveau and Dr. Kiki Patsch along with team manager Paul Spaur. The returning students are: Tim Holcombe, Rebecca Smith, and Chase Tillman, and new team members: Nicole Gonzales, Karen Ramirez, and Tara Fay. There has been plenty of work to keep the team busy with setting up the new lab, and training the new comers the wide breadth of skills used in the laboratory.

Training the new students how to plastiweld.
Training the new students how to plastiweld.

In addition for learning new building and repairing skills, the new team members are learning about the basics regarding professional and responsible use of aerial and submarine remotely piloted systems. There are many rules, regulations and guidelines to follow when operating these tools, and our team strives to perform research using the utmost of safety.

 

Training the new members on the basics of quadcopter piloting.
Training the new members on the basics of quadcopter piloting.

All of the new team members have had the chance to start up and operate both our OpenROV, and Blade 180QX quadcopter units. Once our units are repaired, we will focus on tailoring them to meet specific research goals, and focus on pilot training.

Media and Violence

It is difficult to prove that violent media causes violence. Sternheimer makes this valid point. After reading Chapter 5, it was difficult to value the Levin article, though poverty, neighborhood and friends are tied to behaviors.

I was struck, however, by the “Bobo doll” experiment results on p 111. Kids who watched adults pummel a doll, also hit the doll. Children mimic behaviors they see. Parents who pattern kind behavior often have children who are kind. Soft-spoken parents often have soft-spoken children. Parents with keen senses of humor, often have children who know how to laugh. Tragically, child abuse is often passed down, generation after generation.  http://www.ncbi.nlm.nih.gov/m/pubmed/11766010/.

Another point: practice makes perfect. The way we spend our time determines what we become. As a piano teacher, I know that pianists are created from daily, quality piano practice. What do hours of violent video games produce? What do hours of TV produce? What do hours of reading produce? Increased vocabulary, greater proficiency in writing, a higher IQ.  Common sense tell us that we are what we do.

Protected: Medication Knowledge and Confusion

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