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Principal Concern (principal + concern)

Distribution by Scientific Domains

Medical Sciences	50%

Selected Abstracts

History and Current Practice of Tonsillectomy

THE LARYNGOSCOPE, Issue S100 2002
Ramzi T. Younis MD
Abstract Objective To review important developments in the history of adenotonsillectomy and describe current methods and results for the operation. Study Design Review. Methods Tonsillectomy practices since antiquity were reviewed, with emphasis on introductions of new surgical tools and procedures, anesthesia methods, and patient care practices. Past and current indications for and complications associated with tonsillectomy were also reviewed. Results Devices used for adenotonsillectomy have included snares, forceps, guillotines, various kinds of scalpels, lasers, ultrasonic scalpels, powered microdebriders, and bipolar scissors. General anesthesia, the Crowe-Davis mouth gag, and methods for controlling bleeding have contributed greatly to success with the operation. Past and current indications for adenotonsillectomy are similar, although the relative importance of some indications has changed. The complication rate has declined, but the problems that do occur remain the same. Currently, cost-effectiveness is a principal concern. Conclusion The instruments and procedures used for adenotonsillectomy have evolved to render it a precise operation. Today, the procedure is a safe, effective method for treating breathing obstruction, throat infections, and recurrent childhood ear disease. [source]

The contamination of personal space: boundary construction in a prison environment

AREA, Issue 2 2009
David Sibley
In this paper, inmates in dormitories in a prison in New Mexico, USA, talk about their everyday lives. We are particularly interested in the ways in which they think about space. Their principal concern appears to be the definition of personal space in an environment where boundaries are weak. The paper focuses on anxieties about contamination which serve to define real and imaginary spaces within the prison. Interpersonal relationships figure more in inmates' observations than does the disciplinary regime and the material environment of the prison. We argue that this has important implications for understanding space,power relations in institutional settings. [source]

On Thinking Clearly About Taxometrics, Schizotypy, and Genetic Influences: Correction to Widiger (2001)

CLINICAL PSYCHOLOGY: SCIENCE AND PRACTICE, Issue 3 2003
Mark F. LenzenwegerArticle first published online: 11 MAY 200
In a recent commentary on taxometric methods (Meehl, 1973; Waller & Meehl, 1998), Widiger (2001) takes issue with the value of the taxometric approach and offers his views on the use of taxometric methods and the interpretation of taxometric findings. A principal concern of Widiger's is what he terms the "exaggerated implications" (p. 529) that he believes have been offered by investigators who have interpreted taxometric findings. He misrepresents the findings and conclusions of a well-known taxometric study of schizotypy (Lenzenweger & Korfine, 1992) in order to substantiate the claim of "exaggerated implications" and ascribes to the authors of the original study a conclusion not drawn by them. The possible nature of a critical logical error in Widiger's assessment of the Lenzenweger and Korfine study is explored with special reference to the theoretical context of the original schizotypy study. [source]

Preoperative information needs of children undergoing tonsillectomy

JOURNAL OF CLINICAL NURSING, Issue 19-20 2010
Aoife Buckley
Aims and objectives., To identify the information needs of children undergoing tonsillectomy with reference to content of information, method of delivery, information providers and timing of information provision. Background., Tonsillectomy can be anxiety provoking for children and preoperative preparation programmes are long recognised to reduce anxiety. However, few have been designed from the perspectives of children and to date little is known about how best to prepare children in terms of what to tell them, how to convey information to them, who can best provide information and what is the best timing for information provision. Design., A qualitative descriptive study. Method., Data were collected from nine children (aged 6,9) using interviews supported by a write and draw technique. Data were coded and categorised into themes reflecting content, method, providers and timing of information. Results., Children openly communicated their information needs especially on what to tell them to expect when facing a tonsillectomy. Their principal concerns were about operation procedures, experiencing ,soreness' and discomfort postoperatively and parental presence. Mothers were viewed as best situated to provide them with information. Children were uncertain about what method of information and timing would be most helpful to them. Conclusion., Preoperative educational interventions need to take account of children's information needs so that they are prepared for surgery in ways that are meaningful and relevant to them. Future research is needed in this area. Relevance to clinical practice., Practical steps towards informing children about having a tonsillectomy include asking them what they need to know and addressing their queries accordingly. Child-centred information leaflets using a question and answer format could also be helpful to children. [source]