Conjunctiva in Contact Lens Wear Research Proposal

Conjunctiva in Contact Lens Wear - Research Proposal Example In a study conducted by Aragona P, Ferreri G, Micali A, Puzzolo D. in 1998 to detect the morphological changes of the conjunctival epithelium in contact lens wearers evaluated by impression cytology, it was found that cellularity, nucleus to cytoplasm ratio and goblet cell distribution were altered. In another study by Knop E, Brewitt H. in 1992 , where they discovered using the impression cytology technique on contact lens wearers that enlargement of the conjunctival cells took place as well as flattening of their cells. They also noted a decrease in the number of goblet cells. The late finding was contrary to what Connor C.G., Campbell J.B., Steel S.A., Burke J.H. have found in 1994 of an increase of goblet cells in daily contact lens wearers. As the conjunctiva has an important functional demand on the eye helping in keeping the eye moist and its cleansing effect through tears, it is thus an important first defence against debris and pathogens. Direct in vivo observation of the co njunctiva at a cellular level using the confocal microscope is likely to provide important new insights into the impact of contact lens wear on the ocular surface. This study is aimThis study is aimed to conclude results from in vivo research of those contact lens wearers. The significance of this research is to give more focused results on the effect of contact lenses contributing to add more knowledge to this specific aspect and whether or not any compromisation of the conjunctiva takes place. Please add a new paragraph as follows:- Program of research and investigation: - Under this heading, I would like you to write about To Clearly State the research problem, research key questions, sub question or hypotheses or key issues that will be tested or addressed This research will perform its investigation to describe the possible effects of lens wearing on 20 candidates to discuss the conjunctival hazardous effects (if present) and either confirm or deny the hypothesis in question. Inspection will be done at a cellular level to further investigate any changes that may occur in the conjunctiva cells including epithelial cells, goblet cells and cellular density. According to Adar S, Kanpolat A, Surucu S, Ucakhan OO 1997 "Epithelial changes were noted to be more frequent and more severe in symptomatic patients than in those without any complaints." Moon JW, Shin KC, Lee HJ, Wee WR, Lee JH, Kim MK. 2006 also found that "The ocular surface changes in keratoconus may be directly related to contact lens wear" The hypothesis is that contact lenses do not produce any significant effect on the conjunctiva, mainly superficial conjunctival epithelial cell density (it is unclear whether this would be an increase or decrease) and results in a decrease in

Does mandating nurse-patient ratios improve care Coursework

Does mandating nurse-patient ratios improve care - Coursework Example ult, experts in healthcare have argued that in order to better safety of patients and quality of care there needs to be a higher number of nurses so as to lower the nurse-to-patient ratio (NPR), which will ensure nurses have more time with patients, which will ensure quality care and assessment-which are contributing factors to enhancing quality and safety of care. The findings and debates around the ratio have already led to the development of legislation in some states and the publication of various researches, articles and papers on the same issue. This paper reviews various articles on this issue as covered in five academic databases accessed online using the following search words: â€Å"does mandating nurse-patient ratios improve care.† Title of Source, URL and author: The first work titled â€Å"The effect of nurse staffing on selected outcomes of care† is a 2008 publication found on the ProQuest online database. This piece of work can be viewed online at this Uniform Resource Locator (URL): https://online.cdu.edu.au/webapps/portal/frameset.jsp?tab_tab_group_id=_19_1. The work is authored by Moh’d, Ali Saleh from The University of Wisconsin. The â€Å"ProQuest Dissertations and Theses† (PQDT) Database is under the ProQuest group of databases which hosts a wide array of European and American dissertations. The collection includes theses that date back to 1962, and dissertations that date back to 1861 to the current time. The database provides access to both old and most recent resources and is particularly resourceful for researchers because it offers access to information from various disciplines. The main objective of this database is to offer access to theses and dissertations from various disciplines to researchers and students in various fields. The source sampled from this database highlights issues that relate to the nurse-to-patient ratio. The major objective of the work was to cover a study that examined the influence of nurse staffing on job