We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Find out more about the Kindle Personal Document Service.
To assess the impact of a needleless intravenous (IV) connection system on the rate of reported intravenous-connection–related (IVCR) percutaneous injuries, and to assess user satisfaction, frequency of use, and barriers to use.
A pre-post inter vention design, with injury incidence rates being compared 3 years before and 1 year after hospitalwide device implementation; and a cross-sectional descriptive user satisfaction survey.
Two tertiar y-care teaching hospitals, one general and one pediatric, located in a large metropolitan medical center.
All IVCR percutaneous injuries reported to the employee health ser vices at both hospitals during the years from 1989 to 1991 and 1993.
Survey participants were selected randomly from licensed nursing employees at both hospitals.
IV connection system consisting of blunt plastic cannulas and compressed latex injection sites.
After device implementation, the IVCR injury rate was reduced 62.4% (rate ratio [RR], 0.38; 95% confidence inter val [CI95], 0.27-0.53) at the general hospital and 70.2% (RR, 0.30; CI95, 0.17-0.53) at the pediatric hospital. After adjusting for the reduction in injury rate due to factors other than device implementation, the IVCR injury rate was reduced 54.5% (adjusted RR, 0.46; CI95, 0.32-0.65) at the general hospital and 57.2% (adjusted RR, 0.43; CI95, 0.24-0.78) at the pediatric hospital. Approximately 94% of survey respondents (n=478, response rate=51%) were satisfied with the device and recommended continued use. However, needles still were being used for activities that could have been performed with the needleless system because of compatibility, accessibility, and other technical problems related to the device.
The device was effective in reducing the rate of reported IVCR percutaneous injuries and users were satisfied with the device, but barriers to universal use were identified.
If the differences in the milieus which foster distinct philosophies are kept in mind, a comparison of ideas drawn from widely separated eras and environments can be profitable to the student of political thought and institutions. Social and environmental changes, and even technological revolutions, have altered but have not displaced the fundamental and still largely unsolved problems of human adjustment. Many formulas considered as peculiarly modern had their counterpart in antiquity, and concepts regarded as typical of Western culture have frequently been encompassed in the thought of Eastern peoples. A case in point is offered by the utilitarian political creed, which, while most famous and influential in England during the nineteenth century, was partially anticipated in one of the philosophical schools of ancient China. Utilitarianism was understandably a suitable vehicle for eighteenth- and nineteenth-century English reformers, but it seems remarkable to find the principle expounded in tradition-bound China of the later Chou dynasty, when, as afterward, appeal to authority and reverence for the past were strongly embedded. Not only was a utilitarian concept vigorously and logically developed by the philosoher Mo Ti (approximately 468-382 B.C.), but his disciples constituted a flourishing school for more than a century after his death and were formidable competitors of the Confucianists. Mencius, the greatest exponent of Confucianism at the opening of the third century B.C., denounced as the two most dangerous heresies the extreme individualism of Yang Chu (fourth-century hedonistic anarchist) and the indiscriminate altruism of Mo Ti, both of which doctrines he regarded as tending to undermine social decorum and a proper respect for authority. The rivalry between Confucianists and the champions of Mo Ti took on the nature of a partisan conflict. On many fundamentals the two schools were not so utterly irreconcilable as the heat of controversy made it appear. Both appealed to the example of ancient sage-kings for justification; both accepted as a political norm a benevolent, paternalistic system with power and initiative descending from above, although Mo's conceptions were more authoritarian and theocratic than those of the Confucians; both regarded politics and ethics as synonymous and believed that the creation of the good society would go hand in hand with the improvement of the individual's moral character. They shared the common ground of a logical, matter-of-fact approach to human problems, in contrast to the mysticism of the Taoists. Nevertheless, the Confucianists campaigned uncompromisingly against their rivals and finally won such a complete victory that Mo Ti's influence was extinguished and his teachings remained almost unknown for some 2,000 years.
Email your librarian or administrator to recommend adding this to your organisation's collection.