This study compared nursing students' satisfaction with the peer-student validation (PSV) method for learning basic skills and the traditional method. Students in the PSV group (n = 41) were compared with students in the traditional method group (n = 46) using a posttest survey. The PSV group reported significantly greater improvements in communication with their patients (P < .04) and time to practice skills (P < .01) and were more satisfied with the organization of the skills laboratory content (P < .04) than the traditional group.
A fifty seven year old man was commenced on phenytoin following hospital admission for a generalised convulsion. Ten days later he developed a large erythematous plaque on his buttock and a widespread eruption of papules and small plaques with associated pustules. Some pustules were noted to be perifollicular (Figs 1-2). The eruption was both itchy and painful. He felt generally unwell and had symptoms suggesting a fever. There was no past history of skin disease and in particular no history of psoriasis.He was readmitted to hospital and treated with oral and topical corticosteroids and antihistamines. Sodium valproate had been substituted for phenytoin. A full blood count revealed a mild neutrophilia and an eosinophilia. Liver function tests showed marked elevations of alkaline phosphatase and gamma glutamyl transferase which returned to normal after four weeks. Electrolytes, urea and creatinine were normal. A swab taken from a pustule was sterile.Several punch biopsies were taken from his back. In one there was suppuration in the superficial portion of a hair follicle, and deep to this neutrophils were present in the reticular dermis (figs 3-4). Elsewhere there was a superficial and deep infiltrate of lymphocytes and neutrophils with an occasional eosinophil. The epidermis was acanthotic and showed diffuse spongiosis with one intraepidermal pustule (fig 4). A gram stain showed a few gram positive cocci with this pustule. No fungi were identified on PAS stain. The second biopsy showed a similar mixed infiltrate, acanthosis and spongiosis ( fig 5). In addition, the papillary dermis was oedematous and there were extravasated red blood cells. There were a few neutrophils on the surface of the intact stratum corneum. Despite examination of multiple levels in this second biopsy a suppurative folliculitis was not identified.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.