ABSTRACT
The Republic of Senegal (hereinafter referred to as “Senegal”) became independent from its former colonial master, the Republic of France in 1960 and formed a democracy. Operations of nursing schools that had been established under the colonial rule were taken over by the Senegal government after the independence. Though having been influenced strongly by French nursing education system, they has developed uniquely and now grown to leading nursing schools of francophone West African countries.<br>The objective of this manuscript is to focus on nurses that account to the largest number of healthcare workers in Senegal and to trace the historical transition of Senegal's nursing education. The research methods are collection of reference materials, classification of contents, and interviews. As a result, we found that a visiting nursing school established in 1922 is the oldest public nursing school and a total of eight public schools had been established before the independence. The Senegal government laid down National Economic and Society Development Planning and set forth measures for healthcare problems as a priority issue, and has concentrated on nursing education since the independence in 1960. In 1992, the former Ministry of Social Health Activity established the National School of Health and Social Development by integrating 14 public schools related to health welfare. In 2003, it started a practical nurse training program aimed at increasing of the number of nurse graduates and decentralizing nursing education. In 2010, the nursing education standard was revised to improve the quality of nursing education and it will be applied to all nursing schools hereafter.<br>The need for strengthening management of human resource development and ensuring the quality of that by using the estimates of nurse supply and demand and the like can be suggested as future tasks for the nursing education in Senegal.
ABSTRACT
Surgery and cryoablation have been the preferred method for treating drug resistant ventricular tachycardia (VT). Cryoablation, the therapeutic usefulness of which has been documented in many reported studies, is nevertheless not free from technical difficulaties. The advent of Bard<sup>®</sup> System 6000 Argon beam coagulator (ABC) as a new procedure alternative to cryoablation offered us a hope for solving problems with conventionally used techniques. Preliminary experiments with this device on dog myocardium permitted us to determine therapeutically adequate irradiation time and depth of cauterization and to locate an optimum area of myocardium to be coagulated. Based on these experiences, an attempt was made to use ABC as an adjunct to surgery in the surgical treatment of 4 patients with monofocal non-ischemic VT. In 1 of these 4 patients, VT disappeared postoperatively, making use of antiarrythmia drugs quite unnecessary, while in the remaining 3, a marked diminution of ventricular arrhythmia with a consequent reduction of drug dosage was achieved, use of the device thus being judged to be beneficial. These results led to the conclusion that ABC will provide a valuable adjunct to operation in selected cases of VT and, if the probe and other appliances are further refined, can reasonably be anticipated to be used as frequently as cryoablation.