Digital Commons Network^™

Implementation Of Motivational Interviewing Training In An Undergraduate Nursing Curriculum: Identifying Adolescents At Risk For Substance Use, Denise Seigart, Max Veltman, Janet Willhaus, Colene Letterle

Janet Willhaus

Motivational interviewing (MI) has been increasingly utilized by health care practitioners for many years. MI has been practiced by social workers, nurses, physicians, psychologists, substance use counselors, and many other health care practitioners. Unfortunately, many health care practitioners do not have adequate training in motivational interviewing, and therefore feel ill equipped to utilize this approach when faced with clients who are in need of assessment and coaching. This paper discusses our experiences with a pilot project to implement MI training within an Adolescent SBIRT (Screening, Brief Intervention, Referral to Treatment) content addition to the undergraduate nursing curriculum. It includes discussion …

Rural Breast Cancer Patients And Survivors Perspectives Using Online Health Resources, Julie W. Merten, Kim Walsh-Childers, Lakeisha Rodman, Mary Ellen Young, Natalie Birchwood

Julie Merten

Background: Breast cancer is the second most common cancer in women, with over 2.5 million breast cancer survivors in the United States. These patients, survivors and their loved ones use the Internet to find information about breast cancer, search for treatment options and connect with support groups. For women in medically underserved areas, especially rural areas, the Internet could be one of their only sources of information.
Objective: The study investigates rural breast cancer patients’ and survivors’ motivations to seek online information, ability to use the Internet as a health information source, barriers to finding the information they …

Pharmacist Recommendations For Adolescent Smoking Cessation: Results From A Delphi Study, Jessica L. King, Jamie L. Pomeranz, Mary Ellen Young, Julie W. Merten

Julie Merten

While pharmacological and behavioral treatments exist for smoking cessation, there are currently no best practices for helping adolescents quit smoking. This study aimed to reach consensus regarding pharmacist recommendations for adolescent smoking cessation. Using a three-round Delphi technique, pharmacists across the USA with experience working with adolescent substance use provided quantitative and qualitative feedback on recommendations. Forty pharmacists completed Round 1, 37 completed Rounds 2 and 3. In Round 1, 36 (90%) responses included the nicotine patch, gum, or lozenge. Ten recommendations were identified in Round 1: nicotine patch, nicotine gum, nicotine lozenge, bupropion SR, varenicline, quitline, smoking cessation program, …

Current Trends And Practices Of Intensive Care Unit Visitations., Geraldine Fike, Alham Abuatiq, Allan W. Stoner, Dawn Blue

Dr. Alham Abuatiq

No abstract provided.

The Managed Body: Developing Girls & Menstrual Health In The Global South

Chris Bobel

Inorganic Elemental Concentrations In Birch Bolete Mushroom (Leccinum Scabrum) And Top Soil: Contamination Profiles, Bioconcentation And Annual Variations, Malgorzata Medyk, Bommanna G. Loganathan, Leszek Bielawski, Jerzy Falandysz

Bommanna Loganathan

The Effect Of Mindfulness On Cognition & Self-Monitoring After Acquired Brain Injury, Tessa Trumbauer, Katy H. O'Brien, Rebecca Shisler Marshall, Ariella Kaplan

Ariella Kaplan

No abstract provided.

Vitamin E Inhibits The Uvai Induction Of “Light” And “Dark” Cyclobutane Pyrimidine Dimers, And Oxidatively Generated Dna Damage, In Keratinocytes, George J. Delinasios, Mahsa Karbaschi, Marcus Cooke, Antony R. Young

Dr. Marcus S. Cooke PhD, FRCPath

Solar ultraviolet radiation (UVR)-induced DNA damage has acute, and long-term adverse effects in the skin. This damage arises directly by absorption of UVR, and indirectly via photosensitization reactions. The aim of the present study was to assess the effects of vitamin E on UVAI-induced DNA damage in keratinocytes in vitro. Incubation with vitamin E before UVAI exposure decreased the formation of oxidized purines (with a decrease in intracellular oxidizing species), and cyclobutane pyrimidine dimers (CPD). A possible sunscreening effect was excluded when similar results were obtained following vitamin E addition after UVAI exposure. Our data showed that DNA damage …

Endogenously Generated Dna Nucleobase Modifications Source, And Significance As Possible Biomarkers Of Malignant Transformation Risk, And Role In Anticancer Therapy, Ryszard Olinski, Daniel Gackowskia, Marcus Cooke

Dr. Marcus S. Cooke PhD, FRCPath

The DNA of all living cells undergoes continuous structural and chemical alteration, which may be derived from exogenous sources, or endogenous, metabolic pathways, such as cellular respiration, replication and DNA demethylation. It has been estimated that approximately 70,000 DNA lesions may be generated per day in a single cell, and this has been linked to a wide variety of diseases, including cancer. However, it is puzzling why potentially mutagenic DNA modifications, occurring at a similar level in different organs/tissue, may lead to organ/tissue specific cancers, or indeed non-malignant disease – what is the basis for this differential response? We suggest …

Global, Regional, And National Incidence, Prevalence, And Years Lived With Disability For 310 Diseases And Injuries, 1990--2015: A Systematic Analysis For The Global Burden Of Disease Study 2015, Theo Vos, Christine Allen, Megha Arora, Ryan M. Barber, Zulfiqar A. Bhutta, Alexandria Brown, Austin Carter, Daniel C. Casey, Fiona J. Charlson, Alan Z. Chen, Megan Coggeshall, Leslie Cornaby, Lalit Dandona, Daniel J. Dicker, Tina Dilegge, Holly E. Erskine, Alize J. Ferrari, Christina Fitzmaurice, Tom Fleming, Mohammad H. Forouzanfar, Nancy Fullman, Peter W. Gething, Ellen M. Goldberg, Nicholas Graetz, Juanita A. Haagsma, Simon I. Hay, Catherine O. Johnson, Nicholas J. Kassebaum, Toana Kawashima, Laura Kemmer, Ibrahim A. Khalil, Yohannes Kinfu, Hmwe H. Kyu, Janni Leung, Xiaofeng Liang, Stephen S. Lim, Alan D. Lopez, Rafael Lozano, Laurie Marczak, George A. Mensah, Ali H. Mokdad, Mohsen Naghavi, Grant Nguyen, Elaine Nsoesie, Helen Olsen, David M. Pigott, Christine Pinho, Zane Rankin, Nikolas Reinig, Joshua A. Salomon, Logan Sandar, Alison Smith, Jeffrey Stanaway, Caitlyn Steiner, Stephanie Teeple, Bernadette A. Thomas, Christopher Troeger, Joseph A. Wagner, Haidong Wang, Valentine Wanga, Harvey A. Whiteford, Leo Zoeckler, Amanuel Alemu Abajobir, Kalkidan Hassen, Cristiana Abbafati, Kaja M. Abbas, Foad Abd-Allah, Biju Abraham, Ibrahim Abubakar, Laith J. Abu-Raddad, Niveen M. E. Abu-Rmeileh, Ilana N. Ackerman, Akindele Olupelumi Adebiyi, Zanfina Ademi, Arsène Kouablan Adou, Kossivi Agbelenko Afanvi, Emilie Elisabet Agardh, Arnav Agarwal, Aliasghar Ahmad Kiadaliri, Hamid Ahmadieh, Oluremi N. Ajala, Rufus Olusola Akinyemi, Nadia Akseer, Ziyad Al-Aly, Khurshid Alam, Noore K. M. Alam, Saleh Fahed Aldhahri, Miguel Angel Alegretti, Zewdie Aderaw Alemu, Lily T. Alexander, Samia Alhabib, Raghib Ali, Ala'a Alkerwi, François Alla, Peter Allebeck, Rajaa Al-Raddadi, Ubai Alsharif, Khalid A. Altirkawi, Nelson Alvis-Guzman, Azmeraw T. Amare, Alemayehu Amberbir, Heresh Amini, Walid Ammar, Stephen Marc Amrock, Hjalte H. Andersen, Gregory M. Anderson, Benjamin O. Anderson, Carl Abelardo T. Antonio, Atsede Fantahun Aregay, Johan Ärnlöv, Al Artaman, Hamid Asayesh, Reza Assadi, Suleman Atique, Euripide Frinel G. Arthur Avokpaho, Ashish Awasthi, Beatriz Paulina Ayala Quintanilla, Peter Azzopardi, Umar Bacha, Alaa Badawi, Kalpana Balakrishnan, Amitava Banerjee, Aleksandra Barac, Suzanne L. Barker-Collo, Till Bärnighausen, Lars Barregard, Lope H. Barrero, Arindam Basu, Shahrzad Bazargan-Hejazi, Ettore Beghi, Brent Bell, Michelle L. Bell, Derrick A. Bennett, Isabela M. Bensenor, Habib Benzian, Adugnaw Berhane, Eduardo Bernabé, Balem Demtsu Betsu, Addisu Shunu Beyene, Neeraj Bhala, Samir Bhatt, Sibhatu Biadgilign, Kelly Bienhoff, Boris Bikbov, Stan Biryukov, Donal Bisanzio, Espen Bjertness, Jed Blore, Rohan Borschmann, Soufiane Boufous, Michael Brainin, Alexandra Brazinova, Nicholas J. K. Breitborde, Jonathan Brown, Rachelle Buchbinder, Geoffrey Colin Buckle, Zahid A. Butt, Bianca Calabria, Ismael Ricardo Campos-Nonato, Julio Cesar Campuzano, Hélène Carabin, Rosario Cárdenas, David O. Carpenter, Juan Jesus Carrero, Carlos A. Castañeda-Orjuela, Jacqueline Castillo Rivas, Ferrán Catalá-López, Jung-Chen Chang, Peggy Pei-Chia Chiang, Chioma Ezinne Chibueze, Vesper Hichilombwe Chisumpa, Jee-Young Jasmine Choi, Rajiv Chowdhury, Hanne Christensen, Devasahayam Jesudas Christopher, Liliana G. Ciobanu, Massimo Cirillo, Matthew M. Coates, Samantha M. Colquhoun, Cyrus Cooper, Monica Cortinovis, John A. Crump, Solomon Abrha Damtew, Rakhi Dandona, Farah Daoud, Paul I. Dargan, José Das Neves, Gail Davey, Adrian C. Davis, Diego De Leo, Louisa Degenhardt, Liana C. Del Gobbo, Robert P. Dellavalle, Kebede Deribe, Amare Deribew, Sarah Derrett, Don C. Des Jarlais, Samath D. Dharmaratne, Preet K. Dhillon, Cesar Diaz-Torné, Eric L. Ding, Tim R. Driscoll, Leilei Duan, Manisha Dubey, Bruce Bartholow Duncan, Hedyeh Ebrahimi, Richard G. Ellenbogen, Iqbal Elyazar, Matthias Endres, Aman Yesuf Endries, Sergey Petrovich Ermakov, Babak Eshrati, Kara Estep, Talha A. Farid, Carla Sofia E Sa Farinha, André Faro, Maryam S. Farvid, Farshad Farzadfar, Valery L. Feigin, David T. Felson, Seyed-Mohammad Fereshtehnejad, Jefferson G. Fernandes, Joao C. Fernandes, Florian Fischer, Joseph R. A. Fitchett, Kyle Foreman, F. Gerry R. Fowkes, Jordan Fox, Richard C. Franklin, Joseph Friedman, Joseph Frostad, Thomas Fürst, Neal D. Futran, Belinda Gabbe, Parthasarathi Ganguly, Fortuné Gbètoho Gankpé, Teshome Gebre, Tsegaye Tewelde Gebrehiwot, Amanuel Tesfay Gebremedhin, Johanna M. Geleijnse, Bradford D. Gessner, Katherine B. Gibney, Ibrahim Abdelmageem Mohamed Ginawi, Ababi Zergaw Giref, Maurice Giroud, Melkamu Dedefo Gishu, Giorgia Giussani, Elizabeth Glaser, William W. Godwin, Hector Gomez-Dantes, Philimon Gona, Amador Goodridge, Sameer Vali Gopalani, Carolyn C. Gotay, Atsushi Goto, Hebe N. Gouda, Rebecca Grainger, Felix Greaves, Francis Guillemin, Yuming Guo, Rahul Gupta, Rajeev Gupta, Vipin Gupta, Reyna A. Gutiérrez, Demewoz Haile, Alemayehu Desalegne Hailu, Gessessew Bugssa Hailu, Yara A. Halasa, Randah Ribhi Hamadeh, Samer Hamidi, Mouhanad Hammami, Jamie Hancock, Alexis J. Handal, Graeme J. Hankey, Yuantao Hao, Hilda L. Harb, Sivadasanpillai Harikrishnan, Josep Maria Haro, Rasmus Havmoeller, Roderick J. Hay, Ileana Beatriz Heredia-Pi, Pouria Heydarpour, Hans W. Hoek, Masako Horino, Nobuyuki Horita, H. Dean Hosgood, Damian G. Hoy, Aung Soe Htet, Hsiang Huang, John J. Huang, Chantal Huynh, Marissa Iannarone, Kim Moesgaard Iburg, Kaire Innos, Manami Inoue, Veena J. Iyer, Kathryn H. Jacobsen, Nader Jahanmehr, Mihajlo B. Jakovljevic, Mehdi Javanbakht, Sudha P. Jayaraman, Achala Upendra Jayatilleke, Sun Ha Jee, Panniyammakal Jeemon, Paul N. Jensen, Ying Jiang, Tariku Jibat, Aida Jimenez-Corona, Ye Jin, Jost B. Jonas, Zubair Kabir, Yogeshwar Kalkonde, Ritul Kamal, Haidong Kan, André Karch, Corine Kakizi Karema, Chante Karimkhani, Amir Kasaeian, Anil Kaul, Norito Kawakami, Peter Njenga Keiyoro, Andrew Haddon Kemp, Andre Keren, Chandrasekharan Nair Kesavachandran, Yousef Saleh Khader, Abdur Rahman Khan, Ejaz Ahmad Khan, Young-Ho Khang, Sahil Khera, Tawfik Ahmed Muthafer Khoja, Jagdish Khubchandani, Christian Kieling, Pauline Kim, Cho-Il Kim, Daniel Kim, Yun Jin Kim, Niranjan Kissoon, Luke D. Knibbs, Ann Kristin Knudsen, Yoshihiro Kokubo, Dhaval Kolte, Jacek A. Kopec, Soewarta Kosen, Georgios A. Kotsakis, Parvaiz A. Koul, Ai Koyanagi, Michael Kravchenko, Barthelemy Kuate Defo, Burcu Kucuk Bicer, Andreas A. Kudom, Ernst J. Kuipers, G. Anil Kumar, Michael Kutz, Gene F. Kwan, Aparna Lal, Ratilal Lalloo, Tea Lallukka, Hilton Lam, Jennifer O. Lam, Sinead M. Langan, Anders Larsson, Pablo M. Lavados, Janet L. Leasher, James Leigh, Ricky Leung, Miriam Levi, Yichong Li, Yongmei Li, Juan Liang, Shiwei Liu, Yang Liu, Belinda K. Lloyd, Warren D. Lo, Giancarlo Logroscino, Katharine J. Looker, Paulo A. Lotufo, Raimundas Lunevicius, Ronan A. Lyons, Mark T. Mackay, Mohammed Magdy Abd El Razek, Mahdi Mahdavi, Marek Majdan, Azeem Majeed, Reza Malekzadeh, Wagner Marcenes, David Joel Margolis, Jose Martinez-Raga, Felix Masiye, João Massano, Stephen Theodore Mcgarvey, John J. Mcgrath, Martin Mckee, Brian J. Mcmahon, Peter A. Meaney, Alem Mehari, Fabiola Mejia-Rodriguez, Alemayehu B. Mekonnen, Yohannes Adama Melaku, Peter Memiah, Ziad A. Memish, Walter Mendoza, Atte Meretoja, Tuomo J. Meretoja, Francis Apolinary Mhimbira, Anoushka Millear, Ted R. Miller, Edward J. Mills, Mojde Mirarefin, Philip B. Mitchell, Charles N. Mock, Alireza Mohammadi, Shafiu Mohammed, Lorenzo Monasta, Julio Cesar Montañez Hernandez, Marcella Montico, Meghan D. Mooney, Maziar Moradi-Lakeh, Lidia Morawska, Ulrich O. Mueller, Erin Mullany, John Everett Mumford, Michele E. Murdoch, Jean B. Nachega, Gabriele Nagel, Aliya Naheed, Luigi Naldi, Vinay Nangia, John N. Newton, Marie Ng, Frida Namnyak Ngalesoni, Quyen Le Nguyen, Muhammad Imran Nisar, Patrick Martial Nkamedjie Pete, Joan M. Nolla, Ole F. Norheim, Rosana E. Norman, Bo Norrving, Bruno P. Nunes, Felix Akpojene Ogbo, In-Hwan Oh, Takayoshi Ohkubo, Pedro R. Olivares, Bolajoko Olubukunola Olusanya, Jacob Olusegun Olusanya, Alberto Ortiz, Majdi Osman, Erika Ota, Mahesh Pa, Eun-Kee Park, Mahboubeh Parsaeian, Valéria Maria De Azeredo Passos, Angel J. Paternina Caicedo, Scott B. Patten, George C. Patton, David M. Pereira, Rogelio Perez-Padilla, Norberto Perico, Konrad Pesudovs, Max Petzold, Michael Robert Phillips, Frédéric B. Piel, Julian David Pillay, Farhad Pishgar, Dietrich Plass, James A. Platts-Mills, Suzanne Polinder, Constance D. Pond, Svetlana Popova, Richie G. Poulton, Farshad Pourmalek, Dorairaj Prabhakaran, Noela M. Prasad, Mostafa Qorbani, Rynaz H. S. Rabiee, Amir Radfar, Anwar Rafay, Kazem Rahimi, Vafa Rahimi-Movaghar, Mahfuzar Rahman, Mohammad Hifz Ur Rahman, Sajjad Ur Rahman, Rajesh Kumar Rai, Sasa Rajsic, Usha Ram, Puja Rao, Amany H. Refaat, Marissa B. Reitsma, Giuseppe Remuzzi, Serge Resnikoff, Alex Reynolds, Antonio L. Ribeiro, Maria Jesus Rios Blancas, Hirbo Shore Roba, David Rojas-Rueda, Luca Ronfani, Gholamreza Roshandel, Gregory A. Roth, Dietrich Rothenbacher, Ambuj Roy, Rajesh Sagar, Ramesh Sahathevan, Juan R. Sanabria, Maria Dolores Sanchez-Niño, Itamar S. Santos, João Vasco Santos, Rodrigo Sarmiento-Suarez, Benn Sartorius, Maheswar Satpathy, Miloje Savic, Monika Sawhney, Michael P. Schaub, Maria Inês Schmidt, Ione J. C. Schneider, Ben Schöttker, David C. Schwebel, James G. Scott, Soraya Seedat, Sadaf G. Sepanlou, Edson E. Servan-Mori, Katya A. Shackelford, Amira Shaheen, Masood Ali Shaikh, Rajesh Sharma, Upasana Sharma, Jiabin Shen, Donald S. Shepard, Kevin N. Sheth, Kenji Shibuya, Min-Jeong Shin, Rahman Shiri, Ivy Shiue, Mark G. Shrime, Inga Dora Sigfusdottir, Diego Augusto Santos Silva, Dayane Gabriele Alves Silveira, Abhishek Singh, Jasvinder A. Singh, Om Prakash Singh, Prashant Kumar Singh, Anna Sivonda, Vegard Skirbekk, Jens Christoffer Skogen, Amber Sligar, Karen Sliwa, Michael Soljak, Kjetil Søreide, Reed J. D. Sorensen, Joan B. Soriano, Luciano A. Sposato, Chandrashekhar T. Sreeramareddy, Vasiliki Stathopoulou, Nicholas Steel, Dan J. Stein, Timothy J. Steiner, Sabine Steinke, Lars Stovner, Konstantinos Stroumpoulis, Bruno F. Sunguya, Patrick Sur, Soumya Swaminathan, Bryan L. Sykes, Cassandra E. I. Szoeke, Rafael Tabarés-Seisdedos, Jukka S. Takala, Nikhil Tandon, David Tanne, Mohammad Tavakkoli, Bineyam Taye, Hugh R. Taylor, Braden J. Te Ao, Bemnet Amare Tedla, Abdullah Sulieman Terkawi, Alan J. Thomson, Andrew L. Thorne-Lyman, Amanda G. Thrift, George D. Thurston, Ruoyan Tobe-Gai, Marcello Tonelli, Roman Topor-Madry, Fotis Topouzis, Bach Xuan Tran, Thomas Truelsen, Zacharie Tsala Dimbuene, Miltiadis Tsilimbaris, Abera Kenay Tura, Emin Murat Tuzcu, Stefanos Tyrovolas, Kingsley N. Ukwaja, Eduardo A. Undurraga, Chigozie Jesse Uneke, Olalekan A. Uthman, Coen H. Van Gool, Yuri Y. Varakin, Tommi Vasankari, Narayanaswamy Venketasubramanian, Raj Kumar Verma, Francesco S. Violante, Sergey K. Vladimirov, Vasiliy Victorovich Vlassov, Stein Emil Vollset, Gregory R. Wagner, Stephen G. Waller, Linhong Wang, David A. Watkins, Scott Weichenthal, Elisabete Weiderpass, Robert G. Weintraub, Andrea Werdecker, Ronny Westerman, Richard A. White, Hywel C. Williams, Charles Shey Wiysonge, Charles D. A. Wolfe, Sungho Won, Rachel Woodbrook, Mamo Wubshet, Denis Xavier, Gelin Xu, Ajit Kumar Yadav, Lijing L. Yan, Yuichiro Yano, Mehdi Yaseri, Pengpeng Ye, Henock Gebremedhin Yebyo, Paul Yip, Naohiro Yonemoto, Seok-Jun Yoon, Mustafa Z. Younis, Chuanhua Yu, Zoubida Zaidi, Maysaa El Sayed Zaki, Hajo Zeeb, Maigeng Zhou, Sanjay Zodpey, Liesl Joanna Zuhlke, Christopher J. L. Murray

bepress support 176

Background: Non-fatal outcomes of disease and injury increasingly detract from the ability of the world's population to live in full health, a trend largely attributable to an epidemiological transition in many countries from causes affecting children, to non-communicable diseases ( NCDs ) more common in adults. For the Global Burden of Diseases, Injuries, and Risk Factors Study 2015 ( GBD 2015 ), we estimated the incidence, prevalence, and years lived with disability for diseases and injuries at the global, regional, and national scale over the period of 1990 to 2015.

Methods: We estimated incidence and prevalence by age, sex, cause, …

Prescription Drug Abuse Communication: A Qualitative Analysis Of Prescriber And Pharmacist Perceptions And Behaviors, Nicholas E. Hagemeier, Fred Tudiver, Scott Brewster, Elizabeth J. Hagy, Angela Hagaman, Robert P. Pack

Angela M. Hagaman

Background: Interpersonal communication is inherent in a majority of strategies seeking to engage prescriber and pharmacist health care professionals (HCPs) in the reduction and prevention of prescription drug abuse (PDA). However, research on HCP PDA communication behavioral engagement and factors that influence it is limited. Objectives This study quantitatively examined communication behaviors and trait-level communication metrics, and qualitatively described prescription drug abuse-related communication perceptions and behaviors among primary care prescribers and community pharmacists. Methods: Five focus groups (N = 35) were conducted within the Appalachian Research Network (AppNET), a rural primary care practice-based research network (PBRN) in South Central …

Interprofessional Research, Training And Outreach: The Etsu Prescription Drug Abuse/Misuse Working Group, Robert P. Pack, Angela Hagaman, Sara Warfield, Jeffry A. Gray, Fred Tudiver, Arsham Alamian, Nicholas E. Hagemeier

Angela M. Hagaman

No abstract provided.

Retrospective Cohort Study Of The Efficacy Of Azithromycin Vs. Doxycycline As Part Of Combination Therapy In Non-Intensive Care Unit Veterans Hospitalized With Community-Acquired Pneumonia, Justin Spivey, Heather Sirek, Robert Wood, Kalpit Devani, Billy Brooks, Jonathan Moorman

Billy Brooks

The IDSA Community-Acquired Pneumonia (CAP) Guideline recommends ceftriaxone in combination with doxycycline as an alternative to combination therapy with ceftriaxone and azithromycin for non-intensive care unit (ICU) patients hospitalized with CAP. This is an attractive alternative regimen due to recent concerns of increased cardiovascular risk associated with azithromycin. The objective of this study was to compare the clinical outcomes of azithromycin and doxycycline each in combination with ceftriaxone for non-ICU Veterans hospitalized with CAP.

Prescription Drug Abuse And Misuse In Southern Appalachia: An Epidemiologic Perspective, Billy Brooks

Billy Brooks

No abstract provided.

Harm Reduction Panel, Billy Brooks

Billy Brooks

Objectives are (1) Describe HIV/HCV prevalence in TN and Central Appalachia; (2) Understand syringe access in pharmacy settings. Identify and refer clients to local syringe service programs.

Role Competency Scale On Shared Decision-Making Nurses: Development And Psychometric Properties, Joseph D. Tariman Phd, Pamela Katz, Jessica Bishop-Royse Phd, Lisa Hartle Ms, Cns, Rn, Katharine Szubski Bsn, Rn, Toreend Enecio, Ima Garcia, Nadia Spawn Msn, Katherine Jones Masterton

Joseph D Tariman PhD, RN, ANP-BC, FAAN

Roadmap For Creating An Accelerated Three-Year Medical Education Program, Shou Ling Leong, Joan Cangiarella, Tonya Fancher, Lisa Dodson, Colleen Grochowski, Vicky Harnik, Carol Hustedde, Betsy Jones, Christina Kelly, Allison Macerollo, Annette C. Reboli, Melvin Rosenfeld, Kristen Rundell, Tina Thompson, Robert Whyte, Martin Pusic

Annette C. Reboli

Medical education is undergoing significant transformation. Many medical schools are moving away from the concept of seat time to competency-based education and introducing flexibility in the curriculum that allows individualization. In response to rising student debt and the anticipated physician shortage, 35% of US medical schools are considering the development of accelerated pathways. The roadmap described in this paper is grounded in the experiences of the Consortium of Accelerated Medical Pathway Programs (CAMPP) members in the development, implementation, and evaluation of one type of accelerated pathway: the three-year MD program. Strategies include developing a mission that guides curricular development – …

Hdl Subfraction Changes With A Low-Fat, Plant-Based Complete Health Improvement Program (Chip), Lillian Kent, Ross Grant, Greg Watts, Darren Morton, Paul Rankin, Ewan Ward

Darren Morton

Background and Objectives: Low HDL concentrations are considered an important risk factor for cardiovascular disease. Interventions promoting a low-fat, plant-based eating pattern appear to reduce CVD risk while paradoxically also reducing HDL concentrations. Recent studies show HDL to comprise a range of subfractions, but the role these play in ameliorating the risk of CVD is unclear. The purpose of this study was to characterise changes in HDL subfractions in participants where HDL decreased following the CHIP intervention which promotes a low-fat, plant-based diet, with physical activity. Methods and Study Design: Individuals (n=22; mean age=55.4±16.3 years; 45.5% men, 54.5% women) participating …

Hdl Subfraction Changes With A Low-Fat, Plant-Based Complete Health Improvement Program (Chip), Lillian Kent, Ross Grant, Greg Watts, Darren Morton, Paul Rankin, Ewan Ward

Lillian Kent

Background and Objectives: Low HDL concentrations are considered an important risk factor for cardiovascular disease. Interventions promoting a low-fat, plant-based eating pattern appear to reduce CVD risk while paradoxically also reducing HDL concentrations. Recent studies show HDL to comprise a range of subfractions, but the role these play in ameliorating the risk of CVD is unclear. The purpose of this study was to characterise changes in HDL subfractions in participants where HDL decreased following the CHIP intervention which promotes a low-fat, plant-based diet, with physical activity. Methods and Study Design: Individuals (n=22; mean age=55.4±16.3 years; 45.5% men, 54.5% women) participating …

Tobacco Smoke Exposure Is An Independent Predictor Of Vitamin D Deficiency In Us Children, Benjamin U. Nwosu, Philip Kum-Nji

Benjamin U. Nwosu

IMPORTANCE: The role of tobacco-smoke exposure on serum vitamin D concentration in US pediatric population is not known. We hypothesized that tobacco smoke exposure would increase the prevalence of vitamin D deficiency in US children.

METHODS: Representative national data were accessed from the National Health and Nutrition Examination Survey (NHANES) 2009-2010 databank on 2,263 subjects of ages 3 to 17 years. Subjects were categorized into two groups based on their age: children, if <10 >years; and youth if 10 to 17 years. Descriptive and multiple logistic regression analyses were conducted to determine the effect of serum cotinine-verified tobacco smoke exposure on …

Development And Testing Of A Pre-Discharge Medication Management Course For Patients With Catastrophic Injuries And Their Family Caregivers, Tiffany Lecroy, Tolu O. Oyesanya

Tiffany LeCroy

• A priority of recovery after a catastrophic injury, such as ABI or SCI, is independence in management of the condition, including medication management.
• Research shows that after discharge from inpatient rehabilitation, patients with ABI and SCI and their family caregivers have difficulty managing the patient’s medication.
• Medication adherence is consistently a major clinical problem for patients with ABI and SCI, with poor adherence being linked to readmissions and suboptimal outcomes.

Bisakah Disfungsi Ereksi Disembuhkan.Docx, Klinik Sentosa

Klinik Sentosa

Proteomic Profiling Of Serum Derived Exosomes From Prostate Cancer Patients, David Turay

David Turay, MD

Touted among the major achievements in the diagnosis and management of Prostate cancer (PCa) in the past few decades has been, the dramatic decline of men with advanced/metastatic PCa at diagnosis coupled with a significant improvement ( >90%) in the five and ten year survival rates of the disease. Non-palpable PCa (potentially clinically treatable disease) now accounts for 70-80% of all newly diagnosed cases of PCa. Preceding these changes by about a decade was the introduction of Prostatic Specific Antigen (PSA) into clinical practice; first as biomarker for monitoring response to therapy and subsequently as a complementary screening tool. It …

Implementation Of Aset Skin Safety Guideline By Lehigh Valley Health Network Committee Improves Extended Eeg Related Skin Breakdown, Jo Ann Coryell R. Eeg T, Cnim, Alexis Gerber R. Eeg T. Cltm, Sameh Morkous Md, Faan

Sameh Morkous, MD, FAAP, FAAN

No abstract provided.

The Brandeis Human Rights Advocacy Program: Advancing The Human Rights Of The Immigrant, Noncitizen And Refugee Community, Enid Trucios-Haynes

Enid F. Trucios-Haynes

The Human Rights Advocacy Program (HRAP or the Program) at the Brandeis School of Law, University of Louisville, represents a unique collaboration of law faculty and students providing critical resources to the local immigrant, noncitizen and refugee community in Louisville, Kentucky, as well as local service providers to this community. The Program, established in Spring 2014, is distinctive because of its non-hierarchical internal model and the participatory action research and policy focus of its work. The Program is a distinguished from the typical law school clinical model in its focus on community engaged research, policy advocacy, and service, as well …

Exploring The Boundaries Of Command And Control Models Of Distributed Team Performance In Aviation And Aerospace Operations, Haydee M. Cuevas, Barrett S. Caldwell

Haydee M. Cuevas

Traditional command and control (C2) models focus on a centralized command managing and directing one or more subordinate elements to perform required functions. However, in distributed C2 environments, a human commander has less ability to fully understand and control the behavior of "agents" (either human domain experts or autonomous automated systems) in real-time operations. In this paper, we explore the situational, information, and human performance issues that constrain the appropriateness of classical C2 system design, and highlight the need for distributed C2 information flow capabilities, in contemporary humanhuman and human-automation teams. We discuss these issues in the context of modern …

Investigating Uas Operator Characteristics Influencing Mission Success, Haydee M. Cuevas, Kristina M. Kendrick, Zane A. Zeigler, David J. Hamilton

Haydee M. Cuevas

The two objectives of this study were to 1) evaluate how specific operator characteristics (prior experience in manned and unmanned flight, teamwork, and gaming) influence mission success in unmanned aircraft systems (UAS) operations; and 2) evaluate the potential utility of a performance assessment tool. Mission success was assessed using a modified version of the Situation Awareness Linked Indicators Adapted to Novel Tasks (SALIANT) methodology. Eighteen participants completed a UAS scenario (port security) as part of 9 two-person crews (pilot and sensor operator). Results showed that the SALIANT measure was able to discriminate differences in performance among the UAS crews. Results …

Sex And Gender In Emergency Medicine: An Innovative Elective And Toolkit For Incorporation Into Trainee Education., Lauren Walter Md, Gillian A. Beauchamp Md, Rebecca Barron Md, Mph, Tracy E. Madsen Md, Scm, Marna R. Greenberg Do, Mph, Facep, Alyson J. Mcgregor Md, Ma

Marna R Greenberg DO, MPH, FACEP

No abstract provided.

Sex Specific Analysis Of The Vulnerable Elders Survey As A Predictor Of Falls., Rebecca Brown Md, Marna R. Greenberg Do, Mph, Facep, Bryan G. Kane Md, Robert D. Barraco Md, Mph, Jeanne L. Jacoby Md

Marna R Greenberg DO, MPH, FACEP

No abstract provided.

Sex Differences In Adverse Drug Reactions And Adverse Drug Events In Older Adults: A Retrospective Review Of National Poison Data System Cases 2007-2016., Gillian A. Beauchamp Md, B Zane Horowitz Md, Esther K. Choo Md, Mph, Marna R. Greenberg Do, Mph, Facep, Daniel A. Spyker Md, Phd

Marna R Greenberg DO, MPH, FACEP

No abstract provided.