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Full-Text Articles in Medicine and Health Sciences

Reducing Readmission Rates In Adult Patients (18–25 Years) With Alcohol And Substance Use Disorder Through Implementation Of Care Coordination Strategy: An Integrative Review, Godswill Evouka Oct 2023

Reducing Readmission Rates In Adult Patients (18–25 Years) With Alcohol And Substance Use Disorder Through Implementation Of Care Coordination Strategy: An Integrative Review, Godswill Evouka

Doctoral Dissertations and Projects

Alcohol and substance use disorders are a major issue in adults ages 18 to 25. According to the 2021 National Survey on Drug Use and Health, 6.6 million young adults ages 18 to 25 reported that they drank alcohol in the past month, and 2.4 million young adults ages 18 to 25 reported heavy alcohol use in the past. Over 20 million alcohol use cases were reported in the past year in the United States. Further, 21.6% of patients with drug use disorders were readmitted to hospitals within 30 days of discharge. Adults ages 18 to 25 years who are …


Mental Health Disorders Among The Adolescent Population In Nigeria: An Integrative Review, Njideka Nkemjika Emenyi Mar 2023

Mental Health Disorders Among The Adolescent Population In Nigeria: An Integrative Review, Njideka Nkemjika Emenyi

Doctoral Dissertations and Projects

Mental illness is a public health crisis with extensive stigma that has been substantially neglected in Nigeria. The general belief in Nigeria is that mental illness originates from supernatural causes such as possession of evil spirits; hence, individuals with mental illness are left in the hands of “the gods” or traditional healers for help. The prevalence of mental health disorders is high amongst adolescents in Nigeria due to rapid biological, social, and psychological changes that increase their susceptibility to mental health complications. Despite the high prevalence of mental illness among Nigerian adolescents, mental health care access and utilization in this …


Current Targeted Interventions For Adult Patients With Comorbid Obesity And Depression: An Integrative Review, Meredith Lawson Parnell Apr 2022

Current Targeted Interventions For Adult Patients With Comorbid Obesity And Depression: An Integrative Review, Meredith Lawson Parnell

Doctoral Dissertations and Projects

Obesity and depression share a bidirectional relationship when they exist as comorbidities in addition to individually posing complex public health challenges. Evidence from recent years suggests that there is a benefit to treating these illnesses with an integrated approach when they co-occur, but no current clinical guideline exists for this approach. The purpose of this integrative review is to synthesize existing literature and report current interventions targeting the management of comorbid obesity and depression in adults. The Whittemore and Knafl methodology for integrative review is the framework used to conduct this synthesis. A systematic search was conducted of nine computerized …


Implementation Of A Fall Risk Assessment Tool In Primary Practice May Decrease Fall Frequency In The Aging Population, Regina M. White Dec 2020

Implementation Of A Fall Risk Assessment Tool In Primary Practice May Decrease Fall Frequency In The Aging Population, Regina M. White

Doctoral Dissertations and Projects

The purpose of this evidence-based project was to illustrate the benefits of utilizing a fall risk assessment tool during office visits for the aging population of a Midwestern U.S. primary care practice. Utilization of this tool helped minimize fall frequency, thus improved quality of health. The reduction in falls helped minimize unnecessary healthcare expenses. This manuscript identified a rationale for the project, specific tool utilization, outcome measures before and after implementation, limitations, and future application for practice. Provider compliance with tool utilization and frequency were measured. Multiple potential causes of falls and recommendations to minimize falls were identified with the …


Maternal Obesity And Fetal Macrosomia: An Integrative Review Of The Literature Regarding Interventions, Charity Stalcup Apr 2018

Maternal Obesity And Fetal Macrosomia: An Integrative Review Of The Literature Regarding Interventions, Charity Stalcup

Senior Honors Theses

Research suggests pre-pregnancy obesity is associated with an increased risk of macrosomia in the newborn. Since women are expected to gain weight during pregnancy, the standard recommendation of weight loss for obesity is not ideal for this population. In this systematic review of the literature regarding interventions for maternal obesity to reduce fetal macrosomia, 149 articles were screened using three different databases to identify recent randomized controlled trials related to this topic. A total of 11 full text articles were analyzed and included in the review. The articles addressed nutritional, lifestyle, and pharmacological interventions. The results indicated there is currently …