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Interventions Used To Improve Control Of Blood Pressure In Patients With Hypertension., Liam G. Glynn, Andrew W. Murphy, Susan M. Smith, Knut Schroeder, Tom Fahey 2010 National University of Ireland, Galway

Interventions Used To Improve Control Of Blood Pressure In Patients With Hypertension., Liam G. Glynn, Andrew W. Murphy, Susan M. Smith, Knut Schroeder, Tom Fahey

General Practice Articles

BACKGROUND: Patients with high blood pressure (hypertension) in the community frequently fail to meet treatment goals - a condition labelled as "uncontrolled" hypertension. The optimal way to organize and deliver care to hypertensive patients has not been clearly identified.

OBJECTIVES: To determine the effectiveness of interventions to improve control of blood pressure in patients with hypertension. To evaluate the effectiveness of reminders on improving the follow-up of patients with hypertension.

SEARCH STRATEGY: All-language search of all articles (any year) in the Cochrane Controlled Trials Register (CCTR) and Medline; and Embase from January 1980.

SELECTION CRITERIA: Randomized controlled trials (RCTs) of patients ...


Program Evaluation For Tdap Immunization Standing Orders In A Birthing Hospital, Helen Crean Taugher DNP 2010 UMass Amherst School of Nursing

Program Evaluation For Tdap Immunization Standing Orders In A Birthing Hospital, Helen Crean Taugher Dnp

Doctor of Nursing Practice (DNP) Projects

Newborn infants are vulnerable to pertussis infections. Although the Advisory Committee on Immunization Practices (ACIP) recommends that babies begin their diphtheria, tetanus and acellular pertussis (DTaP) immunization series at two months of age, the minimum age for administration of the vaccine is six weeks of age (Centers for Disease Control [CDC], 2008). Young infants are at risk for whooping cough infection transmitted from parents, siblings and care-givers during the pre-vaccination period in the first two months of life, particularly pertussis transmitted from their mothers. Since the licensure of adult/adolescent formulations of tetanus, diphtheria and acellular pertussis (Tdap) vaccine in ...


Communication And Teamwork Focused Simulation-Based Education For Nursing Students, Jared M. Kutzin 2010 UMass Amherst

Communication And Teamwork Focused Simulation-Based Education For Nursing Students, Jared M. Kutzin

Doctor of Nursing Practice (DNP) Projects

Simulation has become a common teaching method for healthcare providers, including nursing students. Until recently, the focus of simulation for nursing students has been on clinical skills. This study used a compilation survey to determine if knowledge and attitude scores improved in the bachelor degree nursing student after exposure to a simulation-based teamwork and communication training. Participants were 51 students from the senior leadership course of a bachelor’s degree in nursing program at a university in New Jersey. Control participants received normal clinical rotations with faculty led discussions, and intervention participants received a 4-hour simulation, focused on teamwork and ...


Service Organisation For The Secondary Prevention Of Ischaemic Heart Disease In Primary Care., Brian S. Buckley, Mary C. Byrne, Susan M. Smith 2010 National University of Ireland, Galway

Service Organisation For The Secondary Prevention Of Ischaemic Heart Disease In Primary Care., Brian S. Buckley, Mary C. Byrne, Susan M. Smith

General Practice Articles

BACKGROUND: Ischaemic heart disease (IHD) is a major cause of mortality and morbidity and its prevalence is set to increase. Secondary prevention aims to prevent subsequent acute events in people with established IHD. While the benefits of individual medical and lifestyle interventions is established, the effectiveness of interventions which seek to improve the way secondary preventive care is delivered in primary care or community settings is less so.

OBJECTIVES: To assess the effectiveness of service organisation interventions, identifying which types and elements of service change are associated with most improvement in clinician and patient adherence to secondary prevention recommendations relating ...


Retrospective Analysis Of Screening Patterns In Cirrhotic Patients With Heptocellular Carcinoma, Shelly-Ann Scott-Castell 2010 University of Central Florida

Retrospective Analysis Of Screening Patterns In Cirrhotic Patients With Heptocellular Carcinoma, Shelly-Ann Scott-Castell

Electronic Theses and Dissertations

The incidence of hepatocellular carcinoma (HCC) in cirrhotic patients is increasing worldwide. Cirrhotic patients are recommended by the American Association for the Study of Liver Disease (AASLD) to receive HCC screening and surveillance every 6 months to a year. The purpose of this study was to identify the current screening and surveillance patterns for cirrhotic patients with HCC in clinical practice. Hepatocellular carcinoma can be detected by radiological studies in addition to laboratory testing. It is important to implement the AASLD screening guidelines, as early identification might decrease the mortality rate of patients with cirrhosis and HCC. The research question ...


Comparison Of Arnp And Physician Malpractice In States With And Without Controlled Substance Prescribing Authority, Deborah Chandler 2010 University of Central Florida

Comparison Of Arnp And Physician Malpractice In States With And Without Controlled Substance Prescribing Authority, Deborah Chandler

Electronic Theses and Dissertations

Florida is one of two states that do not allow ARNPs to prescribe controlled substances. The Florida Legislature has expressed concern regarding the safety of ARNPs prescribing controlled substances. The purpose of this study was to compare malpractice rates of ARNPs and physicians in states with and without controlled substance prescribing. The design was a direct comparison of malpractice rates in states with and without ARNP controlled substance prescriptive authority. Comparison of malpractice claims was made between physicians (MDs and DOs collectively) and ARNPs in the United States and by state ARNP prescribing authority. Comparison of malpractice claims was also ...


Effectiveness Of Probiotics In Preventing Antibiotic Associated Diarrhea And Clostridium Difficile In Long Term Care, Marva Edwards-Marshall 2010 University of Central Florida

Effectiveness Of Probiotics In Preventing Antibiotic Associated Diarrhea And Clostridium Difficile In Long Term Care, Marva Edwards-Marshall

Electronic Theses and Dissertations

Problem/Purpose: Antibiotic associated diarrhea (AAD) and clostridium-difficile diarrhea (CDAD) are the most common forms of infectious diarrhea in long-term care facilities. The purpose of this study was to determine the effectiveness of probiotics in preventing AAD and CDAD in the long term care geriatric population, and to identify interventions that can be used to improve clinical practice. Background/Significance: Prophylactic use of probiotics have been purported to decrease the incidences of AAD and CDAD. Previous studies have yielded contradictory results on the efficacy of probiotics. The objective of this study was to evaluate the impact of administration of probiotics ...


A Phenomenological Description Of The Lived Experience Of Creating Art For Women With Breast Cancer, Laurie Stark 2010 University of Central Florida

A Phenomenological Description Of The Lived Experience Of Creating Art For Women With Breast Cancer, Laurie Stark

Electronic Theses and Dissertations

Conventional approaches to cancer treatment typically do not address the personal experiences of the women with breast cancer. The aim of this study was to develop a structural description of the lived experience of women with breast cancer who create art, specifically through painting, sketching or drawing. A phenomenological approach was employed to explore the meaning of creating art for four women with a diagnosis of breast cancer. The philosophical underpinnings for this study were based on the phenomenological method of bracketing which allows the researcher and subjects to focus on lived experience. This qualitative methodology provided a means to ...


The Incidence And Epidemiologic Factors Of Community-Acquired Methicillin-Resistant Staphylococcus Aureus Skin And Soft Tissue I, Ivonne Johnson 2010 University of Central Florida

The Incidence And Epidemiologic Factors Of Community-Acquired Methicillin-Resistant Staphylococcus Aureus Skin And Soft Tissue I, Ivonne Johnson

Electronic Theses and Dissertations

Methicillin-resistant Staphylococcus aureus (MRSA) is a serious public health problem nationwide, threatening to develop into an epidemic. Many of these patients are presenting to their primary care clinics with skin and soft tissue infections (SSTIs). The CDC has reported that in 2005, MRSA was responsible for an estimated 94,000 life-threatening infections and 16,650 deaths. The purpose of this study is to estimate the incidence of CA-MRSA within a specific family practice in Florida and to identify epidemiologic factors, classify antibiotic susceptibility patterns, and evaluate patient education in regard to disease management and prevention. This study was a descriptive ...


Evaluation Of A Simulation-Enhanced Obstetric Clinical Experience On Learning Outcomes For Knowledge, Self-Efficacy, And Transfer, Mary Elizabeth Guimond 2010 University of Central Florida

Evaluation Of A Simulation-Enhanced Obstetric Clinical Experience On Learning Outcomes For Knowledge, Self-Efficacy, And Transfer, Mary Elizabeth Guimond

Electronic Theses and Dissertations

Simulation using computerized patient mannequins may be a useful mechanism to teach safe and effective nursing care, thus improving the quality of education for nurses. As nursing program enrollments grow, clinical placement is becoming more difficult and may not offer consistent learning opportunities that reinforce safe and effective nursing practice. This study applied Ford, Smith, Weissbein, Gully, and Salas’ (1998) model of learning transfer as the theoretical framework to design a simulated obstetric clinical learning experience to augment the current clinical practice model, an approach that may lead to an improved educational experience. The purpose of this study was to ...


Coherence In Stories Told By Adults With Aphasia, Heather Harris Wright, Anthony Koutsoftas, Gerasimos Fergadiotis, Gilson Capilouto 2010 Arizona State University

Coherence In Stories Told By Adults With Aphasia, Heather Harris Wright, Anthony Koutsoftas, Gerasimos Fergadiotis, Gilson Capilouto

Speech and Hearing Sciences Faculty Publications and Presentations

Discourse coherence is the conceptual organization of discourse and it can be subdivided into two types: global and local. Of interest for the current study is global coherence; that is, how the discourse relates to the overall topic (Glosser & Deser, 1990). Coherence has been measured in persons with aphasia (PWA) using different elicitation tasks (e.g., recounts, story retelling, event-casts) and different scoring methods (ie., rating scales, coherence, violations, total counts) and results have varied across studies (Christianson, 1995; Coelho & Flewellyn, 2003; Glosser & Deser, 1990; Ulatowska, et al., 2004). These differences may reflect differences in how coherence is conceptualized, as well as the different methods for measuring it and differences in aphasia presentation of study participants.

The purpose of the present investigation is to determine global coherence ability in adults with aphasia for story-telling. The research questions are: (1) How does a four-point scoring ...


Psychometric Properties Of The Pyramids And Palm Trees Test, Gerasimos Fergadiotis, Heather Wright, Gilson Capilouto 2010 Portland State University

Psychometric Properties Of The Pyramids And Palm Trees Test, Gerasimos Fergadiotis, Heather Wright, Gilson Capilouto

Speech and Hearing Sciences Faculty Publications and Presentations

The Pyramids and Palm Trees Test (PPT) is a nonverbal measure of semantic memory that has been frequently used in previous aphasia, agnosia, and dementia research. Very little psychometric information regarding the PPT is available. The purpose of this study was to investigate the psychometric properties of the PPT in a population of healthy college students. Results indicated that the PPT achieved poor test–retest reliability, failed to obtain adequate internal consistency, and demonstrated poor convergent validity, but showed acceptable discriminant validity. The results of this study suggest that the PPT lacks acceptable reliability and validity for use with a ...


A Case Of Erythema Elevatum Diutinumassociated With Iga Monoclonal Gammopathy And Multiple Myeloma, Shadi Jarjous MD, Cheryl Bloomfield MD, James Ross MD, FACP 2010 Lehigh Valley Health Network

A Case Of Erythema Elevatum Diutinumassociated With Iga Monoclonal Gammopathy And Multiple Myeloma, Shadi Jarjous Md, Cheryl Bloomfield Md, James Ross Md, Facp

Department of Medicine

No abstract provided.


The Impact Of A Coordinated Care Program On Uninsured, Chronically Ill Patients, Jennifer Neimeyer 2010 Virginia Commonwealth University

The Impact Of A Coordinated Care Program On Uninsured, Chronically Ill Patients, Jennifer Neimeyer

Theses and Dissertations

This study explored how being enrolled in a program that both coordinates patient care and provides a medical home changes health care utilization for uninsured patients, more specifically those persons with chronic conditions, through the use of the Chronic Care Model and Andersen and Aday’s Behavioral Model for Access to Health Care. Uninsured patients typically seek out care in a fragmented manner, which may lead to ineffective and inefficient care, especially for conditions that may require ongoing treatment and monitoring such as chronic conditions. The methodology used to examine the relationship between the interaction of enrollment and chronic condition ...


Large Scale Neural Dynamics Of Rhythmic Sensorimotor Corrdination And Stability, Joseph W. (Joseph William) Borrell 2010 Western Washington University

Large Scale Neural Dynamics Of Rhythmic Sensorimotor Corrdination And Stability, Joseph W. (Joseph William) Borrell

WWU Masters Thesis Collection

Coordination Dynamics posits that the stability of coordinated patterns of movement may be a key variable for organizing neural activity underlying coordinated action. In support, recent findings suggest that premotor areas play an important role in maintaining pattern stability. The present EEG study investigates how changes in neural activation (assessed via event-related power) are affected both by rate and stability of coordination. Nineteen participants coordinated finger taps with an auditory metronome in either a synchronized or syncopated pattern presented at five different rates (1.00, 1.25, 1.50, 1.75, and 2.00 Hz). Premotor areas demonstrated increases in ...


The Eroticization Of Lesbianism By Heterosexual Men, Kristin Puhl 2010 Western Washington University

The Eroticization Of Lesbianism By Heterosexual Men, Kristin Puhl

WWU Masters Thesis Collection

The stereotyping of lesbians includes both a traditional masculine, "butch" lesbian and a feminine, sexualized lesbian. The perception of lesbianism as erotic extends throughout mainstream society, with images of lesbianism targeted to heterosexual men in advertising, film, and pornography. If men do not perceive lesbians as either inherently bisexual or hypersexual, why are lesbians eroticized by heterosexual men? Here, subliminal priming with homosexual or heterosexual male or females primes was designed to elicit chronically accessible eroticization of lesbianism. Findings revealed that, contrary to expectations, priming with heterosexual-female prime sets did not increase reported erotic value of lesbianism relative to other ...


Vocal Fold Bowing In Elderly Male Monozygotic Twins: A Case Study, Kristine Tanner, Cara Sauder, Susan L. Thibeault, Christopher Dromey, Marshall E. Smith 2010 The University Of Utah

Vocal Fold Bowing In Elderly Male Monozygotic Twins: A Case Study, Kristine Tanner, Cara Sauder, Susan L. Thibeault, Christopher Dromey, Marshall E. Smith

All Faculty Publications

Objectives: This study examined case histories, diagnostic features, and treatment response in two 79-year-old male monozygotic (identical) twins with vocal fold bowing, exploring both genetic and environmental factors.
Study Design: Case study.
Methods: DNA concordance was examined via cheek swab. Case histories, videostroboscopy, auditory- and visual-perceptual assessment, electromyography, acoustic measures, and Voice Handicap ratings were undertaken. Both twins underwent surgical intervention and subsequent voice therapy.
Results: Monozygosity was confirmed for DNA polymorphisms, with 10 of 10 concordance for STR DNA markers. For both twins, auditory and visual-perceptual assessments indicated severe bowing, hoarseness and breathiness, although Twin 1 was judged to ...


An Evaluation Of A Community Dietetics Intervention On The Management Of Malnutrition For Healthcare Professionals, Sharon Kennelly, N. P. Kennedy, G. Flanaghan-Rughoobur, C. Glennon-Slattery, Sheila Sugrue 2010 Dublin Institute of Technology

An Evaluation Of A Community Dietetics Intervention On The Management Of Malnutrition For Healthcare Professionals, Sharon Kennelly, N. P. Kennedy, G. Flanaghan-Rughoobur, C. Glennon-Slattery, Sheila Sugrue

Articles

Background: Healthcare professionals working in the community setting have limited knowledge of the evidence-based management of malnutrition. The present study aimed to evaluate a community dietetics intervention, which included an education programme for healthcare professionals in conjunction with the introduction of a community dietetics service for patients ‘at risk’ of malnutrition. Changes in nutritional knowledge and the reported management of malnourished patients were investigated and the acceptability of the intervention was explored. Methods: An education programme, incorporating ‘Malnutrition Universal Screening Tool (MUST)’ training, was implemented in eight of 10 eligible primary care practices (14 general practitioners and nine practice nurses ...


Parastomal Patch For Laparoscopic Repair Of Parastomal Hernia: Description Of The Technique, Courtney Edwards MD, Dale A. Dangleben MD, Erik Teicher MD, Peter Rovito MD 2010 Lehigh Valley Health Network

Parastomal Patch For Laparoscopic Repair Of Parastomal Hernia: Description Of The Technique, Courtney Edwards Md, Dale A. Dangleben Md, Erik Teicher Md, Peter Rovito Md

Department of Surgery

No abstract provided.


Plasticity, Not Adaptation To Salt Level, Explains Variation Along A Salinity Gradient In A Salt Marsh Perennial, Christina L. Richards, S. N. White, M. A. McGuire, S. J. Franks, L. A. Donovan, R Maurico 2010 University of South Florida

Plasticity, Not Adaptation To Salt Level, Explains Variation Along A Salinity Gradient In A Salt Marsh Perennial, Christina L. Richards, S. N. White, M. A. Mcguire, S. J. Franks, L. A. Donovan, R Maurico

Integrative Biology Faculty and Staff Publications

Evolutionary ecologists have long been intrigued by the fact that many plant species can inhabit a broad range of environmental conditions and that plants often exhibit dramatic differences in phenotype across environmental gradients. We investigated responses to salinity treatments in the salt marsh plant Borrichia frutescens to determine if the species is responding to variation in edaphic salt content through phenotypic plasticity or specialized trait response. We grew seedlings from fruits collected in high- and low-salt microhabitats, assigned seedlings to high- and low-salt treatments in a greenhouse, and measured traits related to salt tolerance. All traits were highly plastic in ...


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