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Oral Chemotherapy: Safe Handling In The Home, Cynthia Huff 2020 The University of San Francisco

Oral Chemotherapy: Safe Handling In The Home, Cynthia Huff

DNP Qualifying Manuscripts

Background: According to the National Institute for Occupational Safety and Health (2016), oral anticancer agents (OAC) are hazardous drugs (HD) and require the same safe handling interventions in the home setting as in controlled health care environments. The use of a safe handling checklist for OAC administration is a way nurses can provide safe handling education to patients and caregivers and assess for understanding and competency for critical tasks. Effective home management strategies outlining caregiver protections, proper storage, administration of OACs, spill clean-up, and waste disposal could reduce exposure risks to toxic agents.

Objective: To present a safe-handling checklist and ...


Usp Compliance: A Hazardous Drug Safe Handling Ppe Toolkit For Infusion Nurses, Cynthia Huff 2020 The University of San Francisco

Usp Compliance: A Hazardous Drug Safe Handling Ppe Toolkit For Infusion Nurses, Cynthia Huff

Doctor of Nursing Practice (DNP) Projects

Problem: Safety concerns have existed for more than 40 years about how hazardous drug (HD) exposure contributes to long- and short-term adverse health outcomes for healthcare workers (HCWs). Careless handling may cause toxic residues to infiltrate hospital environments and patient care areas, and can even be traced to patients’ homes. New government regulations will require healthcare organizations to minimize exposure risks to HCWs by fully implementing the U.S. Pharmacopeia (USP) Convention Chapter 800: Hazardous Drugs: Handling in Healthcare Settings (USP, 2016) on December 1, 2019. According to Polovich and Olsen (2017), “The implementation of the USP <800> Standards will represent ...


The Youthful Pandemic, Brook Sahlemariam 2020 Dominican University of California

The Youthful Pandemic, Brook Sahlemariam

Nursing | Senior Theses

This paper attempts to examine the neurological, physical, and societal effects of e-cigarette use among youth and young-adults in North America. Furthermore, the paper investigates the parallels between e-cigarette users, tobacco users, and dual users in regard to behavioral patterns, reasons for use, and age of initiation.


Calculating An Equation To Estimate The Maximum Oxygen Uptake In Lifeguards, Brais Ruibal-Lista, José Palacios-Aguilar, José Antonio Prieto, Sergio López-García, Miguel Santiago-Alonso, José Antonio Cecchini-Estrada, Cristian Abelairas-Gómez 2020 Universidade da Coruña

Calculating An Equation To Estimate The Maximum Oxygen Uptake In Lifeguards, Brais Ruibal-Lista, José Palacios-Aguilar, José Antonio Prieto, Sergio López-García, Miguel Santiago-Alonso, José Antonio Cecchini-Estrada, Cristian Abelairas-Gómez

International Journal of Aquatic Research and Education

The aim of this study was to derive an equation that validly and reliably estimates the VO2 reached in the IPTL, a maximum stress test for lifeguards. From the results obtained in the first part of the research, a multiple linear regression model was identified. A "stepwise" procedure was established as a variable selection method, where the VO2IPTL was selected as the dependent variable and the maximum time reached in the IPTL (s), the percentage of muscle mass (%) and weight of the participant (kg), as independent variables. This procedure generated a regression model where a high correlation was ...


"Loathsome And Dangerous": Health Screening In A Globalized World, Gabriel Hearn-Desautels 2020 Swarthmore College

"Loathsome And Dangerous": Health Screening In A Globalized World, Gabriel Hearn-Desautels

Swarthmore Undergraduate History Journal

No abstract provided.


The Strengths, Weaknesses, Opportunities And Threats (Swot) Analysis Of The Severe Acute Respiratory Syndrome Coronavirus 2 Of Covid-19, Michael Oluyemi Babalola Ph.D 2020 Infectious Diseases Epidemiology, Molecular Virology and Special Pathogens Research, Department of Microbiology, Adekunle Ajasin University, PMB 001, Akungba Akoko, Ondo state, Nigeria.

The Strengths, Weaknesses, Opportunities And Threats (Swot) Analysis Of The Severe Acute Respiratory Syndrome Coronavirus 2 Of Covid-19, Michael Oluyemi Babalola Ph.D

The University of Louisville Journal of Respiratory Infections

Introduction: SARS-CoV-2 is the etiologic agent of Coronavirus Disease 2019 (COVID-19), a highly contagious, emergent, acute, viral pneumonia that emanated sporadically in Wuhan, China in December 2019. COVID-19 became pandemic in February 2020 leading to 4,942,687 confirmed cases, over 321,987 deaths and grounded several economies around the world as of May 2020. Although global researchers, epidemiologists and medical professionals rose steadily to contain the disease, indepth knowledge and concerted efforts are still evolving on the virus. This research sought to elucidate the biological Strengths, the Weaknesses, Opportunities, and Threats to SARS-CoV-2, with a view to understanding and ...


School Mental Health Promotion: Supporting Children Impacted By Family And Parent Mental Health Conditions, Stella Laletas, Liz Wrigley 2020 Monash University

School Mental Health Promotion: Supporting Children Impacted By Family And Parent Mental Health Conditions, Stella Laletas, Liz Wrigley

Journal of Parent and Family Mental Health

Given the high prevalence of children living with a parent who has a mental health condition, prevention and early intervention strategies have attracted much attention over the past decade. Given the role teachers and educators play in children’s academic and social development, the school context has gained much attention in mental health promotion research. There is a growing evidence of the effectiveness of school-based mental health programs to facilitate strategies that address some of the challenges associated with stigma and prejudice.


Portuguese Lifeguards Performance In Aquatic Rescue: An Exploratory Study, Olga G. Marques Ph.D., José Palacios-Aguilar Ph.D, Henrique G. Melo Mcs., Nuno G. Leitão, Lucia P. Castillo MSc., David Szpilman M.D, Luís Rama Ph.D. 2020 University of Coimbra; Faculty of Sport Sciences and Physical Education

Portuguese Lifeguards Performance In Aquatic Rescue: An Exploratory Study, Olga G. Marques Ph.D., José Palacios-Aguilar Ph.D, Henrique G. Melo Mcs., Nuno G. Leitão, Lucia P. Castillo Msc., David Szpilman M.D, Luís Rama Ph.D.

International Journal of Aquatic Research and Education

The objective of the study was to compare the performance of Portuguese lifeguards in two trials of simulated rescue at the beach within a regular continuous workday. Additionally, the study aimed to analyse the influence of experience and initial course syllabus on the rescue performance. A total of 86 Portuguese lifeguards (LG) participated in this study, 69 males and 17 females. The two simulated drowning occurrences were planned to occur at 50 meters from the coastline between 9.00h am and 18.00h pm. The weather conditions, the characteristics of the beach, wave amplitude were also controlled. The results were ...


Stop Fighting The Coronavirus, Pranay Sinha 2020 Boston Medical Center

Stop Fighting The Coronavirus, Pranay Sinha

Journal of Wellness

During the COVID-19 pandemic, the refrain of war has echoed across the world. It has tainted the way we speak about the pandemic and shaped the way we think about it. Metaphors can direct thought and action. This essay reflects on the ways in which the metaphor of war is disrupting the way we relate to the pandemic, to our society, and to each other and concludes with an alternative metaphor.


Tuberculosis Medication Nonadherence—A Qualitative Case Study, Karthick Swaminathan, Lalitha Ramakrishnan, C. S. G. Krishnamacharyulu 2020 Pondicherry University

Tuberculosis Medication Nonadherence—A Qualitative Case Study, Karthick Swaminathan, Lalitha Ramakrishnan, C. S. G. Krishnamacharyulu

The Qualitative Report

India is grappling with the problem of controlling tuberculosis nearly for the past 50 years. The problem of nonadherence to treatment regimen has also worsened the situation of multidrug resistant tuberculosis (MDR-TB) in India. This article explores the factors behind nonadherence among erstwhile TB defaulters in a rural district in India. In-depth interviews with seven chronic defaulters and with healthcare professionals were conducted at a government-run Chest Clinic. In addition to in-depth interviews with defaulters and healthcare professionals, medical records and government orders related to TB control were examined extensively. Participants were also observed to understand their interaction with healthcare ...


Concomitant Invasive Pneumococcal Disease In A Patient With Covid-19 – A Case Report From The Louisville Epidemiology Study, Clayton J. Patross, Brian C. Bohn PharmD, Sarah E. Moore PharmD, Paul Schulz, Matthew Song PharmD, BCIDP, Ashley M. Wilde, Julio A. Ramirez 2020 Department of Pharmacy, Norton Healthcare Brownsboro Hospital

Concomitant Invasive Pneumococcal Disease In A Patient With Covid-19 – A Case Report From The Louisville Epidemiology Study, Clayton J. Patross, Brian C. Bohn Pharmd, Sarah E. Moore Pharmd, Paul Schulz, Matthew Song Pharmd, Bcidp, Ashley M. Wilde, Julio A. Ramirez

The University of Louisville Journal of Respiratory Infections

A 60-year-old male presented to the Emergency Department (ED) with a one-two day history of confusion, headache, and subjective fever. Because he had met with a contact two days prior to admission who had recently traveled from the Bahamas, a COVID-19 nasopharyngeal (NP) and oropharyngeal (OP) polymerase chain reaction (PCR) test was ordered. He was diagnosed with bacterial meningitis based on presenting neurologic symptoms and the identification of Streptococcus pneumoniae from blood cultures. The COVID-19 NP and OP test returned positive, although he never developed shortness of breath, cough, other respiratory symptoms, diarrhea, abdominal pain, nausea, vomiting, or any change ...


Perspectives On Initiating Community-Based Participatory Research Partnerships, Emily Zhang, Seblewongel Yigletu, Hannah Lieberman, Karen Kosinski, Ravali Mukthineni, Diane McLeod, Barbara Rubel, Shalini Tendulkar 2020 Tufts University

Perspectives On Initiating Community-Based Participatory Research Partnerships, Emily Zhang, Seblewongel Yigletu, Hannah Lieberman, Karen Kosinski, Ravali Mukthineni, Diane Mcleod, Barbara Rubel, Shalini Tendulkar

Journal of Community Engagement and Scholarship

Community-based participatory research (CBPR) involves partnerships between academics and communities to address community priorities through collaborative research. Undergraduate student engagement in CBPR as part of an academic course is uncommon and there is limited evidence on the lessons learned about partnership initiation from course-based partnerships. This paper shares lessons from Medford and Tufts Community Health (MATCH), a course-based CBPR initiative. At the end of this course, three students, the instructor, and two community partners identified a list of four key lessons learned about partnership initiation. First, undergraduates should understand and explicitly attend to the privileges they bring to CBPR as ...


Geriatrics In Clinical Practice And Beyond: Brain Health, The Sixth Vital Sign?, Nannette Hoffman 2020 HCA

Geriatrics In Clinical Practice And Beyond: Brain Health, The Sixth Vital Sign?, Nannette Hoffman

HCA Healthcare Journal of Medicine

Brain health in middle age and geriatric patients will take on greater importance for health care practitioners in our aging society. This article discusses various approaches clinicians can use for their patients to promote and improve brain health. These are generally the same lifestyle adoptions for cerebrovascular disease and cardiovascular disease prevention: weight management, exercise, and blood pressure and cholesterol lowering. Social stimulation and cognitive activities may also be important for the elderly.


The Other Epidemic, Bruce Deighton 2020 HCA Healthcare

The Other Epidemic, Bruce Deighton

HCA Healthcare Journal of Medicine

The epidemic level of opioid abuse in the U.S. population continues to present a major challenge to our society and to the medical profession. Medical education has a significant role in improving screening, diagnosis, appropriate treatment and management of opioid use disorder. Addressing the problem of overprescribing opioids through physician education, surveillance and opioid management has resulted in significant improvement, translating to fewer overdose deaths from prescription opioids. Graduate medical education can increase access to care by training more addiction medicine specialists, and training other physicians to prescribe buprenorphine and provide access to medically assisted care.


Strengthening The Evidence Base For Telehealth For Abortion Service Delivery, Nadi Kaonga 2020 Maine Medical Center

Strengthening The Evidence Base For Telehealth For Abortion Service Delivery, Nadi Kaonga

Journal of Maine Medical Center

Telehealth – which is the use of information and communication technology to provide clinical services to patients remotely – provides an opportunity to extend safe abortion services to women. A recent review article on telehealth for abortion service delivery found it to be acceptable, feasible and safe when compared to in-person service delivery. Despite the promising findings, the evidence base can and should be strengthened to optimize the impact of such services for women. Areas for improvement include evaluating the efficacy and effectiveness of telehealth implementations in more remote settings and with women across variable levels of technoliteracy, conducting cost-effectiveness analyses and ...


Is Rocky Mountain Spotted Fever Transmitted In Maine?, Eric J. Ray 2020 Maine Medical Center

Is Rocky Mountain Spotted Fever Transmitted In Maine?, Eric J. Ray

Journal of Maine Medical Center

Introduction:

Tickborne disease occurs worldwide with recent recognition of changes in tick vector distributions. Rocky Mountain Spotted Fever (RMSF) is already widespread across the United States; however, it is being monitored for introduction to non-endemic areas.

Clinical Findings:

A 65-year-old male with a history of psoriatic arthritis on adalimumab and local tick exposures but no known recent bites presented to the emergency department with fevers, myalgias, arthralgias, and a maculopapular rash of unclear etiology. Initial testing showed transaminitis, worsened chronic thrombocytopenia, and slight neutropenia with absolute neutrophil count 2,330 (reference value: 2,400-7,600 cells per µL); however, he ...


Evaluation Of Geographic Disparities In Cervical Cancer Survival Across Maine, Kaylee Underkofler, Jason Lachance 2020 University of Rochester Medical Center

Evaluation Of Geographic Disparities In Cervical Cancer Survival Across Maine, Kaylee Underkofler, Jason Lachance

Journal of Maine Medical Center

Introduction. National data exists suggesting the existence of geographic disparities in oncology care within the United States. It is unknown whether geographic disparities present a problem for women with gynecologic malignancies locally in Maine.

Methods. Data for each cervical cancer case diagnosed or treated under the MaineHealth system between 2007 and 2011 were acquired from the MaineHealth Network Registry. Average annual incidence and 5-year survival were calculated for each county in Maine and were mapped using geographic information systems (GIS) software. Next, cases were divided into 2 groups: those residing less than or equal to 60 miles from the sole ...


Prescription Analgesia And Adjuvant Use By Pain Severity At Admission Among Nursing Home Residents With Non-Malignant Pain, Kate L. Lapane, Anne L. Hume, Reynolds A. Morrison, William M. Jesdale 2020 University of Massachusetts Medical School

Prescription Analgesia And Adjuvant Use By Pain Severity At Admission Among Nursing Home Residents With Non-Malignant Pain, Kate L. Lapane, Anne L. Hume, Reynolds A. Morrison, William M. Jesdale

Population and Quantitative Health Sciences Publications

OBJECTIVE: We estimated the use of prescribed analgesics and adjuvants among nursing home residents without cancer who reported pain at their admission assessment, in relation to resident-reported pain severity.

METHODS: Medicare Part D claims were used to define 3 classes of analgesics and 7 classes of potential adjuvants on the 21st day after nursing home admission (or the day of discharge for residents discharged before that date) among 180,780 residents with complete information admitted between January 1, 2011 and December 9, 2016, with no cancer diagnosis.

RESULTS: Of these residents, 27.9% reported mild pain, 46.6% moderate pain ...


Projecting The Covid-19 Weekly Deaths And Hospitalizations For Jefferson County, Kentucky, Seyed Karimi, Natalie DuPre, W. Paul McKinney, Bert B. Little, Naiya Patel, Sarah Moyer 2020 University of Louisville

Projecting The Covid-19 Weekly Deaths And Hospitalizations For Jefferson County, Kentucky, Seyed Karimi, Natalie Dupre, W. Paul Mckinney, Bert B. Little, Naiya Patel, Sarah Moyer

The University of Louisville Journal of Respiratory Infections

Introduction: The trends in the numbers of active hospitalizations and fatalities caused by the COVID-19 in Jefferson County, Kentucky, were projected over the period May 7 to August 20, 2020.

Methods: The projections provided in this report are from a susceptible-exposed-infectious-recovered (SEIR) model. The model was calibrated using the COVID-19 transmission dynamics parameters from relevant literature and clinical dynamics parameters from the county’s data. The model was used for measuring the impact of public health policy interventions designed to contain the infection. The policy was modeled by its intervention day and impact on the transmission of the virus such ...


False-Negative Sars-Cov-2 Reverse Transcriptase Polymerase Chain Reaction (Rt-Pcr) Is An Important Consideration For Patient Management And Infection Prevention: A Case Report From The Louisville Covid-19 Epidemiology Study, Matthew Song PharmD, BCIDP, Ashley M. Wilde, Sarah E. Moore PharmD, Brian C. Bohn PharmD, Clayton J. Patross, Bryan Denham, Paul Schulz, Julio A. Ramirez 2020 Norton Healthcare

False-Negative Sars-Cov-2 Reverse Transcriptase Polymerase Chain Reaction (Rt-Pcr) Is An Important Consideration For Patient Management And Infection Prevention: A Case Report From The Louisville Covid-19 Epidemiology Study, Matthew Song Pharmd, Bcidp, Ashley M. Wilde, Sarah E. Moore Pharmd, Brian C. Bohn Pharmd, Clayton J. Patross, Bryan Denham, Paul Schulz, Julio A. Ramirez

The University of Louisville Journal of Respiratory Infections

We report a case of false negative SARS-CoV-2 RT-PCR on nasopharyngeal swab. Treating clinicians and infection preventionists should maintain a high suspicion for COVID-19 in the appropriate clinical setting despite negative test results. Utilization of chest CT should be strongly considered in the diagnostic work-up for suspected COVID-19, particularly in areas with limited RT-PCR availability.


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