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A Pilot Project For School-Based Screening And Treatment Of Latent Tb Infection Among Freshman High School Students, Isis Cunningham 2019 University of San Diego

A Pilot Project For School-Based Screening And Treatment Of Latent Tb Infection Among Freshman High School Students, Isis Cunningham

Doctor of Nursing Practice Final Manuscripts

Background: San Diego’s tuberculosis (TB) incidence is 2.5 times higher than the national rate. Five cases of active TB in the county’s public high schools during 2018 demonstrated the need for prevention interventions in this setting.

Objectives: This evidence-based project aimed to increase awareness, screening, and treatment of latent TB infection (LTBI) in the school setting.

Methods: A one-time TB educational presentation was given to high school freshman students with a pretest and posttest. A TB risk assessment and consent was sent home with the students. For at-risk students, a confidential package was sent to the parents ...


Using Short Message (Sms) To Deliver Appointment Reminders And Reduce No-Show Rates: An Evidence-Based Practice Project, Fernando Serrano 2019 University of San Diego

Using Short Message (Sms) To Deliver Appointment Reminders And Reduce No-Show Rates: An Evidence-Based Practice Project, Fernando Serrano

Doctor of Nursing Practice Final Manuscripts

Background/Objectives: Missed appointments (MAs) are correlated with reduced treatment efficacy, increased financial burden on medical institutions, and early treatment terminations for therapy (DeFife, Conklin, Smith, & Poole, 2010). MAs occur for a variety of reasons including, but not limited to severity of illness, financial/geographic constraints, and forgetting the appointment (Filippidou, Lingwood, & Mirza, 2014). Appointment compliance within outpatient mental health clinics has a wide variance with some clinics reporting MAs ranging from 15% to 50% (Car, Gurol-Urganci, de Jongh, Vodopivec-Jamsek, & Atun, 2013).

With decreasing costs and a subsequent massive increase in mobile phone technology use by the general population, Short ...


Shingles Vaccine: Identifying High Risk Groups In The Ibd Clinic Setting, Crystal Barajas 2019 University of San Diego

Shingles Vaccine: Identifying High Risk Groups In The Ibd Clinic Setting, Crystal Barajas

Doctor of Nursing Practice Final Manuscripts

Title: Shingles Vaccine: Identifying high risk groups in the IBD clinic setting

Background: The Inflammatory Bowel Disease (IBD) population is an immunocompromised patient population who is at risk for Herpes Zoster (HZ) due to their medication regimen, which further compromises their immune system. It can be difficult for patients to receive appropriate preventative health maintenance measures due to patients’ fears, primary care providers’ lack of knowledge, and gastroenterologists not addressing what may be considered primary care topics. Furthermore, evidence demonstrates that IBD patients have low vaccination rates despite insurance coverage.

Purpose of Project: (a) To increase awareness of the importance ...


Nurse Practitioner Led Identification And Treatment Of Knee Pain Severity Based On Evidence Classification Protocols, Mayra Padilla Arechiga 2019 University of San Diego

Nurse Practitioner Led Identification And Treatment Of Knee Pain Severity Based On Evidence Classification Protocols, Mayra Padilla Arechiga

Doctor of Nursing Practice Final Manuscripts

Title: Nurse Practitioner Led Identification and Treatment of Knee Pain Severity Based on Evidence Classification Protocols

Background: Knee pain has become the 10th leading office visit in the United States. Prevalence of knee pain has increased 65% in the past 20 years accounting for approximately 4 million clinic visits every year. One out of five men and one out of four women in the United States suffers from knee pain. Treatment protocols in actuality are based on physical therapy, pharmacological treatment, or surgical management. However, research has demonstrated that knee pain and progression of knee related illnesses may be ...


Reducing Hospital Readmission Rates Via Np- Initiated Post Discharge Telephone Calls In Dialysis Dependent End Stage Renal Disease Patients, Fabiola Carapia 2019 University of San Diego

Reducing Hospital Readmission Rates Via Np- Initiated Post Discharge Telephone Calls In Dialysis Dependent End Stage Renal Disease Patients, Fabiola Carapia

Doctor of Nursing Practice Final Manuscripts

Purpose/Aim:To determine whether a nurse practitioner-initiated phone call, in addition to the standard transition-of-care (TOC) protocol, will reduce 30-day hospital re-admissions by 50% in patients with end-stage renal disease (ESRD) after an inpatient index hospitalization.

Background: $27 billion is spent annually by Medicare for hospital readmissions. Approximately $17 billion of this amount can be attributed to avoidable causes (Kauffman, 2016). Hospitals have been penalized for excessive readmission rates under the Hospital Readmissions Reduction Program beginning in 2012 (HRRP; Centers for Medicare & Medicaid Services [CMS], n.d.). Index hospitalization refers to the first time, in a series of hospitalizations, that a patient is admitted for a specific condition or diagnosis. Medicare beneficiaries with ESRD, acute myocardial infarction, congestive heart failure, and pneumonia are the most common causes of readmissions.

In 2010, the Affordable Care Act (ACA) set aside $10 billion to encourage health care providers to develop a TOC program to reduce readmission rates (Kamermayer, Leasure, & Anderson, 2017). Several programs were developed and implemented, including HRRP and the Transition of Care Intervention Program under the ACA. In 2015, the Centers of Medicare and Medicaid Services introduced the Equity Plan for Improving Quality in Medicare (CMS, 2015). Telephone follow up calls have been shown to reduce 30-day readmission rates (Briscoe, 2018).

Process: Data from a hemodialysis clinic in southern California was /.p[;analyzed for patients with index hospitalizations. In addition to the clinic’s TOC follow-up protocol, an NP-initiated ...


Reducing Ed Re-Admissions In Post-Op Neuro Patients Utilizing A Np Telephone Follow-Up Protocol, Katherine Curran 2019 University of San Diego

Reducing Ed Re-Admissions In Post-Op Neuro Patients Utilizing A Np Telephone Follow-Up Protocol, Katherine Curran

Doctor of Nursing Practice Final Manuscripts

Reducing ED Re-admissions in Post-Op Neuro Patients utilizing a NP Telephone Follow-up Protocol

Background

Post craniotomy patients discharging from the hospital to home, commonly present to the emergency department (ED) with incisional concerns. Complaints stem from minimal post-op education, poor incision management, and lack of knowledge relational to infection. Unanswered questions prior to discharge lead to unnecessary ED visits, anxious calls after discharge, and poor patient satisfaction. ED admissions lead to fortuitous costs that can be prevented through evidenced based interventions.

Purpose/Aim

Post craniotomy patients at a large hospital system in Southern California will have decreased ED visits correlated ...


Rekomendasi Obat Kista Bartholin Di Apotik [Bukan Di Kimia Farma], Walatra Spirulina 2019 Bryant University

Rekomendasi Obat Kista Bartholin Di Apotik [Bukan Di Kimia Farma], Walatra Spirulina

Walatra Sarang Semut

Temukan rekomendasi obat kista bartholin.
Mau Konsultasi? Klik DISINI http://bit.ly/082219005138


The Effects Of Autophagy On The Replication Of Zika Virus, Mohammed Marghani 2019 Touro College and University System

The Effects Of Autophagy On The Replication Of Zika Virus, Mohammed Marghani

NYMC Student Theses and Dissertations

Zika virus is an enveloped virus with a single-stranded positive-sense RNA genome. The Zika virus is a member of the Flaviviridae family of viruses that was discovered to infect humans in 1952. The Flavivirus envelope is decorated by many copies of two membrane proteins that facilitate viral entry. The virus is primarily transmitted through mosquito bites. Another method by which Zika virus could be transmitted is through sexual contact with Zika infected partners or from an infected pregnant woman to fetus known as congenital transmission. Infected patients suffer from self-limiting febrile illness including headaches, skin rash myalgia, and conjunctivitis. Zika ...


Mental Health Disparities For Latino Immigrants & Its Impact On Psychological Well-Being, Ana Do Rosario Sousa 2019 Dominican University of California

Mental Health Disparities For Latino Immigrants & Its Impact On Psychological Well-Being, Ana Do Rosario Sousa

Counseling Psychology | Master's Theses

In the present study, the researcher sought to examine the factors associated with Latino immigrants and the barriers/challenges that are faced in mental health. The main question that the researcher focuses on in the present study is: What are some of the mental health challenges for Latino immigrants & how do these disparities further impact psychological well-being? Furthermore, the research focuses on highlighting the variables that are increasingly damaging to the minority population of Latinos in the United States. These variables include lack of health insurance, stigma, acculturation issues, legal issues, and biopsychosocial factors, such as socioeconomic class. In multiple ...


Supporting Marin County Youth Suffering From Anxiety And Depression, Victoria L. Grajeda 2019 Dominican University of California

Supporting Marin County Youth Suffering From Anxiety And Depression, Victoria L. Grajeda

Counseling Psychology | Master's Theses

This toolkit was created to help shed light on the impact a stressful high school environment can have on today’s youth, and provide teachers, students, and parents with up-to-date information on what resources are available within the county of Marin. When working with adolescents, it is important to consider environmental threats to their mental health (i.e., lack of sleep) in order to make proper referrals and treatment plans. A study done by Kelley, Lockley, Kelley, & Evans (2017) implemented a 10:00 a.m. start time at an urban school in England. By delaying school start times, Kelley et al., found that absences related to illness were reduced by 50 percent compared to national rates. In general, school systems in the United States are not currently structured to ensure students can function at their maximum potential, and their academics, health, and relationships are deteriorating as a result. More importantly, suicide is becoming more prevalent in high schools within the United States, which means prevention programs need to be reevaluated or implemented to help Marin youth cope with academic and social stress. This guide will provide the community with psychoeducation on depression and anxiety; potential risk factors, how to help, and what treatment options are available.


Public Opinion Report Of Nutrition Education And Nutrition-Related Behaviors, Kristen Hicks-Roof, Robert J. Zeglin, Daniel Manson, Corinne A. Labyak 2019 University of North Florida, Department of Nutrition and Dietetics

Public Opinion Report Of Nutrition Education And Nutrition-Related Behaviors, Kristen Hicks-Roof, Robert J. Zeglin, Daniel Manson, Corinne A. Labyak

Florida Public Health Review

Objectives: Sources of obtaining credible evidence-based nutrition knowledge appears to be more and more limited as nutrition information becomes widespread. The purpose of this study was to determine sources of nutrition information and corresponding nutrition-related behaviors among Florida residents. Study Design: A cross-sectional study.

Methods: A telephone survey was conducted using probability sampling with residents of Florida in October 2017.Results: A total of 611 respondents completed the survey from 45 different counties across Florida. A significant relationship was established between age and primary source of obtaining nutrition information. Young, middle age and elderly adults preferred media, registered dietitians and ...


Systematic Review Protocol: The Effects Of Glucocorticoids On Selected Hemodynamic And Biochemical Parameters In Dogs And Cats, Jessica Ward, Allison Masters, Annette O'Connor 2019 Iowa State University

Systematic Review Protocol: The Effects Of Glucocorticoids On Selected Hemodynamic And Biochemical Parameters In Dogs And Cats, Jessica Ward, Allison Masters, Annette O'Connor

Jessica Ward

Objective: The objective of this scoping review is to define the scope of literature pertaining to the effects of glucocorticoids in dogs or cats on selected parameters that may affect cardiac function or fluid balance (blood glucose, blood pressure, sodium and potassium levels, echocardiographic or invasive hemodynamic indices, or indicators of volume status). It is our intention that after evaluating the available literature, we will then make a determination of the potential to conduct a systematic review and meta-analysis of the relevant literature for specific interventions.


A Community-University Partnership To Improve Access To Fresh Produce Among Homebound Seniors, Lauri Wright, Lina Bracht, Lauren M. Vance, Cindy Vann, James B. Epps 2019 University of North Florida

A Community-University Partnership To Improve Access To Fresh Produce Among Homebound Seniors, Lauri Wright, Lina Bracht, Lauren M. Vance, Cindy Vann, James B. Epps

Florida Public Health Review

Accessing fresh produce is often difficult for homebound seniors, leading to under-consumption and increased risk of chronic disease. Current Meals on Wheels (MOW) programs do not include fresh produce delivery. A MOW agency collaborated with a large non-profit university to design and evaluate the impact of a monthly produce delivery program to homebound seniors. The produce delivery program was systematically designed based on the constructs of the Health Belief Model. Quantitative and qualitative data was collected. The results of the monthly delivery of fresh produce to homebound seniors demonstrated an increased produce intake and increased perceived health value of fruits ...


Documenting Support For Ongoing And Improved Efforts In Sexuality Education, Elissa M. Barr, Michele J. Moore, Kristina Wilson, Tiffany L. Parisi, Heather M. McCann 2019 University of North Florida

Documenting Support For Ongoing And Improved Efforts In Sexuality Education, Elissa M. Barr, Michele J. Moore, Kristina Wilson, Tiffany L. Parisi, Heather M. Mccann

Florida Public Health Review

As debate regarding sexuality education continues, STD, HIV, and teen pregnancy rates remain high. Garnering support is critical to ensure quality programs addressing these public health concerns. As part of a funded project to reduce adolescent sexual health issues in a large Florida county, this study assessed voter support for specific sexuality education topics. A survey was developed after reviewing existing instruments. The university’s Public Opinion Research Laboratory used random-digit-dialing to administer the survey (N=311). Most participants supported topics taught in middle school: dealing with pressure to have sex (85%), talking to parents about sex (90%), human anatomy ...


Preparing For Florida’S Older Adult Population Growth With User-Friendly Demographic Maps, Kathryn Hyer, George MacDonald, Kathy Black, Adrian N.S. Badana, Scott Patrick Murphy, William E. Haley 2019 University of North Florida

Preparing For Florida’S Older Adult Population Growth With User-Friendly Demographic Maps, Kathryn Hyer, George Macdonald, Kathy Black, Adrian N.S. Badana, Scott Patrick Murphy, William E. Haley

Florida Public Health Review

The older adult population of the United States is growing rapidly. For 40 years Florida has remained the state with the highest percentage of older adults and has experienced robust growth. It may be a model for other states that will witness an increase in their own older adult populations. This article provides links to publicly available, free interactive Web-based maps developed by the University of South Florida displaying colorful maps depicting projected older adult population growth in Florida from 2010 to 2040 at the county level, stratified by sex, race, and ethnicity, and with options for focusing on 65 ...


Prescribing Medications For Chronic Pain Management: The State Of Education In Florida Medical Schools And Residency Programs, Wyndham A. Bonnett, Katherine Perdomo, Suzanne C. Baker, Marshall B. Kapp 2019 University of North Florida

Prescribing Medications For Chronic Pain Management: The State Of Education In Florida Medical Schools And Residency Programs, Wyndham A. Bonnett, Katherine Perdomo, Suzanne C. Baker, Marshall B. Kapp

Florida Public Health Review

The purpose of this study was to assess the state of chronic, non-cancer pain management education in Florida medical schools and residency programs. Surveys were developed and distributed to Florida allopathic and osteopathic medical schools. One survey was specific to students and residents and one to faculty. Confidence in their general education, as well as in treating patients with chronic, non-cancer pain, was measured. A majority of medical students and residents (59.5%), in addition to a majority of faculty (58.1%), agreed or strongly agree that more clinical time needs to be dedicated to chronic, non-cancer pain management education ...


Community Planning For Hiv/Aids Health Services System Transformation, Graham F. Watts, Deidre Kelly, Cindy Watson 2019 University of North Florida

Community Planning For Hiv/Aids Health Services System Transformation, Graham F. Watts, Deidre Kelly, Cindy Watson

Florida Public Health Review

HIV is a public health concern. Duval County schools Youth Risk Behavior Surveillance data on middle and high school students for 2013 reveal high-risk sexual activity; yet, one in five received no formal instructions about HIV/AIDS. Knowing one’s HIV status is pivotal for HIV prevention and treatment. HIV positive youth who seek treatment, and achieve viral suppression have optimal health outcomes and are less infectious. Northeast Florida joins the national initiative to reduce HIV infection. The City of Jacksonville, Ryan White Part-A Program, Florida Department of Health-Duval, and local HIV/AIDS organizations convened a Youth Summit. Conversations focused ...


Workplace Harassment And Attitudes Towards Lgbt People: Differences Across Human Service Occupations In South Florida, Daniel Sheridan, Joseph Zolobczuk, Kiet Huynh, Debbiesiu L. Lee 2019 University of North Florida

Workplace Harassment And Attitudes Towards Lgbt People: Differences Across Human Service Occupations In South Florida, Daniel Sheridan, Joseph Zolobczuk, Kiet Huynh, Debbiesiu L. Lee

Florida Public Health Review

Research documents that discrimination and harassment directed toward lesbian, gay, bisexual, and transgender (LGBT) individuals are ongoing and prevalent in the workplaces in the United States. However, no studies have identified the specific occupations wherein LGBT-discrimination and harassment are most severe. Furthermore, no study has examined how prepared and comfortable employees feel in addressing discriminatory situations. Utilizing a dataset comprised of 1,691 participants, in this exploratory study we sought to identify whether differences in workplace environment toward LGBT individuals existed across four human service occupations (mental health, medicine, education, and public and private government-related non-profit community organizations). We found ...


Practice Patterns For Sexual History-Taking Among Florida Nurses, Salimah El-Amin, Sandra Suther, Gebre-Egziabher Kiros, Khaing Zaw 2019 University of North Florida

Practice Patterns For Sexual History-Taking Among Florida Nurses, Salimah El-Amin, Sandra Suther, Gebre-Egziabher Kiros, Khaing Zaw

Florida Public Health Review

Florida has some of the highest reported sexually transmitted disease (STD) rates in the country. STDs are a particular problem for minorities, women, and adolescents. Sexual history elicitation is a tool available to clinicians to assess patients’ sexual risk behaviors and to counsel, test, and treat STDs. Nurses play an important role in caring for patients’ sexual health problems, including unwanted pregnancies and STDs. We examined the sexual history-taking practices among advanced registered nurse practitioners (ARNPs) in Florida. We mailed an anonymous pencil-and- paper survey to measure sexual history-taking practices to a stratified random sample of 795 ARNPs. We analyzed ...


Childhood Obesity In Florida: A Narrative Review On Current Trends And Interventions, Corey Parliament, E McKenzie Driscoll, Kristin Samuels, Laura Ward, Tammy M. Baranowski, Tara Kessinger, Alireza Jahan-Mihan 2019 University of North Florida

Childhood Obesity In Florida: A Narrative Review On Current Trends And Interventions, Corey Parliament, E Mckenzie Driscoll, Kristin Samuels, Laura Ward, Tammy M. Baranowski, Tara Kessinger, Alireza Jahan-Mihan

Florida Public Health Review

We examine current research on childhood obesity (CO) trends and intervention strategies in Florida. The fiscal, emotional, and health-related costs related to general obesity are staggering. Unfortunately, CO-related publicity, research, policy, and interventions have not been entirely successful in addressing the problem. Florida ranks 35thnationally in prevalence of CO. Data from the Centers for Disease Control and Prevention (CDC) 2013 report a statistically significant decrease in Florida's rate of CO among 2-4 year-olds participating in Florida’s Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) from 2008-2011. Whereas Florida still has significant room for improvement on the ...


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