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Caring For A Preterm Infant During The First Six Months Post Nicu Discharge: A Mother’S Perspective, Lois Phillips-Pula 2011 Virginia Commonwealth University

Caring For A Preterm Infant During The First Six Months Post Nicu Discharge: A Mother’S Perspective, Lois Phillips-Pula

Theses and Dissertations

Overview There are numerous studies in the current literature focusing on the intense emotions experienced by parents, following the birth of a preterm infant, (i.e., born prior to 37 weeks gestational age [GA]). Research findings have helped us understand the fear and anxiety they feel while attempting to navigate the neonatal intensive care unit (NICU) environment. What happens in those early weeks and months at home after discharge, however, is surprisingly absent from the literature. It is well known that preterm infants are readmitted to the hospital during the first few months after discharge at a rate of 10 ...


Components Of The Indirect Effect In Vaccine Trials: Identification Of Contagion And Infectiousness Effects, Tyler J. VanderWeele, Eric J. Tchetgen, M. Elizabeth Halloran 2011 Harvard University

Components Of The Indirect Effect In Vaccine Trials: Identification Of Contagion And Infectiousness Effects, Tyler J. Vanderweele, Eric J. Tchetgen, M. Elizabeth Halloran

COBRA Preprint Series

Vaccination of one person may prevent the infection of another either because (i) the vaccine prevents the first from being infected and from infecting the second or because (ii) even if the first person is infected, the vaccine may render the infection less infectious. We might refer to the first of these mechanisms as a contagion effect and the second as an infectiousness effect. In this paper, for the simple setting of a randomized vaccine trial with households of size two, we use counterfactual theory under interference to provide formal definitions of a contagion effect and an infectiousness effect. Using ...


Lntroducing Integrative Medicine At The Bedside To Patients With Post-Traumatic Headache Pain, Melissa E. Allard 2011 Augsburg College

Lntroducing Integrative Medicine At The Bedside To Patients With Post-Traumatic Headache Pain, Melissa E. Allard

Theses and Graduate Projects

The use of integrative medicine is growing, and the nursing profession has a responsibility to meet the changing needs of patients. This paper describes a model of nursing for delivering integrative medicine practices at the bedside to persons suffering with post-traumatic headache pain related to traumatic brain injury (TBI) and is grounded in Katherine Kolcaba's Comfort Theory. A patient is best served when the holistic principles of integrative medicine are facilitated by a nurse who is centered and able to introduce these modalities with positive intention. The goal of the practice model is to provide the foundation for nursing ...


Facilitating The Staff Nurse's Role In Creating A Culture Of Care On An Obstetrical Care Unit, Laura Struve Hanson 2011 Augsburg College

Facilitating The Staff Nurse's Role In Creating A Culture Of Care On An Obstetrical Care Unit, Laura Struve Hanson

Theses and Graduate Projects

The art of caring is foundational to the nursing profession, but too often nurses prioritize care for others above care for themselves. Nurse self-care and peer care are integral in the creation of a unit culture of care. This project introduces a new nursing practice model based on Jean Watson's caring theory and Caritas Processes to guide staff nurses on an obstetrical unit in creating a culture of care for self and peers. The practice model relies on nurse courage, intentional collaboration, and creativity to uniquely integrate the Caritas Processes into professional practice. This progression fosters the emergence of ...


Advancing A Culture Of Safety Through The Creation Of A Unit-Based Safety Team, Lynda K. Carr 2011 Augsburg College

Advancing A Culture Of Safety Through The Creation Of A Unit-Based Safety Team, Lynda K. Carr

Theses and Graduate Projects

Hospitals are challenged to create a strong culture of safety within their organization to eliminate harm to patients. This paper describes a project to advance a culture of safety on a cardiovascular acute care unit at an urban hospital through the creation of a unit-based safety team. Based on the premise that patient safety is a local phenomenon, the rationale for the project is to aim interventions at the unit level where they will have the greatest impact. Four key steps in creating an effective unit-based safety team are highlighted: team member selection, team development, enacting interventions, and evaluating interventions ...


Implementing Evidence-Based Practices: Considerations For The Hospice Setting, S. Sanders, Melissa Lehan Mackin, J. Reyes, Keela Herr, M. Titler, P. Fine, C. Forcucci 2011 University of Iowa

Implementing Evidence-Based Practices: Considerations For The Hospice Setting, S. Sanders, Melissa Lehan Mackin, J. Reyes, Keela Herr, M. Titler, P. Fine, C. Forcucci

Melissa Lehan Mackin

No abstract provided.


Emergency Contraception In Iowa Pharmacies Before And After Over-The-Counter Approval, Melissa Lehan Mackin, M. Clark 2011 University of Iowa

Emergency Contraception In Iowa Pharmacies Before And After Over-The-Counter Approval, Melissa Lehan Mackin, M. Clark

Melissa Lehan Mackin

ABSTRACT Objectives: To compare availability of emergency contraception in Iowa pharmacies, before and after the U.S. Food and Drug Administration (FDA) approved over-the-counter sales and identify reasons why over-the-counter, emergency contraception might still not be available in some Iowa pharmacies. Design and Sample: Secondary analysis of data collected for an existing, descriptive study. A total of 906 pharmacies were identified; 405 (56.8%) pharmacies participated before, and 308 (43.2%) after the FDA policy change. Measures: Data collected via a scripted telephone survey. Results: After the FDA changed its policy and allowed over-the-counter sales of emergency contraception, the percentage ...


Research Participation By Older Adults At End Of Life: Barriers And Solutions, Melissa Lehan Mackin, Keela Herr, K. Bergen-Jackson, P. Fine, C. Forcucci, S. Sanders 2011 University of Iowa

Research Participation By Older Adults At End Of Life: Barriers And Solutions, Melissa Lehan Mackin, Keela Herr, K. Bergen-Jackson, P. Fine, C. Forcucci, S. Sanders

Melissa Lehan Mackin

The purpose of this article is to elaborate on barriers to research participation by older adults at end of life. We focus on the hospice setting and classify barriers to research participation into six domains: societal attitudes toward death, research procedures, health care organizations, agency staff, patients' families and caregivers, and patient characteristics. We characterize particular participation issues, uncertainties in participation for individuals with advanced illness, and infringements on patient self-determination, as well as potential solutions to these research challenges. Our observation of the complex palliative context includes the realization that a singular change will not have large enough impact ...


The Keys To Creative Caring., Melissa Lehan Mackin, S. Baumler, B. Bezoni, D. Keiffer 2011 University of Iowa

The Keys To Creative Caring., Melissa Lehan Mackin, S. Baumler, B. Bezoni, D. Keiffer

Melissa Lehan Mackin

No abstract provided.


Engaging Racial Autoethnography As A Teaching Tool For Womanist Inquiry, Janette Taylor, Melissa Lehan Mackin, A. Oldenburg 2011 University of Iowa

Engaging Racial Autoethnography As A Teaching Tool For Womanist Inquiry, Janette Taylor, Melissa Lehan Mackin, A. Oldenburg

Melissa Lehan Mackin

Racial autobiography, self-narratives on how one learned about the idea of race, has been underutilized as a tool to familiarize and orient students in the process of critical inquiry for nursing research. The aims of this article are to explore how racial autoethnography: (1) repositions students to effect an epistemological change, (2) challenges dominant ideology, and (3) functions as a link between the student and critical theories for use in nursing research. Students engage in and share reflective narrative about a variety of instructional materials used in the course. Reflective narratives are presented in a framework that addresses white racial ...


Fall Prevention Practices In Adult Medical-Surgical Nursing Units Described By Nurse Managers, L. Shever, M. Titler, Melissa Lehan Mackin, A. Kueny 2011 University of Iowa

Fall Prevention Practices In Adult Medical-Surgical Nursing Units Described By Nurse Managers, L. Shever, M. Titler, Melissa Lehan Mackin, A. Kueny

Melissa Lehan Mackin

The purpose of this article was to describe nursing practices (e.g., assessment, interventions) around fall prevention, as perceived by nurse managers in adult, medical-surgical nursing units. One hundred forty nurse managers from 51 hospitals from across the United States participated. Descriptive frequencies are used to describe nurse manager responses. The most commonly used fall risk assessment tool was the Morse Fall Risk Assessment Tool (40%). The most common fall prevention interventions included bed alarms (90%), rounds (70%), sitters (68%), and relocating the patient closer to the nurses' station (56%). Twenty-nine percent of nurse managers identified physical restraints as an ...


A Long-Term Sirna Strategy Regulates Fibronectin Overexpression And Improves Vascular Lesions In Retinas Of Diabetic Rats, Sumon Roy, Sigrid Nasser, Dana T. Graves, Sayon Roy 2011 University of Pennsylvania

A Long-Term Sirna Strategy Regulates Fibronectin Overexpression And Improves Vascular Lesions In Retinas Of Diabetic Rats, Sumon Roy, Sigrid Nasser, Dana T. Graves, Sayon Roy

Departmental Papers (Dental)

Purpose: A sustained gene modulatory strategy is necessary for regulating abnormal gene expression in diabetic retinopathy, a long-term complication. We investigated the efficacy of a small interference RNA (siRNA) strategy in mediating the long-term downregulatory effect of fibronectin (FN) overexpression in vivo.

Methods: Streptozotocin-induced diabetic rats were intravitreally injected with 3 µM of FN-siRNA at six week intervals over a period of 4.5 months. Retinal FN protein expression, vascular basement membrane (BM) thickness, and retinal vascular cell loss were assessed by western blot, electron microscopy, and retinal trypsin digest, respectively.

Results: Retinal FN expression and BM thickness were significantly ...


Long-Term Effects Of Changes In Cardiorespiratory Fitness And Body Mass Index On All-Cause And Cardiovascular Disease Mortality In Men: The Aerobics Center Longitudinal Study, Duck-chul Lee, Xuemei Sui, Enrique G. Artero, I-Min Lee, Timothy S. Church, Paul A. McAuley, Fatima C. Stanford, Harold W. Kohl III, Steven N. Blair 2011 University of South Carolina - Columbia

Long-Term Effects Of Changes In Cardiorespiratory Fitness And Body Mass Index On All-Cause And Cardiovascular Disease Mortality In Men: The Aerobics Center Longitudinal Study, Duck-Chul Lee, Xuemei Sui, Enrique G. Artero, I-Min Lee, Timothy S. Church, Paul A. Mcauley, Fatima C. Stanford, Harold W. Kohl Iii, Steven N. Blair

Faculty Publications

Background - The combined associations of changes in cardiorespiratory fitness and body mass index (BMI) with mortality remain controversial and uncertain.

Methods and Results - We examined the independent and combined associations of changes in fitness and BMI with all-cause and cardiovascular disease (CVD) mortality in 14,345 men (mean age 44 years) with at least 2 medical examinations. Fitness, in metabolic equivalents (METs), was estimated from a maximal treadmill test. BMI was calculated using measured weight and height. Changes in fitness and BMI between the baseline and last examinations over 6.3 years were classified into loss, stable, or gain groups ...


Introduction Of The Tools For Economic Analysis Of Patient Management Interventions In Heart Failure Costing Tool: A User-Friendly Spreadsheet Program To Estimate Costs Of Providing Patient-Centered Interventions, Shelby D. Reed, Yanhong Li, Shital Kamble, Daniel Polsky, Felicia L. Graham, Margaret T. Bowers, Gregory P. Samsa, Sara Paul, Kevin A. Schulman, David J. Whellan, Barbara Riegel 2011 University of Pennsylvania

Introduction Of The Tools For Economic Analysis Of Patient Management Interventions In Heart Failure Costing Tool: A User-Friendly Spreadsheet Program To Estimate Costs Of Providing Patient-Centered Interventions, Shelby D. Reed, Yanhong Li, Shital Kamble, Daniel Polsky, Felicia L. Graham, Margaret T. Bowers, Gregory P. Samsa, Sara Paul, Kevin A. Schulman, David J. Whellan, Barbara Riegel

School of Nursing Departmental Papers

Background—Patient-centered health care interventions, such as heart failure disease management programs, are under increasing pressure to demonstrate good value. Variability in costing methods and assumptions in economic evaluations of such interventions limit the comparability of cost estimates across studies. Valid cost estimation is critical to conducting economic evaluations and for program budgeting and reimbursement negotiations.

Methods and Results—Using sound economic principles, we developed the Tools for Economic Analysis of Patient Management Interventions in Heart Failure (TEAM-HF) Costing Tool, a spreadsheet program that can be used by researchers and health care managers to systematically generate cost estimates for economic ...


Can Computer Assisted Diagnosis (Cad) Be Used As A Screening Tool In The Detection Of Pulmonary Nodules When Using 64-Slice Multidetector Computed Tomography?, Zishan Haider, Muhammad Idris, W. Memon, Nazia Kashif, Sidra Idris, Zafar Sajjad, Saeed Akram 2011 Aga Khan University

Can Computer Assisted Diagnosis (Cad) Be Used As A Screening Tool In The Detection Of Pulmonary Nodules When Using 64-Slice Multidetector Computed Tomography?, Zishan Haider, Muhammad Idris, W. Memon, Nazia Kashif, Sidra Idris, Zafar Sajjad, Saeed Akram

Department of Radiology

Objectives:To evaluate (1) whether or not the addition of computer-assisted diagnosis (CAD) to 64-slice multidetector computed tomography (CT) can be used as a screening tool for detection of pulmonary nodules in routine CT chest examinations and (2) whether or not to advocate the incorporation of CAD as a screening tool into our daily practice. Materials And

Methods:

A retrospective cross-sectional analysis of 109 consecutive Patients who had all undergone routine contrast-enhanced CT chest examinations for indications other than lung cancer at the Radiology Department of Aga Khan University Hospital, Karachi, between November 2010 and January 2011. All examinations were ...


The Repertoire Of G Protein-Coupled Receptors In The Human Parasite Schistosoma Mansoni And The Model Organism Schmidtea Mediterranea, Mostafa Zamanian, Michael J. Kimber, Paul McVeigh, Steve A. Carlson, Aaron G. Maule, Timothy A. Day 2011 Iowa State University

The Repertoire Of G Protein-Coupled Receptors In The Human Parasite Schistosoma Mansoni And The Model Organism Schmidtea Mediterranea, Mostafa Zamanian, Michael J. Kimber, Paul Mcveigh, Steve A. Carlson, Aaron G. Maule, Timothy A. Day

Biomedical Sciences Publications

Background G protein-coupled receptors (GPCRs) constitute one of the largest groupings of eukaryotic proteins, and represent a particularly lucrative set of pharmaceutical targets. They play an important role in eukaryotic signal transduction and physiology, mediating cellular responses to a diverse range of extracellular stimuli. The phylum Platyhelminthes is of considerable medical and biological importance, housing major pathogens as well as established model organisms. The recent availability of genomic data for the human blood fluke Schistosoma mansoni and the model planarian Schmidtea mediterranea paves the way for the first comprehensive effort to identify and analyze GPCRs in this important phylum.

Results ...


Leadership Rounding: Improving Frontline Nurse Satisfaction, Erin Bashaw 2011 The University of San Francisco

Leadership Rounding: Improving Frontline Nurse Satisfaction, Erin Bashaw

Doctor of Nursing Practice (DNP) Projects

The amount of time nurse managers and senior leadership spend with frontline or bedside staff impacts their ability to empower, engage and retain staff. Improving nurse satisfaction in relationship to teamwork, perception of senior leadership and attitude about direct management should be a priority of all organizations. Leaders that recognize the power of an intergenerational and interdisciplinary workforce will be influential for dynamic change and visionary development. Advancing overall teamwork as a nursing department, developing a better rapport with senior leadership and improving the relationship between direct management and front-line nurses is in the best interest of patient care.


Fluctuations And Instantons In Complex Landscapes: From Ligand Unbinding To Proton Transfer, Justin Elenewski 2011 Virginia Commonwealth University

Fluctuations And Instantons In Complex Landscapes: From Ligand Unbinding To Proton Transfer, Justin Elenewski

Theses and Dissertations

Biophysical entities are complex systems systems with strong environmental coupling, dominated by fluctuations on a hierarchy of timescales. These properties confound simulation of ligand binding and catalysis, inflating the scale of the problem to one tractable only with a considerable outlay of resources. In an attempt to ameliorate this restriction, several techniques are developed to accelerate biomolecular simulations while collaterally lending physical insight. The first segment of this dissertation is concerned with directed simulations of ligand binding in a model system. Using the serum retinol binding protein as a prototype, the potential of mean force associated with ligand binding is ...


Effect Of Duration And Amplitude Of Direct Current When Lidocaine Is Delivered By Iontophoresis, Susan A. Saliba, Courtney L. Teeter-Heyl, Patrick O. McKeon, Christopher D. Ingeroll, Ethan N. Saliba 2011 University of Virginia

Effect Of Duration And Amplitude Of Direct Current When Lidocaine Is Delivered By Iontophoresis, Susan A. Saliba, Courtney L. Teeter-Heyl, Patrick O. Mckeon, Christopher D. Ingeroll, Ethan N. Saliba

Rehabilitation Sciences Faculty Publications

Dosage for the galvanic stimulation for iontophoresis varies. Clinicians manipulate the duration or the amplitude of the current, but it is not known which is more effective. We compared the anesthetic effect of lidocaine HCL (2%) by manipulating the current parameters on 21 healthy volunteers (age: 21.2 ± 4.2, height 170.7 ± 10.2 cm, mass 82.1 ± 19.2 kg). Three conditions were administered in a random order using a Phoresor II® with 2 mL, 2% lidocaine HCL in an iontophoresis electrode. (1) HASD (40 mA*min): High amplitude (4 mA), short duration (10 min); (2) LALD (40 ...


Faculty Empowerment Of Students To Foster Civility In Nursing Education: A Merging Of Two Conceptual Models, Cynthia Clark, Bonnie Kenaley 2011 Boise State University

Faculty Empowerment Of Students To Foster Civility In Nursing Education: A Merging Of Two Conceptual Models, Cynthia Clark, Bonnie Kenaley

Bonnie Kenaley

Academic incivility negatively impacts faculty and student well-being, weakens professional relationships, and impedes effective teaching and learning. This article addresses the prevalent concern of student incivility and provides useful strategies for faculty to empower students. Two conceptual models, Fostering Civility in Nursing Education and an Empowerment Model, were merged to illustrate how the concepts of civility and empowerment can be combined to foster civility in nursing education. Empowerment domains of motivation, psychic comfort, problem-solving, and self-direction are explored as influential factors promoting constructive reciprocal engagement and civility and, ultimately, enhancing professionalism in a complex and ever-changing health system.


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