12190 research outputs found
Sort by
Preparing the Dental Workforce for Emerging Roles
Full text linkCoordinated healthcare, defined by the Agency for Healthcare Research and Quality, is the deliberate organization of patient care by way of sharing information among the entire healthcare system as a means to accomplish the right care, right place, and time for the patient (Agency for Healthcare Research and Quality, 2018). Uncoordinated care on a broad level causes provider and patient dissatisfaction, poor quality of care, and higher costs. While literature is extant for medical care, very little literature exists within the profession of dentistry. Quality studies using validated theoretical models are ripe for exploration in dentistry. One large accountable care dental practice has designed a coordinator-based role within the organization called the dental care advocate, replacing the traditional receptionist role. This role is designed to coordinate the care of the patient, and strengthen care recommendations provided by the licensed care providers, instigating a need to discern: What do we know about the satisfaction and effectiveness of the Dental Care Advocate and their integration into the dental care team? Study findings will be useful as a basis for quality improvement strategies for the dental organization
Limitations of Sensory Systems (LOSS) Assessment
Full text linkThis checklist is designed to assess the degree of loss in families with children who experience sensory system impairments and in specific issues with limitations to insight and awareness of self and others. There are 100 items in the checklist and the lower the score the higher degree of loss experienced. This is a pilot paper for this assessment of losses experienced within families who have children with sensory limitations, and it is designed to gather input on the following factors.
Construct, Trait, Skills or Competency
Primary Factor Integrative Reason
Insight, awareness, clarity of thought Eco-System Development
Individuation, environmental control, resilience Family Vision
Attachment, bonding, promoting values Mindfulness
Time consciousness, worry-free parenting, validation Expressed Communication
Openness, social connection, emotional connection Positive Mental State
Family Joy, hope, future perspective
Positive Regard
Pride in family, pride in self, empath
Criminal Defense Attorneys’ Experiences with Mental Health Training and with Defendants with Mental Illness
No full textDue to the overrepresentation within the criminal justice system of defendants with mental illness, it is vital that criminal defense attorneys receive adequate training to work with this subgroup of defendants. In this study, 242 criminal defense attorneys across the United States responded to an Internet-based survey regarding law educational background, formal education in mental health topics, mental health training in law school and continuing legal education programs, and barriers to attending training. Results indicated that, when compared to criminal defense attorneys with less mental health education and less experience representing defendants with mental illness, criminal defense attorneys with more mental health education and more experience representing defendants with mental illness perceived themselves to have greater knowledge about mental health topics and greater skill in applying that knowledge. The majority of participants expressed moderate to extreme interest in receiving mental health training and moderate to extreme willingness to work with defendants with mental illness; however, barriers, such as lack of available training and time to attend such training, were identified. Suggestions to reduce identified barriers and implications for development of mental health training for criminal defense attorneys are discussed
What Is the Impact of Neurofeedback on Anxiety?
No full textAnxiety is a normal emotion that everyone experiences from time to time. Anxiety can impact people negatively and cause debilitating symptoms. Neurofeedback (NFB) has been shown to be effective in a multiple of ways, but research with anxiety is lacking. This study explored the impact of a brief NFB intervention on anxiety. Two participants completed the study. Neither participant showed reliable change from baseline to post-assessment. A phenomenological qualitative analysis was used to gain a greater understanding of NFB’s impact on each participant and their anxiety. One participant reported NFB had a positive impact on anxiety symptoms. Both participants participated during a stressful time of the year for them, and reported NFB might have had an impact on their stress. Both participants liked training in the morning and both liked the training itself, particularly being able to play a video game. These findings suggest NFB can be a fun and engaging intervention to help people reduce their anxiety
What\u27s at Stake: Is it a Vampire or a Virus?
Full text linkVampires have been discussed for millennia, appearing in folklore throughout various cultures. From the Egyptians and the Chinese to the Slavs, there have been numerous iterations of these bloodsucking fiends, but do their characteristics have any basis in fact, perhaps predicated upon misunderstandings of certain diseases?
Using medical journals to discern plausible diseases for obscure and typical vampire traits, this paper functions on two levels. On one hand, it offers a repository of medical information for researchers who may want to delve further into the interdisciplinary field of pathology and folklore, especially where vampires of Western culture are concerned. On the other hand, it offers visual popular culture sources to serve as examples for each trait/disease, seeing as pop culture is where many people, myself included, get their ideas and renderings of vampires. Technology and medicine have advanced considerably since bloody, bloated corpses were mistaken as vampires, but some traits—eye color, charisma, allure, and fangs, among others—of certain, often diseased individuals could still be traced back to a vampiric condition
A Teaching Innovation on Poverty for Interprofessional Students: Cost of Poverty Experience Simulation
Full text linkINTRODUCTION Cost of Poverty Experience (COPE) simulation is an innovative teaching methodology to demonstrate the obstacles and challenges of poverty that contribute to those risks. The aim of the study was to evaluate the change in attitudes regarding people living in poverty among interprofessional health science students. METHODS Medicine, nursing, pharmacy and rehabilitation therapy students in the 2018 Interprofessional Education class (N=100) were enrolled. Interprofessional student teams were assigned family roles, given limited resources and simulated poverty challenges such as unemployment, childcare concerns, limited access to healthy food, and incarceration. A pre- and post-simulation survey measured changes in participants’ poverty awareness consisting of three domains - identifying barriers to poverty, confidence in one’s ability to address poverty, and likelihood to engage in behaviors to address poverty. The post survey also included questions on insights gained and recognition of organizational systems that perpetuate poverty. Statistical analysis including descriptive statistics and paired t-tests were conducted in SPSS-v23. RESULTS The confidence in ability domain that included understanding obstacles, identifying key issues and having impact showed a significant difference between pre-test (M=8.63, SD= 1.71) and post-test (M=9.31, SD=1.90). However, no significant change was reported for identifying barriers and likelihood to engage in behaviors to address poverty. Additionally, in post-survey, more than 90% students reported increased mindfulness of poverty, self-reflection, and recognize that organizational systems create and perpetuate poverty. CONCLUSION Poverty immersive simulation experience is an essential education tool, as it motivates critical self-reflection and improves one’s confidence to engage in addressing poverty
Victim Blaming among Undergraduate Students toward Male Adult Sexual Assault Survivors
No full textMen who have been sexually assaulted as adults face myriad challenges such as victim blaming, lack of community resources, lack of social supports, and fears related to disclosing their assault. Educating undergraduate students about men and masculinity and the supports available to them is the first step to increasing awareness and reducing victim blaming. Surveys were given to undergraduate students at a private university before and after an event that involved watching a documentary on men and masculinity and then participating in a discussion panel. There was no significant decrease in victim blaming, acceptance of male rape myths, or adherence to strict gender roles from pretest to posttest. More participants and mixed method studies would shed more light on effective ways to spread knowledge and create change
Increased Risk of Mortality with Female to Male Blood Product Transfusions
Full text linkBackground: Blood product transfusions are one of the most common procedures in the US. These transfusions are considered safe but there is still a risk of complications and mortality. The most common cause of transfusion related mortality being transfusion related acute lung injury (TRALI). TRALI is an acute lung condition that results in dyspnea, cough, and hypoxemia. It is hypothesized that TRALI is an antibody mediated phenomenon that is associated with female donors, as female and multiparous women have more HLA/HNA antibodies in their blood. This review is to investigate if there is increased mortality with the use of female blood products in male recipients.
Methods: An exhaustive literature search using MEDLINE, Web of Science, and CINAHL via EBSCO-host was conducted. The following search terms were used: female, male, transfusion, mortality, donor, and pregnancy. Relevant articles were assessed for quality using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE).
Results: The literature search yielded 5 qualifying studies, all were retrospective cohort studies. The studies indicated that the use of female blood products did increase mortality among male recipients. Four of the 5 studies did show an increase in mortality among male recipients of female blood product donation. One study found increased mortality among male recipients specifically receiving multiparous female blood products. Another study reported increased mortality among male recipients receiving more than 2 units of female plasma. One study found no increased risk to male recipients receiving female blood products.
Conclusion: Four of the 5 studies reviewed did show consistent results that men are negatively affected by use of female blood products. One study showed no increased risk. Further research is needed to determine the exact cause of increased male mortality and TRALI pathophysiology. In addition, investigations are needed to determine the best use of female blood products. These studies are just a start in truly understanding how sex mismatched blood transfusions affect patients’ bodies in the short and long term
