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    2313 research outputs found

    Impact of Web-Based Meeting Platform Usage on Overall Well-Being among Higher Education Employees

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    During the ongoing global pandemic, faculty, staff and administrators at colleges and universities experienced an increase in meetings using web-based platforms. Challenges were identified related to the changes from face-to-face to web-based meetings, including internet connectivity, inadequate technology and distractions in the online environment, which led to questions about how meetings that use web-based platforms may contribute to overall stress and well-being during the pandemic. The research related to the use of web-based meeting platforms is limited. However, some anecdotal evidence suggests that impacts from web-based meeting platforms could include frustration, sleep issues and fatigue, which contribute to overall well-being. The purpose of this study was to determine if a relationship exists between a number of potentially related web-based meeting factors including the frequency and length of the meetings and comfort level with the platform and overall well-being. This study involved (N = 164) male, female and nonbinary participants over 18 years of age who worked as tenured, tenure-track, or nontenure track faculty, staff and administrators at colleges/universities in the United States during the global pandemic. The participants were recruited via both social media and email and were provided with a link to the survey tool, which included demographic and web-based meeting questions (e.g., frequency, length, and comfort) along with scales to measure perceived stress, subjective well-being, mental fatigue and sleep quality. The current study did not find a relationship between the frequency of meetings and overall well-being (p = 0.294). However, statistically significant relationships were found between meeting length and overall well-being (p = 0.003) and between comfort with the web-based meeting platform and overall well-being (p = 0.030). Based on the findings of this study, meeting organizers may consider scheduling meetings for less than two hours and providing training to ensure participants are proficient in the web-based meeting platform in order to support overall well-bein

    Italian Painting in the Age of Unification

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    Italian Painting in the Age of Unification reconstructs the artistic motivations and messaging of three artists—Tommaso Minardi, Francesco Hayez, and Gioacchino Toma—from three distinct regions in Italy prior to, during, and directly following political unification in 1861. Each artist, working in Rome, Milan, and Naples, respectively, adopted the visual narratives particular to his region, using style to communicate aspects of his political, religious, or social context. By focusing on these three figures, this study will introduce readers outside of Italy to their diversity of practice, and provide a means for understanding their place within the larger field of international nineteenth-century art, albeit a place largely distinct from the better-known French tradition. The book will be of interest to scholars working in art history, nationalism, Italian history, or Italian studies. Table of Contents 1 Ottocento Painting and the Gap in Nineteenth-Century Art Historical Discourse 2 Three Portraits / Three Cities 3 Tommaso Minardi and the Roman Destiny 4 Francesco Hayez and the Rise of History Painting during the Risorgimento 5 Gioacchino Toma, Neapolitan Realism, and the Aftermath of Unification 6 The Regional/National Modelhttps://digitalcommons.daemen.edu/faculty_books/1040/thumbnail.jp

    An Evidence-Based Proposal Supporting Diabetes Management in Type Two Diabetics

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    Clinical Problem: Glycemic control or management of hemoglobin A1C in patients diagnosed with type two diabetes mellitus is a major health concern worldwide. Approximately 463 million adults were diagnosed with diabetes in 2019 (Eberle et al., 2021). Of those diagnosed with diabetes, type two diabetes accounts for about 95% of cases (Eberle et al., 2021). Significance: The burden of uncontrolled type two diabetes is vast. Those with uncontrolled type two diabetes are at an increased risk of developing secondary health complications such as a heart attack, stroke, neuropathy, retinopathy, and kidney failure (WHO, 2018). Uncontrolled diabetes is also of concern due to its economic burden on national health care systems (Kumah et al., 2018). An estimated 327 billion dollars are spent each year for the treatment of diabetes (Kumah et al., 2018). Management of A1C, increased knowledge, and greater satisfaction through a diabetic self-management education program in combination with telehealth contributes to better outcomes in type two diabetics. PICOT Question: This evidence-based proposal looks to answer the question “Among type two diabetic patients, what is the impact of diabetes self-management education programs and telehealth on knowledge, patient satisfaction, and A1C over six months”. Clinical Change: The proposed clinical change is that patients diagnosed with type two diabetes that complete a six-month diabetes self-management program in combination with telehealth will have decreased A1C levels, have greater knowledge on the disease, and have increased satisfaction. Desired Outcome: The desired outcome for the implementation of the proposed clinical change is to increase patient knowledge on the disease, increase patient satisfaction, and to reduce A1C levels in type two diabetics to help prevent further diabetes-related complications. Summary: After a thorough review of the literature, it was evident that glycemic control is essential in patients diagnosed with type two diabetes. This evidence-based proposal demonstrates a plan for implementation of a diabetes self-management educational program and telehealth, specifically a mobile app, which can be used to help patients control their hemoglobin A1C levels. Ultimately, helping to reduce further complications from diabetes such as heart disease, damage to the eyes, kidneys, and nerves

    An Evidence Based Proposal Supporting Health Literacy Education Program For Adult Population to Improve Blood Pressure Control

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    Clinical Problem: High blood pressure is ubiquitous in patients undergoing dialysis therapy (Taniyama, 2016). In the general population, it is one of the major causes of cardiovascular mortality for those on dialysis (Taniyama, 2016). Uncontrolled hypertension is observed among patients that do not consistently adhere to prescribed diet and medication despite reinforcement. Knowledge about hypertension can influence heart healthy lifestyle practices and medication adherence (Abu, Aboumatar, Carson, Goldberg, and Cooper, 2018). Significance: Poorly controlled or untreated hypertension causes gradual irreversible organ damage which may lead to life-threatening complications or even death (JankowskaPolanska, Uchmanowicz, Dudek, & Mazur, 2016). Data from 2015-2016 showed that nearly 20% of adults do not know they have high blood pressure and only 48.3% of hypertensive patients follow the treatment guideline thus maintaining well-controlled blood pressure (Smolen, Wang, & Anane, 2019). Health literacy education has the potential to help lower blood pressure, reduce risks of renal failure, heart attacks, strokes, and premature deaths. PICOT Question: This evidence-based proposal looks to answer the question “Does patient enhanced health education improve their blood pressure?” Clinical Change: The clinical change proposed is to improve self-care, lifestyle practices, and medication adherence in hypertensive patients by incorporating health promotion strategies using the Health Literacy from Million Hearts Hypertension Control. Desired Outcome: The desired outcome for the implementation of the proposed clinical change is to support medication management efforts, best practices, and patient safety in hypertension control. Summary: Identifying a problem in nursing practice related to health literacy in patients with hypertension has provided a foundation for implementing health literacy tool from Million Hearts Hypertension Control. A Million Hearts provides healthcare providers with health-literate appropriate tools that influence patient education on hypertension and strategies to reduce health risks. The information manuals and videos make patients understand how to achieve a blood pressure under 130/80 and improve adherence to pharmacological treatment

    Diagnosis of a Spinal Compression Fracture with Digital Image Inversion

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    A 69-year-old woman injured her low back while bending forward. Ten days after injury, lumbar spine radiographs ordered by her orthopaedist demonstrated mild spondylosis and no evidence of fracture. She was then referred to a physical therapist. Following examination, a spinal compression fracture was suspected. The initial digital radiographs were reviewed by the physical therapist images and enhanced using digital image inversion, and a potential compression deformity at the T11 vertebral body was noted. The patient was referred back to the orthopaedist, who ordered magnetic resonance imaging to further characterize the vertebral deformity

    Does a Relationship Exist Between Polypharmacy and Falls in the Long-Term Care Setting in the Elderly Population?

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    Purpose: The purpose of this research is to investigate if a relationship exists between polypharmacy and falls within the long-term care setting. Design: A quantitative, nonexperimental, retrospective chart review with a correlational design was utilized in this study. Methods: A data collection nurse employed by the facility completed a researcher-designed data collection spreadsheet by reviewing resident’s demographics, diagnoses, recent electronic medication administration records, and nursing notes throughout a ninety-day look-back period. This data collection spreadsheet was then emailed to the researcher for statistical analysis using SPSS software and Pearson Correlation Coefficients were obtained. Findings: A total of fifty residents were analyzed during this process. Both number and type of medications were reviewed showing that 37 out of 50 residents were experiencing polypharmacy. The average number of medications prescribed for all residents was found to be 7.14. Of the fifty residents reviewed, eighteen had experienced falls within the past ninety days. There were no statistically significant results found with relation to polypharmacy and falls. There was a weak positive correlation between Pearson’s of those with polypharmacy and any type of falls was found to be a negative relationship with a weak correlation of 0.289. Discussion: There was found to be a weak-moderate correlation between polypharmacy and falls within the long-term care facility being studied

    Equal Benefits? An Examination of the Potential Consequences of Later School Start Times for Adolescents and Their Mental Health

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    Background: Given the documented benefits of later school start times on adolescents\u27 mental health, the aim of the current study was to examine if the association between school start times and depressive symptoms differed across adolescents from families of different socioeconomic status levels. Methods: Using a cross-sectional design, the current study incorporated an online survey for high school students and their parents across the United States, with average sleep duration measured through a 7-day sleep diary. A total of 193 adolescent (Meanage = 15.7 years old, SD = .94; 54.4% female; 71% white) and parent (Meanage = 47.6 years old, SD = 5.4; 80% female; 79% white) dyads participated. Adolescents reported on depressive symptoms, sleep quality and duration, chronotype, and demographic covariates; parents reported on school start times and socioeconomic status. Results: Results suggested that only in adolescents from higher socioeconomic status families (+1 SD) did the association between later start times and fewer depressive symptoms emerge as significant. Conclusions: Although more school start times research is needed to understand its impact across diverse groups of students, current findings suggest a disproportionate benefit of reduced depression for youth from families of higher socioeconomic status with having a later start time

    Daytime Sleepiness Underlies the Link Between Adverse Parenting and Youth Psychopathology Among Adolescent Girls

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    Introduction: Adverse parenting is associated with sleep problems in adolescence, including sleep quality, inadequate sleep, and daytime sleepiness. Adolescents who experience sleep problems are at greater risk for developing internalizing and externalizing problems. However, research on the intervening role of sleep in the link between adverse parenting and youth psychopathology remains limited. The present study aimed to examine the indirect effects of adverse parenting on youth internalizing and externalizing psychopathology via sleep problems, and to examine the moderating role of gender in associations between parenting and sleep. Methods: Participants were 101 low-income youth aged 9–12 (52.5% female; 75.2% African-American) and their primary caregivers. Families were from a non-metropolitan region in the Southeastern United States. Data were collected at two time points (T1; Mage = 10.28, SD = 1.2; T2; Mage = 12.08, SD = 1.2). Adverse parenting was measured at T1, youth-reported sleep problems (inadequacy, disturbance) and daytime sleepiness were assessed at T2, and parent-reported internalizing and externalizing symptoms were measured at T2. Results: Daytime sleepiness served as an intervening variable in associations between adverse parenting and internalizing and externalizing problems, but sleep problems did not. This indirect association was moderated by gender, such that the association between adverse parenting and daytime sleepiness only emerged as significant for girls. Conclusions: These findings suggest that daytime-related sleep behaviors may serve as a mechanism through which harsh or neglectful parenting is related to internalizing and externalizing psychopathology in adolescence, particularly for adolescent girls

    Dispositional Mindfulness Predicting Psychological Adjustment Among College Students: The Role of Rumination and Gender

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    Objective: This study examined rumination as a mediator of the relationship between dispositional mindfulness (DM) and depression, loneliness, and anxiety, while considering gender as a moderator of these mediation models. Participants: Three hundred and nineteen undergraduate students (49.5% female; M = 18.90 years) participated with data collected from January 2018 to April 2019. Methods: Self-report measures of DM, rumination, symptoms of anxiety and depression, loneliness, and social support were completed. Results: Males scored significantly higher than females on DM, while females scored significantly higher than males on rumination and psychological distress. Rumination mediated the relationship between DM and all adjustment variables. The mediation model predicting depression was moderated by gender, showing stronger effects for females than males. Conclusion: Results support rumination as a mechanism underlying the association between DM and psychological adjustment and suggest that targeting both DM and rumination could maximize the effectiveness of mindfulness-based interventions for college students’ well-being

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