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Social Identity Salience & Threat: Validating the SITC Inventory
Social identity threat refers to the fear that stigmatized groups often face about being mistreated, invalidated, or devalued for their social identification. All individuals have multiple intersecting social identities that influence how people are treated and perform. Complex discriminatory experiences of advantage and disadvantage often arise and persist. Past social identity threat measures have examined identity as singular rather than multifaceted, which fails to recognize intersectionality. We introduce the Social Identity Threat Concerns (SITC) Inventory–a novel tool for measuring social identity threat concerns that allows for an exploration of threats related to both singular social identities and their complex intersections. We recruited 342 undergraduates, who completed the SITC inventory multiple times, as it pertained to different aspects of their social identity (i.e., gender, race, sexuality, religion, and citizenship). Consistent with social identity threat theory, people reported greater threat when disadvantaged aspects of their identity were made salient, b=0.87, 95% CI [0.76,0.99],
TikTok Data Puller
Tiktok’s research API allows users to send HTTP requests to TikTok and receive responses as JSON data. These HTTP requests can be tedious to write and send, as well as the response data being raw and unorganized. This project consists of a python program that works with Tiktok’s research API. It provides an easy to use interface that takes simple information about the data the user wants, and then generates and runs the HTTP requests. It then automatically downloads the JSON Response data cleaned up and ready to use for research
Postoperative Discharge Opioid Education including Narcan Kit Access to Prevent Overdose: A Quality Improvement Project
Significance and Background: Opioid related overdoses are considered a public health epidemic and emergency in recent years within the United States. With a staggering number of opioid related deaths which have continued to rise, steps have been taken to decrease risk within local communities through programs including personalized patient education during provider visits, the dispensing of Naloxone with opioid prescriptions and encouraging the use of alternative pain management strategies. Most recently, New York State passed a recommendation encouraging all healthcare providers to prescribe Naloxone with the first opioid prescription of each year for patients deemed high risk for overdose. A policy to encourage appropriate patient education with Naloxone prescriptions was needed within a local community hospital setting. Evidence supported the use of an opioid safety toolkit education within the postoperative population being discharged on opioid pain medications.
Purpose: Deliver opioid safety toolkit education with Naloxone prescription to postoperative patients being discharged with opioid pain medications. Compare patient confidence in Naloxone use within the community post education.
Methods: Plan-Do-Study-Act. Plan: The presence of an opioid safety toolkit education within the outpatient pharmacy of the project hospital which is readily given with Naloxone to postoperative patients going home with opioid prescriptions. Do: Outpatient pharmacy staff introduced the opioid safety toolkit into their normal workflow, including education regarding Naloxone use, alternatives to opioids, proper use, side effects and overdose red flags. Study: Data was gathered on patient self-reported confidence in Naloxone use within the local community post-discharge. Act: Present data to organizational stakeholders.
Outcome: Over the ten-week data collection period which was divided into five-week trials, there were a total of 155 opioid prescriptions and 79 Naloxone co-prescriptions (a co-prescription rate of 50.96%). In the second and more successful trial, there were 95 opioid prescriptions and 68 Naloxone co-prescriptions (a co-prescription rate of 71.6%). All patients, with the exception of two reported high confidence in Naloxone use post-discharge in an emergency situation (97.4% reported confidence). Only two patients declined the prescription due to high copayment costs, but a copayment assistance program was adopted from a state-funded resource to address and eliminate this burden (97.5% accepted the co-prescribed Naloxone). Naloxone prescriptions increased substantially during this period, and education was provided to every patient that was given a Naloxone prescription.
Discussion: The implementation of the opioid safety toolkit education program increased patient confidence in Naloxone use post-discharge within the community setting and increased Naloxone prescriptions within the project hospital. Education focused on providing patients with practical knowledge on Naloxone as well as information regarding proper opioid use, side effects to be aware of and signs of overdose which may otherwise be overlooked
National Evaluation of DNP Students\u27 Use of the PICOT Method for Formulating Clinical Questions
Aims
This analysis aimed to describe how DNP students used the PICOT method to ask clinical questions in their DNP projects. Methods
Project questions were retrieved from a subset (n = 129, 60.56%) of an existing national random sample of publicly available DNP projects spanning the years 2010 to 2021 from Commission on Collegiate Nursing Education-accredited schools (n = 213). Project questions using the PICOT method were further evaluated with a scoring system of 0 = no and 1 = yes for missing elements, formatting, directional outcome, and project purpose. Possible scores ranged from 0 to 8, with higher scores indicating more errors. Discussion among five researchers, until agreement was achieved, yielded consensus. Results
Although the PICOT method was project author-identified in 66 (31.0%) projects, only four (6%) followed the PICOT method. All 66 (100%) were intervention questions. There were 2.74 (SD 1.55) mean errors, ranging from 0 to 6. No questions were missing P or O. Specific errors included missing I 3 (4.5%) or missing C 37 (56%), poor formatting 34 (51.5%), directional outcome 44 (66.7%), and project purpose 38 (57.6%). Thirty-three (50%) of the questions were missing T; however, T is not used for searching, so researchers recalculated the mean error without T (M = 2.24, SD = 1.28, range 0–5). Linking Evidence to Action
Gaps in the accurate use of the PICOT method to construct clinical questions can lead to biased searches, inaccurate clinical problem identification, and, when used as the project purpose, jumping to non-evidence-based solutions. Academic faculty and clinical educators can mitigate these skewed outcomes and enhance their impact on quality outcomes by helping DNP-prepared nurses shore up this foundational skill
COVID-19 Vaccine Response on Social Media Using LDA Analysis
The COVID-19 pandemic causes an enormous interruption to human activity. Vaccines were developed at breathtaking speed and the global community was quick to react to their deployment. The primary focus of this paper is to analyze the global population’s response to the vaccine rollout during the December 2020 to November 2021 phase of the pandemic. To achieve this objective, we use a dataset of tweets written in response to the vaccines using the various vaccine names as the search hashtag. The data was cleaned and tokenized then the Latent Dirichlet Allocation (LDA) topic modeling algorithm was applied. Through analysis of Twitter data, it was possible to identify countries actively participating in vaccination efforts, the involved companies, and political leaders who were vocal on this topic. Two particular vaccines were discussed the most, Moderna and Covaxin. The LDA analysis shows a cluster of similar topics discussing the technical aspect of the vaccines and two distinct topics about the political and social aspect of the vaccine rollouts
The Woman\u27s Experience in Hollywood: A Brief Feminist History of the American Movie Industry
The Impact of Animal Assisted Therapy Dog Interactions on High School Student Stress and Self-Efficacy Levels.
Effectiveness of Earlier Removal of Urinary Catheters in Prevention of Catheter Associated Urinary Tract Infections in Women With C-sections
Investigation of the role of deregulated miR-654 and miR-4454 in melanoma pathogenesis and progress
Investigation of the role of deregulated miR-654 and miR-4454 in melanoma pathogenesis and progress.
Farah Mahmood, Jaclyn Doucette, Julianna Doucette, Sankhiros Babapoor, PhD.
The incidence of melanoma has continually increased mortality rates over the past decade in the United States. In 2013, it was estimated that 76,690 individuals (both male and female) were diagnosed with new cases of cutaneous melanoma, and out of those cases, 9,480 resulted in death. MicroRNA(miRNA)s are endogenous, 22 nucleotide non-coding small RNAs, which can regulate gene expression in animals and plants by complementary base-pairing to the mRNAs of target genes- which specifies mRNA cleavage or translation repression. We have established a distinct set of miRNAs associated with invasive and aggressive melanoma phenotypes and investigated their role in the invasion and migration of malignant melanoma cell lines Sk-Mel-26 and A375P. Recently Liu et al. 2022 reported a tumor-suppressing function for miR654-5p in colorectal cancer. This microRNA was one of the highlighted microRNAs in our previous study. We showed in the previous studies that miR-4454 acts as a tumor suppressor in A375P cells using invasion and migration of assay which we repeated the assay with Sk-Mel-26 cell line too. After seeding the cells and transfecting them with miR-654 or miR-4454, a control scrambled sequence, and miR-654 or miR-4454 inhibitor (upon reaching 60%-70% confluency, cells were well subjected to a scratch and were imaged at different time points. Image J (NIH website) was used to measure the area between the edges of the scratched monolayer from at least three locations per well at different time points. These results were compared against a control cell, transfected with a scrambled sequence but did not generate any miRNA. After transfecting A-375P and Sk-Mel-26 cells with miR-4454 the migration rate significantly increased (P-value= 0.01 and P-value= 0.018 accordingly) after 48h post scratch. The migration of transfected cells with miR-654 significantly decreased after 24h and 48h (p-value=0.00019). Thus, miR-4454 acts as an oncomir and miR-654 can be considered a tumor suppressor where their upregulation is associated with a decrease in melanoma cell proliferation and migration. Our work with inhibitors (specifically miR-654inhibitor) did not produce predicted results (no significant reversing effect) which might be due to the endogenous level of the microRNA and it will need future investigation using real-time RT-PCR
What are the effects of psychological trauma on nurses with psychological trauma, as well as their care to patients?
Nursing encompasses the promotion of health and prevention of illness, the care of the healthy, the physically ill, mentally ill, and disabled people of any age, in all health care and community settings. It is among one of the most sought-after professions, as well as a profession that will always be necessary. “Internationally, nurses are recognized as an integral part of healthcare with a number of reports highlighting the value of nursing and the importance of nurses being able to practice to their full potential” (Bragadóttir, H., Burmeister, E. A., et. al, 2020).
Historically, nurses have worked closely with doctors, acting as a sort-of assistant. As recently as fifty years ago, the role of the nurse was viewed as an extension of women’s natural caregiving role rather than a career. Since then, the profession has progressed in leaps and bounds. You now see nurses in hospitals, doctors’ offices, schools, military bases, patient’s homes, and even administering telehealth services, among many other places. Nurses today have much more autonomy and mobility than ever before, requiring higher levels of education and training to a higher level than seen in the past. It is now possible for nurses to further their education in select specialties with a Master of Education, or even go so far as to get their Doctor of Education. The progression of the nurse to a doctorate enables them to work completely autonomously, without needing a doctor to sign off any of the patient care they determine is necessary. In fact, nurse practitioners are becoming more common in doctors’ offices, and nurse practitioners are increasingly likely to be a patient’s primary care provider rather than a doctor.
With these advancements to nursing, it is common knowledge that nursing is a profession that poses many risks (Walsh, M. & Buchanan, M. J., 2011). Nursing requires longer shifts than most occupations, with ten- and twelve-hour shifts standard. This can be more physically taxing than most other jobs. One of the most well-known facts is that the occupation comes with exposure to infectious diseases, violence, and physical injuries (Walsh, M. & Buchanan, M. J., 2011). However, the psychological and emotional effects of nurses’ work are not as well known. One of the largest negative impacts on the profession over the past several decades has been psychological trauma. Psychological trauma has negative impacts on nurses, which in turn has a negative impact on their patients. This trauma affects nurses both emotionally and physically, which consequently affects their care of patients