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Standardizing Therapeutic Drug Monitoring for Clinic Patients on Amiodarone
Get PDFThe side effects of amiodarone can be severe and potentially lethal (Vassallo & Trohman, 2007). Amiodarone is frequently prescribed for supraventricular arrhythmias, specifically atrial fibrillation, without any standardized monitoring for adverse effects. In this quality improvement (QI) project, providers were encouraged to use a protocol containing evidence-based recommendations built into the Electronic Health Record (EHR ) when prescribing amiodarone in outpatient encounters. Providers were emailed with education on the protocol and how to use it. A survey was sent to providers seven weeks later to assess the usefulness and ease of use of the protocol. EHR reports were run to assess how often the protocol was used pre- and post-email and how many amiodarone orders were placed within the study timeline. Results show providers only marginally thought the protocol was useful and easy to use. Providers perceived that they did not prescribe amiodarone often enough to use the protocol. However, EHR reports showed that the protocol was used only 2% of the time amiodarone was prescribed. Survey scores were positive; however, qualitative feedback indicated that providers perceived they did not have the opportunity to use the protocol. Despite evidence-based education, most providers did not use the protocol
Effectiveness of Virtual and Technology-Based Learning Among Health Professional Students During COVID-19: An Evidence-Based Practice Project
Get PDFOpportunities to increase wellness for persons experiencing homelessness: Understanding how agencies in the Twin Cities address homelessness and health
No full textThis study examined agency strengths and areas of opportunity to further develop services that improve the wellbeing of people experiencing homelessness. Specific aims of this study were to understand health-related services offered to persons experiencing homelessness, particularly to better understand what’s happening, what’s working well, and areas for improvement. Eight individuals representing eight different agencies were interviewed. Using the qualitative analysis technique of axial coding, researchers identified a total of eight common themes. These themes included systems and their complexities, the benefits and limitations of funding, nutrition education gaps and needs, services that promote client health, the significance of safety to clients and how agencies promote safety for clients, barriers to housing, and the impact of COVID-19 on agencies. The identified themes highlight agency strengths and areas of opportunity to further develop services to promote client wellbeing. The identified strengths could inform current practice and opportunities for further development could inform program development and funding initiatives. Future research is needed to examine client health outcomes after utilizing agency services, how agencies can provide culturally tailored services particularly around food, and the efficacy of the hotel model implemented during the COVID-19 pandemic
Posttranslational regulation of transporters important for symbiotic interactions
No full textCoordinated sharing of nutritional resources is a central feature of symbiotic interactions, and, despite the importance of this topic, many questions remain concerning the identification, activity, and regulation of transporter proteins involved. Recent progress in obtaining genome and transcriptome sequences for symbiotic organisms provides a wealth of information on plant, fungal, and bacterial transporters that can be applied to these questions. In this update, we focus on legume–rhizobia and mycorrhizal symbioses and how transporters at the symbiotic interfaces can be regulated at the protein level. We point out areas where more research is needed and ways that an understanding of transporter mechanism and energetics can focus hypotheses. Protein phosphorylation is a predominant mechanism of posttranslational regulation of transporters in general and at the symbiotic interface specifically. Other mechanisms of transporter regulation, such as protein–protein interaction, including transporter multimerization, polar localization, and regulation by pH and membrane potential are also important at the symbiotic interface. Most of the transporters that function in the symbiotic interface are members of transporter families; we bring in relevant information on posttranslational regulation within transporter families to help generate hypotheses for transporter regulation at the symbiotic interface
Joyful Struggles: Asian American Arts and Activism
No full textIn this 20-minute keynote speech, I will illuminate the importance of arts and activism in the historical development of Asian American identities and the contemporary struggles to resist racism and build communities. I will use Asian American identities course at St. Catherine University as a case study to show how arts and activism can be incorporated into college curricula and classrooms as tools of transformative education and empowerment. This talk will be premiered on May 12, 2022 at University of Wisconsin, Eau Claire, as part of their celebration of Asian American Heritage Month
When Bisexuality Is Spoken: Normalizing Bi Latino Boys in Adam Silvera’s They Both Die At the End
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Occupational Therapy within the Response to Intervention Team: Focus Group Identifies Opportunities and Barriers
No full textEvidence indicates that universal screening can support academic preparation. Response to Intervention (RtI) is a model that has been designed to identify student needs and support them within the academic setting. A focus group was held with 20 school-based occupational therapy practitioners to explore the existing role of occupational therapy within different tiers of intervention and identify barriers and further opportunities for collaborating on interdisciplinary teams. Four themes emerged identifying 1) Developmental, academic, and health-related needs, 2) Key periods for universal screening, 3) Communication and systematic barriers in interdisciplinary collaboration, and 4) Lack of identified roles for occupational therapy practitioners within RtI teams.Findings of the focus group indicate a need for advocacy using data to establish the occupational therapy role across all RtI levels. Through advocacy efforts, role release, and interdisciplinary knowledge sharing opportunities can support student during academic participation
Co-Teaching Social Emotional Learning to Improve Regulation and Mental Health: Implications for School Based Practice
Get PDFAddressing sensory processing and integration difficulties is a primary area of assessment and intervention for school-based occupational therapists. School-based occupational therapists support students with these difficulties through interventions that target self-regulation, motor development, teacher and educator training, and accommodations. In an effort to better meet these student’s needs, this knowledge translation doctoral project reviewed evidence in self regulation interventions which considered student mental health needs. Although there are meta analyses on interventions to support self-regulation in occupational therapy (Battin, et al., 2020; Bodison, et al., 2018; Miller-Kuhaneck, et al., 2018; Pfeirffer, et al., 2018) many of these studies lacked a large subject size, randomization, developing student lifelong skills development, and mental health considerations. To fill this gap in school based practice, a database search for an intervention that met these missing criteria was completed. This database search led to an intervention with level 1 and 2 evidence, Social Emotional Learning (SEL), a mental health intervention that supports student self-regulation, teaches emotional skills and allows student to practice these skills in a culture that fosters student well-being (Durlak, et al., 2011; Payton, et al., 2008)