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Remember the Little Things
No full texthttps://digitalcommons.ric.edu/covid19_film_gallery/1005/thumbnail.jp
Eye on Ethics: Virtuous Virtual Social Work
No full textThe social work careers all of us planned on no longer exist, at least for now. COVID-19 has made sure of that. Hospice social workers communicate with patients and their loved ones on smartphones. School social workers and students connect with each other on their respective laptops and tablets. Social workers in independent practice are scrambling to learn the art of video counseling. Agency administrators are convening staff meetings on cloud-based platforms
Comparing Pretreatment Modalities
Get PDFThis manuscript investigates the negative sequelae (in particular, myalgia) of using succinylcholine for patients undergoing tracheal intubation, pretreatment strategies to minimize or eliminate these untoward effects, and compare their efficacy. Various strategies are commonplace in the clinical setting, and there are a number of research studies that discuss the efficacy of individual agents as well as compare them against others. This manuscript explains the anatomy and physiology of neuromuscular junctions, muscle contraction, and their relationship with muscle relaxants used in the clinical setting
Increasing Access to Skilled Nursing Facilities for Obese and Morbidly Obese Populations: An Educational Program Development Project
Get PDFPublic Health is defined as “the science of protecting and improving the health of people and their communities” (Centers for Disease Control and Prevention, 2019). The Centers for Disease Control and Prevention has listed obesity as one of the top ten public health concerns facing communities today. According to The Centers for Disease Control and Prevention (CDC), more than one-third of adults are considered obese or morbidly obese. Out of that one-third, approximately 41% are adults aged 60 or older who will require at least one nursing home level of care stay in their lifetime. The purpose of this project was to develop a quality improvement educational program aimed at improving knowledge regarding rehabilitative management and care of bariatric clients targeted to social service staff employed in skilled nursing facilities. The goal was to increase awareness of need, knowledge of strategies, safety, and cost savings for the facility. This project focused on social service professionals who are members of the Rhode Island Leading Age Social Work Group. The educational intervention was comprised of a presurvey, an educational seminar, a postsurvey, and an evaluation of the program during regularly scheduled monthly meeting. Six social work professionals who work in long term care facilities participated in the program
Terrorism, Surveillance, and Police Powers: An Analysis of Political Ideology and Trust in Government
Get PDFIn the wake of the September 11 terrorist attacks, law enforcement in the United States began to employ powers and tactics that infringe upon the civil liberties of the suspects that they targeted. Though some of these uses have been challenged and reversed in the courts, there is still a portion of the population that believes that tactics like these, even up to torture, have been justified to combat terrorism. This study seeks to use General Social Survey data about people’s views of the use of expanded police and surveillance powers to combat terrorism to compare these with people’s age, sex, race, education, political ideology, and trust in different branches of the government. This will improve our understanding of who puts more emphasis on security over civil liberties when it comes to terrorist suspects. Through this analysis, it is found that political ideology was not as important as was thought in the literature. It was found that confidence in the military was the strongest indicator of people favoring policies that expanded surveillance and gave increased power to go after terrorist suspects
The Promise of Inclusion for Female Student Health
Get PDFDespite extensive inclusion and diversity initiatives, females do not feel valued or included and still report higher stress, discrimination and microaggressions than males. Cumulative effects of social devaluation on health were examined for students at a STEM University. A sample of 292 undergraduates were asked about daily and chronic experiences of inclusion using surveys assessing personal perceived stress and subtle and overt social devaluation. Females reported significantly higher microaggressions and perceived stress, associated with lower physical and mental health. Females in high social devaluation (SD) reported lower total well-being (TWB) across several domains. An exploratory factor analyses examined factor loadings on perceptions of devaluation and extracted three factors; results showed that females and males perceive the poor treatments for markedly different reasons. Stress, low sense of control, objectification, and lack of positive exemplars varied by sex. These data suggest persistent implicit biases remain entrenched for females in STEM. This was unexpected since multiple early inclusion interventions exist. Inclusion initiatives may need to be reviewed specifically to address implicit attitudes and internalized acquiescence, training female students to explicitly interface with such experiences
Preoperative Multimodal Analgesia in Total Hip Arthroplasty: A Retrospective Chart Review
Get PDFA retrospective chart review which examined the number of preoperative multimodal analgesics administered and their effect on the first 24 inpatient opioid administration in patients undergoing total hip arthroplasty
Procalcitonin: Can it impact the length of antimicrobials
Get PDFA systematic review investigating if using procalcitonin levels to guide antimicrobial therapy has an impact on the number of days an adult septic patient is exposed to antimicrobial therapy
Baclofen Use in Alcohol Withdrawal Patients in Inpatient Settings: A Systematic Review
Get PDFAim: To carry out a systematic review of the available evidence from health decision makers, patients, and therapists regarding the ability of Baclofen use in decreasing alcohol withdrawal symptoms to patients in inpatient settings. acute care setting.
Methodology: Systematic searches were carried out on the following databases: Academic Search Premier, CINAHL, Cochrane and PsycINFO via EBSCO Host, Embase, MEDLINE via PubMed, and Web of Science. The last search date was May 28, 2019. The search was limited to the last 10 years, i.e., from January 1st, 2010.
Findings: Four studies were included in the final review. The total population was 258 patients. The studies did not report any statistically significant difference between Baclofen to placebo during the end of the treatment when it comes to decreasing alcohol withdrawal symptoms and reduction of alcohol intake. There was also not a considerable difference between baclofen and standard care dropout, adverse events, and anxiety. Baclofen also increased the frequency of vertigo, dry mouth, and sleepiness.
Conclusions: It was uncertain whether Baclofen improves withdrawal signs and symptoms and reduces side effects in comparison to placebo or other medicines as the studies reviewed did not point to any statistical significance. It is recommended that future reviews assume the meta-analysis approach that can help in measuring the level of heterogeneity in such studies to effectively examine the extent to which baclofen can be effective
Teaching epidemiology during an ongoing pandemic: an unprecedented experience
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