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Systematic Review to Develop the Clinical Practice Guideline for the Use of Capnography During Procedural Sedation in Radiology and Imaging Settings: A Report of the Association for Radiologic & Imaging Nursing Capnography Task Force
No full textAdvances in radiology and imaging technologies and the emergent scope of practice have led to the capacity to provide services to a growing population of high-acuity patients with comorbid conditions. These procedures are often performed with the radiology nurse administering procedural sedation. Monitoring patients is challenging due to certain patient conditions and the unique environment, that is, the radiology procedure suite. The addition of capnography monitoring, along with standard monitoring, is a valuable modality that provides a continuous objective assessment of the patient\u27s ventilatory status even when direct visualization of the patient is compromised. The purpose of this article is to provide clinical practice recommendations for the use of capnography by procedural sedation nurses outside the operating room setting
Vitamin E: A Possible Preventative Measure for CTE
Get PDFIntroduction
This experiment is aimed to aide all future athletes.
•The brain injury known as CTE can only be diagnosed after death and upon autopsy.
•Upon research, what causes this is non-heme Iron deposits in the brain cause radical oxygen species that damage the nerve cells.
•Causes many different mental and physical problems
•Research on Vitamin E showed that it can accept radical oxygen species and increase neurological health.
•We will be testing these affects on yeast samples
Hypothesis
If yeast is treated with Vitamin E before being exposed to radical oxygen species via non-heme iron, then it will have a higher survivability than the non-treated yeast samples
Fruit and Vegetable Consumption of Adolescents
Get PDFContext: Prior studies have identified significant health benefits and socioeconomic barriers to fruit and vegetable consumption. Objective: This study describes characteristics and physiological outcomes relative to the fruit and vegetable consumption of adolescents. Design: A new analysis of the Project Healthy Schools Registry containing data from questionnaire responses, medical screenings, and blood tests was performed. Setting: Data from students in 67 middle-schools in Michigan from who were enrolled in Project Healthy Schools and completed an optional health behavior questionnaire and physiological screening were analyzed (n=2813). Methods: Students were divided into two groups based on the number of servings of fruits and/or vegetables they consumed the previous day: “high consumers,” ≥ 3 servings or “low consumers,” \u3c 3 servings. Demographics and physiological measures were compared between groups using one-way ANOVA tests. Results: 1457 (51.8%) students were high consumers. High consumers were less likely to be Black (23.8% v. 31.6%, p\u3c0.001) and more likely to be Asian (9.1% v. 4.7%, p\u3c0.001) than low consumers. High consumers were also more likely to be from high SES school districts (45.2% v. 33.0%, p\u3c0.001) and less likely to be from middle (25.0% v. 30.2%, p=0.002) or low (29.8% v. 36.7%, p\u3c0.001) SES school districts than low consumers. High consumers had higher triglyceride levels (91.0 v. 82.5 mg/dL, p\u3c0.001) and lower recovery heart rate (105 v. 108 bpm, p=0.019) than low consumers. Conclusions: Demographic and socioeconomic factors were associated with variations in fruit and vegetable consumption in this adolescent population. High fruit and vegetable consumers had lower recovery heart rates, which may indicate better health and fitness
Approaching critical service-learning: A model for reflection on positionality and possibility
No full textMitchell (2008) asks faculty to adopt “a ‘critical’ approach to community service learning” (p. 50), one that focuses on social change, redistribution of power, and the development of authentic relationships. However, the path of transformation from traditional to critical service-learning practices remains unexplored. In this autoethnographic reflective essay, five individuals share their journey from higher education institutions as they engaged in a community of practice examining their own questions, assumptions, experiences, and positionality to more fully understand critical service-learning (CSL). This essay documents self-discovery through an iterative reflection process, detailing the approach used to examine CSL and interrogate the relationship between positionality and critical theory. This process provides a roadmap for service-learning practitioners interested in developing their own critical consciousness. Key outcomes include a conceptual model position ing CSL on a spectrum, in which one may approach without necessarily achieving social change, and the development of a toolkit of CSL resources
Ministry to Transgender Teenagers (Part One): Pursuing Awareness and Understanding about Trans Youth
Get PDFSeveral significant aspects are addressed in this article to gain clarity and to pursue awareness regarding transgender teenagers. It begins by offering a brief introduction and then moves towards a common understanding of the language and landscape surrounding transgender teenagers. Next the paper centers on maligned, marginalized, and misunderstood transgender teenagers and the experiences they encounter. Hopefully, the information gleaned in this article will empower pastoral care givers to minister directly to this particular underserved sexual minority group
Bishop Chatard: Secret Societies, Irish Nationalists, Americanists, and Modernists, 1878-1918
Get PDFThis chapter deals with a set of movements that Bishop Chatard, a religious, social, and political conservative, had to deal with. Born into comfort, rector of the American College in Rome, Chatard, so far as he was able, operated as a brakeman to some of and the salient developments of Gilded Age America, in particular, trade unionism, Irish nationalism, and the efforts of the Modernists to bring the Church up to date and escape from medieval scholasticism. Nor did he share the confidence of the Americanist bishops who reveled in the freedom found in the United States and believed that here the Church had nothing to fear from the state. In resisting such efforts in his lifetime Chatard was on the winning side, with the exception of trade unionism, whose legitimacy was accepted by the Church in the encyclical, Rerum Novarum.
In dealing with the laity Chatard’s habit was to lay down the law. Nothing unusual in that for a bishop of that era or later. As for the city’s Irish nationalists, however, with Ireland’s independence as their goal and by force, if need be, the clergy would get respect but not docility. The outstanding Irish revolutionary movement of the era in the United States was the Clan na Gael, chiefly, but not solely a money raising operation. In Indianapolis, the Clan included among its active members the leaders of the Irish community.
In 1899 Chatard suffered a stroke which affected his vision. Given an auxiliary bishop in 1900, Denis O’Donaghue, a decade of limited activity followed. In 1910, O’Donaghue named bishop of Louisville, Kentucky, Joseph Chartrand was named Chatard’s co-adjutor with the right of succession. Chatard’s health continued to worsen and he died in 1918. The chapter ends with a discussion of Chatard’s standing among his episcopal contemporaries
If I Cover It, Students Learn It: Managing Content Coverage in Survey Courses
No full textGraduates of the Master Class Series “Teaching with Canvas” have been invited to participate in a private lunch with our Keynote presenter to discuss methods and best practices for going beyond simply covering the vast amount of content often included in survey courses and instead focusing on the facilitation of student learning
Adding Questions to Instructional Videos
No full textMany people use Panopto to record lectures and information to share with their students. Did you know that you can incorporate multiple choice questions into the lecture before publishing to the students? Did you know the results of these questions could be directly imported into the gradebook? Research shows this is an excellent method to maintain student engagement and test for understanding. Attend this session to see how the process works and how it may be beneficial for your students
HCAHPS scores as a surrogate for quality does not correlate with TQIP quality measures at a level 1 trauma center
No full textBACKGROUND:
The Trauma Quality Improvement Program was designed by the American College of Surgeons to measure quality benchmarks across American College of Surgeons-certified trauma centers. The Hospital Consumer Assessment of Healthcare Providers and Systems survey was developed to report patient satisfaction with inpatient care and has been used as a surrogate for quality of care by the Affordable Care Act. The purpose of this study was to determine the correlation of hospitals\u27 Hospital Consumer Assessment of Healthcare Providers and Systems data to the Trauma Quality Improvement Program quality analysis. METHODS:
A retrospective review of available Trauma Quality Improvement Program and Hospital Consumer Assessment of Healthcare Providers and Systems results from an American College of Surgeons level 1 trauma center 2016-2017 was performed. Trauma Quality Improvement Program and Hospital Consumer Assessment of Healthcare Providers and Systems data were represented as either above, at, or below the mean of national data and were analyzed using the Fisher exact test. RESULTS:
Hospital Consumer Assessment of Healthcare Providers and Systems scores from wards participating in care of trauma patients were summarized by perceived level of quality. Trauma Quality Improvement Program data for risk-adjusted mortality were included in analysis for all trauma admissions. The Fisher exact test was used to analyze contingency tables of data and was found to support the null hypothesis (P = .1109). CONCLUSION:
Overall Hospital Consumer Assessment of Healthcare Providers and Systems rating is most significant for hospitals because it is a global view of patient satisfaction and is used to determine a portion of hospital reimbursement. It is believed that higher patient satisfaction is correlated with lower readmission rates and improved outcomes, thus resulting in cost savings for hospitals. However, it appears that overall Hospital Consumer Assessment of Healthcare Providers and Systems rating does not correlate with measured outcomes in terms of risk-adjusted mortality for trauma admissions. It is suggested from these data that trauma patients be considered independently from other hospitalizations and that Hospital Consumer Assessment of Healthcare Providers and Systems may not be an appropriate tool to determine reimbursement for trauma admission
