78 research outputs found
Improving Medication Reconciliation within 24 Hours of Admission to General Internal Medicine
No full textReferences Barnsteiner JH. Medication Reconciliation. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr. Chapter 38. Available from: https://www.ncbi.nlm.nih.gov/books/NBK2648/ https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/MedicareEHStage2_2018_Obj5.pdf https://www.jointcommission.org/-/media/tjc/documents/standards/national-patient-safety-goals/2020/npsg_chapter_hap_jul2020.pdf
Lijo Saji pictured.https://openworks.mdanderson.org/aprn-week-21/1007/thumbnail.jp
Intercom 1995 November 27
No full textCampus Campaign Exceeds Goal, UT Tyler, TJC Music Groups to Perform, Repertory Plays Scheduled in December, Graduate Students Author AmeriCorps Grant, In The Spotlight, Alphi Chi Names Outstanding Faculty, Personnel Update, Service Recognition, Christmas Holiday Schedule
Survey of Nurses' Experiences Applying The Joint Commission's Medication Management Titration Standards
No full textFull author list omitted for brevity. For the full list of authors, see article.BACKGROUND: Critical care nurses titrate continuous infusions of medications to achieve clinical end points. In 2017, The Joint Commission (TJC) placed restrictions on titration practice, decreasing nurses' autonomous decision-making. OBJECTIVES: To describe the practice and perceptions of nurses regarding the 2017 TJC accreditation/regulatory standards for titration of continuous medication infusions. METHODS: A survey of nurses' experiences titrating continuous medication infusions was developed, validated, and distributed electronically to members of the American Association of Critical-Care Nurses. RESULTS: The content validity index for the survey was 1.0 for relevance and 0.95 for clarity. A total of 781 nurses completed the survey; 625 (80%) perceived titration standards to cause delays in patient care, and 726 (93%) experienced moral distress (mean [SD], 4.97 [2.67]; scale, 0-10). Among respondents, 33% could not comply with titration orders, 68% reported suboptimal care resulting from pressure to comply with orders, 70% deviated from orders to meet patient needs, and 84% requested revised orders to ensure compliance. Suboptimal care and delays in care significantly and strongly (regression coefficients > /=0.69) predicted moral distress. CONCLUSIONS: Critical care nurses perceive TJC medication titration standards to adversely impact patient care and contribute to moral distress. The improved 2020 updates to the standards do not address delays and inability to comply with orders, leading to moral distress. Advocacy is indicated in order to mitigate unintended consequences of TJC medication management titration standards
Turkish Journal of Chemistry’nin Bibliyometrik Analizi
No full texthis article dealing with the bibliometric analysis of 861 articles published between the years 1995-2007 of Turkish Journal of Chemistry which has been indexed by the Social Science Citation Index and Chemical Abstract since 1995. The following research questions have been discussed: Who are the most productive author? What is the relationship between the authors? What is the trend towards multiple authorships in TJC? What are the institutional affiliations of authors? Does the distribution of authors fit Bradford’s, Lotka’s and Price’s Law and 80/20 Rule? Which types of sources get cited more often in articles? Which journals are the most cited? According to cited journals what are the core journals in chemistry? With regard to impact factor, what is the place of TJC in JCR and SCI?
The most productive authors are Sakıp Ali and İhsan Çalış. Distribution of authors does not fit Bradford’s, Lotka’s and Price’s Law and 80/20 Rule, but distirbution of citations fit Bradford and 80/20 Rule. Contributors affiliated with Hacettepe University, Ankara University, and Ataturk University. Journals received %82 of all citations in the TJC. Turkish Journal of Chemistry, Journal of the American Chemical Society, Phytochemistry and Journal of Organic Chemistry were the most frequently cited journals. Number of references made to TJC has been growing consistently since 1996
Influence of Student Characteristics on Student Effort
No full textDuring our research proposal, we attempt to measure student effort based on student characteristics. The survey was only made accessible to students at TJC or UTT . The survey was developed on Google Forms and has a total of 20 questions. The survey was conducted only by volunteers that could access the online form through the researcher’s social media platforms via Facebook, Instagram, and other social media platforms, respectively. Major findings in our proposals show that a majority of students do not visit the library or use on campus tutoring/help when in need of assistance of a particular subject or assignment. Likewise, research showed that there was not a true distinction of preference when students were asked if they preferred online courses over the traditional in-person class setting. We were expecting a majority of students to prefer the online method of learning over the conventional route due to the ease of scheduling, less trips to campus, and personal safety in times of the uprise of the pandemic
Prediction and benefits of minimal disease activity in patients with psoriatic arthritis and active skin disease in the ADEPT trial
No full textObjectives: To determine the proportion of patients with psoriatic arthritis in the Adalimumab Effectiveness in Psoriatic Arthritis trial achieving minimal disease activity (MDA) and its individual components at 1 or more visits over 144 weeks, identify baseline predictors of MDA achievement, and evaluate the association of MDA status with independent quality of life (QoL)-related patient-reported outcomes (PROs).
Methods: Univariate and multivariate analyses were used to identify the baseline characteristics that predicted achievement of MDA at individual time points (weeks 12 through 144) or sustained MDA (achievement of MDA at 2 consecutive time points 12 weeks apart). The association of independent QoL-related PROs with MDA achievement was evaluated at weeks 24 and 144.
Results: In univariate analyses, higher baseline patient assessment of pain, tender joint count (TJC), enthesitis and Health Assessment Questionnaire-Disability Index (HAQ-DI) score were significantly associated with lower likelihood of achieving MDA at later time points. Multivariate analyses confirmed higher baseline HAQ-DI as a significant predictor for failure to achieve MDA at later time points. Achievement of sustained MDA was associated with lower baseline TJC and HAQ-DI score. Achievement of different MDA components appeared to be treatment dependent. MDA achievers had significantly better QoL-related PROs and greater improvements in PROs from baseline to week 24 compared with non-achievers.
Conclusions: Higher HAQ-DI score was the most consistent baseline factor that decreased the likelihood of achieving MDA and sustained MDA at later time points. Achieving MDA was associated with better independent QoL-related PROs
Are transporter genes other than the chloroquine resistance locus (pfcrt) and multidrug resistance gene (pfmdr) associated with antimalarial drug resistance?
No full textMu et al. (Mu, J., M. T. Ferdig, X. Feng, D. A. Joy, J. Duan, T. Furuya, G. Subramanian, L. Aravind, R. A. Cooper, J. C. Wootton, M. Xiong, and X. Z. Su, Mol. Microbiol. 49:977-989, 2003) recently reported exciting associations between nine new candidate transporter genes and in vitro resistance to chloroquine (CQ) and quinine (QN), with six of these loci showing association with CQ or QN in a southeast Asian population sample. We replicated and extended this work by examining polymorphisms in these genes and in vitro resistance to eight drugs in parasites collected from the Thailand-Burma border. To minimize problems of multiple testing, we used a two-phase study design, while to minimize problems caused by population structure, we analyzed parasite isolates collected from a single clinic. We first examined associations between genotype and drug response in 108 unique single-clone parasite isolates. We found strong associations between single nucleotide polymorphisms in pfmdr and mefloquine (MFQ), artesunate (AS), and lumefantrine (LUM) response. We also observed associations between an ABC transporter (G7) and response to QN and AS and between another ABC transporter (G49) and response to dihydro-artemisinin (DHA). We reexamined significant associations in an independent sample of 199 unique single-clone infections from the same location. The significant associations with pfmdr-1042 detected in the first survey remained. However, with the exception of the G7-artesunate association, all other associations observed with the nine new candidate transporters disappeared. We also examined linkage disequilibrium (LD) between markers and phenotypic correlations between drug responses. We found minimal LD between genes. Furthermore, we found no correlation between chloroquine and quinine responses, although we did find expected strong correlations between MFQ, QN, AS, DHA, and LUM. To conclude, we found no evidence for an association between 8/9 candidate genes and response to eight different antimalarial drugs. However, the consistent association observed between a 3-bp indel in G7 and AS response merits further investigation
Twitter Journal Club
No full textCuratorial note from Digital Pedagogy in the Humanities: Laura Gogia started Twitter Journal Club (originally #tjc15) while she was a graduate student; people agree to read an article together at a designated time period and live tweet as they go (occasionally with the author responding on Twitter). A hashtag on Twitter allows anyone to observe at any time and jump in whenever they like; they do not need to be part of the community, nor does using a hashtag make them part of the community if they do not wish to use it regularly. Discussion can be synchronous, planned or spontaneous, or asynchronous over an extended time period. Participation does not require membership in a community, but helps build a PLN, as Shelly Terrell explains (Rheingold). This artifact serves as both a model and a tutorial. See this article by Gogia and Warren in Hybrid Pedagogy for the backstory behind #TJC
The role of dogs in transmission of gastrointestinal parasites in a remote tea-growing community in Northeastern India
No full textThe prevalence and risk factors associated with canine gastrointestinal parasitic zoonoses and the role of dogs in the mechanical transmission of human Ascaris infection was examined in three tea estates in Assam, India. Nearly all (99%) dogs harbored one or more zoonotic species of gastrointestinal parasites, with hookworm infection being most common (94%). Parasitic stages presumed to be host-specific for humans such as Ascaris spp. (31%), Trichuris trichiura (25%), and Isospora belli (2%) were also recovered from dog feces. A polymerase chain reaction-linked restriction fragment length polymorphism technique was used to differentiate the species of Ascaris eggs in dog feces. The results of this study demonstrate the role of the dog as a significant disseminator and environmental contaminator of Ascaris lumbricoides in communities where promiscuous defecation by humans occurs
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