...Read the attached article regarding new techniques for treating heart attack victims and identify the problem statement for a study among residents in the Minn. area where this new technique is being practiced. This study is to learn how the residents feel about the new technique being used. You might want to include survivors of this technique to learn of their assessment of the technique vs. the more commonly used techinque of clot busting. |PAGE ONE | | | | | | | | | | | |[pic] | |[pic] ...
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...Citizens Kristin L. Nichol, MD, MPH; J. Wuorenma, RN, BSN; T. von Sternberg, MD Background: Vaccination rates for healthy senior citizens are lower than those for senior citizens with underlying medical conditions such as chronic heart or lung disease. Uncertainty about the benefits of influenza vaccination for healthy senior citizens may contribute to lower rates of utilization in this group. Objective: To clarify the benefits of influenza vaccina- tion among low-risk senior citizens while concurrently assessing the benefits for intermediate- and high-risk senior citizens. Methods: All elderly members of a large health maintenance organization were included in each of 6 consecutive study cohorts. Subjects were grouped according to risk status: high risk (having heart or lung disease), intermediate risk (having diabetes, renal disease, stroke and/or dementia, or rheumatologic disease), and low risk. Outcomes were compared between vaccinated and unvaccinated subjects after controlling for baseline demographic and health characteristics. Results: There were more than 20 000 subjects in each pitalizations (P .001), a 32% decrease in hospitalizations for all respiratory conditions (P .001), and a 27% decrease in hospitalizations for congestive heart failure (P .001). Immunization was also associated with a 50% reduction in all-cause mortality (P .001). Within the risk subgroups, vaccine effectiveness was 29%, 32%, and 49% for high-, intermediate-, and low-risk senior citizens...
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...smoked 2 packs of cigarettes a day for 4 years and recently quit. He appears in good health but is short of breath and hates when he hears any health care worker say John is short of breath” (Sladyk & Ryan, 2015, p. 102). John is the oldest of his siblings. He has two young sisters who are away at college studying. His mother is in good health but his father has not been in good health due to severe heart attacks. John graduated from college with Certified Public Accountant degree two years ago. He returned home to help his father with farming because of his father’s illness and the farm is located outside of rural town in southern minnesota. John’s plan is to work as an accountant. He has been accepted...
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...was coming home. Her husband has been on a drinking binge for days. When she receives an angry text message from him, she places the children in another room: they fear for their lives. They have seen this behavior all too often. The kids cower in the closet, a place that gives them some sort of refuge during the storm. In this case the storm is their dad’s misdirected anger toward their mom. They fear for themselves, but not as much as for their mother, their sole support in this chaos. They hear their father come home, yelling for several minutes. The mother tries to calm him down and pleads: “Please don’t hurt me, I’ll give you whatever you want…” Then they hear piercing screams. The front door slams. The children, ages 8 and 6, come rushing out of the closet, only to see their mother lying in a pool of blood – stabbed multiple times. Their father murdered her (what is known as femicide). The Violence Against Women Act works to reduce and prevent domestic violence. Every six minutes in the United States a woman is raped, and most often it is not by a stranger (Biden, 1993). In fact, domestic violence is more common than diseases (e.g. cancer, heart attacks), vehicle accidents, and other types of assaults combined. For a long time, domestic violence carried the stigma that it is a private issue, not a public one. While this is still true to a certain extent today, a landmark legislation passed in 1993, became effective in 1994, and...
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... Wilder Research Saint Paul, Minnesota Ela J. Rausch, M.P . .P Federal Reserve Bank of Minneapolis Minneapolis, Minnesota With support from the Robert Wood Johnson Foundation June 2013 Creating Healthy Communities Cross-sector partnerships are sparking widespread action to improve community health COATESVILLE , PA SEATTLE, WA Access to healthy foods Access to preventative care and healthy housing LOS ANGELES , CA Quality early child care and education CHICAGO, IL Data and evidence to build health into all policies and practices MIAMI , FL Opportunities for physical activity and healthy living health community development • community development finance • community planning • early child care/education • human services • housing Introduction “ Building a healthier America is feasible in years, not decades, if we collaborate and act on what is making a difference.” —Robert Wood Johnson Foundation In 2008, the Robert Wood Johnson Foundation convened a commission of nonpartisan leaders to identify opportunities to improve the health of all Americans by creating environments that protect and actively promote health. Their report, Beyond Health Care: New Directions to a Healthier America, included 10 recommendations for improving the health of our communities, several of which focused specifically on the health of children. Because of the large role that social and economic factors play in shaping the health of communities, the Commission...
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...patient care. Education plays a vital role for nurses and other health care professionals to encompass their knowledge, skills and care to the patients. The discussion will be focused on the differences between an Associate degree nurse (ADN) and a Baccalaureate degree nurse (BSN). It will also explain a case scenario of which will demonstrate the differences in methods used in decision-making that may differentiate based on their educational preparation as an Associates and Bachelors degrees. Associate Degree Nursing A nurse who obtains an Associates degree requires a two to three year nursing education of which is usually accomplished through a community college. This nursing program permits for a nurse who graduates to take the National Council Licensure Examination (NCLEX), in which allows the nursing graduate to receive license to work as a registered nurse. The Associates degree in nursing was first founded in 1952, by Midlred Montag. This program was designed to prepare the nurse at a technical level in order to support the nursing shortage that was occurring during those years. This program was then designed for nurses to work in a community hospital or long-term health care facility. Baccalaureate Degree Nursing A Baccalaureate degree is obtained by attending a four to five year education program of which it might include two years of general education courses and three years in a nursing program. In this route of education, a graduate is qualified to take the...
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...growing since then and will continue to grow in future. In 1909 the first 4-yrs bachelor’s degree nursing program was established at the University of Minnesota. Due to the shortage of nurses after the World War II, again in 1952, nurse tech 2-yrs associate degree nursing program was started. Today nursing is a profession with multiple pathways for entry level practice. The purposes of this paper are to discuss the differences in competences between associate and bachelor’s prepared nurses and how their education levels affect the patient outcome. Associate versus Bachelor’s Degrees: Differences in Competencies Mildred Montag in 1952 proposed 2-year associate degree nursing program to prepare technical bedside nurses for secondary care settings, like nursing homes and community hospitals. The graduates of this program are provided with basic general education and skills required for entry into clinical nursing courses. Because the program was shorter than Bachelor’s degree it was more affordable and accessible to many students. In the beginning there was some confusion about the roles and responsibilities and licensure procedure of ADN graduates and BSN graduates. Though they were educated and trained at different levels, ADN graduates were declared eligible to take the same NCLEX exam and get their RN licensure as of their BSN counterparts. Supporter of BSN program...
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...Hendricks County Promotion of Healthy Lifestyle with Nutrition and Exercise Faith N. Kirirah – 000328312 07/03/2014 HGT Community Health Practicum Western Governors University Assessment The fieldwork for this report is performed in Hendricks County in the state of Indiana, United States of America (USA). Community Hendricks County is located just west of Indianapolis, Indiana. This county boarders on Borne County to the north, Marion County to the east, Montgomery and Putnam Counties to the west, and Morgan County to the south. The county has a total area size of 408.78 square miles of which 406.91 square miles is land and the remainder is water according to 2012 United States Census Bureau. The estimated population of this county was 153,879 in 2013 with 90.4percent being Caucasians, 5.5percent Black/African Americans, 3.2 percent Hispanic/Latino, 2.3 percent Asians and the remainder covering other nationalities (Alaska Natives, American Indians, Native Hawaiian, Pacific Islanders, some other races and two/more races). This county benefits from easy access to the nearby cities and towns that it shares with the Indianapolis metropolitan area with. One major concern in this county is traffic that causes long travel times and congestion. Physical environment of this county is within acceptable standards according to the county health department. Several of the ditches in this county have been found to be contaminated with bacterium E. coli but with the increased improvement...
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...AD OLE SCE N T Research Report S L E E P N E E DS and Resource Guide AND PATTERNS P U B L I S H ED B Y T H E N AT I O N AL S L E E P F O U N D AT I O N AD OLE SCE N T Research Report S L E E P N E E DS and Resource Guide AND PATTERNS P U B L I S HE D B Y T H E N AT IO N A L S L E E P F O U N D AT I O N w w w. s l e e p f o u n d a t i o n . o r g Table of Contents Preface .............................................................................................................................................................i PART ONE: Research Report ........................................................................................................................1 Introduction .............................................................................................................................................1 Physiological Patterns ........................................................................................................................2 Behavioral and Psychosocial Patterns................................................................................................2 Consequences of Poor Sleep in Adolescents .........................................................................................3 What Can Be Done ..................................................................................................................................4 Reference s................................................................
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...THE STATE OF HMONG-AMERICAN STUDIES (A BIBLIOGRAPHIC ESSAY) By Mark E. Pfeifer, PhD Director, Hmong Resource Center, Saint Paul Editor, Hmong Studies Journal Introduction In the newly published volume Hmong/Miao in Asia, Chiang Mai: Silkworm Books, co-editor Nicholas Tapp provides an insightful essay “The State of Hmong Studies: An Essay on Bibliography” which traces the temporal development of research on the Hmong and assesses some of the key works within the interdisciplinary realm of Hmong Studies. Tapp’s essay is very valuable as an overview of the growth of Hmong Studies research based in Asia. Unfortunately, the sections of his piece pertaining to Hmong-American Studies, are, as he himself acknowledges, dated as they are heavily focused on publications from the 1980s and early 1990s. It is the purpose of the present short essay to provide the reader with an assessment of recent developments in Hmong-American Studies and some insights about certain research areas that need further development in the field. Health and Medicine Hmong-American Studies research has grown dramatically since the early 1990s. The Hmong Resource Center library in Saint Paul now possesses more than 150 dissertations/theses and 450 journal articles pertaining to HmongAmericans (as opposed to Hmong in Asia and other countries). The vast majority 1 of these works have been published since 1994. There are certain fields within Hmong-American Studies that have seen very important...
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...society, gender’s definition should be redefined to include transgender and not only base on the physical sexuality at birth. Before everything else, the most important question is: what is transgender? From the definition of Gay and Lesbian Alliance Against Defamation, transgender is the state of one's self gender identity not matching one's assigned sex which based on physical sexuality at birth (GLAAD). To be easier to imagine, I would use a simple example. Imagine that your name is Tom. One day, while you are sleeping, someone assigns “Peter” as your name. After that, everyone starts calling you “Peter” while you can never remove the label of it which has been assigned to you. That is a case similar to transgender people. However, you will just be called a wrong name in this case; the transgender people would face discrimination, inequalities and different serious problems every day that harm them physically and mentally. Transgender people are facing many problems. From the research on transgender youth and...
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...States had a much higher prevalence than the western states. The south continues to have many more occurrences than the rest of the county. The southeastern quadrant of the United Sates appears to lead the way with morbidity issues. For example, the southeastern portion of the US is known as the Bible belt because of its socially conservative evangelical Protestantism. Sadly, it is also known as the stoke belt and is considered a part of stroke ally by public health authorities for having an unusually high incidence of stroke and other forms of cardiovascular disease. Multiple studies have shown (Jorgensen, 1994) that people with diabetes are at greater risk for stroke compared to people without diabetes -- regardless of the number of health risk factors they have. Age-standardized diabetes prevalence (Goodarz, Friedman, Oza, Murray, & Ezzatil, 2009) was highest in Mississippi, West Virginia, Louisiana, Texas, South Carolina, Alabama, and Georgia (15.8 to 16.6% for men and 12.4 to 14.8% for women). Vermont, Minnesota, Montana,...
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...Twins Photo: Twins A Thing or Two About Twins They have the same piercing eyes. The same color hair. One may be shy, while the other loves meeting new people. Discovering why identical twins differ—despite having the same DNA—could reveal a great deal about all of us. By Peter Miller Photograph by Martin Schoeller Every summer, on the first weekend in August, thousands of twins converge on Twinsburg, Ohio, a small town southeast of Cleveland named by identical twin brothers nearly two centuries ago. They come, two by two, for the Twins Days Festival, a three-day marathon of picnics, talent shows, and look-alike contests that has grown into one of the world's largest gatherings of twins. Dave and Don Wolf of Fenton, Michigan, have been coming to the festival for years. Like most twins who attend, they enjoy spending time with each other. In fact, during the past 18 years, the 53-year-old truckers, whose identical beards reach down to their chests, have driven more than three million miles together, hauling everything from diapers to canned soup from places like Seattle, Washington, to Camden, New Jersey. While one sits at the wheel of their diesel Freightliner, the other snoozes in the bunk behind him. They listen to the same country gospel stations on satellite radio, share the same Tea Party gripes about big government, and munch on the same road diet of pepperoni, apples, and mild cheddar cheese. On their days off they go hunting or fishing together. It's a way...
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...RESEARCH CRITIQUE Research Critique of Adherence to Walking or Stretching, and Risk of Preeclampsia in Sedentary Pregnant Women Ana H. Corona Western University of Health Sciences CGN 5306: Biostatistics and Epidemiology August 1, 2009 Research Critique of “Adherence to Walking or Stretching, and Risk of Preeclampsia in Sedentary Pregnant Women” Introduction This paper is to critique a study of adherence to walking or stretching during pregnancy in high risk women who were sedentary and had previously experienced preeclampsia. The introduction of this article does give a sense of the importance of the problem area. This four-year study investigates the effects of walking or stretching on the incidence of preeclampsia and reports on adherence to the intervention and on the secondary outcomes of changes in resting heart rate (HR), resting blood pressure and weight gain. Statement of the Problem The purpose of the study was to compare a walking exercise to a stretching exercise program during pregnancy in high-risk women who were sedentary and had previous history of preeclampsia. The problem was clearly stated and was a feasible researchable problem. The problem had significance for nursing and for the medical profession and might improve practice and education. While the researcher does a good job of stating why the problem is important, it could have been helpful for him to list numbers of people who are affected by preeclampsia and complications of the disease...
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...“Adherence to Walking or Stretching, and Risk of Preeclampsia in Sedentary Pregnant Women” Introduction This paper is to critique a study of adherence to walking or stretching during pregnancy in high-risk women who were sedentary and had previously experienced preeclampsia. The purpose of the study was to compare a walking exercise to a stretching exercise program during pregnancy in high-risk women who were sedentary and had previous history of preeclampsia. This five-year study investigated the effects of walking or stretching on the incidence of preeclampsia and reports on adherence to the intervention and on the secondary outcomes of changes in resting heart rate (HR), resting blood pressure and weight gain (Yeo, 2009). Statement of the Problem The problem was clearly stated and was a sufficient researchable problem. The researcher does a good job of stating why the problem is important, but there was no mention of the number of people who are affected by preeclampsia and complications of the disease itself. Yeo (2009) identifies the following research question for this study as: 1. Will previously sedentary pregnant women adhere to an exercise program for 40 minutes a day 5 times a week in the latter half of pregnancy (Yeo, 2009)? 2. Is there a difference in adherence to a walking program or a stretching exercise program (Yeo, 2009)? 3. How does adherence to walking or stretching change with the advance of pregnancy (Yeo, 2009)? 4. Which exercise is more...
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