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[PMID]:25816814
[Au] Autor:Garland B; Wodahl E; Cota L
[Ad] Endereço:Missouri StateUniversity, Springfield, USA BrettGarland@MissouriState.edu.
[Ti] Título:Measuring Public Support for Prisoner Reentry Options.
[So] Source:Int J Offender Ther Comp Criminol;60(12):1406-24, 2016 Sep.
[Is] ISSN:1552-6933
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Few topics have been discussed more extensively or feverishly within correctional academic and professional circles in the past few decades than prisoner reentry. Although program and policy evaluations have been conducted, a lack of public support for prisoner reentry initiatives could undermine the sustainability of prisoner reentry as a large-scale movement. Interestingly, no multivariate, explanatory analyses of the correlates of support for prisoner reentry policies could be found in the literature. This omission is due in part to the absence of clear psychometric measures to assess support. The current study examines the data obtained from a sample of residents in a Midwestern state to determine the dimensionality of support for prisoner reentry interventions using both exploratory factor analysis (EFA) and ordinary least squares (OLS) regression. Specifically, our expectation is that the following three-factor structure will be identified: (a) support for transitional programs aimed at building skills and knowledge to handle the obstacles of the prison-to-community transitional process, (b) support for post-release transitional housing units, and (c) opposition to denying offenders housing opportunities. Our results support a three-factor model. The implications of these findings for future research are discussed.
[Mh] Termos MeSH primário: Integração Comunitária
Prisioneiros
Opinião Pública
[Mh] Termos MeSH secundário: Análise Fatorial
Feminino
Seres Humanos
Análise dos Mínimos Quadrados
Masculino
Meia-Idade
Meio-Oeste dos Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180131
[Lr] Data última revisão:
180131
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150331
[St] Status:MEDLINE
[do] DOI:10.1177/0306624X15578438


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[PMID]:28880925
[Au] Autor:Karasov TL; Barrett L; Hershberg R; Bergelson J
[Ad] Endereço:Committee On Genetics Genomics & Systems Biology, University of Chicago, Chicago, Illinois, United States of America.
[Ti] Título:Similar levels of gene content variation observed for Pseudomonas syringae populations extracted from single and multiple host species.
[So] Source:PLoS One;12(9):e0184195, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Bacterial strains of the same species collected from different hosts frequently exhibit differences in gene content. In the ubiquitous plant pathogen Pseudomonas syringae, more than 30% of genes encoded by each strain are not conserved among strains colonizing other host species. Although they are often implicated in host specificity, the role of this large fraction of the genome in host-specific adaptation is largely unexplored. Here, we sought to relate variation in gene content between strains infecting different species to variation that persists between strains on the same host. We fully sequenced a collection of P. syringae strains collected from wild Arabidopsis thaliana populations in the Midwestern United States. We then compared patterns of variation observed in gene content within these A. thaliana-isolated strains to previously published P. syringae sequence from strains collected on a diversity of crop species. We find that strains collected from the same host, A. thaliana, differ in gene content by 21%, 2/3 the level of gene content variation observed across strains collected from different hosts. Furthermore, the frequency with which specific genes are present among strains collected within the same host and among strains collected from different hosts is highly correlated. This implies that most gene content variation is maintained irrespective of host association. At the same time, we identify specific genes whose presence is important for P. syringae's ability to flourish within A. thaliana. Specifically, the A. thaliana strains uniquely share a genomic island encoding toxins active against plants and surrounding microbes, suggesting a role for microbe-microbe interactions in dictating the abundance within this host. Overall, our results demonstrate that while variation in the presence of specific genes can affect the success of a pathogen within its host, the majority of gene content variation is not strongly associated with patterns of host use.
[Mh] Termos MeSH primário: Genes Bacterianos
Variação Genética
Interações Hospedeiro-Patógeno/genética
Pseudomonas syringae/genética
Pseudomonas syringae/isolamento & purificação
[Mh] Termos MeSH secundário: Arabidopsis/microbiologia
Produtos Agrícolas/microbiologia
Ilhas Genômicas/genética
Meio-Oeste dos Estados Unidos
Filogenia
Doenças das Plantas/microbiologia
Polimorfismo Genético
Especificidade da Espécie
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170908
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0184195


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[PMID]:28877114
[Au] Autor:Bliss DZ; Bland P; Wiltzen K; Gannon A; Wilhems A; Mathiason MA; Turnbaugh R
[Ad] Endereço:Donna Z. Bliss, PhD, RN, FAAN, FGSA, University of Minnesota School of Nursing, Minneapolis. Peggy Bland, HSD, RN, Presbyterian Manor of Mid-America Nursing Home, Farmington, Missouri. Kjerstie Wiltzen, BA, BSN, RN, CWCN, University of Minnesota School of Nursing, Minneapolis. Alexandra Gannon, BSN, RN, University of Minnesota School of Nursing, Minneapolis. Anna Wilhems, BSN, RN, University of Minnesota School of Nursing, Minneapolis. Michelle A. Mathiason, MS, University of Minnesota School of Nursing, Minneapolis. Robert Turnbaugh, RN, Presbyterian Manor of Mid-America Nursing Home, Farmington, Missouri.
[Ti] Título:Incontinence Briefs Containing Spiral-Shaped Fiber Acidify Skin pH of Older Nursing Home Residents at Risk for Incontinence-Associated Dermatitis.
[So] Source:J Wound Ostomy Continence Nurs;44(5):475-480, 2017 Sep/Oct.
[Is] ISSN:1528-3976
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The study's purpose was to assess the pH of the skin of older (aged ≥75 years) incontinent nursing home residents after exposure to an incontinence brief containing spiral-shaped fiber wet with an alkaline solution mimicking urine or fecal pH and compared to skin pH after exposure to an industry standard brief wet with the same solution and various controls. DESIGN: The design was experimental, as conditions were applied to skin and skin pH was measured in random order, and subjects served as their own controls. SETTING AND SUBJECTS: The setting was a Midwestern nonprofit nursing home. The sample was 26 nursing home residents; their mean age was 87 years (SD = 6 years); 77% were female. Most (69%) had urinary incontinence alone, and 31% had dual urinary and fecal incontinence. METHODS: Skin pH was measured in duplicate on 6 areas of the inner thighs and 6 areas of the volar surface of the forearms. Each area was exposed to 1 of 6 conditions applied in random order: an incontinence brief containing spiral-shaped fiber wet with an alkaline solution and one that was dry; a standard incontinence brief (without spiral-shaped fiber) wet with the same alkaline solution and one that was dry; the alkaline solution alone; and normal skin. RESULTS: On both the thighs and the forearms, skin pH was significantly lower (more acidic) after exposure to the incontinence brief containing spiral-shaped fiber wet with an alkaline solution compared to the wet standard brief and all other control conditions (P < .001). On thighs, the mean skin pH was 5.7 (SD = 0.5) after exposure to the wet brief with spiral-shaped fiber versus 6.4 (SD = 0.5) after exposure to the wet standard brief. On forearms, the mean skin pH was 5.3 (SD = 0.4) after exposure to the wet brief with spiral-shaped fiber versus 6.0 (SD = 0.4) after exposure to the wet standard brief. CONCLUSIONS: Incontinence briefs containing a spiral-shaped fiber significantly acidify the pH of the skin exposed to an alkaline solution, while industry standard briefs do not. Since alkaline skin pH is a risk factor for incontinence-associated dermatitis (IAD), results suggest that briefs with spiral-shaped fiber may help prevent IAD. Findings encourage further research.
[Mh] Termos MeSH primário: Dermatite/etiologia
Concentração de Íons de Hidrogênio
Tampões Absorventes para a Incontinência Urinária/classificação
Tampões Absorventes para a Incontinência Urinária/normas
Urina/química
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Tampões Absorventes para a Incontinência Urinária/estatística & dados numéricos
Masculino
Meio-Oeste dos Estados Unidos
Casas de Saúde/organização & administração
Casas de Saúde/estatística & dados numéricos
Fatores de Risco
Higiene da Pele/enfermagem
Incontinência Urinária/complicações
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170907
[St] Status:MEDLINE
[do] DOI:10.1097/WON.0000000000000362


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[PMID]:28863173
[Au] Autor:Marko O; Brdar S; Panic M; Sasic I; Despotovic D; Knezevic M; Crnojevic V
[Ad] Endereço:BioSense Institute, University of Novi Sad, Novi Sad, Serbia.
[Ti] Título:Portfolio optimization for seed selection in diverse weather scenarios.
[So] Source:PLoS One;12(9):e0184198, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The aim of this work was to develop a method for selection of optimal soybean varieties for the American Midwest using data analytics. We extracted the knowledge about 174 varieties from the dataset, which contained information about weather, soil, yield and regional statistical parameters. Next, we predicted the yield of each variety in each of 6,490 observed subregions of the Midwest. Furthermore, yield was predicted for all the possible weather scenarios approximated by 15 historical weather instances contained in the dataset. Using predicted yields and covariance between varieties through different weather scenarios, we performed portfolio optimisation. In this way, for each subregion, we obtained a selection of varieties, that proved superior to others in terms of the amount and stability of yield. According to the rules of Syngenta Crop Challenge, for which this research was conducted, we aggregated the results across all subregions and selected up to five soybean varieties that should be distributed across the network of seed retailers. The work presented in this paper was the winning solution for Syngenta Crop Challenge 2017.
[Mh] Termos MeSH primário: Produtos Agrícolas
Feijão de Soja/genética
Tempo (Meteorologia)
[Mh] Termos MeSH secundário: Agricultura/métodos
Mudança Climática
Meio-Oeste dos Estados Unidos
Modelos Estatísticos
Análise de Regressão
Sementes/genética
Incerteza
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170902
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0184198


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[PMID]:28841443
[Au] Autor:Abente EJ; Gauger PC; Walia RR; Rajao DS; Zhang J; Harmon KM; Killian ML; Vincent AL
[Ad] Endereço:Virus and Prion Research Unit, National Animal Disease Center, Agricultural Research Service, USDA, Ames, IA, United States.
[Ti] Título:Detection and characterization of an H4N6 avian-lineage influenza A virus in pigs in the Midwestern United States.
[So] Source:Virology;511:56-65, 2017 Nov.
[Is] ISSN:1096-0341
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:H4Nx viruses were reported in swine in Canada and China, but had not been recognized in swine in the USA. In late 2015, an avian-origin H4N6 influenza A virus was isolated from pigs in the United States during a routine diagnostic investigation of clinical respiratory disease in the herd. Serological analysis from additional pigs at the farm and other pigs within the swine production system indicated that the virus did not efficiently transmit from pig-to-pig and the mode of transmission to swine could not be determined. The isolate was characterized at the molecular level and the pathogenesis and transmission was experimentally evaluated in pigs. Although the virus replicated in the lungs of pigs and caused mild pulmonary lesions, there was no evidence of replication in the upper respiratory tract or transmission to indirect contacts, supporting the findings on the farm.
[Mh] Termos MeSH primário: Vírus da Influenza A/isolamento & purificação
Infecções por Orthomyxoviridae/veterinária
Doenças dos Suínos/patologia
Doenças dos Suínos/virologia
[Mh] Termos MeSH secundário: Animais
Transmissão de Doença Infecciosa
Genótipo
Vírus da Influenza A/classificação
Vírus da Influenza A/genética
Pulmão/virologia
Meio-Oeste dos Estados Unidos
Infecções por Orthomyxoviridae/patologia
Infecções por Orthomyxoviridae/transmissão
Infecções por Orthomyxoviridae/virologia
Sorotipagem
Suínos
Doenças dos Suínos/transmissão
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170826
[St] Status:MEDLINE


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[PMID]:28834804
[Au] Autor:Berg GM; LoCurto J; Lippoldt D
[Ad] Endereço:Author Affiliations: Director, Trauma Research and Leadership Development (Dr Berg), and Director, Trauma Services (Ms Lippoldt), Wesley Medical Center, Wichita, Kansas; and Research Associate (Dr LoCurto), University of Kansas School of Medicine-Wichita.
[Ti] Título:Stages of Adoption Concern and Technology Acceptance in a Critical Care Nursing Unit.
[So] Source:J Nurs Adm;47(9):441-447, 2017 Sep.
[Is] ISSN:1539-0721
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The aim of this study is to examine the stages of concern (self, task, and impact) and usability (trust, perceived usefulness, and ease of use) shifts experienced by nurses adopting new technology. BACKGROUND: Patient care processes in critical care units can be disrupted with the incorporation of information technology. New users of technology typically transition through stages of concern and experience shifts in acceptance during assimilation. METHODS: Critical care nurses (N = 41) were surveyed twice: (1) pre, immediately after training, and (2) post, 3 months after implementation of technology. RESULTS: From presurvey to postsurvey, self-concerns decreased 14%, whereas impact concerns increased 22%. Furthermore, there was a 30% increase in trust and a 17% increase in perceived usefulness, even with a 27% decrease in ease of use. CONCLUSION: Adoption of new technology requires critical care nurses to adapt current practices, which may improve trust and perceived usefulness yet decrease perceptions of ease of use.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Atitude Frente aos Computadores
Tecnologia Biomédica/normas
Enfermagem de Cuidados Críticos/normas
Recursos Humanos de Enfermagem no Hospital/psicologia
[Mh] Termos MeSH secundário: Adulto
Tecnologia Biomédica/tendências
Enfermagem de Cuidados Críticos/tendências
Feminino
Pesquisas sobre Serviços de Saúde
Seres Humanos
Masculino
Meio-Oeste dos Estados Unidos
Recursos Humanos de Enfermagem no Hospital/normas
Recursos Humanos de Enfermagem no Hospital/tendências
Centros de Atenção Terciária/recursos humanos
Centros de Atenção Terciária/organização & administração
Centros de Atenção Terciária/tendências
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170913
[Lr] Data última revisão:
170913
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:170824
[St] Status:MEDLINE
[do] DOI:10.1097/NNA.0000000000000511


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[PMID]:28683003
[Au] Autor:Perrigino MB; Dunford BB; Vermace BJ; Tucker SJ; Rempher KJ
[Ad] Endereço:Krannert School of Management, Regenstrief Center for Healthcare Engineering, Purdue University, West Lafayette, Indiana (Mr Perrigino and Dr Dunford); University of Iowa Hospitals and Clinics, Iowa City, Iowa (Ms Vermace); Ohio State University College of Nursing, Columbus, Ohio (Dr Tucker); and Cone Health System, Greensboro, North Carolina (Dr Rempher). Matthew B. Perrigino, BBA, is a doctoral candidate in the organizational behavior and human resources program at Purdue University's Krannert School of Management in West Lafayette, Indiana. He is also a research fellow at Purdue's Regenstrief Center for Healthcare Engineering. Benjamin B. Dunford, PhD, is an associate professor at the Krannert School of Management and a Regenstrief Center for Healthcare Engineering Scholar at Purdue University in West Lafayette, Indiana. Beverly J. Vermace, MSN, RN, is a parenteral infusion device coordinator and clinical coordinator for the office of the chief medical information officer at the University of Iowa Hospitals and Clinics in Iowa City, Iowa. Sharon J. Tucker, PhD, RN, PMHCNS-BC, FAAN, is a Grayce M. Sills Endowed Professor of Psychiatric Mental Health Nursing and director of the Translational Research Core of the Helene Fuld Health Trust National Institute for Evidence-based Practice at the Ohio State University College of Nursing in Columbus, Ohio. Kenneth J. Rempher, PhD, MBA, RN, CENP, is executive vice president and health system chief nurse executive for the Cone Health System, based in Greensboro, North Carolina.
[Ti] Título:Age Differences and the Acceptance of Infusion Pump Technology.
[So] Source:J Infus Nurs;40(4):238-244, 2017 Jul/Aug.
[Is] ISSN:1539-0667
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Previous studies demonstrate that age and receptiveness to new technologies tend to be negatively correlated. Using data from a sample of 311 nurses in a large teaching hospital in the midwestern United States, this study sought to determine whether age predicted satisfaction perceptions of infusion pump technology. Hierarchical regression indicated that the relationship between age and infusion pump satisfaction was not statistically significant, but it also revealed interesting moderation effects. When perceived support for infusion pump use was low, age was negatively related to infusion pump satisfaction. However, when perceived support was high, age was positively related to infusion pump satisfaction.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Bombas de Infusão/utilização
Invenções/utilização
Recursos Humanos de Enfermagem no Hospital/psicologia
[Mh] Termos MeSH secundário: Fatores Etários
Seres Humanos
Satisfação no Emprego
Meio-Oeste dos Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170912
[Lr] Data última revisão:
170912
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170707
[St] Status:MEDLINE
[do] DOI:10.1097/NAN.0000000000000226


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[PMID]:28665726
[Au] Autor:Wells SJ; Kromm MM; VanBeusekom ET; Sorley EJ; Sundaram ME; VanderWaal K; Bowers JWJ; Papinaho PA; Osterholm MT; Bender J
[Ad] Endereço:A Center for Animal Health and Food Safety, University of Minnesota, 1354 Eckles Avenue, St. Paul, MN 55108.
[Ti] Título:Epidemiologic Investigation of Highly Pathogenic H5N2 Avian Influenza Among Upper Midwest U.S. Turkey Farms, 2015.
[So] Source:Avian Dis;61(2):198-204, 2017 Jun.
[Is] ISSN:1938-4351
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In 2015, an outbreak of H5N2 highly pathogenic avian influenza (HPAI) occurred in the United States, severely impacting the turkey industry in the upper midwestern United States. Industry, government, and academic partners worked together to conduct a case-control investigation of the outbreak on turkey farms in the Upper Midwest. Case farms were confirmed to have HPAI-infected flocks, and control farms were farms with noninfected turkey flocks at a similar stage of production. Both case and control farms were affiliated with a large integrated turkey company. A questionnaire administered to farm managers and supervisors assessed farm biosecurity, litter handling, dead bird disposal, farm visitor and worker practices, and presence of wild birds on operations during the 2 wk prior to HPAI confirmation on case premises and the corresponding time frame for control premises. Sixty-three farms, including 37 case farms and 26 control farms were included in the analysis. We identified several factors significantly associated with the odds of H5N2 case farm status and that may have contributed to H5N2 transmission to and from operations. Factors associated with increased risk included close proximity to other turkey operations, soil disruption (e.g., tilling) in a nearby field within 14 days prior to the outbreak, and rendering of dead birds. Observation of wild mammals near turkey barns was associated with reduced risk. When analyses focused on farms identified with H5N2 infection before April 22 (Period 1), associations with H5N2-positive farm status included soil disruption in a nearby field within 14 days prior to the outbreak and a high level of visitor biosecurity. High level of worker biosecurity had a protective effect. During the study period after April 22 (Period 2), factors associated with HPAI-positive farm status included nonasphalt roads leading to the farm and use of a vehicle wash station or spray area. Presence of wild birds near dead bird disposal areas was associated with reduced risk. Study results indicated that the initial introduction and spread of H5N2 virus likely occurred by both environmental and between-farm pathways. Transmission dynamics appeared to change with progression of the outbreak. Despite enhanced biosecurity protocols, H5N2 transmission continued, highlighting the need to review geographic/topologic factors such as farm proximity and potential dust or air transmission associated with soil disruption. It is likely that biosecurity improvements will reduce the extent and speed of spread of future outbreaks, but our results suggest that environmental factors may also play a significant role in farms becoming infected with HPAI.
[Mh] Termos MeSH primário: Vírus da Influenza A Subtipo H5N2/isolamento & purificação
Influenza Aviária/virologia
Doenças das Aves Domésticas/virologia
Perus/microbiologia
[Mh] Termos MeSH secundário: Animais
Surtos de Doenças
Vírus da Influenza A Subtipo H5N2/classificação
Vírus da Influenza A Subtipo H5N2/genética
Vírus da Influenza A Subtipo H5N2/patogenicidade
Influenza Aviária/epidemiologia
Meio-Oeste dos Estados Unidos/epidemiologia
Doenças das Aves Domésticas/epidemiologia
Virulência
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170823
[Lr] Data última revisão:
170823
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170701
[St] Status:MEDLINE
[do] DOI:10.1637/11543-112816-Reg.1


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[PMID]:28650412
[Au] Autor:Miller DM; Neelon L; Kish-Smith K; Whitney L; Burant CJ
[Ad] Endereço:Donna M. Miller, DNP, MSN, MEd, RN, Acute Care Nursing, Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio. Lisa Neelon, MSN, RN, CCRN, MICU/CICU, Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio. Kathleen Kish-Smith, BSN, RN, MICU/CICU, Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio. Laura Whitney, BS, RN, CCM, MICU/CICU, Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio. Christopher J. Burant, PhD, FGSA, Statistical Resource Center, Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio; Geriatric Research, Education & Clinical Center, Cleveland, Ohio; and Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio.
[Ti] Título:Pressure Injury Knowledge in Critical Care Nurses.
[So] Source:J Wound Ostomy Continence Nurs;44(5):455-457, 2017 Sep/Oct.
[Is] ISSN:1528-3976
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The purpose of this study was to identify pressure injury knowledge in critical care nurses related to prevention and staging following multimodal education initiatives. DESIGN: Postintervention descriptive study. SETTING AND SAMPLE: The sample comprised 32 RNs employed in medical intensive care/coronary intensive care or surgical intensive care units. The study setting was a 237-bed Veterans Affairs acute care hospital in the Midwestern United States. METHODS: Critical care RNs were asked to participate in this project over a 3-week period following a multimodal 2-year education initiative. Nurses completed the paper version of the 72-item Pieper-Zulkowski Pressure Ulcer Knowledge Test (PZ-PUKT) to determine pressure injury knowledge level. Calculated mean cumulative scores and subscores for items related to prevention and staging, respectively. Pearson correlations were used to examine associations between nursing staff characteristics and the PZ-PUKT prevention and staging scores. RESULTS: The cumulative score on the PZ-PUKT was 51.66 (72%); nurses with 5 to 10 years' experience had a higher mean score than nurses with experiences of 20 years or more (mean ± SD = 54.25 ± 4.37 vs 49.5 ± 7.12), but the difference was not statistically significant. Nurses scored higher on the staging system-related items as compared to the prevention-related items (81% vs 70%). Nurses achieved higher staging subscale scores if they were younger (r =-0.41, P < .05), had less experience (r =-0.43, P < .05), and if they worked in the medical intensive care unit (r = 0.37, P < .05). CONCLUSIONS: Study findings indicate gaps in knowledge related to pressure injury practice; participants had greater knowledge of staging rather than prevention. Cumulative and subscale findings can be used to direct educational efforts needed to improve and maintain an effective pressure injury prevention program.
[Mh] Termos MeSH primário: Competência Clínica/normas
Enfermagem de Cuidados Críticos/recursos humanos
Enfermeiras e Enfermeiros/normas
Lesão por Pressão/terapia
[Mh] Termos MeSH secundário: Adulto
Competência Clínica/estatística & dados numéricos
Enfermagem de Cuidados Críticos/estatística & dados numéricos
Avaliação Educacional/métodos
Feminino
Seres Humanos
Unidades de Terapia Intensiva/organização & administração
Unidades de Terapia Intensiva/normas
Conhecimento
Masculino
Meia-Idade
Meio-Oeste dos Estados Unidos
Enfermeiras e Enfermeiros/estatística & dados numéricos
Estados Unidos
United States Department of Veterans Affairs/organização & administração
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170627
[St] Status:MEDLINE
[do] DOI:10.1097/WON.0000000000000350


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[PMID]:28639373
[Au] Autor:Hessler KL; Dunemn K
[Ad] Endereço:School of Nursing, University of Northern Colorado, Greeley, Colorado.
[Ti] Título:Laboratory diagnosis of overt type 2 diabetes in the first trimester of pregnancy.
[So] Source:J Am Assoc Nurse Pract;29(9):521-526, 2017 Sep.
[Is] ISSN:2327-6924
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The objective of this study was to compare the use of hemoglobin A1C to oral glucose tolerance testing to diagnose overt type 2 diabetes in the first trimester of pregnancy. The study used a nonexperimental descriptive design to compare the use of the hemoglobin A1C test results to oral glucose tolerance test results. METHODS: The study used a sample of 45 women at high risk for type 2 diabetes in the first trimester of pregnancy. Participants were consented to draw a hemoglobin A1C with their ordered oral glucose tolerance testing for comparison of the two tests' ability to diagnose overt type 2 diabetes. RESULTS: Hemoglobin A1C tests were highly positively correlated with oral glucose tolerance testing for diagnosis of type 2 diabetes in women in the first trimester of pregnancy. CONCLUSION: The research provides beginning evidence that the hemoglobin A1C should be considered as a first-tier diagnostic test for overt type 2 diabetes in the first trimester of pregnancy.
[Mh] Termos MeSH primário: Biomarcadores/análise
Diabetes Mellitus Tipo 2/diagnóstico
Teste de Tolerância a Glucose/normas
Hemoglobina A Glicada/normas
Primeiro Trimestre da Gravidez/metabolismo
[Mh] Termos MeSH secundário: Adulto
Biomarcadores/sangue
Feminino
Teste de Tolerância a Glucose/métodos
Hemoglobina A Glicada/análise
Seres Humanos
Meio-Oeste dos Estados Unidos
Gravidez
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Biomarkers); 0 (Glycated Hemoglobin A); 0 (hemoglobin A1c protein, human)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170623
[St] Status:MEDLINE
[do] DOI:10.1002/2327-6924.12479



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