American journal of health sciences最新文献

Investigation Of Obesity-Related Mortality Rates In Delaware. 特拉华州肥胖相关死亡率调查

American journal of health sciences Pub Date : 2017-06-01

Malcolm J D'Souza, Derald E Wentzien, Riza C Bautista, Catherine C Gross

{"title":"Investigation Of Obesity-Related Mortality Rates In Delaware.","authors":"Malcolm J D'Souza, Derald E Wentzien, Riza C Bautista, Catherine C Gross","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As Delaware's adult obesity crisis continues to be a leading public health concern, we evaluated Delaware's 1999-2014 vital records to examine the association between obesity and mortality. We used the Delaware population death records from the Centers for Disease Control and Prevention (CDC) WONDER database and the Delaware Health Statistics Center (DHSC). Together with the vital records, we incorporated Microsoft Excel, SAS (Statistical Analysis System) and GIS (geographic information system) tools to analyze obesity influences from county residence, economic status, education, gender, and race. Using the 15-year (1999-2014) time span with the CDC WONDER database, we observed a statistically significant 28.7% increase in the age-adjusted Delaware obesity-related mortality rates (where obesity was a contributory factor). Furthermore, obesity influenced death counts in all three Delaware counties (New Castle, Kent, and Sussex). Kent County experienced the largest increase (66.0%), followed by New Castle County (47.4%), and Sussex County (25.2%). The DHSC mortality rates for all leading causes of death from 2000 to 2011 indicated relatively stable mortality rates for Delaware. However, using CDC WONDER data, the Delaware mortality rate for obesity as a single underlying cause in 2011 was 56.9% higher than mortality rate in 2000.</p>","PeriodicalId":89884,"journal":{"name":"American journal of health sciences","volume":"8 1","pages":"19-32"},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5501276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35154436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Certified Nursing Assistants’ Perceptions And Generational Differences 注册护理助理的认知与代际差异

American journal of health sciences Pub Date : 2017-05-31 DOI: 10.19030/AJHS.V8I1.9898

D. Hagerty, J. Buelow

引用次数: 3

Storytelling And Reflective Pedagogy: Transforming Nursing Education Through Faculty Development 讲故事和反思性教学法:通过教师发展改造护理教育

American journal of health sciences Pub Date : 2017-05-31 DOI: 10.19030/AJHS.V8I1.9953

Candice Phillips, Kellie Bassell, Laura Fillmore

{"title":"Storytelling And Reflective Pedagogy: Transforming Nursing Education Through Faculty Development","authors":"Candice Phillips, Kellie Bassell, Laura Fillmore","doi":"10.19030/AJHS.V8I1.9953","DOIUrl":"https://doi.org/10.19030/AJHS.V8I1.9953","url":null,"abstract":"Nurse educators require pedagogical approaches beyond traditional methods to facilitate student learning of new competencies to practice in complex health care environments. However, little direction is available about how to effectively transform education. The purpose of this quality improvement project was to develop and implement steps to initiate change in both systems and processes of teaching and learning; to provide an efficient, sustainable method to incorporate transformative pedagogies through innovative faculty development; and, to collect outcomes of an e-Learning course to support teaching, using Kirkpatrick’s 4-level Model. An innovative course using storytelling and reflective pedagogy was developed to guide faculty into a transformative learning experience to challenge assumptions, gather insights, and raise questions about teaching practices. Pre- and post-course surveys captured data across three levels: satisfaction, knowledge and skill acquisition, and change in behavior. Forty-five participants were initially evaluated, while 31 were eligible for evaluation at three months. Follow-up survey results yielded a 42% response rate. Pre- and post-surveys were analyzed using a two-tailed, dependent t-test. Significant gains were recorded across all three areas (p<0.05), with large to medium effect size noted using Cohen’s d. Follow-up surveys revealed a significant change in knowledge (p<0.05), whereas the skill and attitude effect change were not statistically significant (p<0.05). Results suggest storytelling and reflective pedagogy are effective for faculty to confront and resolve actual and desired teaching practices, and that faculty placed value on reflection to facilitate self-awareness, question assumptions, and nurture ideas about personal and professional growth.","PeriodicalId":89884,"journal":{"name":"American journal of health sciences","volume":"56 1","pages":"7-18"},"PeriodicalIF":0.0,"publicationDate":"2017-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75117086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Investigation Of Obesity-Related Mortality Rates In Delaware 特拉华州肥胖相关死亡率调查

American journal of health sciences Pub Date : 2017-05-13 DOI: 10.19030/AJHS.V8I1.9954

M. D’Souza, D. Wentzien, R. Bautista, C. Gross

{"title":"Investigation Of Obesity-Related Mortality Rates In Delaware","authors":"M. D’Souza, D. Wentzien, R. Bautista, C. Gross","doi":"10.19030/AJHS.V8I1.9954","DOIUrl":"https://doi.org/10.19030/AJHS.V8I1.9954","url":null,"abstract":"As Delaware’s adult obesity crisis continues to be a leading public health concern, we evaluated Delaware’s 1999–2014 vital records to examine the association between obesity and mortality. We used the Delaware population death records from the Centers for Disease Control and Prevention (CDC) WONDER database and the Delaware Health Statistics Center (DHSC). Together with the vital records, we incorporated Microsoft Excel, SAS (Statistical Analysis System) and GIS (geographic information system) tools to analyze obesity influences from county residence, economic status, education, gender, and race. Using the 15-year (1999–2014) time span with the CDC WONDER database, we observed a statistically significant 28.7% increase in the age-adjusted Delaware obesity-related mortality rates (where obesity was a contributory factor). Furthermore, obesity influenced death counts in all three Delaware counties (New Castle, Kent, and Sussex). Kent County experienced the largest increase (66.0%), followed by New Castle County (47.4%), and Sussex County (25.2%). The DHSC mortality rates for all leading causes of death from 2000 to 2011 indicated relatively stable mortality rates for Delaware. However, using CDC WONDER data, the Delaware mortality rate for obesity as a single underlying cause in 2011 was 56.9% higher than mortality rate in 2000.","PeriodicalId":89884,"journal":{"name":"American journal of health sciences","volume":"54 1","pages":"19 - 32"},"PeriodicalIF":0.0,"publicationDate":"2017-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87999051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

Student Attitudes Regarding Active Learning In Health Professions Microbiology Course 学生对卫生专业微生物学课程主动学习的态度

American journal of health sciences Pub Date : 2017-02-03 DOI: 10.19030/AJHS.V7I2.9842

A. Lowrey

{"title":"Student Attitudes Regarding Active Learning In Health Professions Microbiology Course","authors":"A. Lowrey","doi":"10.19030/AJHS.V7I2.9842","DOIUrl":"https://doi.org/10.19030/AJHS.V7I2.9842","url":null,"abstract":"While many active learning strategies are evidence-based, it is unclear as to which methods are preferred by most students. In the present study students in an undergraduate health professions microbiology course were assigned four projects (“types” 1 – 4) that included elements of active learning and that required students to apply microbiological concepts to health care or public health. A type 1 project involved the student consulting professional journals, textbooks and/or websites and preparing an informative brochure on an infectious disease suitable for reading by the lay public. A type 2 project involved the student shadowing a health care professional. A type 3 project involved the student performing a community service. A type 4 project involved the student designing and conducting an original lab research study. A survey was used to assess student attitudes about doing these projects. I report that while some students preferred particular project types, no project type was preferred by a majority of students. In addition, students ranked all four project types highly and considered them all to have equal educational value and relevance to course content. These results suggest that instructors should avoid using a “one size fits all” active learning approach. Students value the use of diverse pedagogical approches that engage their learning in different ways and that connect course concepts to real-world applications.","PeriodicalId":89884,"journal":{"name":"American journal of health sciences","volume":"1 1","pages":"39-44"},"PeriodicalIF":0.0,"publicationDate":"2017-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83848063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

What Is The Impact Of Job Burnout Antecedents On Georgia Nursing Home Administrators 工作倦怠前因对乔治亚州养老院管理者有何影响

American journal of health sciences Pub Date : 2016-05-31 DOI: 10.19030/AJHS.V7I1.9695

Felicia L. Wilson

引用次数: 0

Residential Proximity And Its Impact On College Students’ Body Mass Index 居住邻近性及其对大学生体质指数的影响

American journal of health sciences Pub Date : 2016-05-31 DOI: 10.19030/AJHS.V7I1.9691

Karly S. Geller, Jessica M Harris, Jennifer A. Moore

{"title":"Residential Proximity And Its Impact On College Students’ Body Mass Index","authors":"Karly S. Geller, Jessica M Harris, Jennifer A. Moore","doi":"10.19030/AJHS.V7I1.9691","DOIUrl":"https://doi.org/10.19030/AJHS.V7I1.9691","url":null,"abstract":"Objective. The purpose of this study was to examine if environmental accessibility to healthy resources was associated with college students’ corresponding health behaviors and body mass index (BMI). This study looked at college students’ proximity and distance to environmental influence, such as fitness centers and fast food restaurants in relation to their physical activity (PA), fruit and vegetable consumption (FVC), and BMI. Methods. A sample of 156 college students from a mid-western university completed the cross-sectional survey on proximity to campus-related environmental resources. Student addresses were used to calculate accessibility to healthy environmental resources, including proximity to the university recreational facility and local grocery store. Physical activity was calculated into metabolic equivalents (METs) and dietary behavior included measures of daily fruit and vegetable consumption and weekly fast food meals. Analysis. Linear regression was used to estimate differences in participants’ multiple health behavior and BMI based on proximity to certain environmental resources. Results. Of the 156 students who participated in the current study, 79% were female and 87% were White, Non-Hispanic, with a mean age of 20.13±1.91. No associations between behaviors and BMI were detected. Proximity to the campus recreational facility significantly predicted lower BMI (p=0.01); and distance to the community grocery store was associated with increased BMI (p=0.01). Conclusion. Findings suggested associations between proximity to environmental resources and participants’ BMI; however, this influence occurred outside the measured health behaviors. Longitudinal examinations are needed to determine the potential impact of resource proximity on changes in participants’ health behavior and BMI overtime.","PeriodicalId":89884,"journal":{"name":"American journal of health sciences","volume":"5 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2016-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85173438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Living With Maternal HIV: Spirituality, Depression, And Family Functioning 生活与母亲艾滋病毒:精神，抑郁，和家庭功能

American journal of health sciences Pub Date : 2016-05-31 DOI: 10.19030/AJHS.V7I1.9693

Aisha T. Asby, A. Heads, Joseph W. Dickson

引用次数: 1

Empowering Patients With A Hotline To The Chief Nursing Officer 给病人开通一条与首席护理官的热线

American journal of health sciences Pub Date : 2016-05-31 DOI: 10.19030/AJHS.V7I1.9694

Suzanne J. Crouch, Karen Ripper

{"title":"Empowering Patients With A Hotline To The Chief Nursing Officer","authors":"Suzanne J. Crouch, Karen Ripper","doi":"10.19030/AJHS.V7I1.9694","DOIUrl":"https://doi.org/10.19030/AJHS.V7I1.9694","url":null,"abstract":"The purpose of this nursing research study was to explore the perceptions of patients who were provided with a direct line of communication via a “hotline” to the Chief Nursing Officer in order to provide them with a voice in decisions which directly involve their care. Qualitative analysis revealed recurring themes identifying the “hotline” as reassuring, and offering a level of security. Another theme involved the patients relating situations that needed to be remedied including noise within the hospital environment, waiting for pain medication or using the call light without receiving assistance in a timely manner. Some calls to the hotline centered on compliments for the nursing staff. The findings from this phenomenological study which viewed the hospital world through the lens of patients' eyes have many implications for nursing practice. Implications for nursing practice include enhanced communication among nurses and patients, increased patient satisfaction with their health care experience and improved staff satisfaction in the acute care environment. A hotline to the chief nursing officer is only one way to ensure that the patients’ voices are heard and acted upon but this direct line of communication was found to be an effective tool.","PeriodicalId":89884,"journal":{"name":"American journal of health sciences","volume":"7 1","pages":"23-30"},"PeriodicalIF":0.0,"publicationDate":"2016-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74357283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

The Effect Of Diet Composition On Weight Gain in Obese, Type 2 Diabetes Patients Receiving Intensive Insulin Therapy 饮食组成对接受胰岛素强化治疗的肥胖2型糖尿病患者体重增加的影响

American journal of health sciences Pub Date : 2015-12-30 DOI: 10.19030/AJHS.V6I2.9579

R. Villareal

{"title":"The Effect Of Diet Composition On Weight Gain in Obese, Type 2 Diabetes Patients Receiving Intensive Insulin Therapy","authors":"R. Villareal","doi":"10.19030/AJHS.V6I2.9579","DOIUrl":"https://doi.org/10.19030/AJHS.V6I2.9579","url":null,"abstract":"This study was conducted to contribute to the limiting existing body of literature about diet and prevention of weight gain when administering intensive insulin therapy. The effects of a high- monounsaturated fatty acid (MUFA) diet compared with a conventional diabetic diet have not been studied in insulin treated patients. A growing body of evidence assessed that diets rich in high-MUFA foods had similar glycemic results, as do low-fat, high carbohydrate diets. However, a high-MUFA diet did not raise triglycerides as suspected. Ros (2003) stated that high-MUFA energy controlled diets do not promote weight gain and are more acceptable for weight loss and/or maintenance. A MUFA diet can be used as an alternate to the conventional American Diabetic Association (ADA) diet when managing obese type 2 diabetes patients treated with intensive insulin therapy. Dietary restriction to 1600 calories in diabetes patients on intensive insulin therapy decreased the A1C value by 1.3 points in the ADA group and 1.5 points in the MUFA group without weight gain and without additional insulin required. In conclusion the total calorie count was more important for preventing weight gain and reducing the A1C in patients on intensive insulin therapy than was dietary composition.","PeriodicalId":89884,"journal":{"name":"American journal of health sciences","volume":"12 1","pages":"111-116"},"PeriodicalIF":0.0,"publicationDate":"2015-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89403833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0