Publications by authors named "A Scheve"

Background: The Next Generation National Council Licensing Examination (NCLEX) uses the Clinical Judgment Measurement Model in unfolding case studies to assess graduate nurses' clinical judgment.

Purpose: This study explored the impact of Next Generation NCLEX (NGN)-style case studies on baccalaureate nursing students' self-confidence and anxiety with clinical decision-making.

Methods: Seventy-six second-year baccalaureate nursing students participated in this 1-group convergent mixed-methods study.

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Patients with classic symptoms of celiac disease are often initially tested for serum tissue transglutaminase-immunoglobulin A (tTG-IgA) and total serum immunoglobulin A (IgA) levels concurrently, as IgA deficiency can lead to falsely low tTG-IgA. There are no guidelines for incidental findings of elevated total serum IgA when testing for celiac disease. In our study, we described the proportion of patients with suspicion of celiac disease who had elevated total serum IgA and the factors that may be associated with these findings.

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Article Synopsis
  • The study looked at patients with eosinophilic esophagitis (EoE) who were doing well on a type of medicine called proton-pump inhibitors (PPIs) and then tried a special diet to see if it would help them even more.
  • Out of 22 patients who tried the diet, 13 still felt better, while 9 had their symptoms return.
  • Most people said they would recommend trying this diet because it helped them find a treatment that worked better for their life.
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Introduction: To develop a patient-centred financial incentive delivery strategy to improve antiretroviral treatment adherence in adolescents and young adults (AYA) living with HIV in Kisumu, Kenya, we conducted a mixed methods study exploring preferences.

Methods: A discrete choice experiment (DCE) and focus group discussion (FGD) were conducted simultaneously to identify preferences for five incentive delivery strategy features: value, eligibility, recipient, format and disbursement frequency. We used consecutive sampling to recruit AYA (14-24 years) living with HIV attending three health facilities in Kisumu, Kenya.

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Economic insecurity has been widely hypothesized to be an important determinant of mental health, but this relationship has not been well-documented in low-income countries. Using data from the Mature Adults Cohort of the Malawi Longitudinal Study of Families and Health (MLSFH-MAC), we investigate the association of negative economic shocks with mental health outcomes such as depression and anxiety among adults aged 45+ years living in a low-income country. Using fixed effects estimates that control for time-invariant unobserved individual heterogeneity, we find that increased economic instability caused by events such as death of a family member, yield loss, or income loss is positively associated with worse mental health outcomes as measured by the PHQ-9 and GAD-7 instruments.

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