Addressing Racial Disparities in Maternal and Infant Health Outcomes Through an Anti-Racism Curriculum.

Objective: The purpose of this project was for current and future health care professionals to acknowledge and address implicit biases through education and engagement in workshops surrounding the topic of racism in medicine.

Project Summary: Current anti-racism curricula exist in various spaces, including schools, businesses, and health care. However, these curricula often target different audiences, lack interactive components, and do not always incorporate community voices into the work.

Validation Study of Kaiser Permanente Bedside Dysphagia Screening Tool in Acute Stroke Patients.

Introduction: Dysphagia occurs in up to 50% of patients with acute stroke symptoms, resulting in increased aspiration pneumonia rates and mortality. The purpose of this study was to validate a health system's dysphagia (swallow) screening tool used since 2007 on all patients with suspected stroke symptoms. Annual rates of aspiration pneumonia for ischemic stroke patients have ranged from 2% to 3% since 2007.

MD-CTS: An integrated terminology reference of clinical and translational medicine.

New vocabularies are rapidly evolving in the literature relative to the practice of clinical medicine and translational research. To provide integrated access to new terms, we developed a mobile and desktop online reference-Marshfield Dictionary of Clinical and Translational Science (MD-CTS). It is the first public resource that comprehensively integrates Wiktionary (word definition), BioPortal (ontology), Wiki (image reference), and Medline abstract (word usage) information.

Cerebral Oximetry Monitoring to Maintain Normal Cerebral Oxygen Saturation during High-risk Cardiac Surgery: A Randomized Controlled Feasibility Trial.

Background: Cerebral oxygen desaturation during cardiac surgery has been associated with adverse perioperative outcomes. Before a large multicenter randomized controlled trial (RCT) on the impact of preventing desaturations on perioperative outcomes, the authors undertook a randomized prospective, parallel-arm, multicenter feasibility RCT to determine whether an intervention algorithm could prevent desaturations.

Methods: Eight Canadian sites randomized 201 patients between April 2012 and October 2013.

An investigation of the effects of a nonprofit agency's investigations on quality of care in nursing homes.

Problem: This study examined whether an agency's investigation of complaints in 40 nursing homes is positively correlated with the quality of nursing home care.

Methods: A quantitative methodology design using quantitative and qualitative data was used to assess the relationship between Agency X's investigation of consumers' nursing home complaints and the quality of nursing home care.

Findings: Results showed fewer violations after the agency's interventions, indicating improvement in the nursing care.

Assessing the need for on-site eye care professionals in community health centers.

Poor vision health severely impacts school and work performance, quality of life, and life expectancy, and results in billions of dollars in medical expenditures each year. While eye and vision problems are often associated with age, low income and racial and ethnic minorities also have elevated risk of eye problems. Federally-funded community health centers, which are mandated to provide comprehensive primary care in underserved communities, are often the only option to improve vision health for low-income residents.

Incidence and risk factors for delirium and other adverse outcomes in older adults after coronary artery bypass graft surgery.

Objective: To determine the incidence and risk factors for delirium after coronary artery bypass graft (CABG) surgery.

Design: Prospective cohort.

Setting: Cardiac surgery units of a tertiary care hospital.

The GI clinical nurse specialist: a generic role delineation. SGNA Masters Prepared Special Interest Group.

We may have a role but find it difficult to specifically define it. As various specialties have emerged, roles have developed based on patient or physician need or practitioner innovation. This article is an attempt to present an organized structure of the contribution that can be made by the masters prepared gastroenterology nurse.

Upper airway obstruction caused by massive subcutaneous emphysema.

Acute upper airway obstruction is a potentially life-threatening event. The most common causes include foreign body inhalation, thermal injury, inflammation, angioedema and trauma. Airway obstruction caused by submucosal extension of subcutaneous emphysema has only been previously reported once.