Integrating MAPP, APEXPH, PACE-EH, and other planning initiatives in Northern Kentucky.

Northern Kentucky is the first NACCHO demonstration site in the nation to utilize the Mobilizing for Action through Planning and Partnerships (MAPP) tool as one element in the development of a comprehensive community health plan. The Northern Kentucky Independent District Health Department utilized several strategies to integrate MAPP and a variety of assessment tools into a continuous and seamless planning process that resulted in the Master Health Plan for Northern Kentucky 2005. These strategies were developed from using many of the assessment and planning tools developed by the National Association of County and City Health Officials including MAPP, the Protocol for Assessing Community Excellence in Environmental Health, and the Assessment Protocol for Excellence in Public Health.

Reducing assaults against nursing home caregivers.

Background: Nursing assistants (NAs) working in long-term care have the highest incidence of workplace assault among all workers in the United States.

Objectives: The objective of this study was to test the effectiveness of a violence-prevention intervention, on the basis of Social Cognitive Theory to increase knowledge, self-efficacy, and skills, and to decrease assaults.

Methods: Investigators conducted a quasi-experimental study with 138 NAs in 3 intervention and 3 comparison homes.

An investigation into the role of Bcl-2 in neuroendocrine differentiation.

Introduction: In addition to its role in apoptosis suppression, Bcl-2 has been reported to be co-expressed with neuroendocrine markers in several tissues, leading to speculation that this oncoprotein may promote neuroendocrine differentiation.

Aim: This study investigated whether Bcl-2 modulated neuroendocrine biopeptide expression.

Methods: Levels of chromogranin A, neurone specific enolase, protein gene peptide 9.

Analysis of the products of the anionic oligomerisation of a phosphaalkene using MALDI-TOF mass spectrometry.

The first use of MALDI-TOF MS in the study of the products of RLi (R = Me, Bu) initiated oligomerisation of P[double bond, length as m-dash]C bonds is reported. These studies may be considered as models for analogous polymerisation reactions. The detected linear products with R-P and C-H end-groups are consistent with a chain growth mechanism similar to that known for olefins.

A convenient synthesis of new isolable phosphaalkenes using the base-induced rearrangement of secondary vinylphosphines.

The secondary vinylphosphines Ar(F)P(H)C(R)[double bond]CH(2) [2a, Ar(F) = 2,6-(CF(3))(2)C(6)H(3), R = CH(3); 2b, Ar(F) = 2,6-(CF(3))(2)C(6)H(3), R = C(6)H(5); 2c, Ar(F) = 2,4,6-(CF(3))(3)C(6)H(2), R = CH(3)] were prepared by treating the corresponding dichlorophosphine Ar(F)PCl(2) (1) with H(2)C[double bond]C(R)MgBr. In the presence of catalytic base (DBU or DABCO) the vinylphosphines (2a-c) undergo quantitative 1,3-hydrogen migration over 3 d to give stable and isolable phosphaalkenes Ar(F)P=C(R)CH(3) (3a, Ar(F) = 2,6-(CF(3))(2)C(6)H(3), R = CH(3); 3b, Ar(F) = 2,6-(CF(3))(2)C(6)H(3), R = C(6)H(5); 3c, Ar(F) = 2,4,6-(CF(3))(3)C(6)H(2), R = CH(3)). Under analogous conditions, only 90% conversion is observed in the base-catalyzed rearrangement of MesP(H)C(CH(3))[double bond]CH(2) to MesP[double bond]C(CH(3))(2).

Preventing assaults by nursing home residents: nursing assistants' knowledge and confidence-a pilot study.

Objective: To describe the frequency and context of assaults against nursing assistants (NAs) from residents and to describe NAs' beliefs about their violence prevention knowledge and self-efficacy to prevent assaults from residents.

Design: Survey.

Setting: Six nursing homes.

Development of instruments to assess assaultive behavior in nursing homes.

The use of psychometric techniques is not usually considered in the development of non-scale tools. In the development of these tools, both content validation and inter-rater reliability were assessed in an effort to produce better quality tools than would have occurred otherwise. The procedure employing content experts for content validation followed the usual protocol for both of the tools.

Relationships of stressors, strain, and anger to caregiver assaults.

Nursing assistants (NAs) working in nursing homes are at risk for nonfatal workplace violence. The aims of this study were to describe the context in which assaults occur and to identify characteristics of the NAs related to the incidence of assaults. One hundred and thirty eight subjects participated.

Effects of irradiation on Mediterranean fruit flies (Diptera: Tephritidae): emergence, survivorship, lure attraction, and mating competition.

Irradiation of puparia in Mediterranean fruit fly, Ceratitis capitata (Wiedemann), sterile insect release programs can negatively affect adult fly performance. Emergence, survivorship, lure attraction, and mating competition tests were performed on irradiated and unirradiated Mediterranean fruit flies in Hawaii. Unirradiated flies of the Vienna-7 (tsl) strain had higher emergence, flight ability, and survivorship compared with irradiated flies.

Preventing assaults by nursing home residents: nursing assistants' knowledge and confidence--a pilot study.

Objective: To describe the frequency and context of assaults against nursing assistants (NAs) from residents and to describe NAs' beliefs about their violence prevention knowledge and self-efficacy to prevent assaults from residents.

Design: Survey.

Setting: Six nursing homes.

Does exposure to medically underserved areas during training influence eventual choice of practice location?

Introduction: There are an increasing number of communities within the United States that have limited or no access to primary healthcare. In recognition, many medical schools now provide opportunities and activities that offer exposure to these demographic areas in order to increase the presence of and community access to medical care and to promote these locations as practice site choices for graduating students. Evaluation of these enhancements has led to doubts whether this exposure timing is optimal in promoting practice in these settings.

The energetics of ion distribution: the origin of the resting electric potential of cells.

The relation between the energies of ion movement and ATP hydrolysis is unknown in tissues with widely varying electric potentials. Consequently, we measured the concentration of the nine major inorganic ions in the extra- and intracellular phases in heart, liver, and red cells with resting electrical potentials, E(N), of -86, -28, and -6 mV, respectively, under six different physiological conditions. We calculated the Nernst electric potential and the energy of ion movement between the phases.

The addition polymerization of a p=c bond: a route to new phosphine polymers.

Addition polymerization, the most general method of preparation for organic polymers, has successfully been extended to P=C bonds. The polymerization of a phosphaalkene has been initiated by thermolysis or with alkyllithium reagents. The unprecedented poly(methylenephosphine)s are easily oxidized using oxygen or sulfur to give air stable macromolecules.

Violence and home care. A focus group study.

This study describes home caregivers' and managers' beliefs and experiences related to violence in their workplace. Suggested strategies are recommended that can help home care organizations recognize, prevent, and manage violence in their workplace.

Using simulations and standardized patients in intervention research.

Caregiving is both an art and a science; both knowledge and skills are necessary to improve the quality of care that professionals provide. Researchers are often limited in their assessment of skill performance due to inadequate and unrealistic measurement options. Simulation using standardized patients offers researchers an objective method to evaluate skill performance.

Testing an intervention to reduce assaults on nursing assistants in nursing homes: a pilot study.

Nursing home staffs frequently encounter physical and emotional violence directed toward them by residents. This article addresses the problem from an occupational health perspective and describes a pilot study focused an educational intervention to reduce resident assaults on certified nursing assistants (CNAs) in nursing homes. After a 4-hour education intervention, the study CNAs reported fewer physical assaults by residents and increased levels of knowledge and confidence in their ability to manage residents' aggressive behavior compared with a similar CNA group.

Determining risk between Depo-Provera use and increased uterine bleeding in obese and overweight women.

Background: Millions of women worldwide use depot medroxyprogesterone acetate (DMPA) for contraception. Common side effects include bleeding irregularities and weight gain. This study examines whether a relation exists between DMPA use in obese and overweight women and increased uterine bleeding.