Background: Adolescents with Type 1 Diabetes (T1D) display a greater than two-fold higher risk of developing diabetes-related complications compared with their healthy peers and the risk increases markedly as glycated hemoglobin (HbA1c) increases. The majority of the known factors associated with improved glycemic control in adolescents with T1D are geared toward Western populations. Therefore, this study examined the associations between Physical Activity (PA), Health-Related Quality of Life (HRQoL), and regimen adherence on glycemic control in a Middle Eastern population of adolescents with T1D METHODS: The study utilized a cross-sectional design of Jordanian adolescents (aged 12-18) with T1D (n = 74).
View Article and Find Full Text PDFAims: The aim of this systematic review of the literature is to synthesize the evidence regarding the associations between individual-level psychological, social/cultural, behavioral, and biological variables with resilience in patients with CVD.
Methods And Results: A systematic search of PubMed, PsycINFO and CINAHL was conducted from database inception through March 2020. Studies with a quantitative research design were eligible for inclusion if published in English and focused on resilience among adults with CVD.
Background: Hematological cancer impacts both patients and their caregivers. Although only patients experience direct physical effects from cancer, both patients and caregivers experience psychological effects from cancer-related stressors. Theories suggest that patient-caregiver dyads, although experiencing individual effects from cancer, may also indirectly affect one another's health.
View Article and Find Full Text PDFThere are more than 43 million family caregivers in the United States. In studies of family caregivers and receivers, evidence suggests that family caregiver-receiver mutuality is linked to health. Lack of a clear definition of family caregiver-receiver mutuality is an obstacle that prevents scientific progress and effective operationalization of the concept.
View Article and Find Full Text PDFPurpose: In this systematic review we aimed to evaluate the effects of physical activity (PA) and exercise on biochemical and physiological outcomes in children and adolescents with type 1 diabetes (T1D).
Design: The review was conducted and reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
Methods: The search of literature was performed using PubMed, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), Embase, the Cochrane Library, Scopus, Medline, PsycINFO, the Nursing Reference Center, and Google Scholar.
Background: To improve the management of advanced cancer patients with delirium in an emergency department (ED) setting, we compared outcomes between patients with delirium positively diagnosed by both the Confusion Assessment Method (CAM) and Memorial Delirium Assessment Scale (MDAS), or group A ( = 22); by the MDAS only, or group B ( = 22); and by neither CAM nor MDAS, or group C ( = 199).
Materials And Methods: In an oncologic ED, we assessed 243 randomly selected advanced cancer patients for delirium using the CAM and the MDAS and for presence of advance directives. Outcomes extracted from patients' medical records included hospital and intensive care unit admission rate and overall survival (OS).
Background: The frequency of delirium among patients with cancer presenting to the emergency department (ED) is unknown. The purpose of this study was to determine delirium frequency and recognition by ED physicians among patients with advanced cancer presenting to the ED of The University of Texas MD Anderson Cancer Center.
Methods: The study population was a random sample of English-speaking patients with advanced cancer who presented to the ED and met the study criteria.
Cognitive artifacts--information displays that inform thought processes and increase knowledge--fulfill a fundamental role in distributed cognition. Cognitive work--the mental processes of selecting and evaluating data, reasoning, and making decisions--is guided and informed by cognitive artifacts, especially in clinical areas. The importance of cognitive artifacts to cognitive work suggests the need to study and comprehensively understand cognitive artifacts prepared and used by the clinical nurses and how these documents influence and guide nursing practice.
View Article and Find Full Text PDFThe purpose of this systematic review was to assess the evidence for use of routine procalcitonin testing to diagnose the presence of sepsis in the burn patient. The electronic databases MEDLINE, Cochrane, CINAHL, ProQuest, and SCOPUS were searched for relevant studies using the MeSH terms burn, infection, procalcitonin, and meta-analysis. The focus of the review was the adult burn population, but other relevant studies of critically ill patients were included as data specific to the patient with burns are limited.
View Article and Find Full Text PDFWith only 175 reports submitted into an available close call reporting system during 2.5 years, the Good Catch Program was implemented to promote 3 strategies: (1) changing terminology from "close call" to "good catch," (2) implementing an "end-of-shift safety report," and (3) executive leadership sponsored incentives. The authors discuss the program and its positive outcomes in increasing potential error reporting.
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