Understanding the Behavioral Health Needs of Hospice Patients and Their Family Caregivers: Perspectives of Hospice Medical Directors.

Background: Behavioral health disorders are common among patients and caregivers in the hospice setting. Yet, limited data exist regarding what hospice providers perceive as the most common and challenging behavioral health disorders they encounter and how they manage these issues in practice.

Objective: To characterize the perspectives of hospice medical directors (HMDs) on addressing the behavioral health challenges when caring for patients enrolled in home hospice care and their family caregivers.

Understanding the student's experience of community health nursing simulations.

Objectives: The purpose of this study was to explore nursing students' experiences after completing community health nursing simulation encounters.

Methods: The study used a descriptive qualitative design. Through conventional content analysis, the research team analyzed the experiences of 73 nursing students after participating in community health nursing simulation encounters.

Reliable DNA Markers for a Previously Unidentified, Yet Broadly Deployed Hessian Fly Resistance Gene on Chromosome 6B in Pacific Northwest Spring Wheat Varieties.

Hessian fly [ (Say)] is a major pest of wheat ( L.) throughout the United States and in several other countries. A highly effective and economically feasible way to control Hessian fly is with resistant cultivars.

Medical Mistrust Among Black Women in America.

This qualitative research study highlights medical mistrust as a significant barrier to quality health care for Black women. Unraveling mistrust is essential for reducing health disparities and improving well-being for women and their families. Three research sites were included: Florida, Ohio, and the U.

Cultural Humility Toolkit.

Background: Diversity, equity, and inclusion (DEI) are increasingly recognized as core values for nursing education and practice.

Purpose: The purpose of this article is to offer teaching tools and strategies to integrate cultural humility within the nursing curriculum and create a more inclusive learning environment.

Approach: Various teaching tools, methods, and strategies are presented.

Asthma academy: A student nurse-led telehealth education program for low-income family caregivers of children with asthma.

Aims: The aims of the Asthma Academy study were to (1) evaluate the telehealth performance of DNP students, (2) evaluate the perceived learning experience of DNP students and (3) investigate whether an association exists related to student performance and family caregiver outcomes.

Design: A descriptive study was conducted with doctor of nursing practice students.

Methods: Students conducted telehealth visits to help family caregivers of children with asthma and were rated on their performance by two faculty members using a rubric.

Development of the Wheat Practical Haplotype Graph database as a resource for genotyping data storage and genotype imputation.

To improve the efficiency of high-density genotype data storage and imputation in bread wheat (Triticum aestivum L.), we applied the Practical Haplotype Graph (PHG) tool. The Wheat PHG database was built using whole-exome capture sequencing data from a diverse set of 65 wheat accessions.

Improving knowledge and decreasing depressive symptoms in caregivers of children with asthma through the asthma academy: A randomized controlled trial.

Caregivers of children with asthma demonstrate higher levels of anxious and depressive symptoms when compared to caregivers of healthy children. The objectives of this study were to: 1) Evaluate feasibility and acceptability of two nurse-led, remotely offered interventions for caregivers of children with asthma; 2) Compare effectiveness of two interventions (a virtual education session and a virtual education session supplemented with a telehealth visit) in relation to caregiver outcomes, and 3) Assess the preliminary effect of the interventions on caregivers' knowledge of asthma, sleep, anxiety and depressive symptoms. A mixed methods approach was used inclusive of a qualitative, descriptive design and randomized controlled trial design.

Assessing Undergraduate Student Nurses' Performance in Various Public Health Roles Using Simulation.

: To expose students to various public health roles and complement clinical experience using simulated encounters.: This exploratory study assessed students' performance of basic nursing tasks for three public health nurse roles.: 15-guided questions were used to evaluate a convenience sample of 137 students' expected performance compared to their actual performance of basic nursing skills.

Barriers and Facilitators of Asthma Management as Experienced by African American Caregivers of Children with Asthma: An Integrative Review.

Introduction: African American children with asthma demonstrate significant health disparities and poor health outcomes. Understanding the burdens faced by parents and caregivers of children with asthma may be helpful to develop future interventions to address this disparity.

Purpose: The purpose of this integrative review was to reveal the barriers and facilitators of child asthma management experienced by African American caregivers.

Psychological and Socioeconomic Burdens Faced by Family Caregivers of Children With Asthma: An Integrative Review.

Introduction: Asthma affects nearly 1 in every 12 children in the United States. Caring for a child with asthma poses significant challenges for the parent or caregiver. The purpose of this integrative review was to identify the psychological and socioeconomic burdens faced by family caregivers of children with asthma.

Medication Adherence of Latino Children and Caregivers: An Integrative Review.

Introduction: There are significant disparities in medication adherence among underserved minority groups such as Latinos. Adherence to medication is a primary determinant of treatment success. Little is known about medication adherence among Latino children.

Underrepresentation of Racial Diversity in Simulation: An International Study.

Aim: The purpose of this study was to: 1) examine the presence of racial diversity in simulation centers globally and 2) determine the opinion of the simulation community related to incorporation of a diversity component into international simulation standards.

Background: Leading organizations in nursing education recommend improved efforts toward diversity and inclusion. Research suggests a lack of diversity in simulation-based education.

Nursing Management of the Patient Undergoing Focused Ultrasound: A New Treatment Option for Essential Tremor.

Essential tremor (ET) is among the most common neurological movement disorders that causes postural or action tremors, with an estimated prevalence nationwide of less than 3% of the population. The incidence of ET increases with age but often affects younger adults and has a familial trait association. Depending on disease progression, ET can cause significant limitations for individuals, in many cases, significantly limiting their ability to perform activities of daily living and occupational responsibilities.

Multisensory cortical processing of object shape and its relation to mental imagery.

Here, we used functional magnetic resonance imaging to investigate the multisensory processing of object shape in the human cerebral cortex and explored the role of mental imagery in such processing. Regions active bilaterally during both visual and haptic shape perception, relative to texture perception in the respective modality, included parts of the superior parietal gyrus, the anterior intraparietal sulcus, and the lateral occipital complex. Of these bimodal regions, the lateral occipital complexes preferred visual over haptic stimuli, whereas the parietal areas preferred haptic over visual stimuli.

Task-specific recruitment of dorsal and ventral visual areas during tactile perception.

Many studies have found that visual cortical areas are active during tactile perception. Here we used positron emission tomographic (PET) scanning in normally sighted humans to show that extrastriate cortical regions are recruited in a task-specific manner during perceptual processing of tactile stimuli varying in two dimensions. Mental rotation of tactile Forms activated a focus around the anterior part of the left intraparietal sulcus.

Physician leadership: influence on practice-based learning and improvement.

In response to the technology and information explosion, practice-based learning and improvement is emerging within the medical field to deliver systematic practice-linked improvements. However, its emergence has been inhibited by the slow acceptance of evidence-based medicine among physicians, who are reluctant to embrace proven high-performance leadership principles long established in other high-risk fields. This reluctance may be attributable to traditional medical training, which encourages controlling leadership styles that magnify the resistance common to all change efforts.

Caring for the patient undergoing transsphenoidal surgery in the acute care setting: an alternative to critical care.

Patients undergoing transsphenoidal surgery have complex needs that require expert care and the coordination of a multidisciplinary team of healthcare professionals. In general, patients requiring this surgery are cared for in intensive care units. An innovative program at the University of Virginia, developed 11 years ago, enables these patients to be cared for on an acute care unit for the entirety of their hospitalization.

Neural networks active during tactile form perception: common and differential activity during macrospatial and microspatial tasks.

Prior studies have shown that tactile perception recruits activity not only in somatosensory but also in visual cortical areas. The present study used functional magnetic resonance imaging to investigate the distribution of neural activity during tactile perception of 2D form. In a macrospatial form task, raised letters (uppercase T and V) were presented upside-down.

Mental rotation of tactile stimuli.

When subjects decide whether two visual stimuli presented in various orientations are identical or mirror-images, reaction time increases with the angular disparity between the stimuli. The interpretation of this well-known observation is that subjects mentally rotate images of the stimuli until they are in congruence, in order to solve the task. Here we review studies involving mental rotation of tactile stimuli.

Biological and environmental influences in mental health care.

Principles of Preventive Psychiatry offer a logical and economical approach to mental health care delivery. This article describes two perspectives on mental health care, biological and environmental. If mental illness and related distress are perceived as biologically based, the problems are thought to be under the skin.

A cohort analysis of pre-menopausal women with dysfunctional uterine bleeding.

Objective: To examine the clinical and cost outcomes of patients with dysfunctional uterine bleeding (DUB) who are treated with hysterectomy or not.

Design: A retrospective analysis of DUB patients over 30 months of treatment after initial diagnosis.

Setting: Patients with DUB from an HMO with over 200,000 enrollees.

Viremia in hospitalized children with enterovirus infections.

In a prospective study during the summer and fall of 1982, enterovirus was isolated from 48 hospitalized children; in 29 (60%) enterovirus was isolated from CSF or blood, and in 19 (40%) only a presumptive diagnosis was established. Blood was positive in 21 (44%) and was the only positive specimen in two children. A presumptive diagnosis was provided within 4 days of admission in 38 (80%) and within 48 hours in 19 (40%) of the children from whom enterovirus was isolated.