Hypothermia as a Possible Symptom of Serotonin Toxicity: A Case Report.

There are three commonly used sets of criteria to diagnose serotonin syndrome and all three diagnostic tools have all been shown to have shortcomings that do not fully encompass the possible symptoms of serotonin toxicity. To describe a case of an atypical presentation of possible drug-induced serotonin syndrome, characterized by hypothermia, night sweats, muscle tremors, and confusion. A rural and medically underserved area in eastern Washington State.

The Role of the Pharmacist in Patient Self-Advocacy for Osteoporosis Screening.

Osteoporosis is a common bone disease affecting more than 200 million people worldwide. Commonly prescribed medications have the potential to contribute to bone loss and fracture risk. Providers may be unaware of effects of other commonly used medication classes, which can lead to inadequate prevention or a lack of screening.

Anthropometric Changes During Pregnancy Provide Little Explanation of Dynamic Balance Changes.

The authors investigated the relationship between anthropometric changes and dynamic balance changes during pregnancy. A total of 15 participants were recruited for testing, using a convenience sample, from 12 weeks of gestation until childbirth. The authors measured body anthropometry with a tape measure and calipers.

State Approaches to Therapeutic Interchange in Community Pharmacy Settings: Legislative and Regulatory Authority.

Therapeutic interchange is the act of switching a prescribed drug for another drug in the same therapeutic class that is believed to be therapeutically similar but may be chemically different. Therapeutic interchange is different from generic substitution in that it does not occur between therapeutically equivalent products; instead, products are substituted for those that are likely to have a substantially equivalent therapeutic effect generally at a lower cost. Therapeutic interchange is common in institutional settings across the United States but rarely occurs in community pharmacy settings without a pharmacist first contacting the original prescriber and requesting a new prescription in order to facilitate a change.

Understanding School Truancy: Risk-Need Latent Profiles of Adolescents.

Washington state requires school districts to file court petitions on students with excessive unexcused absences resulting in thousands of youth becoming involved in the court system. Once in the system, decisions are made about the level of risk each youth has for maladaptive behaviors. The Washington Assessment of the Risks and Needs of Students was created to assist youth service providers, courts, and schools to identify an adolescent's needs for social, emotional, or educational intervention.

An Innovative Approach to Improving the Proposed CMS Star Rating "Statin Use in Persons with Diabetes".

The Statin Use in Persons with Diabetes (SUPD) measure has been adopted by the Centers for Medicare and Medicaid Services as a display measure for Medicare Part C and Part D plan sponsors and is slated for inclusion within the primary star rating measure set. As such, the measure has become a focal point for quality improvement efforts by many health plans. Current pharmacy-based interventions reported in the literature involve pharmacists recommending that a patient's provider issue a prescription for a statin; studies to date have not shown that this intervention has been effective for the majority of patients with diabetes.

Vietnamese American Women's Beliefs and Perceptions About Breast Cancer and Breast Cancer Screening: A Community-Based Participatory Study.

Introduction: Although breast cancer (BC) rates are declining in White non-Hispanic American women, they are increasing among Vietnamese American women (VAW) at 1.2% (95% confidence interval [0.1, 2.

The Weight of Things: Understanding African American Women's Perceptions of Health, Body Image, and Attractiveness.

Negative attitudes toward being overweight or obese are widespread, and these notions perpetuate into conceptions about one's health. Clinically, being overweight is associated with health problems such as diabetes, hypertension, heart disease, and many other illnesses. African American women, who are generally larger in body size, are a particular target for health interventions.

Data Collection via In-Depth Email Interviewing: Lessons From the Field.

This methods article is a reflection on the use of in-depth email interviewing in a qualitative descriptive study. The use of emailing to conduct interviews is thought to be an effective way to collect qualitative data. Building on current methodological literature in qualitative research regarding in-depth email interviewing, we move the conversation toward elicitation of quality data and management of multiple concurrent email interviews.

Depression, Work and Family Roles, and the Gendered Life Course.

Despite the importance of employment for shaping mental health over the life course, little is known about how the mental health benefits of employment change as individuals age through their prime employment and child-rearing years. This study examines the National Longitudinal Survey of Youth, 1979 Cohort ( N = 8,931), following respondents from their late 20s to mid-50s. Results suggest that among women, the aging of children is especially salient for shaping the mental health consequences of employment.

Disparities in Insurance Coverage, Health Services Use, and Access Following Implementation of the Affordable Care Act: A Comparison of Disabled and Nondisabled Working-Age Adults.

The objective of this study was to assess trends in health insurance coverage, health service utilization, and health care access among working-age adults with and without disabilities before and after full implementation of the Affordable Care Act (ACA), and to identify current disability-based disparities following full implementation of the ACA. The ACA was expected to have a disproportionate impact on working-age adults with disabilities, because of their high health care usage as well as their previously limited insurance options. However, most published research on this population does not systematically look at effects before and after full implementation of the ACA.

Using Text Message Surveys to Evaluate a Mobile Sexual Health Question-and-Answer Service.

Text message programs for sexual health are becoming increasingly popular as practitioners aim to meet youth on media they use frequently. Two-way mobile health (mHealth) interventions allow for feedback solicitation from participants. This study explores the use of a text message survey to assess demographics and program feedback from users of an adolescent sexual health text message question-and-answer service.

Older Adults in Rural Appalachia: Preference and Expectations for Future Care.

Little is known about how rural-dwelling older adults anticipate and plan for future care needs. Using a mixed-method explanatory design, structural equation modeling ( n = 535) revealed significant associations between concerns about using services on preference for type of help; preference was associated with likelihood of using future services. Content analysis of interview data from 19 older adults who needed but were not receiving help revealed how they conceptualize their need for assistance and anticipated future care arrangements.

Nursing Students' Perceptions of the Transition to Shift Work: A Total Worker Health Perspective.

Nursing students make an abrupt transition from traditional classes to clinical rotations and shift work. Little is known about students' sleep, sleep disturbances, and safe practice behaviors during this critical phase of professional development. The purpose of this study was to identify nursing students' perceptions of problems and potential solutions related to shift work and long work hours.

Teaching About Human Papillomavirus: Lessons Learned.

Occupational and environmental health nurses play a critical role in educating the public about human papillomavirus (HPV). With HPV vaccination rates remaining low, creative educational models should be explored.

Review of the Effectiveness of Enteral Feeding in Pediatric Oncology Patients [Formula: see text].

Enteral supplementation for nutritional support in pediatric oncology patients remains nonstandardized across institutions and between providers. Pediatric oncology patients frequently fail to meet their growth curve percentiles, lose weight, and/or are malnourished due to both the oncologic process as well as side effects from chemotherapy and radiation treatments. Methods of increasing weight include enteral feeding (nasogastric, nasoduodenal/jejunal, or gastrostomy), parenteral intravenous feeding, and oral supplementation.

Item Response Theory Analysis of the Psychopathic Personality Inventory-Revised.

This study examined item and scale functioning in the Psychopathic Personality Inventory-Revised (PPI-R) using an item response theory analysis. PPI-R protocols from 1,052 college student participants (348 male, 704 female) were analyzed. Analyses were conducted on the 131 self-report items comprising the PPI-R's eight content scales, using a graded response model.

Views on Exercise.

Introduction: There is a large prevalence of asthma, particularly among Hispanic children. Although physical activity is a good way to manage asthma, more Hispanic children with asthma lack activity than their healthy classmates. Given this, the purpose of this study was to explore the development of exercise perceptions in Hispanic children with asthma and to further develop an existing explanatory theory.

Factor Structure and Invariance of an Adolescent Risks and Needs Assessment.

The Washington Assessment of Risks and Needs of Students is a youth self-report screening instrument developed for use by high school and juvenile court personnel faced with the legal and practical challenges of high truancy and dropout rates. It purports to measure six facets of risks and needs of youth relevant to improving school outcomes. In this study, a bifactor model measuring a general factor and six specific factors was examined for fit and invariance across different groups defined by sex and race/ethnicity, with a sample of court-petitioned high school students ( = 937; ages 13-17 years).

Engaging Adults With Chronic Disease in Online Depressive Symptom Self-Management.

The main purpose of this study was to evaluate participant engagement and effects of an Internet-based, self-directed program for depressive symptoms piloted among adults with a chronic disease. Eligible participants ( N = 47) were randomly assigned to either the "Think Clearly About Depression" online depression self-management program or the control group. The Patient Health Questionnaire-8 and Chronic Disease Self-Efficacy Scales were administered at baseline and at Weeks 4 and 8 after initiating the intervention.

How Consistent Is Sluggish Cognitive Tempo Across Occasions, Sources, and Settings? Evidence From Latent State-Trait Modeling.

Research has yet to determine how much of the variance in sluggish cognitive tempo (SCT) symptom ratings is consistent across occasions, sources, and settings versus specific to occasion, source, and setting. Our first objective was to determine the amount of variance in SCT ratings that was consistent ( trait consistency) across three occasions of measurement over 12 months versus specific to the occasion ( occasion-specificity) with ratings by mothers, fathers, primary teachers, and secondary teachers of 811 Spanish children. Our second objective was then to determine the convergent validity for trait consistency and occasion-specificity variance components within and across settings.

Body Composition and Bone Mineral Density in Patients With Heart Failure.

The purpose of this study was to examine associations among bone mineral density, osteopenia/osteoporosis, body mass index (BMI), and body composition in patients with heart failure (HF). A total of 119 patients (age = 61 ± 12 years, 65% male) underwent dual-energy X-ray absorptiometry scans to determine bone mineral density and body composition. In multivariable linear regressions, BMI, relative skeletal muscle index (RSMI), and mineral-free lean mass were positively associated with total body bone mineral density.

Rape Myth Acceptance, Efficacy, and Heterosexual Scripts in Men's Magazines: Factors Associated With Intentions to Sexually Coerce or Intervene.

Sexual coercion has gained researchers' attention as an underreported form of sexual abuse or harm. The percentage of male and female college students who reported engaging in sexual coercion was as high as 82% for verbally coercive behaviors over the course of a year. Guided by heterosexual scripting theory and the integrated model of behavioral prediction, we examine potential factors associated with college students' intentions to sexually coerce or to intervene when friends plan to sexually coerce (bystander intention).