Long-term Effectiveness of a Peer-Led Asthma Self-management Program on Asthma Outcomes in Adolescents Living in Urban Areas: A Randomized Clinical Trial.

Importance: Long-term effectiveness of a peer-led asthma self-management program in improving asthma outcomes in adolescents living in urban areas has not been established.

Objective: To determine the long-term effects of a peer-led program on asthma control, quality of life, and asthma management among predominantly racial and ethnic minority adolescents living in urban areas.

Design, Setting, And Participants: A parallel-group, randomized clinical trial was conducted in 2015 to 2019 in 3 metropolitan cities in the US: Buffalo, New York; Baltimore, Maryland; and Memphis, Tennessee.

Insights From Single Cell RNA Sequencing Into the Immunology of Type 1 Diabetes- Cell Phenotypes and Antigen Specificity.

In the past few years, huge advances have been made in techniques to analyse cells at an individual level using RNA sequencing, and many of these have precipitated exciting discoveries in the immunology of type 1 diabetes (T1D). This review will cover the first papers to use scRNAseq to characterise human lymphocyte phenotypes in T1D in the peripheral blood, pancreatic lymph nodes and islets. These have revealed specific genes such as IL-32 that are differentially expressed in islet -specific T cells in T1D.

An Exploration of Human Rights and Social Work Education in the United States.

Social work, with its commitment to social justice, knowledge about cultural diversity, and respect for the dignity and worth of the individual, has much to contribute to the modern-day human rights debate. Many international social work scholars have articulated the view of social work as a human rights profession. The profession's presence in this arena, however, has not always been apparent.

Enhancing Personhood in the Care of Older Adults with Dementia: A Biblical Perspective.

Using a biblical worldview, this article develops a philosophical discussion about what comprises an individual's personhood. The author contends for the perspective of a person as a human being created in the image of God based on who he or she is, not on the basis of how well he or she functions. Understanding the biblical concept of personhood allows the establishment of meaningful relationships with people with dementia, resulting in compassionate, quality care.

Retaining Generation Y Nurses: Preferred Characteristics of Their Nurse Managers.

Objective: The purpose of this study was to describe generation Y nurses' perceptions of their nurse managers' servant leadership characteristics as well as the relationship between these characteristics and intent to stay on the job.

Background: To attract and retain generation Y nurses, organizational leaders need to develop an understanding of this generation's perspectives around workplace loyalty and commitment.

Method: This study had a quantitative correlational research design.

Eliminating horizontal violence from the workplace.

The term horizontal violence (HV) is synonymous with nurse-to-peer incivility or bullying. This article examines why HV continues to plague the nursing profession and discusses tools and strategies for eliminating this toxic behavior from the workplace.

REST: Break through to resilience.

Strong evidence suggests that resilience is crucial to improving quality of care and supporting nurses in reducing burnout. This article discusses how nurses and students can use the REST mnemonic described here as a tool for building the resilience they will need to meet challenges throughout their nursing careers.

Parental Involvement of Parents of Children With ADHD: A First Population Study.

The purpose of the study was to create a national profile of parental involvement for parents of children with ADHD in the United States. Using the 2016 Parent and Family Involvement in Education Survey, parents of children with ADHD ( = 1,600) were compared with other parents ( = 11,923) on 32 distinct measures of parental involvement in education. Parents of children with ADHD were more likely to invest more time in communications regarding school and behavior problems, teaching their child time management skills, checking and helping with their homework, whereas they were less likely to engage in athletic sports, attend class or school events, or visit the library.

The hazards and benefits of social media use in adolescents.

Studies have found that social media can act as a catalyst to negative attitudes and behaviors in adolescents. This article reviews the current evidence and explores if there is a connection between social media and mental health issues.

Understanding the Relationship Between Staff and Job Satisfaction, Stress, Turnover, and Staff Outcomes in the Person-Centered Care Nursing Home Arena.

Background: The provision of quality care in nursing home (NH) facilities is an ongoing challenge, and the literature indicates that the quality of care (QOC) is often suboptimal. While it is highly recommended that NH facilities adopt a culture of person-centered care (PCC) to ensure quality care, the outcomes of this shift on staff working in NH settings has not been well studied. The purpose of this article was to understand the theoretical relationship between staff and job satisfaction, stress, turnover, and staff outcomes in PCC NH settings, by utilizing Cohen-Mansfield's (1995) comprehensive occupational stress model.

The interplay of polygenic plasticity and adrenocortical activity as sources of variability in pathways among family adversity, youth emotional reactivity, and psychological problems.

This study examined the interplay between a polygenic composite and cortisol activity as moderators of the mediational pathway among family adversity, youth negative emotional reactivity to family conflict, and their psychological problems. The longitudinal design contained three annual measurement occasions with 279 adolescents (Mean age = 13.0 years) and their parents.

Are Generation Y Nurses Satisfied on the Job? Understanding Their Lived Experiences.

Objective: The purpose of this study was to explore the lived experiences of job satisfaction among Generation Y nurses in the workplace.

Background: Job satisfaction in nursing is at an all-time low. With an increasing shortage of nurses, there is a need for more awareness and understanding of job satisfaction and intent to stay among Generation Y nurses who are the future generation of nurses.

Perceptions about interpersonal relationships and school environment among middle school students with asthma.

Objectives: To examine interpersonal relationships involving peers and teachers and perceptions about school environment among middle school students with asthma in comparison to their healthy counterparts. The study also assesses asthma prevalence in a large sample of middle school students representing different geographic locations.

Methods: Cross-sectional data were collected from 1059 middle school students in grades 6-8 enrolled in schools in a northeastern region of the United States.

Factors associated with admission to a day school treatment program.

In this study the authors examine the individual and family characteristics of youth (N = 105) admitted over a five year period to a day school treatment program in a western New York community. All had exhausted alternative school placements within their home school districts and had a history of severe emotional or behavioral problems. Consistent with national patterns, more males (78%) than females were admitted, but in contrast to national trends, more Caucasians (63.

The prenatal care at school program.

School absenteeism and poor compliance with prenatal appointments are concerns for pregnant teens. The Prenatal Care at School (PAS) program is a new model of prenatal care involving local health care providers and school personnel to reduce the need for students to leave school for prenatal care. The program combines prenatal care and education designed specifically for adolescents.

Women receiving news of a family BRCA1/2 mutation: messages of fear and empowerment.

Purpose: Communication of genetic test results to healthy at-risk family members is complicated considering family dynamics and the complexity of cancer genetics. The purpose of this study was to understand the experience of family communication of BRCA1/2 results from the perspective of young and middle-aged women receiving the news. THEORETICAL RATIONALE: Individuals are self-interpretive beings influenced by family culture, history, and communication patterns.

Learning about a twist in the road: perspectives of at-risk relatives learning of potential for cancer.

Purpose/objectives: To describe the experiences of women who accessed the Facing Our Risk of Cancer Empowered (FORCE) Web site after learning of a family BRCA1 or BRCA2 mutation.

Research Approach: Interpretive phenomenology based on Heideggerian hermeneutics.

Setting: Telephone interviews of women living in the United States who accessed FORCE.

Balancing concern for other with concern for self: links between unmitigated communion, communion, and psychological well-being.

Previous research has demonstrated the importance of distinguishing between positive (communion) and negative (unmitigated communion) characteristics when investigating the relation between traditional feminine gender roles and psychological adjustment. However, previous work has relied on cross-sectional analysis of self-reported unmitigated communion and self-reported emotional distress. The present series of studies was designed to address this limitation by using multiple methodologies to examine the relation between unmitigated communion (UC) and psychological adjustment.