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1. Improving student nurses’ perspectives towards older people with an e‐learning activity: A quasi‐experimental pre‐post design

Author

Maya R. Kalogirou, Matthew Pietrosanu, Cassidy Dukes, and Sherry Dahlke

Subjects
Medical education, Descriptive statistics, Attitude of Health Personnel, business.industry, E-learning (theory), media_common.quotation_subject, Nurse educator, Nurses, Education, Nursing, Baccalaureate, Test (assessment), Faculty, Nursing, Pretest posttest, Perception, Health care, Humans, Students, Nursing, business, Psychology, Older people, Gerontology, Aged, Computer-Assisted Instruction, media_common
Abstract

Background Despite older people being the largest demographic accessing health care, nurses often lack knowledge about how to work with them and may hold ageist perceptions towards them. Previous research has identified the gaps in their education program and offered suggestions on what and how to fill those gaps in education related to older people. E-learning activities to fill these gaps were developed. Objective The aim of this study was to determine if nursing students' perceptions about older people could be improved through an e-learning activity focused on communication and understanding older people. Methods A quasi-experimental pre-post design was used to test whether the understanding and communication with older people e-learning activity improved student nurses' perceptions about older people. A feedback survey was also analyzed using descriptive statistics to understand students' perceptions of the learning activity. Results There was a statistically significant decrease in participant's negative perceptions towards older people after completing the e-learning activity. Participants enjoyed the activity and believed that it improved their knowledge of older people, their confidence in working with older people, and their perceptions about older people. Conclusions The strength of the e-learning activity in this study is that the educator need not be an expert in order to use the activity in their course. In this way, knowledge about older people is facilitated despite the dearth of nurse educators with gerontological expertise. More research to test this activity in other universities is needed. Implications for practice Improved understanding and communicating with older people could improve person-centered-care. The flexible delivery of this learning activity could facilitate practicing nurses understanding and communication strategies if offered to them.

Published
2021
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2. The Impact of Quality Assurance Initiatives and Workplace Policies and Procedures on HIV/AIDS-Related Stigma Experienced by Patients and Nurses in Regions with High Prevalence of HIV/AIDS

Author

Greta G. Cummings, Matthew Pietrosanu, Sarah J. Hewko, and Nancy Edwards

Subjects
Adult, Male, Jamaica, medicine.medical_specialty, Quality management, Quality Assurance, Health Care, Social Psychology, Social stigma, Social Stigma, Stigma (botany), HIV Infections, South Africa, 03 medical and health sciences, 0302 clinical medicine, Acquired immunodeficiency syndrome (AIDS), Surveys and Questionnaires, Health care, Prevalence, medicine, Humans, Uganda, 030212 general & internal medicine, Workplace, Africa South of the Sahara, Original Paper, business.industry, Health Policy, 030503 health policy & services, Public health, Multilevel model, Public Health, Environmental and Occupational Health, HIV, virus diseases, Organizational policy, medicine.disease, Kenya, Quality Improvement, Quality assurance, 3. Good health, Health psychology, Infectious Diseases, Family medicine, Female, 0305 other medical science, business, Delivery of Health Care
Abstract

Stigma is commonly experienced by people living with HIV/AIDS and by those providing care to HIV/AIDS patients. Few intervention studies have explored the impact of workplace policies and/or quality improvement on stigma. We examine the contribution of health care workplace policies, procedures and quality assurance initiatives, and self- and peer-assessed individual nurse practices, to nurse-reported HIV/AIDS-stigma practices toward patients living with HIV/AIDS and nurses in health care settings. Our sample of survey respondents (n = 1157) included managers (n = 392) and registered/enrolled nurses (n = 765) from 29 facilities in 4 countries (South Africa, Uganda, Jamaica, Kenya). This is one of the first studies in LMIC countries to use hierarchical linear modeling to examine the contributions of organizational and individual factors to HIV/AIDS stigma. Based on our results, we argue that organizational interventions explicitly targeting HIV/AIDS stigma are required to reduce the incidence, prevalence and morbidity of HIV/AIDS.

Published
2018
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3. Risk of Inflammatory Bowel Disease in Psoriasis Patients Treated with Anti-Interleukin-17 Agents: A Bayesian Metaanalysis

Author

Robert Gniadecki, N. Gill, and Matthew Pietrosanu

Subjects
medicine.medical_specialty, education.field_of_study, business.industry, Population, Absolute risk reduction, Number needed to harm, medicine.disease, Inflammatory bowel disease, Ulcerative colitis, Gastroenterology, digestive system diseases, Internal medicine, Psoriasis, medicine, Hidradenitis suppurativa, education, business, Screening procedures
Abstract

BackgroundUse of interleukin-17 inhibitors (IL-17i) in psoriasis has been associated with an increased risk of inflammatory bowel disease (IBD). However, the clinical significance of this association is not understood.ObjectivesTo quantify the absolute risk of IBD in patients with psoriasis treated with IL-17i, stratified by known IBD risk factors.MethodsLiterature searches were performed to identify known IBD risk factors and the prevalences were quantified by a meta-analysis of proportions. The Bayesian model was used to estimate the probability of a new-onset or a flare of IBD in patients with psoriasis.ResultsThe prevalence of Crohn’s disease (CD) or ulcerative colitis (UC) in the general psoriasis population was 0.0010. Use of IL-17i increased the risk of CD to 0.0037 and UC to 0.0028, translating to a number needed to harm (NNH) of 373 for CD and 564 for UC. In patients who had concomitant hidradenitis suppurativa, the use of IL-17i was associated with a decrease in NNH for CD and UC to 18 and 76, respectively, whereas for patients with a family history of IBD, the NNH values were 6 (for CD) and 10 (for UC).ConclusionsIn patients with no risk factors, the probability of IBD flare or onset during IL-17i treatment is negligible and additional IBD screening procedures are not indicated. In contrast, the patients with psoriasis who have hidradenitis suppurativa or first-degree family history of IBD as risk factors should be monitored for signs and symptoms of CD and UC during IL-17i therapy.

Published
2019
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4. 13th International Conference on Conservative Management of Spinal Deformities and First Joint Meeting of the International Research Society on Spinal Deformities and the Society on Scoliosis Orthopaedic and Rehabilitation Treatment – SOSORT-IRSSD 2016 meeting

Author

Aria Bagheri, Xue-Cheng Liu, Channing Tassone, John Thometz, Amie Chaloupka, Sergey Tarima, Larry Cohen, Milena Simic, Sarah Dennis, Kathryn Refshauge, Evangelos Pappas, Eric C. Parent, Matthew Pietrosanu, Emily Redford, Sheri Schmidt, Douglas Hill, Marc Moreau, Douglas Hedden, Samer Adeeb, Edmond Lou, Rob C. Brink, Tom P. C. Schlösser, Dino Colo, Koen L. Vincken, Marijn van Stralen, Steve C. N. Hui, Winnie C. W. Chu, Jack C. Y. Cheng, René M. Castelein, Vasileios Kechagias, Theodoros B. Grivas, Konstantinos Vlasis, Konstantinos Michas, Elisa M. S. Tam, Fiona W. P. Yu, Vivian W. Y. Hung, Lin Shi, Ling Qin, Bobby K. W. Ng, James Griffith, Tsz Ping Lam, Cindy Xue, Jean-Philippe Pialasse, Judy Y. H. Wong, Quang N. Vo, Lawrence H. Le, Edmond H. M. Lou, Rui Zheng, Douglas L. Hill, Marc J. Moreau, Douglas M. Hedden, James K. Mahood, Sarah Southon, Arnaud Brignol, Farida Cheriet, Marie-Claude Miron, Catherine Laporte, Yong Qiu, Hao Liu, Zhen Liu, Ze-zhang Zhu, Bang-ping Qian, XueCheng Liu, Robert Rizza, Derek Rosol, Paula North, Fabio Zaina, Francesca Pesenti, Stefano Negrini, Luca Persani, Paolo Capodaglio, Nicoletta Polli, Benjamin Hon Kei Yip, Fiona Wai Ping Yu, Vivian Wing Yin Hung, Bobby Kin Wah Ng, Jack Chun Yiu Cheng, Jiajun Zhang, Wayne Yuk Wai Lee, Huanxiong Chen, Elisa Man Shan Tam, Gene Chiwai Man, Zezhang Zhu, Bang Ping Qian, P. Harasymczuk, M. Andrusiewicz, P. Janusz, P. Biecek, T. Kotwicki, M. Kotwicka, Jung Sub Lee, Jong Ki Shin, Tae Sik Goh, Seung Min Son, Gene Chi Wai Man, Mark Schwartz, Sarah Gilday, Donita I. Bylski-Austrow, David L. Glos, Lindsay Schultz, Sara O’Hara, Viral V. Jain, Peter F. Sturm, Xiaoyu Wang, Dennis G. Crandall, Stefan Parent, Noelle Larson, Hubert Labelle, Carl-Eric Aubin, Negar Behzadi Fard, Kajsa Duke, Leeann Lukenchuk, Matthew Kerslake, Geraldine Huynh, Jill Chorney, Ban Tsui, Daniel Tobert, Prachi Bakarania, Hagit Berdishevsky, Kelly Grimes, Hiroko Matsumoto, Joshua Hyman, Benjamin Roye, David Roye, Michael Vitale, Jason Black, Michael Bradley, Shawn Drake, David Glynn, Erika Maude, Amelia Lindgren, Nicholas Feinberg, Zachary Bloom, Sarah Dupuis, Carole Fortin, Christiane Caouette, Carl-Éric Aubin, Gozde Gur, Yavuz Yakut, Nikola Jevtić, Sanja Schreiber, Axel Hennes, Milan Pantović, Jean-Claude de Mauroy, Frédéric Barral, Sophie Pourret, Angelo Gabriele Aulisa, Vincenzo Guzzanti, Marco Galli, Francesco Falciglia, Lorenzo Aulisa, Jean-Claude Bernard, Julie Deceuninck, Eric Berthonnaud, Adrien Rougelot, Marie-Eva Pickering, Emmanuelle Chaleat-Valayer, Richard Webb, Josette Bettany-Saltikov, Barbara Neil, Martina Poggio, Sabrina Donzelli, Monia Lusini, Salvatore Minnella, Alith Hoang, Saihu Mao, Benlong Shi, Bangping Qian, Xu Sun, Nikita Cobetto, Soraya Barch, Isabelle Turgeon, Hasan Md Arif Raihan, Datta Tarit Kumar, Chapal Khasnabis, Ameed Equbal, Ashis Kumar Chakraborty, Abhishek Biswas, Burcu Dilek, Cigdem Ayhan, Engin Simsek, Ozgen Aras, Songul Aksoy, Doug Hill, Andreas Donauer, Melissa Tilburn, Jim Raso, Marc Morau, He Chen, Wong Man-Sang, Sarah Kobayashi, Fatemeh Aslanzadeh, Brian MacIntosh, Emmanouil G. Maragkoudakis, Ioannis D. Gelalis, Christina Mazioti, Gerasimos Tsilimidos, R. Geoffrey Burwell, Yu Zheng, Xiao-Jun Wu, Yi-Ni Dang, Ning Sun, Yan Yang, Tao Wang, Cheng-Qi He, Man-Sang Wong, Gregorio Martinez, Alberto Negrini, Matthew Shirley, Hasani Swindell, David P. Roye, Behrooz A. Akbarnia, Sumeet Garg, James O. Sanders, David L. Skaggs, John T. Smith, Michael G. Vitale, Children’s Spine Study Group, Growing Spine Study Group, Aoife Healy, Sybil Farmer, Nachiappan Chockalingam, Paolo Pizzetti, Toru Maruyama, Yosuke Kobayashi, Yusuke Nakao, Sai-hu Mao, Bin Wang, Yang Yu, Amelia M. Lindgren, Melvin C. Makhni, Jamal Shillingford, Abbie Turland, Antonio Caronni, Luciana Sciumè, Elham Khodayari Moez, Elise M. Watkins, Sarah C. Southon, Preston Sloan, Douglass Hedden, Elise Watkins, Maliheh Ghaneei, Nikos Karavidas, Despoina Dritsa, Nigel Hanchard, Donghyun Kim, Junlae Kim, Amy Sbihli, Eric Parent, Lauren Levey, Mark Holowka, Leigh Davis, Lori A Dolan, Stuart L. Weinstein, BrAIST Study Group, Jill E. Larson, Maximilian A. Meyer, Barrett Boody, John F. Sarwark, Benjamin Gundlach, Alison Grant, Raman Kalyan, Waleed Hekal, Cheryl Honeyman, Tim Cook, Scott Murray, Morena Pitruzzella, Jennifer Hope, Julie Yoshimachi, Julie Touchette, Anissa St-Jean, Danica Brousseau, Louise Marcotte, Jean Théroux, Chantal Doucet, Yangmin Lin, Man Sang Wong, John MacMahon, Edward MacMahon, Jeremy Boyette, Luke Stikeleather, Andrea Lebel, Victoria Ashley Lebel, Chintan A. Pancholi-Parekh, Lise Stolze, Marissa Selthafner, Kaitlin Hong, Pamela R. Morrison, Timothy A. Hanke, Patrick Knott, Nathaniel D. Krumdick, Thomas Shannon, Ryan Davenhill, Robert Needham, Vinay Jasani, El-Nasri Ahmed, Marco Gordano, Giuseppe Mastantuoni, Michail Chandrinos, Paweł Głowka, Dominik Gaweł, Bartosz Kasprzak, Michał Nowak, Marek Morzyński, Tomasz Kotwicki, Cyril Lecante, Jean-François Aubin-Fournier, Debbie Ehrmann Feldman, Wen Zhang, Zongshan Hu, Weiguo Zhu, Mengran Jin, Xiao Han, Jing Guo, Tao Wu, Feng Zhu, Jian Jiang, Huang Yan, Francesca Di Felice, Robert A Needham, Panagiotis Chatzistergos, Joseph E. Reynolds, Eric J. Wall, Vasilios G. Igoumenou, Panayiotis D. Megaloikonomos, Konstantinos Tsiavos, Georgios N. Panagopoulos, Andreas F. Mavrogenis, Konstantinos Soultanis, Panayiotis J. Papagelopoulos, Andrew Chan, Sho Kobayashi, Daisuke Togawa, Tomohiko Hasegawa, Yu Yamato, Shin Oe, Tomohiro Banno, Yuuki Mihara, and Yukihiro Matsuyama

Subjects
International research, 030222 orthopedics, medicine.medical_specialty, lcsh:Diseases of the musculoskeletal system, Rehabilitation, Conservative management, business.industry, medicine.medical_treatment, Scoliosis, medicine.disease, Meeting Abstracts, lcsh:RD701-811, 03 medical and health sciences, 0302 clinical medicine, Physical medicine and rehabilitation, lcsh:Orthopedic surgery, Orthopedic surgery, medicine, Physical therapy, Orthopedics and Sports Medicine, Joint (building), lcsh:RC925-935, business, 030217 neurology & neurosurgery
Published
2017
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