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Julie Ellis, Beatriz Paulina Ayala Quintanilla, Louise Ward, Fergus Campbell, Hillel Stav, Carolyn Downing, Jeanne Teresi, Mildred Ramirez
AIM: To review evidence concerning educational programs for nursing staff on management of resident-to-resident elder mistreatment with the aim of preventing and reducing this abuse in residential aged care homes. BACKGROUND: Although elder abuse has received considerable attention, very little is known regarding resident-to-resident elder mistreatment in residential aged care homes and about interventions/programs to prevent and reduce this harm. Nurses play an essential role in identifying and managing aggressive interactions...
May 6, 2018: Journal of Advanced Nursing
Jeanne A Teresi, Mildred Ramírez, Terry Fulmer, Julie Ellis, Stephanie Silver, Jian Kong, Joseph P Eimicke, Gabriel Boratgis, Rhoda Meador, Mark S Lachs, Karl Pillemer
Resident-to-resident elder mistreatment (R-REM) occurs frequently in long-term services and support settings. The purpose of the current study was to evaluate the effect of a R-REM training program for nursing and other frontline staff on resident falls and injuries in a cluster randomized trial of units within four nursing homes. Interview and observational data from a sample of 1,201 residents (n = 600 and n = 601 in the usual care and intervention groups, respectively) and staff were collected at baseline and 6 and 12 months...
April 19, 2018: Journal of Gerontological Nursing
Briony Murphy, Lyndal Bugeja, Jennifer Pilgrim, Joseph E Ibrahim
OBJECTIVES: To describe the frequency and nature of deaths from resident-to-resident aggression (RRA) in nursing homes in Australia. DESIGN: National population-based retrospective cohort study. SETTING: Accredited nursing homes in Australia. PARTICIPANTS: Residents whose deaths resulted from RRA and were reported to the coroner between July 1, 2000, and December 31, 2013. MEASUREMENTS: Cases were identified using the National Coronial Information System, and data on individual, interpersonal, organizational, and societal factors were collected through review of the paper-based coroners' files...
December 2017: Journal of the American Geriatrics Society
Benjamin Margolis, Craig Blinderman, Alexandre Buckley de Meritens, Sudeshna Chatterjee-Paer, Rini B Ratan, Holly G Prigerson, June Y Hou, William M Burke, Jason D Wright, Ana I Tergas
BACKGROUND: Obstetrics and gynecology (OB/GYN) residents receive little formal training in conducting code status discussions (CSDs). OBJECTIVE: We piloted an educational intervention to improve resident confidence and competence at conducting CSDs. DESIGN: The OB/GYN residents at a single institution participated in a 3-part educational program. First, participants reviewed a journal article and completed an online module. Second, they received a didactic lecture followed by a resident-to-resident mock CSD...
April 2018: American Journal of Hospice & Palliative Care
Eilon Caspi
Resident-to-resident aggression (RRA) in nursing homes is a prevalent and concerning public health problem. A rapid growth in the number of research studies has led to advancements in understanding and awareness of these incidents. However, no state survey deficiency citation (F-Tag) currently exists to capture RRA in a structured way in the Centers for Medicare & Medicaid Services' (CMS) nursing homes F-Tags Coding System. This omission represents a major barrier to State Survey Agencies, CMS, consumers, and care advocacy organizations' efforts to keep vulnerable and frail residents safe and free from psychological harm...
August 2017: Journal of Elder Abuse & Neglect
Felicia J Andresen, Jeffrey A Buchanan
Resident-to-resident bullying has attracted attention in the media, but little empirical literature exists related to the topic of senior bullying. The aim of the current study was to better understand resident-to-resident bullying from the perspective of staff who work with older adults. Forty-five long-term care staff members were interviewed regarding their observations of bullying. Results indicate that most staff members have observed bullying. Verbal bullying was the most observed type of bullying, but social bullying was also prevalent...
July 1, 2017: Journal of Gerontological Nursing
Erin L Abner, Pamela B Teaster, Marta S Mendiondo, Holly Ramsey-Klawsnik, Jennifer L Marcum, Tim N Crawford, Tenzin Wangmo
The purpose of this study was to identify characteristics of investigations of sexual abuse concerning vulnerable adults residing in facility settings that were associated with case substantiation. Data on 410 reports of sexual abuse were collected prospectively from Adult Protective Services (APS) and state licensure agency staff in New Hampshire, Oregon, Tennessee, Texas, and Wisconsin over a six-month period. Specifically, we examined differences between reports that were substantiated and those that were not by comparing characteristics of alleged victims, alleged perpetrators, and aspects of investigation using logistic regression...
October 1, 2016: Journal of Interpersonal Violence
Andrew Ahrendt, Eric Sprankle, Alex Kuka, Keagan McPherson
The current study assesses ageism and heterosexism relating to older adult sexual activity within long-term care facilities. To assess caregiver reactions, 153 residential care facility staff members read one of three vignettes. Each vignette described a scenario in which a staff member walks in on two residents (male/female, male/male, or female/female) engaging in sexual activity. Although no main effects were discovered for vignette type, exploratory analyses revealed that the facility where participants were employed was significantly related to their ratings of approval...
2017: Journal of Homosexuality
Philip R A Baker, Daniel P Francis, Noran N Hairi, Sajaratulnisah Othman, Wan Yuen Choo
BACKGROUND: Maltreatment of older people (elder abuse) includes psychological, physical, sexual abuse, neglect and financial exploitation. Evidence suggests that 10% of older adults experience some form of abuse, and only a fraction of cases are actually reported or referred to social services agencies. Elder abuse is associated with significant morbidity and premature mortality. Numerous interventions have been implemented to address the issue of elder maltreatment. It is, however, unclear which interventions best serve to prevent or reduce elder abuse...
August 16, 2016: Cochrane Database of Systematic Reviews
Margaret MacAndrew, Elaine Fielding, Ann Kolanowski, Maria O'Reilly, Elizabeth Beattie
OBJECTIVES: Wandering-related boundary transgression (BT) in long term care (LTC) frequently manifests as intrusion into another resident's bedroom and is associated with adverse outcomes (loss of privacy, resident-to-resident altercations, and becoming lost). This observational study is the first to empirically describe the characteristics of wandering-related BT in LTC residents with severe dementia. METHOD: Using real-time observation, seven independently ambulant residents with severe dementia and a positive history of wandering and BT were observed for a minimum of twelve 30 minute periods randomized over two non-consecutive days (n=92 observation periods)...
November 2017: Aging & Mental Health
Mark S Lachs, Jeanne A Teresi, Mildred Ramirez, Kimberly van Haitsma, Stephanie Silver, Joseph P Eimicke, Gabriel Boratgis, Gail Sukha, Jian Kong, Alexandra M Besas, Maria Reyes Luna, Karl A Pillemer
BACKGROUND: Resident-to-resident elder mistreatment (R-REM) in nursing homes can cause physical and psychological injury and death, yet its prevalence remains unknown. OBJECTIVE: To estimate the prevalence of physical, verbal, and sexual R-REM in nursing home residents and subgroups. DESIGN: 1-month observational prevalence study. SETTING: 5 urban and 5 suburban New York state nursing homes. PARTICIPANTS: 2011 residents in 10 facilities randomly selected on the basis of size and location; 83% of facilities and 84% of eligible residents participated...
August 16, 2016: Annals of Internal Medicine
O Colin Stine, Shana Burrowes, Sophia David, J Kristie Johnson, Mary-Claire Roghmann
OBJECTIVE To define how often methicillin-resistant Staphylococcus aureus (MRSA) is spread from resident to resident in long-term care facilities using whole-genome sequencing DESIGN Prospective cohort study SETTING A long-term care facility PARTICIPANTS Elderly residents in a long-term care facility METHODS Cultures for MRSA were obtained weekly from multiple body sites from residents with known MRSA colonization over 12-week study periods. Simultaneously, cultures to detect MRSA acquisition were obtained weekly from 2 body sites in residents without known MRSA colonization...
June 2016: Infection Control and Hospital Epidemiology
Claire Rondeau, Guillaume Chevet, Dominique S Blanc, Houssein Gbaguidi-Haore, Marie Decalonne, Sandra Dos Santos, Roland Quentin, Nathalie van der Mee-Marquet
OBJECTIVE: In 2015, we conducted at 44 healthcare facilities (HCFs) and 21 nursing homes (NHs) a 3-month bloodstream infection (BSI) survey, and a 1-day prevalence study to determine the rate of carriage of methicillin-resistant Staphylococcus aureus (MRSA) in 891 patients and 470 residents. We investigated the molecular characteristics of the BSI-associated and colonizing MRSA isolates, and assessed cross-transmission using double-locus sequence typing and pulsed-field gel electrophoresis protocol...
2016: Frontiers in Microbiology
Nico Holmberg, Kari Laasonen
Carbon nanotubes (CNTs), while inactive by themselves, are often used as a platform in the search of new catalysts for the hydrogen evolution reaction (HER) by introducing metal nanoparticles or other dopants. Here, we examine the HER activity of pristine open-ended CNTs considering both the effects of chirality and hydrogen coverage using electronic structure calculations. The results indicate that the formation of different 5-ring structures at the end of the CNT introduces surface sites that are highly active toward HER, whereas the activity of traditional 6-ring sites is not greatly altered by tube termination...
October 1, 2015: Journal of Physical Chemistry Letters
David Sotello, Marcella Rivas, Audra Fuller, Tashfeen Mahmood, Menfil Orellana-Barrios, Kenneth Nugent
Coccidioidomycosis is a well-known infection in the southwestern United States, and its occurrence is becoming more frequent in endemic areas. This disease can have a significant economic and medical impact; therefore, accurate diagnosis is crucial. In conjunction with patient symptoms, residence in or travel to an endemic area is essential for diagnosis. Diagnosis is usually made with serology, culture, or biopsy and confirmed with DNA probe technology. Pulmonary disease is the most common presentation and is seen in almost 95% of all cases...
January 2016: Proceedings of the Baylor University Medical Center
Richard Frazee, Laura Harmon, Harry T Papaconstantinou
The American Recovery and Reinvestment Act mandates "meaningful use" of an electronic health record (EHR) to receive current financial incentives and to avoid future financial penalties. Surgeons' ongoing adoption of an EHR nationally will be influenced by the early experiences of institutions that have made the transition from paper to electronic records. We conducted a survey to query surgeons at our institution regarding their perception of the EHR 3 months after institutional implementation. A total of 59 surveys were obtained from 24 senior staff and 35 residents...
January 2016: Proceedings of the Baylor University Medical Center
Zohreh Azarkar, Gholamreza Sharifzadeh, Azade Ebrahimzadeh, Saeeid Olumi
Pulmonary tuberculosis is a common infection worldwide. In the eastern part of Iran, fluctuations in tuberculosis prevalence are seen due to the migration of people from Afghanistan. The aim of this study was to evaluate the time of bacteriologic sputum conversion after treatment and affecting factors in those whose smear does not become negative. This study was carried out on 85 smear-positive pulmonary tuberculosis patients with the mean age of 65.6±16.7 years. There were 38 male patients (44.7%), 47 urban residents (55...
January 2016: Iranian Journal of Medical Sciences
Mohamed E M Saeed, Jingming Cao, Babikir Fadul, Onat Kadioglu, Hassan E Khalid, Zahir Yassin, Siddig M Mustafa, Elfatih Saeed, Thomas Efferth
BACKGROUND: While cancer epidemiology is well-investigated in developed countries, the cancer burden in Africa is less well documented. We provide cancer statistics of 33,201 patients from all Sudan diagnosed at the Radiation and Isotope Centre in Khartoum (RICK). This hospital covers approximately 80% of patients with cancer in Sudan and is, therefore, considered representative for the situation in this country. MATERIALS AND METHODS: Data from 2009-2013 were collected at RICK...
January 2016: Anticancer Research
Brya G Matthews, Elena Torreggiani, Emilie Roeder, Igor Matic, Danka Grcevic, Ivo Kalajzic
Heterotopic ossification (HO) is a pathological process where bone forms in connective tissues such as skeletal muscle. Previous studies have suggested that muscle-resident non-myogenic mesenchymal progenitors are the likely source of osteoblasts and chondrocytes in HO. However, the previously identified markers of muscle-resident osteoprogenitors label up to half the osteoblasts within heterotopic lesions, suggesting other cell populations are involved. We have identified alpha smooth muscle actin (αSMA) as a marker of osteoprogenitor cells in bone and periodontium, and of osteo-chondro progenitors in the periosteum during fracture healing...
March 2016: Bone
Jing Wen, Christopher Holden Chen, Ariel Stock, Jessica Doerner, Maria Gulinello, Chaim Putterman
Fn14, the sole known signaling receptor for the TNF family member TWEAK, is inducibly expressed in the central nervous system (CNS) in endothelial cells, astrocytes, microglia, and neurons. There is increasing recognition of the importance of the TWEAK/Fn14 pathway in autoimmune neurologic conditions, including experimental autoimmune encephalomyelitis and neuropsychiatric lupus. Previously, we had found that Fn14 knockout lupus-prone MRL/lpr mice display significantly attenuated neuropsychiatric manifestations...
May 2016: Brain, Behavior, and Immunity
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