Shared Care Contributions to Self-Care and Quality of Life in Chronic Cardiac Patients

Shared care is an interpersonal interaction system composed of communication, decision making, and reciprocity; it is used by patients and family caregivers (care dyads) to exchange social support. This study’s purpose was to describe the contributions of shared care to outcomes for individuals with cardiac disease. A secondary data analysis was used to answer the following questions. What is the association between elements of shared care and patient outcomes? Do dyad perceptions of shared care differentially contribute to patient outcomes? Participants in this study were 93 individuals with a cardiac disease and 93 family caregivers. Composite index structured equation modeling was the analytic tool. Caregiver communication and reciprocity were related to patient mental quality of life. Patient communication and reciprocity were related to their own mental and physical quality of life and self-care confidence. Findings from this study contribute a better understanding of how care dyads are integral to patient outcomes

John Hill Hewitt Appendices

Appendices to the Savannah Biographies paper on John Hill Hewitthttps://digitalcommons.georgiasouthern.edu/sav-bios-lane/1228/thumbnail.jp

Empowering, Embracing, Energizing Customers: A Mandate for Change

Health informatics innovations are acceptable to lay persons and their family caregivers, and their use helps community-dwelling people recover faster, and with fewer complications. Full value of consumer health informatics tools, however, necessitates systematic changes in health care delivery wherein the patient emerges as a full partner in the co-creation of health care and health services

John Hill Hewitt

John Hill Hewitt was a first generation Native American. His paternal ancestors were of Welsh extraction while his mother \u27s family ancestry was largely English with some royal Portuguese blood. Hewitt noted that his mother\u27s large Roman nose and curly hair were dominant features among her children} Such features lent him a negro appearance which became a painful stigma for him in the American South during the Nineteenth Century.https://digitalcommons.georgiasouthern.edu/sav-bios-lane/1100/thumbnail.jp

Genital Evolution: Cock-a-Doodle-Don’t

SummaryLosing the penis in species with internal fertilization may seem paradoxical, but birds have managed to do it multiple times. A new study addresses one developmental mechanism responsible for penis reduction in birds, and opens the door to further examination of this little understood evolutionary phenomenon

How mothers orchestrate their engagement in an early intervention program

A family-centered approach was espoused in IDEA Part C as the context for service to families with young children experiencing developmental delays. A phenomenological inquiry was conducted to explore how mothers of young children with disabilities orchestrate their engagement in an early intervention program, and to identify factors that support their participation. In-depth interviews were conducted with five mothers of children enrolled in a community-based program located in an urban area. An over-arching theme addressing the need for service providers to be “In my reality” emerged. Sub-themes highlighted needs of the mothers to understand their child’s condition, promote their child’s development, and have valued experiences/opportunities for their child. The mothers described how positive and negative informal and formal supports either enhanced or constricted their engagement. The study emphasized how family-centered programming should be the service mode, embracing and facilitating each family’s reality, and not just a stated philosophy

Urban Bus Transport Regulation in Buenos Aires

Institute of Transport and Logistics Studies. Faculty of Economics and Business. The University of Sydne