Postpartum Depression Screening of Women Veterans in Alaska Quality Improvement Project

A Project Submitted in Partial Fulfillment of the Requirements for the Degree of MASTER OF SCIENCE in Nursing SciencePostpartum depression screening guidelines were updated by the American College of Obstetricians and Gynecologists and the United States Preventive Services Task Force in 2015 and 2016, respectively. Universal postpartum depression screening is recommended where previously it was not. Postpartum depression screening is relevant to the rapidly growing population of women Veterans served by the Veterans Health Administration (VA) as part of their comprehensive health care benefits. Little information was available on the postpartum depression screening practices within the Alaska VA Healthcare System. Using a quality improvement methodology, the author identified postpartum depression screening as a topic of interest. Current practice was assessed through a retrospective chart audit of all maternity consults placed during the fiscal year 2014. The chart audit revealed an 81% postpartum depression screening rate. Incomplete data limited a full statistical analysis; however, all women who returned to an Alaska VA clinic, received screening and treatment. An informational brochure was developed for women and their health care providers highlighting postpartum depression screening and treatment resources.Title Page / Abstract / Table of Contents / List of Tables / List of Appendices / Introduction / Purpose / Literature Review / Implications for Nursing Practice / Methods / Results / Discussion / Conclusion / References / Appendice

A Prohibition on Purely Local Purposes: The General Welfare Limitation of Congress\u27s Spending Power

Congress’s spending power allows the federal government to spend money to provide for the general welfare of the United States. While this “general welfare” language was initially understood as barring Congress from apportioning money for local purposes, the Supreme Court’s interpretation of the spending power has treated this limitation as effectively nonjusticiable. Consequently, the spending power has provided Congress with an attractive carrot to coax states into enacting regulations that Congress could not achieve through its other powers. This Note challenges the notion that the general welfare limitation of the Spending Clause should be considered nonjusticiable. Instead, it calls for a return to the original understanding that the spending power could not be exercised to promote purely local purposes, an understanding that the Court adopted in its earlier spending cases. Relying on principles of collective action federalism and the “substantial effects” test from United States v. Lopez, this Note proposes distinguishing between general and local spending by looking at the anticipated effects of the spending beyond the recipient of the funds itself

Utility of accelerometers to measure physical activity in children attending an obesity treatment intervention

Objectives. To investigate the use of accelerometers to monitor change in physical activity in a childhood obesity treatment intervention. Methods. 28 children aged 7–13 taking part in “Families for Health” were asked to wear an accelerometer (Actigraph) for 7-days, and complete an accompanying activity diary, at baseline, 3-months and 9-months. Interviews with 12 parents asked about research measurements. Results. Over 90% of children provided 4 days of accelerometer data, and around half of children provided 7 days. Adequately completed diaries were collected from 60% of children. Children partake in a wide range of physical activity which uniaxial monitors may undermonitor (cycling, nonmotorised scootering) or overmonitor (trampolining). Two different cutoffs (4 METS or 3200 counts⋅min-1) for minutes spent in moderate and vigorous physical activity (MVPA) yielded very different results, although reached the same conclusion regarding a lack of change in MVPA after the intervention. Some children were unwilling to wear accelerometers at school and during sport because they felt they put them at risk of stigma and bullying. Conclusion. Accelerometers are acceptable to a majority of children, although their use at school is problematic for some, but they may underestimate children's physical activity

Learning to Use, Useful for Learning: A Usability Study of Google Apps for Education

Using results from an original survey instrument, this study examined student perceptions of how useful Google Apps for Education (GAFE) was in students\u27 learning of core concepts in a first-year college composition course, how difficult or easy it was for students to interact with GAFE, and how students ranked specific affordances of the technology in terms of its usability and usefulness. Students found GAFE relatively easy to use and appreciated its collaborative affordances. The researchers concluded that GAFE is a useful tool to meet learning objectives in the college composition classroom

Pervasive Pedagogy: Collaborative Cloud-Based Composing Using Google Drive

Cloud-based services designed for educational use, like Google Apps for Education (GAFE), afford deeply collaborative activities across multiple applications. Through primary research, the authors discovered that cloud-based technologies such as GAFE and Google Drive afford new opportunities for collaborative cross-platform composing and student engagement. These affordances require new pedagogies to transform these potentialities into practice, as well as a reexamination of contemporary theory of computers and composition. The authors’ journey implementing Google Drive as a composing and communication environment required continually remediating content, relationships, practices, and their own identities as they interacted with students in the cloud. This chapter addresses how GAFE and Google Drive engage students in the composition classroom, redefine and transform pedagogical and curricular concepts, and improve students’ experience and learning

Glocalizing the Composition Classroom with Google Apps for Education

Composing practices in a digitally networked world are inherently intercultural, and situate local needs and constraints within global opportunities and concerns. Global technologies like Google Apps for Education (GAFE) allow students to compose collaboratively across place and time; to do so, students and teachers must navigate a complex local network of institutional policy, learning outcomes, situational needs, and composing practices while also being aware of the global implications of using the interface to compose, review, edit, and share with others. The chapter describes using GAFE in locally situated composition classes. Using such technologies requires a focus on glocalization and an understanding of how networked composing activity affects the communication process, and the institutions, faculty, and students who are interconnected within it

Interdisciplinary Dissertation Research Among Public Health Doctoral Trainees, 2003-2015

Given the call for more interdisciplinary research in public health, the objectives of this study were to (1) examine the correlates of interdisciplinary dissertation completion and (2) identify secondary fields most common among interdisciplinary public health graduates. METHODS: We analyzed pooled cross-sectional data from 11 120 doctoral graduates in the Survey of Earned Doctorates, 2003-2015. The primary outcome was interdisciplinary dissertation completion. Covariates included primary public health field, sociodemographic characteristics, and institutional attributes. RESULTS: From 2003 to 2015, a total of 4005 of 11 120 (36.0%) doctoral graduates in public health reported interdisciplinary dissertations, with significant increases observed in recent years. Compared with general public health graduates, graduates of environmental health (odds ratio [OR] = 1.74; P < .001) and health services administration (OR = 1.38; P < .001) doctoral programs were significantly more likely to report completing interdisciplinary dissertation work, whereas graduates from biostatistics (OR = 0.51; P < .001) and epidemiology (OR = 0.76; P < .001) were less likely to do so. Completing an interdisciplinary dissertation was associated with being male, a non-US citizen, a graduate of a private institution, and a graduate of an institution with high but not the highest level of research activity. Many secondary dissertation fields reported by interdisciplinary graduates included other public health fields. CONCLUSION: Although interdisciplinary dissertation research among doctoral graduates in public health has increased in recent years, such work is bounded in certain fields of public health and certain types of graduates and institutions. Academic administrators and other stakeholders may use these results to inform greater interdisciplinary activity during doctoral training and to evaluate current and future collaborations across departments or schools

Regionalism and Reform: The Consequences of Consociationalism in Belgium

With the success of the Nieuw-Vlaamse Alliantie (N-VA), a Flemish regionalist party, in recent federal and regional elections, the continued role of regionalism in Belgian politics has been made clear. This has occurred despite significant efforts by Belgian politicians to counteract this tendency. By analyzing the impact of the six state reforms that have drastically affected the political system within the country, this paper outlines how the reforms themselves have unintentionally incentivized the political parties to pursue regionalism as a winning political strategy, which laid the groundwork for the current success of the N-VA. Furthermore, this paper demonstrates how the institutional system known as consociationalism has been unable to implement the moderating tendency that it seeks to provide in the Belgian case and has instead contributed to stagnation in the federal parliament and to a centrifugal pull of the parties into separate linguistic communities. In examining this, the paper makes use of the devolutionary framework proposed by Andrés Rodríguez-Pose and Nicholas Gill (2002) to show how the reforms have impacted the legitimacy of the subnational governments