Medication Management Program Among Elderly at a Residential Facility

Abstract This quality improvement project aimed to address medication management-related issues at a residential facility. The project\u27s population was elderly residents who self- administered their medications. A root cause analysis and SWOT analysis identified multiple factors contributing to medication management errors, including lack of resident education, resident competency, and technology limitations. An intervention plan was developed and implemented in two phases. Phase 1 involved conducting medication reconciliation, assessing resident competency, and 1:1 educational sessions with the residents. Educational retention was assessed by using a pre-test and a post-test. Phase 2, to be implemented in the future, will address technology limitations, incorporate an electronic medical records (EMR) system, and provide ongoing staff education. Results from Phase 1 include 80% recalled new information while 20% showed no change after completion of the educational session and the pre/post-test; from those residents assessed with the Medi-Cog, 55% scored above 8 out of 10 while 45% scored below the cutoff score of 8, and last 100% of the Medication Administration Records (MAR) were reviewed. Although time constraints prevented Phase 2 interventions from being implemented, implementing an EMR system and a professional development plan for staff education are expected to contribute to further improvements in medication management at the residential facility. Continued monitoring and collaboration with the residents and staff are vital for sustained success

Metabolic syndrome prevalence in Guanajuato, Mexico’s teachers

Objetivos: Identificar la prevalencia del síndrome metabólico en profesores del nivel educativo básico del estado de Guanajuato, México. Diseño: Estudio observacional, transversal, retrospectivo. Institución: Universidad de Guanajuato, México. Participantes: Docentes de nivel educativo básico. Intervenciones: En 477 docentes, 208 hombres y 269 mujeres, se llevó a cabo una evaluación médica directa y exámenes de laboratorio de los componentes del síndrome metabólico (glucosa, triglicéridos y colesterol de densidad alta (HDL-C)), así como, medición de circunferencia de abdomen, presión arterial y nivel de actividad física. Principales medidas de resultados: Prevalencia del síndrome metabólico. Resultados: La prevalencia del síndrome metabólico fue 32,2% en los docentes hombres y 26,8% en las mujeres. Más de 40% de los profesores presentó tres factores de riesgo para el síndrome metabólico, siendo más prevalente la hipertrigliceridemia. Referente al nivel de actividad física, 24% correspondió a personas sedentarias, 65% hipoactivos y únicamente 11% practicaba ejercicio vigoroso regular. Conclusiones: El perfil de salud de los docentes de Guanajuato se encontró lejos del ideal esperado, observándose una elevada prevalencia del síndrome metabólico, por lo que se sugiere aplicar estrategias de prevención para modificar los estilos de vida del profesorado, en especial mejorar la dieta y promover mayor nivel de actividad física.Objectives: To identify the prevalence of metabolic syndrome in Guanajuato, Mexico’s teachers of basic education. Design: Observational, transversal, retrospective study. Setting: Universidad de Guanajuato, Mexico. Participants: Teachers of basic education. Interventions: In 477 teachers that included 208 men and 269 women, medical evaluation and laboratory tests were done including the metabolic syndrome components (glucose, triglycerides and high density cholesterol (HDL-C) analysis), abdominal circumference measurement, blood pressure, and level of physical activity. Main outcome measures: Metabolic syndrome prevalence. Results: The prevalence of metabolic syndrome was 32.2% in men and 26.8% in women teachers. Over 40% of teachers had three risk factors for metabolic syndrome, hypertriglyceridemia the most prevalent. Concerning the level of physical activity, 24% were sedentary people, 65% hypoactive, and only 11% practiced regular vigorous exercise. Conclusions: Guanajuato’s teacher’s health profile was far from ideal, showing high prevalence of metabolic syndrome. For prevention strategies we suggest lifestyle change, especially improving diet and promoting physical activity

Circulating levels of specific members of chromosome 19 microRNA cluster are associated with preeclampsia development

Purpose: To perform serum microRNA expression profiling to identify members of chromosome 19 miRNA cluster involved in preeclampsia development. Methods: Serum chromosome 19 miRNA cluster microRNA expression profiling was evaluated at 12, 16, and 20 gestational weeks and at the time of preeclampsia diagnosis, in women who developed preeclampsia (WWD-PE; n = 16) and controls (n = 18) using TaqMan low density array plates. Results: A total of 51 chromosome 19 microRNA cluster members were evaluated. The circulating hsa-miRs 512-3p, 518f3p, 520c-3p, and 520d-3p, were differentially expressed between groups (P < 0.05). Compared with controls, serum levels of hsa-miR-518f-3p at 20 GW were useful for identifying WWD-Mild-PE (P = 0.035) and WWD-Severe-PE(P = 0.007). Conclusions: Serum hsa-miRs 512-3p, 518f-3p, 520c-3p, and 520d-3p, are differentially expressed between WWD-PE and controls and their role in the development of preeclampsia should be investigated further

Primer curso de Bioderecho y los Comités de Ética en Investigación “Cuestiones fundamentales desde el Derecho, la Ética y la Ciencia"

Contenido resumen del primer curso de Bioderecho y los Comités de Ética en Investigación “Cuestiones fundamentales desde el Derecho, la Ética y la Ciencia”. Organizado por el Comité de Ética en Investigación del Centro Universitario de la Costa. Celebradas el 23 y 24 de octubre de 2014 en Puerto Vallarta, México

Medication Management Program Among Elderly at a Residential Facility

This quality improvement project aimed to address medication management-related issues at a residential facility. The project\u27s population was elderly residents who self-administered their medications. A root cause analysis and SWOT analysis identified multiple factors contributing to medication management errors, including lack of resident education, resident competency, and technology limitations. An intervention plan was developed and implemented in two phases. Phase 1 involved conducting medication reconciliation, assessing resident competency, and 1:1 educational sessions with the residents. Educational retention was assessed by using a pre-test and a post-test. Phase 2, to be implemented in the future, will address technology limitations, incorporate an electronic medical records (EMR) system, and provide ongoing staff education. Results from Phase 1 include 80% recalled new information while 20% showed no change after completion of the educational session and the pre/post-test; from those residents assessed with the Medi-Cog, 55% scored above 8 out of 10 while 45% scored below the cutoff score of 8, and last 100% of the Medication Administration Records (MAR) were reviewed. Although time constraints prevented Phase 2 interventions from being implemented, implementing an EMR system and a professional development plan for staff education are expected to contribute to further improvements in medication management at the residential facility. Continued monitoring and collaboration with the residents and staff are vital for sustained success

Primer curso de Bioderecho y los Comités de Etica en Investigación "Cuestiones fundamentales desde el Derecho, la Etica y la Ciencia"

Contenido resumen del primer curso de Bioderecho y los Comités de Etica en Investigación "Cuestiones fundamentales desde el Derecho, la Etica y la Ciencia". Organizado por el Comité de Etica en Investigación del Centro Universitario de la Costa. Celebradas el 23 y 24 de octubre de 2014 en Puerto Vallarta, México