Assessing Nurse Practitioners\u27 Knowledge and Clinical Practice with Regard to the Oral-Systemic Link

Nurse Practitioners (NPs) comprise a significant portion of the U.S. primary care workforce and play an essential role in patients\u27 health awareness, prevention strategies, disease management, and in providing appropriate provider referrals. Nurse Practitioners receive education on the oral-systemic connection, yet there have been limited studies on the clinical practice of NPs assessing the oral cavity to evaluate the condition of the teeth and the oral tissues. The purpose of this study was to explore the nurse practitioners’ knowledge and practice habits of assessing the oral cavity for diseases or abnormalities in the mouth that can, in turn, affect overall health. A total of 66 NPs were included in the study, primarily female (91%) with master’s degrees (77%). While knowledge and education were not significantly associated, this research found significant associations between confidence and assessments, less than one-third (30.3%) were confident in their knowledge and ability to evaluate oral abnormalities

Quiet Awakening: Spinning Yarns from Granny\u27s Table in the New Rural South

This is an inquiry into generational stories from my Granny\u27s table. It is an exploration of my lived experience as a first generation doctoral student who negates the truths of a rural Southern upbringing steeped in issues of race, class and gender. . Building upon the works of Falk (2004), Freire (2002), He (2003, 2006, in-press), Weis (2006) and Weis and Fine (1998, 2003), I explored the arenas of place, class, and race, particularly the intermingling of multiple realities and contested in-between space and Southern female identities. Family members who raised and nurtured me are the main characters in the stories collected. Using oral history, I documented the place and people that live as a single family entity and collected stories and memories to create a representation of an identity meshed within a place and time. Oral history allowed me to capture the stories in order to better understand the complex life stories that allow subjugation of and by these people who cling to family, land and their way of life. Each story became my own as I fictionalized the accounts, and I seek to explore possibilities for a new order through the flow of these words. So much of the current literature on the South deals solely with race or sex or class. Few texts explore life in the South from the vantage point of a lower-class, white female caught between reality of the place and the promise of education. Yarns spun from my Granny\u27s table revealed and contested a way of life stifling in an ever-changing and new rural South. These stories pose questions to the contested notion of Southern legacy and heritage, one of the most complex, controversial, and significant issues lived by teachers, administrators, parents, and students in the new rural South. Education became the key to doors long locked, allowing my personal awakening. The players in this world order need to awake from their slumber and demand change. Possibilities for the future -- my children, their children, a lost generation -- destined to be locked in the stilted mind-set of this place need to be realized

The Resilient Families Project @ Wayside’s Hotel Louisville: Strategies for Building Resilience, Mindfulness & Happiness in At-Risk Adults

The Resilient Families Project (RFP) provides educational experiences to strengthen evidence-based habits of resilience, mindfulness, and happiness in at-risk individuals. RFP holds programs for adults facing homelessness and women in drug/alcohol recovery who are housed by Wayside Christian Mission in their Emergency Shelter or Hotel Louisville. RFP programs work to promote healthy attachment relations, a sense of belonging/purpose, and interactive reading, and children’s storybooks serve as the foundation for designing programs. The book “The Boy, The Mole, The Fox, and The Horse\u27\u27 was reviewed through content analysis to emphasize diversity, equity, and inclusion, as well as RFP Core Ideas. Thanks to the Gheen’s Foundation Grant awarded by UofL’s Office of Community Engagement, we were able to provide this book, as well as program T-shirts and other materials for participants. This presentation will describe the partnership between our department, key Wayside staff, and our RFP team (composed of current UofL students, alumni, faculty, and community volunteers). Feedback received via participant surveys where we discuss the program, troubleshoot challenges/issues, and work to best meet the needs of participants will be included. Connections of our work to Little Free Libraries (LFL) will also be addressed, as RFP is steward to five LFL’s in Louisville. RFP established the first LFL on UofL’s campus and we are proud to be celebrating the grand opening of UofL’s first diversity, equity, and inclusion focused LFL, to be housed in our department. Finally, lessons learned, current project needs, recruitment efforts, and directions for the future will be described

Examining the potential contribution of social theory to developing and supporting Australian Indigenous-mainstream health service partnerships

Introduction: The substantial gap in life expectancy between Indigenous and non-Indigenous Australians has been slow to improve, despite increased dedicated funding. Partnerships between Australian Indigenous and mainstream Western biomedical organisations are recognised as crucial to improved Indigenous health outcomes. However, these partnerships often experience challenges, particularly in the context of Australia’s race and political relations. Methods: We examined the relevant literature in order to identify the potential role for social theory and theoretical models in developing and maintaining intercultural partnerships. Having identified relevant theoretical models, terms and possible key words, a range of databases were searched and relevant articles selected for inclusion. An integrative approach brought together theoretical models and practical considerations about working in partnership, to inform our analysis of the literature. Findings: Considering partnerships between Australian Indigenous and mainstream health organisations as 'bi-cultural' is simplistic: rather they are culturally diverse across social and professional levels. As such, partnerships between Australian Indigenous and mainstream health organisations may be better conceptualised as 'intercultural', operating across diverse and shifting cultural frames of reference. Theories identified by this review as useful to guide partnerships include power relations, reflexivity and dialogue, borders and strangeness and the intercultural or third space. This paper examines how these theoretical approaches can develop understanding and improve intercultural engagement between mainstream and Australian Indigenous partners in healthcare.Conclusions: Rather than viewing partnerships merely as arrangements between disembodied entities, sometimes contractual in nature, they are better seen as activities between people and organisations and essentially dependent on relationships, occurring in an intercultural space that is complex, dynamic and subject to changes in power relations. Theoretical models aiming to understand and improve partnerships indicate the complexity of building and maintaining such partnerships and stress the importance of understanding factors that can strengthen or derail their effectiveness. While the theories presented here are by no means exhaustive, they nonetheless provide a series of entry points through which to engage with the issue and expand the discourse. This approach allows the transformative nature of Australian Indigenous-mainstream 'culture' to be explored and understood in its lived expression; rather than relegated to prescriptive categories

Instruction Inspiration: A Charrette for Music Librarians

Interactive session. Coming from architecture praxis and used in multiple design disciplines, a charrette is a structured period of intense feedback where participants work together to solve a design problem. The activity can easily be used by instructors to improve lesson plans or teaching artifacts in collaboration. Beginning with a warm-up practice activity where participants can learn how charrettes work, this session will primarily be comprised of focused small-group sharing, feedback, and brainstorming. Each participant should bring a lesson plan, teaching artifact, or other instructional challenge about which they would like to receive feedback. Small groups will be facilitated by an experienced instruction librarian. This dynamic session will offer participants immediate and actionable feedback to refresh their instruction, demonstrate a model for peer feedback they can bring back to their institutions, and encourage the formation of a teaching community of practice through the sharing of ideas and materials

Instruction Inspiration: A Charrette for Music Librarians

Interactive session. Coming from architecture praxis and used in multiple design disciplines, a charrette is a structured period of intense feedback where participants work together to solve a design problem. The activity can easily be used by instructors to improve lesson plans or teaching artifacts in collaboration. Beginning with a warm-up practice activity where participants can learn how charrettes work, this session will primarily be comprised of focused small-group sharing, feedback, and brainstorming. Each participant should bring a lesson plan, teaching artifact, or other instructional challenge about which they would like to receive feedback. Small groups will be facilitated by an experienced instruction librarian. This dynamic session will offer participants immediate and actionable feedback to refresh their instruction, demonstrate a model for peer feedback they can bring back to their institutions, and encourage the formation of a teaching community of practice through the sharing of ideas and materials

Lessons in Diversity and Bias

There is an urgent need for social justice. This need expands far beyond the walls of an information literacy classroom, but there is important work that can be done in these spaces. Lessons designed to stimulate student’s critical thinking about their personal assumptions and latent biases by using different kinds of information sources is one way music and instruction librarians can advance equity and inclusion through teaching. In this active-learning session, attendees will participate in several condensed lessons designed to challenge their worldview in order to facilitate the uncovering of unknown biases. At the same time, they will learn pedagogical techniques for the information literacy classroom by experiencing them first hand. The activities will include conceptualizing disability in the arts, investigating bias in the music industry, and examining reference works to uncover hegemony in the historiography of the canon. All activities will push participants (and hopefully their future students) to think critically about information, especially music and the arts, through the lens of diversity, inclusion, and social justice

Impact of Outpatient vs Inpatient ABSSSI Treatment on Outcomes: A Retrospective Observational Analysis of Medical Charts Across US Emergency Departments

Background The objective of this study was to characterize treatment of patients with acute bacterial skin and skin structure infections (ABSSSIs) and describe the association between hospital admission and emergency department (ED) visits or readmissions within 30 days after initial episode of care (IEC). Methods This was a retrospective, observational, cohort study of adults with ABSSSI who presented to an ED between July 1, 2012, and June 30, 2013. Patient, health care facility, and treatment characteristics, including unplanned ED visits or readmissions, were obtained through manual chart review and abstraction. Adjusted logistic regression analysis examined likelihood of all-cause unplanned ED visits or readmissions between admitted and nonadmitted patients. Results Records from 1527 ED visits for ABSSSI from 40 centers were reviewed (admitted, n = 578 [38%]; nonadmitted, n = 949 [62%]). Admitted patients were typically older (mean age, 52.2 years vs 43.0 years), more likely to be morbidly obese (body mass index \u3e 40 kg/m2; 17.3% vs 9.1%), and had more comorbidities (Charlson Comorbidity Index ≥ 4; 24.4% vs 6.8%) compared with those not admitted. In the primary analysis, adjusted logistic regression, controlling for comorbidities and severity of illness, demonstrated that there was a similar likelihood of all-cause unplanned ED visits or readmissions between admitted and nonadmitted patients (odds ratio, 1.03; 95% confidence interval, 0.74–1.43; P = .87). Conclusions ABSSSI treatment pathways leveraging outpatient treatment vs hospital admission support similar likelihood of unplanned 30-day ED visits or readmissions, an important clinical outcome and quality metric at US hospitals. Further research regarding the decision criteria around hospital admission to avoid potentially unnecessary hospitalizations is warranted

Perspectives in quality: designing the WHO Surgical Safety Checklist

The World Health Organization's Patient Safety Programme created an initiative to improve the safety of surgery around the world. In order to accomplish this goal the programme team developed a checklist with items that could and, if at all possible, should be practised in all settings where surgery takes place. There is little guidance in the literature regarding methods for creating a medical checklist. The airline industry, however, has more than 70 years of experience in developing and using checklists. The authors of the WHO Surgical Safety Checklist drew lessons from the aviation experience to create a safety tool that supports essential clinical practice. In order to inform the methodology for development of future checklists in health care, we review how we applied lessons learned from the aviation experience in checklist development to the development of the Surgical Safety Checklist and also discuss the differences that exist between aviation and medicine that impact the use of checklists in health car

Bioavailability and biochemical effects of diclofenac sodium 0.1% ophthalmic solution in the domestic chicken (Gallus gallus domesticus)

Objective To determine if topical ophthalmic diclofenac sodium 0.1% solution alters renal parameters in the domestic chicken, and to determine if the drug is detectable in plasma after topical ophthalmic administration. Animals Thirty healthy domestic chickens Procedures Over seven days, 6 birds were treated unilaterally with 1 drop of artificial tear solution (group 1), 12 birds were treated unilaterally (group 2) and 12 bilaterally (group 3) with diclofenac sodium 0.1% ophthalmic solution. Treatments were provided for 7 days, every 12 hours in all groups. Pre- and post-treatment plasma samples from all birds were evaluated for changes in albumin, total protein, and uric acid. Post-treatment samples of all birds were also analyzed by HPLC-MS for detection of diclofenac sodium. Results Changes in pre- and post-treatment plasma albumin were significant (P \u3c 0.05) in groups 2 and 3, but not for group 1. Pre- and post-treatment changes in total protein and uric acid pre- and post-treatment were not significant for any group. Diclofenac sodium was not detectable (limit of detection = 0.10 ng/mL) in plasma samples from birds in group 1. Concentration of drug in group 3 was statistically greater than group 2 (P = 0.0008). Conclusions and Clinical Relevance Topical ophthalmic diclofenac sodium 0.1% administered every 12 hours in one or both eyes for 7 days is detectable in systemic circulation in the domestic chicken at 15 minutes post-administration, but did not cause overt changes in parameters used to monitor renal physiology