Navigating Long-Term Care

Americans over age 65 constitute a larger percentage of the population each year: from 14% in 2010 (40 million elderly) to possibly 20% in 2030 (70 million elderly). In 2015, an estimated 66 million people provided care to the ill, disabled, and elderly in the United States. In 2000, according to the Centers for Disease Control and Prevention (CDC), 15 million Americans used some form of long-term care: adult day care, home health, nursing home, or hospice. In all, 13% of people over 85 years old, compared with 1% of those ages 65 to 74, live in nursing homes in the United States. Transitions of care, among these various levels of care, are common: Nursing home to hospital transfer, one of the best-studied transitions, occurs in more than 25% of nursing home residents per year. This article follows one patient through several levels of care

Holt & Plyler (1984) Checklist of the Vascular Flora of the Robert B. Gordon Natural Area

This research represents the first site-wide floristic survey of the Gordon Natural Area (GNA), and consists of 348 species in 238 genera and 95 families. The survey was conducted by two West Chester University undergraduate students, Jack Holt and Jim Plyler, under the supervision of Dr. William Overlease. The bulk of the work took place during 1984; however, some woody species previously noted in the GNA by Jim Plyler were also incorporated into the list. The checklist was compiled for all vascular families encountered at the GNA, with the exception of the Grass Family (Poaceae), Rush Family (Juncaceae), and Sedge Family (Cyperaceae). This checklist stood as the sole site-wide checklist for the preserve until 2007, when Jack Holt and botanist Janet Ebert conducted the second site-wide survey of the GNA. In contrast to the initial survey, the 2007 survey included grasses, rushes, and sedges. Species names were standardized by N. Ritter to follow the nomenclature in USDA PLANTS. Species marked with an asterisk are those that were last noted in the GNA in 1984. Of the 348 species, 265 are native to the lower 48 States and 81 are introduced (indicated in red in the list). Two species, Calystegium sepens and Polygonum scandens, are considered to be native in some parts of the lower 48 states and introduced in other portions

Dermoscopy in Family Medicine

Seminar objectives: – Introduce dermoscopy as a method for dermatologic diagnosis – Teach methods to identify melanoma using dermoscopy – Introduce other methods to identify additional skin conditions – Provide resources for learning dermoscop

A chatbot architecture for promoting youth resilience

E-health technologies have the potential to provide scalable and accessible interventions for youth mental health. As part of a developing an ecosystem of e-screening and e-therapy tools for New Zealand young people, a dialog agent, Headstrong, has been designed to promote resilience with methods grounded in cognitive behavioral therapy and positive psychology. This paper describes the architecture underlying the chatbot. The architecture supports a range of over 20 activities delivered in a 4-week program by relatable personas. The architecture provides a visual authoring interface to its content management system. In addition to supporting the original adolescent resilience chatbot, the architecture has been reused to create a 3-week 'stress-detox' intervention for undergraduates, and subsequently for a chatbot to support young people with the impacts of the COVID-19 pandemic, with all three systems having been used in field trials. The Headstrong architecture illustrates the feasibility of creating a domain-focused authoring environment in the context of e-therapy that supports non-technical expert input and rapid deployment.Comment: 7 pages, 4 figures, submitted to Australian Health Informatics Conference, Brisbane, October 202

Asthma morbidity, control and treatment in New Zealand: results of the Patient Outcomes Management Survey (POMS), 2001

Aims: To determine the magnitude of morbidity from asthma within the New Zealand population, the degree of satisfaction of patients with their asthma control, and the level of asthma control achieved in relation to treatment. Methods: Participants were randomly selected from 29 randomly chosen general practices throughout New Zealand. Information was collected from demographic and clinical questionnaires and from lung function tests. Criteria based on GINA guidelines were developed to define the level of asthma control for each participant, their opinion of their level of control, and to define which participants were undertreated. Results: A total of 445 patients (327 adults, age 16–68; 118 children, age 7–15) took part in the study. Ninety three per cent of adults had asthma that was sub-optimally controlled, 71% had asthma that was not well controlled, and 19% had asthma that was markedly out of control. For children, these figures were 90%, 42% and 4% respectively. These results were consistent regardless of asthma severity. In adults and children whose asthma was not well controlled, 49% and 71% respectively were under-treated. For those whose asthma was markedly out of control, 89% and 75% of adults and children respectively were under-treated. Conclusions: A significant proportion of patients have asthma that is not well controlled or that is markedly out of control, and the majority are under-treated.GlaxoSmithKline New Zealan

Harmonizing Clinical, Research, and Teaching Aims: Team Care for Patients with Complex Needs

At the conclusion of this session, the participants will be able to: 1. Describe a team-based approach to addressing complex patients’ needs. 2. Develop engaged and experiential methods for teaching interprofessional learners about team-care for complex patients. 3. Demonstrate familiarity with an evaluation strategy and preliminary outcomes data for a team approach for complex patients

1992: Abilene Christian College Bible Lectures - Full Text

CORINTH REVISITED: Studies in I Corinthians Being the Abilene Christian University Annual Bible Lectures 1992 Published by ACU PRESS 1634 Campus Court Abilene, Texas 7960