First Generation College Students and Mobile Device Acceptance in Nursing Education

The National League for Nursing (2009) states that nurse educators must commit to diversity in education by reviewing practices that favor and exclude students. First generation college students (FGCS) have a background that may hinder success and require support to overcome barriers in a nursing program- including mobile device acceptance. A cross-sectional survey of 37 students showed significant differences; FGCS have higher results than non-FGCS in six of the eight key constructs of mobile device acceptance. Mobile devices may help bridge the digital divide. By increasing emphasis on mobile device functioning in the nursing curriculum, nurse educators can continue to promote diversity

Correlates of recent and regular mammography screening among Asian-American women

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/72104/1/j.1365-2648.2009.05112.x.pd

Correlates of recent and regular mammography screening among Asian-American women

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/72104/1/j.1365-2648.2009.05112.x.pd

Factors Influencing Mammography Screening of Chinese American Women

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/73254/1/0884217505276256.pd

Increasing Colorectal Cancer Screening Awareness: An Innovative Participatory Intervention

Among American men and women, colorectal cancer (CRC) is the third most commonly diagnosed cancer as well as the third leading cause of cancer death. The importance of CRC screening is supported by improved survival rates associated with early diagnosis. Despite these well known facts, half of eligible adults in the United States have not been tested. This paper reports on a novel intervention utilizing a uniquely designed community-based CRC education program to promote CRC awareness and increase participant’s intention to participate in CRC screening. Trained teams of oncology nurses worked with senior level nursing students who provided a two-tier intervention that engaged both children and adults. Surprisingly, a survey of participants indicated that within this sample, screen rates were 84.1%. This is higher than the Healthy People 2020 screening target of 70.5%. Participants in the educational intervention program still reported the program increased their awareness of CRC and the need for screening. Results also show that a doctor’s recommendation influences a person’s decision to participation in CRC screening

Breast cancer early detection : a phased approach to implementation

Q1Q1When breast cancer is detected and treated early, the chances of survival are very high. However, women in many settings face complex barriers to early detection, including social, economic, geographic, and other interrelated factors, which can limit their access to timely, affordable, and effective breast health care services. Previously, the Breast Health Global Initiative (BHGI) developed resource-stratified guidelines for the early detection and diagnosis of breast cancer. In this consensus article from the sixth BHGI Global Summit held in October 2018, the authors describe phases of early detection program development, beginning with management strategies required for the diagnosis of clinically detectable disease based on awareness education and technical training, history and physical examination, and accurate tissue diagnosis. The core issues address include finance and governance, which pertain to successful planning, implementation, and the iterative process of program improvement and are needed for a breast cancer early detection program to succeed in any resource setting. Examples are presented of implementation, process, and clinical outcome metrics that assist in program implementation monitoring. Country case examples are presented to highlight the challenges and opportunities of implementing successful breast cancer early detection programs, and the complex interplay of barriers and facilitators to achieving early detection for breast cancer in real-world settings are considered.https://scholar.google.com/citations?user=xFiKCkMAAAAJ&hl=eshttp://scienti.colciencias.gov.co:8081/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0000264474Revista Nacional - Indexad

MicroRNA profiling in ischemic injury of the gracilis muscle in rats

<p>Abstract</p> <p>Background</p> <p>To profile the expression of microRNAs (miRNAs) and their potential target genes in the gracilis muscles following ischemic injury in rats by monitoring miRNA and mRNA expression on a genome-wide basis.</p> <p>Methods</p> <p>Following 4 h of ischemia and subsequent reperfusion for 4 h of the gracilis muscles, the specimens were analyzed with an Agilent rat miRNA array to detect the expressed miRNAs in the experimental muscles compared to those from the sham-operated controls. Their expressions were subsequently quantified by real-time reverse transcription polymerase chain reaction (real-time RT-PCR) to determine their expression pattern after different durations of ischemia and reperfusion. In addition, the expression of the mRNA in the muscle specimens after 4 h of ischemia and reperfusion for 1, 3, 7, and 14 d were detected with the Agilent Whole Rat Genome 4 × 44 k oligo microarray. A combined approach using a computational prediction algorithm that included miRanda, PicTar, TargetScanS, MirTarget2, RNAhybrid, and the whole genome microarray experiment was performed by monitoring the mRNA:miRNA association to identify potential target genes.</p> <p>Results</p> <p>Three miRNAs (miR-21, miR-200c, and miR-205) of 350 tested rat miRNAs were found to have an increased expression in the miRNA array. Real-time RT-PCR demonstrated that, with 2-fold increase after 4 h of ischemia, a maximum 24-fold increase at 7 d, and a 7.5-fold increase at 14 d after reperfusion, only the miR-21, but not the miR-200c or miR-205 was upregulated throughout the experimental time. In monitoring the target genes of miR-21 in the expression array at 1, 3, 7, 14 d after reperfusion, with persistent expression throughout the experiment, we detected the same 4 persistently downregulated target genes (<it>Nqo1</it>, <it>Pdpn</it>, <it>CXCL3</it>, and <it>Rad23b</it>) with the prediction algorithms miRanda and RNAhybrid, but no target gene was revealed with PicTar, TargetScanS, and MirTarget2.</p> <p>Conclusions</p> <p>This study revealed 3 upregulated miRNAs in the gracilis muscle following ischemic injury and identified 4 potential target genes of miR-21 by examining miRNAs and mRNAs expression patterns in a time-course fashion using a combined approach with prediction algorithms and a whole genome expression array experiment.</p

Using Community Engagement and Geographic Information Systems to Address COVID-19 Vaccination Disparities

The COVID-19 pandemic has exacerbated existing health disparities and had a disproportionate impact on racial and ethnic minority groups in the United States. Limited COVID-19 data for Asian Americans have led to less attention for this population; nevertheless, available statistics have revealed lesser known impacts of COVID-19 on this population. Even with significant increases in vaccine supply and recent increases in COVID-19 vaccination rates, racial and ethnic disparities in vaccine uptake still persist. These disparities are amplified for individuals with limited English proficiency (LEP). The purpose of this paper is to apply community-engaged and geographic information system (GIS) strategies to increase equitable access to COVID-19 vaccination uptake by decreasing the structural barriers to COVID-19 vaccine uptake, with a particular focus on Asian Americans with LEP. Building upon existing community-academic partnerships between the academic unit and community-based organizations, the project team established community-led mobile and pop-up COVID-19 vaccination clinics to reach underserved individuals in their communities, worked with commercial pharmacies and reserved appointments for community-based organizations, used GIS to establish COVID-19 vaccination sites close to communities with the greatest need, and deployed trusted messengers to deliver linguistically and culturally relevant COVID-19 vaccine messages which built vaccine confidence among the community members. The implementation of mobile clinics expanded COVID-19 vaccine access and community-driven, multi-sector partnerships can increase the capacity to enhance efforts and facilitate access to COVID-19 vaccination for hard-to-reach populations

Determinants of physical activity among Taiwanese adolescents: An application of the health promotion model.

Physical activity has various psychological and physical benefits. Despite increased emphasis on the importance of physical activity, many Taiwanese people still lead sedentary lifestyles. The purpose of this study was to examine the relationships between interpersonal influences (i.e., social support, norms, modeling), behavior-specific cognitions (i.e., self-efficacy, perceived benefits/barriers), competing demands, and physical activity among Taiwanese adolescents. A convenience sample of 969 Taiwanese eighth graders from the Taipei School District completed a series of questionnaires to assess these constructs. The present study established the reliability and validity of the measurement instruments in Taiwanese adolescents. The results from Structural Equation Modeling indicated that perceived self-efficacy was the most important predictor of physical activity. The data confirmed that Taiwanese adolescents who had greater interpersonal influences (i.e., norms, modeling, and social support) to perform physical activity were likely to report more daily physical activity. When the sources of social support, norms, and modeling were further analyzed, it was found that peers (friends and classmates) were more significant influences than parents. Norms from parents and physical education instructors to expect performance of physical activity also were found to be related to increased level of physical activity among Taiwanese adolescents. In addition, significant differences in physical activity were found between adolescents with more positive perceived self-efficacy, perceived benefits, and perceived barriers than those with less positive cognitions. Interpersonal influences, when considered in total, had a weak and non-significant direct effect on physical activity but had indirect effects on physical activity through perceived benefits and perceived self-efficacy. When sources of interpersonal influence were considered separately, parental influences did not have direct effects on physical activity. In contrast, peers did have a significant direct effect on physical activity and also indirect influences on Taiwanese adolescents' physical activity through perceived self-efficacy. All variables accounted for 30% of the variance in physical activity. Results of this study have significant implications for health professionals for promoting physical activity in this population. In school and community settings, clinicians or practitioners can use the tools developed and tested in this study to assess attitudes and beliefs of Taiwanese adolescents as a basis for developing effective counseling strategies to promote physical activity in this population.Ph.D.Behavioral psychologyHealth and Environmental SciencesNursingPsychologyPublic healthUniversity of Michigan, Horace H. Rackham School of Graduate Studieshttp://deepblue.lib.umich.edu/bitstream/2027.42/132039/2/9938572.pd