FNP led Mobile Health Services for the Homeless population

A small percentage of the U.S. population uses the greatest portion of the healthcare services. Homeless people are often such a group of “super-utilizers” of the healthcare system. Due to multiple medical and psychosocial conditions, people experiencing homelessness face numerous barriers to accessing healthcare, thus leading increased utilization of hospitals and emergency departments (EDs) services. Many of these events are preventable through improved primary care interventions. The literature on Respite/Recuperative Care, Transitional Care, and Mobile Health interventions have shown effectiveness in providing safe and quality care to homeless individuals during the critical transitional period post hospital discharge while also reducing the readmission rates to hospitals and EDs. The goal of this DNP project was to establish a Mobile Health Services program and function as a part of a larger Recuperative Care pilot program for Marin County\u27s homeless population. The partnership between the University of San Francisco School of Nursing and Health Professions (USF-SONHP) and local organizations in Marin endeavored to improve the quality of care for the homeless population and reduce rehospitalizations and ED visits. This goal was accomplished through the successful implementation of the pilot project. Outcome evaluation demonstrated that the project team was able to prevent rehospitalization in all eight patients that enrolled in the program. These results also showed a potential for a significant positive financial impact on the overall healthcare system by reducing utilization rates of EDs and hospitals and costs associated with i

Ambicultural blending between Eastern and Western paradigms : fresh perspectives for international management research

East and Southeast Asian worldviews are distinctly different from those of the West. Westerners and Asians construct their environments differently, not least because they construct the notion of \u27self\u27 very differently. This paper describes and exemplifies distinctions in cognitive and linguistic styles between the East and the West and outlines the implications of these styles for environmental perspectives and research paradigms. Examples from Thailand illustrate the philosophical roots and practical implications of an indigenous Eastern perspective for local business interactions. We explore the privilege afforded in Western, Cartesian paradigms in (Asian) management research and stimulate debate on the benefits of promoting alternative Asian indigenous perspectives for both management research and management practice. We support the idea that Asian management discourse needs more self-confidence and deserves a more prominent place in international research, not least because international management research will greatly benefit from freshly \u27blended\u27 perspectives that incorporate Eastern and Western perspectives

Finishing the euchromatic sequence of the human genome

The sequence of the human genome encodes the genetic instructions for human physiology, as well as rich information about human evolution. In 2001, the International Human Genome Sequencing Consortium reported a draft sequence of the euchromatic portion of the human genome. Since then, the international collaboration has worked to convert this draft into a genome sequence with high accuracy and nearly complete coverage. Here, we report the result of this finishing process. The current genome sequence (Build 35) contains 2.85 billion nucleotides interrupted by only 341 gaps. It covers ∼99% of the euchromatic genome and is accurate to an error rate of ∼1 event per 100,000 bases. Many of the remaining euchromatic gaps are associated with segmental duplications and will require focused work with new methods. The near-complete sequence, the first for a vertebrate, greatly improves the precision of biological analyses of the human genome including studies of gene number, birth and death. Notably, the human enome seems to encode only 20,000-25,000 protein-coding genes. The genome sequence reported here should serve as a firm foundation for biomedical research in the decades ahead

Meditation and psychological health: modeling theoretically derived predictors, processes, and outcomes

Despite evidence attesting to positive psychological effects of meditation, little is known about how variance in the level of engagement with meditation actually relates to positive outcomes. This study draws on multiple traditional and contemporary theoretical frameworks to (1) uncover fundamental aspects of variability in meditation practice, (2) test the role of several primary and secondary processes believed to be responsible for positive effects, and (3) explore a range of positive and negative outcomes believed to be closely aligned with the original intended out-comes of meditation practices. Using two large (each N>500) heterogeneous samples of meditation practitioners, this study calibrated and then cross-validated a theoretical model testing the plausibility of several causal pathways linking variation in experience with meditation to positive and negative psychological outcomes. Results showed that individual differences in meditation involve both behavioral aspects accounting for the degree of engagement, and psychological aspects incorporating the intensity or depth of this engagement. Variation in these aspects accounts for large proportions of variance in psychological health and functioning outcomes. Several factors representing attention refinement (mindfulness), changes in self-perception and outlook (transcendence), worldview (insight), and psychological development serve as plausible change mechanisms serving to transmit the effects of meditation on psychological health and functioning