scholarly journals Need for Nurse Practitioner Fellowships in Ophthalmology in the USA

2021 ◽  
Author(s):  
Vishwani Persaud-Sharma ◽  
Mary A. Hooshmand
Keyword(s):  
Nurse Practitioners ◽  
Well Being ◽  
The United States ◽  
Medical Attention ◽  
Medical Providers ◽  
Eye Care ◽  
United States Today ◽  
The Usa ◽  
Vital Component

Medical attention to vision impairment and associated eye care complications are a vital component of daily living and overall well-being. In the United States today, the physician to patient deficit places great strain on the availability of medical attention tenable to patients nationwide; in terms of specialty medicine, this deficit is even more widespread. The field of ophthalmology faced the same physician to patient deficit in 2020, a grim reality that has left many states void of ophthalmic care, rending millions of aging individuals without domestic eye care. The implementation of trained, ophthalmic nurse practitioners (NPs) can fill the needs of this deficit; however, efficient, accredited, and board-approved American ophthalmic fellowships and residencies that secure proper ophthalmic NP transitions from academia to clinical practice are nonexistent. Though scant, evidence-based literature presents sound findings that support the efficacy and benefit for superior patient outcomes with care provided by ophthalmictrained NPs, offering a viable, long-term solution to the need for ophthalmic medical providers across all states without mitigating patient care, emphasizing the great need for the implementation of ophthalmic NP residencies and fellowships to ensure the continuity of impeccable ophthalmic care for all populations.

scholarly journals FEMALE URINARY INCONTINENCE IN CANADA

2010 ◽  
Vol 16 (3) ◽  
pp. 111
Author(s):  
Harold P. Drutz
Keyword(s):  
Urinary Incontinence ◽  
Well Being ◽  
Developed Countries ◽  
The United States ◽  
Mount Sinai Hospital ◽  
Medical Attention ◽  
Age Group ◽  
Social And Emotional ◽  
Geriatric Center

In Canada, Urinary Incontinence (UI) is a significant medical and social problem which can be devastating to a women’s physical, social and emotional well being. As in other developed countries our population is aging. In 1993, 11.8 per cent of all Canadians were over age 65; by the year 2011, the proportion of this age group will be 14.0 per cent; by 2031, it will be 21.7 per cent (1). It is estimated that between 1.5 to 2.0 million Canadians (out of a population of just over 30 million) suffer from UI, yet only 1:12 will seek medical attention for this problem. UI is now the commonest cause of admission to long-term institutionalized centers in the United States and Canada. In Canada, we now spend over 1.5 billion dollars annually on this health care problem. At the Baycrest Geriatric Center (BGC) in Toronto, where we have a urogynecology branch of the unit at Mount Sinai Hospital (MSH), recent budget figures indicate that the hospital spends $320,000 (Cadanian) annually on adult diapers (2).

Front-line Healthcare Workers in COVID-19: The Way from Elbow-Bump Greeting to Closing Body Bags

2020 ◽  
Author(s):  
Stefan Bittmann
Keyword(s):  
Health Service ◽  
Healthcare Workers ◽  
Well Being ◽  
The United States ◽  
Angiotensin Ii Receptor ◽  
Front Line ◽  
Resource Center ◽  
Research Activities ◽  
The World ◽  
The Usa

COVID-19 is a serious coronavirus disease that is spreading all over the world. As of the date of this publication, 2.834.134 people have been infected with COVID-19 and 197.924 deaths have been recorded in 185 countries (John Hopkins Corona Resource Center, 25th April 2020) [1]. This overwhelming mortality rate requires intensive research activities around the world. To date, the number of deaths per day in the United States is still killing, indicating an uncontrollable state of infection spread. SARS-CoV-2 binds to the angiotensin II receptor in various tissues of the human body, particularly in the oral cavity and tongue. SARS-CoV-2 requires the cheerful TMPRSS2 to activate this inertia. SARS-CoV-2 uses the ACE2 receptor as a gateway to the lungs. The SARS-CoV-2 virus binds with the spike protein to the ACE2 receptor. COVID-19 is more common among African Americans in the USA (Science 10th April 2020). The comfort and the emotional loading capacity of the employees in the health service are key components for the maintenance of the essential health services during the outbreak of the COVID-19 virus (Coronavirus) [2,3]. Hence, it will be important to anticipate the charges linked with this work and to release support for employees in the health service. The supervision and assessment of the psychic health and the well-being of the employees in the health service will be important, just as the efforts to guarantee a successful reunion with colleagues if they are infected.

scholarly journals Mechanisms linking teenage mothers’ educational attainment with self-reported health at age 50

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Julie Maslowsky ◽  
C. Emily Hendrick ◽  
Haley Stritzel
Keyword(s):  
Educational Attainment ◽  
Well Being ◽  
The United States ◽  
Social Determinant ◽  
Early Childbearing ◽  
Partner Characteristics ◽  
Higher Educational Attainment ◽  
The Life Course ◽  
Social Determinant Of Health

Abstract Background Early childbearing is associated with adverse health and well-being throughout the life course for women in the United States. As education continues to be a modifiable social determinant of health after a young woman gives birth, the association of increased educational attainment with long-term health for women who begin childbearing as teenagers is worthy of investigation. Methods Data are from 301 mothers in the National Longitudinal Survey of Youth 1979 who gave birth prior to age 19. We estimated path models to assess women’s incomes, partner characteristics, and health behaviors at age 40 as mediators of the relationship between their educational attainment and self-rated general health at age 50. Results After accounting for observed background factors that select women into early childbearing and lower educational attainment, higher levels of education (high school diploma and GED attainment vs. no degree) were indirectly associated with higher self-rated health at age 50 via higher participant income at age 40. Conclusions As education is a social determinant of health that is amenable to intervention after a teen gives birth, our results are supportive of higher educational attainment as a potential pathway to improving long-term health outcomes of women who begin childbearing early.

scholarly journals Stand against anti-Asian racial discrimination during COVID-19: A call for action

2020 ◽  
pp. 002087282097061
Author(s):  
Qin Gao ◽  
Xiaofang Liu
Keyword(s):  
United States ◽  
Social Media ◽  
Racial Discrimination ◽  
Asian Americans ◽  
Well Being ◽  
Political Rhetoric ◽  
The United States ◽  
Psychological Well Being ◽  
Negative Impacts

Racial discrimination against people of Chinese and other Asian ethnicities has risen sharply in number and severity globally amid the COVID-19 pandemic. This rise has been especially rapid and severe in the United States, fueled by xenophobic political rhetoric and racist language on social media. It has endangered the lives of many Asian Americans and is likely to have long-term negative impacts on the economic, social, physical, and psychological well-being of Asian Americans. This essay reviews the prevalence and consequences of anti-Asian racial discrimination during COVID-19 and calls for actions in practice, policy, and research to stand against it.

scholarly journals Person-Centered Health Care: An Approach That Integrates Acute and Long-Term Care

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 704-704
Author(s):  
Yuchi Young ◽  
Barbara Resnick
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Health Systems ◽  
Long Term Care ◽  
The United States ◽  
World Population ◽  
Term Care ◽  
The Usa ◽  
Aged Society

Abstract The world population is aging. The proportion of the population over 60 will nearly double from 12% in 2015 to 22% in 2050. Global life expectancy has more than doubled from 31 years in 1900 to 72.6 years in 2019. The need for long-term care (LTC) services is expanding with the same rapidity. A comprehensive response is needed to address the needs of older adults. Learning from health systems in other countries enables health systems to incorporate best long-term care practices to fit each country and its culture. This symposium aims to compare long-term care policies and services in Taiwan, Singapore, and the USA where significant growth in aging populations is evidenced. In 2025, the aging population will be 20% in Taiwan, 20% in Singapore and 18 % in the USA. In the case of Taiwan, it has moved from aging society status to aged society, and to super-aged society in 27 years. Such accelerated rate of aging in Taiwan is unparalleled when compared to European countries and the United States. In response to this dramatic change, Taiwan has passed long-term care legislation that expands services to care for older adults, and developed person-centered health care that integrates acute and long-term care services. Some preliminary results related to access, care and patterns of utilization will be shared in the symposium. International Comparisons of Healthy Aging Interest Group Sponsored Symposium.

Aspiring to Do All Things Through Him Who Strengthens? Quixotic Hope, Religiosity, and Mental Health in Emerging Adulthood

2021 ◽  
pp. 215686932110085
Author(s):  
Laura Upenieks
Keyword(s):  
Mental Health ◽  
Negative Relationship ◽  
Well Being ◽  
Educational Expectations ◽  
Religious Practice ◽  
The United States ◽  
Religious Attendance ◽  
National Study ◽  
Health Consequences

Beliefs about the probability of educational success tend to be very optimistic in the United States. However, scholars are beginning to uncover mental health consequences associated with quixotic hope—the unrealistic outstripping of expectation by aspiration. Using longitudinal data from Waves 1 and 3 of the National Study of Youth and Religion, this study asks, (1) does religiosity promote or diminish the likelihood of quixotic hope? and (2) does religious attendance and closeness to God mitigate long-term mental health consequences of quixotic hope? Results show that weekly religious attendance had a modest negative relationship with the likelihood of experiencing quixotic hope, while increasing religious attendance over time attenuated the negative mental health consequences of quixotic hope on increases in depression. Closeness to God neither predicted quixotic hope nor played a moderating role for depression. As educational expectations rise, regular religious practice may help protect the emotional well-being of youth.

scholarly journals FEDERAL POLICY SUPPORTS AND GAPS IN ADDRESSING RACIAL-ETHNIC HEALTH DISPARITIES IN U.S. LONG-TERM CARE FACILITIES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S161-S161
Author(s):  
Rebecca L Mauldin ◽  
Kathy Lee ◽  
Antwan Williams
Keyword(s):  
Long Term Care ◽  
Federal Policy ◽  
Care Facility ◽  
Well Being ◽  
The United States ◽  
Term Care ◽  
Long Term Care Facility ◽  
Care Facilities

Abstract Older adults from racial and ethnic minority groups face health inequities in long-term care facilities such as nursing homes and assisted living facilities just as they do in the United States as a whole. In spite of federal policy to support minority health and ensure the well-being of long-term care facility residents, disparities persist in residents’ quality of care and quality of life. This poster presents current federal policy in the United States to reduce racial and ethnic health disparities and to support long-term care facility residents’ health and well-being. It includes legislation enacted by the Patient Protection and Affordable Care Act of 2010 (ACA), regulations of the U.S. Department of Health and Human Services (DHHS) for health care facilities receiving Medicare or Medicare funds, and policies of the Long-term Care Ombudsman Program. Recommendations to address threats to or gaps in these policies include monitoring congressional efforts to revise portions of the ACA, revising DHHS requirements for long-term care facilities staff training and oversight, and amending requirements for the Long-term Care Ombudsman Program to mandate collection, analysis, and reporting of resident complaint data by race and ethnicity.

scholarly journals Sample-Selection Biases and the Industrialization Puzzle

2017 ◽  
Vol 77 (1) ◽  
pp. 171-207 ◽  
Author(s):  
Howard Bodenhorn ◽  
Timothy W. Guinnane ◽  
Thomas A. Mroz
Keyword(s):  
United States ◽  
Selection Bias ◽  
Meta Analysis ◽  
Sample Selection ◽  
Well Being ◽  
The United States ◽  
Compelling Evidence ◽  
Long Term Changes ◽  
The U.S

Understanding long-term changes in human well-being is central to understanding the consequences of economic development. An extensive anthropometric literature purports to show that heights in the United States declined between the 1830s and the 1890s, which is when the U.S. economy modernized. Most anthropometric research contends that declining heights reflect the negative health consequences of industrialization and urbanization. This interpretation, however, relies on sources subject to selection bias. Our meta-analysis shows that the declining height during industrialization emerges primarily in selected samples. We also develop a parsimonious diagnostic test that reveals, but does not correct for, selection bias in height samples. When applied to four representative height samples, the diagnostic provides compelling evidence of selection.

A comparison of caregiver burden between long-term care and developmental disability family caregivers

2021 ◽  
Vol 26 (8) ◽  
pp. 781-793
Author(s):  
Alison Pattison ◽  
Elissa Torres ◽  
Lori Wieters ◽  
Jennifer G. Waldschmidt
Keyword(s):  
Family Caregivers ◽  
Caregiver Burden ◽  
Developmental Disability ◽  
Long Term Care ◽  
Role Strain ◽  
Well Being ◽  
The United States ◽  
Term Care ◽  
Personal Strain

Background As the United States’ population ages and health concerns rise, the family caregiver occupation will continue to be an integral part of the health care system. Aims It is important to examine the burden that family caregivers experience so they can seek out additional training and services to maintain their own well-being. The researchers examined caregiver burden from a perspective of developmentally disabled and long-term care. Methods The researchers examined difference in Zarit scores, guilt, burden and personal strain for 72 caregivers of people with developmental disability (DD) or people with long-term care (LTC) needs. The researchers also examined differences in these based on whether the individual was caregiving for family or “others”. Results For DD, there were significant differences in Zarit, role strain and personal strain; caring for others has significantly lower scores on these. Role strain was significantly higher than personal strain, which was significantly higher than guilt for both LTC and DD groups. Conclusions Given these findings, it is important to support family caregivers first and foremost with role strain, especially for those caring for family members with DD. This support could be given through personal counselling, caregiver training, non-profit social service resources, and support groups for family caregivers.

Trends in Childhood Obesity Research: A Brief Analysis of NIH-Supported Efforts

2007 ◽  
Vol 35 (1) ◽  
pp. 148-153 ◽  
Author(s):  
Terry T-K Huang ◽  
Mary N. Horlick
Keyword(s):  
Childhood Obesity ◽  
Behavioral Change ◽  
Population Level ◽  
Well Being ◽  
The United States ◽  
Obesity Epidemic ◽  
Obesity Research ◽  
Increased Risk ◽  
Economic Well Being

Childhood obesity continues to rise in the United States, with now over 17% of children and adolescents considered overweight. Childhood obesity predisposes an entire generation to increased risk of chronic diseases and disabilities and is a severe threat to the economic well-being of the nation. At first thought, the solution to the obesity epidemic may seem simple: encourage people to eat less and exercise more. However, the reality is that behavioral change is difficult to achieve without also considering the interplay of genetics, biological processes, and social and environmental mechanisms. As such, investment in obesity research has been considered an important tool to combat obesity and obesity-related diseases. Childhood obesity research, in particular, has drawn considerable attention, given the lower cost of prevention relative to treatment and the high potential for long-term benefits at a population level.

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