A Comparison Of The KI67 Proliferation Index And CD117 & Cox-2 Expressions In Renal Carcinomas

The present study has three main aims; a) to investigate the relationship between the tumor grade (TG), type (TT) and size (TS) on the renal carcinoma cancer (RCC) types, and demographic features of the patients such as gender and age, b) to find out the correlation between KI67 proliferation index and COX-2 and CD117 on the RCC, and c) to find out whether the immunohistochemical (IHC) reagents can determine the prognosis of some renal tumor diseases.In this research, 50 cases with RCC in Dicle University Hospital (30 clear cell type, 8 multi-lobular type, 5 sarcomatoid type, 4 papillary type, 3 chromophobe type), and 1 with radical nephrectomy were investigated retrospectively.The TG was carried out using Fuhrman grading system (FGS) and IHC examination was carried out on KI67, COX2, and CD117.The results of the present study did not indicate that gender had any effects on tumor parameters, but CD117 and age had an effect on CD117 and COX2. The results indicated strong correlations between tumor parameters such as TT and TG and CD117, KI67, TG and TT and CD117, and COX2 and KI67.

Investigation Of Obesity-Related Mortality Rates In Delaware

As Delaware’s adult obesity crisis continues to be a leading public health concern, we evaluated Delaware’s 1999–2014 vital records to examine the association between obesity and mortality. We used the Delaware population death records from the Centers for Disease Control and Prevention (CDC) WONDER database and the Delaware Health Statistics Center (DHSC). Together with the vital records, we incorporated Microsoft Excel, SAS (Statistical Analysis System) and GIS (geographic information system) tools to analyze obesity influences from county residence, economic status, education, gender, and race. Using the 15-year (1999–2014) time span with the CDC WONDER database, we observed a statistically significant 28.7% increase in the age-adjusted Delaware obesity-related mortality rates (where obesity was a contributory factor). Furthermore, obesity influenced death counts in all three Delaware counties (New Castle, Kent, and Sussex). Kent County experienced the largest increase (66.0%), followed by New Castle County (47.4%), and Sussex County (25.2%). The DHSC mortality rates for all leading causes of death from 2000 to 2011 indicated relatively stable mortality rates for Delaware. However, using CDC WONDER data, the Delaware mortality rate for obesity as a single underlying cause in 2011 was 56.9% higher than mortality rate in 2000.

Certified Nursing Assistants’ Perceptions And Generational Differences

Certified nursing assistants (CNAs) are the heart and soul of long-care facilities. This study surveyed their perceptions of nursing home administrators, supervisors, and coworkers, and then compared generational differences. Regardless of generation, CNAs reported a high sense of intrinsic satisfaction, commitment to their nursing home, and supervisor support. However, all generations of CNAs perceived their administrators as rather insensitive by not showing concern for their health, not calling in additional help when needed, nor making allowances for family emergencies. Two significant generational differences were found: 1) older CNAs, or baby boomers, felt their supervisor didn’t understand their work problems and needs and 2) younger CNAs (Millennials) reported more internal gossiping and negative peer interactions than did older CNAs. These findings are useful as administrators and supervisors strive to create a supportive work environment.

Storytelling And Reflective Pedagogy: Transforming Nursing Education Through Faculty Development

Nurse educators require pedagogical approaches beyond traditional methods to facilitate student learning of new competencies to practice in complex health care environments. However, little direction is available about how to effectively transform education. The purpose of this quality improvement project was to develop and implement steps to initiate change in both systems and processes of teaching and learning; to provide an efficient, sustainable method to incorporate transformative pedagogies through innovative faculty development; and, to collect outcomes of an e-Learning course to support teaching, using Kirkpatrick’s 4-level Model. An innovative course using storytelling and reflective pedagogy was developed to guide faculty into a transformative learning experience to challenge assumptions, gather insights, and raise questions about teaching practices. Pre- and post-course surveys captured data across three levels: satisfaction, knowledge and skill acquisition, and change in behavior. Forty-five participants were initially evaluated, while 31 were eligible for evaluation at three months. Follow-up survey results yielded a 42% response rate. Pre- and post-surveys were analyzed using a two-tailed, dependent t-test. Significant gains were recorded across all three areas (p<0.05), with large to medium effect size noted using Cohen’s d. Follow-up surveys revealed a significant change in knowledge (p<0.05), whereas the skill and attitude effect change were not statistically significant (p<0.05). Results suggest storytelling and reflective pedagogy are effective for faculty to confront and resolve actual and desired teaching practices, and that faculty placed value on reflection to facilitate self-awareness, question assumptions, and nurture ideas about personal and professional growth.

Student Attitudes Regarding Active Learning In Health Professions Microbiology Course

While many active learning strategies are evidence-based, it is unclear as to which methods are preferred by most students. In the present study students in an undergraduate health professions microbiology course were assigned four projects (“types” 1 – 4) that included elements of active learning and that required students to apply microbiological concepts to health care or public health. A type 1 project involved the student consulting professional journals, textbooks and/or websites and preparing an informative brochure on an infectious disease suitable for reading by the lay public. A type 2 project involved the student shadowing a health care professional. A type 3 project involved the student performing a community service. A type 4 project involved the student designing and conducting an original lab research study. A survey was used to assess student attitudes about doing these projects. I report that while some students preferred particular project types, no project type was preferred by a majority of students. In addition, students ranked all four project types highly and considered them all to have equal educational value and relevance to course content. These results suggest that instructors should avoid using a “one size fits all” active learning approach. Students value the use of diverse pedagogical approches that engage their learning in different ways and that connect course concepts to real-world applications.

Residential Proximity And Its Impact On College Students’ Body Mass Index

Objective. The purpose of this study was to examine if environmental accessibility to healthy resources was associated with college students’ corresponding health behaviors and body mass index (BMI). This study looked at college students’ proximity and distance to environmental influence, such as fitness centers and fast food restaurants in relation to their physical activity (PA), fruit and vegetable consumption (FVC), and BMI. Methods. A sample of 156 college students from a mid-western university completed the cross-sectional survey on proximity to campus-related environmental resources. Student addresses were used to calculate accessibility to healthy environmental resources, including proximity to the university recreational facility and local grocery store. Physical activity was calculated into metabolic equivalents (METs) and dietary behavior included measures of daily fruit and vegetable consumption and weekly fast food meals. Analysis. Linear regression was used to estimate differences in participants’ multiple health behavior and BMI based on proximity to certain environmental resources.Results. Of the 156 students who participated in the current study, 79% were female and 87% were White, Non-Hispanic, with a mean age of 20.13±1.91. No associations between behaviors and BMI were detected. Proximity to the campus recreational facility significantly predicted lower BMI (p=0.01); and distance to the community grocery store was associated with increased BMI (p=0.01). Conclusion. Findings suggested associations between proximity to environmental resources and participants’ BMI; however, this influence occurred outside the measured health behaviors. Longitudinal examinations are needed to determine the potential impact of resource proximity on changes in participants’ health behavior and BMI overtime.

Social Presence And Cultural Competence In The Online Learning Environment (OLE): A Review Of Literature

In recent years growth in new technology has altered the way in which students interact with both teachers and classmates. Despite the high flexibility in online learning, Allen & Seaman (2011) explained that there is a higher dropout rate for online students as compared to a traditional classroom setting. It was found that there is lack of teacher-immediacy, teacher presence, and student interaction with teachers that may cause the high attrition rates (Martin et al., 2012). One university college of nursing has been able to combat this problem by introducing a follow-up process into the curriculum, supporting how faculty interact with each other and with their students.

Living With Maternal HIV: Spirituality, Depression, And Family Functioning

Risk factors such as depression and low SES often affect an HIV infected mother’s ability to function within her family. Spirituality may interact with such risk factors contributing to the resiliency of these mothers. The current study explored spirituality’s influence on the relationship between depression and perceptions of family functioning in African American women living with HIV. High levels of spirituality were associated with decreased psychological distress and spirituality served as a significant predictor of family cohesion. Findings from this study support the importance of spirituality in the lives of African American women living with HIV and their families.

Empowering Patients With A Hotline To The Chief Nursing Officer

The purpose of this nursing research study was to explore the perceptions of patients who were provided with a direct line of communication via a “hotline” to the Chief Nursing Officer in order to provide them with a voice in decisions which directly involve their care.Qualitative analysis revealed recurring themes identifying the “hotline” as reassuring, and offering a level of security. Another theme involved the patients relating situations that needed to be remedied including noise within the hospital environment, waiting for pain medication or using the call light without receiving assistance in a timely manner. Some calls to the hotline centered on compliments for the nursing staff. The findings from this phenomenological study which viewed the hospital world through the lens of patients' eyes have many implications for nursing practice. Implications for nursing practice include enhanced communication among nurses and patients, increased patient satisfaction with their health care experience and improved staff satisfaction in the acute care environment. A hotline to the chief nursing officer is only one way to ensure that the patients’ voices are heard and acted upon but this direct line of communication was found to be an effective tool.

What Is The Impact Of Job Burnout Antecedents On Georgia Nursing Home Administrators?

Retaining effective and qualified nursing home administrators is becoming a daunting task. With the increase of elderly people in America, the nursing home industry is being forced to address the leadership crisis in the industry. Participants in the study were licensed nursing home administrators (N = 363) who are employed in the state of Georgia. 141 completed surveys were returned for a response rate of 38%. The purpose of the study was to investigate the impact of job burnout antecedents: workload, control, rewards, community, fairness, and values on Georgia nursing home administrators?