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Search Results: 1 - 10 of 7004 matches for " Donna Jones "
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The Teaching and Learning Cycle: Integrating Curriculum, Instruction, and Assessment
Donna L. Jones
Christian Perspectives in Education , 2008,
Abstract: The philosophies of educators and government entities guide the teaching and learning cycle of curriculum, instruction, and assessment. The educator’s worldview plays an important part in developing these concepts which is demonstrated throughout history. Studying the history of the educational philosophers reveals their beliefs about curriculum, instruction, and assessments and the effects on education today. It shows the importance of integrating all three concepts in the educational process creating the teaching and learning cycle.
Mental Health of Caribbean Women with HIV/AIDS  [PDF]
Donna S. Baird, Lisa D. Jones, Fayetta Martin, Edilma Yearwood
Psychology (PSYCH) , 2012, DOI: 10.4236/psych.2012.312151
Abstract: Caribbean women have the highest HIV-infection rates in the Americas, yet the mental health and well-being of infected women and adolescent girls in the region has been neglected. Unlike this study many studies have that examined the mental health of women and adolescent girls affected by HIV/AIDS have primarily been conducted outside of the Caribbean. Further, gender inequality, stigma and poverty, and their subsequent behavioral manifestations are noted “structural drivers” of this pandemic across the Caribbean region. This paper focuses on Caribbean women and girls as a culturally vulnerable group, as well as addressing possible pre-existing psychiatric or psychological factors that may contribute to unsuccessful prevention of HIV/AIDS and poor disease management in this population.
Knowledge of young African American adults about heart disease: a cross-sectional survey
Donna M Winham, Kathleen M Jones
BMC Public Health , 2011, DOI: 10.1186/1471-2458-11-248
Abstract: A convenience sample of 172 African American men and women aged 18-26 years completed a questionnaire adapted from the American Heart Association national surveys. Descriptive statistics were compared by age, gender, education level, and health status variables including BMI, smoking status, and physical activity.Some aspects of heart-disease were well known among young adult African Americans. Knowledge of certain other important risk factors (menopause) and preventive behaviors (eating fewer animal products), however, was more variable and inconsistent among the respondents. Differences in knowledge of individual variables was greater by education level than by gender overall. Predictors of a summary CVD knowledge score included higher education, female gender, and high self-efficacy (adjusted R2 = 0.158, p < .001). Predictors of self-efficacy in changing CVD risk were higher education and perceived low risk of CVD (adjusted R2 = 0.064, p < .001), but these characteristics explained only 6% of the variance.Evaluation of baseline knowledge of CVD is essential before designing and implementing health promotion programs. Existing strengths and weaknesses in knowledge can guide tailoring of programs to be more effective. Further research would help to identify the range of other characteristics that determine knowledge and risk perception.Heart disease is the leading cause of death in the United States, claiming approximately 700,000 lives-nearly 30% of all United States (US) deaths-each year [1]. African Americans constitute 12.8% of the US population, yet their risk of developing cardiovascular disease (CVD) is three times greater than Whites and they also have twice the risk of mortality [2,3]. To complicate matters further, African Americans have higher premature CVD deaths than Whites and may have earlier onset of disease [4,5].Differences in access to and quality of health care, dietary intakes, lifestyle factors (e.g., smoking), neighborhood characteristics, so
Variation in Protein and Calorie Consumption Following Protein Malnutrition in Rattus norvegicus
Donna C. Jones,Rebecca Z. German
Animals , 2013, DOI: 10.3390/ani3010033
Abstract: Catch-up growth rates, following protein malnutrition, vary with timing and duration of insult, despite unlimited access to calories. Understanding changing patterns of post-insult consumption, relative rehabilitation timing, can provide insight into the mechanisms driving those differences. We hypothesize that higher catch-up growth rates will be correlated with increased protein consumption, while calorie consumption could remain stable. As catch-up growth rates decrease with age/malnutrition duration, we predict a dose effect in protein consumption with rehabilitation timing. We measured total and protein consumption, body mass, and long bone length, following an increase of dietary protein at 40, 60 and 90 days, with two control groups (chronic reduced protein or standard protein) for 150+ days. Immediately following rehabilitation, rats’ food consumption decreased significantly, implying that elevated protein intake is sufficient to fuel catch-up growth rates that eventually result in body weights and long bone lengths greater or equal to final measures of chronically fed standard (CT) animals. The duration of protein restriction affected consumption: rats rehabilitated at younger ages had more drastic alterations in consumption of both calories and protein. While rehabilitated animals did compensate with greater protein consumption, variable responses in different ages and sex highlight the plasticity of growth and how nutrition affects body form.
Barriers and facilitators to an outreach rehabilitation program delivered in nursing homes after hip fracture surgical repair  [PDF]
Donna M. Wilson, Sandra L. Robertson, C. Allyson Jones, D. W. C. Johnston, Lauren A. Beaupre
Advances in Aging Research (AAR) , 2013, DOI: 10.4236/aar.2013.21006
Abstract:

Objective: To identify and understand facilitators and barriers to implementing an Outreach rehabilitation program designed to improve post-operative recovery following hip fracture in long-term care residents. Residents of nursing home facilities are at considerable risk of hip fracture and minimal recovery following a hip fracture. Methods: Data were gathered over June-August, 2012 through semi-structured interviews or focus groups. Fifteen persons (n = 15) who were members of the Outreach rehabilitation team (n = 8) or relevant nursing home staff (n = 7) were interviewed. Data analysis was guided by principles of grounded theory method. Findings: Three major themes that contributed to or hindered the Outreach rehabilitation program emerged, namely, 1) the division, the separate operation and delivery of rehabilitation services; 2) building bridges, or negotiating ways to communicate and work together, and 3) strength in the structure, the acceptance of the program and the perceived benefits of the program. One main challenge to program implementation con- cerned coordinating additional rehabilitation with the rehabilitation provided within the nursing homes. Facility staff was largely unaware of the program and were unprepared to work with Outreach team members. As the program progressed, the facility staff and Outreach team were able to collaborate to overcome resident health issues impeding recovery such as cognitive impairment, language barriers and post-surgical pain control needs. Facilitators included the consistency of Outreach team members and accessible facility staff, which contributed to effective communication and trust between the Outreach team and facility staff. Facilitators also included support for the program by the Outreach team and facility staff, as well

Delivery and evaluation of a pilot obesity prevention project for urban Appalachian children  [PDF]
Laura Nabors, Michelle Burbage, Jordan Pangallo, Amy Bernard, Amanda Strong, Sarah Gardocki, Phyllis Shelton, Donna Jones
Open Journal of Pediatrics (OJPed) , 2013, DOI: 10.4236/ojped.2013.34054
Abstract:

Prevention of childhood obesity is a national concern and there is a need for interventions that can be implemented in community programs and are brief in nature. This pilot project was developed to evaluate the impact of the Children’s Healthy Eating and Exercise Program, which was adapted from the Traffic Light Diet. Participants were urban Appalachian children and adolescents who were enrolled in one of two community-based summer programs. Quantitative and qualitative methods were used to examine children’s impressions of the program and to assess what they learned during implementation of the program. Results indicated that younger children reported consuming fewer French fries or chips and older children reported eating more vegetables at the end of the program. Knowledge of two categories of Traffic Light foods appeared good; however, participants showed lower knowledge about one of the food categories. Future studies should involve parents as well as incorporate a more rigorous evaluation design with a comparison group to examine the impact of this new program.

Effect of the medical emergency team on long-term mortality following major surgery
Daryl Jones, Moritoki Egi, Rinaldo Bellomo, Donna Goldsmith
Critical Care , 2007, DOI: 10.1186/cc5673
Abstract: We conducted a prospective, controlled, before-and-after trial in a University-affiliated hospital. Participants included consecutive patients admitted for major surgery (surgery requiring hospital stay > 48 hours) during a four month control phase and a four month MET phase. The intervention involved the introduction of a hospital-wide ICU-based MET service to evaluate and treat ward patients with acutely deranged vital signs. Information on long-term mortality was obtained from the Australian death registry. The main outcome measure was patient mortality at 1500 days. Data on patient demographics, surgery undertaken and whether the surgery was scheduled or unscheduled was obtained from the hospital electronic database. Multivariable analysis was conducted to determine independent predictors of 1500-day mortality.There were 1,369 major operations in 1,116 patients during the control period and 1,313 operations in 1,067 patients during the MET (intervention) period. Overall survival at 1500 days was 65.8% in the control period and 71.6% during the MET period (P = 0.001). Patients in the control phase were statistically less likely to be admitted under orthopaedic surgery, urology and faciomaxillary surgery units, but more likely to be admitted under cardiac surgery or neurosurgery units. Patients in the MET period were less likely to undergo unscheduled surgery. Multivariable analysis revealed that age, unscheduled surgery and admission under thoracic surgery, neurosurgery, oncology and general medicine were independent predictors of increased 1500-day mortality. Admission during the MET period was also an independent predictor of decreased 1500-day mortality (odds ratio 0.74; P = 0.005).Introduction of a MET service in a teaching hospital was associated with increased long-term survival even after adjusting for other factors that contribute to long-term surgical mortality.Serious adverse events (SAEs) are common among patients admitted to hospital [1]. A review of
Long term effect of a medical emergency team on cardiac arrests in a teaching hospital
Daryl Jones, Rinaldo Bellomo, Samantha Bates, Stephen Warrillow, Donna Goldsmith, Graeme Hart, Helen Opdam, Geoffrey Gutteridge
Critical Care , 2005, DOI: 10.1186/cc3906
Abstract: We conducted a prospective, controlled before-and-after examination of the effect of a MET system on the long-term incidence of cardiac arrests. We included consecutive patients admitted during three study periods: before the introduction of the MET; during the education phase preceding the implementation of the MET; and a period of four years from the implementation of the MET system. Cardiac arrests were identified from a log book of cardiac arrest calls and cross-referenced with case report forms and the intensive care unit admissions database. We measured the number of hospital admissions and MET reviews during each period, performed multivariate logistic regression analysis to identify predictors of mortality following cardiac arrest and studied the correlation between the rate of MET calls with the rate of cardiac arrests.Before the introduction of the MET system there were 66 cardiac arrests and 16,246 admissions (4.06 cardiac arrests per 1,000 admissions). During the education period, the incidence of cardiac arrests decreased to 2.45 per 1,000 admissions (odds ratio (OR) for cardiac arrest 0.60; 95% confidence interval (CI) 0.43–0.86; p = 0.004). After the implementation of the MET system, the incidence of cardiac arrests further decreased to 1.90 per 1,000 admissions (OR for cardiac arrest 0.47; 95% CI 0.35–0.62; p < 0.0001). There was an inverse correlation between the number of MET calls in each calendar year and the number of cardiac arrests for the same year (r2 = 0.84; p = 0.01), with 17 MET calls being associated with one less cardiac arrest. Male gender (OR 2.88; 95% CI 1.34–6.19) and an initial rhythm of either asystole (OR 7.58; 95% CI 3.15–18.25; p < 0.0001) or pulseless electrical activity (OR 4.09; 95% CI 1.59–10.51; p = 0.003) predicted an increased risk of death.Introduction of a MET system into a teaching hospital was associated with a sustained and progressive reduction in cardiac arrests over a four year period. Our findings show sustainab
Circadian pattern of activation of the medical emergency team in a teaching hospital
Daryl Jones, Samantha Bates, Stephen Warrillow, Helen Opdam, Donna Goldsmith, Geoff Gutteridge, Rinaldo Bellomo
Critical Care , 2005, DOI: 10.1186/cc3537
Abstract: We conducted a retrospective observational study of the time of activation for 2568 incidents of MET attendance. Each attendance was allocated to one of 48 half-hour intervals over the 24-hour daily cycle. Activation was related nursing and medical activities.During the study period there were 120,000 consecutive overnight medical and surgical admissions. The hourly rate of MET calls was greater during the day (47% of calls in the 10 hours between 08:00 and 18:00), but 53% of the 2568 calls occurred between 18:00 and 08:00 hours. MET calls increased in the half-hour after routine nursing observation, and in the half-hour before each nursing handover. MET service utilization was 1.25 (95% confidence interval [CI] = 1.11–1.52) times more likely in the three 1-hour periods spanning routine nursing handover (P = 0.001). The greatest level of half-hourly utilization was seen between 20:00 and 20:30 (odds ratio [OR] = 1.76, 95% CI = 1.25–2.48; P = 0.001), before the evening nursing handover. Additional peaks were seen following routine nursing observations between 14:00 and 14:30 (OR = 1.53, 95% CI = 1.07–2.17; P = 0.022) and after the commencement of the daily medical shift (09:00–09:30; OR = 1.43, 95% CI = 1.00–2.04; P = 0.049).Peak levels of MET service activation occur around the time of routine observations and nursing handover. Our findings raise questions about the appropriate frequency and methods of observation in at-risk hospital patients, reinforce the need for adequately trained medical staff to be available 24 hours per day, and provide useful information for allocation of resources and personnel for a MET service.The medical emergency team (MET) concept is an evolving hospital system change that aims to reduce morbidity and mortality in acutely ill ward patients [1-3]. The MET is most often comprised of intensive care-based staff who are mobilized by ward-based doctors and nurses to review critically ill patients on the ward. The success of the MET system re
A descriptive-comparative study of medications used by older people prior to and following admission to a continuing care facility  [PDF]
Alysha Visram, Donna Wilson
Open Journal of Nursing (OJN) , 2012, DOI: 10.4236/ojn.2012.21002
Abstract: Medications are beneficial for curing or managing acute and chronic illnesses. Medications typically have positive outcomes, although older people are prone to drug-related problems. Community-dwelling seniors are at particularly high risk of polypharmacy, as they tend to receive many prescriptions over time and from different care providers. Continuing-care facility admission presents an excellent opportunity for a comprehensive medication review. A research study was conducted to describe and compare medications taken by community-dwelling seniors prior to and following admission to a continuing-care facility. This pilot project involved data being gathered from the charts of deceased residents, as required by a University Health Research Ethics Board, who had been cared for at one large local continuing-care facility. The facility administrators also approved this study, in part to evaluate their policy to conduct a medication review for all new residents within six weeks of entry. This study revealed a slight but statistically significant reduction in the number of medications following this review. Other issues such as medication interactions and required dosage changes were addressed by this medication review. Although this study was confined to one continuing-care facility and a small number of residents, the findings suggest medication reviews would be beneficial upon admission to all continuing-care facilities, and annually perhaps through other means for older persons living in the community.
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