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Search Results: 1 - 10 of 299704 matches for " Jessica J. Skradski "
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Medication Adherence Improvements in Employees Participating in a Pharmacist-Run Risk Reduction Program
Mallory C. McKenzie, PharmD,Thomas L. Lenz, PharmD,Nicole D. Gillespie, PharmD,Jessica J. Skradski, PharmD
INNOVATIONS in Pharmacy , 2012,
Abstract: Objective: To evaluate the medication adherence of individuals participating in a pharmacist-run employee health Cardiovascular and Diabetes Risk Reduction Program. Design: Retrospective analysis of medication adherence using pharmacy refill data. Setting: A medium sized university located in the Midwest United States and the organization’s outpatient pharmacy. Participants: 38 participants ≥ 18 years of age, employed and receiving their health insurance through the organization, and have a diagnosis of hypertension, hyperlipidemia, diabetes mellitus, or a combination thereof. Intervention: Participation in the risk reduction program that emphasizes medication therapy management (MTM), lifestyle medicine and care coordination. Main Outcome Measures: The Proportion of Days Covered (PDC) and the Medication Possession Ratio (MPR). Results: PDC and MPR analysis showed a statistically significant improvement in medication adherence for 180 days and 360 days post enrollment versus the 180 days prior to enrollment (P<0.01). The PDC analysis demonstrated a statistically significant improvement in the number of medications that achieved a PDC ≥ 80% (high adherence) for the 180 days post enrollment versus the 180 days prior to enrollment (+30%, P<0.01). The MPR analysis showed a non-statistically significant improvement in the number of medications that achieved an MPR ≥ 80% (high adherence) pre enrollment versus post enrollment (+10%, P=0.086). The percentage of participants in the program that reached a PDC and MPR adherence rate ≥ 80% at 180 days post enrollment was 78.9% and 94.4%, respectively which exceeds that of a matched cohort that reached a PDC and MPR adherence rate ≥ 80% of 66.4% and 82.8%, respectively. Conclusion: Pharmacists can improve medication adherence as measured by PDC and MPR when working with employees enrolled in a novel pharmacist-run employee health risk reduction program. Medication adherence was shown to be sustainable for at least one year and was shown to be better when compared to a matched cohort of similar age, condition and region.
Development of a Composite Lifestyle Index and Its Relationship to Quality of Life Improvement: The CLI Pilot Study
Thomas L. Lenz,Nicole D. Gillespie,Jessica J. Skradski,Laura K. Viereck,Kathleen A. Packard,Michael S. Monaghan
ISRN Preventive Medicine , 2013, DOI: 10.5402/2013/481030
Abstract: An important component to optimal health is quality of life (QOL). Several healthy lifestyle behaviors have independently shown to improve QOL. The simultaneous implementation of multiple lifestyle behaviors is thought to be difficult, and the current literature lacks the assessment of multiple lifestyle behaviors simultaneously with respect to the effect on QOL. This current pilot study sought to develop a method to quantify multiple lifestyle behaviors into a single index value. This value was then measured with QOL for a possible correlation. The results showed that it is possible to convert multiple raw healthy lifestyle data points into a composite value and that an improvement in this value correlates to an improved QOL. After 12 months of participation in a cardiovascular risk reduction program, study participants ( ) demonstrated a 37.4% ( ) improvement in the composite lifestyle index (CLI). The improved CLI demonstrated a correlation with a statistically significant improvement in how participants rated their overall health in 12 months ( , ) as well as the number of self-reported unhealthy days per month in 12 months ( , ). 1. Introduction Since 1948, the World Health Organization has defined health not only by the absence of disease or infirmity, but also as a state of complete physical, mental, and social well-being [1]. This definition implies that research outcomes should not only measure disease outcomes, but also quality of life outcomes. Measuring health-related quality of life provides a means of identifying and monitoring the impact of interventions on the physical and mental health of individuals as they themselves perceive this impact [2]. Quality of life may be measured objectively based on functioning or health status and subjectively based on one’s own perception of health [3]. A number of lifestyle modifications including adequate nutrition, increased physical activity, adequate sleep, proper stress management, limited alcohol consumption, and tobacco cessation have been independently shown to have a positive effect on an individual’s quality of life [2–13]. It is often assumed that initiating multiple behavior changes at the same time can become overwhelming for individuals and lead to decreased adherence. However, a recent study has shown that patients are able to effectively incorporate and maintain a number of lifestyle modifications initiated concomitantly [11]. The PREMIER clinical trial showed that participants could effectively incorporate and sustain multiple lifestyle changes to lower blood pressure risk and decrease
A Lifestyle Medicine Clinic in a Community Pharmacy Setting
Thomas L. Lenz, PharmD, MA, PAPHS,Jessica Skradski, PharmD,Maryann Z. Skrabal, PharmD, CDE,Liz Ferguson, MA
INNOVATIONS in Pharmacy , 2010,
Abstract: Chronic diseases continue to be a significant burden to the health care system. Pharmacists have been able to show that drugtherapy for patients with chronic diseases can be improved through medication therapy management (MTM) services but have yet to become significantly involved in implementing lifestyle modification programs to further control and prevent chronic conditions. A novel and innovative lifestyle medicine program was started by pharmacists in a community pharmacy in 2008 to more comprehensively prevent and manage chronic conditions. The lifestyle medicine program consists of designing seven personalized programs for patients to address physical activity, nutrition, alcohol consumption, weight control, stress management, sleep success, and tobacco cessation (if needed). The lifestyle medicine program complements existing MTM services for patients with hypertension, dyslipidemia, and/or diabetes. This program is innovative because pharmacists have developed and implemented amethod to combine lifestyle medicine with MTM services to not only manage chronic conditions, but prevent the progression of those conditions and others. Several innovative tools have also been developed to enhance the effectiveness of a lifestyle medicine program. This manuscript describes the program’s pharmacy setting, pharmacy personnel, participants and program details as well as the tools used to integrate a lifestyle medicine program with MTM services.
Life Satisfaction between Chinese-Immigrant Adolescents and Their Counterparts in the United States and China  [PDF]
Jessica J. Lee, Carole Kimberlin
Open Journal of Social Sciences (JSS) , 2015, DOI: 10.4236/jss.2015.34014
Abstract: The objective of this study was to compare the life satisfaction (LS) of Chinese-immigrant children in the United States (US) with their counterparts in America and China by using the Students’ Life Satisfaction Scale (SLSS). The mean scores of SLSS were examined and compared among three groups. Multivariate linear regression analysis was conducted to identify the differences of LS among comparison groups after adjusting for other potential risk factors. Out of 161 children who completed the surveys, 47 (29%) were Chinese-immigrant children, 81 (50%) were native Chinese children, and 33 (20%) were non-immigrant US children. The results showed that Chinese- immigrant children had higher overall LS than native Chinese children (4.39 ± 0.83 vs 3.79 ± 0.81; p = 0.0001), but lower overall LS than non-immigrant children in the US (4.39 ± 0.83 vs 4.81 ± 0.69; p = 0.0207). Systematic investigation on larger populations will be necessary to identify the potential contributing factors.
Self-Regulation of Goals and Performance: Effects of Discrepancy Feedback, Regulatory Focus, and Self-Efficacy  [PDF]
Jessica M. Nicklin, Kevin J. Williams
Psychology (PSYCH) , 2011, DOI: 10.4236/psych.2011.23030
Abstract: We adopted a social cognitive approach of motivation (Bandura, 1986, 1989, 2002) to examine the influence of normative feedback and self-set goals on positive discrepancy creation and goal revision in the face of a novel task. The moderating effects of self-efficacy and regulatory focus were also examined. A laboratory study in-cluding 297 undergraduate students demonstrated that feedback, whether based on normative standards of performance or goal-performance discrepancies was a strong predictor of positive discrepancy creation and goal revision. Self-efficacy was also an independent predictor of goal revision, but regulatory focus was not. These findings have important practical implications for a variety of performance contexts (e.g., work, school, sports). Individuals will modify their goals based largely on feedback received (goal-performance discrepancies and normative standards); however, self-efficacy independently influences goal revision beyond the effects of feed-back. Other implications for research and practice are discussed.
The Effect of a New Placement Process on Student Success in First Semester Calculus  [PDF]
Edgar J. Fuller, Jessica M. Deshler
Creative Education (CE) , 2013, DOI: 10.4236/ce.2013.49B005
Abstract:

In this work we describe the placement testing and student intake process at a large, land-grant university and show that long-standing general assessment exams administered during secondary schooling are not accurate predictors of success in university level mathematics courses. We then present results indicating that a placement exam administered during arrival as a first-year student provides a strong indicator of potential for student success in first-semester calculus.

Problem Drinking Behaviors: Differential Effects of Stress and School Type on College Students  [PDF]
Alvin Tran, Eric J. Nehl, Jessica Sales, Carla J. Berg
Open Journal of Preventive Medicine (OJPM) , 2014, DOI: 10.4236/ojpm.2014.44027
Abstract:

Given that alcohol use is highly prevalent at US colleges, we explored factors related to problem drinking behaviors (PDB; binge drinking, driving after drinking, sexual intercourse after drinking) among 4098 Black and White students from two- and four-year colleges who completed an online survey. We found an interaction between race and sex such that, among Whites, females had less PDB than males (B = 0.09, CI: 0.05; 0.40, p = 0.01). An interaction between race and school type also existed, such that White students from four-year schools had greater PDB (B = 0.11, CI: 0.20; 0.54, p < 0.001). An interaction between race and stress suggested that Black students were more negatively affected by stress in terms of PBD (B = 0.12, CI: 0.01; 0.07, p = 0.01).

Silhouettes of War: Technologies of U.S. Soldiering and Surveillance
Jessica J. Behm
Culture Unbound : Journal of Current Cultural Research , 2010,
Abstract: This paper forwards a theory of silhouetting in relation to technological augmenta-tion in U.S. Military uniforms and suggests that the increasing utilization of metamaterials, nanotechnology, and surveillance technologies operates under a rhetoric of invisibility that complicates the technologies' visible destruction. Methodologically, the paper attends to three general technological developments in the evolution of the U.S. Army uniform: the design of the new Army Combat Uniform (ACU); the technological advances in the uniform, including embedded wearables, biometric identification devices, and 3D combat enhancement systems; and the bio-networking, GPS, and digital communication arrays that physically link digital uniforms to a larger geopolitical network of U.S. military strategy and surveillance. Throughout, the work traces the aforementioned theory of silhouet-ting in relation to select sociopolitical consequences of linking digitally enhanced soldiers into a transnational grid of surveillance.
Systemic lupus erythematosus
Jessica J Manson, Anisur Rahman
Orphanet Journal of Rare Diseases , 2006, DOI: 10.1186/1750-1172-1-6
Abstract: Systemic lupus erythematosusLupusSystemic lupus erythematosus (SLE) is a clinically heterogeneous disease which is autoimmune in origin, and characterized by the presence of autoantibodies directed against nuclear antigens. It is, by definition, a multi-system disease, and patients can present in vastly different ways. Classification criteria have been developed, in part in an attempt to keep the patient group as homogeneous as possible for research purposes.These criteria (Table 1), which are published by the American College of Rheumatology (ACR), were revised in 1982 [1] and combine clinical signs and symptoms with abnormalities detected in blood tests such as a positive anti-nuclear antibody or thrombocytopaenia. They were further updated in 1997 [2] to reflect a greater understanding of the role of antiphospholipid antibodies in patients with SLE.SLE is up to 10 times more common in women than men, and typically has a predilection for women in their child-bearing years [3]. Reliable data about the prevalence of SLE are difficult to come by. Variable methods for data collection and inconsistency regarding case definition contribute to this problem, but it is clear that the statistics vary with ethnicity. The overall prevalence is estimated to be about 1 per 1000. A study from Birmingham, UK, found the prevalence to be 27.7/100,000 in the general population, but nearly 9 times higher in Afro-Caribbean females [4]. Data from a national health survey in the USA found the self-reported prevalence of SLE (defined as having been given a diagnosis of SLE by a physician) to be 241/100,000 [5]. Recognizing that this may well be an over-estimate, combining self-reporting with evidence of a current prescription for anti-malarials, corticosteroids, or other immunosuppressive medications reduced this figure to 53.6/100,000 [5].The clinical heterogeneity of this disease is mirrored by its complex aetiopathogenesis (reviewed in [6]). Twin studies initially indicated the import
The Structures of Distant Galaxies - II: Diverse Galaxy Structures and Local Environments at z = 4-6; Implications for Early Galaxy Assembly
Christopher J. Conselice,Jessica Arnold
Physics , 2009, DOI: 10.1111/j.1365-2966.2009.14959.x
Abstract: We present an analysis of the structures, sizes, star formation rates, and local environmental properties of galaxies at z~4-6, utilising deep Hubble Space Telescope imaging of the Hubble Ultra Deep Field. The galaxies we study are selected with the Lyman-break drop-out technique, using galaxies which are B-,V-, and i-drops, which effectively selects UV bright starbursting galaxies between z=4 and z=6. Our primary observational finding is that starbursting galaxies at z>4 have a diversity in structure, with roughly 30% appearing distorted and asymmetric, while the majority are smooth and apparently undisturbed systems. We utilize several methods to compute the inferred assembly rates for these distorted early galaxies including utilising the CAS system and pair counts. Overall, we find a similar fraction of galaxies which are in pairs as the fraction which have a distorted structure. Using the CAS methodology, and our best-estimate for merger time-scales, we find that the total number of inferred effective mergers for M_{*} > 10^9-10 M_sol galaxies at z<6 is N_m = 4.2^{+4.1}_{-1.4}. The more common symmetrical systems display a remarkable scaling relation between the concentration of light and their half-light radii, revealing the earliest known galaxy scaling relationship, and demonstrating that some galaxies at z>4 are likely in a relaxed state. Systems which are asymmetric do not display a correlation between size and half-light radii, and are generally larger than the symmetric smooth systems. The time-scale for the formation of these smooth systems is 0.5-1 Gyr, suggesting that most of these galaxies are formed through coordinated very rapid gas collapses and star formation over a size of 1-2 kpc, or from merger events at z > 10. (Abridged)
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