representative of the “always enrolled” Medicare beneficiary population (N = 15,027, weighted sample = 45,205,096). Descriptive statistics are given to describe the population of interest. Covariates used in the regression analysis were: urbanicity, nursing home...

Toxic stress associated with adverse childhood experiences during childhood can have catastrophic lifelong neurobiological, social, and emotional effects and has been shown to decrease life expectancy up to 20 years. ...

African American women are consistently diagnosed at later stages of breast and cervical cancer than Caucasian women, leading to increased morbidity and mortality rates. Although the mammogram and Papanikolaou (Pap) ...

Approximately 50% of antibiotics prescribed are not necessary, nevertheless in the United States among the many outpatient prescriptions, few are more widely prescribed than antibiotics. The inappropriate use of ...

Overweight and obesity rates in the United States are reaching epidemic proportions and is a greater reality to rural communities. The purpose of this quasi-experimental, quality improvement project was to increase ...

In 2010, the United States was spending more per capita on healthcare than other similar countries but did not have better outcomes and spending was increasing at an unsustainable rate. That same year, the Patient ...

In the United States, 30 million individuals are affected by type 2 diabetes, with all at risk for complications and decreased quality of life. Diabetic foot ulcers and amputations cost $4.9 billion annually in the ...

Every year in the United States, young infants die from pertussis. The incidence of pertussis among infants exceeds that of all other age groups. Protection is only available if the mother receives the tetanus, diphtheria, ...

The incidence of stroke is expected to rise with the aging population, and the healthcare cost is predicted to triple by 2030. Stroke, as the leading cause of disability, warrants a stroke prevention education program ...

Nebraska became the 20th state to modernize regulations to allow for full practice authority for nurse practitioners. Legislative victories such as those evident in Nebraska are often lead by professional associations and ...

likely to report they did not intend to use contraception. If a participant intended to use contraception, they were 15 times more likely to report contraceptive use, and if a participant had health insurance that paid for contraception, they were six...

Medically complex adolescents with spina bifida and shunted hydrocephalus are living into adulthood and requiring healthcare as adults. For effective neurosurgical care to continue from a pediatric practice to an adult ...

Sexuality and optimal erectile function are essential aspects of holistic care. Healthcare providers, however, do not routinely assess erectile function in male patients during the annual wellness exam. Men are more ...

Distress, defined as anxiety, sorrow, and/or pain, among nurses is a pervasive problem. When elevated or uncompensated, distress may contribute to deleterious consequences for the nurse, patient outcomes, the nursing ...

The Female Athlete Triad was first identified in 1992, yet the majority of primary care providers are unaware of the signs and symptoms and proper screening for the syndrome. The purpose of this study was to implement ...

Hypertension is a global pandemic which can cause significant complications if left untreated. The silent symptom characteristics associated with hypertension create the urgency for disease management. The purpose of ...

Cerebrovascular accidents (CVAs) continue to be one of the leading causes of disability and death throughout the United States (U.S.). While both men and women are at risk for CVAs, more women have CVAs each year than ...

According to the American Cancer Society, approximately 1.7 million new cancer cases were diagnosed in 2018. With a new diagnosis of cancer, patient education can be used to decrease anxiety about the diagnosis and ...

Breastfeeding is a valuable infant feeding method that offers many preventative health benefits to mothers and infants. The American Academy of Pediatrics and the World Health Organization provide recommendations ...

Nearly half of all infants are introduced to solid food before the recommended age. The World Health Organization and American Academy of Pediatrics have established guidelines encouraging parents to delay solid food ...