Search
Now showing items 1-20 of 901
When you suspect ACS, which serologic marker is best?
(Family Physicians Inquiries Network, 2014)
Measurement of troponin levels provides the most sensitive and accurate serologic information in evaluating a patient with acute coronary syndrome (ACS); troponin elevations are more sensitive than elevations of creatine ...
Is lower BP worth it in higher-risk patients with diabetes or coronary disease?
(Family Physicians Inquiries Network, 2016)
Q: Is lower BP worth it in higher-risk patients with diabetes or coronary disease? Evidence-based answer: There is no simple answer; the risk/benefit picture is complicated. Controlling blood pressure to a target of 130/80 ...
Impact of Nurse Practitioner Practice Regulation on Access to Healthcare Services
(2014-09-26)
Nurse practitioner (NP) practice regulations vary from state to state across the United States. Despite strong evidence supporting the quality of care and satisfaction with care provided by NPs, restrictive regulations continue to limit the practice...
Adolescent Sexual and Reproductive Health Services in Pediatric Primary Care
(2017)
Many pediatric primary care clinics fall short in providing comprehensive sexual and
reproductive health services to adolescent patients resulting in missed opportunities for
pregnancy prevention, delays in sexually ...
Evidence-Based Practice Asthma Education in Primary Care
(University of Missouri--Kansas City, 2017)
Asthma affects more than 300 million people across the globe. The financial burden
impacts individuals and their families as well as communities and health care systems. Although
asthma education is a fundamental ...
Three essays on labor economics
(University of Missouri--Columbia, 2021)
at the added worker effect in the great recession, the wife's labor market response to a husband loss of job. The second chapter investigates the impact of a wife's labor market participation on family poverty. The third chapter examines employment...
Toxic Stress Education for Pediatric Practitioners to Improve Health Outcomes
(University of Missouri--Kansas City, 2018)
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. ...
Socioeconomic Status, Acculturation, Family Characteristics, and Health Behaviors: Testing the Reserve Capacity Model with Hispanic Adolescents
(2014-09-30)
Research shows that socioeconomic status (SES) can impact adolescent use of alcohol and
smoking. These relationships may be mediated by stress, psychosocial reserves, and
negative emotions. I explored these relationships ...
Muse, number 48 (2014)
(University of Missouri, Museum of Art and Archaeology, 2014)
Reducing Outpatient Antibiotic Resistance: A Quasi-Experimental Study
(2017)
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 ...
Clinical Pathway for the Fontan Patient to Standardize Care
(University of Missouri -- Kansas City, 2019)
The Fontan repair is the final stage of surgical palliation for the pediatric patient with a single
ventricle heart. The post-operative medical management of this patient population can be
variable and hospital length ...
From ‘Remedy Highly Esteemed’ to ‘Barbarous Practice’: The Rise and Fall of Acupuncture in Nineteenth-Century America
(2015-05-27)
This thesis analyzes the prevalent use of acupuncture in nineteenth-century American medicine. Using medical journal articles, school catalogs, lecture notes, fee tables, newspaper clippings and other primary sources, I argue against the modern myth...
A qualitative study of administrator and teacher perceptions of changing instructional practices with 1:1 technology
(University of Missouri--Columbia, 2018)
[ACCESS RESTRICTED TO THE UNIVERSITY OF MISSOURI AT AUTHOR'S REQUEST.] Reports on changing instructional practices with one-to-one (1:1) technology suggest positive increases in academic engagement, test scores, and preparing for 21st century...
Effects of an Online Meditation-Based Intervention Compared to an Attention-Controlled Group on Chronic Pain Outcome among Nurses: A Randomized Controlled Pilot Study
(2022)
research into micro-practices as a possible effective strategy for managing chronic pain and stress among nurses....
Understanding the development of low-income marriages : investigating the antecedents and outcomes of marital functioning
(University of Missouri--Columbia, 2019)
years of marriage. Gender differences emerged, with husbands reporting more stable marital functioning than wives. Guided by the Vulnerability-Stress-Adaptation model, I also found individual (family-of-origin experiences), dyadic (e.g., perceptions...
Distress and Caregiver Appraisal in Pediatric Critical Care Unit Nurses when Withdrawing Life-Sustaining Treatment
(University of Missouri--Kansas City, 2018)
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 ...
Decision-making involvement, self-efficacy, and the relationship to transition readiness in youth with sickle cell disease
(University of Missouri--Columbia, 2020)
Transition from pediatric to adult healthcare settings poses significant risks to morbidity and mortality for adolescents and young adults with sickle cell disease. Increasing transition readiness, the acquisition of ...
A world in flux : journalistic change in science journalism
(University of Missouri--Columbia, 2018)
As modernity undergoes radical changes, a narrative of journalistic change has emerged in journalism research. One way that journalistic change has been conceptualized is in terms of a shift from a high modern to a liquid ethos (Deuze, 2005, 2017...
A qualitative bounded case study on teacher and administrator perceptions of students' adverse childhood experiences in rural, northwest Missouri elementary school
(University of Missouri--Columbia, 2020)
) the family system included household dysfunction that may include impactful events such as divorce, substance abuse, and mental illness (2) increase of teachers' and administrators' awareness of trauma, and (3) resources and supports. Teachers...
Academic libraries national conference program evaluation : meeting learner needs in a changing profession
(University of Missouri--Columbia, 2018)
results revealed support for meeting two of three mission components. Recommendations support modifications in practice for conference organization at the overarching, survey design, and future areas of study. These recommendations support efforts...