Johnson Y.O.,Dean College
Home healthcare now | Year: 2015
Self-neglect is a poorly understood phenomenon evident to home healthcare nurses who describe older adults who self-neglect as disheveled, unkempt individuals living in cluttered, filthy homes. In spite of the concerns nurses report about these individuals and their situations, individuals who self-neglect give no indication there is any reason for concern for their welfare, and in fact some refuse intervention. The purpose of this study was to determine how home healthcare nurses perceive elder self-neglect, their experiences with this phenomenon, and to explore the steps nurses take when self-neglect is suspected.
Toole T.M.,Dean College
Journal of Professional Issues in Engineering Education and Practice | Year: 2017
Forum papers are thought-provoking opinion pieces or essays founded in fact, sometimes containing speculation, on a civil engineering topic of general interest and relevance to the readership of the journal. The views expressed in this Forum article do not necessarily reflect the views of ASCE or the Editorial Board of the journal. © 2017 American Society of Civil Engineers.
Johnson Y.O.,Dean College
Home healthcare now | Year: 2015
Self-neglect is characterized by poor hygiene, unsanitary living conditions, and inattention to basic and healthcare needs. Adequate education for healthcare professionals is vital to help them recognize the phenomenon of self-neglect. Interventions to assist clients who self-neglect may help to improve their quality of life and reduce their risk of declining health status. This article provides information on what is known about the scope and prevalence of self-neglect, implications for home care clinicians, and suggestions for promoting educational opportunities for home care clinicians.
Alqahtani J.M.,Dean College
Australasian Physical and Engineering Sciences in Medicine | Year: 2017
This study aims to estimate radiation doses for paediatric patients undergoing abdominal X-ray examinations in Najran, Saudi Arabia, through evaluation of the entrance surface doses using DoseCal software. Two X-ray units were used at a paediatric referral hospital. A total of 216 patients were examined with an age range between 0 and 7 years. The mean ESDs were found to be 0.042 and 0.101 mGy, for abdomen anteroposterior (AP) and posteroanterior (PA) respectively. The results are useful to the National Centre for Radiation Protection in Saudi Arabia and other professional organizations elsewhere, to set up safety protocols to prevent paediatric patients from needless radiation and to establish diagnostic reference levels (DRLs). © 2017 Australasian College of Physical Scientists and Engineers in Medicine
Lorber M.,University of Maribor |
Savic B.S.,Dean College
Croatian Medical Journal | Year: 2012
Aim: To determine the level of job satisfaction of nursing professionals in Slovenian hospitals and factors influencing job satisfaction in nursing. Methods: The study included 4 hospitals selected from the hospital list comprising 26 hospitals in Slovenia. The employees of these hospitals represent 29.8% and 509 employees included in the study represent 6% of all employees in nursing in Slovenian hospitals. One structured survey questionnaire was administered to the leaders and the other to employees, both consisting 154 items evaluated on a 5 point Likert-type scale. We examined the correlation between independent variables (age, number of years of employment, behavior of leaders, personal characteristics of leaders, and managerial competencies of leaders) and the dependent variable (job satisfaction - satisfaction with the work, coworkers, management, pay, etc) by applying correlation analysis and multivariate regression analysis. In addition, factor analysis was used to establish characteristic components of the variables measured. Results: We found a medium level of job satisfaction in both leaders (3.49 ± 0.5) and employees (3.19 ± 0.6), however, there was a significant difference between their estimates (t = 3.237; P = <0.001). Job satisfaction was explained by age (P < 0.05; β = 0.091), years of employment (P < 0.05; β = 0.193), personal characteristics of leaders (P < 0.001; β = 0.158), and managerial competencies of leaders (P < 0.000; β = 0.634) in 46% of cases. The factor analysis yielded four factors explaining 64% of the total job satisfaction variance. Conclusion: Satisfied employees play a crucial role in an organization's success, so health care organizations must be aware of the importance of employees' job satisfaction. It is recommended to monitor employees' job satisfaction levels on an annual basis.
Hamdan T.A.,Dean College
International Orthopaedics | Year: 2012
Purpose: The author presents this prospective study of nine cases of pathologically confirmed spinal hydatid disease. Method: Hydatid disease is a difficult diagnosis in non endemic areas but it should be considered in the differential diagnosis of spinal pathology in endemic areas. Spinal involvement is very unusual. There is nothing typical of spinal involvement. Nine patients presented with hydatid disease of the spine between September 2001 and October 2010. The patients were clinically evaluated as well as by the latest imaging modalities, haematological and serological tests. All had decompressive surgery with or without fixation and the diagnosis was confirmed by histopathological examination. All received albendazole and praziquantel for ten months. Results: MRI was the best diagnostic test, CAT scan was also useful, eosinophilia was a constant finding, and ESR was above normal in five patients. All had decompression laminectomy and clearance; in addition, transpedicular fixation was done to three patients. After surgery one patient had complete recovery with no recurrence, seven patients showed recurrence over time and residual disease was observed, and one patient died within 24 hours of surgery. Conclusion: Diagnosis was easy from the start, but eradication was difficult, and recurrence rate was very high despite the use of chemotherapy. © 2012 Springer-Verlag.
Ananthakrishnan N.,Dean College
National Medical Journal of India | Year: 2016
Ever since the Accreditation Council for Graduate Medical Education (ACGME) introduced restrictions on resident working hours in the USA in 2003, controversy has continued to plague this issue in view of the long established and long held beliefs in the benefits of continuity of care particularly in surgical patients and the adverse effect of frequent hand-offs on resident training. Several studies have shown adverse outcomes of the new policy and some which have supported it. Evidence from large prospective randomized trials is currently lacking. The authors did a national, cluster-randomized, pragmatic, noninferiority trial involving 117 of 252 ACGME-accredited general surgery residency programmes in the USA in 2014. Seventy-seven programmes were excluded because of non-affiliation with the National Surgical Quality Improvement Program (ACS NSQIP), which was the intended platform for patient data collection; 77 were excluded since state regulations did not permit such a trial (state of New York); and 12 programmes were excluded due to poor standing with the ACGME. © The National Medical Journal of India, 2016.
Fiedler R.,Dean College
The Journal of nursing administration | Year: 2014
The purpose of this pilot study was to determine what influence a nurse residency program (NRP) has on long-term outcomes including turnover rates, career satisfaction, and leadership development. Studies examining short-term outcomes of NRPs have shown positive effects. Long-term studies of NRPs have not been reported. This descriptive study surveyed former nurse residents, still employed at the facility. Data were collected by means of a demographic tool and the McCloskey/Mueller Satisfaction Scale, a job satisfaction tool. Although nursing turnover increased past the yearlong residency program, it remained well below the national average. All components of satisfaction were ranked relatively high, but coworker/peer support was most important to job satisfaction. Leadership development in the areas of certification and pursuing an advanced degree increased with longer employment, but hospital committee involvement decreased with successive cohorts. Overall, the long-term outcomes of an NRP appear to have benefits to both the organization and the individual.
Moore K.D.,Dean College
International Journal of Aging and Human Development | Year: 2014
This article presents an emergent heuristic framework for the core environmental gerontology concept of "place." Place has been a central concern in the field since the 1970s (Gubrium, 1978) for its hypothesized direct relationship to identity, the self, and agency-suggestive of the appropriateness of lateral theoretical linkages with developmental science. The Ecological Framework of Place (EFP) defines place as a socio-physical milieu involving people, the physical setting, and the program of the place, all catalyzed by situated human activity and fully acknowledging that all four may change over time. The article begins with a concise overview of the EFP before moving on to consider it within three theoretical terrains: place theory, developmental science theory, and environmental gerontology theory. The EFP will be argued to be a place theory which subsumes themes of emergent environmental gerontology theories within a developmental science perspective. Implications for theory, method and practice are discussed. One of the strengths of the model is its ability to serve both research and practice, as is exhibited in its ability to incorporate applied design research and inform architectural decision-making so often lacking in other environmental gerontology models. Place should be viewed as an integrative concept providing opportunities for both environmental gerontology and developmental science to more critically concern the profound role places have in terms of agency, identity and sense of self over the life course. © 2014, Baywood Publishing Co., Inc.
Dean College | Date: 2017-01-26
Printed material, namely, books, brochures and pamphlets in the field of college admissions, alumni activities and general college information. Clothing, namely, hats, t-shirts, polo shirts, pants, sweatshirts, sweatpants, shorts. Providing a web site featuring information and links to other websites regarding college employment opportunities; Association services, namely, promoting the interests of college alumni. Educational services, namely, providing online and in-person instruction and training at the college level; organizing and conducting educational lectures and symposia; computer services, namely, providing a website featuring information and links to other websites regarding academic admissions, financial aid, course registration, academic and research programs, college athletic programs, college housing, student services, college administrative and information technology services, college alumni activities and organizations, college counseling services, student activities and organizations, college publications, continuing education; organizing, conducting and presenting athletic and sports events, concerts, dance, theater and performing arts productions.