- Nosocomial Infections in ICU
- Pneumonia and Respiratory Infections
- Emergency and Acute Care Studies
- School Health and Nursing Education
- Vaccine Coverage and Hesitancy
- Child and Adolescent Health
- Pediatric health and respiratory diseases
- Family and Disability Support Research
- Healthcare Decision-Making and Restraints
- COVID-19 and Mental Health
- Sepsis Diagnosis and Treatment
- Interprofessional Education and Collaboration
- Patient Safety and Medication Errors
- Food Security and Health in Diverse Populations
- Attention Deficit Hyperactivity Disorder
- Respiratory viral infections research
- Hearing Loss and Rehabilitation
- Child and Adolescent Psychosocial and Emotional Development
- Viral gastroenteritis research and epidemiology
- Health disparities and outcomes
- Healthcare cost, quality, practices
- Simulation-Based Education in Healthcare
- Bone and Dental Protein Studies
- Electronic Health Records Systems
- Head and Neck Anomalies
California State University, Sacramento
2013-2023
New York Proton Center
2023
Communities In Schools of Orange County
2023
Manhattan Institute for Policy Research
2023
Oregon Medical Research Center
2023
Lindsay Unified School District
2023
Museum of Heilongjiang Province
2021
Wolters Kluwer Health
2021
Creative Commons
2021
Orlando Health
2021
•Non-ventilator hospital-acquired pneumonia (NV-HAP) is associated with increased cost of care, hospital length stay, and mortality.•The overall mortality NV-HAP exceeds that VAP.•NV-HAP patients had a greater need for post discharge care at another healthcare facility than any the comparison groups. BackgroundNonventilator among most common infections. The purpose our study was to quantify incidence influence in United States using national dataset.MethodsThe 2012 US National Inpatient...
Abstract Stages in the pathogenesis of gingival recession were observed rats which pocketing had been induced by replacement natural incisors with dental implants. Suitable conditions thus created on palatal aspect implant sockets for to occur. The process was examined at intervals taking transverse serial sections. In epithelial and connective tissues deep receding margin, morphological changes seen apparently lead cleft formation recession. These appeared be associated mononuclear cell...
Abstract Purpose Nonventilator hospital‐acquired pneumonia (NV‐HAP) is an underreported and unstudied disease, with potential for measurable outcomes, fiscal savings, improvement in quality of life. The purpose our study was to (a) identify the incidence NV‐HAP a convenience sample U.S. hospitals (b) determine effectiveness reliably delivered basic oral nursing care reducing NV‐HAP. Design A descriptive, quasi‐experimental using retrospective comparative outcomes enhanced versus usual...
•Nonventilator hospital-acquired pneumonia (NV-HAP) occurs in all age groups, on types of hospital units, and hospitals.•Significant cost, morbidity, mortality are associated with NV-HAP.•NV-HAP should be elevated to the same level prevention effort as device-related infections. BackgroundBecause nonventilator is understudied, our purpose was determine incidence, overall burden, documented preventive interventions NV-HAP 24 U.S. hospitals.MethodsThis retrospective chart review extracted...
Executive Summary In 2020 a group of U.S. healthcare leaders formed the National Organization to Prevent Hospital-Acquired Pneumonia (NOHAP) issue call action address non–ventilator-associated hospital-acquired pneumonia (NVHAP). NVHAP is one most common and morbid healthcare-associated infections, but it not tracked, reported, or actively prevented by hospitals. This national includes (1) launching conversation about prevention; (2) adding prevention measures education for patients,...
Abstract Purpose: The purpose of this study was to determine the effectiveness a process‐based translation method for health survey instrument, Searching Hardships and Obstacles Shots (SHOTS), using community‐based participatory approach with Hmong community. Design: based on cross‐sectional assess reliability validity SHOTS immunization survey, an instrument used in community, who are refugees originally from Laos living United States. Method: Process‐based universalistic methods were...
OBJECTIVE: Southeast Asian American families are underrepresented among recipients of special education and social services for people with developmental disabilities. Our aims were to use a community-based participatory research approach examine Hmong Mien families' perceptions disabilities understand barriers facilitators service provision experiencing We describe here case study successful attempt engage marginalized underserved communities their needs improve access persons METHODS:...
The benefits of cochlear implantation for children with developmental delays (DD) often are unclear. We compared cognition, adaptive behavior, familial stress, and communication in without DD.Retrospective review.Two tertiary care pediatric hospitals.Two hundred four who underwent assessed before more than 1 year after implantation.The Mullen Scales Early Learning (MSEL), vineland behavior scales (VABS), Parental Stress Index, Preschool Language Scale.We developed a specific definition DD...
This qualitative study explored the barriers and facilitators of cancer screening among women Hmong origin. Using a community-based participatory research approach, we conducted focus groups (n=44) with who represented four distinct demographic community. The participants described sociocultural to screening, which included lack accurate knowledge about causes cervical cancer, language barriers, stigma, fear, time, embarrassment. Structural attitudes practices health care providers,...
We sought nurse managers' perspectives on challenges and opportunities with technology how it may influence communication leadership.e-Leadership is a conceptual framework used to understand teach organisational leaders about the application of leadership. Technology integral leadership, yet little understood managers use this they negotiate complexity multiple systems currently in use.Sixteen from individual hospitals within large US healthcare system participated qualitative open-ended...
Background Sepsis is a leading cause of mortality among hospitalized patients and the most expensive condition affecting US health care system. Pneumonia associated with about half sepsis cases, yet limited research has described incidence in context nonventilator hospital-acquired pneumonia (NV-HAP). Persons NV-HAP who are at risk for must be identified so that interventions to reduce burden improve outcomes can designed. Objective To determine proportion persons whom develops describe...
Nonventilator hospital-acquired pneumonia (NV-HAP) presents a serious and largely preventable threat to patient safety in U.S. hospitals. There is an emerging body of evidence on the effectiveness oral care preventing NV-HAP.The primary aim this study was determine universal, standardized protocol NV-HAP acute setting. The outcome measure incidence per 1,000 patient-days.This 12-month conducted four units at 800-bed tertiary medical center. Patients one surgical unit were randomly assigned...
Schools are responsible for handling life-threatening events due to a variety of conditions, including anaphylaxis. California is one few states that permits school districts stock emergency epinephrine auto-injectors and train unlicensed assistive personnel administer event. We surveyed nurses in explore their experience with anaphylaxis, implementation allowable auto-injector programs, the barriers program implementation.An exploratory, cross-sectional, descriptive design was used this...
There are increasing numbers of children with special health care needs (CSHCN) who require various levels each school day. The purpose this study was to examine the role public schools in supporting CSHCN through in-depth key informant interviews. For qualitative study, authors interviewed 17 informants identify themes, provide recommendations, and generate hypotheses for further statewide survey nurse services. Key identified successful strategies challenges that face meeting all CSHCN....
We explored factors associated with perception of barriers to immunization among parents Hmong origin in California, whose children experience persistent inequities even health insurance.A partnership academic researchers and members the community conducted a community-based participatory research project. collected data naturalistic settings standardized instrument. analyzed responses from 417 caregivers created structural equation model determine that contributed perceived barriers.Of 3...
Hospital-acquired pneumonia is now the number one hospital-acquired infection. Hospitals have addressed ventilator-associated pneumonia; however, patients not on a ventilator acquire more with significant associated mortality rates.In our hospital, non-ventilator-associated was occurring all types of units.The Influencer Model used to reduce nonventilator rates. Statistical process control R and X-bar-charts were monitored monthly.After gap analysis, an interdisciplinary team implemented...
In 2016 the National Association of School Nurses released an updated framework for school nurse practice. One highlight new is 21st century care coordination. That is, moving beyond basic case management to a systems-level approach delivery health services. The broadly applies term coordination include direct and communication across systems. nurses are often engaged in efforts create homes that serve as axis students families between primary offices schools. Effective requires not only...
Children with special health care needs (CSHCN) are at risk for school failure when their not met. Current studies have identified a strong connection between success and health. This study attempted to determine (a) how schools meet the direct service of children (b) who provides those services. The used following two methods: analysis administrative data from California Basic Educational Data System cross-sectional online survey 446 practicing nurses. Only 43% California’s districts employ...
A case of tetrasomy 22pter leads to q11 with ocular hypertelorism, downward slanting palpebral fissures, total anomalous pulmonary venous return, and anal atresia is described. The phenotypic variability the cat eye syndrome emphasised along need for categorisation these patients according well characterised cytogenetic findings.
Asian and Pacific Islander Americans (A&PIAs) are experiencing health inequities. For example, A&PIA is the only racial/ethnic group in America to experience cancer as their leading cause of death. Several studies within population have pointed acculturation a significant variable explain health-seeking behaviors. Acculturation key construct understanding population.The purpose this concept analysis provide current conceptual relationship between health, especially populations, which will...