RESEARCH QUESTION: Does Online "Working Out Work" as a Treatment and Prevention for Depression in Older Adults? An Analysis of a Prescribed and Monitored Exercise Program Administered via the Internet for Senior Adults with Depression.
OBJECTIVE: The purpose of this study is to investigate and access the effectiveness of an online prescribed and monitored exercise program for the treatment of depression in Older Adults. The Dependent Variable for the study is Depression. The Independent Variable for the study is the Effects of Exercise administered via the Internet and the population is geriatric adults defined as senior adults aged 50 and older. Depression is defined by Princeton University Scholars (Wordnet, 2006) as a mental state characterized by a pessimistic sense of inadequacy and a despondent lack of activity.
METHODS: The presence and severity of depression will be assessed by using The Merck Manual of Geriatrics (GDS-15) Geriatric Depression Scale. Assessments will be performed at baseline, before and after the treatment is concluded. The subjects will complete the Physical Activity Readiness Questionnaire (PAR-Q) prior to participating in an exercise program three times per week.
LIMITATIONS OF RESEARCH: The limitations of this study are: 1) There is a small sample size limited to Senior Adults aged 50 - 80, and 2) there is no control group with structured activity or placebo, therefore researcher is unable to evaluate if the marked improvement was due to a non-specific therapeutic effect associated with taking part in a social activity (group online exercise program). Further research could compare and analyze the positive effects of a muscular strength training exercise program verses a cardiovascular training exercise program.

Vision Statement: Our patients deserve the best continuity of care possible. With that said, our nurses should effectively communicate patient information with our physicians in order to ensure the best treatment for acute condition changes in order to prevent hospital readmissions.

This presentation explains the role of skilled nursing facilities in the reduction of hospital readmissions.

"In attempts to reduce nosocomial infections, the focus of PPE is shifted to include patient protection.

This innovation project will help lead the healthcare organization to better health deliver and better service because it will prevent transmission of nosocomial infections between patients via hospital staff. Patients with HAI’s tend to have a longer duration hospital stay as well as more costs. Likewise, current healthcare reform restricts reimbursements for treatments associated with nosocomial infections. By minimizing these costly infections, the healthcare organization will be able to realize a greater profit."

A short and thickened lingual frenulum characterizes tongue-ties. Infants with this condition are likely to have issues with their latch, weight gain, and the ability to breastfeed exclusively. Mothers typically struggle with nipple pain and trauma. Tongue-tie procedures have become increasingly more popular as families turn to this intervention when struggling with breastfeeding.

The purpose of this quality improvement project is to collect data on tongue-tie revision procedures to explore the benefits, risks, and patient satisfaction with the clinical process. Questionnaires were created to collect information on tongue-tie revisions. Participants were asked to identify symptoms related both to the mother and infant. The type of feeding was assessed before and after to identify if the tongue-tie revisions increased exclusive breastfeeding. Likert-type scales were used to address maternal nipple pain, overall improvements in breastfeeding, and patient experience.

A total of 36 participants completed the pre-op questionnaire, and 22 completed the post-op questionnaires over four months. The results found that this was a low-risk procedure that helped improve breastfeeding or maternal and infant symptoms. There should be continued efforts to find ways to continue to collect this data, as it will increase the awareness of tongue-tie’s effect on breastfeeding.

Drawing on collective biography, memory work, and diffractive analysis, this chapter examines childhood memories of our entanglements with plants. By approaching research as a ceremony, our goal is to reanimate the relationships we have shared with plants and places, illuminating multiple intra-actions and weaving different worlds together.  Our collective ceremony of re-membering brings into focus how plants called us forward, evoked our gratitude and reciprocity, shared knowledge, and offered comfort, companionship, love, belongingness, and understanding throughout life. The process of our collective re-membering and writing has turned into a series of ceremonial gatherings and practices, bringing forth vivid memories, poetic expressions, and creative drawings.  As humans, we have often (re)acted to plants’ generous gifts in meaningful gestures and communications that have co-created and made visible our deeply felt inter-species love and care.