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2. Kidney Disease, Hypertension Treatment, and Cerebral Perfusion and Structure

Author

Whelton, Paul, Johnson, Karen C., Snyder, Joni, Bild, Diane, Bonds, Denise, Cook, Nakela, Cutler, Jeffrey, Fine, Lawrence, Kaufmann, Peter, Kimmel, Paul, Launer, Lenore, Moy, Claudia, Riley, William, Ryan, Laurie, Tolunay, Eser, Yang, Song, Reboussin, David, Williamson, Jeff, Ambrosius, Walter T., Applegate, William, Evans, Greg, Foy, Capri, Freedman, Barry I., Kitzman, Dalane, Lyles, Mary, Pajewski, Nick, Rapp, Steve, Rushing, Scott, Shah, Neel, Sink, Kaycee M., Vitolins, Mara, Wagenknecht, Lynne, Wilson, Valerie, Perdue, Letitia, Woolard, Nancy, Craven, Tim, Garcia, Katelyn, Gaussoin, Sarah, Lovato, Laura, Newman, Jill, Lovato, James, Lu, Lingyi, McLouth, Chris, Russell, Greg, Amoroso, Bobby, Davis, Patty, Griffin, Jason, Harris, Darrin, King, Mark, Lane, Kathy, Roberson, Wes, Steinberg, Debbie, Ashford, Donna, Babcock, Phyllis, Chamberlain, Dana, Christensen, Vickie, Cloud, Loretta, Collins, Christy, Cook, Delilah, Currie, Katherine, Felton, Debbie, Harpe, Stacy, Howard, Marjorie, Lewis, Michelle, Nance, Pamela, Puccinelli-Ortega, Nicole, Russell, Laurie, Walker, Jennifer, Craven, Brenda, Goode, Candace, Troxler, Margie, Davis, Janet, Hutchens, Sarah, Killeen, Anthony A., Lukkari, Anna M., Ringer, Robert, Dillard, Brandi, Archibeque, Norbert, Warren, Stuart, Sather, Mike, Pontzer, James, Taylor, Zach, Soliman, Elsayed Z., Zhang, Zhu-Ming, Li, Yabing, Campbell, Chuck, Hensley, Susan, Hu, Julie, Keasler, Lisa, Barr, Mary, Taylor, Tonya, Bryan, R. Nick, Davatzikos, Christos, Nasarallah, Ilya, Desiderio, Lisa, Elliott, Mark, Borthakur, Ari, Battapady, Harsha, Erus, Guray, Smith, Alex, Wang, Ze, Doshi, Jimit, Wright, Jackson T., Jr., Rahman, Mahboob, Lerner, Alan J., Still, Carolyn, Wiggers, Alan, Zamanian, Sara, Bee, Alberta, Dancie, Renee, Thomas, George, Schreiber, Martin, Jr., Navaneethan, Sankar Dass, Hickner, John, Lioudis, Michael, Lard, Michelle, Marczewski, Susan, Maraschky, Jennifer, Colman, Martha, Aaby, Andrea, Payne, Stacey, Ramos, Melanie, Horner, Carol, Drawz, Paul, Raghavendra, Pratibha P., Ober, Scott, Mourad, Ronda, Pallaki, Muralidhar, Russo, Peter, Raghavendra, Pratibha, Fantauzzo, Pual, Tucker, Lisa, Schwing, Bill, Sedor, John R., Horwitz, Edward J., Schellling, Jeffrey R., O’Toole, John F., Humbert, Lisa, Tutolo, Wendy, White, Suzanne, Gay, Alishea, Clark, Walter, Jr., Hughes, Robin, Dobre, Mirela, Still, Carolyn H., Williams, Monique, Bhatt, Udayan, Hebert, Lee, Agarwal, Anil, Murphy, Melissa Brown, Ford, Nicole, Stratton, Cynthia, Baxter, Jody, Lykins, Alicia A., McKinley Neal Leena Hirmath, Alison, Kwame, Osei, Soe, Kyaw, Miser, William F., Sagrilla, Colleen, Johnston, Jan, Anaya, Amber, Mintos, Ashley, Howell, Angel A., Rogers, Kelly, Taylor, Sara, Ebersbacher, Donald, Long, Lucy, Bednarchik, Beth, Schnall, Adrian, Smith, Jonathan, Peysha, Lori, Leach, Lisa, Tribout, Megan, Harwell, Carla, Ellington, Pinkie, Banerji, Mary Ann, Ghody, Pranav, Rambaud, Melissa Vahídeh, Townsend, Raymond, Cohen, Debbie, Huan, Yonghong, Duckworth, Mark, Ford, Virginia, Leshner, Juliet, Davison, Ann, Veen, Sarah Vander, Gadegbeku, Crystal A., Gillespie, Avi, Paranjape, Anuradha, Amoroso, Sandra, Pfeffer, Zoe, Quinn, Sally B., He, Jiang, Chen, Jing, Lustigova, Eva, Malone, Erin, Krousel-Wood, Marie, Deichmann, Richard, Ronney, Patricia, Muery, Susan, Trapani, Donnalee, Rocco, Michael, Goff, David, Rodriguez, Carlos, Coker, Laura, Hawfield, Amret, Yeboah, Joseph, Crago, Lenore, Summerson, John, Hege, Anita, Diamond, Matt, Mulloy, Laura, Hodges, Marcela, Collins, Michelle, Weathers, Charlene, Anderson, Heather, Stone, Emily, Walker, Walida, McWilliams, Andrew, Dulin, Michael, Kuhn, Lindsay, Standridge, Susan, Lowe, Lindsay, Everett, Kelly, Preston, Kelry, Norton, Susan, Gaines, Silena, Rizvi, Ali A., Sides, Andrew W., Herbert, Diamond, Hix, Matthew M., Whitmire, Melanie, Arnold, Brittany, Hutchinson, Philip, Espiritu, Joseph, Feinglos, Mark, Kovalik, Eugene, Gedon-Lipscomb, Georgianne, Evans, Kathryn, Thacker, Connie, Zimmer, Ronna, Furst, Mary, Mason, MaryAnn, Powell, James, Bolin, Paul, Zhang, Junhong, Pinion, Mary, Davis, Gail, Bryant, Winifred, Phelps, Presley, Garris-Sutton, Connie, Atkinson, Beatrice, Contreras, Gabriele, Suarez, Maritza, Schulman, Ivonne, Koggan, Don, Vassallo, Jackie, Peruyera, Gloria, Whittington, Sheri, Bethea, Cassandra, Gilliam, Laura, Pedley, Carolyn, Zurek, Geraldine, Baird, Miriam, Herring, Charles, Smoak, Mary Martha, Williams, Julie, Rogers, Samantha, Gordon, Lindsay, Kennedy, Erin, Belle, Beverly, McCorkle-Doomy, Jessica, Adams, Jonathan, Lopez, Ramon, Janavs, Juris, Rahbari-Oskoui, Frederic, Chapman, Arlene, Dollar, Allen, Williams, Olubunmi, Han, Yoosun, Haley, William, Fitzpatrick, Peter, Blackshear, Joseph, Shapiro, Brian, Harrell, Anna, Palaj, Arta, Henderson, Katelyn, Johnson, Ashley, Gonzalez, Heath, Robinson, Jermaine, Tamariz, Leonardo, Denizard, Jennifer, Barakat, Rody, Krishnamoorthy, Dhurga, Greenway, Frank, Monce, Ron, Church, Timothy, Hendrick, Chelsea, Yoches, Aimee, Sones, Leighanne, Baltazar, Markee, Pemu, Priscilla, Jones, Connie, Akpalu, Derrick, Cheung, Alfred K., Beddhu, Srinivasan, Chelune, Gordon, Childs, Jeffrey, Gren, Lisa, Randall, Anne, Dember, Laura, Soares, Denise, Yee, Jerry, Umanath, Kausik, Ogletree, Naima, Thaxton, Schawana, Campana, Karen, Sheldon, Dayna, MacArthur, Krista, Muhlestein, J. Brent, Allred, Nathan, Clements, Brian, Dhar, Ritesh, Meredith, Kent, Le, Viet, Miner, Edward, Orford, James, Riessen, Erik R., Ballantyne, Becca, Chisum, Ben, Johnson, Kevin, Peeler, Dixie, Chertow, Glenn, Tamura, Manju, Chang, Tara, Erickson, Kevin, Shen, Jenny, Stafford, Randall S., Zaharchuk, Gregory, Del Cid, Margareth, Dentinger, Michelle, Sabino, Jennifer, Sahay, Rukmani, Telminova, Ekaterina, Weiner, Daniel E., Sarnak, Mark, Chan, Lily, Civiletto, Amanda, Heath, Alyson, Kantor, Amy, Jain, Priyanka, Kirkpatrick, Bethany, Well, Andrew, Yuen, Barry, Chonchol, Michel, Farmer, Beverly, Farmer, Heather, Greenwald, Carol, Malaczewski, Mikaela, Lash, James, Porter, Anna, Ricardo, Ana, Rosman, Robert T., Cohan, Janet, Barrera, Nieves Lopez, Meslar, Daniel, Meslar, Patricia, Conroy, Margaret, Unruh, Mark, Hess, Rachel, Jhamb, Manisha, Thomas, Holly, Fazio, Pam, Klixbull, Elle, Komlos-Weimer, Melissa, Mandich, LeeAnne, Vita, Tina, Toto, Robert, Van Buren, Peter, Inrig, Julia, Cruz, Martha, Lightfoot, Tammy, Wang, Nancy, Webster, Lori, Raphael, Kalani, Stults, Barry, Zaman, Tahir, Simmons, Debra, Lavasani, Tooran, Filipowicz, Rebecca, Wei, Guo, Miller, Gracie Mary, Harerra, Jenice, Christensen, Jeff, Giri, Ajay, Chen, Xiaorui, Anderton, Natalie, Jensen, Arianna, Lewis, Julia, Burgner, Anna, Dwyer, Jamie P., Schulman, Gerald, Herrud, Terri, Leavell, Ewanda, McCray, Tiffany, McNeil-Simaan, Edwina, Poudel, Munmun, Reed, Malia, Sika, Mohammed, Woods, Delia, Zirkenbach, Janice L., Raj, Dominic S., Cohen, Scott, Patel, Samir, Velasquez, Manuel, Bastian, Roshni S., Wing, Maria, Roy-Chaudhury, Akshay, Depner, Thomas, Dalyrymple, Lorien, Kaysen, George, Anderson, Susan, Nord, John, Ix, Joachim H., Goldenstein, Leonard, Miracle, Cynthia M., Forbang, Nketi, Mircic, Maja, Thomas, Brenda, Tran, Tiffany, Rastogi, Anjay, Kim, Mihae, Rashid, Mohamad, Lizarraga, Bianca, Hocza, Amy, Sarmosyan, Kristine, Norris, Jason, Sharma, Tushar, Chioy, Amanda, Bernard, Eric, Cabrera, Eleanore, Lopez, Christina, Nunez, Susana, Riad, Joseph, Schweitzer, Suzanne, Sirop, Siran, Thomas, Sarah, Wada, Lauren, Kramer, Holly, Bansal, Vinod, Taylor, Corliss E., Segal, Mark S., Hall, Karen L., Kazory, Amir, Gilbert, Lesa, Owens, Linda, Poulton, Danielle, Whidden, Elaine, Wiggins, Jocelyn, Blaum, Caroline, Nyquist, Linda, Min, Lillian, Gure, Tanya, Lewis, Ruth, Mawby, Jennifer, Robinson, Eileen, Oparil, Suzanne, Lewis, Cora E., Bradley, Virginia, Calhoun, David, Glasser, Stephen, Jenkins, Kim, Ramsey, Tom, Qureshi, Nauman, Ferguson, Karen, Haider, Sumrah, James, Mandy, Jones, Christy, Renfroe, Kim, Seay, April, Weigart, Carrie, Thornley-Brown, Denyse, Rizik, Dana, Cotton, Bari, Fitz-Gerald, Meredith, Grimes, Tiffany, Johnson, Carolyn, Kennedy, Sara, Mason, Chanel, Rosato-Burson, Lesa, Willingham, Robin, Judd, Eric, Breaux-Shropshire, Tonya, Cook, Felice, Medina, Julia, Ghazi, Lama, Bhatt, Hemal, Lewis, James, Brantley, Roman, Brouilette, John, Glaze, Jeffrey, Hall, Stephanie, Hiott, Nancy, Tharpe, David, Boddy, Spencer, Mack, Catherine, Womack, Catherine, Asao, Keiko, Griffin, Beate, Hendrix, Carol, Johnson, Karen, Jones, Lisa, Towers, Chelsea, Punzi, Henry, Cassidy, Kathy, Schumacher, Kristin, Irizarry, Carmen, Colon, Ilma, Colon-Ortiz, Pedro, Colón-Hernández, Pedro J., Carrasquillo-Navarro, Orlando J., Carrasquillo, Merari, Vazquez, Nivea, Sosa-Padilla, Miguel, Cintron-Pinero, Alex, Ayala, Mayra, Pacheco, Olga, Rivera, Catalina, Sotomayor-Gonzalez, Irma, Claudio, Jamie, Lazaro, Jose, Arce, Migdalia, Heres, Lourdes, Perez, Alba, Tavarez-Valle, Jose, Arocho, Ferlinda, Torres, Mercedes, Vazquez, Melvaliz, Aurigemma, Gerard P., Takis-Smith, Rebecca, Andrieni, Julia, Bodkin, Noelle, Chaudhary, Kiran, Hu, Paula, Kostis, John, Cosgrove, Nora, Bankowski, Denise, Boleyn, Monica, Casazza, Laurie, Giresi, Victoria, Patel, Tosha, Squindo, Erin, Wu, Yan, Henson, Zeb, Wofford, Marion, Lowery, Jessica, Minor, Deborah, Harkins, Kimberley, Auchus, Alexander, Flessner, Michael, Adair, Cathy, Asher, Jordan, Loope, Debbie, Cobb, Rita, Venegas, Reiner, Bigger, Thomas, Bello, Natalie, Homma, Shunichi, Donovan, Daniel, Lopez-Jimenez, Carlos, Tirado, Amilcar, Getaneh, Asqual, Tang, Rocky, Durant, Sabrina, Maurer, Mathew, Teruya, Sergio, Helmke, Stephen, Alvarez, Julissa, Campbell, Ruth, Pisoni, Roberto, Sturdivant, Rachel, Brooks, Deborah, Counts, Caroline, Hunt, Vickie, Spillers, Lori, Brautigam, Donald, Kitchen, Timothy, Gorman, Timothy, Sayers, Jessica, Button, Sarah, Chiarot, June, Fischer, Rosemary, Lyon, Melissa, Resnick, Maria, Hodges, Nicole, Ferreira, Jennifer, Cushman, William, Wall, Barry, Nichols, Linda, Burns, Robert, Martindale-Adams, Jennifer, Berlowitz, Dan, Clark, Elizabeth, Walsh, Sandy, Geraci, Terry, Huff, Carol, Shaw, Linda, Servilla, Karen, Vigil, Darlene, Barrett, Terry, Sweeney, Mary Ellen, Johnson, Rebecca, McConnell, Susan, Salles, Khadijeh Shahid, Watson, Francoise, Schenk, Cheryl, Whittington, Laura, Maher, Maxine, Williams, Jonathan, Swartz, Stephen, Conlin, Paul, Alexis, George, Lamkin, Rebecca, Underwood, Patti, Gomes, Helen, Rosendorff, Clive, Atlas, Stephen, Khan, Saadat, Gonzalez, Waddy, Barcham, Samih, Kwon, Lawrence, Matar, Matar, Adhami, Anwar, Basile, Jan, John, Joseph, Ham, Deborah, Baig, Hadi, Saklayen, Mohammed, Yap, Jason, Neff, Helen, Miller, Carol, Zheng-Phelan, Ling, Gappy, Saib, Rau, Shiva, Raman, Arathi, Berchou, Vicki, Jones, Elizabeth, Olgren, Erin, Marbury, Cynthia, Yudd, Michael, Sastrasinh, Sithiporn, Michaud, Jennine, Fiore, Jessica, Kutza, Marianne, Shorr, Ronald, Mount, Rattana, Dunn, Helen, Stinson, Susan, Hunter, Jessica, Taylor, Addison, Bates, Jeffery, Anderson, Catherine, Kirchner, Kent, Stubbs, Jodi, Hinton, Ardell, Spencer, Anita, Sharma, Santosh, Wiegmann, Thomas, Mehta, Smita, Krause, Michelle, Dishongh, Kate, Childress, Richard, Gyamlani, Geeta, Niakan, Atossa, Thompson, Cathy, Moody, Janelle, Gresham, Carolyn, Whittle, Jeffrey, Barnas, Gary, Wolfgram, Dawn, Cortese, Heidi, Johnson, Jonette, Roumie, Christianne, Hung, Adriana, Wharton, Jennifer, Niesner, Kurt, Katz, Lois, Richardson, Elizabeth, Brock, George, Holland, Joanne, Dixon, Troy, Zias, Athena, Spiller, Christine, Baker, Penelope, Felicetta, James, Rehman, Shakaib, Bingham, Kelli, Watnick, Suzanne, Cohen, David, Weiss, Jessica, Johnston, Tera, Giddings, Stephen, Yamout, Hala, Klein, Andrew, Rowe, Caroline, Vargo, Kristin, Waidmann, Kristi, Papademetriou, Vasilios, Elkhoury, Jean Pierre, Gregory, Barbara, Amodeo, Susan, Bloom, Mary, Goldfarb-Waysman, Dalia, Treger, Richard, Kashefi, Mehran, Huang, Christina, Knibloe, Karen, Ishani, Areef, Slinin, Yelena, Olney, Christine, Rust, Jacqueline, Fanti, Paolo, Dyer, Christopher, Bansal, Shweta, Dunnam, Monica, Hu, Lih-Lan, Zarate-Abbott, Perla, Kurella Tamura, Manjula, Pajewski, Nicholas M., Zaharchuk, Greg, Rapp, Stephen R., Auchus, Alexander P., Haley, William E., Kendrick, Jessica, Roumie, Christianne L., Williamson, Jeff D., Detre, John A., Dolui, Sudipto, and Nasrallah, Ilya M.

Published
2022
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7. Development and Testing of the RN Confidence in Evidence-Based Practice (RNcEBP) Survey: Assessing Evidence-Based Practice Culture.

Author

VanWingerden, Lori, Drone-Silvers, Frances, and Owens, Linda K.

Subjects
CONFIDENCE, NURSES' attitudes, CONFIDENCE intervals, PROFESSIONAL employee training, SURVEYS, PSYCHOMETRICS, CRONBACH'S alpha, NURSES, DESCRIPTIVE statistics, DATA analysis software, STATISTICAL sampling, EVIDENCE-based nursing
Abstract

Continual assessment of evidence-based culture is essential to inform growth in evidence-based practice (EBP). The RN Confidence in Evidence-Based Practice (RNcEBP) Survey was developed and tested over a 4-year period within a Magnet-designated organization. The primary aim of this institutional review board-approved study was to test reliability and validity of the workplace-focused RNcEBP Survey. The second aim of the electronic survey was to provide practical and concise assessment data to inform nursing professional development and support for EBP. [ABSTRACT FROM AUTHOR]

Published
2023
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10. Chiral recognition of cinchona alkaloids at the minor and major grooves of 1,1'-binaphthyl receptors

Author

Reeder, Jon, Castro, Peter P., Knobler, Carolyn B., Martinborough, Esther, Owens, Linda, and Diederich, Francois

Subjects
Alkaloids -- Research, Heterocyclic compounds -- Analysis, Stereochemistry -- Analysis, Biological sciences, Chemistry
Abstract

Several chiral 1,1'-binaphthyl derivatives, whose two hydroxyl groups were located at the major and minor groove, were used to enantioselectively recognize cinchona alkaloids, quinine and quinidine. Cinchona alkaloids and their binaphthyl derivatives, which exhibited high chiral molecular shapes, were used in enantiomeric separations and asymmetric preparations.

Published
1994

11. The Impact of Crisis Intervention Team Response, Dispatch Coding, and Location on the Outcomes of Police Encounters with Individuals with Mental Illnesses in Chicago.

Author

Watson, Amy C, Owens, Linda K, Wood, Jennifer, and Compton, Michael T

Subjects
*MENTAL illness, *CRISES, *POLICE, *TEAMS, *SELF-efficacy
Abstract

The Crisis Intervention Team (CIT) model has been implemented in over 3,000 communities across the USA. Research to date has shown beneficial results in terms of officers' knowledge, attitudes, self-efficacy, stigma, and force preferences. This study aimed to broaden the lens on the implementation context of CIT to examine whether factors in the environment and response process affect how calls are resolved. This study focused on several factors—CIT response, call location, and upstream decisions to pre-identify calls as mental health-related—that may impact call outcomes. Our findings suggest that CIT response, dispatch coding, and the places where calls originate play a role in shaping outcomes. More research is needed to unpack the effects of this wider CIT implementation environment. [ABSTRACT FROM AUTHOR]

Published
2021
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12. Quality-related Activities in Federally Supported Health Centers.

Author

Braun, Barbara I., Owens, Linda K., Bartman, Barbara A., Berkeley, Lon, Wineman, Nicole, and Daly, Charles A.

Subjects
ACCREDITATION, MEDICAL centers, HEALTH facility management, QUALITY assurance, FEDERAL aid to community health services, MAIL surveys, EDUCATION
Abstract

The article reports on the impact of organizational characteristics on quality-related activities in health centers. A mailed questionnaire was used for a cross-sectional assessment of quality-related activities in Health Resources and Services Administration-funded health centers. Moreover, the study indicates that accreditation presents a greater likelihood that health centers have integrated specific quality-related activities into their daily operations.

Published
2008
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13. The Effects of Sexual Orientation on Body Image and Attitudes About Eating and Weight.

Author

Owens, Linda K., Hughes, Tonda L., and Owens-Nicholson, Dawn

Subjects
*HETEROSEXUAL women, *LESBIANS, *BODY image, *BODY weight, *SELF-perception, *LGBTQ+ studies, *ATTITUDES of LGBTQ+ people, *GAY people's attitudes, *WOMEN, *FEMININITY
Abstract

Presents a study that assessed the effect of sexual orientation on body image and attitudes toward eating and weight using data collected from lesbians and heterosexual women in the U.S. Description of the sample; Comparison of body image and attitudes about eating and weight between lesbians and heterosexual women; Predictors of body image and attitude toward eating and weight.

Published
2003

14. Staged Diabetes Management.

Author

Mazze, Roger S., Etzwiler, Donnell D., Strock, Ellie, Peterson, Kevin, McClave II, Charles R., Meszaros, Jane Fitch, Leigh, Cynthia, Owens, Linda W., Deeb, Larry C., Peterson, Alison, and Kummer, Mark

Published
1994

18. President's Message.

Author

Owens, Linda

Subjects
*GARDEN clubs, *AFRICAN violets, *INTERNET pornography
Abstract

The author comments on several issues related to the African Violet Society of America (AVSA). She expresses concern over the pornography posted on the Web site of the organization. The death of past AVSA president Frank Burton is cited. The author also acknowledges several individuals who helped her fulfill her duties as president of the organization.

Published
2007

19. President's Message.

Author

Owens, Linda

Subjects
*ANNIVERSARIES, *ASSOCIATIONS, institutions, etc., *AFRICAN violets, *FLOWER shows, *SPECIAL events
Abstract

The author shares her insights on the 60th anniversary celebration of the African Violet Society of America (AVSA) that will be held in the fall of 2006. She feels that some of the fall show entries will be smaller than usual this year because of the extreme heat. She hopes that all of the members will join with her and have a celebratory cup of tea at the 60th anniversary of AVSA.

Published
2006

20. President's Message.

Author

Owens, Linda

Subjects
*AFRICAN violets, *PERIODICALS, *NONPROFIT organizations, *PLANT propagation, *HURRICANE Katrina, 2005
Abstract

Focuses on issues related to the "African Violet Magazine" and the non-profit organization African Violet Society of America Inc. Factors considered in propagating African violets; Impact of the devastation of Hurricane Katrina on members of the organization; Death of hybridizer Ethel Champion.

Published
2005

22. Morbidity associated with Pseudomonas aeruginosa bloodstream infections

Author

Scheetz, Marc H., Hoffman, Michael, Bolon, Maureen K., Schulert, Grant, Estrellado, Wendy, Baraboutis, Ioannis G., Sriram, Padman, Dinh, Minh, Owens, Linda K., and Hauser, Alan R.

Subjects
*PSEUDOMONAS aeruginosa infections, *RETROSPECTIVE studies, *COHORT analysis, *ANTI-infective agents, *MORTALITY, *LENGTH of stay in hospitals, *NEUTROPENIA, *DIAGNOSTIC imaging, *PREVENTION
Abstract

Abstract: We sought to quantify patient morbidity throughout Pseudomonas aeruginosa bloodstream infection (PABSI) as a function of patient covariates. Individuals with PABSI were included in a retrospective, observational, cohort study. Morbidity was quantified by serial Sequential Organ Failure Assessment (SOFA) scores. Impact of active antimicrobial treatment was assessed as a function of changes in SOFA scores as the dependent variable. A total of 95 patients with PABSI were analyzed. Relative to baseline SOFA scores (day −2), scores after PABSI were increased by 37% on day 0 and 22% on day +2 but returned to baseline on day +7. Overall mortality was 37%, and mean length of hospital stay (postculture) was 16 days. Most patients were appropriately treated, with n = 83 (87%) receiving an active agent and n = 61 (64%) receiving >1 agent. As a result, an effect of therapy on morbidity was not observed. Advanced age and elevated baseline SOFA scores predicted increased in-hospital mortality (P = 0.01 and P < 0.001, respectively) and morbidity at day +2 (P < 0.05 and P < 0.05, respectively) and day +7 (P < 0.05 and P < 0.001, respectively). Neutropenia was also associated with increased morbidity at day +2 (P < 0.05). In treated PABSI, morbidity is highest the day of the diagnostic blood cultures and slowly returns to baseline over the subsequent 7 days. Age and baseline severity of illness are the strongest predictors of morbidity and mortality. Because neither of these factors are modifiable, efforts to minimize the negative impact of PABSI should focus on appropriate prevention and infection control efforts. [Copyright &y& Elsevier]

Published
2009
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23. Environmental Survey for Listeria Species in Frozen Milk Product Plants in California.

Author

Walker RL, Jensen LH, Kinde H, Alexander AV, and Owens LS

Abstract

A survey of frozen milk product (FMP) plants in California was conducted to determine prevalence of Listeria spp. among plants and within specific areas in plants. Association of possible factors contributing to the presence of Listeria was analyzed. Of 922 samples, 111 (12%) were positive for Listeria spp. Listeria monocytogenes and L. innocua were the only species isolated. Of 39 plants sampled, L. monocytogenes was the only species recovered from 5 (12.8%) plants and L. innocua was the only species recovered from 13 (33.3%) plants. Both species were isolated from 9 (23.1%) plants. No Listeria was isolated from 12 (30.8%) plants. A minimum of five colonies was identified from each positive site. Only one species was identified from 105 of the 111 positive sites (94.6%). There was a statistically significant association of culture results from selected sites in plants with corresponding drain cultures; however, from 9 of 106 (8.5%) site/drain combinations no Listeria was isolated from the drain when the selected sites were positive. Type of product received and type of pasteurization did not influence recovery of Listeria from a plant. There was a significant association with size of the plant and recovery of Listeria . Level of sanitation and extent of environmental contamination control program (ECCP), individually, were not associated with recovery of Listeria from a plant. However, the rate of recovery of Listeria from plants with above average sanitation and excellent or moderate ECCP (N=7) was 6.81%, whereas the recovery rate from plants with below average sanitation and slight or no ECCP (N=7) was 27.5%. The highest recovery rates of Listeria in FMP plants were in batch flavoring, freezing and ingredient blending, and packaging filling areas.

Published
1991
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