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Objective The main objective of this study was to examine peer reviewed literature on employee health management programs offered by health care organizations to address cardiovascular and metabolic conditions. Our objectives included understanding the types of interventions, measures reported, clinical and work-related outcomes, and quality of research. Study Design and Analysis Systematic review adhering to the PRISMA guidelines. Our research team included experts in health promotion, primary care, medical psychology, and library sciences. Analysis was based on evaluation guidelines for employee health management programs established by the Health Enhancement Research Organization and Population Health Alliance. We examined measures of physical health impact and work-related outcomes. Our review included a quality assessment based on National Heart, Blood, and Lung Institute criteria for case-control and before-after studies. Dataset We performed searches on PubMed, CINAHL, ABI/Inform, and PsycINFO and used backward citation tracking. Population English-language peer-reviewed articles published in the US between 2000 to 2021 that reported outcomes of interventions aimed at improving employee cardiovascular and/or metabolic conditions. Interventions were randomized or non-randomized controlled trial or before-after design. A total of 2268 non-duplicate journal articles were retrieved. Two rounds of abstract screening excluded 2162 articles. A detailed evaluation of 106 full-text articles eliminated 21. Citation tracking resulted in 55 additional articles. Of the 140 articles, 22 were conducted within health care delivery organizations and included in this analysis. Results A variety of interventions were reported, most were 6 months or longer and included monetary incentives. All studies reported cardiometabolic outcomes: 20 measured blood pressure, 19 measured weight, 17 measured cholesterol, and 16 measured blood glucose. Few studies reported work-related outcomes. The majority of studies reported positive physical health outcomes. Of those reporting financial outcomes, most reported cost savings. Quality of research design varied. Major issues include high participant dropout rate, lack of sample size estimation, and lack of consistent intervention exposure. Conclusions Employer-sponsored interventions focused on improving cardiovascular and metabolic conditions may be one method to support the overall health and well-being of health professionals., Presenters Debora Goldberg, PhD, MBA, MHA, Carolyn Hoffman, MPH, Mary Louise Pomeroy, MPH, Kathleen Butler, MLS, AHIP, Ali Weinstein, [...]

Book Review: Vactionland: Tourism and Environment in the Colorado High Country

Background: Virtual reality and augmented technology are rapidly advancing and hold the potential to transform nursing education by offering a convenient, efficient, learner-centered way to educate students. A comprehensive and time-oriented prebrief is essential to the process. Purpose: This review analyzes the status of scientific exploration regarding the prebrief and time allotments for virtual and augmented reality simulation. Methods: Whittemore and Knafl's 5-stage method guided this integrative review. The authors searched 6 databases and selected 7 articles based on inclusion criteria. Results: The findings from this review demonstrated objectives, a safe learning environment, orientation, preparation materials, and time in the prebrief; yet, inconsistencies persist in the virtual and augmented reality prebrief. Conclusions: Defining a comprehensive and consistent prebrief is essential for high-quality simulation. A more standardized process, including time allotments, must be established for virtual and augmented reality. [ABSTRACT FROM AUTHOR]

Focusing on individual learning styles as a major component of intentional teaching, this discussion points out advantages for teachers who provide options based on students' learning styles in the classroom. Particular attention is given to the model of Style Differentiated Instruction (SDI) which developed from the research on styles, higher order thinking, and critical and creative thinking, and provides guidelines for the multiple approaches to style in the classroom. SDI suggests how to bridge to the stylistic needs of the learner on a daily basis. Ten general criteria by which teachers can create a learning style environment for young adolescents are identified. A chart offers a general explanation of style differences and some examples of style-matched learning/teaching strategies, and identifies characteristics, instructional needs of students, students' preferred strategies, cognitive processes, and student products associated with concrete sequential, abstract random, abstract sequential, and concrete random learning styles. (RH)

Aprepitant is the first [NK.sub.1] receptor antagonist approved for use with corticosteroids and 5[HT.sub.3] receptor antagonists to prevent chemotherapy-induced nausea and vomiting (CINV). The effective dose to prevent CINV is [...]