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    Objective : This research objective is to identify potential factors that can predict adverse outcomes in patients with uterine myomas undergoing GnRH Agonist (GnRHa) therapy. Data Sources and Study Selection : We used previous meta-analyses, MEDLINE searches, and journal reviews from January 1995 through December 2002. We identified long-term randomized controlled trials that assessed major cardiovascular disease…

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    The Effect of Interpersonal Medical Service Encounters Between Nurses and Patients on Trust, Service Quality and Patient Satisfaction A. Background and Summary Patients who seek medical attention come in contact with numerous medical professions and each of these has an active role that they play towards meeting the demands of the patient. However, nurses play a central role in ensuring that the environment around the patient is conducive for their recovery. Therefore, in a patient centered…

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    Schizophrenia is a mental disorder that causes an individual to lose their understanding and grasp on reality. The disorder is chronic and severe and can have very adverse effects on individuals diagnosed such as auditory and visual hallucinations, combined with episodes of intense paranoia and bizarre thoughts and actions. Schizophrenia induces these hallucinations and feelings of paranoia and can distort a person's ability to differentiate between where the hallucinations end and reality…

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    Pain Management Process Improvement Project Process improvement in nursing homes improves quality of life and quality of care for patients in long-term care settings. Process improvement identifies areas in need of improvement within the nursing home, seeks information on current practices and systems, and addresses problems in systems or processes. Federal law requires skilled nursing facilities implement process improvement plans to correct deficient practices (Centers for Medicare & Medicaid…

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    Introduction The purpose of this review is to synthesis the literature pertaining to safe transition of care for older adults with dementia. As the number of adults age 65 and older continues to increase, the prevalence of dementia is expected to rise worldwide. In the United States alone, more than 5 million adults over 65 years old and more than 14% of those over age 70 have dementia (Alzheimer’s Association, 2015). Although dementia is considered a terminal illness (Mitchell, Teno, Kiely,…

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    Patient-centered is one of the six aims for quality health care in the landmark report from the Institute of Medicine (2001). Patient-centered aims to improve clinical practice by building caring relationships that bridge the demographic, social, and economic difference between clinician and patients (Jakimowicz & Perry, 2015). Concept analysis explores the meaning of concept to promote understanding ( McEwen & Wills, 2014 p.55). Concepts are the elements or components of a phenomenon necessary…

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    Evidence-Based practice (EBP) is the practice that is supported by current best evidence and professional expertise and merged them into current nursing practice to ensure patient receive best possible care (French, 1999). The value of the Evidence-Based practice is that enhances and builds on clinical expertise, knowledge of disease mechanisms and pathophysiology based on patients’ characteristics, situation and preferences in order to improve practice (Barker, 2013). On contrast, the drawback…

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    Annotated Bibliography

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    Annotated Bibliography Source 1: Feline Lower Urinary Tract Disease. (2010). Journal of the American Veterinary Medical Association, 2-2. This journal article talks about the causes and treatment of feline lower urinary tract diseases. There is an entire section about bladder stones and the causes of it and treatment of it. Since the article is from a professional organization, it does take a didactic approach to explain causes of the infection. For specifically bladder stones, the article…

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    Mitnick, D. M., Heyman, R. E., & Smith, S. A. M. (December 01, 2009). Changes in relationship satisfaction across the transition to parenthood: A Meta-Analysis. Journal of Family Psychology, 23, 6, 848-852. doi:10.1037/a0017004 The authors, researchers at the Stony Brook University and State University of New York, use data from 37 studies that followed couples from pregnancy to then the birth of their first child and four studies that followed newlywed couples who did not have children. These…

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    Obesity In Fast Food

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    More than one-third of American adults are obese (Ogden et al., 2014; CDC, 2015). In 2013, 42 million children under five were overweight or obese (WHO, 2015). In addition, more than 1.9 million of adults were overweight, of which 600 million were obese in 2014. Additionally, obesity is more prevalent among Non-Hispanic blacks, Hispanics and middle aged adults (CDC, 2015). According to the Centers for Disease Control (2015), obesity occurs from a combination of genetics and behavior (e.g.,…

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