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Non-adherence to medication and outpatient follow-up care are recognizable problems and may be the most challenging aspect of treatment in patients with schizophrenia. Interventions to improve adherence include psychosocial therapy and education, offering and beginning antipsychotic long-acting injections, electronic reminders, service-based interventions, and financial support systems. However, it is difficult to measure the standard of adherence to treatment, as some of the interventions are not applicable to most patients. We conducted a literature review focusing on related topics published from 2014 until 2019 using PubMed and CINAHL searching tools. Other mental health disorders were excluded from our search to avoid confounding the results. The results showed a reduction in hospital readmission in patients who were taking long-acting antipsychotic injections and had supervised outpatient follow-up care as well as participating in psychosocial therapy when compared with the rest of the patients who did not receive long-acting injections or outpatient follow-up clinics.Systemic lupus erythematosus (SLE) is a multi-organ system autoimmune disease of significant complexity, morbidity, and mortality. It is estimated that SLE affects nearly 1.5 million persons in the United States and is 3 to 4 times more prevalent in Black females than White females. The purpose of this literature review is to appraise relevant evidence on the epidemiology, burden, mortality rate, clinical manifestations, and impact of delayed diagnosis in at-risk populations; also to gain insight into the barriers to early diagnosis of SLE by primary healthcare providers. The literature was searched using scientific databases such as PubMed and EMBASE for relevant peer-reviewed articles. A total of 24 articles were included in the synthesis of data. The literature review provided evidence-based findings of the effects of SLE with delayed diagnosis. There remains a paucity of high-quality research studies examining the significance of early recognition and diagnosis of systemic lupus.This retrospective study aimed to describe the federal employee population who participated in Federal Occupational Health's (FOH) smoking cessation intervention and to examine relationships and factors that influenced smoking cessation within this population. A large-scale national database of federal employees who participated in the smoking cessation intervention from January 2009 to January 2019 was obtained from FOH's administrators. The sample included 1265 participants who completed the survey 6 months post intervention. Descriptive statistics, chi square (c2), Pearson's correlation, and logistic regression were used to describe and correlate variables. Out of 1243 smokers, 590 (47.5%) successfully quit smoking while 653 (52.5%) did not quit smoking post intervention. Employees smoked, on average, for 23 years and smoked 18 cigarettes (more than ½ pack) per day before quitting. There was a positive correlation between the number of cigarettes smoked and number of years smoked before quitting. As the number of cigarettes and length of time smoking increased, the odds of quitting increased. FOH's cessation intervention helped participants quit smoking. FOH is positioned to integrate cessation strategies with its health promotion and protection programs to help end tobacco-related illnesses and diseases. The investigators' findings provide important evidence and support for FOH's work-site smoking cessation intervention. FOH could collaborate with other federal entities and provide evidence-based smoking cessation interventions with limited or no barriers.The purpose of this study was to explore how nurse leaders in the New York City area described the influence of gender and career roles on their leadership aspirations. The conceptual framework was Role Congruity Theory and Ambivalent Sexism Theory, which postulate that negative workplace relations are due to perceived gender and career role disharmony. This study used qualitative methodology with a descriptive design. The sample was comprised of 19 (9 male, 10 female) leaders. The data was compiled from questionnaires and interviews. Results showed that 16% of the participants described gender role as an activator of leadership aspirations while 100% of the participants described 5 major career role influences (a) sense of duty, (b) teaching, (c) promotion, (d) leadership training, and (e) informal mentorship. Additionally, 84% of the participants described four key influences unrelated to gender or career (a) innate desire to lead, (b) military, (c) cultural diversity, and (d) family.The purpose of this study was to increase awareness about the All of Us Research Program and to engage African-Americans who live in the Deep South in conversations about research. This was a quasi-experimental single group design with pre- and post-tests. GNE-317 inhibitor Recruitment occurred via social media, radio and television advertisements, and in-person recruitment. A purposive convenience sample was used. Seventy adults (70) participated in the study. The social media campaigns reached 35,000 people. Prior to the study, 21% of participants had heard about the All of Us Research Program. After the event, there was a 10.8% increase in the likelihood of participants' willingness to share information about the program, and a 20% increase in the perception that the program was dedicated to engaging diverse communities in research. African-Americans are still skeptical about participating in research. However, with targeted intervention, many of them are willing to participate in research if it will improve their overall health and well-being.A Black woman has an 85.7% chance of developing hypertension in her lifetime, yet she is less likely to be optimally treated. The purpose of this research report is to describe the factors associated with self-reported hypertension in a sample of Black women. A descriptive study was conducted using a researcher-developed survey. Responses were obtained from 201 adult Black women from 19 to 92 years of age. Descriptive and comparative analyses were performed. The frequency of self-reported hypertension in the sample was low (n = 54, 27%). The self-report hypertension group was significantly older (p less then 0.05) and obese (61%). There were significant associations between self-report hypertension and greater income (c2 = 9.24, p = 0.002, f = 0.232), self-report hypertension and higher education (c2 = 5.66, p = 0.017, phi = 0.182), and self-report hypertension and not having Medicaid (c2 = 5.05, p = 0.025, f = 0.174). APRNs should stress the importance of routine health screenings and healthy lifestyle behaviors in accordance with patient needs.

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