Volume 4, Issue 2

  • 2019, October

    original research

    The Relationship between Socioeconomic Status and Adherence to Antihypertensive Treatment Regimen in a Metropolitan Community Sample of Hypertensive African Americans in New YorkOpen Access

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    Abstract [+]

    Introduction

    Low socioeconomic status (SES) is one of the strongest predictors of morbidity and premature mortality worldwide, as well being associated with large increases in cardiovascular disease in both men and women. Uncontrolled hypertension contributes to cardiovascular disparity. Non-adherence to antihypertensive regimens worsens the cardiovascular burden and further widens the health disparity gap. A hierarchical multiple regression study of multiple factors impacting adherence among urban residents in a New York metropolitan region found socioeconomic factors as the strongest factors impacting adherence in this cardiovascular high-risk population..

    Methods

    Secondary analysis of data of a cross-sectional, correlation design study of a dissertation study, with each of the SES variables analyzed against adherence and self-efficacy variables.

    Results

    Overall, only three SES variables (years with the same provider, work status and income) were significantly related to adherence and/or self-efficacy. Years with the same provider was related to adherence with correlation of rs=0.16 (p=0.048), and to self-efficacy rs=2.0 (p=0.016). Work status was related to adherence with difference in adherence scores between retired and unemployed subjects (KS=38.6, p=0.013 with Bonferroni adjustment; means=3.7 and 3.3, respectively). Work status was not related to selfefficacy scores. Income level was significantly related to the self-efficacy scores, but not the adherence scores. Difference noted between earners<$10,000/year and >$80,000/year (KS=-44.2, p=0.037, with Bonferroni adjustment; means=3.06 and 3.51, respectively).

    Discussion

    Low socioeconomic status and non-adherence to antihypertensive regimens remain important factors which worsen cardiovascular health and widen health disparity health gaps. This is evident among the cardiovascular high-risk persons of African descent including those residing in the New York metropolitan regions. Self-efficacy is implicated as a mediating variable between income and adherence. The inverse relationship between fulltime work status and adherence was no longer noted. Further investigation on the associations between income, full time status and adherence among young, hypertensive Blacks/African Americans; as well as self-efficacy mediating effects on income and adherence is recommended.

    Keywords

    Socioeconomic status or poverty or low income; Adherence or compliance; Hypertension treatment or hypertension therapy; Blacks or African Americans.


  • 2019, October

    mini review

    Therapeutic Modalities: Best Practices to Protecting Patients from Harm During TreatmentOpen Access

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    Abstract [+]

    Healthcare providers and clinicians such as athletic trainers and physical therapists utilize therapeutic modalities to administer treatment to patients in the clinical setting. It is the responsibility of these healthcare providers to ensure the safe use of therapeutic modalities during treatment sessions, as well as effective delivery of treatment. Thermal-heat, ultrasound, cryotherapy and electrostimulation treatments have the potential for causing harm to patients. Proper care and maintenance of modalities can minimize the risk to patients and avoid legal issues for physical therapists and athletic trainers. This article will explore some of the legal issues, case studies and reports as well as providing information on what healthcare providers can do to protect patients.

    Keywords

    Risk management; Negligence; Malpractice; Best practices; Injury prevention; Athletic Trainer; Physical Therapists; Accreditation.


  • 2020, January

    review

    Degradation of Plastic Materials Using Microorganisms: A ReviewOpen Access

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    Abstract [+]

    Plastics are polymers of higher molecular mass of synthetic or semi-synthetic organic solids used as inputs for industries. Over the last few years, the need for biodegradable plastics has led to extended significance due to the extreme use of plastics and increasing pressure being positioned on to be had capacities for plastic waste disposal. Lack of degradability and the closing of landfill sites as well as growing water and land pollutant problems have caused the situation about plastics. Plastics are causing great difficulty in environmental problems and consequently, this desires manufacturers to synthesize materials that do not have an impact on the environment. The use of microorganisms in the surrounding to metabolize the molecular shape of plastic materials to produce an inert humus-like material and this is much less dangerous to the surroundings, furthermore, expertise their interaction and

    the biochemical adjustments they undergo are tremendously essential. In addition, the use of bio-active compounds coated with swelling materials ensures that once it is far mixed, with heat and moisture, they make bigger the plastics molecular structure and permit the bio-lively compounds to metabolize and neutralize the plastic. Thus, this overview article is revised to inspire and make an impact on the importance of microorganisms on biodegradation plastic substances.

    Keywords

    Biodegradation; Microorganisms; Plastics; Pollution; Hazard.