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  1. Article ; Online: Integrated services and suicide prevention training: a case study of one community mental health agency.

    Higgins, Jennifer

    Professional case management

    2014  Volume 19, Issue 3, Page(s) 137–142

    Abstract: Purpose/objectives: The objective of this article is to highlight the benefits of a suicide integration training embedded in an integrated services delivery system. Specifically, the article examines the relationship between the tenets of the training ... ...

    Abstract Purpose/objectives: The objective of this article is to highlight the benefits of a suicide integration training embedded in an integrated services delivery system. Specifically, the article examines the relationship between the tenets of the training and the low incidence of suicidality experienced at a large mental health agency in Western Massachusetts.
    Primary practice settings: Through its new integrated service system, both behavioral health and primary care services are delivered at the Center for Human Development (CHD).
    Findings/conclusions: On the basis of the experiences of CHD, effective suicide prevention training is essential for maintaining an almost nonexistent suicide rate. The training was developed by Nina Slovik, LICSW, and employed at CHD. It incorporates elements of different practice modalities such as motivational interviewing, the construct of hope, and authenticity. The idea of the "authentic relationship" is emphasized by Slovik. Authenticity is characterized by no pretense that a clinician has something to teach. It is better expressed by the question, genuinely delivered: "So how are you doing?" While clinicians may not always be able to accurately assess a person's suicide risk, looking at the larger context, collaborating as a partner rather than as an expert, and helping find meaning and purpose will improve the chances to recognize risk and provide a positive intervention. Another important difference found at CHD is its use of care managers, a hybridization of medical and mental health case managers, to provide wraparound services and closely monitor the psychological and medical health of CHD's clients through the new integrated services program.
    Implications for case management practice: • Care management in an integrated service program utilizes a hybrid form of medical and mental health case management. • Contact with primary care providers is common prior to suicide events. • Facets of successful suicide prevention training include motivational interviewing and the construct of hope. • Establishing a genuine and authentic relationship with clients may save lives.
    MeSH term(s) Adult ; Community Mental Health Services/organization & administration ; Delivery of Health Care, Integrated/organization & administration ; Humans ; Male ; Mental Disorders/complications ; Middle Aged ; Organizational Case Studies ; Risk Factors ; Suicide/prevention & control
    Language English
    Publishing date 2014-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2277201-7
    ISSN 1932-8095 ; 1539-0675 ; 1932-8087 ; 1529-7764
    ISSN (online) 1932-8095 ; 1539-0675
    ISSN 1932-8087 ; 1529-7764
    DOI 10.1097/NCM.0000000000000002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Distance-Based Education for Nurses Caring for Children With Cancer in Sub-Saharan Africa.

    Hockenberry, Marilyn / Mulemba, Tadala / Nedege, Aisha / Madumetse, Kitsiso / Higgins, Jennifer

    Journal of pediatric oncology nursing : official journal of the Association of Pediatric Oncology Nurses

    2020  Volume 37, Issue 5, Page(s) 321–329

    Abstract: Nursing specialization in the care of children with cancer provides the foundation for implementing successful childhood cancer and blood disorder treatment programs throughout the world. Excellence in nursing education is at the center of all that is ... ...

    Abstract Nursing specialization in the care of children with cancer provides the foundation for implementing successful childhood cancer and blood disorder treatment programs throughout the world. Excellence in nursing education is at the center of all that is needed to maximize cures for children with cancer in low- and middle-income countries (LMIC). While the burden of childhood cancer care is the highest in LMIC, opportunities for continuing nursing education and specialization are extremely limited. Capacity-building programs using distance-based learning opportunities have been successful in sub-Saharan Africa and provide insight into successful, continuing professional development. The Global Hematology-Oncology Pediatric Excellence (HOPE) program part of Texas Children's Hospital in Houston, Texas, has developed and implemented a distance-based training program designed for nurses working in sub-Saharan Africa. Following a needs assessment, Global HOPE developed a program using both the Moodle (modular object-oriented dynamic learning environment) distance-based learning platform and computer notebooks that hold the course content. The program teaches basic principles of nursing care for a child with cancer and has been implemented in Malawi, Uganda, and Botswana. Courses are taught using a modular approach and core competencies are established for each module. Frequent teaching sessions using Zoom and WhatsApp reinforce independent learning experiences. Formal course evaluation includes written pre- and posttests, self-competency assessments, and simulated checkoffs on essential pediatric oncology nursing competencies. The success of this distance-based learning program emphasizes the importance of formal training for nurses in LMIC to become full-time specialists in pediatric oncology nursing.
    MeSH term(s) Adolescent ; Adult ; Africa South of the Sahara/epidemiology ; Child ; Child, Preschool ; Education, Distance/methods ; Education, Nursing, Continuing/methods ; Female ; Humans ; Infant ; Infant, Newborn ; Male ; Middle Aged ; Neoplasms/epidemiology ; Neoplasms/nursing ; Nurses, Pediatric/education ; Oncology Nursing/education ; Pediatric Nursing/education
    Language English
    Publishing date 2020-07-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1038107-7
    ISSN 1532-8457 ; 1043-4542
    ISSN (online) 1532-8457
    ISSN 1043-4542
    DOI 10.1177/1043454220938355
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Cell mediated immune response in goats after experimental challenge with the virulent Brucella melitensis strain 16M and the reduced virulence strain Rev. 1.

    Higgins, Jennifer L / Bowen, Richard A / Gonzalez-Juarrero, Mercedes

    Veterinary immunology and immunopathology

    2018  Volume 202, Page(s) 74–84

    Abstract: Brucella melitensis is the etiologic agent of brucellosis in small ruminants and a common cause of disease in humans. While the protective immune response against this pathogen has been well studied in the mouse model, little is known of the immune ... ...

    Abstract Brucella melitensis is the etiologic agent of brucellosis in small ruminants and a common cause of disease in humans. While the protective immune response against this pathogen has been well studied in the mouse model, little is known of the immune response triggered by B. melitensis infection in natural hosts. The objective of the present study was to evaluate the caprine immune response over the course of infection with virulent B. melitensis strain 16 M and reduced virulence vaccine strain Rev. 1. Pregnant goats were infected at 11-14 weeks of gestation with 8 × 10
    MeSH term(s) Animals ; Bacterial Proteins/immunology ; Brucella Vaccine/immunology ; Brucella melitensis ; Brucellosis/immunology ; Brucellosis/prevention & control ; Brucellosis/veterinary ; CD4-Positive T-Lymphocytes/immunology ; Clonal Anergy ; Female ; Goat Diseases/immunology ; Goat Diseases/prevention & control ; Goats/immunology ; Immunity, Cellular ; Interferon-gamma/immunology ; Pregnancy ; Virulence
    Chemical Substances Bacterial Proteins ; Brucella Vaccine ; Interferon-gamma (82115-62-6)
    Language English
    Publishing date 2018-06-18
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 754160-0
    ISSN 1873-2534 ; 0165-2427
    ISSN (online) 1873-2534
    ISSN 0165-2427
    DOI 10.1016/j.vetimm.2018.06.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Improving Operating Room Efficiency: Relocating a Surgical Oncology Program Within a Health Care System.

    Orr, James W / Thompson, Ann M / Bruens, Dennis / Higgins, Jennifer / Rittenhouse, Yvonne / Bloomston, Mark / Riker, Adam I

    The Ochsner journal

    2022  Volume 22, Issue 3, Page(s) 230–238

    Abstract: Background: ...

    Abstract Background:
    Language English
    Publishing date 2022-09-27
    Publishing country United States
    Document type Journal Article
    ISSN 1524-5012
    ISSN 1524-5012
    DOI 10.31486/toj.22.0030
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Connecting the DOTs in Clinical Orientation: The Daily Orientation Tracker.

    Higgins, Jennifer / Cantrell, Faith / Runkel, Natasha / Fitzgerald, Stacy / Pyles, Laurie / Skroch, Alisa / Huston, Joshua / Hammer, Nathan

    Journal for nurses in professional development

    2022  Volume 39, Issue 6, Page(s) 310–315

    Abstract: Newly hired nurses often complete orientation to the acute care setting with multiple preceptors, and communication about orientation progress has the potential to be disjointed. Traditionally, orientation has been tracked using various formats relying ... ...

    Abstract Newly hired nurses often complete orientation to the acute care setting with multiple preceptors, and communication about orientation progress has the potential to be disjointed. Traditionally, orientation has been tracked using various formats relying on pen and paper. The Daily Orientation Tracker or DOT, created by preceptors and nurse educators, has pushed communication into an accessible, user-friendly format found to be successful for the orientation of new nurses. Information about how the DOT was developed and implemented as well as data describing the empirical success of the DOT are shared.
    MeSH term(s) Humans ; Preceptorship ; Inservice Training ; Faculty, Nursing ; Communication ; Critical Care
    Language English
    Publishing date 2022-04-29
    Publishing country United States
    Document type Journal Article
    ISSN 2169-981X
    ISSN (online) 2169-981X
    DOI 10.1097/NND.0000000000000896
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Evaluation of 25-hydroxyvitamin d in hoffmann's two-toed sloths (choloepus hoffmanni) using dried blood spots analyzed by liquid chromatography–tandem mass spectrometry

    Higgins, Jennifer L / Scanlon, Lisa M / Makowski, Andrew J / Childs-Sanford, Sara E

    Journal of zoo and wildlife medicine. 2020 Jan. 9, v. 50, no. 4

    2020  

    Abstract: Although biochemical analytes have typically been measured using serum or whole blood samples, an increasing number of assays are validated for measurement of analytes from dried blood spots (DBS) on filter paper. DBS techniques are minimally invasive, ... ...

    Abstract Although biochemical analytes have typically been measured using serum or whole blood samples, an increasing number of assays are validated for measurement of analytes from dried blood spots (DBS) on filter paper. DBS techniques are minimally invasive, require only a small sample volume, and simplify processing, storage, and shipment of samples. These qualities make DBS-based assays ideal for sampling of wildlife species in both captive and field settings. In this study, a liquid chromatography–tandem mass spectrometry assay was evaluated for measurement of 25-hydroxyvitamin D in sloths. Paired serum and DBS samples were collected from nine healthy captive Hoffmann's two-toed sloths (Choloepus hoffmanni). Statistical analysis using Passing-Bablok regression analysis, Bland-Altman plots, and the Wilcoxon signed-rank tests found good agreement between 25-hydroxyvitamin D3 measurements in serum and DBS samples. Constant and proportional bias were absent. Results from this study support the use of DBS samples for the evaluation of vitamin D status in Hoffmann's two-toed sloths and provide a foundation for further studies to validate this technique.
    Keywords 25-hydroxycholecalciferol ; Choloepus hoffmanni ; blood sampling ; blood serum ; chemical species ; liquid chromatography ; regression analysis ; sloths ; tandem mass spectrometry ; wildlife
    Language English
    Dates of publication 2020-0109
    Size p. 751-757.
    Publishing place American Association of Zoo Veterinarians
    Document type Article
    ZDB-ID 2174930-9
    ISSN 1937-2825 ; 1042-7260
    ISSN (online) 1937-2825
    ISSN 1042-7260
    DOI 10.1638/2019-0045
    Database NAL-Catalogue (AGRICOLA)

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  7. Article: EVALUATION OF 25-HYDROXYVITAMIN D IN HOFFMANN'S TWO-TOED SLOTHS (

    Higgins, Jennifer L / Scanlon, Lisa M / Makowski, Andrew J / Childs-Sanford, Sara E

    Journal of zoo and wildlife medicine : official publication of the American Association of Zoo Veterinarians

    2020  Volume 50, Issue 4, Page(s) 751–757

    Abstract: Although biochemical analytes have typically been measured using serum or whole blood samples, an increasing number of assays are validated for measurement of analytes from dried blood spots (DBS) on filter paper. DBS techniques are minimally invasive, ... ...

    Abstract Although biochemical analytes have typically been measured using serum or whole blood samples, an increasing number of assays are validated for measurement of analytes from dried blood spots (DBS) on filter paper. DBS techniques are minimally invasive, require only a small sample volume, and simplify processing, storage, and shipment of samples. These qualities make DBS-based assays ideal for sampling of wildlife species in both captive and field settings. In this study, a liquid chromatography-tandem mass spectrometry assay was evaluated for measurement of 25-hydroxyvitamin D in sloths. Paired serum and DBS samples were collected from nine healthy captive Hoffmann's two-toed sloths (
    MeSH term(s) Animals ; Animals, Zoo ; Chromatography, Liquid/veterinary ; Dried Blood Spot Testing/methods ; Dried Blood Spot Testing/veterinary ; Female ; Sloths/blood ; Tandem Mass Spectrometry/veterinary ; Vitamin D/analogs & derivatives ; Vitamin D/blood
    Chemical Substances Vitamin D (1406-16-2) ; 25-hydroxyvitamin D (A288AR3C9H)
    Language English
    Publishing date 2020-01-03
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2174930-9
    ISSN 1937-2825 ; 1042-7260
    ISSN (online) 1937-2825
    ISSN 1042-7260
    DOI 10.1638/2019-0045
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Evaluation of shedding, tissue burdens, and humoral immune response in goats after experimental challenge with the virulent Brucella melitensis strain 16M and the reduced virulence vaccine strain Rev. 1.

    Higgins, Jennifer L / Gonzalez-Juarrero, Mercedes / Bowen, Richard A

    PloS one

    2017  Volume 12, Issue 10, Page(s) e0185823

    Abstract: Brucella melitensis is the causative agent of brucellosis in small ruminants and is of considerable economic and public health importance in many countries worldwide. The control of disease in humans depends on the control of disease in livestock; ... ...

    Abstract Brucella melitensis is the causative agent of brucellosis in small ruminants and is of considerable economic and public health importance in many countries worldwide. The control of disease in humans depends on the control of disease in livestock; however, few counties with endemic B. melitensis infection have been able to successfully eradicate this pathogen. This underscores the need for further research on the pathogenesis of both virulent and vaccine strains of B. melitensis in the small ruminant host. The aim of the present study was to characterize clinical effects, tissue colonization, shedding, and humoral immune response following B. melitensis infection in goats. Both virulent (16M) and reduced virulence (Rev. 1) strains of B. melitensis were studied. Pregnant goats were infected at 11-14 weeks of gestation with 8 x 106 or 8 x 107 CFU of B. melitensis. Infection of goats with B. melitensis 16M resulted in an 86% abortion rate. This strain disseminated widely in pregnant does post-infection with none of the 15 sampled tissues spared from colonization. Importantly, we report the first isolation of B. melitensis from muscle tissue in ruminants. Pathogenesis of Rev. 1 infection was variable with two does showing minimal colonization and one doe exhibiting disease similar to that of animals infected with fully virulent 16M. Shedding of B. melitensis in milk occurred in all 16M- and Rev. 1- infected goats. In pregnant animals challenged with virulent B. melitensis, median time to seroconversion was 21 days; however, 2 animals did not seroconvert until after abortion.
    MeSH term(s) Abortion, Spontaneous/microbiology ; Animals ; Brucella Vaccine/immunology ; Brucella melitensis/immunology ; Brucella melitensis/pathogenicity ; Brucella melitensis/physiology ; Female ; Goats ; Immunity, Humoral ; Viral Load ; Virulence ; Virus Shedding
    Chemical Substances Brucella Vaccine
    Language English
    Publishing date 2017-10-13
    Publishing country United States
    Document type Journal Article
    ISSN 1932-6203
    ISSN (online) 1932-6203
    DOI 10.1371/journal.pone.0185823
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: MDCH leaders forge ahead on limited budget.

    Higgins, Jennifer

    Michigan medicine

    2004  Volume 103, Issue 2, Page(s) 12–13

    MeSH term(s) Budgets ; Community Health Services/economics ; Health Care Costs ; Health Plan Implementation/economics ; Health Priorities/economics ; Humans ; Insurance Benefits/economics ; Medicaid/economics ; Michigan ; Quality of Health Care/economics ; State Government
    Language English
    Publishing date 2004-03
    Publishing country United States
    Document type Journal Article
    ZDB-ID 415702-3
    ISSN 0026-2293
    ISSN 0026-2293
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Surgical procedures in pinniped and cetacean species.

    Higgins, Jennifer L / Hendrickson, Dean A

    Journal of zoo and wildlife medicine : official publication of the American Association of Zoo Veterinarians

    2013  Volume 44, Issue 4, Page(s) 817–836

    Abstract: Significant advances in veterinary diagnostic and surgical techniques have been made over the past several decades. Many of these advances, however, have not reached the field of marine mammal medicine. A number of limitations exist: risks of anesthesia, ...

    Abstract Significant advances in veterinary diagnostic and surgical techniques have been made over the past several decades. Many of these advances, however, have not reached the field of marine mammal medicine. A number of limitations exist: risks of anesthesia, anatomical challenges, difficulties with wound closure, environmental constraints, equipment limitations, and perceived risks. Despite these limitations, surgical treatments have been successfully utilized in marine mammals. While surgery is performed in pinnipeds more frequently than in cetaceans, studies conducted in the 1960s and 1970s on dolphin sleep and hearing demonstrated that general anesthesia can be successfully induced in cetaceans. Since this pioneering work, a small number of successful surgeries have been performed in dolphins under both general anesthesia and heavy sedation. While these surgical procedures in pinnipeds and cetaceans have typically been limited to wound management, dentistry, ophthalmic procedures, fracture repair, and superficial biopsy, a number of abdominal surgeries have also been performed. Recently there have been pioneering successes in the application of minimally invasive surgery in marine mammals. Many of the anatomical challenges that almost prohibit traditional laparotomies in cetacean species and present challenges in pinnipeds can be overcome through the use of laparoscopic techniques. Due to the limited number of pinnipeds and cetaceans in captivity and, thus, the limited case load for veterinarians serving marine mammal species, it is vital for knowledge of surgical procedures to be shared among those in the field. This paper reviews case reports of surgical procedures, both traditional and laparoscopic, in pinnipeds and cetaceans. Limitations to performing surgical procedures in marine mammals are discussed and surgical case reports analyzed in an effort to determine challenges that must be overcome in order to make surgery a more feasible diagnostic and treatment option in the field of marine mammal medicine.
    MeSH term(s) Animals ; Caniformia/surgery ; Cetacea/surgery ; Surgical Procedures, Operative/adverse effects ; Surgical Procedures, Operative/methods ; Surgical Procedures, Operative/veterinary
    Language English
    Publishing date 2013-12
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2174930-9
    ISSN 1937-2825 ; 1042-7260
    ISSN (online) 1937-2825
    ISSN 1042-7260
    DOI 10.1638/2012-0286R1.1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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