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Text
E-cigarette Use Amongst Adolescents in Staten Island
Dina Arslani, Kristi Simonetti, Jessica Verga
Wagner College, Evelyn L. Spiro School of Nursing
• How is vaping affecting the health of the adolescent population
in the Staten Island community?
• “Staten Island has the highest rate of electronic cigarette
(e-cigarette) use among high school students in New York City,
according to recent data, and U.S. Sen. Charles Schumer is
urging the Food and Drug Administration (FDA) to regulate the
inhalable product” (2019).
• “The number of middle (ages 11-13) and high school students
(ages 14-18) using e-cigarettes rose from 2.1 million in 2017 to
3.6 million in 2018—a difference of about 1.5 million youth”
(12).
• The electronic cigarette (e- cigarettes/vaping products) has
gained widespread popularity nationwide and has an increasingly
negative effect on public health. These devices have acquired
recognition based on the belief that it is a safe and viable potential
smoking cessation aid (5).
• This growing epidemic has attributed to health issues including,
but not limited to, respiratory, cardiovascular, and immune system
diseases. Ongoing studies continue to gather data investigating
the effects of vaping on the vital organs.
• “People using vape products have reported a variety of
symptoms, developing over a period of days to weeks, including:
pulmonary symptoms (cough, shortness of breath, chest pain),
gastrointestinal symptoms (nausea, vomiting, diarrhea), fatigue,
fever, headache, and weight loss” (3).
• One of the substances reported to have the most harmful effect
on public health is vitamin E acetate. This substance is found in
almost all cannabis- containing vaping products, and “is now the
key focus of the Department of Health’s investigation of potential
causes of vaping associated pulmonary illnesses” (3).
• The use of e-cigarette is increasing not only in the U.S. but
worldwide. The European Region has the highest rated tobacco
use in the world, “with an estimated 209 million people smoking”
(90% of lung cancers can be avoided by eliminating tobacco use,
new WHO report reveals, 2019). The United Kingdom along with
France and Belgium have the highest levels of e-cigarette use (8).
• As of February 18, 2020, a total of 2,807 hospitalized EVALI
cases or deaths have been reported to CDC from all 50 states,
the District of Columbia, and two U.S. territories (Puerto Rico and
U.S. Virgin Islands). Sixty-eight deaths have been confirmed in
29 states and the District of Columbia. (7).
• In a 2017 survey of 15 to 17- year- old adolescents in New York
State currently using electronic vapor products, which 19% of the
adolescents said that flavors were the reason that they first tried
an e-cigarette and 27% said flavors were the reason for
maintaining use (6).
• The persuasive marketing tools these companies use in
promoting appealing flavors are directed towards the
adolescent and young adults contributing to the outbreak of
vaping in this age bracket.
• A proposed solution for the cessation of e-cigarettes is to educate
and change the false narratives that e-cigarettes are a safe and
healthier alternative to smoking.
• The use of e-cigarettes, specifically in youth, can lead to
nicotine dependence, which is a major concern in the
development of the adolescent brain.
• The goal is to spread awareness through television, radios,
posters, and social media. By increasing the awareness of the
harmful effects of e-cigarettes, we can challenge the
advertisements seen on social media.
• Using nicotine in adolescence can harm the parts of the brain
that control attention, learning, mood, and impulse control.
• Adolescents who use e-cigarette are more likely to engage in
risky behavior. The correlation between adolescent e-cigarette
use and other substances such as alcohol, marijuana,
amphetamines increase with the use of e-cigarettes (11).
• Of the 5 boroughs, Staten Island is known as vaping central.
Vaping has dominated the adolescent population island-wide
due to its convenience, accessibility, and its appealing nature.
Staten Island has the highest rate of electronic cigarette
(e-cigarette) use among high school students in New York
City, about 1 in 5 high school students are using e-cigarettes
(2).
• This proposed solution is based on the theorist, Everette Rogers,
and his work called, Diffusion of Innovations Theory. The
diffusions of theory will be used as a guide to help us promote,
spread and increase our social media page.
Learning objective goals are:
1. To decrease the use of e-cigarettes amongst the adolescent
population.
2. To recognize the adverse effects of e-cigarette use.
3. To use social media as an advantage to increase public health.
• This method can be effective by influencing adolescents and
young adults to steer away from using e-cigarettes which may
increase public health in the future.
• With the continuing rise of e-cigarettes, Staten Island faces an
increase in use among adolescents, especially while in
school.
• In September of 2019, Governor Andrew Cuomo has
implemented “emergency executive action to ban the sale of
flavored electronic cigarettes in New York State” (6). A
contributing factor for the easy access of e-cigarettes is the
fact store owners allow adolescents (under twenty-one years)
to purchase the e-cigarette. The governor has also stated any
retailer selling vaping products to minors will now face criminal
penalties along with civil penalties.
• The new course of e-cigarettes swept in and changed the
dynamic of what we thought would have been the end of an era
of tobacco smokers.
• Instead, we see a rise in nicotine addiction amongst the
adolescent population due to the increasing demand for
e-cigarettes.
• The Staten Island community is composed of predominantly
whites, being 75.2% of the total population (10).
• The top two demographics being of Italian and Irish descent (9).
• To reduce this up rise in popularity, a proposed solution is to
create a social media platform to provide evidence and risk
factors about e-cigarettes.
• Italian Americans represent one of the largest influxes in ethnicity
throughout history.
• This method can be effective by influencing adolescents and
young adults to steer away from using e-cigarettes which may
increase public health in the future.
• The rate of employment has risen by 13% since 2017 in Staten
Island in the following work areas: construction, social assistance,
leisure and hospitality, and health care (4).
• This solution will help the new generation of Americans who are
at risk of nicotine addiction.
• About 70% of the population living on the island are homeowners,
the highest rate in comparison to all five boroughs (4).
• The major health issues that are currently plaguing the Staten
Island community are obesity, poor air quality, smoking, unmet
mental health needs, and drug overdose deaths (1). Smoking
comes in third place.
1.
2.
3.
4.
5.
6.
• Deaths from heart disease and chronic lower respiratory disease
represent the highest in Staten Island when compared to the other
four boroughs (1).
7.
8.
9.
10.
11.
12.
Baker, T. (2016). Retrieved from https://rumcsi.org/Uploads/Public/Documents/FinalCSP.pdf Level V
Bascome, E. Staten Island high school students using e-cigs at high rate, data shows. 2017, November 22). Retrieved from
https://www.silive.com/news/2017/11/schumer_calls_on_fda_for_e-cig.html. Level V
Department of Health.New York State Department of Health Announces Update on Investigation into Vaping-Associated Pulmonary Illnesses Retrieved November 7, 2019, from
https://www.health.ny.gov/press/releases/2019/2019-09-05_vaping.htm. Level IV
DiNapoli, T.P., Bleiwas, K.B. An Economic Snapshot of Staten Island. (2018, September). Retrieved from Rpt7-2019.pdf Level IV
Eltorai, A. E. M., Choi, A. R., & Eltorai, A. S. Impact of Electronic Cigarettes on Various Organ Systems. Respiratory Care, 64(3), 328–336. (2019).
https://doi.org/10.4187/respcare.06300 Level II
Governor Cuomo Announces Emergency Executive Action to Ban the Sale of Flavored E-Cigarettes. (2019, September 18). Retrieved from
https://www.governor.ny.gov/news/governor-cuomo-announces-emergency-executive-action-ban-sale-flavored-e-cigarettes. Level IV
Outbreak of Lung Injury Associated with the Use of E-Cigarette, or Vaping, Products. (2019, November 8). Retrieved from
https://www.cdc.gov/tobacco/basic_information/e-cigarettes/severe-lung-disease.html. Level IV
Shapiro, H. No Fire, No Smoke: The Global State of Tobacco Harm Reduction 2018. 2018). Retrieved from https://gsthr.org/downloads/GSTHR Report/GSTHR.pdf Level IV
Staten Island Population 2019. (n.d.). Retrieved from http://worldpopulationreview.com/boroughs/staten-island-population/. Level V
U.S. Census Bureau QuickFacts: Richmond County (Staten Island Borough), New York. (n.d.). Retrieved from
https://www.census.gov/quickfacts/fact/table/richmondcountystatenislandboroughnewyork/PST045218
Walley, S. C., Wilson, K. M., Winickoff, J. P., & Groner, J. A Public Health Crisis: Electronic Cigarettes, Vape, and JUUL. Pediatrics, 143(6), 1–11. (2019).
https://doi.org/10.1542/peds.2018-2741 Level IV
Youth and Tobacco Use. (2019, February 28). Retrieved from https://www.cdc.gov/tobacco/data_statistics/fact_sheets/youth_data/tobacco_use/index.htm. Level IV
�
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Title
A name given to the resource
Senior Presentations Archive
Description
An account of the resource
This archive contains materials from Wagner’s annual ‘Senior Presentations.’ This event honors outstanding students from each discipline who completed their Senior Learning Community project with excellence. The work is representative of Wagner’s highest standards, and is exemplary of the diversity of subject matter, public-facing scholarship, and civic-minded professionalism our students have attained through their four years here. These students were specially invited to present their work in a formal setting, traditionally the day of Baccalaureate. Students are encouraged to present their work in a format appropriate for their discipline, and so, the presentations vary in their format. Some might be in the form of a short video, or paper abstracts, while others might be posters or music clips. We expect this archive to serve as a resource for generations to come. Congratulations to our Seniors!
Date
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Date Digital
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2020-nursing-Arslani Simonetti Verga
Creator
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Arslani, Dina<br />Simonetti, Kristi<br />Verga, Jessica
Date
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5/1/2020
Title
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E-cigarette Use Amongst Adolescents in Staten Island
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Evelyn L. Spiro School of Nursing
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text
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1 page
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eng
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U.S. and international copyright laws may protect this work. It is provided by Wagner College for scholarly or research purposes only. Commercial use or distribution is not permitted without prior permission of the copyright holder.
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Wagner College, Staten Island, NY
Nursing
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6dcc7a203ff505177cb6a07ad2d18540
PDF Text
Text
The Stigma surrounding CBD and Medical
Marijuana
Brianna DiCaprio, Alexis Falcone, Lily Randazzo
Data
Introduction
❏
Solution
❏
❏
❏
❏
❏
❏
❏
Problem within the
Community
❏
❏
❏
❏
❏
❏
❏
❏
❏
❏
References
❏
❏
❏
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Senior Presentations Archive
Description
An account of the resource
This archive contains materials from Wagner’s annual ‘Senior Presentations.’ This event honors outstanding students from each discipline who completed their Senior Learning Community project with excellence. The work is representative of Wagner’s highest standards, and is exemplary of the diversity of subject matter, public-facing scholarship, and civic-minded professionalism our students have attained through their four years here. These students were specially invited to present their work in a formal setting, traditionally the day of Baccalaureate. Students are encouraged to present their work in a format appropriate for their discipline, and so, the presentations vary in their format. Some might be in the form of a short video, or paper abstracts, while others might be posters or music clips. We expect this archive to serve as a resource for generations to come. Congratulations to our Seniors!
Date
A point or period of time associated with an event in the lifecycle of the resource
2017 -
Rights Holder
A person or organization owning or managing rights over the resource.
Wagner College, Staten Island, NY
Document
A resource containing textual data. Note that facsimiles or images of texts are still of the genre text.
Date Digital
2020
Original Format
If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data
Poster
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Identifier
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2020-nursing-DiCaprio Falcone Randazzo
Creator
An entity primarily responsible for making the resource
DiCaprio, Briann<br />Falcone, Alexis<br />Randazzo, Lily
Date
A point or period of time associated with an event in the lifecycle of the resource
5/1/2020
Title
A name given to the resource
The Stigma surrounding CBD and Medical Marijuana
Contributor
An entity responsible for making contributions to the resource
Evelyn L. Spiro School of Nursing
Type
The nature or genre of the resource
text
Format
The file format, physical medium, or dimensions of the resource
application/pdf
Extent
The size or duration of the resource.
1 page
Language
A language of the resource
eng
Rights
Information about rights held in and over the resource
U.S. and international copyright laws may protect this work. It is provided by Wagner College for scholarly or research purposes only. Commercial use or distribution is not permitted without prior permission of the copyright holder.
Rights Holder
A person or organization owning or managing rights over the resource.
Wagner College, Staten Island, NY
Nursing
-
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b146820ff38a57f268f6bec5f8c8c736
PDF Text
Text
The Relationship between Diabetes
And the North Shore Community of Staten Island
Brianna Bove WC-SN, Stephanie Johnson WC-SN , Sabrina Martin WC-SN
Wagner College Evelyn L. Spiro School of Nursing
Problem within the Community
Introduction
❖ By the means of our research there has seen to be a prevalence of
diabetes within the Latino adult population in the North Shore
community of Staten Island. 1
❖ Factors that influence the prevalence of the disease include a lack of
access to health care, poor diet, as well as limited activity and
neighborhood resources.
❖ Our research includes what we can do as a community, and what
types of effort can we put into play in order to change the dynamics of
the prevalence of diabetes affecting the people of the North Shore
portion of Staten Island.
❖
❖
Diabetes mellitus is defined as a result of an excess of sugar in the
blood. Type 2 diabetes can be a result of poorly controlled diets, lack
of essential exercise or as a result of and underlying disease.
North Shore has a lower economic status in Staten Island. Obesity is
an epidemic on Staten Island with 63.5% of adults aged 24-64 are
either overweight or obese.2
Proposed Solution
❖ Overall A LIST OF THE DIFFERENT SOLUTIONS MAYBE 3. MAX
MAKE the Community health goal is to see a decline in the
prevalence of type 2 diabetes within the North Shore. In addition, a
decline of obesity among these individuals. With the contributes with a
healthy lifestyles, as well as greater knowledge giving to the
community will support our goal within these efforts.
❖ Some examples of how we plan on doing this is:
❖ The Dexcom application tracks glucose levels 24 hours a day and
is a very helpful and innovative application that engages individuals
with the disease to maintain and control their health.
❖ In order to decrease diabetes mellitus in this neighborhood our
proposed solution includes several components to aid in the
improvement of the health of this community for years to come.
❖ This would improve health in the community and studies have
shown that some continuous glucose monitoring systems may
help reduce A1C1,2levels and reduce the risk for hypoglycemia and
hyperglycemia.4
❖ As seen in the North Shore of Staten Island research show’s that
diabetes has a higher prevalence in this community due to the lower
economic standards.1
Community Assessment and
Analysis
❖ Staten Island as a whole is ranked to be the least populous borough of
New York City, whereas within the city’s 59 districts the North Shore
portion of the island is ranked fourteenth highest population.1
❖ Within the North Shore, a 30.4% Latino race/ethnicity is present as in
comparison to 18.3 % demographic within Staten Island as a whole.1
❖ Access to healthcare is impacted by several factors including health
insurance coverage and provider availability where North Shore
residents have higher uninsured rates between 8.8% to 13.5% when
compared to Staten Island overall’s health insurance rates.3
❖ Our innovative health program consists of an exercise program to
maintain a healthier lifestyle and decrease the risk of type 2
diabetes. Our slogan is “DON'T SUGAR COAT IT, YOU’RE
SWEET ENOUGH”
❖ As analyzed, it is safe to say Hispanic experience a higher burden and
mortality from diabetes than other ethnic groups.
❖ The North Shore residents contain a 44.2% Hispanic origin whereas
Staten Island is at 46.8%.1
❖ Another proposal is to incorporate community board meetings that
will allow the North Shore community to receive information
regarding diabetes.
❖ When income is low and resources limited, residents of those affected
may be compromising their health.
❖ Food pantries seen in lower income neighborhoods “have low
inventories of key food groups such as fruits, vegetables, and dairy
products. Since these individuals have limited options available for
their food choices, this may increase the prevalence of choosing an
unhealthy food option. As a result, this can cause a risk factor for type
2 diabetes mellitus as well as a risk factor for other health issues.1
❖
DEXCOM APPLICATION
❖
Within this application individuals are able to connect a small device
to any subcutaneous areas of the body which transmits blood glucose
readings back to the app on your phone via blue tooth.4
❖ You’ll be able to view your data in easy-to-read graphs, view trends,
statistics and day-by-day data, and even email them to your healthcare
professional right from the Dexcom webpage.4
❖ With their being several hospitals on Staten Island, the North Shores
main resource they have available for them is Richmond University
Medical Center which is in West Brighton. Access to primary care
services can improve chronic disease prevention and management
efforts.
❖ This device is eligible for diabetes age 2 and older. A prescription is
needed to obtain a meter. 4
❖ Physical exercise can increase energy and help us for the future with
everyday life. Studies show that exercise can improve an individual's
health status and reduce numerous of diseases.1
❖ One major resource in the North Shore community is transportation
accessibility. Household income levels have an affect on vehicle
accessibility, which then leads to certain differences in a commuting
method.
❖ According to NYC health, “For every one supermarket in St George
and Stapleton, there are 28 Bodegas, bodegas are less likely to have
healthy food options than supermarkets” The residents in the North
Shore are more likely to buy food at a bodega, rather than to go to a
supermarket because of the unequal ratio.
This being another major factor contributing to
the prevalence of diabetes within the North
shore. 1
❖ Many insurance cover the Dexcom meter along with the doctor
prescriptions making it easily available. 4
❖ DON’T SUGAR COAT IT , YOU’RE SWEET ENOUGH
❖ Our innovative health program consists of an exercise
program to maintain a healthier lifestyle and decrease
the risk of type 2 diabetes.
❖ We would aim to help start an after-school exercise
program available to individuals who want to maintain
their weight and the prevention of diabetes.
❖ The exercise program consists of a Zumba, Yoga
classes in which individuals can dance to burn calories
and maintain a healthy weight and glucose level and
normal A1c level.
❖ COMMUNITY HEALTH MEETINGS
❖ In these community board meetings we aim on having
insurance companies fund these meetings and doing
various activates to help prevent and promote diabetes.
❖ Members would be able to discuss health concerns,
ways to prevent diabetes or if they already have
diabetes, ways to improve it and maintain a normal
A1C level to prevent other health issues.
❖ One activity that can be held during this meeting is
nutritional information can be provided along with
cooking classes to help individuals acknowledge what
to eat in order to maintain a healthy diet and their
diabetic regimen.
References:
1, Mehrota A, Kimiagar B, Drobnjack M, Halkitis S, Bierman
M. The north shore of Staten Island: community driven
solutions to improve child and family well-being. Citizens
Committee of Children of New York [Internet]. New York:
Citizens’ Committee for Children of New York; 2018 Sept
[Cited 2019 Oct]. Available from:
https://www.cccnewyork.org/wp-content/uploads/2018/09/Nort
h-Shore-Report.pdf Level 5, Secondary Source.
2.Libman K, & Abbate A. Staten Island child wellness
initiative: common agenda. Staten Island Partnership for
Community Wellness; 2017 Mar [Cited 2019 Oct]. Available
from:
http://sipcw.org/wp-content/uploads/2017/10/Staten-Island-Bl
ueprint-Final-R2-1.pdf Level 5, Primary Source.
❖ Regarding health insurance, the uninsured cohort has the highest
percentage of Latinos (81 percent) and the highest baseline A1c (9.4) .
A1c is the lab value associated with diabetes and the glucose levels
ranging from the lowest 4 and the highest 14. The higher your A1c the
more at risk for diabetes related issues to come about. 1
❖ When income is low and resources limited, residents of those affected
may be compromising their health. If the individual is not able to afford
the resources to track as well as control their disease in efforts of
medical supplies as well as diet, it will affect their long-term health
overall
3. Richmond University Medical Center. Richmond university
medical center final chna report 2016. Richmond University
Medical Center, 2016 Dec [Cited 2019 Oct]. Available from:
http://rumcsi.org/Uploads/Public/Documents/FinalCSP.pdf
Level 5, Secondary Source.
4. Dexcom. Dexcom Continous glucose Monitoring [Internet].
San Diego, California: Dexcom; N/A [cited 2019 Dec].
Available from; https://www.dexcom.com
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Senior Presentations Archive
Description
An account of the resource
This archive contains materials from Wagner’s annual ‘Senior Presentations.’ This event honors outstanding students from each discipline who completed their Senior Learning Community project with excellence. The work is representative of Wagner’s highest standards, and is exemplary of the diversity of subject matter, public-facing scholarship, and civic-minded professionalism our students have attained through their four years here. These students were specially invited to present their work in a formal setting, traditionally the day of Baccalaureate. Students are encouraged to present their work in a format appropriate for their discipline, and so, the presentations vary in their format. Some might be in the form of a short video, or paper abstracts, while others might be posters or music clips. We expect this archive to serve as a resource for generations to come. Congratulations to our Seniors!
Date
A point or period of time associated with an event in the lifecycle of the resource
2017 -
Rights Holder
A person or organization owning or managing rights over the resource.
Wagner College, Staten Island, NY
Document
A resource containing textual data. Note that facsimiles or images of texts are still of the genre text.
Date Digital
2020
Original Format
If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data
Poster
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Identifier
An unambiguous reference to the resource within a given context
2020-nursing- Bove Johnson Martin
Creator
An entity primarily responsible for making the resource
Bove, Brianna<br />Johnson, Stephanie<br />Martin, Sabrina
Date
A point or period of time associated with an event in the lifecycle of the resource
5/1/2020
Title
A name given to the resource
The Relationship Between Diabetes and the North Shore Community of Staten Island
Contributor
An entity responsible for making contributions to the resource
Evelyn L. Spiro School of Nursing
Type
The nature or genre of the resource
text
Format
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Social Media Impact on Adolescents Mental Health
in Staten Island
Alexandra Bosco WC-SN, Gabrielle Marco WC-SN, and Victoria Sangiorg WC-SN
Wagner College, Evelyn L. Spiro School of Nursing
Introduction
NATIONAL SUICIDE PREVENTION LIFELINE - 1800- 273- 8255
●
Adolescents spend a significant amount of time online and typically
1. Primary Prevention:
○
We will be doing health promotion by going to different schools on Staten Island and give an assembly on the acronym O-N-L-I-N-E which will
Twitter is positively associated with mental health problems such as
○
The school nurses will use The Columbia Suicide Severity Rating Scale (C‐SSRS) as a screening tool. It measures to identify and assess individuals
●
measures four constructs: the severity of ideation, the intensity of ideation, behavior and lethality. It includes “stem questions,” which if
endorsed, prompt additional follow‐up questions to obtain more information.
year-olds. 2
Dr. Aruna Agni, a child psychiatrist and medical director of the Staten
Island Mental Health Division of Richmond University Medical Center
The school nurse will refer to a social worker and help set arrangements for the adolescents to receive the appropriate treatment to receive the
The consequences of not addressing adolescent mental health conditions
extend to adulthood, impairing both physical and mental health and limiting
opportunities to lead fulfilling lives as adults. 7
●
3. Tertiary Prevention:
○
“College/university students who report being cyberbullied are more likely to
experience depression and generalized anxiety compared to their peer.” 8
at risk for suicide. Questions are phrased for use in an interview format, but can be completed as a self‐report measure if necessary. The C‐SSRS
Depression and other mental health disorders are major risk factors
Mental health conditions account for 16% of the global burden of disease and
injury in people aged 10–19 years. 7
2. Secondary Prevention:
for suicide and suicide is the second leading cause of death for 15 to 24
●
●
●
stress, anxiety, depression, and social phobia.
●
subsequent development of the classic symptoms of depression.” 6
encourage the students to take part in healthy habits with social media and one another.
day. 1
Prolonged use of social media such as Instagram, Facebook and/or
“The concept of ‘Facebook depression’ was first developed in 2011 and is defined
as depression that begins with an extreme amount of social media usage and
communicate via text messaging and social media multiple times per
●
●
Studies have shown that social media harms adolescents' mental
health which has a significant effect on Staten Island.
●
Problem in the Community
Proposed Solution
As for mental illnesses, it is increasing more in Staten Island, Community District
1 inpatient psychiatric units are the highest among the city .5
●
best care possible. Options such as mental health treatment and the reassignment of schooling will be available.
High psychiatric hospitalization rates likely reflect the challenged residents in
under-resourced neighborhoods, including difficulty accessing preventive
stated, “texting and posting also allow kids and adolescents to be
services and early care, greater exposure to stressors and interruptions in health
unkind without being face-to-face. All these things can lead to
insurance coverage. 5
depression, a lot of bullying goes on on social media. Bullying leads to
depression.” 3
Community Assessment and Analysis
References
1.
Byrne E, Vessey JA, Pfeifer L. Cyberbullying and Social Media: Information and
Interventions for School Nurses Working With Victims, Students, and Families. The Journal
●
Tumarkin and Bowles, stated that “the share of white non-Hispanic
residents has fallen from 80 percent in 1990 to 68 percent in 2010,
of School Nursing. 2017 May; 34(1):38–50
2.
Suicide Awareness Voices of Education (SAVE) Suicide statistics and facts. [Internet].
while the share of residents who are Black, Hispanic and Asian has
increased.” 4
●
save.2020 [cited 2020Mar9]. Available from: from
https://save.org/about-suicide/suicide-facts/
In Staten Island, 25 percent are obese, 8 percent have diabetes, and 25
3.
Barron AM. Teen social media obsession brings health risks, docs warn [Internet]. silive.
2019 [cited 2020Mar9]. Available from:
percent have hypertension. ,NYC gov “that adults and children have at
https://www.silive.com/news//10/teen-social-media-obsession-brings-health-risks-docs-wa
least 150 minutes of exercise a day. Physically active people are more
likely to have healthier lives and live longer,” exercising boosts energy
rn.htl
4.
Tumarkin L, Bowles J. Staten Island: Then and now. [Internet] [cited 2020Mar9] Available
from: https://nycfuture.org/research/staten-island-then-and-now
and helps decrease a person’s risk for developing certain diseases. 5
5.
New York City Community Health Profiles [Internet]. Community Health Profiles NYC Health. [cited 2020Mar9]. Available from:
https://www1.nyc.gov/site/doh/data/data-publications/profiles.page#si
6.
Guinta, MR, John, RM . Social media and adolescent health. Pediatric Nursing. 2019; 44(4),
196–201.
7.
Adolescent mental health [Internet]. World Health Organization. World Health
Organization; [cited 2020Mar9]. Available from:
https://www.who.int/news-room/fact-sheets/detail/adolescent-mental-health
8.
Mishna F, Regehr C,Lacombe-Duncan, A, Daciuk, J, Fearing, G, Van Wert, M. Social media,
cyber-aggression and student mental health on a university campus. Journal of Mental
Health. 2018; 27(3), 222–229.
�
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Senior Presentations Archive
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This archive contains materials from Wagner’s annual ‘Senior Presentations.’ This event honors outstanding students from each discipline who completed their Senior Learning Community project with excellence. The work is representative of Wagner’s highest standards, and is exemplary of the diversity of subject matter, public-facing scholarship, and civic-minded professionalism our students have attained through their four years here. These students were specially invited to present their work in a formal setting, traditionally the day of Baccalaureate. Students are encouraged to present their work in a format appropriate for their discipline, and so, the presentations vary in their format. Some might be in the form of a short video, or paper abstracts, while others might be posters or music clips. We expect this archive to serve as a resource for generations to come. Congratulations to our Seniors!
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2020-nursing-Bosco Marco Sangiorg
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Bosco, Alexandra<br />Marco, Gabrielle<br />Sangiorg, Victoria
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5/1/2020
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Social Media Impact on Adolescents Mental Health in Staten Island
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Evelyn L. Spiro School of Nursing
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67637fe01acadb1d745a8050b733e456
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The Prevalence of Eating Disorders and Negative Body
Image in NCAA Student Athletes
Makenna DePuydt WC-SN, Lauren Emerson WC-SN, and Jenna D’Allegro WC-SN
Wagner College, Evelyn L. Spiro School of Nursing
Introduction
Problem in the Community
❖ As competition in college athletics rises throughout the
NCAA, so does the pressure on student athletes.
❖ Consequently, the prevalence of eating disorders and
negative body image in the NCAA has increased as well.
❖ Eating disorders are life- threatening psychiatric conditions
with high mortality rates,
❖ According to studies, NCAA athletes have a higher rate of
clinical and subclinical eating disorders compared to nonathletic students in the United States.
❖ This elevated percentage of eating disorders in the NCAA
can be decreased through a multitude of interventions.
Community Assessment and Analysis
❖ Today, there are a total of 10,586 women’s teams and
9,159 men’s teams competing in the NCAA.
❖ It is not uncommon for members of the NCAA to struggle
with their mental and physical well being.
❖ 30% of 195,000 respondents to an American College
Health Association survey reported having felt depressed
within the last 12 months, and 50% reported feeling
anxious within the same period of time 1.
❖ These two mental illnesses compromise daily performance,
and are highly correlated with other behaviors, such as
eating disorders.
The figure below illustrates the fact that eating disorders are
more prevalent in NCAA student athletes compared to the
population of the United States 2,3.
Population
Percentage of Eating
Disorders
United States (young adults)
14.3%
NCAA student athletes
49.2%
❖ Clinical eating disorders such as anorexia nervosa, bulimia, and binge eating disorders
are a result of body dissatisfaction and a myriad of social pressures.
❖ Eating disorders exist in young adults throughout the United States, however are
especially apparent amongst NCAA student athletes.
Eating disorders are biopsychosocial illnesses that are associated with multiple health
complications. Eating disorders and negative body image are categories of mental illness,
however they also have numerous consequential effects on an individual. Mentally, eating
disorders are linked to depression, poor self esteem, and other emotional illnesses. Patients
with eating disorders also often have suicidal ideation.
❖ In a sample of 198 female patients with eating disorders, 43% of them met the criteria for
clinical depression4.
The adverse physical effects of eating disorders include, but are not limited to the following:
•
•
•
•
•
•
extreme weight loss or weight gain
electrolyte imbalances
impaired cardiac, cerebral, GI, and endocrine function
poor oral health
renal failure
refeeding syndrome
❖ Negative body image and eating disorders have high rates among NCAA student athletes
for various reasons, but the most influential is the intense pressures placed upon athletes.
Research on male and female athletes has confirmed that sociocultural pressures do
significantly contribute to the development of body dissatisfaction, dietary restraint, and
eating pathology5.
References
1) Davoren, Ann K., and Seunghyun Hwang. “Mind, Body and Sport: Depression and anxiety prevalence
in student-athletes.” NCAA> Last modified October 8, 2014 http://www.ncaa.org/sport-science
-institute/mind-body-and-sport-depression-and-anxiety-prevalence-student-athletes.
2) Mental Health and Mental Disorders. (2019, November 13). In Healthy People 2020. Retrieved from
http://www.healthypeople.gov/2020/topics-objectives/topic/mental-health-and-mentaldisorders/objectives
3) Kato, K., Jevas, S., & Culpepper, D. (2011). Body Image Disturbances in NCAA Division I and III Female
Athletes. Sport Journal, 14 (1), 1.
4) Kennedy, S. H., Kaplan, A.S., Garfinkel, P.E., Rockert, W., Toner, B., & Abbey, S.E. (1994). Depression in
anorexia nervosa: Discriminating depressive symptoms and episodes. Journal of Psychosomatic
Researc.h, 38 (7), 773-782.
5) Greene, C.A. (2017). College athlete’s reflective judgement: A moderator between sport and
sociocultural pressures, body ideal internalization, and body dissatisfaction. Dissertatio
Abstracts International Section A: Humanities and Social Sciences. ProQuest Information &
Learning
Proposed Solution
• Three levels of nursing interventions to consider as solutions:
Primary, Secondary, Tertiary
• Promote health through education
• Require mental health training programs for coaches
and trainers to become familiar with the signs and
symptoms of eating disorders
• Present an educational course that promotes mental
health awareness, where student athletes are required
to take this course at the start of each year.
• Provide screening surveys pre-season and in-season to every
individual who participates on a sports team
• Two surveys are to be completed to compare how
their habits may or may not change when in the peak
of their training
• Design rehabilitation programs altered to the individual’s specific
needs
• On campus sport psychiatrist partnered with
nutritionist to prepare a detailed individual plan
containing a brand new diet and mental health
services with weekly therapy sessions.
Below is a graph that explains the different categories that
effect student athletes pertaining to eating disorders. By
promoting this issue, these effecting factors can be addressed
and the prevalence of eating disorders in NCAA student
athletes.
�
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Senior Presentations Archive
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This archive contains materials from Wagner’s annual ‘Senior Presentations.’ This event honors outstanding students from each discipline who completed their Senior Learning Community project with excellence. The work is representative of Wagner’s highest standards, and is exemplary of the diversity of subject matter, public-facing scholarship, and civic-minded professionalism our students have attained through their four years here. These students were specially invited to present their work in a formal setting, traditionally the day of Baccalaureate. Students are encouraged to present their work in a format appropriate for their discipline, and so, the presentations vary in their format. Some might be in the form of a short video, or paper abstracts, while others might be posters or music clips. We expect this archive to serve as a resource for generations to come. Congratulations to our Seniors!
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Depuydt, Makenna<br />Emerson, Laren<br />D'Allegro, Jenna
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The Prevalence of Eating Disorders and Negative Body Image in NCAA Students Athletes
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Evelyn L. Spiro School of Nursing
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Description
An account of the resource
This archive contains materials from Wagner’s annual ‘Senior Presentations.’ This event honors outstanding students from each discipline who completed their Senior Learning Community project with excellence. The work is representative of Wagner’s highest standards, and is exemplary of the diversity of subject matter, public-facing scholarship, and civic-minded professionalism our students have attained through their four years here. These students were specially invited to present their work in a formal setting, traditionally the day of Baccalaureate. Students are encouraged to present their work in a format appropriate for their discipline, and so, the presentations vary in their format. Some might be in the form of a short video, or paper abstracts, while others might be posters or music clips. We expect this archive to serve as a resource for generations to come. Congratulations to our Seniors!
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Improving Mental Health Resources in Staten Island For Young Adult Oncology Patients
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Evelyn L. Spiro School of Nursing
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“We must RE-ENVISION postpartum care for
women as an on-going process rather than a few
single-encounters”
• The purpose of this proposal is to discuss the rise of
maternal mortality of minority women in New York City.
The target population is minority women because of
the lack of resources and education
• The research question is, how is maternal mortality
prevented within minority women?
ENHANCE EDUCATION
• Create a shift in focus by
fostering individualized,
woman-centered care.
• Use resources to support
women of diverse
backgrounds.
• Routine racial bias training to
end unconscious bias.
1.
2.
3.
4.
5.
6.
7.
DIVERSIFY
HEALTHCARE
PROVIDERS
• Create a diverse board of
healthcare professionals to
establish a set standard.
• Educate clients on
potentially fatal
complications such as
maternal hemorrhage and
embolism.
• The lack of proper health care among minority women is the primary
reason why the maternal mortality rate in the United States is higher
compared to other countries around the world.
• Studies have shown that women of minority are less likely to be offered
proper medical services and treatment.
• In 2012, an analysis of 20 years of published research in the United States
found that African American patients reporting pain were 22% less likely
than white patients to get pain medication from their doctors.5
• According to the Center for Disease Control3 black women are 12 times
more likely to die during pregnancy and childbirth than white women,
and are three times more likely to suffer from life threatening
complications.
• Better serve the high volume
of minority women in NYC.
• Offer a variety of health
services.
• Improve connections between
patients and providers.
ESTABLISH
STANDARDIZED
GUIDELINES
▪ New York City is known to be one of the most diverse cities
in the United States, ranking fourth in the country based on
7
2010 census data.
▪ Poverty and unemployment are an issue for the community
of New York. In recent years, the number of affordable rental
apartments in New York City has declined and more
households are devoting at least 30 percent of their income
toward rent.
▪ Individuals living below the federal poverty level is 21% and
2
unemployment is 11%.
▪ Of the people who live in the community of New York, 15%
are current smokers, 27% of adults report drinking one or
more 12 ounce sugar beverages, 77% of adults report not
getting any physical activity in the last 30 days, 24% of
adults who are obese, 10% report having diabetes, 907 of
2
drug-related hospitalizations per 100,000 adults.
▪ New York legislation has been created in efforts to combat
the disparity in social classes, more specifically housing
which is directly correlated with health.
▪ It is reported that 20% of adults report not having health
insurance and 7.4% receiving late prenatal care or no
prenatal care.
▪ Currently the community is not handling the problem well.
INCREASE MATERNAL
HEALTH SERVICES
• Provide leadership
opportunities for women of
all backgrounds.
• Create scholarships and
educational opportunities to
under-represented
individuals who meet
scholastic criteria.
Census.gov. (n.d.). (2019) Retrieved from https://census.gov/
Dragan KL, King L, Hinterland K, Gwynn RC. (2015). Community health profiles atlas 2015. Retrieved
from https://www1.nyc.gov/assets/doh/downloads/pdf/data/2015_CHP_Atlas.pdf
Harper, M., Dugan, E., Espeland, M., Martinez -Borges, A., & Mcquellon, C. (2007). Why
African-American women are at greater risk for pregnancy-related death. Annals of Epidemiology, 17(3),
180-185. Retrieved from https://www.sciencedirect.com/science/article
New York State Taskforce. (2019). Maternal mortality and disparate racial outcomes . Retrieved from
https://www.governor.ny.gov/sites/governor.ny.gov/files
New York City Department of Health. (2016). Health department releases report on severe maternal
morbidity. Retrieved from https://www1.nyc.gov/site/doh
Novello, A. N., & King, Jeffrey. (2004). Health Advisory: Prevention of Maternal Deaths Through Improved
Management of Hemorrhage. Retrieved from
https://www.health.ny.gov/professionals/protocols_and_guidelines/maternal_hemorrhage/docs/health_advis
ory_update.pdf .
Schonfeld, R. C., & Sweeney, L. (2016). Diversity in the New York City Department of Cultural Affairs
Community. https://doi.org/10.18665/sr.276381
�
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This archive contains materials from Wagner’s annual ‘Senior Presentations.’ This event honors outstanding students from each discipline who completed their Senior Learning Community project with excellence. The work is representative of Wagner’s highest standards, and is exemplary of the diversity of subject matter, public-facing scholarship, and civic-minded professionalism our students have attained through their four years here. These students were specially invited to present their work in a formal setting, traditionally the day of Baccalaureate. Students are encouraged to present their work in a format appropriate for their discipline, and so, the presentations vary in their format. Some might be in the form of a short video, or paper abstracts, while others might be posters or music clips. We expect this archive to serve as a resource for generations to come. Congratulations to our Seniors!
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2020-nursing-Dukanovic Sinanovic Stolecki
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Dukanovic, Amara<br />Sinanovic, Sabrina<br />Stolecki, Anastazia
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A Grave Injustice The Rise of Maternal Mortality Among Minority Women in New York City
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Evelyn L. Spiro School of Nursing
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Educating Healthcare Employees Can Decrease the Amount of Health
Disparities Transgender Patients Experience in NYC
Kleo Phytides and Natalie Calcasola
Evelyn L. Spiro School of Nursing
Wagner College
Introduction
• It is important for healthcare workers to become more aware
and to get to know their transgender patients better in order to
provide the best care possible and to avoid medical
discrimination.
• Many healthcare workers lack the knowledge of a transgender
client’s specific health needs, which in turn can lead to providing
poor care.
• Transgender patients in NYC face challenges everyday and
discrimination is one of them.
Community Assessment & Analysis
● According to the 2010 Census, there are 8,175,113 people living
within the New York City area. (16)
● About 3,882,544 of the total population identifies as male and
about 4,292,589 of the total population identifies as female. (16)
● From an economic standpoint, about 20 percent of New Yorkers
live in poverty. (11)
● Obesity is one health problem that is seen among residents in
New York City. About 24 percent of the population is obese.
● About 28 percent of the community population is diagnosed
with hypertension. (16)
● Eleven percent of residents have been diagnosed with Diabetes
in 2018 and about 25 percent of NYC residents have
hypercholesterolemia. (16)
● Twelve percent of adults living in NYC do not have health
insurance. (16)
● There are resources out there to help transgender patients find
the care they need. According to NYC Health, there is a list of
clinics in the city that work with trans adults and youth. Some of
these clinics contain sexual health care, hormone therapy,
HIV/STD testing, primary care, emergency post-exposure
prophylaxis (PEP), support groups, mental health, and even
surgical care. (11)
Problems in the Community
Solution
● A problem for transgender people in New York City is
the accessibility to a health care provider who is
knowledgeable about their specific needs and is
transgender-friendly.
● All healthcare workers in NYC should be sufficiently trained on how
to care for everyone, especially members of the LGBTQ+
population.
● Education for the proper treatment and care of transgender
populations should be included in hospital orientations upon
hiring.
● Many health care workers may not feel equipped to care for this
population and may neglect certain aspects of care.
“28% reported having to teach
their health care provider about
transgender health issues in the
past year” (14)
● Barriers to care for this population in New York City
also include cost of care and poor access to specialists.
● The community provides resources, such as cultural
competency education for health care providers. These
programs will help providers increase their knowledge
regarding transgender health care needs and will
encourage transgenders to seek their help.
● “1.4 million Americans identify as transgender and the
majority of them struggle to find doctors or insurance
policies that are supportive of transgender health
needs.” (5)
● In the United States, the National Center of
Transgender Equality released a survey in 2016
measuring the changes within the last five years. This
survey illuminated that “⅓ of those who saw a health
care provider in the past year, reported having at least
one negative experience related to being transgender.”
(5)
● Some procedures that facilitate the care of
transgender people, like gender confirming surgery or
hormone therapy, are not covered by insurance
companies.
● The main problem that is faced within this population
is the lack of education from the healthcare providers
on how to care for a transgender patient. A survey by
Lambda Legal reveals that “70% of transgender
respondents experienced serious discrimination and
73% believed they would be treated differently by
medical personnel because of their lesbian, gay,
bisexual, transgender, queer (LGBTQ) status.” (8)
● It would be beneficial to this population if healthcare
workers attended a seminar that educated them on
how to be culturally sensitive to this group.
● A solution would be to include competency seminars regarding
transgenders in hospital orientations in the New York City area for
all new employees. This seminar would include how to properly
greet and interact with the patient. This education will improve
care and comfort between the provider and their transgender
patient.
● This program should include a questionnaire dedicated to
transgender people. Questions that should be asked should
present how that patient feels when receiving care or what they
think would help make them feel more comfortable.
● The ultimate goal within NYC healthcare settings, there should be
an increase in patient satisfaction about the care that’s received.
This could be done by simply asking the patient to answer a
questionnaire about their visit.
Acknowledgements
1.
American Medical Student Association. (2019). Transgender Health. Retrieved from https://www.amsa.org/advocacy/action-committees/gender-sexuality/transgender-health/. Level V
2.
City Information, Services and Programs. (n.d.). Retrieved from https://a816-healthpsi.nyc.gov/epiquery/NYCHANES/index.html. Level V
3.
Data Access and Dissemination Systems (DADS). (2010, October 5). American FactFinder - Results. Retrieved from
https://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?src=CF. Level IV
1.
Fenway Health. (2019). USA Today Article Spotlights Transgender Health Discrepancies, Fenway’s Trans Health Program. Retrieved from
https://fenwayhealth.org/usa-today-article-spotlights-transgender-health-discrepancies-fenways-trans-health-program/. Level V
1.
Flores, A., Herman, J., Gates, G., Brown, T. (2016). How many adults identify as transgender in the United States. The Williams Institute. DOI:10.1111/jomf.12424. Level III
2.
Heydari, A., Khorashadizadeh, F. (2014). Pender’s health promotion model in research. Journal of Pakistan Medical Association, 64(9), 1067-74. Retrieved from
http://search.ebscohost.com/login.aspx?direct=true&db=cmedm&AN=25823190&site=ehost-live&scope=site. Level V
1.
James, S. E., Herman, J. L., Rankin, S., Keisling, M., Mottet, L., & Anafi, M. (2016). The Report of the 2015 U.S. Transgender Survey. Washington, DC: National Center for Transgender
Equality. Retrieved from https://www.transequality.org/sites/default/files/docs/USTS-Full-Report-FINAL.PDF. Level V
2.
Lambda Legal. (2014). Lambda Legal’s survey on discrimination against LGBT people and people living with HIV. When Health Care Isn’t Caring. Retrieved from
https://www.lambdalegal.org/sites/default/files/publications/downloads/whcic-report_wheN-health-care-isnt-caring.pdf. Level V
1.
Logie, C., Dias, L., Jenkinson, J., Newman, P., Mackenzie, R., Mothopeng, T., Madau, V., Ranotsi, A., Nhlengethwa, W., Baral, S. (2019). Exploring the potential of participatory
theatre to reduce stigma and promote health equity for lesbian, gay, bisexual, and transgender (LGBT) people in Swaziland and Lesotho. Health Education and Behavior, 46(1), 146-156.
DOI:10.1177/1090198118760682 journals.sagepub.com/home/heb. Level III
1.
National Center for Transgender Equality. (2019). U.S. transgender survey. Issues. Retrieved from https://transequality.org/issues/us-trans-survey. Level IV
2.
NYC. (2019). Resources for transgender and gender nonconforming people. NYC Health. Retrieved from https://www1.nyc.gov/site/doh/health/health-topics/transgender-resources.page. Level V
3.
Purdue Online Writing Lab. (n.d.). General Format. Retrieved from https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/general_format.html.
4.
Radix, A., Lelutiu-Weinberger, C., Gamarel, K. (2014). Satisfaction and healthcare utilization of transgender and gender non-conforming individuals in NYC: a community-based participatory
study. LGBT Health, 1(4). https://doi.org/10.1089/lgbt.2013.0042. Level III
5.
Reisner, S., White, J., Dunham, E., Heflin, K., Begenyi, J., Cahill, S. (2014). Discrimination and health in Massachusetts: a statewide survey of transgender non-conforming adults. Fenway
Health. Retrieved from fenwayfocus.org/2014/07/the-fenway-institute-mtpc-release-project-voice-report-on-transGender-discrimination-in-public-accommodations. Level V
6.
Sanchez NF, Sanchez JP, & Danoff A. (2009). Health care utilization, barriers to care, and hormone usage among male-to-female transgender persons in New York City. American
Journal of Public Health, 99(4), 713–719. https://doi.org/10.2105/AJPH.2007.13203. Level III
1.
U.S. Census Bureau QuickFacts: New York City, New York. (n.d.). Retrieved from https://www.census.gov/quickfacts/fact/table/newyorkcitynewyork/PST120218. Level IV
�
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Title
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Senior Presentations Archive
Description
An account of the resource
This archive contains materials from Wagner’s annual ‘Senior Presentations.’ This event honors outstanding students from each discipline who completed their Senior Learning Community project with excellence. The work is representative of Wagner’s highest standards, and is exemplary of the diversity of subject matter, public-facing scholarship, and civic-minded professionalism our students have attained through their four years here. These students were specially invited to present their work in a formal setting, traditionally the day of Baccalaureate. Students are encouraged to present their work in a format appropriate for their discipline, and so, the presentations vary in their format. Some might be in the form of a short video, or paper abstracts, while others might be posters or music clips. We expect this archive to serve as a resource for generations to come. Congratulations to our Seniors!
Date
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2017 -
Rights Holder
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Wagner College, Staten Island, NY
Document
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2020
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2020-nursing-Phytides Calcasola
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Phytides, Kleo<br />Calcasola, Natalie
Date
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5/1/2020
Title
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Educating Healthcare Empolyees Can Decrease the Amount of Health Disparites Transgender Patients Eperince in NYC
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Evelyn L. Spiro School of Nursing
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text
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application/pdf
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1 page
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eng
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U.S. and international copyright laws may protect this work. It is provided by Wagner College for scholarly or research purposes only. Commercial use or distribution is not permitted without prior permission of the copyright holder.
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Wagner College, Staten Island, NY
Nursing
-
https://d1y502jg6fpugt.cloudfront.net/1909/archive/files/9738b5965571c84f4e08de7dba8a41a4.pdf?Expires=1712793600&Signature=attt2X%7Ed54QmaJV3kLtCknKOsBRZbnBPt0PHvV9AJsxaN%7Ea2v-IBESkynzw%7EcklMoca1MA5Ah3Cs52PWtN63PJgxYRupTbg6gWlQRgnp2n5FGT0EJr-hP9Viwvt5nKf0bDzx6v7lA3we7mbWC9leRVn31dJYV2VhgtT%7E1WebyDst6Vturkw2Z89pIBdN7gXr9JCXN-3ufbWUWN4Wjd%7E4pXvSmXQq%7ERi1EBVsEsMoIc0FLRsAzH6TfKVpPET3qrL7tyh%7Ea3%7Ew568zV713d%7EPfUds%7ERFFezm49SleZVysReXYFXzOyqUK%7E8iG4mJ2aq0dbIfo8qJG8Ofd%7E8MQpn8B0Pw__&Key-Pair-Id=K6UGZS9ZTDSZM
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•
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C- Call
O- Observe
P- Protect
S- Safety
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Title
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Senior Presentations Archive
Description
An account of the resource
This archive contains materials from Wagner’s annual ‘Senior Presentations.’ This event honors outstanding students from each discipline who completed their Senior Learning Community project with excellence. The work is representative of Wagner’s highest standards, and is exemplary of the diversity of subject matter, public-facing scholarship, and civic-minded professionalism our students have attained through their four years here. These students were specially invited to present their work in a formal setting, traditionally the day of Baccalaureate. Students are encouraged to present their work in a format appropriate for their discipline, and so, the presentations vary in their format. Some might be in the form of a short video, or paper abstracts, while others might be posters or music clips. We expect this archive to serve as a resource for generations to come. Congratulations to our Seniors!
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2017 -
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Wagner College, Staten Island, NY
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Alvarado, Ariana<br />Roberts, Taylor<br />Sozio, Brianne
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The Epidemic of Depression and Suicide Among the NYPD
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Evelyn L. Spiro School of Nursing
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eng
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Wagner College, Staten Island, NY
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�
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The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Senior Presentations Archive
Description
An account of the resource
This archive contains materials from Wagner’s annual ‘Senior Presentations.’ This event honors outstanding students from each discipline who completed their Senior Learning Community project with excellence. The work is representative of Wagner’s highest standards, and is exemplary of the diversity of subject matter, public-facing scholarship, and civic-minded professionalism our students have attained through their four years here. These students were specially invited to present their work in a formal setting, traditionally the day of Baccalaureate. Students are encouraged to present their work in a format appropriate for their discipline, and so, the presentations vary in their format. Some might be in the form of a short video, or paper abstracts, while others might be posters or music clips. We expect this archive to serve as a resource for generations to come. Congratulations to our Seniors!
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2017 -
Rights Holder
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Wagner College, Staten Island, NY
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Date Digital
2020
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2020-nursing-Marceante Shaorshadze Volodarsky
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Marceante, Giavanna<br />Shaorshadze, Tinatin<br />Volodarsky, Ariana
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5/1/2020
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I am a donor A proposal to Increase Organ Donation rates in New York City
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Evelyn L. Spiro School of Nursing
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text
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1 page
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eng
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Wagner College, Staten Island, NY
Nursing
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Taking Strides to Decrease Depression in Adolescents in The South Bronx With
Intramural Sports
Kimberly Fetto WC-NS, Ashley LaGrange WC-NS, Courtney Hughes WC-NS
Evelyn L. Spiro School of Nursing, Wagner College
INTRODUCTION
• Adolescent depression is a widespread problem that can easily go unrecognized.
• Without resources in communities, children may begin to struggle with their mental
health, leaving them at risk of declining and having mental disorders go undiagnosed.
• Undiagnosed depression puts adolescents at risk for future health problems and even
worse, this can lead to suicide.
• The community we focused on is the Bronx, N.Y. Currently, data shows that the
Bronx has the highest rate of depression in the adolescent population, ranging from
ages ten to nineteen years old.
• Evidence has shown some of the reasons contributing to depression is the low
economic status of the Bronx which leads to a lack of resources and undiagnosed
depression [5].
• Our proposed program encourages exercise and sports participation as a solution to
decrease depression in adolescence.
PROBLEM WITHIN THE COMMUNITY
the adolescent population. In order to make a difference and improve the overall well-being,
• ‘Mental health services in low-middle income countries face many challenges such as
it is vital to incorporate physical activities into our everyday routine. With the use of the
culture based resistance to mental health, financial and human resource limitations, and
happy and healthy program, this will result in elevated self-esteem, improved social skills,
lack of robust health care delivery systems’” [1]
and most importantly better mental health. It is important to prevent further mental health
• This relates to the poor community of the Bronx, which could explain why they have
damage and suicide by addressing depression in adolescents early. Although there are
the highest depression rate in adolescents of New York City.
economic boundaries in the Bronx, this should not stop adolescents from making
• The low-middle income areas, such as the South Bronx, put adolescents at a great risk
interpersonal relationships within free sports teams and physical activity. The Bronx should
for not being able to seek or attain mental health, letting depression increasingly
take into consideration that the lack of resources has a negative impact on the community,
become worse.
but it is never too late to improve the overall mental health.
• Low income areas have the option of discontinuing sports programs in schools due to
their insufficient funds for these programs.
• Funding for afterschool programs was cut in 2012, causing anger and anxieties for
PROPOSED SOLUTION
many families who can’t afford to stay at home to make sure their children do their
homework or are safe. [6]
• A principle states, “In a community like mine, where there’s a lot of poverty and gang
violence, we want to keep the children with us as long as we can. The extended learning
time assisted us in doing that.” in response to cutting the after school hours. [10]
• Therefore when a community has low economics it may prohibit them from having
enjoyable opportunities such as sports and activities that could ultimately bring children
COMMUNITY ASSESSMENT AND ANALYSIS
• Being that the Bronx is ranked low in economic standings, it has caused depression to rise in
happiness.
• We feel our proposed solution “Happy and Healthy Program” will help decrease
depression with increased activity. This intramural activity program is free and all
volunteered based. Considering that the Bronx is ranked the lowest in all areas of the
annual rankings done by the county health committee, it is critical that parents
encourage their children to get involved in this program.
• It is supported by evidence that increasing activity will decrease the risk of depression,
with that being said, getting adolescents involved will decrease the depression rate in
the Bronx dramatically. [4]
• This program is meant to be an entertaining, stress free, and a noncompetitive time for
• The Bronx is the only borough in New York with a Hispanic majority population [9].
• The Bronx is listed as “the worst place in New York to live for ‘quality of life’, with 28
percent of the Bronx residents reporting having only poor or fair health” [8].
• In 2015, the South Bronx school district was interviewed by the NY Daily News in regard to
their schools and resources or lack of, in this instance. The article’s analysis also touches on
adolescents to gain team skills and grow as individuals. The atmosphere will be laid
back, allowing the participants to come out of their comfort zones and to exceed their
own expectations. Being involved in sports can have an effect on mood, self-esteem,
cognitive functioning and decline depression. [4]
REFERENCES
1.
Behaviors in Low and Middle Income Countries. Community Mental Health Journal. 2019Mar;55(6):954–72.
• Activity is essential for this age group to not only reduce the risk of depression but
2.
the fact that there seems to be no high performing schools in the surrounding area to begin
attendance rate is among the city's lowest” [3].
• County Health Rankings listed the Bronx's last in perceived health against 62 other
communities in New York. Factors included in the ranking were high school graduation
rates, obesity, mental health, and accessibility to healthy foods, etc [8].
this reason, activity is an exceptional way to prevent it before it is too late. [4]
4.
• PAL is a Police Athletic League that has been used throughout all of New York. It is an
Penedo FJ, Dahn JR. Exercise and well-being: A review of mental and physical health benefits associated with physical activity [Internet]. Northwestern Scholars.
Lippincott Williams and Wilkins; [cited 2020Mar13]. Available from:
https://www.scholars.northwestern.edu/en/publications/exercise-and-well-being-a-review-of-mental-and-physical-health-be
organized sports and recreation league for the youth of New York City that organizes
5.
Physical Activity and Mental Health of New York City ... [Internet]. 2019 [cited 2020Mar13]. Available from:
https://www1.nyc.gov/assets/doh/downloads/pdf/epi/databrief111.pdf
and facilitates leagues, tournaments, and special events for young people who want to
6.
• PAL seems to have a high impact on young adolescents and was designed to improve
This Is the Most Unhealthy Community in NY . Edward, J.; 2017. Available from:
https://www.nbcnewyork.com/news/local/unhealthy-worst-health-county-health-ranking-new-york-bronx-417448013.html.
9.
the mental and physical health of the young population. With this league’s contribution
U.S. Census Bureau QuickFacts: Bronx County (Bronx Borough), New York [Internet]. Census Bureau QuickFacts. [cited 2020Mar13]. Available from:
https://www.census.gov/quickfacts/fact/table/bronxcountybronxboroughnewyork/PST045218
10.
could have a great impact on the South Bronx youth. [7]
Sports and Recreation [Internet]. Police Athletic League, Inc. [cited 2020Apr15]. Available from:
https://www.palnyc.org/sports-and-recreation?gclid=EAIaIQobChMItsiQ9rPp6AIVCJ6fCh1KKQ9OEAAYAiAAEgK96vD_BwE
discipline, leadership, teamwork, and sportsmanship. [7]
to our program with the funding and staff we will need, we feel our intramural sports
Shapiro J. City Cuts Funding to Nearly 200 After-School Programs [Internet]. DNAinfo New York. DNAinfo New York; 2012 [cited 2020Mar11]. Available from:
https://www.dnainfo.com/new-york/20120430/lower-east-side/city-cuts-funding-nearly-200-after-school-programs/#ixzz1tYzWxmUR
engage in positive youth development activities and reinforce the concepts of
8.
everyday life.
Parents in South Bronx school district, NYC's worst, struggle to find promising options. Ryley, S., Badia, E.,Otis, G.A., & McShane, L.; 2018. Available from:
https://www.nydailynews.com/new-york/education/failing-south-bronx-schools-affected-student-life-home-article-1.2150189.
7.
• The Bronx is the largest part of New York that has depression intertwined into their
Knight J. Sports & Recreation [Internet]. The Palm Beach Post. The Palm Beach Post; 2018 [cited 2020Mar13]. Available from:
https://www.palmbeachpost.com/news/local/sports-recreation/XMUsBx5Eu7EgOeGZYKtiJL/
reduce obesity and drug or alcohol abuse as well. Depression is a crucial matter and for
3.
with. In the South Bronx, “one in ten students are homeless, and the average school
Davaasambuu S, Phillip H, Ravindran A, Szatmari P. A Scoping Review of Evidence-Based Interventions for Adolescents with Depression and Suicide Related
Zimmerman A. As NYC plans to shorten the day at some struggling schools, the principal union pushes back [Internet]. Chalkbeat. Chalkbeat; 2019 [cited 2020Mar11].
Available from: https://chalkbeat.org/posts/ny/2019/04/29/renewal-school-extended-school-day-cuts/
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Senior Presentations Archive
Description
An account of the resource
This archive contains materials from Wagner’s annual ‘Senior Presentations.’ This event honors outstanding students from each discipline who completed their Senior Learning Community project with excellence. The work is representative of Wagner’s highest standards, and is exemplary of the diversity of subject matter, public-facing scholarship, and civic-minded professionalism our students have attained through their four years here. These students were specially invited to present their work in a formal setting, traditionally the day of Baccalaureate. Students are encouraged to present their work in a format appropriate for their discipline, and so, the presentations vary in their format. Some might be in the form of a short video, or paper abstracts, while others might be posters or music clips. We expect this archive to serve as a resource for generations to come. Congratulations to our Seniors!
Date
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2017 -
Rights Holder
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Wagner College, Staten Island, NY
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Date Digital
2020
Original Format
If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data
Poster
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Identifier
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2020-nursing-Fetto LaGrange Hughes
Creator
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Fetto, Kimberly<br />LaGrange, Ashley<br />Hughes, Courtney
Date
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5/1/2020
Title
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Taking Strides to Decrease Depression in Adolescents in The South Bronx With Intramural Sports
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Evelyn L. Spiro School of Nursing
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text
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application/pdf
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1 page
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eng
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U.S. and international copyright laws may protect this work. It is provided by Wagner College for scholarly or research purposes only. Commercial use or distribution is not permitted without prior permission of the copyright holder.
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Wagner College, Staten Island, NY
Nursing
-
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PDF Text
Text
Part One: Introduction and Community in Need
The vector-borne illness caused by B. Burgdorferi, commonly known as
Lyme disease is causing flu-like symptoms and rashes that may progress
to cardiac, nervous and joint complications. Staten Island adults are at risk
of contracting Lyme. With thirty-five cases being reported in 2012, that
number has increased nearly four-fold to 123 cases in 2017. The increase
in incidence on Staten Island can be attributed to climate change but there
is a more prevalent factor influencing the contraction of Lyme Disease;
Deer. There are an estimated 2,000 deer on Staten Island, and they are
causing this public health risk.
Part Two: Community Assessment and Analysis
The population of Staten Island as of July 1st, 2018 is 476,179 people.
There are 166,150 households in Staten Island with 2.82 persons
averaging per household. 81% of Staten Island residents identify their own
health as “excellent,” “very good”, or “good” with an average life
expectancy is 80 years old. Lyme disease is the most common tick-borne
infection in New York City as well as the U.S. In the year 2000 there was
215 reported Lyme disease cases in NYC. In 2017, that number
skyrocketed to 1,083 cases. This increase can be attributed to the rise in
the deer population on Staten Island. However, Staten Island has a
plethora of resources to combat this issue. Health Care is the most
common industry on Staten Island (13.5%). There are 27,320 Health care
jobs on Staten Island with those jobs increasing at a rate of 13.6%. Of all
Staten Islanders, 93% are insured and have access to health care. (New
York City Department of Health, 2018) Staten Island also offers 15 public
libraries, 43 hospitals and clinics (urgent cares, diagnostic and treatment
centers, school-based health facilities). With this availability, people
infected with Lyme disease have satisfactory access to treatment and
education.
Part Three: Problem in the
Community
Lyme disease (Borrelia
burgdorferi), also known as Lyme
Borreliosis, is the most common
vector borne illness in the United
States. The disease is transmitted
by the deer tick. These ticks will
latch onto new hosts such as deer,
rodents and humans. The
incidence of increasing Lyme
disease can be attributed to the
change in climate and the
increasing deer population on SI.
Part Four: Proposed Solution
To combat the increasing rate of Lyme in SI, we as nursing
students can promote health and reduce disease by educating
our audience in the following points:
1) Deer Tick information (size, shape, where to find)
2) Disease process/transmission
3) Medications for Lyme Disease
4) Prevention and Tick removal
We implement this education into 5 minute videos using
YouTube. 4 episodes with own teaching points, questions and
answers will be available for the viewer
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Senior Presentations Archive
Description
An account of the resource
This archive contains materials from Wagner’s annual ‘Senior Presentations.’ This event honors outstanding students from each discipline who completed their Senior Learning Community project with excellence. The work is representative of Wagner’s highest standards, and is exemplary of the diversity of subject matter, public-facing scholarship, and civic-minded professionalism our students have attained through their four years here. These students were specially invited to present their work in a formal setting, traditionally the day of Baccalaureate. Students are encouraged to present their work in a format appropriate for their discipline, and so, the presentations vary in their format. Some might be in the form of a short video, or paper abstracts, while others might be posters or music clips. We expect this archive to serve as a resource for generations to come. Congratulations to our Seniors!
Date
A point or period of time associated with an event in the lifecycle of the resource
2017 -
Rights Holder
A person or organization owning or managing rights over the resource.
Wagner College, Staten Island, NY
Document
A resource containing textual data. Note that facsimiles or images of texts are still of the genre text.
Date Digital
2020
Original Format
If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data
Poster
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Identifier
An unambiguous reference to the resource within a given context
2020-nursing-Ruggiero Ruspantini
Creator
An entity primarily responsible for making the resource
Ruggiero, Joseph<br />Ruspantini, Robert
Date
A point or period of time associated with an event in the lifecycle of the resource
5/1/2020
Title
A name given to the resource
The Increasing Incidence of Lyme’s Disease: A Preventive Approach to Attenuate Infection Risk in Staten Island Adults
Contributor
An entity responsible for making contributions to the resource
Evelyn L. Spiro School of Nursing
Type
The nature or genre of the resource
text
Format
The file format, physical medium, or dimensions of the resource
application/pdf
Extent
The size or duration of the resource.
1 page
Language
A language of the resource
eng
Rights
Information about rights held in and over the resource
U.S. and international copyright laws may protect this work. It is provided by Wagner College for scholarly or research purposes only. Commercial use or distribution is not permitted without prior permission of the copyright holder.
Rights Holder
A person or organization owning or managing rights over the resource.
Wagner College, Staten Island, NY
Nursing