Susan G McBride

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CONTEXT The abuse of stimulant drugs is increasing in the western United States. Although numerous case reports and animal studies suggest a link with stroke, epidemiologic studies have yielded conflicting results. OBJECTIVE To test the hypothesis that young adults who abuse amphetamines or cocaine are at a higher risk of stroke. DESIGN, SETTING, AND(More)
Twenty-five nurse leaders met at an invitational conference in Texas to discuss professional nurse competency evaluation. Conference attendees who were statewide nursing leaders in practice, education, and administration identified ways to evaluate competency. Responses were recorded and clustered into the following patterns: (1) components of competency(More)
Rapid development of doctor of nursing practice (DNP) programs requires that nursing faculty and students become competent and proficient in the discipline of informatics. The authors describe the steps used to develop an applied informatics course in a post-master's DNP program using content organizing and pedagogical frameworks and its positive learning(More)
BACKGROUND There are limited data on the use of ustekinumab outside of clinical trials. OBJECTIVES To assess the efficacy and safety of ustekinumab in patients with severe psoriasis attending 10 dermatology centres in the U.K. and Ireland. METHODS A retrospective case-note review of 129 patients with psoriasis treated with ustekinumab. RESULTS(More)
Rural and small community hospitals typically have few resources and little experience with quality improvement (QI) and, on average, demonstrate poorer quality of care than larger facilities. Formalized QI education shows promise in improving quality, but little is known about its effect in rural and small community hospitals. The authors describe a(More)
OBJECTIVE To investigate the effectiveness of a quality improvement educational program in rural hospitals. DESIGN Hospital-randomized controlled trial. SETTING PARTICIPANTS A total of 47 rural and small community hospitals in Texas that had previously received a web-based benchmarking and case-review tool. INTERVENTION The 47 hospitals were(More)
BACKGROUND People with psoriasis report high levels of undermanaged distress. This is compounded by the problem that some patients find it difficult to discuss their emotions. Distress prevents optimal self-management, which may exacerbate psoriasis flares, thereby creating a vicious cycle. OBJECTIVES To offer people with psoriasis a novel way of(More)
Cutaneous leishmaniasis is a protozoan disease that has high morbidity. There have been increasing reports of leishmaniasis in patients with an underlying immunosuppressed state. We present two cases of cutaneous leishmaniasis caused by Old World species in patients on methotrexate therapy. We postulate that the T-cell-mediated response to leishmaniasis(More)