The Research to Practice column is designed to provide advanced practice nurses (APRNs) with an analysis of a current research topic with implications for practice change within emergency care settings. This review examines a recent study conducted by Tadros, Sharon, Hoffman, and Davidov (2018), titled “Emergency Department Visits for Sexual Assault by Emerging Adults: Is Alcohol a Factor?” The authors conducted a retrospective chart review of emergency department (ED) visits for sexual assault among a college-age population and found most patients were female (98%) and 70% were younger than 21 years. Additionaly, among those younger than 21 years, 74% reported alcohol use at the time of their assault and 62.3% delayed presenting to the ED for care for 24 hr or more. These and other associated findings have implications for APRN practice, including reporting and documentation of these events, and risk reduction educational strategies.
Human health is a broad category that encompasses the entirety of the food production system. Livestock production practices have important effects on human health because livestock not only are a primary food source but also can be the source of pathogenic bacteria that may enter the food chain indirectly. As government regulation and public scrutiny restrict the prophylactic use of antibiotic and antimicrobial interventions, other techniques must be used to reduce the burden of animal-borne pathogenic bacteria entering the food system. Prebiotics (isolated compounds that enhance natural microflora and thereby decrease pathogens) and probiotics (live microbes that are administered to livestock to enhance microbial diversity and crowd out pathogens) represent two unique opportunities for alternative measures in pathogen reduction. This review addresses the link between animal production and human health, the agricultural sources of pathogenic organisms, and the probiotic and prebiotic approaches that have been evaluated in an effort to reduce carriage of foodborne pathogenic bacteria by livestock.Keywords: food safety, livestock, prebiotic, preharvest intervention, probiotic 1 Proprietary brand names are necessary to report factually on available data; however, the USDA neither guarantees nor warrants the standard of the product, and the use of the name by the USDA implies no approval of the product and/or exclusion of others that may be suitable.
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