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Full-Text Articles in Medicine and Health Sciences

Role Of The Endocannabinoid System And Medical Cannabis, Sabrina Jarvis, Sean Rasmussen, Blaine Winters Dec 2016

Role Of The Endocannabinoid System And Medical Cannabis, Sabrina Jarvis, Sean Rasmussen, Blaine Winters

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Our bodies produce substances called endocannabinoids which attach to receptors within the endocannabinoid system (ECS) impacting physiological processes on a daily basis. The cannabis plant contains over 100 different cannabinoids which also manipulate the ECS. Knowledge about these interactions have led to an increase in cannabis based pharmacological studies. Providers should have a basic understanding about how the ECS works and how cannabis is being used to treat certain illnesses. This article presents what is currently known about the ECS and how cannabis based medicines impact it, as well as the current laws providers need know regarding cannabis use.


Intimate Partner Violence: The Best Of Primary Prevention Strategies, Sarah Roberts Jul 2016

Intimate Partner Violence: The Best Of Primary Prevention Strategies, Sarah Roberts

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This workshop series is designed as a tool to help prevent the pervasive issue of Intimate Partner Violence. The individual workshops focus on the promotion of empowerment, positive communication, gender equality and on building relationship skills between men and women. They also provide opportunities for participants to examine their values and attitudes towards gender and relationships, to build on their knowledge on aspects of sexuality and to develop skills to help them communicate with others and ensure that they are communicating what they desire. The workshops are based on participatory learning approaches as research demonstrates that this method is more …


Comparison Of Testosterone Replacement Therapy Medications In The Treatment Of Hypogonadism, Christopher M. Williams, Donna S. Freeborn, Karlen Luthy Jul 2016

Comparison Of Testosterone Replacement Therapy Medications In The Treatment Of Hypogonadism, Christopher M. Williams, Donna S. Freeborn, Karlen Luthy

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Hypogonadism is one of the most common endocrinologic syndromes seen in clinical practice. Testosterone replacement therapy (TRT) is one possible treatment option for men with hypogonadism. When TRT is a viable treatment option, routes of administration, effectiveness, patient compliance, cost, and potential side effects should be carefully considered by the Nurse Practitioner. In the United States TRT is available via intramuscular, nasal, buccal, and topical routes. All transdermal testosterone is the most effective when regulating testosterone levels. Depotestosterone, an injectable form of testosterone, promotes patient compliance, is considered safe, and is affordable. Nurse Practitioners should initiate TRT with Depotestosterone.


A Literature Review Of Barriers To Immunization In Preterm, Low-Birth-Weight And Very-Low Birth Weight Infants, Sandra Burkinshaw, Janelle L. B. Macintosh Mar 2016

A Literature Review Of Barriers To Immunization In Preterm, Low-Birth-Weight And Very-Low Birth Weight Infants, Sandra Burkinshaw, Janelle L. B. Macintosh

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Approximately 500,000 infants are born each year prior to 37 weeks gestation in the United States. Despite the increased immunologic risk for infants born pre-term (PT), low birth weight (LBW), or very low birth weight (VLBW), infants in the neonatal intensive care unit are often under immunized, if they are immunized at all. Factors that have been identified to inhibit immunization uptake in the NICU population include: immunization effectiveness, safety and adverse events, provider belief, and policy guidelines regarding vaccination in this population. Providers caring for these vulnerable infants can increase the immunization rates by implementing evidenced based education, developing …


Child Suicide Screening Methods: Are We Asking The Right Questions? A Review Of The Literature And Recommendations For Practice, Arwen York, Barbara Heise, Brandon Thatcher Jan 2016

Child Suicide Screening Methods: Are We Asking The Right Questions? A Review Of The Literature And Recommendations For Practice, Arwen York, Barbara Heise, Brandon Thatcher

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Few suicide screening instruments are specifically designed for the 5 to 14 year-old age group. This paper reviews five currently available suicide screening tools that might be appropriate for use with children, evaluates the quality of these tools, and recommends which tools might be useful in primary care practice. To detect and prevent child suicide, primary care nurse practitioners must be committed to child-centered care, recognize that suicidal thoughts and behaviors can develop early in life, identify pertinent state and trait risk factors in children, have knowledge about the quality of available screening tools, and facilitate specialty care services.