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Articles 1 - 9 of 9
Full-Text Articles in Medicine and Health Sciences
Preconception Care For Women With Pregestational Diabetes: Information For The Family Nurse Practitioner, Kathryn Conover Morrill
Preconception Care For Women With Pregestational Diabetes: Information For The Family Nurse Practitioner, Kathryn Conover Morrill
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Purpose: The purpose of this article is to evaluate present literature and guidelines regarding preconception care for women with type I diabetes mellitus (T1DM) or type II diabetes mellitus (T2DM) and familiarize the family nurse practitioner (FNP) with current clinical recommendations. Data Sources: The guidelines reviewed include the Clinical Practice Recommendations from the American Diabetes Association 2013, the American College of Obstetricians and Gynecologists pregestational diabetes mellitus guideline reaffirmed in 2010, and the National Institute for Health and Clinical Excellence on how to manage diabetes and its complications from preconception to the postnatal period 2008. Conclusions: Guidelines were established based …
The Use Of Non-Nutritive Sweeteners In Establishing And Maintaining A Healthy Weight, Derrick Pickering, Mary Williams
The Use Of Non-Nutritive Sweeteners In Establishing And Maintaining A Healthy Weight, Derrick Pickering, Mary Williams
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Obesity is an epidemic and continues to rise. The associated increased risk of mortality and co-morbid conditions is well documented. The use non-nutritive sweeteners (NNS) is a strategy being used to manage weight by reducing calorie intake. Research is inconclusive regarding the efficacy of NNS in weight management due to their inappropriate use and also the potential they may increase appetite. To most effectively manage weight, a comprehensive individualized plan must be devise of which proper use NNS may be a part.
Telehealth In The School Setting: An Integrative Review, Cori A. Reynolds, Erin Maughan
Telehealth In The School Setting: An Integrative Review, Cori A. Reynolds, Erin Maughan
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Telehealth, the provision of healthcare through long-distance telecommunications technology, is a tool that can be used by school nurses to address and improve the health status of school children. The purpose of this literature review is to examine research related to implementation of telehealth in the school setting. A review of the literature was conducted using CINAHL, ERIC, Medline, and Pub Med databases, and the search terms telehealth, telecare, telemedicine, school, and schools. Fifteen research studies related to telehealth in the school setting were identified. Themes identified included: benefits, barriers, feasibility, and limitations of telehealth. Implications for practice are presented, …
Erectile Dysfunction As A Motivational Tool For Health Behavior Change In Men With Diabetes, Camille W. Allred, Donna Freeborn
Erectile Dysfunction As A Motivational Tool For Health Behavior Change In Men With Diabetes, Camille W. Allred, Donna Freeborn
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The purpose of this literature review is to outline a health promotion plan for healthcare providers and diabetes educators, using erectile dysfunction (ED) as a motivational tool to change health behaviors for men with diabetes. Because the most severe complications might not manifest themselves until later in life, patients with either type 1 diabetes mellitus (T1DM) or type 2 diabetes mellitus (T2DM) are less likely to make the dramatic behavioral changes necessary to control their diabetes at the time of diagnosis. Twenty-eight articles obtained from CINAHL and Medline databases were examined. Eleven of those articles were selected for analysis based …
Attention Deficit Hyperactivity Disorder: Comparison Of Medication Efficacy And Cost, Robert M. David, Karlen E. Luthy, Janelle L. B. Macintosh, Lacey M. Eden
Attention Deficit Hyperactivity Disorder: Comparison Of Medication Efficacy And Cost, Robert M. David, Karlen E. Luthy, Janelle L. B. Macintosh, Lacey M. Eden
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Although a common psychological disorder, pharmacological treatment of Attention Deficit Hyperactivity Disorder can be a costly endeavor. Among 4-5 year olds, methylphenidate is a safe, efficacious, and cost-effective option for short-, intermediate-, and long-acting medication options. Short-acting methylphenidate, intermediate-acting methylphenidate ER and SR, and long-acting methylphenidate LA are the most efficacious and cost-effective medications. Selection of non-stimulant medications should be based upon recommended guidelines rather than primarily on cost. For children incapable of swallowing pills, the most efficacious and cost-effective treatments are short-acting dextroamphetamine liquid and long-acting methylphenidate LA capsules that can be opened and sprinkled over food.
Obesity Hypoventilation Syndrome: Understanding, Diagnosing, And Treating, Chad W. Padovich
Obesity Hypoventilation Syndrome: Understanding, Diagnosing, And Treating, Chad W. Padovich
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The effects of obesity are multifaceted and lead to poor quality of life, increased risk of cardiovascular disease, stroke, and death. Obesity hypoventilation syndrome (OHS) is a widely misunderstood and under diagnosed disease process, which carries specific diagnostic criteria. The purpose of this work is to: (1) provide practitioners with a better understanding of OHS and how it differs from other obesity related breathing disorders (such as Obstructive Sleep Apnea, OSA), (2) provide diagnostic criteria of OHS, (3) provide work up recommendations, and (4) provide current recommended treatment. Data Sources: An electronic search of the literature was conducted to identify …
Bariatric Surgery Versus Lifestyle Interventions In Managing Obesity In Patients With Type Ii Diabetes: A Systematic Review, Leslie C. Nakaya, Mary Williams
Bariatric Surgery Versus Lifestyle Interventions In Managing Obesity In Patients With Type Ii Diabetes: A Systematic Review, Leslie C. Nakaya, Mary Williams
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Obesity, with coexisting T2DM, is difficult to treat successfully for various reasons and carries enormous health risks and financial burdens. The purpose of this systematic review is to compare outcomes of conventional medical treatment to bariatric surgery for the treatment of T2DM, and determine which patients may be appropriate for referral. Data Sources: An electronic search of the literature was conducted to identify studies from 2008 to 2014 in the following databases: CINAHL, National Library of Medicine PubMed®/MEDLINE®, EBSCO, SciVerse®, Springer Link®, and the Cochrane library. Conclusions: Bariatric surgical options, even before weight loss occurs, positively affect glucose homeostasis and …
Interventions To Minimize Distress During Pediatric Primary Care Visits: A Systematic Literature Review, Michelle Lee Smith
Interventions To Minimize Distress During Pediatric Primary Care Visits: A Systematic Literature Review, Michelle Lee Smith
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Purpose: This literature review is designed to analyze interventions to minimize trauma and psychological stress experienced by pediatric patients during visits with their primary care providers. Data Sources: An electronic search of the literature was conducted to identify studies from 2008 to 2014 in the following databases: CINAHL, MEDLINE, PsycINFO, and the Cochrane library. Conclusions: Interventions to reduce a child's anxiety are available and easily executed. When anxiety is decreased, children are able to approach medical situations with a sense of comfort, achievement, and control. Decreasing stress can assist children in developing trusting relationships of the health care system as …
The Underutilization Of Primary Care Providers In Treating Opiate Addiction, Jennifer Jenkinson
The Underutilization Of Primary Care Providers In Treating Opiate Addiction, Jennifer Jenkinson
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Opioid abuse is a worldwide problem and there are not enough care providers or treatment programs available to treat the opioid abuse epidemic. Many primary-care nurse practitioners care for patients who are dependant and/or abuse opioids. Under current legislation, nurse practitioners are not allowed to prescribe the schedule III medications necessary to treat them, even though they have been made available to primary-care physicians with some additional training. This paper discusses the effectiveness of opioid substitution therapy in a primary care setting, the patient population best suited for this therapy, patient satisfaction with primary care service, and the barriers preventing …