Medicine and Health Sciences Commons^™

A Comparison Of The Fertile Phase As Determined By The Clearplan Easy Fertility Monitor™ And Self-Assessment Of Cervical Mucus, Richard Fehring, Kathleen Raviele, Mary Schneider

College of Nursing Faculty Research and Publications

The purpose of this study was to compare the fertile phase of the menstrual cycle as determined by the Clearplan Easy Fertility Monitor (CPEFM) with self-monitoring of cervical mucus. One-hundred women (mean age = 29.4 years) observed their cervical mucus and monitored their urine for estrogen and luteinizing hormone metabolites with the CPEFM on a daily basis for 2–6 cycles and generated 378 cycles of data; of these, 347 (92%) had a CPEFM peak. The beginning of the fertile window was, on average, day 11.8 (SD = 3.4) by the monitor and day 9.9 (SD = 3.0) by cervical mucus …

The Perceived Value Of Certification By Certified Perioperative Nurses, Kathleen B. Gaberson, Kathryn Schroeter, Aileen R. Killen, Wendelny A. Valentine

College of Nursing Faculty Research and Publications

We conducted this study to determine the perceived value of certification in perioperative nursing. Following development and pilot-testing, we mailed the 18-item Likert-type instrument, the Perceived Value of Certification Tool (PVCT), to a sample of 2750 perioperative nurses who had earned the CNOR or CRNFA credential or both. A total of 1398 surveys were returned (50.8% response rate). Factor analysis extracted three factors, accounting for 61% of the variance: personal value, recognition by others, and professional practice. Internal consistency reliability testing (Cronbach's α) identified a standardized α of .924. Over 90% of respondents agreed or strongly agreed with statements about …

The Way Of Suicide, Assisted Suicide And Euthanasia, Or Evangelium Vitae's Way Of Mercy And Compassion?, Brigid Vout

The Linacre Quarterly

No abstract provided.

Humanae Vitae: Thirty-Five Years Later, Peter J. Riga

The Linacre Quarterly

No abstract provided.

Phonological Awareness In Spanish: A Tutorial For Speech-Language Pathologists, Brenda K. Gorman, Ronald B. Gillam

Speech Pathology and Audiology Faculty Research and Publications

In the United States, more than 2 million children in Grades pre-K through 6 speak Spanish as their primary language. Approximately 50% of these students receive academic instruction in Spanish. This tutorial provides research-based recommendations for presenting phonological awareness tasks to children who receive literacy instruction in Spanish. The authors also discuss how phonological awareness development may differ between monolingual children learning Spanish and monolingual children learning English, and the implications of these differences for choosing appropriate phonological awareness tasks for Spanish speakers.

Effect Of Computer Keyboard Slope On Wrist Position And Forearm Electromyography Of Typists Without Musculoskeletal Disorders, Guy G. Simoneau, Richard W. Marklin, Joseph E. Berman

Physical Therapy Faculty Research and Publications

Positioning a computer keyboard with a downward slope reduces wrist extension needed to use the keyboard and has been shown to decrease pressure in the carpal tunnel. However, whether a downward slope of the keyboard reduces electromyographic (EMG) activity of the forearm muscles, in particular the wrist extensors, is not known. Subjects and Methods. Sixteen experienced typists participated in this study and typed on a conventional keyboard that was placed on slopes. Electromyographic activity of the extensor carpi ulnaris (ECU), flexor carpi ulnaris (FCU), and flexor carpi radialis (FCR) muscles was measured with surface electrodes, while the extension and ulnar …

Diet And Exercise In Low Income, Culturally Diverse Middle School Students, Marilyn Frenn, Shelly Malin

College of Nursing Faculty Research and Publications

It is important to understand constructs essential to low-fat-diet and physical-activity behaviors of low-income culturally diverse middle-school-age students, because ethnicity and socioeconomic status influence body weight status, and these groups are most at risk for obesity later in life. In this descriptive study, constructs important in low-fat diet and physical activity in low- to middle-income, culturally diverse middle school students were examined. Revised for cultural/developmental appropriateness and reading level, instruments incorporating constructs from the Health Promotion and Transtheoretical Models were tested with 221 youth. Results demonstrated that percentage of fat in diet, total number of strategies used for a low-fat …

Beneficial Effects Of Flexible Insulin Therapy In Children And Adolescents With Type 1 Diabetes Mellitus, Ramin Alemzadeh, P. Palma-Sisto, Elaine Parton, Joan P. Totka, Mary De Sales Kirby

College of Nursing Faculty Research and Publications

The purpose of this study was to determine the feasibility of a flexible multiple daily insulin (FMDI) regimen in routine pediatric diabetes care by comparing HbA_1c, body mass index (BMI), and episodes of severe hypoglycemia (SH) before and after initiation of FMDI therapy. Data from 44 patients (2-16 years old), on a conventional insulin (CI) regimen, were collected during quarterly diabetes clinic visits. These patients were transitioned from CI to FMDI regimen: pre-meal lispro (bolus) and once or twice daily Humulin Ultralente with or without bedtime Humulin NPH as the basal insulin. There was a significant improvement in …

Rethinking Nutritional Support For Persons With Cancer Cachexia, Donna O. Mccarthy

College of Nursing Faculty Research and Publications

Cancer cachexia is a poorly understood syndrome of anorexia, weight loss, and muscle wasting that negatively impacts quality of life and survival in cancer patients. Research has clearly implicated proinflammatory cytokines in the biology of cancer cachexia. More recent research implicates products of arachidonic acid and suggests that cachexia may be a chronic inflammatory condition rather than a nutritional aberration. To date, nutritional support to slow weight loss has focused primarily on increasing calorie intake. Alternatively, many foods contain factors that can modulate the synthesis or activity of proinflammatory mediators, especially the synthesis of prostaglandin E2 from arachidonic acid. These …

Localization Of Transfected B7-1 (Cd-80) In Human Melanoma Cells After Particle Mediated Gene Transfer, Donna O. Mccarthy

College of Nursing Faculty Research and Publications

The purpose of this study was to evaluate stable DNA transfection of M-21 human melanoma cells with particle-mediated gene transfer (PMGT) with B7-1 cDNA and to identify sites of gene integration. Stable B7-1 transfectants (M-21-B7) were obtained with PMGT using a plasmid vector containing cDNA for both B7-1 and neomycin phosphotransferase, with subsequent selection with G418. The transfected cells were flow sorted by B7-1 expression into two populations, bright and dim. The bright population had 85%–90% of cells expressing B7-1; the dim population had less than 50% of cells with B7-1 expression. Chromosome analysis with fluorescence in situ hybridization (FISH) …

Blame--Do You Know It When You See It?, Patricia R. Ebright, Kathryn Rapala

College of Nursing Faculty Research and Publications

The landmark Institute of Medicine Report, To Err Is Human: Building a Safer Health Care System. stated that medical error causes 44,000 to 98,000 deaths per year. There is no question that the report raised awareness of patient safety and stressed the importance of patient outcomes. Heightened awareness has produced a patient safety industry of sorts, with solutions that range from technology to outcomes measurement.

Regulatory bodies, such as the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), have recognized the need for patient safety to be embedded in the culture of healthcare organizations. In particular, the JCAHO has …

Rh Negative Status And Isoimmunization Update: A Case-Based Approach To Care, Kathryn Shisler Harrod, Lisa Hanson, Leona Vandevusse, Patricia Heywood

College of Nursing Faculty Research and Publications

Prior to the 1970s and the advent of Rho (D) immune globulin (RIG) for Rh negative women, hemolytic disease of the newborn led to morbidity, long-term disabilities, and mortality. Antepartum RIG administration has been a standard of practice since 1983. Yet, Rh isoimmunization (sensitization) and its sequelae have not been completely eradicated. Rh-related issues remain clinical challenges facing perinatal and neonatal nurses. Evidence for the administration of RIG prenatally and during the postpartum period is presented including controversies and challenges. Current information about fetal and neonatal care of erythroblastosis fetalis and immune hydrops is also presented.

Editorial: Are You A Prime Mover?, Kathryn Schroeter

College of Nursing Faculty Research and Publications

No abstract provided.

Donation After Cardiac Death: The Reinvention Of A Forgotten Procedure, Gloria Taylor, Karen Samartan, Kathryn Schroeter

College of Nursing Faculty Research and Publications

No abstract provided.

[Book Review Of] The Healer's Calling: A Spirituality For Physicians And Other Health Care Professionals, By Daniel P. Sulmasy, Eric Kilbreath

The Linacre Quarterly

No abstract provided.

[Book Review Of] When Killing Is Wrong: Physician-Assisted Suicide And The Courts, By Arthur J. Dyck, Richard S. Myers

The Linacre Quarterly

No abstract provided.

Stage Based Interventions For Low Fat Diet With Middle School Students, Marilyn Frenn, Shelly Malin, Naveen K. Bansal

College of Nursing Faculty Research and Publications

Preventing obesity and cardiovascular disease at early ages is important; however, few effective interventions for early adolescents have been reported. In this study, low-income, culturally diverse students from an urban middle school (n = 60) received four classroom interventions with the use of a combined Health Promotion/Transtheoretical Model to control fat in diet and increase physical activity. A control group (n = 57) received the usual classroom education. Pretest percentage fat in diet was regressed on demographics, access to low-fat foods, perceived self-efficacy, benefits/barriers, and stage of change with results as proposed by the model [F(9,64) …

Peer Leaders And Adolescents Participating In A Multicomponent School Based Nutrition Intervention Had Dietary Improvements, A Commentary, Marilyn Frenn

College of Nursing Faculty Research and Publications

No abstract provided.

The Benefits Of Nurse-Led Secondary Prevention Clinics For Coronary Heart Disease Continued After 4 Years, A Commentary, Marilyn Frenn

College of Nursing Faculty Research and Publications

No abstract provided.

Teaching, Practice, And Research: An Integrative Approach Benefiting Students And Faculty, Jacqueline Fawcett, Cynthia Aber, Marianne Weiss

College of Nursing Faculty Research and Publications

A project showing the integration of teaching, practice, and research is described. The project involved using information gathered as part of baccalaureate nursing students' assessments of women's perceptions of and responses to cesarean birth to extend a program of nursing research. Benefits to student learning and faculty research programs are identified. The project serves as a prototype for the teaching, practice, and research activities of all students and faculty in nursing and other professional disciplines.

Te Contaria Mi Vida: I Would Tell You My Life, If Only You Would Ask, Ruth Belknap, Pilar Sayeed

College of Nursing Faculty Research and Publications

Universal screening for domestic violence is recommended in many health care settings. This qualitative study was undertaken to explore the thoughts and feelings of Mexican American women regarding being asked questions about domestic violence by a health care provider. We wanted to further explore what characteristics about a nurse, or other health care provider, would give a woman confianza, the trust necessary to discuss this issue. Seven women, who self identified as abused or formerly abused, were recruited from a pool of Spanish-speaking women receiving services from a rural domestic violence agency in the midwestern United States. The researchers …

An Analysis Of The Majority Report “Responsible Parenthood” And Its Recommendations On Abortion, Sterilization And Contraception, Richard Fehring

College of Nursing Faculty Research and Publications

This paper will focus on the majority report (titled “Responsible Parenthood”) of the 1966 Papal Birth Control Commission and its recommendations on abortion, sterilization, and contraception.(1) The analysis is made with the hindsight and perspective of thirty-seven years of scientific data on fertility, family planning, and family life. The analysis presented here does not concern the whole document but rather focuses on what are called the “objective criteria” that were provided in the document to help married couples make decisions on the use of contraception. While acknowledging the intellectual abilities and expertise of those who wrote the majority report, the …

Nasa Light-Emitting Diodes For The Prevention Of Oral Mucositis In Pediatric Bone Marrow Transplant Patients, Harry T. Whelan, James F. Connelly, Brian D. Hodgson, Lori Barbeau, A. Charles Post, George Bullard, Ellen V. Buchmann, Mary Kane, Noel T. Whelan, Ann Warwick, David Margolis

School of Dentistry Faculty Research and Publications

Objective: The purpose of this study was to determine the effects of prophylactic near-infrared light therapy from light-emitting diodes (LEDs) in pediatric bone marrow transplant (BMT) recipients.

Background Data: Oral mucositis (OM) is a frequent side effect of chemotherapy that leads to increased morbidity. Near-infrared light has been shown to produce biostimulatory effects in tissues, and previous results using near-infrared lasers have shown improvement in OM indices. However, LEDs may hold greater potential for clinical applications.

Materials and Methods: We recruited 32 consecutive pediatric patients undergoing myeloablative therapy in preparation for BMT. Patients were examined by two …

[Book Review Of] A Primer For Health Care Ethics: Essays For A Pluralistic Society, 2nd Ed., Edited By Kevin O'Rourke, O.P., James Keating

The Linacre Quarterly

No abstract provided.

Renew Your Hope, All You Who Enter Here. Pax Vobiscum. Here Stands Earth's Last "Parking Lot", Richard A. Watson

The Linacre Quarterly

No abstract provided.

A Randomized Controlled Clinical Trial To Evaluate The Effects Of Noncontact Normothermic Wound Therapy On Chronic Full-Thickness Pressure Ulcers, Luther C. Kloth, Joseph E. Berman, Marilyn Nett, Paula Papanek, Sonia Dumit-Minkel

Physical Therapy Faculty Research and Publications

OBJECTIVE: To determine the effect of noncontact normothermic wound therapy (NNWT) versus standard wound care on chronic full-thickness pressure ulcers.

DESIGN: Prospective, randomized, controlled trial

SETTING: Veterans administration medical center and 7 long-term-care facilities

PATIENTS: 40 inpatients with 43 Stage III and IV pressure ulcers

INTERVENTIONS: A sterile noncontact wound dressing was applied to 21 wounds for 24 hours per day, 7 days per week. Each day after the wound was irrigated and the noncontact dressing was changed, a heating element in the dressing was activated for 3 1-hour periods for 12 weeks or until wound closure. Twenty-two control wounds …

Accuracy Of The Peak Day Of Cervical Mucus As A Biological Marker Of Fertility, Richard Fehring

College of Nursing Faculty Research and Publications

The (PD) peak day of cervical mucus is an important biologic marker for the self-determination of the optimal time of fertility in a woman’s menstrual cycle. The purpose of this article is to provide evidence (literature and empiric) for the accuracy of the PD of cervical mucus as a biologic marker of peak fertility and the estimated day of ovulation. An analysis of data from four published studies that compared the self-determination of the PD of cervical mucus with the urinary luteinizing hormone (LH) surge was conducted. The four studies yielded 108 menstrual cycle charts from 53 women participants. The …

5 Questions–And Answers–About Negative Pressure Wound Therapy, Luther C. Kloth

Physical Therapy Faculty Research and Publications

No abstract provided.

Mandible Cleft: Report Of A Case And Review Of The Literature, Luis Eduardo Almeida, Lucienne Ulbrich, Fabricio Togni

School of Dentistry Faculty Research and Publications

Median cleft of the lower lip and associated structures is a relatively rare condition. We report the case of a patient with mandibular cleft. Unlike other reported cases of similar disorders, there was no cleft of the lower lip. The literature on median clefts of the lower lip and mandible is reviewed, and the etiology and treatment are discussed.

Ethics In Perioperative Practice—Patient Advocacy, Kathryn Schroeter

College of Nursing Faculty Research and Publications

Though often difficult, ethical decision making is necessary when caring for surgical patients. Perioperative nurses have to recognize ethical dilemmas and be prepared to take action based on the ethical code outlined in the American Nurses Association's (ANA's) Code of Ethics for Nurses with Interpretive Statements. In this second of a nine‐part series that will help perioperative nurses relate the ANA code to their own area of practice, the author looks at the third provision statement, which addresses nurses' position as patient advocates. AORN J 75 (May 2002) 941–949.