Digital Commons Network^™

Care Of Women With Thyroid Disease: Guideline Update, Donna Williams, Kathryn Trotter

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

Problem Statement: Endocrinology guidelines for the diagnosis and management of thyroid disease differ in pregnancy and postpartum compared to the preconception state. Aim: NPs need to be aware of the management updates within the 2017 American Thyroid Association Guidelines. Hypothyroidism is second only to diabetes in endocrine disorders in pregnancy. Background: Due to the structural similarities of hCG to TSH and the increase in thyroxine binding globulin during pregnancy, nurse practitioners should understand the relative physiologic changes. These changes result in varied interpretation of free T4 values, forcing clarification in thyroid hormone laboratory assays. Population: Women across the lifespan were …

Obstetrical Healthcare Providers' Knowledge Of The 2009 Iom Guidelines For Weight Gain In Pregnancy; Clinical Integration And Implications, Beth Steinfeld

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

Purpose: More than 35.8% of the US population is obese; 45% of pregnant women are overweight and thus, are at risk for numerous negative perinatal outcomes. Healthcare providers are faced with the challenges of having adequate educational preparation to help obese clients limit weight gain to comply with the recommended amount of gestational weight. Consistent integration of weight management interventions into their practice with obese clients will help address this clinical dilemma. In response to this problem, in 2009, the IOM reexamined their guidelines for weight gain in pregnancy and issued new and more stringent guidelines for weight gain for …

Improving Knowledge, Skills, And Attitudes About Breastfeeding, Vaidehi Patel

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

Purpose: The purpose of this DNP project was to work in collaboration with the Women's Health Center at a local hospital to implement a breastfeeding education intervention among the staff, for the ultimate goal of improving breastfeeding knowledge, skills, and attitudes.

Summary: The various health benefits of exclusive breastfeeding are widely known. Various study sources, including professional peer-reviewed literature have demonstrated that breastfeeding is the optimal form of feeding and is considered a gold standard for infant nutrition. The purpose of DNP project was to work in collaboration with the Women's Health Center at a local hospital to implement a …

Npwh Position Statement: Brain Health Is Women's Health, National Association Of Nurse Practitioners In Women's Health

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

The National Association of Nurse Practitioners in Women's Health (NPWH) supports collaborative action to establish brain health as a crucial aspect of Women's healthcare. A comprehensive approach includes promoting brain health, detecting cognitive impairment (CI) to facilitate accurate diagnosis and early intervention, and identifying and addressing the needs of individuals who are caregivers for loved ones with CI. NPWH believes a need exists for extensive research to better understand modifiable factors that influence brain health, improve one’s ability to make an early diagnosis of CI, establish effective therapies to prevent and treat CI, and support families and caregivers of individuals …

Sexually Transmitted Infections And Vaginitis Screening In Urgent Care, Robyn Fuller

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

Purpose: The purpose of this quality improvement project was to use a web-based education to standardize STI and vaginitis screening methods, in adolescent and adult women presenting to the urgent care setting. The aim was to change clinicians' current beliefs and practices, for vaginitis and STI screening methods, to reflect current evidence-based practice, with an emphasis on self-collected vaginal swabs (SCVS).

Summary: Project participants included clinicians currently practicing in the urgent care setting and licensed as either a physician, advanced registered nurse practitioner, or physician assistant. An email inviting participants to participant in the e-learning module was sent to 34 …

Anxiety Scores Of Women Participating In High Risk Breast Cancer Outpatient Group Visits, Kathryn Trotter, Emily K. Routh

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

Purpose: Women with an increased risk of breast cancer are often anxious about their risk and need additional counseling related to risk assessment, breast surveillance, and risk-lowering interventions. The purpose of the study was to examine perceived anxiety before and after facilitated group visits for this population.

Methodology: In conjunction with their follow-up visits, women in the high-risk breast clinic are invited to attend a one-hour group visit. Based on the Centering model, the focus is on breast education and support as well as health assessment. The small group sessions of 3-6 women are facilitated by the breast surgery NP …

Project Thrive: A Multidisciplinary One-Stop Shop Model Of Healthcare For Survivors Of Human Trafficking, Jonell Potter, Stephen Symes, D. Jeffrey Newport, Anastasia Godur, Grechen Mills, Ira Karmin, Panagiota Caralis

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

Purpose: The purpose of this program is to provide an overview of a model of medical care designed for human trafficking survivors.

Summary: Human trafficking for sex and labor is a national epidemic. Most victims access health care while being trafficked. Once rescued, many victims need medical and mental health services. A comprehensive "one-stop shop" model of health care offering multidisciplinary services in a single location for survivors of human trafficking was designed to provide a patient centered approach within an environment that fosters compassion, trust, support and stability was designed and implemented to assist survivors with access to primary …

Npwh Position Statement: Menstrual Equity And Menstrual Health, National Association Of Nurse Practitioners In Women's Health

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

The National Association of Nurse Practitioners in Women's Health asserts that all individuals who menstruate should have adequate access to appropriate menstrual products and to facilities that support privacy, safety, hygiene, and sanitation for changing menstrual products, washing body and hands, and cleaning or disposing of used materials. As well, all individuals who experience menstruation should have access to accurate, timely, and age-appropriate information about the menstrual cycle, expected changes that occur from puberty through menopause, and related self-care and hygiene practices. Access to healthcare for timely diagnosis and care for menstrual-cycle related discomforts and disorders is important for menstrual …

The Humanistic Foundations Of Imogene King's Theory Of Mutual Goal Attainment And Implications, Beverly J. Whelton

Group: King International Nursing Group

This presentation provides the humanistic foundations of Imogen King's theory of Mutual Goal Attainment through the Classical-Modern synthesis of the Contemporary philosopher, Norris Clark. Classical philosophy tells us humans are substantial (matter/form) beings with the capacities of knowing, reasoning and choosing from options we know. Modern philosophy tells us humans possess their own sense of self. They are beings towards others with self-possession and are self-transcendent and self-communicative finding fulfillment in self-giving. These natural capacities need to be nurtured and supported through education and mutual decision making.

Evolution Of An Empowerment Instrument, Christina Leibold Sieloff

Group: King International Nursing Group

Purpose:
The purpose of this presentation is to detail the evolution of a reliable and valid instrument: the Sieloff-King Assessment of Work Team/Group Empowerment within Organizations (SKAWTGEO©).

Rationale and Significance:
The SKAWTGEO, initially developed and psychometrically tested in 1996, is the only nursing-theory based instrument designed to estimate the empowerment of a work team or group within a health care organization. The instrument has been used internationally, translated into Finnish and Hebrew, and is currently being translated into Korean and Turkish. The researcher proposes that work team/group empowerment is a critical factor in the further improvement in the delivery of …

October 29, 2024, Council On Graduate Studies

Minutes

No abstract provided.

Electric Interrow Control Of Lupine Plants Does Not Adversely Affect The Neighboring Non-Target Lupine Plants, Catherine Borger, Miranda J. Slaven

Journal articles

Interrow weed control is used in a wide range of crops, traditionally applied via physical cultivation or banded herbicide application. However, these methods may result in crop damage, development of herbicide resistance, or off-target environmental impacts. Electric interrow weed control presents an alternative, although its potential impact on crop yield requires further investigation. One of the modes of action of electric weed control is the continuous electrode–plant contact method, which passes a current through the weed and into the roots. As the current passes into the roots, it can potentially disperse through the soil to neighboring root systems. Such off-target …

Green Cities And Transportation, Ariadna Reyes-Sanchez, Soheil Sharifi-Asl, Ladan Mozaffarian

Mavs Open Press Open Educational Resources - Archive

Green Cities and Transportation examines the significance of sustainable transportation projects for mitigating greenhouse gas emissions while supporting transportation equity for vulnerable commuters. The book examines insightful case studies from around the world that can serve as a reference for sustainable transportation initiatives in the U.S. It is organized into three sections: 1) Sustainability, Transportation Equity, and Planning, 2) Case Studies and Lessons from the North and South, and 3) Greenhouse Gas Emissions, Cities, and Mobility.

Implementation Science And Pediatric Diabetes: A Scoping Review Of The State Of The Literature And Recommendations For Future Research, Julia Price, Jaclynn Hawkins, Daniel J. Amante, Richard James, Debra Haire-Joshu

Department of Medicine Faculty Papers

PURPOSE OF REVIEW: This scoping review aimed to identify implementation science (IS) research in pediatric diabetes, report integration of IS theory and terminology, and offer guidance for future research.

RECENT FINDINGS: Of 23 papers identified, 19 were published since 2017 and 21 focused on type 1 diabetes. Most involved medical evidence-based practices (EBPs; n = 15), whereas fewer focused on psychosocial (n = 7) and diabetes education (n = 2). The majority either identified barriers and facilitators of implementing an EBP (n = 11) or were implementation trials (n = 11). Fewer studies documented gaps in EBP implementation in standard …

Addressing Weight Bias Among Pediatric Healthcare Clinical Staff., Kathyrn Kyler, Codi Cutburth, Gayla Goleman, Sarah Hampl, Amy R. Beck

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Children with obesity may experience weight-based discrimination as a result of weight bias and stigma, which can have deleterious effects on their health and wellbeing, including increased risk of dysregulated, maladaptive, and disordered eating such as restriction, purging, and binging. Prior work has shown that weight bias occurs from healthcare workers caring for adults, but less is known about the prevalence of weight bias in the pediatric healthcare setting.

METHODS: We aimed to determine what proportion of pediatric healthcare professionals had attitudes of weight bias at our own institution by constructing a survey with questions from validated weight bias …

The Identity Of A Gymnast: How Health, Wellbeing, And Injury Become Embodied In The Identity Of Collegiate Gymnasts, Skyler M. Yakes

LSU Master's Theses

Gymnastics scholarship has traditionally focused on the physicality of the sport and what the body can and cannot do. This research expands upon gymnastics scholarship by exploring the individual experiences and histories of college gymnasts in the United States through a series of interviews. The goals of this research are to better understand the gymnastics experience and to explore health and wellbeing in gymnastics as it pertains to the formation of a gymnast’s identity. A combined approach using medical anthropology and anthropology of sport serves as a guiding framework for analyzing interview data. Definitions of health and wellbeing change between …

Enhancing Writing By Increasing Metacognitive Skills Through Socratic Seminars In A High Poverty Middle School Social Studies Classroom: An Intrinsic Case Study, Kirsten Hickingbottom

LSU Doctoral Dissertations

The purpose of this intrinsic case study was to better understand the role metacognitive skills play within classroom settings to increase students’ writing through Socratic Seminars. A predominant question guided this study: Can improving student metacognition through the repetitive use of questioning techniques in Socratic Seminars lead to improved writing skills? This question, along with four additional research questions guided the research. There is a need for more activities that promote metacognition due to its correlation with academic achievement, critical thinking skills, problem-solving abilities, and perceived self-efficacy (Keus, 2020). The significance of this study was to examine a method of …

Enhancing Soil Texture And Bulk Density Mapping Using Soil Grids And Machine Learning: A Comparative Analysis With Observed Data, Aram Ali, Ismael O. Ismael, Hewa T. Mustafa, Diman Krwanji, Akram O. Esmail

Research outputs 2022 to 2026

Digital soil mapping plays a crucial role in understanding soil variability and informing sustainable land management practices. This study focuses on the Kurdistan Region of Iraq (KRI), evaluating the accuracy of SoilGrids, a global-scale soil mapping initiative, and exploring the efficacy of machine learning algorithms in refining soil properties estimations. The aim of this research was to assess and represent the physical parameters of soils effectively by comparing ground truth soil sampling data with data obtained from SoilGrids regarding clay, silt, and sand fractions and bulk density. Comparative analyses were conducted between ground truth soil sampling data and SoilGrids predictions, …

Child Risk For Obesity And Physical Activity, Bethany Moore

All ETDs from UAB

Childhood obesity is a significant health problem in the United States with consequences presenting themselves in the short- and long-term. Physical activity is a modifiable factor associated with adiposity and can at least partially attenuate the consequences of childhood obesity. There are many factors which influence children’s participation in regular physical activity, some of which are also associated with pediatric obesity. The overarching purpose of this research is to investigate potential influences on the association of obesity and physical activity among typically developing children. Aim 1 used a secondary analysis of n=163 children to explore independent and interactive effects of …

Relationship Between Depression And Stress On Accessing Recovery Capital Among Individuals With Opioid Use Disorder, Deana Luciano

Walden Dissertations and Doctoral Studies

This study addresses the critical need to understand how mental health challenges and external stressors affect long-term recovery from an Opioid Use Disorder (OUD). Grounded in the Recovery Capital Framework, this study analyzed the relationship between depression, stressful life events, and recovery capital (RC) among individuals in recovery from severe OUD. Utilizing a quantitative nonexperimental survey design, data were collected from a purposive sample of 107 adults aged 18 and older who had been in recovery for at least 2 years. Participants completed surveys assessing depression, life stressors, and their RC through established instruments including the Zung Self-Rating Depression Scale, …

Sociodemographic, Lifestyle, And Medical Factors Associated With Calculated Free Testosterone Concentrations In Men: Individual Participant Data Meta-Analyses, Nick Narinx, Ross J Marriott, Kevin Murray, Robert J Adams, Christie M Ballantyne, Douglas C Bauer, Shalender Bhasin, Mary L Biggs, Peggy M Cawthon, David J Couper, Adrian S Dobs, Leon Flicker, Graeme J Hankey, Anke Hannemann, Robin Wilkening, Sean A Martin, Alvin M Matsumoto, Claes Ohlsson, Terence W O'Neill, Eric S Orwoll, Molly M Shores, Antje Steveling, Thomas G Travison, Gary A Wittert, Frederick C W Wu, Leen Antonio, Dirk Vanderschueren, Bu B Yeap

Faculty, Staff and Students Publications

Objective: Sociodemographic, lifestyle, and medical variables influence total testosterone (T) and sex hormone-binding globulin (SHBG) concentrations. The relationship between these factors and "free" T remains unclear. We examined 21 sociodemographic, lifestyle, and medical predictors influencing calculated free T (cFT) in community-dwelling men across ages.

Design: This is a cross-sectional analysis in 20 631 participants in the Androgens in Men Study.

Methods: Individual participant data (IPD) were provided by 9 cohorts. Total T was determined using mass spectrometry, SHBG using immunoassays, and cFT using the Vermeulen formula. Associations were analyzed using 2-stage random effects IPD meta-analyses.

Results: Cohort median ages ranged …

A Stronger Impact On Career Development For Early- And Mid-Career Faculty, Daniel A Gorelick, Jason Gertz, Kaitlin J Basham, Lindsey S Treviño

Faculty, Staff and Students Publications

Nuclear receptors are important in normal physiology and disease. Physicians and scientists who study nuclear receptors organize and attend conferences and symposia devoted to foundational and translational nuclear receptor research, but the field lacks a platform for early-stage investigators and aspiring leaders. In 2019, Zeynep Madak-Erdogan, Rebecca Riggins, and Matthew Sikora founded Nuclear Receptor (NR) Interdisciplinary Meeting for Progress And Collaboration Together (IMPACT, https://nrimpact.com), a collaborative group designed for early- and mid-career faculty who study nuclear receptors in any context or organism [1]. NR IMPACT addresses challenges for early- and mid-career faculty. Here, we review the progress of NR IMPACT …

Effectiveness Of Inhaled Albuterol Delivery Methods In Adult Intubated Patients: An Integrative Review, Anthony Heidtbrink

Group: Bryan College of Health Sciences Doctor of Nurse Anesthesia Practice (DNAP) Collection

The purpose of this integrative review is to critically appraise the available literature related to effectiveness of albuterol delivery methods for the intubated patient undergoing general anesthesia and to make recommendations for practice. Methods of albuterol delivery commonly utilized by anesthesia providers, such as attaching a metered dose inhaler to an endotracheal tube adapter, have not been proven to reliably deliver albuterol to target tissues. The use of an in-line chambered spacer in conjunction with a metered dose inhaler improves the anesthetist's ability to reliably deliver albuterol to target tissues and achieve measurable reductions in airway resistance. Additionally, a novel …

The Effects Of Preoperative Carbohydrate Loading On Postoperative Nausea And Vomiting: An Integrative Review, Jennifer Meyer

Group: Bryan College of Health Sciences Doctor of Nurse Anesthesia Practice (DNAP) Collection

Background: Postoperative nausea and vomiting (PONV) is a very common problem among surgical patients. Despite improved methods of risk identification, the incidence of PONV remains as high as 20-40%. It can increase hospital length of stay and greatly reduce patient satisfaction. The purpose of this integrative review is to examine the effects of both oral and IV preoperative carbohydrate loading on the incidence of postoperative nausea and vomiting in surgical patients. Methods: A review the literature was completed by searching for the terms related to preoperative carbohydrate loading and PONV. Results: Twenty studies met the criteria and were analyzed for …

Fueling For Success, Emilee Autry, Paige Anderson, Emma Vaughn

Group: Blessing-Rieman College of Nursing and Health Sciences

Female athletes at Quincy University (QU) lack education regarding the Female Athlete Triad (the Triad) and proper nutrition.

Npo Guidelines, Nicholas Martelli, Becca Martin, Benjamin Rachilla

Group: Blessing-Rieman College of Nursing and Health Sciences

In presurgical patients undergoing anesthesia, how does the implementation of specific NPO time guidelines, compared to current "NPO after midnight" orders, affect the patient's satisfaction and risk of adverse events intraoperatively.

P- Pre-surgical patients undergoing anesthesia

I- Implementation of specific NPO time guidelines

C- "NPO after midnight" orders

O- Patient satisfaction and adverse events

Experiencing Moral Uncertainty In Practice, Mary Ellen Wurzbach

General Submissions: Nursing as Profession

This study examined the experience of moral uncertainty in practice and its effect on the nurses who experience it. Humility is coming to an understanding of the complexity of ethical understanding. This means acknowledging that moral beliefs may exist that are equally fundamental and yet contradictory within a given situation. It also means recognizing and acknowledging moral uncertainty. Instead of pursuing a search for moral certainty, living with the ambiguities of the ethical life is not only suggested, but recommended. Although even statements of fact may be tentative, one can have sufficient knowledge to take moral action, subject to revision …

Treatment Trials - The Need For An End-Of-Life Policy, Mary Ellen Wurzbach

General Submissions: Nursing as Profession

Currently, there is an epidemic of elders in nursing homes with swallowing difficulties, Alzheimer's, and other maladies, which cause diminished decision-making capacity and initiate the discussion of whether to insert a gastrostomy tube. Furthermore, there is an overriding belief among health care practitioners that once inserted the tube will remain until the death of the resident.

The need for policy provisions related to treatment trials of gastrostomy tubes at the end-of-life is discussed. The arguments supporting and opposing treatment trials as applied to the individual and to the community are articulated and the benefits of such a policy discussed from …

Reducing Food Insecurity In Pediatric Patients And Families, Alexandra Yusah Cramer

General Submissions: Clinical Settings Materials

This pilot was designed to evaluate the feasibility of implementing food insecurity interventions on our pediatric general surgery and orthopedic inpatient unit.

Efficacy Of Aloe Vera Gel Topical Application On Radiation Induced Mucositis In Head And Neck Malignancy: A Double-Blind, Randomised Clinical Trial In Mumbai, India, Rita Lakhani, A. Y. Kshirsagar, Rupal Chedha

General Submissions: Clinical Settings Materials

One word that is even more daunting than the death itself and eats up a person from the inside is cancer. Head and neck malignancy (HNM) is a heterogeneous disease characterized by complex clinical and pathologic presentations. The treatment of HNM has undergone a gradual evolution over the past 3 decades, with an increased emphasis placed on organ preservation and multimodality management, including the use of radiotherapy (RT) and chemotherapy. RT approach, however, is associated with increasing rates of muco-toxicity that have been well documented in the context of numerous clinical trials in light of the radiation oncology literature and …