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Full-Text Articles in Medicine and Health Sciences

Breastfeeding Effects With Early Intervention For Ankyloglossia (Tongue-Tie), Hope L. Adams Jan 2016

Breastfeeding Effects With Early Intervention For Ankyloglossia (Tongue-Tie), Hope L. Adams

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Background: Anklyoglossia or tongue-tie in infants often goes undiagnosed primarily due to the lack of knowledge for assessing tongue-tie thus disrupting a successful breastfeeding experience. Education, diagnosis, and treatment of ankyloglossia are vital in order to create a successful breastfeeding outcome. Purpose: To determine the effects of breastfeeding with early intervention for ankyloglossia (tongue-tie). Theoretical/Conceptual Framework: Benner’s concept of Novice to Expert allows nurses to develop skills over time through education and personal experiences. Weidenbach’s concept of The Helping Art of Clinical Nursing applies to direct patient care, teaching, and advice. Methods: Cumulative Index to Nursing and Allied Health Literature …


Trends In Vaccination Rates Amongst Young Children And The Factors Affecting Parent Decisions, Kaitlyn C. Baldridge, Janna Bjoin, Katherine Pool Jan 2016

Trends In Vaccination Rates Amongst Young Children And The Factors Affecting Parent Decisions, Kaitlyn C. Baldridge, Janna Bjoin, Katherine Pool

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Problem: Throughout the United States, there has been an increasing trend in the number of parents refusing to vaccinate their children. Studies have shown that since the upward trend of refusal to vaccinate has started, there has been an increase in outbreaks of preventable diseases. In Minnesota, there have been no studies to evaluate how many parents are refusing vaccinations for their children or the reasons why. Purpose: This study will evaluate how many parents with children ages five and under are choosing to vaccinate their children or refusing vaccination, and the reasons behind their choice to vaccinate or not. …


The Knowledge And Attitude Of Bethel's Undergraduate Population On Sun Protective Behaviors, Sarah R. Beddow, Chelsea V. Domeier, Karien Wilson Jan 2016

The Knowledge And Attitude Of Bethel's Undergraduate Population On Sun Protective Behaviors, Sarah R. Beddow, Chelsea V. Domeier, Karien Wilson

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OBJECTIVES: To compare the attitude and knowledge of health science majors versus non-health science majors of the Bethel University undergraduate population. BACKGROUND: Despite public education about the use of sunscreen and skin cancer protection, researchers are still finding a gap in public knowledge. Sun exposure education is crucial and must happen during childhood and adolescence because these are the times people receive the most UV exposure. Repeat sunburns during childhood can double an individual's risk of developing melanoma in adulthood. METHODS: This was a pre-experimental design single evaluation via a survey. The following research questions were investigated in our research …


Awareness Of Antibiotic Resistance In The General Population As Related To Education Level, Rachel M. Cantlon, Emma Wilson Jan 2016

Awareness Of Antibiotic Resistance In The General Population As Related To Education Level, Rachel M. Cantlon, Emma Wilson

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An antibiotic is a drug, also known as an antimicrobial, which is used to treat infectious diseases caused by bacteria (National Institute of Allergy and Infectious Diseases (NIAID), 2012). The effect of antibiotic overuse and mistreatment with these drugs has led to infectious bacteria developing antibiotic resistance (Centers for Disease Control and Prevention (CDC), 2014). Antibiotic resistance results in at least 23,000 deaths each year in the United States alone (CDC, 2014). The purpose of this study was to evaluate the general population’s awareness of antibiotic resistance in regard to education level, and proper use of antibiotics as measured by …


Patient Normothermia As It Relates To Surgical Site Infections In General Surgical Cases, Helen M. Claudon Jan 2016

Patient Normothermia As It Relates To Surgical Site Infections In General Surgical Cases, Helen M. Claudon

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Background: Approximately 54.4 million inpatient surgical procedures are performed annually in the United States (CDC, 2016). Unfortunately, 500,000-750,000 surgical site infections (SSI) are reported annually (Roesler et al., 2010). A legacy study completed by Kurz et al. (1996) suggested maintaining normothermia during surgery may help decrease SSI. However, few recent studies have been conducted confirming these findings. Purpose: To review current literature for association between normothermia and SSI in adult patients undergoing general surgery. Results: Studies were identified (n = 21) examining association between body temperature normothermia control and SSI in general surgical cases. These studies were analyzed using Betty …


Antihypertensive Medication Adherence In The Twin Cities, Jacob J. Clairmont, Taylor J. Cunningham, Krista M. Nauman Jan 2016

Antihypertensive Medication Adherence In The Twin Cities, Jacob J. Clairmont, Taylor J. Cunningham, Krista M. Nauman

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A retrospective study of antihypertensive medication adherence was conducted on patients’ demographics data at Eastside Health Clinic in St. Paul, MN. The study sought to determine whether or not interventional means were needed to improve adherence to antihypertensive medication based on serial blood pressure measurements collected over the course of 6 clinic visits. The study found that patients were consistently more non-adherent than adherent in every category assessed, yet there was an overall decrease in mean systolic and diastolic blood pressure. Based upon these findings, it can be concluded that while individual adherence rates were imperfect for each demographic category …


Knowledge Of Behaviors That Contribute To A Healthy Pregnancy In Women Aged 18-25, Sarah K. Coffey, Rebecca Jennings Jan 2016

Knowledge Of Behaviors That Contribute To A Healthy Pregnancy In Women Aged 18-25, Sarah K. Coffey, Rebecca Jennings

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Knowledge of behaviors that contribute to a healthy pregnancy may enhance the overall pregnancy experience. However, there are currently no studies that evaluate where discrepancies exist between current recommendations of behaviors contributing to healthy pregnancies and knowledge of those behaviors in women ages 18-25. The objective of this study was to determine where those discrepancies exist. Survey data of women’s knowledge was compared to current recommendations set forth by the American College of Obstetricians and Gynecologists (ACOG). The behaviors assessed included alcohol consumption, cigarette smoking, sleeping, caloric intake, exercise, caffeine intake, weight gain, and folic acid intake. This knowledge was …


Birth Centers And Underserved Populations, Michelle M. Dabrowski Jan 2016

Birth Centers And Underserved Populations, Michelle M. Dabrowski

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Background: Disadvantaged women in the United States experience disparities in prenatal and birth related health outcomes. Purpose: The purpose of this literature review is to answer the question, “Can freestanding birth centers (FBC) improve outcomes for disadvantaged populations?” Results: FBCs do improve outcomes for disadvantaged populations in mode of delivery, low birth weight, prematurity, breastfeeding continuance, enhanced social support, and decreased familial stress, without additional risk for adverse outcomes. FBCs showed a demonstrable financial benefit through decreased facility fees, delivery charges, and fewer costs associated with the adverse health outcomes of cesarean sections, low birth weight, and premature infants. Conclusion: …


An Analysis Of Immunization Understanding In Undergraduate Students At Bethel University, Jeff Dahlquist, Steven D. Lindblom Jan 2016

An Analysis Of Immunization Understanding In Undergraduate Students At Bethel University, Jeff Dahlquist, Steven D. Lindblom

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This investigation studied the level of understanding of the nature of immunizations and vaccine preventable diseases in undergraduate students at Bethel University. Immunization literature demonstrates a significant lack of understanding in the general population in relation to the nature of vaccine preventable diseases and the immunizations used to counter them. Furthermore, the literature concludes that such a grossly inadequate understanding of the nature of vaccine preventable diseases may precipitate dire epidemiological consequences. This investigation was a pre-experimental design and utilized a short questionnaire administered one time to a sample population of 171 subjects over 18 years of age who were …


Anterior Cruciate Ligament Reconstruction: Which Graft Is Best To Prevent Re-Tear?, Katherine Ann Eslinger, Brittany Kapala, Noelle Kreofsky Jan 2016

Anterior Cruciate Ligament Reconstruction: Which Graft Is Best To Prevent Re-Tear?, Katherine Ann Eslinger, Brittany Kapala, Noelle Kreofsky

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The three most widely used graft choices currently employed in anterior cruciate ligament (ACL) repair are: patellar tendon autograft, hamstring tendon autograft, and cadaver tendon allograft. The purpose of this study is to examine the efficacy of each of these 3 graft choices (patellar tendon autograft, hamstring tendon autograft and cadaver tendon allograft) and determine which graft is less prone to re-tear. The study was implemented using a quantitative design process. The patient data was obtained and analyzed via Facebook survey. All identifying patient information was removed. Patients were included based on whether or not their ACL reconstruction was performed …


Cardiovascular Strain In Overweight 5k Runners, Sara Geier, Polly Hendel Jan 2016

Cardiovascular Strain In Overweight 5k Runners, Sara Geier, Polly Hendel

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Previous research is vast and varied regarding how exercise affects the physiology of the cardiac system. Many studies have found adverse effects to the heart in ultra-endurance athletes, but fewer studies have focused on overweight populations. Hamer and Boutcher (2006) observed abnormal post exercise cardiovascular changes in obese individuals when compared to individuals of normal body mass index (BMI) but, were unable to draw any definitive conclusions from the results. With Americans facing an obesity epidemic and healthcare providers increasingly prescribing regular exercise routines to combat it, definitive conclusions regarding the topic of healthy long-term exercise in overweight and obese …


Diabetes Education For The Hispanic Population, Nohemi I. Haben, Misty M. Schmitz Jan 2016

Diabetes Education For The Hispanic Population, Nohemi I. Haben, Misty M. Schmitz

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The purpose of this study is to investigate the effects, if any, of utilizing Spanish language on the efficacy of an education program for type 2 diabetes among the Hispanic population in the twin-cities Minneapolis/St. Paul metro area. In the United States adult Hispanics over the age of twenty have a 5.2% higher incidence of type 2 diabetes than Non-Hispanic Whites, a number that keeps rising despite preventability. In this study, a diabetes education program was delivered in Spanish based on material developed by the Centers for Disease Control and Prevention and the National Diabetes Education Program. The program focused …


Minnesota Healthcare Barriers To The Medically Underserved, Ashley C. Hoffmann, Amanda Walters Jan 2016

Minnesota Healthcare Barriers To The Medically Underserved, Ashley C. Hoffmann, Amanda Walters

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Quality medical services and patient oriented satisfaction are important factors in a healthcare setting. Barriers preventing such factors are more prevalent in medically underserved areas (MUAs) ( Brems, Johnson, Warner, & Roberts, 2006 ). The purpose of this study was to identify barriers in the care of patients within Minnesota MUAs. The study was conducted by an online survey emailed to Minnesota Academy of Physician Assistant (MAPA) members, and only members who were currently employed in a Minnesota MUA county had valid data collection. Twelve barriers to healthcare were listed on the survey and required the MAPA members to grade …


The Impact Of An Implemented Scribe Program In Emergency Room Settings On Patient And Provider Satisfaction, Overall Patient Volume, And Emergency Room Cost Effectiveness, Kendra L. Kruger, Tara L. Tait Jan 2016

The Impact Of An Implemented Scribe Program In Emergency Room Settings On Patient And Provider Satisfaction, Overall Patient Volume, And Emergency Room Cost Effectiveness, Kendra L. Kruger, Tara L. Tait

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The purpose of the study is to evaluate medical scribe programs in emergency room settings as to their role, impact on patient satisfaction, patient volume, and cost-effectiveness, as well as their perceived value by emergency room medical providers through survey methods. This prospective, quantitative research study obtained information via surveys of Emergency Physicians Professional Association (EPPA) providers concerning the value emergency room providers placed on the function and role of scribes in emergency room settings. The data obtained from the surveys was analyzed using correlation and comparison of means. The results of the study indicated that emergency room providers thought …


Dietary Supplements: A Consumer Profile Of Knowledge And Use, Sarah J. Kucera, Yen Nguyen Jan 2016

Dietary Supplements: A Consumer Profile Of Knowledge And Use, Sarah J. Kucera, Yen Nguyen

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Alternative medicine, in the form of dietary supplements, is appealing to Americans. Supplements have been marketed as being natural promoters of general well-being, healing, and disease prevention. Even with minimal regulation and research, the majority of supplement use is self-prescribed, fueling an industry last estimated at $32.5 billion in 2012. The study explored the degree of consumer knowledge with regards to regulation, appropriate indications and dosages, and potential adverse effects of various dietary supplements. The study also sought to evaluate the relationship between supplement knowledge and demographic information as well as the extent of discussion about supplement use with a …


Centering Pregnancy: The Maternal And Neonatal Benefits Of Group Prenatal Care, Trisha Lynn Nelson Jan 2016

Centering Pregnancy: The Maternal And Neonatal Benefits Of Group Prenatal Care, Trisha Lynn Nelson

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Background/Purpose: Centering Pregnancy is a type of group prenatal care that allows women to meet and receive their prenatal care together. The groups meet ten times during the pregnancy and focuses on different aspects of prenatal care. This critical review of the literature focuses on maternal and neonatal benefits of group prenatal care over traditional one-on-one care. A secondary analysis looks at how group prenatal care affects adolescents, women of low socioeconomic status, and minority ethnicities. The Social Learning Theory by Albert Bandura was utilized to look at Centering Pregnancy. The Social Learning Theory states that learning in a group …


Non-Pharmacologic Antenatal Interventions To Reduce Or Prevent Postpartum Depression, Jenny Rebecca Olson Jan 2016

Non-Pharmacologic Antenatal Interventions To Reduce Or Prevent Postpartum Depression, Jenny Rebecca Olson

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Background/Purpose: The purpose of this paper is to critically examine the literature in order to identify whether there are non-pharmacologic antenatal interventions that are effective in reducing or preventing postpartum depression. Theoretical Framework: Cheryl Beck’s theory, Teetering on the Edge: A Substantive Theory of Postpartum Depression, was the theoretical framework used in this paper. Beck’s theory was based on 18 months of studying women with postpartum depression from symptom onset thru the recovery process. During her research, Beck identified four stages to describe the progression of postpartum depression: Encountering terror, dying of self, struggling to survive, and regaining control. Methods: …


Delayed Cord Clamping Impact On Transitional Outcomes Of The Newborn, Ann E. Rice Jan 2016

Delayed Cord Clamping Impact On Transitional Outcomes Of The Newborn, Ann E. Rice

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Background: Currently in the United States, after a baby is born, the umbilical cord is immediately clamped; this is a routine obstetric procedure despite lack of evidence supporting this practice (Elchenbaum-Pikser, 2009). The practice of cord clamping varies with each provider from immediate cord clamping, to delayed cord clamping (which can vary from 1 to 5 minutes) to cord clamping after pulsation of the cord ceases. The procedure of cord clamping is a practice choice made by each medical provider and is based largely on personal preference, not evidence. Purpose: The purpose of this review and synthesis of literature is …


Safety For Women Opting For Tolac Versus An Elective Repeat Cesarean Section, Nicole Marguerite Rothgarn Jan 2016

Safety For Women Opting For Tolac Versus An Elective Repeat Cesarean Section, Nicole Marguerite Rothgarn

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Background/Purpose: TOLAC is the trial of labor after cesarean. VBAC is the successful birth after cesarean. The aim of this paper is to establish safety for women opting for the trial of labor after a primary cesarean. The purpose is to be able to determine how we can better counsel our women opting for TOLAC to improve the worldwide cesarean rate. Theoretical/Conceptual Framework: Imogene King’s theory of goal attainment is used to show the correlation between the patient and the midwife thorough the journey of pregnancy. The ultimate goal is to use the four paradigm’s Imogene describes to achieve a …


The Potential Benefits And Risks Of Antidepressant, Antipsychotic And/Or Mood Stabilizing Medications Use In Pregnancy: A Critical Review Of The Literature, Brittany Kaye Schultz Jan 2016

The Potential Benefits And Risks Of Antidepressant, Antipsychotic And/Or Mood Stabilizing Medications Use In Pregnancy: A Critical Review Of The Literature, Brittany Kaye Schultz

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Background: Medication use in pregnancy walks a fine line between safety of the mother and adverse effects in the developing fetus. Medications are prescribed to either help the mother maintain mental stability or they are discontinued out of fear of fetal harm. Many providers hope that the shift in hormones during pregnancy will fulfill the medications requirement in the non-pregnant state but this is not always the case. Is a discontinuation in medications upon a positive pregnancy test warranted? Purpose: To determine if antipsychotics, mood stabilizers, and antidepressants should be continued or discontinued during pregnancy or if they negatively impact …


The Use Of Supplemental Progesterone In Preventing Preterm Birth In High-Risk Women: A Critical Review Of The Literature, Leah Marie Schroeder Jan 2016

The Use Of Supplemental Progesterone In Preventing Preterm Birth In High-Risk Women: A Critical Review Of The Literature, Leah Marie Schroeder

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Background: Twelve percent of births in the United States occur before 37 weeks of gestation and therefore are considered preterm births (Norwitz, 2015). While the ability to identify women at risk for preterm birth has improved dramatically over the past three decades, the application of primary and secondary interventions has failed to reduce the incidence of preterm delivery, which has actually been on the rise (Norwitz, 2015). Preterm birth is a phenomenon that needs to be reduced not only in the United States, but also across the world. Purpose: To determine to what extent the use of supplemental progesterone in …


Alzheimer's Disease: Knowledge Of Early Detection, Risk Factors, And Treatment, Anna H. Smith, Katlyn S. Spadino Jan 2016

Alzheimer's Disease: Knowledge Of Early Detection, Risk Factors, And Treatment, Anna H. Smith, Katlyn S. Spadino

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Alzheimer's disease causes a progressive and irreversible decline in cognitive functioning. There are many people living with this disease, and the prevalence is expected to triple between 2010 and 2050. Many members of society are affected through either a personal diagnosis or the diagnosis of a family member. There have been numerous studies outlining risk factors, signs and symptoms, and treatments for this disease, but it is unknown if this has translated to greater public awareness. This study aims to assess the general adult population's knowledge of Alzheimer's disease. The participants are 35 to 70 years old and live in …


Individual Physician Assistant's Spirituality And Job Satisfaction, Kyle J. Smisek, Kelsa L. Hovelson, Mali D. Langlie Jan 2016

Individual Physician Assistant's Spirituality And Job Satisfaction, Kyle J. Smisek, Kelsa L. Hovelson, Mali D. Langlie

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The factors that contribute to job satisfaction have been studied extensively. Additionally, in the healthcare setting, the influence of spirituality has been a topic of substantial research. However, few studies have researched a physician assistant’s individual spirituality and its influence on job satisfaction. The goal of this study was to first identify the effect, if any, between the spirituality of a PA and his or her perceived job satisfaction, and second, to determine where spirituality ranks among the various factors that influence job satisfaction. In addition, the study addressed whether there appears to be a connection between one’s spirituality and …


The Benefits Of Hydrotherapy During Labor, Karen M. Sonnenburg Jan 2016

The Benefits Of Hydrotherapy During Labor, Karen M. Sonnenburg

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Background: There are many holistic options available to help women cope with the discomforts of labor including pain and anxiety. The use of hydrotherapy during labor is supported by The American College of Nurse-Midwives (2014) due to its many benefits including providing alternative pain relief measures to women during their labor and actual birth (Harper, 2014). Purpose: The purpose of this critical review of the literature is to identify and analyze the benefits of the use of hydrotherapy during labor including the use of showers, water immersion (immersion to the nipple line) and regular bathtubs. Results: Nineteen articles were selected …


Non-Antibiotic Alternatives For Reducing Antepartum Group B Streptococcus Colonization, Rebecca M. Smith Jan 2016

Non-Antibiotic Alternatives For Reducing Antepartum Group B Streptococcus Colonization, Rebecca M. Smith

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Background: Streptococcus agalactiae (known as Group B strep, or GBS) is a bacterium that resides in the gastrointestinal tract and/or vaginal canal and is typically benign, but during pregnancy and birth it can potentially colonize the neonate, causing early-onset group B streptococcal disease (EOGBSD) of the neonate. The use of antibiotics has reduced the morbidity and mortality associated with neonatal infections, but it is not an entirely effective means of preventing the infections and the development of antibiotic resistance may render antibiotics ineffective for this purpose. Alternative methods of preventing GBS colonization are in use by consumers and out-of-hospital birth …


The Use Of Nitrous Oxide In The Management Of Labor Pain: Safet And Effiacy, Jennifer Ruth Christensen Jan 2016

The Use Of Nitrous Oxide In The Management Of Labor Pain: Safet And Effiacy, Jennifer Ruth Christensen

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Background: All women will experience pain while going through childbirth. The pain is caused by pressure and stretching on the uterus and visceral organs, lack of oxygen during uterine contractions, and musculoskeletal and perineal stretching. Difficulty coping with pain leads to an increase in catecholamines, which further complicates the labor process and can contribute to long term psychological consequences. Up to 75% of women in other countries use nitrous oxide, a colorless odorless gas, to manage their labor pain. In the United States, the options for managing labor pain have consisted of non-pharmacological methods such as massage, breathing and relaxation …