Medicine and Health Sciences Commons^™

Efficacy Of Cervical Mucus Observations Plus Electronic Hormonal Fertility Monitoring As A Method Of Natural Family Planning, Richard J. Fehring, Mary Schneider, Kathleen Raviele, Mary L. Barron

College of Nursing Faculty Research and Publications

Objective: To determine the effectiveness of an electronic hormonal fertility monitor plus cervical mucus monitoring to avoid pregnancy. Design: A 12-month prospective clinical efficacy trial. Setting and Participants: One hundred ninety five (195) women (mean age 29.8 years) seeking to avoid pregnancy with a natural method at 5 clinical sites in 4 cities. Intervention: Each participant was taught to track fertility by self-observation of cervical mucus and an electronic monitor that measures urinary levels of estrone-3-glucuronide and luteinizing hormone. Main Outcome Measures: Correct-and typical-use unintended pregnancy rates. Results: There were a total of 26 unintended pregnancies, 3 with correct use. …

Β-N-Methylamino-L-Alanine Enhances Neurotoxicity Through Multiple Mechanisms, Doug Lobner, Peachy Mae T. Piana, Abed K. Salous, Robert W. Peoples

Biomedical Sciences Faculty Research and Publications

The idea that the environmental toxin β-N-methylamino-l-alanine (BMAA) is involved in neurodegenerative diseases on Guam has risen and fallen over the years. The theory has gained greater interest with recent reports that BMAA is biomagnified, is widely distributed around the planet, and is present in the brains of Alzheimer's patients in Canada. We provide two important new findings. First, we show that BMAA at concentrations as low as 10 μM can potentiate neuronal injury induced by other insults. This is the first evidence that BMAA at concentrations below the mM range can enhance death of cortical neurons and …

Pdcds-Adult English, Marianne E. Weiss

Quality of Discharge Teaching Scale

The Readiness for Hospital Discharge Scale, Quality of Discharge Teaching Scale, and Post-Discharge Coping Difficulty Scale were developed by Dr. Marianne Weiss to measure nurse-sensitive discharge care processes and patient outcomes. Three versions of the scales were developed concurrently for different patient populations – Adult medical-surgical patients, Parents of hospitalized children, and Postpartum Patient mothers (see Weiss & Piacentine, 2006, Weiss et al., 2007, and Bobay et al., 2018 for description of the development and initial testing). Additional scales and information about translation rights are located at Marquette Nursing.

PERMISSION TO USE

The Readiness for Discharge Scale, Quality of Discharge …

Pdcds-Adult English, Marianne E. Weiss

Quality of Discharge Teaching Scale

The Readiness for Hospital Discharge Scale, Quality of Discharge Teaching Scale, and Post-Discharge Coping Difficulty Scale were developed by Dr. Marianne Weiss to measure nurse-sensitive discharge care processes and patient outcomes. Three versions of the scales were developed concurrently for different patient populations – Adult medical-surgical patients, Parents of hospitalized children, and Postpartum Patient mothers (see Weiss & Piacentine, 2006, Weiss et al., 2007, and Bobay et al., 2018 for description of the development and initial testing). Additional scales and information about translation rights are located at Marquette Nursing.

PERMISSION TO USE

The Readiness for Discharge Scale, Quality of Discharge …

Pdcds-Adult English, Marianne E. Weiss

Post-Discharge Coping Difficulty Scale (PDCDS)

The Readiness for Hospital Discharge Scale, Quality of Discharge Teaching Scale, and Post-Discharge Coping Difficulty Scale were developed by Dr. Marianne Weiss to measure nurse-sensitive discharge care processes and patient outcomes. Three versions of the scales were developed concurrently for different patient populations – Adult medical-surgical patients, Parents of hospitalized children, and Postpartum Patient mothers (see Weiss & Piacentine, 2006, Weiss et al., 2007, and Bobay et al., 2018 for description of the development and initial testing). Additional scales and information about translation rights are located at Marquette Nursing.

PERMISSION TO USE

The Readiness for Discharge Scale, Quality of Discharge …

Continued Professional Competence And Portfolios, Michelle Byrne, Teresa Delarose, Cecil A. King, Jane Stover Leske, Kathryn G. Sapnas, Kathryn Schroeter

College of Nursing Faculty Research and Publications

It is traditionally assumed that licensure of healthcare professionals means that they are minimally competent. Many nursing specialty organizations offer examinations and other processes for certification, suggesting that certification is associated with continued competency. Can standardized examination for certification and continuing education for recertification ensure continued competency? Continuing education and testing provide a limited picture of an individual's knowledge and/or skill acquisition in a limited area at one point in time. However, portfolios promote critical thinking, self-assessment, and individual accountability. A portfolio is a portable mechanism for evaluating competencies that may otherwise be difficult to assess. This article summarizes some …

Advocacy: The Tool Of A Hero, Kathryn Schroeter

College of Nursing Faculty Research and Publications

No abstract provided.

Legislation And Policy Development, Kathryn Shisler Harrod, Lisa Hanson, Kathryn Osborne

College of Nursing Faculty Research and Publications

No abstract provided.

Effects Of Teaching Resourcefulness And Acceptance On Affect, Behavior, And Cognition Of Chronically Ill Elders, Jaclene Zauszniewski, Abir K. Bekhet, Chien-Yu Lai, Patricia Mcdonald, Carol M. Musil

College of Nursing Faculty Research and Publications

This clinical trial examined changes in affect, behavior, and cognition in 176 chronically ill elders who were randomly assigned to Resourcefulness Training (RT), Acceptance Training (AT), or Diversional Activities (DA). The RT group improved on affect (t(1,42) = 4.91; p < .001) and cognition (t(1,42) = 2.03; p< .05) and these effects lasted 12 weeks. The AT group improved on affect (t(1,36) = 3.08; p < .01), but this improvement did not persist. The RT and AT groups both showed positive behavior changes after six weeks. There were no changes in the DA group. The findings suggest that teaching elders resourcefulness and acceptance of chronic conditions may promote healthy functioning and improve their quality of life.

The Bath Environment, The Bathing Task, And The Older Adult: A Review And Future Directions For Bathing Disability Research, Susan L. Murphy, Kimberlee A. Gretebeck, Neil B. Alexander

College of Nursing Faculty Research and Publications

Purpose. To review existing research studies to identify optimal intervention strategies for remediation and prevention of bathing disability and future directions for bathing disability research.

Method. Bathing disability, defined as problems in the interaction between the person and the environment during bathing performance, is examined through a comprehensive, narrative literature review.

Results. Most studies focus on the relationship between the person and the environment (such as assistive device use and environmental hazards) while fewer studies focus on analysis of the bathing task or the interaction of the person, environment, and bathing task. Of intervention studies, most do …

The Influence Of Religiosity On Contraceptive Use And Abortion In The United States, Richard J. Fehring, Jennifer Ohlendorf

College of Nursing Faculty Research and Publications

The CDC has conducted the National Survey of Family Growth (NSFG) every three to seven years between 1973 and 2002 to describe contraceptive use among women in the U.S. The data from these surveys are available to researchers to examine trends in contraceptive use and sexual behaviors. The purpose of this study was to examine data from the 2002 NSFG in order to determine the influence of religiosity on abortion and abortifacient contraceptive use, i.e., the use of the oral contraceptive pill (OC), the injected hormone Depoprovera (IC), the IUD, and hormonal emergency contraception (EC), among American women between the …

Perceived Readiness For Hospital Discharge In Adult Medical-Surgical Patients, Marianne E. Weiss, Linda B. Piacentine, Lisa Lokken, Janice Ancona, Joanne Archer, Susan Gresser, Sue Holmes Baird, Sally Toman, Anne Toy, Teri Vega-Stromberg

College of Nursing Faculty Research and Publications

Purpose: The purpose of the study was to identify predictors and outcomes of adult medical-surgical patients' perceptions of their readiness for hospital discharge.

Design: A correlational, prospective, longitudinal design with path analyses was used to explore relationships among transition theory-related variables.

Setting: Midwestern tertiary medical center.

Sample: 147 adult medical-surgical patients.

Methods: Predictor variables included patient characteristics, hospitalization factors, and nursing practices that were measured prior to hospital discharge using a study enrollment form, the Quality of Discharge Teaching Scale, and the Care Coordination Scale. Discharge readiness was measured using the Readiness for Hospital Discharge Scale administered within 4 hours …

The Power Of Collaboration With Patient Safety Programs: Building Safe Passage For Patients, Nurses, And Clinical Staff, Karlene M. Kerfoot, Kathryn Rapala, Patricia R. Ebright, Suzanne M. Rogers

College of Nursing Faculty Research and Publications

Patient safety is a relatively new field, with many opinions and few effectively proven approaches. One factor is clear: optimal patient safety outcomes cannot be achieved in isolation. Although it is well recognized that multidisciplinary collaboration in the healthcare setting is necessary to effect patient safety, collaboration with resources external to healthcare-academia and industry in particular-will not only aid but also quicken the patient safety efforts. The authors outline a healthcare system's use of all available resources to build a patient safety program.

Psychometric Properties Of The Readiness For Hospital Discharge Scale, Marianne E. Weiss, Linda Piacentine

College of Nursing Faculty Research and Publications

The purpose of the study was to assess the psychometrics properties of the Readiness for Hospital Discharge Scale (RHDS), a 23-item instrument that measures patients' perception of readiness for discharge. Data were obtained from 356 respondents from two urban tertiary medical centers (adult and children's) in the midwestern United States who were participants in a larger study of predictors and outcomes of readiness for hospital discharge. Confirmatory factor analysis, contrasted group comparisons, and predictive validity testing supported the 4-factor structure and construct validity of the instrument. Following deletion of two poorly performing items, Cronbach's alpha for the revised 21item scale …

Immediate Surgical Repositioning Following Intrusive Luxation: A Case Report And Review Of The Literature, H. Cem Güngör, S. Burcak Cengiz, Nil Altay

School of Dentistry Faculty Research and Publications

This report presents a case of severe intrusive luxation of mature maxillary lateral incisor in a 10-year-old boy. The intruded tooth was immediately repositioned (surgical extrusion) and splinted within 2 h following injury. Tetracycline therapy was initiated at the time of repositioning and maintained for 10 days. Pulp removal and calcium hydroxide treatment of the root canal was carried out after repositioning. Splint was removed 1 month later. Definitive root canal treatment with gutta percha was accomplished at the second month recall. Clinical and radiographic examination 28 months after the surgical extrusion revealed satisfactory apical and periodontal healing.

Buccal And Palatal Talon Cusps With Pulp Extensions On A Supernumerary Primary Tooth, Esin Siraci, H. Cem Güngör, Zafer C. Cehreli, B. Taner

School of Dentistry Faculty Research and Publications

This paper reports an unusual occurrence of talon cusp on a supernumerary primary incisor, presenting on both labial and palatal sides. The tooth was scheduled for extraction due to its interference with the occlusion. Morphometric analysis of the taloned cusps was performed on digitized replicas of the tooth crown using open-source image analysis toolkit (ImageJ). Further non-destructive investigation of the taloned crown under cone-beam X-ray computed tomography revealed pulpal extensions in both talon cusps.

Pushing For Change, Lisa Hanson

College of Nursing Faculty Research and Publications

No abstract provided.

Supraspinal Fatigue Does Not Explain The Sex Difference In Muscle Fatigue Of Maximal Contractions, Sandra K. Hunter, Jane E. Butler, Gabrielle Todd, Simon C. Gandevia, Janet L. Taylor

Exercise Science Faculty Research and Publications

Young women are less fatigable than young men for maximal and submaximal contractions, but the contribution of supraspinal fatigue to the sex difference is not known. This study used cortical stimulation to compare the magnitude of supraspinal fatigue during sustained isometric maximal voluntary contractions (MVCs) performed with the elbow flexor muscles of young men and women. Eight women (25.6 ± 3.6 yr, mean ± SD) and 9 men (25.4 ± 3.8 yr) performed six sustained MVCs (22-s duration each, separated by 10 s). Before the fatiguing contractions, the men were stronger than the women (75.9 ± 9.2 vs. 42.7 ± …

Active Hyperemia And Vascular Conductance Differ Between Men And Women For An Isometric Fatiguing Contraction, Sandra K. Hunter, Jennie M. Schletty, Kristine M. Schlachter, Erin E. Griffith, Aaron J. Polichnowski, Alexander V. Ng

Exercise Science Faculty Research and Publications

To understand the role of muscle perfusion in the sex differences of muscle fatigue, we compared the time to task failure, postcontraction (active) hyperemia, and vascular conductance for an isometric fatiguing contraction performed by young men and women with the handgrip muscles at 20% of maximal voluntary contraction (MVC) force. In study 1, the men (n = 16) were stronger than the women (n = 18), and study 2, the men (n = 7) and women (n = 7) were matched for strength. Isometric contractions were sustained during two sessions: 1) until the target …

Rhythm Method As Cause Of Embryonic Death Based On Flawed Assumptions, Richard J. Fehring

College of Nursing Faculty Research and Publications

Response to "The rhythm method and embryonic death" by L. Bovens in Journal of Medical Ethics, Vol. 32 (2006): 355-356.

Recommendations For Sexuality Education For Early Adolescents, Kristin Haglund

College of Nursing Faculty Research and Publications

Objective: To determine community support and identify appropriate learning methodologies, parameters of delivery, and intervention content.

Design: Qualitative descriptive study in which participants were interviewed in a semistructured format. Data were analyzed thematically.

Setting: An urban pediatric primary care clinic from which youths and parents were recruited.

Participants: Ten youths, 10 parents, and 10 community members. Community members included professional and laypersons who had experience in working with early adolescents or in working with children of any age on sexuality issues. Overall, most participants were female (67%) and African American (67%).

Results: Descriptions of early adolescents ’ knowledge of sexuality, …

Matching A Graduate Curriculum In Public/Community Health Nursing To Practice Competencies: The Rush University Experience, Susan M. Swider, Pamela F. Levin, Sarah Ailey, Susan Breakwell, Julia M. Cowell, Diane Mcnaughton, Marilyn O'Rourke

College of Nursing Faculty Research and Publications

An evidence‐based approach to Public/Community Health Nursing (P/CHN) requires that P/CHN educators prepare practitioners with the relevant skills, attitudes, and knowledge. Such education should be competency‐based and have measurable outcomes to demonstrate student preparation. In 2003, the Quad Council competencies were developed to be applied at two levels of public health nursing practice: the staff nurse/generalist role and the manager/specialist/consultant role. This paper describes a process for evaluation and revision of a graduate curriculum to prepare Advanced Practice Clinical Nurse Specialists (CNS) in P/CHN, to ensure that the educational program addresses and develops knowledge and proficiency in all relevant competencies. …

[Book Review Of] The God Gene: How Faith Is Hardwired Into Our Genes, By Dean Hammer, Samuel Nigro

The Linacre Quarterly

No abstract provided.

[Book Review Of] Physicians' Crusade Against Abortion, By Frederick N. Dyer, Eugene F. Diamond

The Linacre Quarterly

No abstract provided.

Girls On The Move Program To Increase Physical Activity Participation, Lorraine B. Robbins, Kimberlee A. Gretebeck, Anamaria S. Kazanis, Nola J. Pender

College of Nursing Faculty Research and Publications

Background:

Because physical inactivity poses serious health risks, interventions are urgently needed to reverse the increasingly sedentary lifestyles of adolescent girls.

Objective:

The aim of this study was to determine the feasibility of "Girls on the Move," an individually tailored computerized physical activity (PA) program plus nurse counseling intervention, in increasing PA.

Methods:

A pretest-posttest control group design was used with 77 racially diverse sedentary girls in Grades 6, 7, and 8 from two middle schools. Each of the instructional grades was randomly assigned to either an intervention or control condition. After completing computerized questionnaires, each girl in the control …

Variability In The Phases Of The Menstrual Cycle, Richard J. Fehring, Mary Schneider, Kathleen Raviele

College of Nursing Faculty Research and Publications

Objective: To determine variability in the phases of the menstrual cycle among healthy, regularly cycling women. Design: A prospective descriptive study of a new data set with biological markers to estimate parameters of the menstrual cycles. Participants: One hundred forty one healthy women (mean age 29 years) who monitored 3 to 13 menstrual cycles with an electronic fertility monitor and produced 1,060 usable cycles of data. Measures and Outcomes: Variability in the length of the menstrual cycle and of the follicular, fertile, and luteal phases, and menses. The estimated day of ovulation and end of the fertile phase was the …

Peripheral Blood Pressure Changes Induced By Dobutamine Do Not Alter Bold Signals In The Human Brain, Heng Liu, Charles Rainey, Kathryn K. Lauer, Linda B. Piacentine, Alan S. Bloom, Robert C. Risinger, B. Douglas Ward, Elliot Stein, Shi-Jiang Li

College of Nursing Faculty Research and Publications

In extending the use of functional MRI to neuropharmacology, a primary area of concern is that peripheral blood pressure changes induced by pharmacological agents could independently produce a change in the blood oxygenation level-dependent (BOLD) signal, resulting in difficulties distinguishing or interpreting drug-induced neural activations. In the present study, we utilized intravenous dobutamine, a beta-adrenergic receptor agonist, to increase the mean arterial blood pressure (MABP), while examining the effects of MABP changes on the BOLD signal in cocaine-dependent participants. Dobutamine infusion significantly increased the MABP from 93 ± 8 mm Hg to 106 ± 12 mm Hg (P < 0.0005), but did not produce a significant global BOLD signal. Yet, a few voxels in the anterior cingulate showed BOLD signal changes that paralleled the changes in blood pressure (BP). Our observations support the conclusion that following the infusion of psychoactive agents, brain BOLD signals accurately reflect neuronal activity, even in the face of relatively large peripheral cardiovascular effects that transiently increase systemic BP.

Correlates Of Cigarette Smoking Among Low-Income African American Women, Jorge Delva, Marisol Tellez, Tracy L. Finlayson, Kimberlee A. Gretebeck, Kristine Siefert, David R. Williams, Amid I. Ismail

College of Nursing Faculty Research and Publications

Objective: This study examines individual and contextual correlates of cigarette smoking in a randomly selected, community-based sample of low-income African American women.

Design: The study sample was selected by using a two-stage area probability sample design.

Setting: Participants were recruited from > 12,000 housing units selected from 39 census tracts in the city of Detroit.

Participants: Participants for this study include a total of 921 women who completed the baseline assessment of a randomized clinical trial aimed at improving the oral health of African American families.

Main outcome measures: Past month prevalence of cigarette use and number of cigarettes smoked during …

Fibrinogen-Containing Y Chains; Is The Assay Measuring What Farrell's Group Expects?, Kevin R. Siebenlist

Biomedical Sciences Faculty Research and Publications

No abstract provided.

The National Children's Study, Waukesha Country, Wisconsin, Vanguard Center, Jeanne B. Hewitt, Steven R. Leuthner, Marianne E. Weiss, David Whelan, Leslie Athey, Jane A. Mcelroy, Maureen S. Durkin, Christine E. Cronk

College of Nursing Faculty Research and Publications

The National Children's Study (NCS) is a large, long-term study designed to detect environmental influences on the health and development of children. Waukesha County, Wisconsin, was selected as 1 of 7 "Vanguard Centers" currently funded to finalize and lead the implementation of the study protocol. The authors provide an overview of key design and planning processes that will be used at all NCS Vanguard locations, the specific approaches to be used in the NCS Waukesha Country Vanguard Center, and information about Wisconsin physicians and other health care professionals can become involved in working with the NCS.