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The Impact of Socioeconomic Status on Nutrition Support: A Systematic Review
No full textNutrition support through enteral or parenteral nutrition is necessary for individuals that are unable to get adequate nutrition orally due to different conditions that can affect their absorption of nutrients. When this type of nutrition is needed long term, individuals will often use it at home. This can be in the form of home enteral nutrition (HEN) or home parenteral nutrition (HPN). This type of nutrition can be very expensive and requires a lot of attention and care. Individuals of lower economic status may struggle to receive home nutrition support (HNS) due to affordability or bias. This study aimed to determine if people with lower socioeconomic status were more or less likely to receive home nutrition support. The methods were to use reputable sources from different databases such as PubMed, NIH, Viterbo Library, and Google Scholar. There is limited research that relates to economic status and home nutrition support. Results were inconclusive and a statistical analysis was unable to be performed due to the lack of research and evidence. Many of these studies used a variety of variables, often not relating to the research question. There is a need for further research in this topic to come to a significant conclusion
Effect of Web-Based Guided Self-Help Cognitive Behavioral Therapy Treatment for Adults With Binge Eating Disorder Systematic Review and Meta-analysis
No full textEating disorders (EDs) are associated with the highest mortality rate among all mental illnesses, and binge eating disorder (BED) is the most common of all. Despite this, research of this population and access to in-person treatment remains scarce. The aim of this meta-analysis was to evaluate the efficacy of web-based guided self-help cognitive behavioral therapy (GSH-CBT) in the treatment for adults with binge eating disorder (BED). A literature search of the databases, PubMed and Google Scholar, identified six randomized controlled trials (RCTs) that comprised a total of 728 participants in the interventions (digital GSH-CBT) and 704 participants in the controls (wait list or treatment as usual). The Quality Criteria Checklist (QCC) was utilized to assess the bias and quality of included studies. The effect sizes for interventions and controls in each study were calculated by utilizing the standardized mean differences (SMD). Web-based GSH-CBT was concluded to be an overall effective and positive treatment for adults with BED or BN in both Eating Disorder Examination-Questionnaire (EDE-Q) global scores (SMD: 0.73, 95% CI: 0.03 to 1.44; p= 0.047; I2= 95.7%) and binge eating (BE) frequency (SMD: 0.38, 95% CI: 0.12 to 0.59; p= 0.003; I2= 73.36%). Results were found to be statistically significant. This is the first known meta analysis to investigate the effectiveness of web-based, GSH-CBT treatment for adults with BED, and results showed to agree with the hypothesis overall. Additional research is warranted, specifically comparing in-person treatment to web-based, GSH-CBT treatment for EDs, to ensure web-based is an appropriate and effective alternative
Meta-Analysis of Testosterone Boosters, Cholesterol, and Cardiovascular Health: A Comprehensive Review
No full textThe meta-analysis explores the detailed interplay among testosterone levels, heart health, lipid profiles, and the uptake of testosterone boosters. In particular, these results did not show that there is correlation between testosterone levels and cardiovascular risks which in turn underscore the importance of conducting thorough cardiovascular risk assessment before prescribing or using testosterone boosters especially on professional patients (Wang et al., 2020). It should be pointed out that personalized treatment plans with a systematic monitoring of the cardiovascular indices can serve as an effective means of reducing possible hazards associated with the use of testosterone booster (Morgentaler et al., 2016). Instead, it is suggested that collaborative care involving a holistic team of healthcare professionals should be considered whenever we deal with patients who take testosterone boosters to ensure optimal treatment strategies for this category (Corona et al., 2018). Educational campaigns must be conducted to enlighten patients as well as other stakeholders about cardiac consequences resulting from administration of testosterone boosters by highlighting decision making awareness thereby promoting ethical supplementation practices (Basaria et al., 2018). Yet, it is necessary to recognize limitations like heterogeneity among studies and publication bias within meta-analysis (Sharma et al., 2021). In order to assess fully the real extent to which taking up a testosterone booster can impact on individual's cardiovascular system; long-term follow-up studies are recommended. These investigations are important because they will help in maintaining ethical standards while providing appropriate medical care in relation to use of such drugs on people at large scale (Haider et al., 2019). However, further research and attention are needed despite this all-inclusive information provided by this study so that potential dangers could be addressed and safe use along with effectiveness when it comes to utilization of testosterone boosters across different populations can be guaranteed
Common Links Between Servant Leadership and Resiliency
No full textThis study examined how servant leadership enhances one's ability to connect and discussed how resilience complements a servant leader's ability to influence change. Connection is the focal point of the research and is referred to as knowledge sharing, interpersonal support, selfless behaviors, and autonomy through fostering relationships through praise and encouragement in support of one's perception of positive self (Lan et al., 2012; Li et al., 2021; Peachey et al., 2018; Song et al., 2015; Thao & Kang, 2018). The literature review provided a great understanding of some key components of servant leadership and resilience including knowledge sharing, fostering connection, selfless behaviors, interpersonal support, autonomy, and praise and encouragement
The Impact of Dr. Browns Infant Driven Feeding™ Program on Nurses' Knowledge and Confidence
No full textInfants born prematurely have many challenges to face as they adjust to life outside of the womb. By the time neonates reach the stage of oral feeding, they have crossed many hurdles; but before being discharged from the Neonatal Intensive Care Unit (NICU), have yet to face one of the more time-consuming and developmentally complex tasks, that of learning to feed orally. It was recognized that the feeding practices at a large Midwest medical center's level 3 and 4 NICUs were not based on current evidence; and through a survey to nursing staff revealed inconsistency in feeding practices and difficulty in understanding the current policy. Subsequently, the Dr. Brown's Infant-Driven Feeding™ (IDF™) program, an evidence-based feeding program with a proven track record of improved outcomes for both patients and staff, was reviewed and adopted. This nurse-led quality improvement project was aimed at educating NICU nursing staff on IDF™ practices, with the goal of increasing knowledge and confidence in infant feeding. To achieve this, nurses obtained education using the Dr. Brown's program developed IDF™ online modules, unit-specific additional education, and IDF™ patient scenarios. The nurses' understanding was assessed by a superuser using an institution developed verification process. The pre- and post- education survey results demonstrated a notable increase in knowledge and confidence among nurses. The ongoing commitment of Dr. Brown's IDF™ program to evidence-based practice, coupled with the institution's NICU leadership team's dedication to supporting their staff, ensures that nurses' knowledge of and confidence in proper NICU infants' feeding will continue to be bolstered
B. subtilis' Mechanical Evolution of the Riboswitch
No full textAntimicrobial resistance poses a significant threat to the human population. By investigating the transcriptional control mechanisms in the guanidine-I riboswitch in Bacillus subtilis bacteria, it can possibly lead to amstronger understanding of pathogen's abilities to overcome antimicrobial toxicity, known as antimicrobial
resistance
The Professional Identity in Nursing and the Lived Experience of Nurse Leaders
No full textThe professional identity in nursing and how this is perceived and demonstrated by nurse leaders is an important concept to understand in today's challenging health care environment. Through a qualitative research approach, the lived experience of nurse leaders, specifically defined as nurse managers, with one year or more of leadership experience, was revealed through participant interview and subsequent thematic analysis. The currently accepted 4 domains of professional identity in nursing, which include Ethics and Values, Knowledge, Nurse as Leader, and Professional Comportment, were used as the construct for thematic analysis. In addition, participant responses were evaluated in conjunction with 3 derived themes from a comprehensive literature review. Findings of this research suggest that without prior education or prompting, the lived experiences of nurse leaders demonstrate a natural relationship with the domains and themes derived from the literature. This study also highlights the importance of ethics, values, and knowledge in the development of professional identity. Implications of this work could include enhanced leadership development, improved work environments, emphasis on life-long learning, and ethical and value-based leadership
Challenging Traditional Economic Models: Just, Equitable, and Non-Exploitative Options for Non-Accredited Investors
No full textThis study focused on the limitations that exist for non-accredited investors, whom represent a significant portion of the U.S. population, as it relates to private impact-oriented investments, as well as ethical and economic models that would inspire and support all investors to align their financials with the social and environmental common good. It relies on the facts as they exist within our political and financial structures, along with literature and studies that have been prepared by industry leaders in the sustainable economy and impact investing realms. It incorporates servant leadership principles as they present themselves regularly in the concepts of social and environmental impact investing, along with how they will need to be present in the leadership and collaboration of creating an economic structure that is focused on the social well being of all humanity, and a care for our common home
Mentorship for Indigenous Youth Using a Servant Leadership Lens
No full textThe purpose of this study was to jumpstart a mentorship program for Ho-Chunk Nation youth. Indigenous youth in general are at a higher risk for dropping out of high school, committing suicide and falling into depression compared to their peers. The writer answers the question. How does servant leadership inform mentorship for indigenous youth? This is done by defining mentorship and the various models and stages that a mentor and mentee go through. Learning what has worked for indigenous mentorship programs. The action research focused on mentorship for indigenous youth but also brought in elements of standard mentorships programs for both students and professionals
Prevalence of Signs and Symptoms of REDs Amongst Collegiate Athletes With Varying Levels of Access to Sports RDNs
No full textRelative Energy Deficiency in Sport (REDs) is a syndrome stemming from Low Energy Availability (LEA) that can result in various impairments in athlete health and performance. Athletes are at increased risk for eating disorders (EDs) and disordered eating (DE), which can result in a status of LEA, and certain practices in collegiate athletics may produce additional risk. One hundred fifty-one collegiate athletes participated in a research survey and answered questions which included demographic information, REDs signs and symptoms, practices related to weight and body composition in the collegiate athletics setting, and access to nutrition services provided by sports RDNs. Data were analyzed using Mann-Whitney U tests, an independent samples t-test, a Spearman's rank-order correlation, and Chi squared tests. Receiving nutrition services from sports RDNs was significantly (U=780.500, p=.002) associated with a higher REDs risk score. There was a strong, positive association between REDs risk and practices known to increase risk of disordered thoughts and behaviors in the college sports setting, which was statistically significant (Rs (98) =.375, p <.001). Female gender was significantly associated (p=<.001) with a higher REDs risk score (9.18 ? 4.62) compared to male gender (4.60 ? 3.51). Associations between REDs risk and participating in 2 sports seasons, REDs risk and sport category, REDs knowledge and access to sports RDNs, and REDs risk and athletic division were not statistically significant. Future research performed in a clinical setting could reduce self-report bias and utilization of the REDs Clinical Assessment Tool 2 (CAT2) may present a more standardized risk stratification