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Addressing the Healthcare Needs of Rural LGBTQ+ Youth: A Program Evaluation
No full textThe purpose of this study was to conduct a summative program evaluation regarding a presentation on the healthcare needs of rural LGBTQ+ youth. Thus, a presentation was created with the following content: barriers, negative health outcomes, provider competency, preferences in healthcare, and tips and strategies for serving rural LGBTQ+ youth. The program was sent out to Doctor of Nursing Practice students as well as other nursing professionals who assessed the importance and helpfulness of the program (N = 4). It was hypothesized that a 10-minute program on the healthcare needs of rural LGBTQ+ youth would be helpful for medical professionals. Helpfulness received a mean score of 4.250 out of 5, and 100% of respondents indicated that the topic of this program was important. Results demonstrate the overall importance of this topic and implications for the counseling field. Current and future mental health professionals engaging in collaborative relationships with medical professionals should be aware of this topic to be better able to advocate for their clients
Probiotic Supplemental and Athletic Performance
No full textSeveral studies have reported a positive effect of probiotic supplementation on athletic performance; however, the specifics of these positive effects have yet to be investigated thoroughly. This report shows a probiotic supplementation, through pill supplementation or dietary supplementation, may result in a benefited athletic performance. A combination of primary and secondary review articles were used to develop this hypothesis. The main findings include: enhanced endurance and reduced time-to-fatigue, decreased period of soreness post-exercise, and improved anxiety. These mechanisms are occurring through the diversification of the gut microbiome. Further research needs to investigate these mechanisms to confirm the relationship between probiotic supplementation and enhanced athletic performance
Effect of Resveratrol Supplementation on Markers of Glycemic Control in Type 2 Diabetes Mellitus: Systematic Review and Meta-Analysis
No full textAnimal and in vitro studies have suggested that resveratrol supplementation may promote blood glucose regulation. However, results from human trials have been controversial. The purpose of this review was to investigate whether daily resveratrol supplementation contributes to decreased fasting blood glucose (FBG) and glycated hemoglobin (HbA1c) levels in adults with type 2 diabetes mellitus not on insulin therapy. A literature search of PubMed, CINAHL, and Google Scholar databases identified seven studies including a total of 341 participants reporting the impact of resveratrol on FBG and HbA1c. Consumption of a resveratrol supplement was associated with an overall decrease in both FBG (-0.68 mmol/L; 95% CI: -1.99, 0.62; p = 0.3013) and HbA1c (-0.77%, 95% CI: -2.65, 1.12; p = 0.4257), however relationships were not significant. The results of this meta-analysis suggest that resveratrol supplementation may be ineffective on markers of glycemic control in patients with insulin-naïve type 2 diabetes. Further study is warranted on the bioavailability and ideal dosage of oral resveratrol supplements
Why Do Americans Seek Nutrition Information From the Internet and Social Media Platforms? - A Nationwide Study
No full textPast research indicates Americans utilize the internet and social media as a preferred method to obtain health and nutrition-related information. However, it is still unknown as to why individuals prefer these non-credible modalities to researching nutrition and healthy eating information versus seeking advice from the credible nutrition experts, registered dietitians (RDs) or registered dietitian nutritionists (RDNs). In the present research study, SurveyMonkey® Audience panelists were invited to participant in an online, nationwide survey consisting of 14 questions. The questions were comprised of information regarding individual race/ethnicity, education level, knowledge of RDs or RDNs, social media usage, and researching methods for nutrition and healthy eating information. Panelists also completed demographic profiles consisting of the following information: age, gender, geographic location, and socioeconomic status. Ninety-four complete survey responses were used for data analysis on SPSS. Seventy-two participants (42 female participants) knew what an RD or RDN was; however, only 27 (14 female participants) have had an appointment with one. There was a significant relationship between gender, social media apps, and knowledge of RDs or RDNs, where males and females who did not know what an RD or RDN was used more social media apps weekly on average (p value of 0.013). Additionally, there were significant relationships between gender, social media apps, and specific barriers to setting up an appointment with an RD or RDN. The barrier of “I would rather get my nutrition/healthy eating information elsewhere” had a p value of 0.010, where males and females who choose this response used more social media apps weekly on average. Then, the barrier of “Time constraint” had a p value of 0.048, where females who chose this response used more social media apps weekly on average compared to females who did not choose this response. In conclusion, individuals use a variety of resources to find nutrition and healthy eating information. RDs or RDNs are not the first choice when individuals seek nutrition advice. Future research is needed to understand if nutrition and healthy eating information found on the internet and social media is accurate. There is a possible need for more RDs or RDNs to establish an online presence
Evaluation of a Care Planning Program in a Rural Emergency Department
No full textPatients that frequently utilize the ED have chronic health conditions and complicated social backgrounds. Episodic care and the hurried nature of the ED encounter leaves these patients with unmet needs, poor outcomes, and increased cost of care. Nurses are experts in holistic care and interdisciplinary collaboration, positioning them to pioneer the application of care coordination in the ED. This project evaluated the processes of the Emergency Department Continuity of Care Planning (EDCCP) program. The primary aim was to determine if the program increased median days between encounters of enrolled patients after 24-months. Secondary aims were established to collect recommendations for program improvement. A program evaluation was conducted using chart review, surveys, and interviews to collect data. Median days between encounters increased for 5 of 8 patients after 24-mos of program enrollment. A Wilcoxon signed-ranks test indicated that the change between pre-enrollment ranks and post-enrollment ranks was not significant, Z = 24, p < .05. Survey respondents agreed that the program was beneficial, and it was easy to enroll patients; but respondents struggled to identify program participants and locate the plan of care within the EMR. Interdisciplinary teamwork, accountability, and inconsistency of program processes were the 3 themes identified. Further studies are needed to determine if the EDCCP program is effectively meeting the needs of enrolled patients. The recommendations collected can direct program restructuring efforts and improve the efficiency and effectiveness of the program
Splinting Surgical Incisions in Postoperative Kidney and Liver Transplants to Reduce Pain and Prevent Dehiscence of Surgical Incisions
No full textThe purpose is to determine the efficacy of patients splinting surgical incisions in postoperative kidney and liver transplants in hopes to reduce pain and prevent the surgical site from dehiscence
Pilot Preoperative Education Video for Pediatric Patients
No full textAnesthetic induction can be a traumatic experience for pediatric patients. This project aimed to create a pilot preoperative education video to assess the feasibility of creating and implementing a professional video. A video portraying a child’s experience through perioperative events was recorded using an iPad. A child was filmed going through day surgery, pre-holding, the operating room, and the post-anesthesia care unit. A voice-over was used to explain steps throughout the day. The video was shown to small groups of pediatric patients, parents, and staff. Data were collected utilizing Likert scale surveys and analyzed using descriptive statistics. Narrative comments were evaluated for themes. Staff had positive reactions to the video, perceived it as accurate, informative, and appropriate for pediatric patients at this institution. The results support the creation and implementation of a professional video
Ethel Smyth: A Passionate & Prolific Life
No full textWhen it comes to music history, the works and composers that we remember and most often perform tend to be written by white, Western European men. However, women and people of color have been writing and performing music for centuries. In recent years, music educators have been making strides to include these often forgotten composers in classroom discussions. One of these composers is Dame Ethel Smyth—a British composer and suffragette who helped make strides for women both within and outside of the field of music. During her lifetime, Smyth played an instrumental role in helping women to gain the right to vote in England. As a composer, she achieved a great many "firsts" for a woman in the field of music—including being the first woman to have one of her operas performed at the Metropolitan Opera in New York. She was acquainted with some of the most famous composers of her time, including Johannes Brahms and Tchaikovsky, who encouraged, helped, and inspired her as a musician. Despite the backlash she faced as a woman in the field of music, she refused to be discouraged and, through her dedication to her music, managed to change the minds of some of her critics. Renewed focus on celebrating the works for less mainstream composers means that Smyth's works have recently come back into the light and are being increasingly programed for performances around the world. However, there is still much work to be done in order to give Smyth and composers like her the recognition they deserve
Probiotic Supplementation on Athletic Performance: A Literature Review
No full textSeveral studies have looked at the benefits of probiotics on the human gastrointestinal (GI) tract, but more recently, studies have pointed to potential benefits of probiotic supplementation on athletic performance in athletes and active individuals. Specifically, research has looked at the impact on endurance, rate of fatigue, muscle mass, recovery, mood, and stress management. This review aims to review the effectiveness of probiotics on these parameters in hopes of providing the sports community with evidence to promote change in the dietary habits of athletes and active individuals. Electronic databases, such as PubMed, Google Scholar, and ScienceDirect, were utilized to identify publications on this topic. Research showed probiotics were effective at increasing the time to fatigue, decreasing stress and anxiety levels, reducing muscle soreness, and increasing muscle mass and endurance compared to placebos. While significant benefits on athletic performance were discovered, future research on specific strains of probiotics and their long-term effects are still needed
The Impact of COVID-19 Pandemic on Breastfeeding Rates in WIC Participants
No full textThis secondary data research study examined the impact of the coronavirus disease 2019 (COVID-19) pandemic lockdown on breastfeeding rates among participants of the Special Supplemental Nutrition Program for Women Infants and Children (WIC) in Southern California. Limited studies are available on how the COVID-19 pandemic and the remote services impacted breastfeeding outcomes among WIC participants. Data were drawn from WIC Reporting Analytics and Data (WRAD) which was obtained from eWIC management information system. Chi-square tests were used to explore the relationship between COVID-19 pandemic and breastfeeding outcomes. The first data collection consisted of 3,131 infant participants collected from October 2019 to March 2020 (pre-pandemic). The second data collected consisted of 8,532 infant participants collected from March 2020 to April 2021 (pandemic). Compared with infants at 4, 6 and 11 months pre-pandemic, the percentage of infants who received any breastfeeding during the pandemic at 4, 6 and 11 months significantly increased from 42.89% to 50.15% (p=0.001), 34.07% to 41.66% (p=0.0002), and 29.15% to 34.01% (p= 0.019), respectively. Additionally, compared with infants at 2 and 6 months pre-pandemic, the percentage of infants who were exclusively breastfed significantly increased from 15.98% to 20.26% (p=0.007) and 13.34% to 16.45% (p=0.041), respectively. Lastly, there was no significant difference with any breastfeeding rates at 2 months of age (p=0.088) and exclusively breastfeeding rates for infants at 4 and 11 months of age (p=0.362 and p=0.133), respectively. Future analyses could explore breastfeeding outcomes during pandemic lockdown in other parts of the country. Another avenue of research could be qualitative research to understand WIC participants’ breastfeeding cessation reasons and how these factors are associated with limitations during a pandemic. A greater understanding of these impacts during times of crisis will guide practice and policy on how to best support lactating parents