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Enhancing Athletic Participation: Continuous Glucose Monitoring for Pediatric Type 1 Diabetes Athletes
Get PDFBackground: Type 1 diabetes mellitus (T1DM) is a lifelong autoimmune condition requiring exogenous insulin, daily insulin management, and blood glucose monitoring (Kahanovitz et al., 2018). Diagnosis, often in childhood, brings overwhelming challenges for children and parents. While no cure exists, advances in monitoring and insulin delivery enhance blood sugar control and quality of life (Mayo Clinic, 2023)
Problem Statement: It is suspected that children with T1DM develop a fear of hypoglycemia (FOH) that deters exercise. Cockroft et al. (2023) found that 70% of youth with T1DM do not meet the recommended amount of exercise (Cockcroft et al., 2023). Physical education teachers (PE teachers) and coaches are trained in RICE (rest, ice, compression, elevation) for sprains, CPR and other basic life support, and preventing and treating heat exhaustion, so they may accept being trained to interpret CGM data as well.https://scholar.dominican.edu/nursing-student-research-posters/1063/thumbnail.jp
Exploring the Effects of Different Types of Diets on Preventing and Managing Diabetes Mellitus Type 2
Get PDFDiabetes is a major health problem that is becoming an epidemic in major countries of the world. Diabetes can affect people of all ages and of all races. However, there is a higher risk of developing diabetes for certain groups of people. As of today, there is still no cure for diabetes. The treatment plan for patients diagnosed with diabetes is to control the level of blood glucose through different interventions. The progression of diabetes is influenced by food behaviors, and diet control is an important aspect of management of this disease. There are different types of diet recommended that will not affect blood glucose levels. However, these types of diets do not coincide with many people\u27s culture and dietary habits. This paper consists of six studies that explores the effect of different types of diet on maintaining or preventing DM2. Studies are divided into two categories: weight loss targeted diet and disease specific to ethnic groups. Studies from both categories show positive effects on the glycemic index of individuals with Diabetes Mellitus Type 2. The studies in this literature highlights the effects of diets that are fiber-rich diets rich in fiber, but carbohydrate rich diets, on which some cultures rely, are not included. Further research is needed. A research proposal is described at the end of this paper
The Relationship Between Self-Efficacy and Informed Decision-Making on Primiparous Women During the Birthing Process
Get PDFChildbirth is a very intense and vulnerable experience, especially for first-time mothers. Across the globe, the prevalence of traumatic and unsatisfying births has become an increasingly troublesome issue for women. There is extensive evidence of maltreatment, and a large portion of the problem has to do with the client’s medical team. To combat this dilemma, the best course of action would be to prepare women for this possibility by increasing the client’s self-efficacy and decision-making abilities. Self-efficacy, also known as confidence in one’s skills, is an important trait to have when it comes to patients being able to advocate for themselves. Since it is most common for first-time mothers to face these problems in the hospital, it would be more beneficial to become more educated in pregnancy, thus creating higher confidence. It will be more likely for clients to have an easier time making choices for themselves and their care due to the development of preparedness through proper education. Education and collaboration are some of the most effective ways to increase self-efficacy. It has been found that there is a gap in the research to support the positive relationship between education implementation and self-efficacy so this will be the focal point.
This thesis will focus on displaying the prevalence of obstetric maltreatment and why it is such an important problem in our society. There will be further divulging into solutions that have been implemented to increase self-efficacy, thus also increasing informed decision-making in primiparous women. Topics will all be analyzed more deeply in a literature review where conclusions will be drawn about the main topic overall. Afterward, a study proposal will be formulated in relation to the literature review that will describe how educational methods can improve self-efficacy and its effectiveness in creating high birth satisfaction rates in first time mothers
Understanding Language Barriers and its Implications on Patient Outcomes in the Urgent Care Situation
Get PDFBackground
A common goal for healthcare is healthcare for all, through which can be achieved when communication between the client and healthcare team is established. There are millions of immigrants worldwide who are not granted the healthcare that they deserve simply because of a lack of understanding in a country’s dominant language.
Patients with a limited language proficiency in a new country can have difficulty in understanding the care that they receive, which leads them to toil with understanding their healthcare options, let alone establishing expectations. This issue also stretches onto the risks of patient safety, in which urgent needs and wants cannot be communicated due to a difference in languages. When patients and clients lack health literacy, negative patient outcomes can ensue due to the language barriers they face, with the ignorance of urgent needs leading to unwarranted consequences.
Objectives
To examine the extent of misinformation in patient health stemming from language barriers
To put focus on implications from language barriers in acute, urgent care situations.
Methods
A literature review was compiled of primary studies that explored language barriers and its effects on patients and staff, with studies ranging from sole focus to patient data to analyzing where issues begin at the macro level. A proposal for study is included, aiming to find how drastic patient outcomes are not met in the acute, urgent care situation
Detection and Capture of Nitrogen Fixing Bacteria From Soil and Roots Using Plant Specific Lectins
No full textDiazotrophs increase plant productivity by providing ammonia directly to plants in the rhizosphere or through association with the roots (Sun et al., 2021). Leveraging diazotrophs can aid in the reduction or application of harmful synthetic nitrogen fertilizers. This thesis aims to use plant root proteins, or lectins, to more rapidly recover viable diazotrophs that are likely to associate with crops. In this study, lectins, are used to recover bacteria from bulk soil by taking advantage of the binding relationship between lectins and bacterial cell surface polysaccharides. When commercially-available lectins were used with a magnetic pulldown to separate the lectin, bacterial complex from soil, a different community of bacteria was selected in comparison to the native soil population. The lectin assay recovered species from Classes known to contain diazotrophs and other nutrient cyclers such as: Actinobacteria, Alphaproteobacteria, Bacilli, Betaproteobacteria, Chloroflexia, Cytophagia, Deltaproteobacteria, Gammapoteobacteria, and Sphingobacteriia
Life After Pediatric Hemorrhagic Stroke: Family Centered Outcomes
No full textThe prevalence of pediatric strokes occurs at a higher rate than is publicly acknowledged, with hemorrhagic stroke accounting for nearly half of these occurrences (Lo, W.D., 2011). Children impacted by hemorrhagic stroke (HS) face functional, cognitive, and occupational limitations, directly impacting the overall quality of life and well-being in not only pediatric stroke survivors, but their families and caregivers as well (Bhopti et al., 2019). Although there is limited research investigating effects of hemorrhagic stroke on the child alone, little research has focused on family centered outcomes. This study aimed to learn more about the family perspectives, specifically familial and child occupations in the home, school and community through their own unique lived experiences, reflecting the many dynamic challenges and barriers they’ve experienced. The qualitative research explored the impacts which post pediatric HS (PHS) incidences have on family-related occupations, hospital experiences of families, and access to support for the affected child within the community. Through open-coding analysis of parent interviews, common themes were identified to gain awareness into the realities of raising a child post HS and the impact on daily occupations. These themes included the gap in services that are currently provided to families once transitioning back home after acute care, school services that are offered and beneficial in supporting a child’s return to school, and the stigma surrounding PHS
Prevalence of Hypoglycemia Induced by Overtreatment in Elderly Type Two Diabetics Using Continuous Blood Glucose Monitors
Get PDFBackground: The most common way of reading blood glucose (BG) levels in type II diabetics is by manually pricking one’s finger with a needle and measuring the glucose through a monitoring device. There has been an increased use in continuous glucose monitoring (CGM) that permits clients to wear a sensor on their arm that simultaneously records glucose levels throughout the day and reports the results to a smartphone or monitoring device. Depending on the result and whether the patient is using insulin, it will determine how much medication will be administered. There is little research on the impacts of using CGM devices in conjunction with antihyperglycemic drugs in type II diabetics who live independently and are over age 65.
Objective: To examine devices that monitor BG continuously compared to devices that monitor BG with periodic finger sticks. The question arises: Are elderly patients with type II Diabetes who live independently and use these devices, disproportionately affected by hypoglycemic episodes induced by over-treatment with anti-diabetic drugs?
Literature Review: Research highlighted benefits of using CGM devices versus self-monitoring BG such as recording glucose levels at night, increased self-care behavior, and decreased hemoglobin A1C. Other factors may contribute to hypoglycemia such as physical exercise, prolonged fasting, and use of ACE inhibitors. There remains a knowledge gap in the impact that CGM devices have on independent type II diabetics who live independently.
Proposal:
Purpose: To gather data on prevalence of hypoglycemia in independent, type II diabetics ≥65 years old while using CGM devices and antidiabetic medications
Population: type II diabetics ≥65 years who live independently, use CGM devices, and antihyperglycemic medications
Study Design: Prospective Longitudinal observational study
Study Method: Survey
Clinical Significance:
Study intends to bring awareness of possible complications of using CGM devices in type II diabetics ≥65 who live independently.https://scholar.dominican.edu/nursing-student-research-posters/1017/thumbnail.jp
Calmness as a Quality of Teacher Presence and the Impact on Learning
Get PDFThis study seeks to identify the conditions for calmness within an educator\u27s life and its impact on educators and students. Research shows that mindfulness practices can be implemented in the classroom and help students focus (Riner & Tanase, 2014). According to Kane (2018), implementing different practices and strategies of mindfulness can help regulate the internal and external stresses that happen daily. Currently, there is a lack of existing research on what educators do to calm themselves outside of the school day and how those practices impact their relationship with the students, helping students feel calm during school. Specifically, this study seeks to determine what practices educators use to calm themselves, what calmness is to the educators, and how it impacts student learning.
This mixed methods research with constructive and transformative worldviews explored the environmental practices of educators as it related to how they set the space for learning and creating the conditions for their own functional health. Six educational professionals who specialize in working with students with special needs completed surveys and participated in individual interviews. The school site where the educators work is a Title One school with a mostly low-socioeconomic student population. The educational professionals ranged from being in their first year to having worked in education for twenty-four years.
The data illuminated three major findings. First, creating boundaries and recognizing that, ultimately, teaching is also just a job proved to be important in creating healthier states for teachers to maintain balance in their lives and creating space for self-care routines. Secondly, it was identified how significant the state a teacher maintains impacts the experience of students and the way teachers can show up for their diverse needs. This second finding was noted in the in vivo theme of “It’s a Snowball Effect.” Lastly, the role of support proved critical to the health and well-being of educators, and how feeling supported is essential, especially when stressed.
The significance of this study points to the need for cultivating healthier environmental care to support educational professionals. This includes maintaining a quality of presence that best serves equitable and inclusive learning for students. When educators take care of themselves, the students will be calmer, creating a better learning atmosphere. When educators are not prepared for the day and are mentally exhausted, the school day will become hectic, and students will have a harder time learning
The Role of Mentoring in the Lives of Underrepresented Youth
Get PDFUnderrepresented youth (Latino, Black, Pacific Islander, and Native American) face challenges in school enrollment/completion and often lack feelings of belonging in educational and social institutions. One specific group of underrepresented youth who face unique struggles is unaccompanied youth. Mentoring, a non-parental relationship between a young person and someone who supports and guides youth, has been found to result in better well-being and health in adolescents and potentially lead to higher self-worth and better academic performance. In order to fill a gap in the literature examining the effects of mentoring on underrepresented youth and specifically unaccompanied youth, I conducted a mixed-methods study, including both quantitative and qualitative data.
For the quantitative data, a survey was distributed using five measuring tools that evaluated the correlation between having mentoring experience during adolescence and overall well-being, academic success, academic-self efficacy, and resiliency. Data consisted of 33 participants who were over the age of 18, varied in ethnicity and gender, and who have had previous mentorship experience. Due to a small sample size, represented and underrepresented individuals were included in the results. The results showed that a strong mentoring relationship did not positively influence well-being, resiliency, and academic success, but did positively influence academic self-efficacy. For the qualitative data, I interviewed 3 mentors to explore the ways in which mentoring helps support unaccompanied youth overcome barriers and examine how the mentoring process also affects the mentors themselves. Qualitative research findings suggest that the development of trust allows mentors to provide improved support and foster an increased sense of belonging with their mentees. This research is important to help train future mentors and strengthen mentoring programs for under-served youth
Mathematical Identities and Tracking: An Exploration of Efficacy in Children and Women
Get PDFThis study seeks to understand the impact of elementary school mathematical identities and mathematics tracking on the identities of women and girls. “Tracking” is an institutionalized education method developed in the 1960s and 1970s in which schools sort their students into smaller class-sized groups based on their observed achievement (Domina et al., 2016). Too often, when students test onto the lower track, they are confronted with a sense of futility and a lack of self-efficacy (Domina, Hanselman, Hwang & McEachin, 2016; Houtte & Stevens, 2015). Further, in STEM disciplines, students who identify as female report lower self-efficacy rates than those who identify as male (Hand et al., 2017). Girls typically form during their elementary school years a dislike and disinterest in mathematics across their academic careers and into adulthood (Tang, 2019; Carter, 2020). This comparative mixed methods study included student surveys with students in kindergarten, and 4th grade, pre-ability-based testing, and interviews with several adults who identify as female, some of whom serve as educators, some who have been tracked, and all of whom have provided mathematics biographies. The central research questions included: (1) How do mathematics placement tests and tracking impact student math identity and self-efficacy? (2) What perceptions do students and professional educators have about ability-based learning groups and tracking? (3) How does mathematics tracking in elementary school impact lifelong mathematical success? The findings show that most children have high self-efficacy in early childhood, and that tracking does matter over time. Lastly, the findings suggest that the self-efficacy of women and girls in mathematics increase through methods of teaching and co-teaching. This study illuminates the mathematical identities of students who identify as women and girls to promote their overall success