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Diagnostic Methods and Treatment Options for Bowel and Abdominal Endometriosis
No full textWhile much is known about the disease process and etiology of endometriosis, it becomes infinitely more complicated if tissue dispersion progresses throughout the abdomen to infiltrate the bowel and abdominal wall. Patients with extrapelvic endometriosis present with nontraditional symptoms, making it difficult to identify and diagnose. This article synthesizes the most current information on the diagnosis and management of bowel endometriosis for providers, to help identify these symptoms, describe the most sensitive diagnostic tools, and educate on up-to-date treatments, including medical management, surgical resection, and high-frequency ultrasound ablation
Reducing the Prevalence of Overweight and Obesity in Children ages 10-13 in Charleston, West Virginia through a School-Based Nutrition Education and Physical Activity Program
Get PDFChildhood overweight and obesity, the excessive or abnormal accumulation of fat causing a health risk, is primarily caused by lifestyle issues including inadequate physical activity and too many calories from food and drinks (WHO, 2020; Mayo Clinic, n,d). Key determinants of health for childhood obesity include physical environment, socioeconomic status or occupation, education level, and school environments. Children with parents who have low socioeconomic status, live in a food desert, (a neighborhood with limited access to fresh fruits, vegetables, and whole grains), or a food swamp, (a neighborhood with a saturation of fast-food outlets, convenience stores, and corner stores), or are in a state of food insecurity are more likely to lack access to nutrient-dense, healthy food. Thus, having to resort to cheap, unhealthy options, increasing obesity risks (Tester et al., 2020). Childhood obesity can lead to several health consequences. These risks, including asthma, diabetes, heart disease, cancer, and depression, among others, are more likely if childhood obesity is untreated and obesity continues throughout life (Ebbeling & Ludwig, n.d).
West Virginia has an obesity rate (BMI 85th percentile and above) of 41% for children aged 10-17 which is the second worst in the country. This is significant because obesity rates for children the same age are as low as 24% in other states (America\u27s Health Rankings, 2023). Children ages 10-13 have a higher prevalence rate of being overweight or obese than those 14-17 (46.2% compared to 35.7%) (Data Resource Center for Child and Adolescent Health, 2019). Children whose families are below 200% of the Federal Poverty Level (FPL) experience obesity at a disproportionate rate compared to those of higher incomes. 42.7% of West Virginia children who are 200% below the FPL are overweight compared to the national average of 33.7% of children whose families are 200% below the FPL (Data Resource Center for Child and Adolescent Health, 2019). West Virginia children face an obesity rate of 43.9% when adults in the household have less than a high school diploma and 43.6% with a high school diploma or GED. This is significant because children in a household with an adult who has a college degree or higher have just a 25.1% obesity rate (Data Resource Center for Child and Adolescent Health, 2019)
Pati Hill Collection - Exhibition Documentation
Get PDFFinding aid for the Pati Hill - Exhibition Documentation Collection at the Arcadia University Archives
Methods Model for Initiation of Acute Care Health Promotion Programs Illustrated by Application to Prevention of Essential Hypertension.
Get PDFBackground and Purpose: Physical therapists (PTs) have a responsibility to assume their role in health promotion. A model program adaptable to setting and participant readiness could facilitate compliance to address modifiable behavioral risk factors and reduce the disabling cardiovascular consequences of hypertension. The purpose of this methods model report is to catalyze the development of hospital-based primary care physical therapy programs for patients with hypertension, encapsulating the PT’s niche in preventative care. Method/Model Description and Evaluation: This proposal began with compilation of causative and biometric factors for hypertension and relevant hospital-based referral sources. One PT received nutritional certification. An acronym (DATA SOS n1) evolved to highlight the interview elements and serve as a scaffold for learning by PT and patient (Diet, Activity, Tobacco and Alcohol, Stress, Obesity and Sleep and personalized). Program design was in accord with a behavioral change model, to prevent hypertension by quarterly monitoring of risk factors, and progressive interventions ranging from self-help options, to trained program PT counselling, to Virtua specialist referral. Prospective outcomes were championing peer review and patient interest surveys, and acceptance as a pilot program by the hospital review committee. Outcomes: Expert and peer review found evidentiary support and presumptive validity for this approach, and patient surveys supported an interest, culminating in approval of a pilot program. Discussion and Conclusion: This model may sponsor the initiation of health care promotion activities by PTs based on its simple interrogative format. Research to determine if hospital based physical therapy programs alleviate health and cost burdens would be advocative. Conducting the pilot program will enhance discussion of the program’s potential benefits, and avenues for future research. (manuscript word count 4,148
In-service Science Teacher’s Pedagogical Content Knowledge in the Examination of Socioscientific Issues and Implementation of Social Justice Science Pedagogy: Perspectives on the Impact of Science and Engineering Practices
Get PDFThe current science vision positions students as knowledge co-creators and science-doers. Teachers support students in phenomenon sensemaking and explaining in the context of socioscientific issues relevant to their daily lives. Students connect classroom learning to their communities and gain an understanding of how to affect change for the better.
This qualitative case study sought to understand the pedagogical content knowledge (PCK) of an in-service high-school science teacher who participated in a long-term professional development program and connected the socioscientific issue of personal safety in school speed zone to science and engineering practices, thereby promoting scientific literacy and student agency.
The first research question in this study focused on change in the teacher’s PCK by participating in the professional development program focused on these concepts. The second research question focused on teacher’s promotion of scientific literacy and student agency by using SEPs in real-world contexts.
Three data sources informed the findings and conclusions: classroom materials, observations, and an interview conducted after all other items had been reviewed and transcribed. The lesson plans, teacher presentations, and other classroom materials were collected and analyzed first. Classroom observations of the unit of interest were conducted over an extended period. The observation audio recordings were transcribed and analyzed next. Lastly, an interview was conducted, transcribed, and analyzed.
Substantial changes in teacher PCK were seen pre -post-professional development program participation which provided the teacher with strategies, tools, materials, and support during implementation of SSI and SEPs. Data showed that the teacher enabled students to develop and argue stances within and outside the classroom such as at state level. Data also showed while the SSI was successfully implemented, more practice and support are needed with some of the SEPs such as Asking questions to implement them as intended by NGSS
Urgent-Start Dialysis: Could PD Become First Line?
No full textDespite its chronic etiology, the silent manifestations of chronic kidney disease (CKD) cause many patients to present with symptoms requiring urgent, unplanned dialysis. Traditionally, these patients have been placed on hemodialysis (HD), which, when initiated urgently, carries a risk of lethal complications and is accompanied by a high cost. However, a viable alternative exists. Known as peritoneal dialysis, research suggests that this renal replacement therapy has the capability to provide patients with comparable clinical outcomes to HD at a lower cost while enhancing the patients’ quality of life. Regardless of its benefits, PD still trails behind HD when dialysis is implemented in urgent situations. This CME article will present the emerging evidence that supports PD as the first-line urgent renal replacement therapy (RRT) and can serve to guide clinicians’ decisions when faced with such scenarios
Diagnosis and Treatment of Premenstrual Dysphoric Disorder (PMDD)
No full textPremenstrual dysphoric disorder (PMDD) is a gynecologic and psychiatric disorder that affects around 5% of menstruating persons in the United States. Increased awareness has been brought to this disorder since its reclassification and addition of diagnostic criteria in the The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) in 2013, but many healthcare providers still struggle to clearly distinguish and properly treat this disorder. Characterized by psychiatric and somatic symptoms present distinctly in the luteal phase of the menstrual cycle that severely impact a person\u27s daily functioning, PMDD is thought to be impacted by the metabolism of high amounts of progesterone. Current guidelines recommend treatment with SSRIs or combined oral contraceptives, but new therapeutics are in development. Existing screening and diagnostic tools may be implemented in primary care and gynecologic settings to bring about timely diagnosis and treatment
The Use of Pain Management in Gynecologic procedures; Colposcopies, IUD, LEEP
No full textMany gynecological procedures induce a significant amount of pain to women undergoing them. Although painful, these procedures are critical to the health and wellness of these women; particularly, IUD insertion, colposcopy, and LEEP procedures. There are currently no standardized guidelines on pain management for these procedures. In this article, these three procedures will be discussed as well as some current forms of pain management in comparison to procedures in other specialities and their standards of care
A Comparison of Omalizumab and Mepolizumab in Severe Asthma
No full textEven with a well-established treatment regimen, asthma is very prevalent and is continuously morphing. Step therapy is a generalized guideline for managing asthma but is not based on the pathophysiology of its subtypes. Currently, biological agents (also called monoclonal antibodies) are indicated for severe persistent asthma attacks. They are designed to target mechanisms of action and pathways to elicit an effect. This article explores the use of Omalizumab and Mepolizumab in comparison to one another. Both agents have indications for practicality of using biological agents given accessibility, cost, and the widespread presence of asthma