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Robby Raney Graduate Voice Recital
No full textRobby Raney, with pianist Eleanor Joyce, for a worship-filled vespers program. Featuring new compositions and arrangements by Simon Luke Brown and Daniel Soochkoff-Cerna, in addition to several guest artists, the program features well-known scripture settings and hymns.https://digitalcommons.andrews.edu/posters-2022-2023/1010/thumbnail.jp
Effects of a 12-week Plant-Based Diet Program on Obese and Overweight Adults in Rural Michigan
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Overweight and obesity among adults are a rising epidemic in the U.S. Obesity is a risk factor for many chronic diseases and impacts morbidity and mortality. Despite our high-tech medical care system in the U.S., we are losing the war on obesity due to not addressing the underlying problems. These include unhealthy lifestyles and an unhealthy diet. A growing body of research studies has shown that adopting a low-fat whole food plant-based diet (WFPBD) regime consisting of whole grains, fruits, vegetables, legumes, and no animal-based products is an effective measure to counteract the rising pandemic of chronic diseases related to obesity.
Purpose
The purpose of this project was to examine the effects of a WFPBD on overweight and obese adults residing in northern Michigan. The project objectives were to examine if a 12-week online program on a plant-based diet would improve body mass index (BMI), waist circumference (WC), blood pressure (BP), fasting blood glucose (FBG), and serum lipid levels in this population and to determine if participants\u27 self-efficacy and intake of plant foods would improve post-WFPBD. -- Methods. This project used a quasi-experimental one-group pre-test post-test design. Forty-three individuals started the program, and 35 completed the requirements. The mean age for participants was 54.92 (SD=12.09) (range 34-75 years). For gender, 10 (23.3%) were male, and 32 (76.2%) were female. Biometric measurements, including weight, BMI, BP, WC, total cholesterol, LDL, HDL, triglycerides, and FBG, were taken before and after the program. Participants were also asked to complete a self-efficacy questionnaire before and after the program and a dietary questionnaire at baseline, week four, week eight, and post-intervention. The intervention was entitled The Eat Well, Live Well Program. Through a 12-week evidence-based online lifestyle educational intervention, participants were taught the principles of a WFPBD and how to apply these measures to lose weight, lower their risk factors for obesity-related diseases, and manage obesity-related problems.
Results
The results of the biometric measurements indicated significant reductions in BMI of 1.09 (t(34) = 5.583, p \u3c .001, d=0.944), weight of 7.21 pounds (t(34) = 6.370, p \u3c .001, d=1.077), WC of 2.01 inches (t(34) = 7.781, p \u3c .001, d=1.315), FBG of 4.94 mg/dL (t(34) = 2.174, p = .018), total cholesterol of 13.971 mg/dL (t(34) = 2.248, p = .016, d=0.380), LDL of 10.03 mg/dL (t(31) = 1.784, p = .042, d=0.315), and triglyceride levels of 14.77 mg/dL (t(34) = 1.744, p = .045, d=0.295). Results for HDL levels, systolic blood pressure (SBP), and diastolic blood pressure (DBP) were not statistically significant. There was a mean increase in self-efficacy scores of 3.810, which was not statistically significant (p=.05). Results of the Mediterranean food questionnaire showed a significant difference between baseline and week four (p
Conclusion
This project demonstrated significant reductions in total cholesterol, LDL, triglycerides, FBG, BMI, weight, and WC. The results of this project indicate that any change in the direction of a WFPBD is a good change and may be associated with a decreased risk for obesity and chronic diseases
Perioperative Pain Control: Evaluating Best Practices in Perioperative Pain Measures
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Postoperative pain is contributing to the nation\u27s opioid epidemic. Pain is an unpleasant sensation felt by the patient. When it is experienced postoperatively, it is a result of the surgical process. Patients up to 80% worldwide state that their pain is not controlled to their satisfaction. When postoperative pain is not treated adequately, it can contribute to chronic pain.
Purpose
Perioperative pain assessment and treatment policy at a rural critical access hospital and compare it to evidence-based guidelines for best practice. The project assessed the patient\u27s pain treatment effectiveness compared to the pain management policy by using the CDC framework for program evaluation (CDC, 2017). Then, the policy was evaluated for compliance with the latest evidence-based recommendations for perioperative pain management and to give recommendations to revise the current policy.
Method
To evaluate the perioperative pain management policy, surgery patients at a rural critical access hospital surgery department were given an adapted version of the Revised American Pain Society Patient Outcome Questionnaire. Patients were asked to participate in the questionnaire in the preoperative setting, where they would sign consent. They were then given the questionnaire in an envelope to fill out and return via mail. Patients\u27 charts were also reviewed to look at pain management treatments such as medications and to assess if they had received pain management education. A total of 56 questionnaires were given out. However, only 30 of those were returned. The data collected from the questionnaires and chart review was then analyzed.
Results
Overall, patients were satisfied with their care, with a mean rating of 8.97 out of 10. When patients were asked how much pain control had been achieved 24 hours after surgery, 76.7 % of the participants indicated they had 70% or more pain relief. The average pain ratings 24 hours before surgery were 3.9/10 for the least pain and 5.9/10 for the worst pain after surgery. Postoperatively the average pain ratings 24 hours after surgery were 3.3/10 for the least pain and 5.9/ 10 for the worst pain. The chart review indicated a lack of documentation, assessment, and education. Based on the questionnaire and the chart review results, recommendations about improved documentation, assessment, patient education, and nursing education were given to the facility. Also, the recommendation was given to have the perioperative pain management policy align with recommendations by the American Society for Anesthesiologists and the American Society for Peri Anesthesia Nurses.
Conclusion
Postoperative pain management is essential to a patient\u27s well-being. Their pain must be controlled to their satisfaction. The facility does appear to provide pain control for patients. However, when their current policy about perioperative pain management was compared to the questionnaire, chart review, and evidence-based practice, recommendations for improvement could be made. These were given to the facility. The current plan incorporates the recommendations to improve their policy and care
Evaluation of Communication Sciences and Disorders Graduate Student Attitudes Related to Trauma-Informed Client Interactions
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Communication sciences and disorders (CSD) graduate students may have trauma histories and may be ill-equipped to identify and manage trauma responses in clients. This mixed-methods study examined graduate student attitudes towards implementing trauma-informed educational practice (TIEP) methods and trauma-informed patient care.
Method
The Attitudes Related to Trauma-Informed Care (ARTIC) Scale (Baker et al., 2016) quantitatively measured pretest/posttest changes in CSD graduate student attitudes towards use of trauma-informed care with clients. Participants (n=43) were assigned to non-equivalent experimental and control groups. Groups received the pre/posttest and either an immediate (experimental) or delayed (control) trauma-informed educational session. Twenty-one participants completed focus group interviews. Interviews were conducted following quantitative data analysis. A transcendental phenomenological approach was implemented.
Results
ANCOVA comparisons between ARTIC-45 subtest variables when controlling for the pretest was not significant. However, according to effect size findings, student attitudes towards implementation and use of trauma-informed care (TIC) in clinical settings suggested moderate improvements in ARTIC-45 scores when comparing experimental and control groups. Five qualitative themes of (a) felt-safety, (b) application, (c) coping, (d) relationship development, and (e) felt-need emerged from focus group interviews.
Conclusions
Inclusion of TIEP into graduate CSD programming may support student mental health, confidence, clinical practicum performance, and efforts towards greater diversity, equity, and inclusion. This study represents an initial step toward understanding how graduate students who have had TIC training may be better equipped to meet the needs of current and future clients with trauma histories and their own self-care needs as health and human service providers
THE BOYS//S02E08
No full textWe got to sit down with the boys! Zyon, Abiah, Zane, and Ben have been friends since freshman year! They shared what they\u27ve learned about friendship, the value of caring, and cracked jokes with us
Healing a Broken Spirit
Get PDFAbuse of any kind as well as significant losses such as death of a loved one can result in a broken spirit (Proverbs 15:13, 17:22). However, we have a wonderful God who heals the brokenhearted and binds up their wounds (Isaiah 51:3). He often leads us into communities where we can experience being seen, soothed, safe, and secure. This chapter describes the experience of brokenness and the process of healing integrating both biblical and interpersonal neurobiological perspectives
