324 research outputs found

    Nurse Pracitioners\u27 Assessment Of Sexuality Among Elders

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    As older adults age, they are presented with a perplexity of lifestyle adaptations. Primary care providers often view physiologic losses elders have as inevitable. Sexuality accounts for one example of these losses that elders feel are important, but have difficulty discussing with health care providers. Thus, the purpose of this descriptive/exploratory research study was to explore the nurse practitioner\u27s assessment of sexuality among elders. The theoretical framework used in this study is Shippee-Rice’s Conceptual Model of Sexuality. The model focuses on four elements: the self, the components of sexuality, significant others, and environmental variables. The research questions were: 1) How frequent do nurse practitioners conduct sexual assessments on elders? 2) What reasons do nurse practitioners give for not conducting a sexual assessment on elders? 3) What information related to sexuality of elders do nurse practitioners obtain? The sample was chosen from a list of nurse practitioners practicing within the state of Mississippi. Of 250 questionnaires mailed, a sample of 132 nurse practitioners licensed in the state of Mississippi, completed the researcher-designed Gerontological Sexuality Assessment Tool. Data were analyzed using descriptive statistics and frequency distributions. The findings of this study revealed that nurse practitioners do assess sexuality among elders; however, the attainment of explicit sexual information is often neglected due to practitioner or client discomfort or the perception that such information is irrelevant in elders. Implications for nursing included increased education, development of sexual assessment instruments and use of the Shippee-Rice Model in practice. Recommendations for further research included conduction of additional research that examines the extent of nurse practitioners\u27 assessment of sexuality in elders regarding masturbation activities and the effects of prescription medications on sexual dysfunction among elders. A recommendation for nursing practice was incorporation of sexuality issues into all routine history and physicals performed on elders

    Gas leakage and distribution characteristics of methyl bromide and sulfuryl fluoride during fumigations in a pilot flour mill

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    The half-loss time (HLT) is used as an indicator to quantify gas leakage rates during methyl bromide (MB) and sulfuryl fluoride (SF) fumigations. Comparisons of HLTs between three MB and three SF fumigations were quantified in the Hal Ross pilot flour mill, Department of Grain Science and Industry, Kansas State University, USA. The sealing quality or gas tightness of the mill before each fumigation was verified by a pressurization test. Fumigant concentrations during the six fumigations were monitored continuously at 30 locations among the five mill floors during the 24 h fumigation period. A weather station on the mill roof monitored barometric pressure, wind speed and direction, temperature, and relative humidity. A data logger on each mill floor recorded temperature and relative humidity. The pressurization test showed that the relationship between airflow rate and building static pressure varied among the fumigations despite the same areas being sealed by two separate fumigation service providers due to environmental conditions not being identical among the fumigations. Concentrations of both fumigants within the mill ranged from 2 to 7 g/m³ . The observed HLTs for the MB and SF fumigations were in the range of 3.61 to 28.64 h and 9.97 to 31.65 h, respectively, and were inversely related only to wind speeds during fumigation and not any other environmental conditions recorded. In our study, the fumigant leakage rate was found to be predominantly a function of wind speed rather than inherent gas characteristics of MB and SF

    Meal and food preferences of nutritionally at-risk inpatients admitted to two Australian tertiary teaching hospitals

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    Aim: To determine preferences for meals and snack of long-stay patients and hospitalised patients with increased energy and protein requirements.----- Methods: Using consistent methodology across two tertiary teaching hospitals, a convenience sample of adult public hospital inpatients with increased energy and protein requirements or longer stays (seven days or more) were interviewed regarding meal and snack preferences. Descriptive reporting of sample representativeness, preferred foods and frequency of meals and between meal snacks.----- Results: Of 134 respondents, 55% reported a decreased appetite and 28% rated their appetite as 'poor'. Most felt like eating either nothing (42%) or soup (15%) when unwell. The most desired foods were hot meal items, including eggs (31%), meat dishes (20%) and soup (69%). Of items not routinely available, soft drink (7.6%) and alcohol (6.7%) were most commonly desired during admission. Almost half (49%) reported difficulty opening packaged food and a majority (81%) indicated finger foods were easy to eat.----- Conclusion: Appetites during admission were frequently lower than usual. Responses encourage consideration of eggs, meat dishes and soups for long-stayers or those with high-energy, high-protein needs. Easy to consume but not routinely offered, between meal items, such as soup, juice, cake, soft drink or Milo could be explored further to enhance oral intakes

    Simon Says (Fall 2005)

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    Inside this issue: Welcome from the Dean Journal Review 30th Anniversary Note Highwire Press Journals Notes and Updates Rachel Horne Retirementhttps://csuepress.columbusstate.edu/library_newsletters/1005/thumbnail.jp

    Neurotropism and blood-brain barrier involvement in COVID-19

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    The global pandemic of coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) persists despite the progress of vaccination and increased natural immunity. SARS-CoV-2 is associated not only with pneumonia and acute respiratory distress, but also with many symptoms related to the central nervous system (CNS), including loss of the sense of taste and smell, headache, convulsions, visual disturbances, and impaired consciousness. In addition, the virus has been implicated in CNS diseases such as cerebral hemorrhage, cerebral infarction, and encephalitis. SARS-CoV-2 binds to the receptor angiotensin-converting enzyme 2 (ACE2), which is used by the virus as a cell entry receptor. Although the mechanism by which SARS-CoV-2 enters the brain is still unclear, the possibility of direct entry through the olfactory nerve tract and entry into the brain through the blood-brain barrier (BBB) and blood-cerebrospinal fluid barrier (BCSFB) via blood circulation is indicated. The BBB likely serves as a site of entry for SARS-CoV-2 into the brain, and possibly contributes to the CNS symptoms of COVID-19 due to its dysfunction as a result of SARS-CoV-2 infection. The present review will focus on the effects of COVID-19 on the CNS, particularly on the BBB related cells involved

    Workplace emotion through a psychological contract lens.

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    Purpose – The purpose of this paper is to identify how psychological contract perceptions are used as a lens through which employees make sense of their workplace emotions. Applying Rousseau’s (1995; 2011) conceptualisation of psychological contracts it examines how the emotions linked to both promise perceptions (broken/exceeded) and regulation are made sense of in relation to perceptions of contract type.\ud Design/methodology/approach – This paper takes a unique perspective into the role perceptions of psychological contract type play in the process of emotional sensemaking using qualitative thematic analysis of thirty in-depth interviews. A range of occupations are represented and all participants worked in a full-time capacity.\ud Findings – The paper identifies how the predominant relationship frame (transactional/relational) is used by employees when making sense of the emotions recalled during specific psychological contract events, as well as the emotions they feel are necessary to regulate while at work. \ud Research limitations/implication – The mean age of the study sample was 26 years, comparatively young in terms of the span of the employment age bracket. Taking a lifespan approach would potentially broaden our understanding of how employees use their predominant relationship frame in the process of emotional sensemaking at different stages of their life and careers.\ud Originality/value – This paper identifies an important work-related cue used in the active regulation of specific emotions whilst at work, contributing to both the psychological contract and emotion literature

    Simon Says (Fall 2007)

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    Inside this issue: New GALILEO Databases Banned Books Information Illiteracy Access Ingenta: A CSU Faculty Development Initiative Student Assistants: Pow Wow, Practice, and Party Music Library SFX Implementation in GALILEO AV Emergency Assistance for Faculty Congratulations: Faculty and Staff Receive Promotions Beautification of Library Faculty Research Forumshttps://csuepress.columbusstate.edu/library_newsletters/1009/thumbnail.jp

    Doctoral Recital

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    Evaluation of Flying Start NHS

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    Introduction In January 2006 “Flying Start NHS”, a national web-based educational resource to support the transition from student to qualified practitioner for all newly qualified nurses, midwives and allied health professionals (NMAHP) joining NHS Scotland was launched. This report brings together the findings from a two-year evaluation which focussed on the impact and effectiveness of Flying Start NHS in supporting the recruitment, confidence and skills development of newly qualified nurses, midwives and allied health professionals within NHS Scotland. The evaluation was carried out be a research team from the University of the West of Scotland, the University of Stirling, and the University of Dundee
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