Kinesio Taping and the Circulation and Endurance Ratio of the Gastrocnemius Muscle

Context Kinesio Tex tape is a therapeutic tape that is applied with the Kinesio-taping (KT) method and is theorized to increase circulation and subsequently improve muscle function. However, little research has been conducted to determine how KT affects performance. Objective To determine the effect of KT on muscular endurance ratio, blood flow, circumference, and volume of the gastrocnemius muscle. Design Randomized controlled clinical trial. Setting Research laboratory. Patients or Other Participants Sixty-one healthy, active people (23 men, 38 women; age = 19.99 ± 8.01 years, height = 169.42 ± 23.62 cm, mass = 71.53 ± 36.77 kg) volunteered to participate. They were assigned randomly to 1 of 3 groups: treatment KT, sham KT, and control. Intervention(s) Tape was applied based on group assignment. The treatment KT group received the ankle-tape technique as described in the KT manual. The sham KT group received 1 strip of Kinesio Tex tape around the circumference of the proximal gastrocnemius muscle. The control group did not receive tape application. Main Outcome Measure(s) The dependent variables were blood flow in blood perfusion units, volume of water displacement in milliliters, circumference of the gastrocnemius muscle in centimeters, and endurance ratio in joules measured before, 24 hours after, and 72 hours after the intervention. Separate repeated-measures analyses of variance were conducted for each dependent variable. Results We found no group-by-test day interaction for endurance ratios (F4,116 = 1.99, P = .10). Blood flow, circumference, and volume measurements also yielded no differences among groups (F2,58 range, 0.02–0.51; P \u3e .05) or test days (F2,116 range, 0.05–2.33; P \u3e .05). Conclusions We found KT does not enhance anaerobic muscle function measured by endurance ratio. The KT also did not affect circulation or volume of the gastrocnemius muscle in a healthy population

Ensuring Treatment Fidelity in a Multi-site Behavioral Intervention Study: Implementing NIH Behavior Change Consortium Recommendations in the SMART Trial

The Stories and Music for Adolescent/Young Adult Resilience during Transplant (SMART) study (R01NR008583; U10CA098543; U10CA095861) is an ongoing multi-site Children’s Oncology Group randomized clinical trial testing the efficacy of a therapeutic music video intervention for adolescents/young adults (11–24 years of age) with cancer undergoing stem cell transplant. Treatment fidelity strategies from our trial are consistent with the NIH Behavior Change Consortium Treatment Fidelity Workgroup (BCC) recommendations and provide a successful working model for treatment fidelity implementation in a large, multi-site behavioral intervention study. In this paper we summarize 20 specific treatment fidelity strategies used in the SMART trial and how these strategies correspond with NIH BCC recommendations in 5 specific areas: 1) study design, 2) training providers, 3) delivery of treatment, 4) receipt of treatment, and 5) enactment of treatment skills. Increased use and reporting of treatment fidelity procedures is essential in advancing the reliability and validity of behavioral intervention research. The SMART trial provides a strong model for the application of fidelity strategies to improve scientific findings and addresses the absence of published literature illustrating the application of BCC recommendations in behavioral intervention studies

Birthing and Parenting a Premature Infant in a Cultural Context

The purpose of this longitudinal qualitative descriptive study was to explore American Indian (AI) mothers’ perceptions of parenting their premature infants over their first year of life in the context of their culture, including the birth and hospitalization experience. A convenience sample of 17 AI mothers and their premature infants were recruited from either a neonatal intensive care unit (NICU) or pediatric clinic in the southeast. Semistructured interviews were conducted at two time points. Through content analytic methods, three broad categories were revealed: descriptions of having a premature infant in the NICU, descriptions of parenting a premature infant, and the influence of Lumbee culture on parenting a premature infant. Certain aspects of AI culture appear to be important in having a premature infant in the NICU and in parenting a premature infant. We recommend that healthcare providers deliver culturally appropriate care that fully supports AI mothers and their premature infants

Nursing Roles and Strategies in End-of-Life Decision Making in Acute Care: A Systematic Review of the Literature

The objective of this paper is to analyze the literature concerning nurses' roles and strategies in EOL decision making in acute care environments, synthesize the findings, and identify implications for future research. We conducted searches in CINAHL and PubMed, using a broad range of terms. The 44 articles retained for review had quantitative and qualitative designs and represented ten countries. These articles were entered into a matrix to facilitate examining patterns, themes, and relationships across studies. Three nursing roles emerged from the synthesis of the literature: information broker, supporter, and advocate, each with a set of strategies nurses use to enact the roles. Empirical evidence linking these nursing roles and strategies to patients and family members outcomes is lacking. Understanding how these strategies and activities are effective in helping patients and families make EOL decisions is an area for future research

Inhibition of activin/nodal signalling is necessary for pancreatic differentiation of human pluripotent stem cells

Peer reviewedPublisher PD

Prenatal Care in Oregon and Washington: Policy and Utilization for Vulnerable Women

BACKGROUND: In the prenatal period, women can have sustained contact with nurses and other clinicians, forming relationships that are likely to be health enhancing both for the woman and her unborn child. Yet first trimester care use in Oregon dropped noticeably over the past decade. In comparison with Washington State, Oregon has not shown substantial recovery. OBJECTIVE: To explore potential reasons for the declining prenatal trend in Oregon METHODS: We collated county level birth data from all Oregon and Washington counties from 2000-2010. A descriptive, observational, time-series regression analysis for both states assessed the influence of maternal determinants known to impact first trimester care utilization. RESULTS: In Oregon, two factors were significantly associated with declining first trimester care: Medicaid funding (P<.01) and maternal Hispanic ethnicity (P=.016). In Washington, there was no significant association between any assessed determinant and first trimester care. DISCUSSION: In Oregon, over the period of our study, women dependent on Medicaid and women of Hispanic origin were less likely to utilize first trimester care. A similar trend for these variables was not observed in Washington. At the time of our study, both states had different policy approaches which may explain some of the observable patterns. Amid current health care reforms and rising immigration, our findings suggest the need for strong advocacy for those less able to access or utilize care.This is a non-final version of an article. The article is copyrighted by Wolters Kluwer Health, Inc., and published by Lippincott Williams & Wilkins. It can be found as published in final form at: http://journals.lww.com/nursingresearchonline/pages/default.aspxKeywords: Ethnicity, Medicaid, First trimester, Prenatal care, Health disparit

Critical review of self-reported functional ankle instability measures.

a b s t r a c t Objective: Determine which ankle instability questionnaire predicts subject&apos;s ankle instability status based on a minimum accepted criteria for FAI (MC_FAI). Design: Cross-sectional study. Setting: Large Midwestern University. Participants: College aged subjects (n ¼ 1127 19.6 AE 2.1 years) from a university population were recruited for this study. Any volunteer, regardless of ankle injury history was included in the study. Main outcome measures: The independent variables were the score on three self-report ankle instability questionnaires: Ankle Instability Instrument, Cumberland Ankle Instability Tool, and Identification of Functional Ankle Instability. Subjects completed the questionnaires for their dominant limb during a single testing session. The dependent variable was created based on the previously established MC_FAI. This was established as at least one ankle sprain and at least one episode of giving way. Data were modeled using a chi-square and multinomial logistic regression. 95% confidence intervals were calculated for the resulting odds ratios. Results: A test of the full model with all three predictors against MC_FAI revealed that only the IdFAI (X 2 ¼ 457.09, p ¼ .001) had a significant relationship with the outcome variable. The IdFAI had an overall prediction rate of 87.8%. Conclusions: This analysis illustrates that IdFAI is a good overall option for predicting ankle stability status by self-reported questionnaire