Women with Type 2 Diabetes Mellitus: Diabetes Self-Care, Diabetes Time Management, and Diabetes Distress

This descriptive correlational study examined the relationships between and among diabetes self-care, diabetes time management, and diabetes distress in women with type 2 (T2DM). A gap of knowledge exists between these variables and this study, guided by Orem’s self-care theory, aimed to identify these relationships and predictors of diabetes self-care. The sample (N = 188) was comprised of predominately White (81.4%) women recruited from multiple office locations, community hospitals, and diabetes support groups predominately from the Mid-Atlantic Region (64.04%). Participants voluntarily participated by responding to flyers posted in data collection locations or by electronic survey disseminated by diabetes support group newsletters. Participants completed three established survey instruments to measure the main study variables: the Diabetes Self-Management Questionnaire (DSMQ), the Diabetes Time Management Questionnaire (DTMQ), and the Diabetes Distress Scale (DSS). Survey responses were analyzed using several descriptive, bivariate, and multivariate analyses. Study results showed a strong inverse bivariate relationship between diabetes self-care and diabetes time management and a medium inverse relationship between diabetes self-care and diabetes distress. Additionally, diabetes time management and diabetes distress showed a moderate positive relationship. A multivariate model demonstrated that time management and diabetes distress explained 37.7% of the variance in diabetes self-care, F (2, 185) = 55.86, p \u3c 0.001. Diabetes time management was the strongest, statistically significant, unique contributor to explaining self-care (β = -0.56, p \u3c 0.001). The ANCOVA procedure showed that time management demonstrated a large effect size (0.300) and diabetes distress demonstrated a small effect size (0.016)

A Call for Occupational Justice: Amending Medicare Policy

This advocacy project titled, A Call for Occupational Justice: Amending Medicare Policy focuses on advocating for increased access to occupational therapy (OT) services for elderly individuals within home health settings and bridging the health equity gap. The student was able to collaborate with the AOTA Federal Affairs Department throughout their capstone advocacy experience. They began the process of addressing Medicare home health policy serving as an environmental barrier for quality of life within this population through preparing to introduce legislation amending Medicare policy. This Medicare home health legislation would allow OT to be recognized as a Medicare qualifying home health service, meaning that OT could provide home health services to Medicare recipients standing alone. The student created a white paper as the final product discussing chronic condition mismanagement, the impact within home health settings and OT’s role in mitigating this crisis through effective chronic condition management with this new legislation. The white paper consisted of a culmination of anecdotes, and evidence from the literature to maximize advocacy efforts to support this legislation. The AOTA Federal Affairs Department will utilize this resource to further legislative efforts toward this bill.https://soar.usa.edu/otdcapstones-spring2022/1011/thumbnail.jp

A qualitative study of Western Australian women's perceptions of using a Snoezelen room for breastfeeding during their postpartum hospital stay

<p>Abstract</p> <p>Background</p> <p>There is limited evidence on the use of the Snoezelen concept for maternity clients. Snoezelen, a Dutch concept, initiated in the 1970s as a leisure activity for severely disabled people, involves creating an indoor environment using controllable stimuli to enhance comfort and relaxation. These specially designed rooms expose the user to multiple sensory stimulations combining vision, touch, sounds and aromas. The aim of this study was to provide insight into breastfeeding women's experience of using a Snoezelen room during hospitalisation.</p> <p>Methods</p> <p>A qualitative exploratory design was chosen to reveal women's perceptions of using the Snoezelen room. Osborne Park Hospital, the study setting is the second largest public provider of obstetric services in Western Australia. A purposive sample was drawn from breastfeeding women who used the Snoezelen room during their postpartum stay from March 2006 to March 2007. Saturation was achieved after eleven breastfeeding women were interviewed six weeks post discharge. Data analysis involved the constant comparison method.</p> <p>Results</p> <p>Participants entered the room feeling tired and emotional with an unsettled baby and breastfeeding issues aggravated by maternal stress and anxiety. All women indicated they were able to achieve relaxation while in the room and would recommend its use to other breastfeeding mothers. Two key themes revealed how the Snoezelen room facilitated maternal relaxation, which ultimately enhanced the breastfeeding experience. The first theme, "Finding Relaxation for the Breastfeeding Mother" incorporates three subthemes: 'Time out' for mother; Control in own personal space; and a Quiet/calm environment with homelike atmosphere. The second theme, "Enabling Focus on Breastfeeding", occurred after relaxation was achieved and involved four subthemes: Able to get one-on-one attention; Not physically exposed to others; Away from prying, judgemental eyes and Able to safely attempt breastfeeding alone knowing help is nearby.</p> <p>Conclusion</p> <p>Insight into how the Snoezelen room promoted relaxation also highlights what contributes to maternal anxiety during breastfeeding experiences in hospital. The findings offer health professionals the opportunity to consider adopting strategies such as a Snoezelen room in their hospital or being innovative in modifying the postpartum setting to promote relaxation for breastfeeding women.</p

New Piperidine alkaloids from fire ants are not sequestered by the green and black poison frog ( Dendrobates auratus )

Neotropical poison frogs possess alkaloid-based antipredator defenses which they sequester from a diet of arthropods such as oribatid mites and myrmicine ants. Alkaloid sequestration is still poorly understood and although several studies have examined its uptake, most experiments directly feed alkaloids to the frogs. Here, we examined the alkaloid uptake system in the poison frog species Dendrobates auratus by feeding it an alkaloid-containing prey item, the red imported fire ant Solenopsis invicta (Formicidae, Myrmicinae). Captive bred frogs were either fed live ants or fruit flies dusted with powdered ants for 4 months. Using GC–MS, we confirm that S. invicta contain previously described piperidine alkaloids known as solenopsins; however, none of these piperidine alkaloids was detected in the skin of D. auratus, suggesting the frogs are incapable of sequestering solenopsins from S. invicta. It is possible that D. auratus are unable to sequester fire ant piperidines due to their long hydrocarbon side chains, a feature that makes them structurally different than most known alkaloids in poison frogs

Despite the suspension of conditionality, benefit claimants are already looking for work

The unique challenges that COVID-19 presents have meant a ‘pause’ in overt work-related requirements. Despite this, and the dire job prospects facing many, the majority of the new COVID-19 cohort of benefit claimants who do not have a job are actively looking for work, find Daniel Edmiston, Ben Baumberg Geiger, Lisa Scullion, Jo Ingold and Kate Summers. This questions many of the assumptions that underpin our increasingly conditional social security system and should encourage policymakers to rethink what income and employment support might look like as we move beyond this pandemic

The Development of a Human Well-Being Index for the United States

The US Environmental Protection Agency (EPA) has developed a human well-being index (HWBI) that assesses the over-all well-being of its population at the county level. The HWBI contains eight domains representing social, economic and environmental well-being. These domains include 25 indicators comprised of 80 metrics and 22 social, economic and environmental services. The application of the HWBI has been made for the nation as a whole at the county level and two alternative applications have been made to represent key populations within the overall US population—Native Americans and children. A number of advances have been made to estimate the values of metrics for counties where no data is available and one such estimator—MERLIN—is discussed. Finally, efforts to make the index into an interactive web site are described

The Role of Ecosystem Services in Community Well-Being

Natural ecosystems provide services to humans that make life possible. Life, as well as the economy, is dependent upon these ecosystem goods and services (EGS). These services also contribute to a “good” or “quality life” by influencing the well-being of individuals and communities. Understanding the relationships among EGS that contribute to and shape well-being is an important task for researchers, decision makers and policy makers. In the past, these relationships were almost completely dependent upon income and consumption of goods. Today, the relationships are based on a more holistic perception including environmental and social attributes. The importance of ecosystem services to community well-being and their interactions are described through examples of communities’ perceptions of the importance of various attributes of well-being and the role of ecosystem services in defining public health

Health-related welfare prioritisation of canine disorders using electronic health records in primary care practice in the UK.

BACKGROUND: Evidence-based comparison of the disorder-specific welfare burdens of major canine conditions could better inform targeting of stakeholder resources, to maximise improvement of health-related welfare in UK dogs. Population-level disease related welfare impact offers a quantitative, welfare-centred framework for objective disorder prioritisation, but practical applications have been limited to date due to sparse reliable evidence on disorder-specific prevalence, severity and duration across the canine disease spectrum. The VetCompass™ Programme collects de-identified electronic health record data from dogs attending primary-care clinics UK-wide, and is well placed to fill these information gaps. RESULTS: The eight common, breed-related conditions assessed were anal sac disorder, conjunctivitis, dental disease, dermatitis, overweight/obese, lipoma, osteoarthritis and otitis externa. Annual period prevalence estimates (based on confirming 250 cases from total potential cases identified from denominator population of 455, 557 dogs) were highest for dental disorder (9.6%), overweight/obese (5.7%) and anal sac disorder (4.5%). Dental disorder (76% of study year), osteoarthritis (82%), and overweight/obese (70%) had highest annual duration scores. Osteoarthritis (scoring 13/21), otitis externa (11/21) and dermatitis demonstrated (10/21) highest overall severity scores. Dental disorder (2.47/3.00 summative score), osteoarthritis (2.24/3.00) and overweight/obese (1.67/3.00) had highest VetCompass Welfare Impact scores overall. DISCUSSION: Of the eight common, breed-related disorders assessed, dental disorder, osteoarthritis and overweight/obese demonstrated particular welfare impact, based on combinations of high prevalence, duration and severity. Future work could extend this methodology to cover a wider range of disorders. CONCLUSIONS: Dental disorders, osteoarthritis and overweight/obese have emerged as priority areas for health-related welfare improvement in the UK dog population. This study demonstrated applicability of a standardised methodology to assess the relative health-related welfare impact across a range of canine disorders using VetCompass clinical data

Inter-Professional Collaborative Care: A Way to Enhance Services for Adults with Intellectual Disability and/or Autism Spectrum Disorder and Mental Health Problems

This article describes our inter-professional mental health service for adults with intellectual disability and/or autism spectrum disorder. The service consists of an inpatient unit and outpatient program that are closely aligned and operate within a mental health and addictions teaching hospital. We provide information about recent changes to our model of care and the structures and activities that are used to support inter-professional team development and team functioning. Roles and functions of different mental health professionals on the team are outlined and case examples of adults with intellectual disability and complex mental health needs are provided to illustrate how the inter-professional team members work together

Characteristics of Current Hospital-Sponsored and Nonhospital Birth Centers

Objectives : (1) To describe contemporary birth centers in terms of the population served, organizational and financial characteristics, services provided, mission and philosophy, and planning and marketing techniques. (2) To compare hospital-sponsored and nonhospital models with regard to the above characteristics. Method : Data from the National Survey of Women's Health Centers conducted in 1994 are analyzed using t -tests and chi-square tests. Results : Contemporary birth centers serve a diverse population of women and provide a range of clinical and nonclinical services. Birth centers are both hospital-sponsored and nonhospital, with the former growing at a faster rate. Compared to hospital-sponsored centers, nonhospital centers serve a larger proportion of uninsured women, provide a broader range of clinical services, and are more committed to women-centered care. Centers utilize different marketing methods and are involved in a number of organizational changes to better position themselves in the changing health care environment. Conclusions: Birth centers offer an attractive option to consumers and are a viable model for delivering women-centered care. Given that all “birth center” facilities do not share the same philosophy and service mix, women need to have some assurance of what a “birth center” will, and will not, provide.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/45317/1/10995_2004_Article_425315.pd