An Integrative Review of Literature Regarding Health Concerns of Rural Dwelling Adolescents

Those living in rural areas face particular risks to health and well-being as they are more likely to be poor, have no health insurance, and have less access to health care. Many obstacles exist in achieving optimal rural health outcomes. Many of the health related issues experienced by adolescents are preventable and are often related to risky behavior such as substance use and abuse, smoking, and unprotected sex. The purpose of this review is to define the current primary health concerns of rural dwelling adolescents worldwide. Based on current research, the primary health related problems of rural adolescents were identified as risky sexual behaviors, mental health issues, violence and bullying, substance and alcohol use, and overweight and obesity. These problems are exacerbated by diminished access to care, peer influences, and parental influences. This integrative review also illustrates many dimensions of health disparities exist in rural areas. When addressing diversity in care models, it is important to consider the rural setting as well as race or ethnicity, sex, and socioeconomic status in designing curriculum and interventions. Globally, evidence based findings are needed to inform curriculum and respond to the health needs of rural adolescents. Programs and rural initiatives for adolescents can decrease the prevalence of established health problems and lower health care expenditures across life spans

Nursing with Eating, Activity, and Supportive Environment (EASE) : Effects of an Eight-week Mentoring Program

Each year, approximately 2.8 million adults die from complications related to obesity (World Health Organization, 2011). One in three adults aged 20 years or older is obese, and 6% are morbidly obese. This problem is increasing at an alarming rate in young adults, and 20.5% of college students are classified as being overweight based upon their body mass index (BMI) (Adderley-Kelly, 2007). The purpose of this study was to increase knowledge about evidence-based, effective interventions that will enable college-aged, pre-nursing students to attain physical and mental well-being. The participants (N=24) were freshman and sophomore pre-nursing majors who were randomized into two groups (control and intervention). The intervention group met once a week for an eight-week nutrition and physical activity mentoring program at Texas Woman’s University. The participants were educated about proper diet and exercise recommendations and kept physical activity, nutrition, and stress management logs. Measured outcomes, mean changes and standard deviations over the eight week period included body weight (-0.3 kg + 1.7), BMI (-0.12 kg/m2 + 0.68), waist circumference (-2.5 cm + 1.9), and perceived stress scale (0.0 + 3.6). One-way ANOVAs with a p value of 0.05 were used for statistical analysis. There were no significant differences in weight, BMI, waist circumference or stress between the groups. Body composition and mental stress are difficult to change in an eight-week mentoring program, although improved knowledge may set the stage for future behavior change. A longer term program may need to be used to observe changes in weight, BMI, waist circumference, and stress

Local Translation in Primary Afferent Fibers Regulates Nociception

Recent studies have demonstrated the importance of local protein synthesis for neuronal plasticity. In particular, local mRNA translation through the mammalian target of rapamycin (mTOR) has been shown to play a key role in regulating dendrite excitability and modulating long-term synaptic plasticity associated with learning and memory. There is also increased evidence to suggest that intact adult mammalian axons have a functional requirement for local protein synthesis in vivo. Here we show that the translational machinery is present in some myelinated sensory fibers and that active mTOR-dependent pathways participate in maintaining the sensitivity of a subpopulation of fast-conducting nociceptors in vivo. Phosphorylated mTOR together with other downstream components of the translational machinery were localized to a subset of myelinated sensory fibers in rat cutaneous tissue. We then showed with electromyographic studies that the mTOR inhibitor rapamycin reduced the sensitivity of a population of myelinated nociceptors known to be important for the increased mechanical sensitivity that follows injury. Behavioural studies confirmed that local treatment with rapamycin significantly attenuated persistent pain that follows tissue injury, but not acute pain. Specifically, we found that rapamycin blunted the heightened response to mechanical stimulation that develops around a site of injury and reduced the long-term mechanical hypersensitivity that follows partial peripheral nerve damage - a widely used model of chronic pain. Our results show that the sensitivity of a subset of sensory fibers is maintained by ongoing mTOR-mediated local protein synthesis and uncover a novel target for the control of long-term pain states

December 2015 Deans Update

Dear Alumni & Friends, It is hard to believe that I have been in my role as Dean of the College of Nursing and Professional Disciplines for over a year. During this time, I have enjoyed working with the College’s faculty and staff, learning the stories of our students, and getting to know the Grand Forks community. It has been an exciting year thus far as the departments and the college have accomplished a great deal. This fall, CNPD was pleased to offer two new online programs, the Masters in Nutrition with Specialization in Nutrition Education and Counseling, and the Bachelor of Science in Social Work (BSSW). We are excited to offer educational opportunities to students who may not be able to receive their degree on campus. The University of North Dakota CNPD Department of Nursing has received initial accreditation for its Doctor of Nursing Practice (DNP) program from the Commission on Collegiate Nursing Education (CCNE). The CCNE is recognized by the U.S. Secretary of Education as a national accreditation agency that contributes to the improvement of the public\u27s health by ensuring the quality and integrity of baccalaureate, graduate and residency programs in nursing education. 2015 was also a year of celebration as the Recruitment/Retention of American Indians into Nursing (RAIN) Program celebrated 25 years of assisting American Indians in actualizing their nursing dreams. The Nurse Practitioner Program also celebrated its 20th Anniversary of education at UND and nationally, we celebrate 50 years of Nurse Practitioner education. The College’s mission has an emphasis on serving the health needs of the rural communities in North Dakota and the region. We continue to strive to meet our rural health mission through a number of initiatives including hiring a Rural Health Visiting Scholar. This December, Dr. Angeline Bushy, will travel to UND to work with faculty to integrate rural content and student experiences across the three areas of curricula. Dr. Bushy is a renowned rural health expert and will be assisting the College in further developing its rural health mission with return visits during the spring semester. I hope that you enjoy the first edition of our e-newsletter. It is our goal to keep our alumni and friends updated on current college affairs. We plan to send out an e-newsletter each semester but if you would like to stay attune to the most recent events, please like our Facebook and follow us on Twitter. I would love to hear from you, so I hope you also reach out to me at [email protected] or at 701.777.4555. Have a wonderful holiday season! Best, Dean Gayle Rou

HRSA Advanced Education Nursing Traineeship (AENT) Program

We are pleased to announce that CNPD has received a 1-year HRSA grant for student traineeship awards to support the education of students in the Family Nurse Practitioner, Adult-Gerontological Nurse Practitioner and Psychiatric and Mental Health Nurse Practitioner tracks. The grant total is $344,000. Those selected for the traineeship will have the money funded directly to their UND account for: required books and e-books, tuition and fees and/or stipends for living expenses. Full time students could receive up to$22,000 and part time students within 12 months of graduation could receive $11,000. Applications must be received by July 25 . Applications will be reviewed by a group of graduate faculty for selection of award recipients. Selection for awards will be based on the following criteria required by HRSA: Full-time students receive priority Followed by part-time students within the last 12 months of study prior to graduation Priority is given to those closest to graduation Recipients must be a U.S. Citizen or have Residence Visa (green card holder) To meet the mission of the HRSA Traineeship, students must indicate a willingness to practice in rural or underserved settings following graduation Eligible students - watch for an email next week with the application information. Don’t miss this opportunity to receive support for your education

December 2015 Deans Update

Dear Alumni & Friends, It is hard to believe that I have been in my role as Dean of the College of Nursing and Professional Disciplines for over a year. During this time, I have enjoyed working with the College’s faculty and staff, learning the stories of our students, and getting to know the Grand Forks community. It has been an exciting year thus far as the departments and the college have accomplished a great deal. This fall, CNPD was pleased to offer two new online programs, the Masters in Nutrition with Specialization in Nutrition Education and Counseling, and the Bachelor of Science in Social Work (BSSW). We are excited to offer educational opportunities to students who may not be able to receive their degree on campus. The University of North Dakota CNPD Department of Nursing has received initial accreditation for its Doctor of Nursing Practice (DNP) program from the Commission on Collegiate Nursing Education (CCNE). The CCNE is recognized by the U.S. Secretary of Education as a national accreditation agency that contributes to the improvement of the public\u27s health by ensuring the quality and integrity of baccalaureate, graduate and residency programs in nursing education. 2015 was also a year of celebration as the Recruitment/Retention of American Indians into Nursing (RAIN) Program celebrated 25 years of assisting American Indians in actualizing their nursing dreams. The Nurse Practitioner Program also celebrated its 20th Anniversary of education at UND and nationally, we celebrate 50 years of Nurse Practitioner education. The College’s mission has an emphasis on serving the health needs of the rural communities in North Dakota and the region. We continue to strive to meet our rural health mission through a number of initiatives including hiring a Rural Health Visiting Scholar. This December, Dr. Angeline Bushy, will travel to UND to work with faculty to integrate rural content and student experiences across the three areas of curricula. Dr. Bushy is a renowned rural health expert and will be assisting the College in further developing its rural health mission with return visits during the spring semester. I hope that you enjoy the first edition of our e-newsletter. It is our goal to keep our alumni and friends updated on current college affairs. We plan to send out an e-newsletter each semester but if you would like to stay attune to the most recent events, please like our Facebook and follow us on Twitter. I would love to hear from you, so I hope you also reach out to me at [email protected] or at 701.777.4555. Have a wonderful holiday season! Best, Dean Gayle Rou

Prenatal Depression, Violence, Substance Use, and Perception of Support in Pregnant Middle-Class Women

The purpose of this study was to explore the vulnerability for postpartum depression among financially, educationally, and socially advantaged middle-class women (n = 31). Twenty-nine percent reported prenatal depression, 13% reported intimate partner violence, and 22% reported concerns with partner relationships and support expectations after delivery. No illegal substances were reported; however, a past history of smoking and excessive use of caffeine was disclosed. Implications for practice focus on the need to screen and implement intervention programs for these social problems and to adopt measures as a universal standard of care for all women, regardless of demographic advantages

Keperawatan medikal bedah

xx, 286 hl

Keperawatan medikal bedah Buku 1

xx, 286 hlm.; 26 c