Non-Pharmacological Pain Managment in Labor: A Systematic Review

During childbirth, women experience labor pain throughout the three stages of labor. The first stage is where the contractions start and end which creates the need for a form of pain management. Various techniques are used to manage first stage labor pains. The use of non-pharmacological methods is becoming more prevalent because natural births are becoming more popular and pharmacological interventions have side effects and drug interactions. The purpose of this paper is to conduct a systematic review of the literature comparing non-pharmacological pain management methods in women during the first stage of labor. This will answer the PICOT question: In women during the first stage of labor, how do the non-pharmacological interventions of hydrotherapy, therapeutic touch, and the use of the birthing ball, compared to the standard treatment, affect pain management. Search methods include use of keywords in databases: CINAHL plus with full text, MEDLINE with full text, and SocINDEX with full text. Twenty research articles are used to describe hydrotherapy, birthing ball use and therapeutic touch as pain management methods in labor. Based on a critical appraisal of the evidence, recommendations for future practice will be created

Non-pharmacological Interventions for Alcohol, Marijuana, and Opioid Use During Pregnancy: A Systematic Review

The purpose of this review is to analyze evidence on prevalence of opioid, alcohol and marijuana use during pregnancy and answer the PICOT question: In pregnant women addicted to or using marijuana, opioids, and alcohol, how do non-pharmacological interventions, compared to standard care of pharmacological interventions alone, affect health outcomes in mothers and neonates between birth to hospital discharge? Diagnosis of substance use disorder is increasing and with it comes increased risk of complications to mother and neonate including neonatal abstinence syndrome (NAS), fetal alcohol syndrome (FAS) and other negative neonatal and maternal outcomes. Evidence was identified on the online databases, PubMed and CINAHL. Twenty studies from 2013-2018 were reviewed. Interventions included specialized comprehensive care, individual care, motivational interviewing (MI), and brief intervention. There was limited research about the topic, indicating a need for more research to find the most effective non-pharmacological interventions for these populations

Meta-analysis of concrete as a thermal energy storage medium

Solar energy is a renewable energy source however sunlight is only available during limited hours in the day. Researchers are looking towards an efficient energy storage system to ensure constant energy output. Concrete can be used as a filler material in a solar thermal energy storage system. This meta-study compared the heat capacity and thermal conductivity of concrete to other solid materials and concrete aggregates, allowing for the viability of concrete storage systems to be examined. The heat capacity of concrete was 5-10% higher than the comparative solid materials like brick and sand. Additionally, concrete without cement replacement materials were found to be more thermally conductive than concrete with added fly ash, blast furnace slag or silica fume with conductivity decreasing between 81-87%. However, concrete with the supplementary cementitious materials possess a higher heat capacity than concrete without cement replacement with capacity increasing by 25% at 30% replacement by fly ash with a grain size 300-600µm. When compared to the energy efficiency of other thermal energy systems, a concrete thermocline is shown to be less efficient than a molten salt two-tank energy storage system by less than 5%. Therefore, while concrete is a viable solid filler material in thermal energy storage systems, a molten salt two-tank thermal energy storage system is marginally more efficient. However, a partial cement replacement by supplementary cementitious materials can extend the effectiveness of the concrete thermal storage

Spatial Variation of False Map Turtle (Graptemys pseudogeographica) Bacterial Microbiota in the Lower Missouri River, United States

Turtle populations around the world are continually confronted with changing environments that affect their ecology and conservation status. Among freshwater turtles, population dynamics are thought to be mediated by complex yet often cryptic causes. One recent direction of focus in addressing these causes is the turtle-associated microbiota. In turtles, the gut- associated microbiota is of exceptional interest due to its continual association with host species under changing conditions. Diet-based fluctuations and changes in microbial diversity may correspond to varying external environments at both the individual and population level. Environmental responses are of particular interest due to the anthropogenic changes that may underlie them. Pollutants, disruption of climatic patterns, and habitat fragmentation all have the potential to affect turtle-associated microbiota and subsequent population and species conservation. To better understand potential human-induced changes, the diversity of turtle-associated microbiota over local spatial gradients must be better understood. We examined microbial community alpha- and beta-diversity among 30 adult False Map Turtles (Graptemys pseudogeographica) at three sites within the lower Missouri River, United States. Our results indicate significant microbial community centroid differences among sites (beta-diversity), which are likely mediated by various local environmental factors. Such factors will have to be carefully considered in any future attribution of anthropogenic determinants on turtle-associated microbiota as it relates to turtle population dynamics

Building Social & Emotional Competence in Early Education Classrooms through Art Therapy

This research project qualitatively explores how teachers address social-emotional learning and how educators understand and implement SEL and art therapy in early education. This research aimed to explore how art therapy theories can support teachers in their efforts to create socially and emotionally competent early education classrooms. Data collected included anonymous surveys from current kindergarten through third-grade teachers. Through data analysis, several findings suggest that art therapists, mental health practitioners, and teachers can benefit from collaboration in increasing access and training with SEL practices. These findings open new doors for further inquiry into art therapy and SEL

Global Kidney Exchange: Analysis and Background Papers from the Perspective of Medical Anthropology

Global Kidney Exchange (GKE) is a program aimed at facilitating trans-national kidney donation. Although its proponents aim at reducing the unmet demand of kidneys in the United States through the trans-nationalization of kidney exchange programs, the World Health Organization (WHO) and The Transplantation Society (TTS) have expressed concerns about its potential effect on black markets of organs and transnational organ trafficking, as well as on low- or middle-income countries health systems. For GKE to be implemented, it would need to be permitted to operate in at least some low- or middle-income countries. Should a low- or middle-income country allow GKE’s implementation? With the aim of answering this question, the eighteen University of Denver students in the Medical Anthropology course I [Alejandro Cerón] taught in autumn 2017, identified and researched the different aspects that would affect this issue, and delved in a holistic analysis we present in this report. Based on our analysis, health authorities in low- or middle-income countries faced with decisions about GKE need to consider the following aspects: the country’s current and projected needs related to kidney transplant, as well as the capacity for addressing those needs; the country’s current situation related to organ trafficking, transplant tourism and black markets of organs; the current and projected legislation related to both organ donation and human trafficking; the prevailing ethical considerations that inform the practice of all professionals related to organ transplant in the country; analyze end-stage renal failure as a preventable disease needing public health measures; and the sociocultural aspects that surround organ donation in the country. We consider that the concrete configuration of these aspects would influence the effects of implementing GKE. Additionally, we identified some issues of concern that are beyond the level of influence of local authorities: the unmet demand of kidneys in high-income countries is a reality that incentivizes organ trade and transplant tourism, and this is a problem in need of solutions; transnational organ trafficking as well as human trafficking with the purpose of organ donation are problems that need more visibility; for a global exchange of organs to be implemented, it would need to rely on supranational or transnational regulation and oversight; and the global epidemic of chronic kidney disease needs to be addressed through a public health perspective that emphasizes prevention

Evaluating Four Inosine-Uridine Preferring Nucleoside Hydrolases in Bacillus Anthracis for Decontamination Strategies

Andrew Roser­ is a doctoral student in the School of Biological Sciences at Louisiana Tech University. Abigail Bass, Sophie Bott, Madison Brewton, Adam Broussard, Taylor Clement, Makenzie Cude, Hunter Currie, Claire Herke, Mary Hickman, Lauren James, Hailey Johnson, Madeline Lechtenberg, Sarah Murchison, Alex Plaisance, Wil Plants, Alex Sullivan, Sara Vandenberg, and Kaitlynn Willis are undergraduate students in the School of Biological Sciences at Louisiana Tech University. Rebecca Giorno is an Associate Professor in the School of Biological Sciences at Louisiana Tech University

Satori 2023

The Satori is a student literary publication that expresses the artistic spirit of the students of Winona State University. Student poetry, prose, and graphic art are published in the Satori every spring since 1970. The Satori 2023 editors are Gabriel Hathaway, Van Herman, Madeline Schonitzer, Brianna Strohbehn, Page Sutton, Willow Swinbank, and Emily Venné. The Satori 2023 faculty advisor is Dr. Jim Armstrong, Professor of English.https://openriver.winona.edu/satori/1010/thumbnail.jp