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Sanford, FL, United States

Miller R.S.,Seminole State College
Nursing Made Incredibly Easy | Year: 2011

During pregnancy, a woman's nutritional needs change. Women need to consume extra vitamins and minerals, increase their calorie intake, and avoid certain foods and chemicals to optimize the growth and development of their baby. We discuss how to advise your pregnant patients on their nutritional needs during this special time. Copyright © 2011 Lippincott Williams & Wilkins.

Mahramus T.,1414 Kuhl Ave | Penoyer D.A.,Orlando Health Center for Nursing Research | Frewin S.,1414 Kuhl Ave | Chamberlain L.,Seminole State College | And 2 more authors.
Heart and Lung: Journal of Acute and Critical Care | Year: 2014

Background: Nurses must have optimum knowledge of heart failure self-care principles to adequately prepare patients for self-care at home. However, study findings demonstrate that nurses have knowledge deficits in self-care concepts for heart failure. Methods: A quasi-experimental, repeated measures design was used to assess nurses' knowledge of heart failure self-care before, immediately after, and 3-months following an educational intervention, which also included the Teach Back method. Follow-up reinforcement was provided after the educational intervention. Results: One hundred fifty nurses participated in the study. Significant differences were found between pre-test (65.1%) and post-test (80.6%) scores (p<0.001). Teach Back proficiency was achieved by 98.3%. Only 61 participants completed the 3-month assessment of knowledge. In this group, mean knowledge scores increased significantly across all three measurements (p<0.001): 66.5% (pre-test); 82.1% (post-test); 89.5% (follow up post-test). Conclusions: Participation in a comprehensive educational program resulted in increased nurses' knowledge of heart failure self-care principles and the knowledge was sustained and increased overtime. © 2014 Elsevier Inc.

Lampe J.,Orlando RegionalMedical Center | Penoyer D.A.,Center for Nursing Research | Hadesty S.,Progressive Care | Bean A.,Seminole State College | Chamberlain L.,Seminole State College
Clinical Nurse Specialist | Year: 2014

PURPOSE:: The purpose of this study was to evaluate the timing and practices of blood glucose testing and rapid-acting insulin administration around mealtimes. DESIGN:: This study used an observational, descriptive design to assess the time between blood glucose testing and insulin administration and the time between first bite of the meal and insulin administration. SETTING:: The setting was 4 cardiology units in 2 hospitals within a large community healthcare system. SAMPLE:: Sixty-four mealtime practice events at breakfast, lunch, and supper were observed. METHODS:: Investigators directly observed the timing of rapid-acting insulin administration at 3 mealtime periods an assessed timing of blood glucose testing, food intake, and method of glucose reporting. RESULTS:: Overall, 14% (n = 64) of the patients received blood glucose testing within 1 hour prior to insulin administration and insulin administration within 15 minutes of the meal. As separate elements, blood glucose testing was done within the defined ideal range 35% (n = 63) of the time, and insulin was administered within range 40% (n = 58) of the time. CONCLUSIONS:: Timing for meals, blood glucose testing, and rapid-acting insulin administration varied significantly and was not well synchronized among the various patient caregivers with low achievement of ideal practices. IMPLICATIONS:: Results to this study revealed opportunities for better coordination of mealtime insulin practices. Lack of coordination can lead to medication errors and adverse drug events. Further study should include effect of mealtime coordination on glycemic control outcomes and testing the effect of interventions on timing of mealtime insulin practices. Copyright © 2014 Wolters Kluwer Health.

Calloway R.J.,Seminole State College | Proctor M.D.,University of Central Florida | Boyer V.M.,University of Central Florida | Napier S.,University of Central Florida
Systems and Synthetic Biology | Year: 2014

This article investigates the relationship between molecular sequence and dependent interacting behavior of molecular segment pairs and secondly, sequence dependent, vibrational resonance in surrounding normal saline, protein-free water. The development of a molecular model to explore these systems phenomena, the results of several nanoscale molecular dynamics simulations, and analysis of behavior of interacting ΦX174 double-stranded DNA segment pair models in various configurations are presented. Fourier analysis revealed intriguing vibration frequencies within the solvent plane between the segments, while subsequent frequency domain transformation of the time domain waveforms revealed statistically significant resonating harmonic signals in the THz range. © 2014, Springer Science+Business Media Dordrecht.

Wright K.A.,University of Kansas | Wright B.W.,University of Kansas | Ford S.M.,Southern Illinois University Carbondale | Fragaszy D.,University of Georgia | And 6 more authors.
Molecular Phylogenetics and Evolution | Year: 2015

Recent molecular work has confirmed the long-standing morphological hypothesis that capuchins are comprised of two distinct clades, the gracile (untufted) capuchins (genus Cebus, Erxleben, 1777) and the robust (tufted) capuchins (genus Sapajus Kerr, 1792). In the past, the robust group was treated as a single, undifferentiated and cosmopolitan species, with data from all populations lumped together in morphological and ecological studies, obscuring morphological differences that might exist across this radiation. Genetic evidence suggests that the modern radiation of robust capuchins began diversifying ~2.5. Ma, with significant subsequent geographic expansion into new habitat types. In this study we use a morphological sample of gracile and robust capuchin craniofacial and postcranial characters to examine how ecology and evolutionary history have contributed to morphological diversity within the robust capuchins. We predicted that if ecology is driving robust capuchin variation, three distinct robust morphotypes would be identified: (1) the Atlantic Forest species (. Sapajus xanthosternos, S. robustus, and S. nigritus), (2) the Amazonian rainforest species (. S. apella, S. cay and S. macrocephalus), and (3) the Cerrado-Caatinga species (. S. libidinosus). Alternatively, if diversification time between species pairs predicts degree of morphological difference, we predicted that the recently diverged S. apella, S. macrocephalus, S. libidinosus, and S. cay would be morphologically comparable, with greater variation among the more ancient lineages of S. nigritus, S. xanthosternos, and S. robustus. Our analyses suggest that S. libidinosus has the most derived craniofacial and postcranial features, indicative of inhabiting a more terrestrial niche that includes a dependence on tool use for the extraction of imbedded foods. We also suggest that the cranial robusticity of S. macrocephalus and S. apella are indicative of recent competition with sympatric gracile capuchin species, resulting in character displacement. © 2014 Elsevier Inc.

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