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1.
Sex Transm Dis ; 51(2): 90-95, 2024 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-38100815

RESUMO

INTRODUCTION: Profound sexual health disparities exist for Black men who have sex with men (MSM) in the US South, including a high prevalence of sexually transmitted infections (STIs). Sexually transmitted infection prevention strategies beyond condoms are needed for Black MSM taking preexposure prophylaxis (PrEP). METHODS: We conducted in-depth interviews with Black MSM taking PrEP in New Orleans, Louisiana. Informed by the Health Belief Model, we asked about participants' perceived susceptibility, severity, and concerns regarding STIs, and perceived benefits of STI prevention. We also asked about willingness to use various STI prevention strategies, including antibiotic prophylaxis. Interviews were audio-recorded and analyzed using applied thematic analysis. RESULTS: We interviewed 24 Black MSM aged 18 to 36 years; half had a recent STI diagnosis. Most participants were concerned about receiving an STI diagnosis, noting shame or disappointment; physical effects were concerning but infrequently considered. Participants described being less likely to use condoms with routine partners or those taking PrEP. Most reported being willing to engage in each of the 6 prevention strategies discussed. CONCLUSIONS: Black MSM taking PrEP voiced concern about STIs, and many noted that they infrequently use condoms. They were willing to engage in methods focused on preventing STIs on an individual or population level.


Assuntos
Infecções por HIV , Profilaxia Pré-Exposição , Minorias Sexuais e de Gênero , Infecções Sexualmente Transmissíveis , Masculino , Humanos , Homossexualidade Masculina , Infecções por HIV/epidemiologia , Infecções por HIV/prevenção & controle , Nova Orleans , Infecções Sexualmente Transmissíveis/epidemiologia , Infecções Sexualmente Transmissíveis/prevenção & controle , Profilaxia Pré-Exposição/métodos
2.
Crit Care Nurs Clin North Am ; 34(3): 277-288, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-36049847

RESUMO

Preeclampsia (PE) is the most common complication of pregnancy. PE is a multisystem disorder that can result in maternal morbidity and mortality. A severe complication of PE is the HELLP syndrome. HELLP syndrome is a pregnancy-associated liver disease characterized by the presence of hemolysis (H), elevated liver enzymes, and low platelet count. Management of HELLP syndrome includes monitoring of obstetric complications, controlling hypertension, seizure prevention, and planning for delivery. Also, postpartum care of the mother and the newborn should focus on physiologic and emotional wellbeing.


Assuntos
Eclampsia , Síndrome HELLP , Hipertensão , Pré-Eclâmpsia , Feminino , Síndrome HELLP/diagnóstico , Síndrome HELLP/terapia , Humanos , Recém-Nascido , Gravidez
3.
Nurs Educ Perspect ; 43(2): 126-128, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-34352853

RESUMO

ABSTRACT: Baccalaureate nursing education programs must focus on social transition as well as academic preparedness to maximize student success. The purpose of this qualitative research study was to identify nontraditional nursing students' perspectives on strategies that enabled them to succeed. Focus groups were conducted with nontraditional students who graduated on time from a BSN program. Themes that emerged included resources, self-awareness, social support, and early engagement. Using findings from this study, the faculty and administration changed the new student orientation to include time management, test-taking skills, self-awareness assessments, and professional socialization.


Assuntos
Sucesso Acadêmico , Bacharelado em Enfermagem , Estudantes de Enfermagem , Grupos Focais , Humanos , Pesquisa Qualitativa
4.
JBI Database System Rev Implement Rep ; 17(10): 2187-2192, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31453838

RESUMO

OBJECTIVES: The objective of this review is to determine if the occurrence of post-operative nausea and vomiting (PONV) is affected by using sugammadex or neostigmine, in adult patients undergoing laparoscopic procedures paralyzed by rocuronium bromide. INTRODUCTION: Laparoscopic procedures significantly increase the occurrence of PONV in patients. The focus should be on preventing the occurrence of PONV. Laparoscopic procedures use neo-muscular blocking agents to assist with creation of a pneumoperitoneum. After the procedure is complete, reversal of these agents is critical for patient recovery. Understanding the effects for each of the reversal medications is important for future decisions for peri-operative care. INCLUSION CRITERIA: This review will consider studies with patients aged 18 and older, undergoing laparoscopic procedures, paralyzed with rocuronium. METHODS: A search for relevant published and unpublished literature will be conducted in MEDLINE, CINAHL, Embase, Scopus, ClinicalTrials.gov and Cochrane Central Register of Controlled Trials (CENTRAL), in addition to gray literature sources. Articles that meet the inclusion criteria will be further assessed for methodological validity by two independent reviewers using standardized critical appraisal instruments. Data will be extracted from papers included in the review using a standardized data extraction tool. Quantitative data will be pooled for statistical meta-analysis to evaluate the occurrence of PONV with both sugammadex and neostigmine.


Assuntos
Inibidores da Colinesterase/administração & dosagem , Laparoscopia/métodos , Neostigmina/administração & dosagem , Náusea e Vômito Pós-Operatórios/prevenção & controle , Sugammadex/administração & dosagem , Humanos , Laparoscopia/efeitos adversos , Fármacos Neuromusculares não Despolarizantes/administração & dosagem , Ensaios Clínicos Controlados Aleatórios como Assunto , Projetos de Pesquisa , Rocurônio/administração & dosagem , Revisões Sistemáticas como Assunto
5.
Crit Care Nurs Clin North Am ; 30(3): 415-422, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30098745

RESUMO

Maternal sepsis is the third most common direct cause of maternal mortality following maternal hemorrhage and maternal hypertension. Undetected and poorly managed maternal infections can lead to sepsis, death, or disability for the mother and an increased likelihood of early neonatal infection and other adverse outcomes. When caring for obstetric patients, it is important to identify the stages of antepartum, intrapartum, and postpartum care. Sepsis occurs at any stage of obstetric care.


Assuntos
Antibacterianos/uso terapêutico , Assistência Perinatal/métodos , Sepse/diagnóstico , Sepse/tratamento farmacológico , Feminino , Humanos , Mortalidade Materna , Gravidez
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