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Biomedical subjects

Patricia A Jamerson

Publications and source records attributed to Patricia A Jamerson.

6 recordsLinked to original sources

Fathers' perceptions of supportive behaviors for the provision of breast milk to premature infants.

PURPOSE: To explore fathers' perceptions of behaviors used to support the provision of breast milk to hospitalized premature infants. SUBJECTS: Sixteen English-speaking fathers who, each were at least 15 years of age, had a hospitalized premature infant between 24 and 32 weeks gestation and a partner who had decided to provide breast milk. DESIGN: As part of a larger, exploratory study, a qualitative descriptive study was conducted to analyze fathers' perceived contributions to the process of providing breast milk. METHODS: Fathers were interviewed with a semi-structured interview guide. All interviews were audiotaped, and verbatim transcripts were analyzed by using qualitative descriptive methods. MAIN OUTCOME MEASURE: Supportive behaviors as identified by fathers of hospitalized premature infants. PRINCIPAL RESULTS: Fathers described 3 types of behaviors used to support the provision of breast milk to their hospitalized premature infants: assistance with the pumping process, assumption of additional daily domestic responsibilities, and provision of moral support. CONCLUSIONS: Results from this study suggest several significant behaviors that fathers perceived they performed to support their partners' efforts to provide breast milk to their hospitalized premature infants.

Adult↗

Running a successful campaign against unionization.

Unions, once rare in healthcare, are now targeting hospital employees as potential members. In an industry that has seen an increase in regulations, mergers and acquisitions, rising financial pressures, and changing working conditions, it is easy to understand why discontented employees are being targeted by unions now more than ever. Hospital leaders must look to lessons learned in other organizations to develop strategies that will ensure a successful campaign. In 2003, St. Louis Children's Hospital defeated the Missouri Nurses Association/United American Nurse with a 77% no vote. The authors describe an overview of unionization in healthcare and the strategies they used to successfully win this union election.

Attitude of Health Personnel↗

Neurobehavioral effects in rat pups whose sires were exposed to alcohol.

Developmental neurobehavioral effects associated with maternal exposure to alcohol during pregnancy are well described, but little is known about the effects of paternal exposure prior to conception. Using a quasi-experimental, within-subjects design, neurobehavioral outcomes (reflex acquisition, activity, gait) and cerebral cortical layer thickness were assessed in Sprague-Dawley rat pups from breeding pairs where the sires were exposed to alcohol. Comparisons were made on the basis of the timing of conception relative to alcohol exposure: phase 1 (controls), prior to initiation of alcohol exposure; phase 2, during the period of treatment with 20% alcohol; and phase 3, following cessation of alcohol exposure. Phase 2 and 3 pups were noted to attain negative geotaxis and reflex suspension benchmarks earlier than control pups and to have more difficulty with balance. Phase 3 pups were noted to attain righting reflex earlier than controls. In addition, phase 3 pups demonstrated increased levels of reverse maze activity and a shorter and narrower gait. Brain morphometry revealed thickening of cortical sections I-IV and V-VI resulting in overall cortical enlargement in both phase 2 and 3 pups. Further analysis of phase 2 and 3 subphases based on the presumed stages of the spermatogenic cycle during which sires were exposed to alcohol revealed significant differences in maze activity, reflex acquisition, and gait length. These findings suggest pre-conception male exposure to alcohol may have an effect on the offspring and the extent of the effects may vary with the timing of alcohol exposure relative to conception.

Alcohol Drinking↗

The NICU experience of lactation and its relationship to family management style.

PURPOSE: To describe the impact of having a premature infant hospitalized in the neonatal intensive care unit (NICU) on the parents' management of the lactation experience. STUDY DESIGN AND METHODS: A descriptive study using interviews was conducted with nine couples who had decided to breastfeed, and who were parents of premature infants, 24 to 32 weeks gestation, hospitalized in a large, Midwestern NICU. The family management style conceptual framework guided the study. Qualitative descriptive methods were used to analyze the transcribed data. RESULTS: The situational context of having a premature infant in the NICU was defined as "stressful," "frightening," and "difficult," while the experience of providing breast milk was defined in terms of "altered expectations," "difficulties," and "rewards." These definitions along with the management behaviors of each parent validated three family management-style typologies for lactation in families of premature infants: facilitating, maintaining, and obstructing. CLINICAL IMPLICATIONS: The family management style of lactation, which can be easily ascertained by interviewing families, may be a useful tool in planning appropriate interventions to promote lactation success.

Adaptation, Psychological↗

The association between acute fatty liver of pregnancy and fatty acid oxidation disorders.

Acute fatty liver of pregnancy is a relatively rare but potentially fatal liver disorder of late pregnancy. Recent advances in molecular diagnostic procedures provide evidence of a genetic basis for this condition and a link to offspring disorders in fatty acid oxidation. This relationship implies the need for genetic testing and follow-up of at-risk women and their neonates.

Acute Disease↗