Browsing by Author "Blackburn, Sara"

Now showing 1 - 5 of 5
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    Beverage consumption and the incidence of overweight and obesity in an Indianapolis WIC population
    (2016-08-19) Foster, Joshua J.; O'Palka, Jacquelynn; Blackburn, Sara; Li, Wei
    The incidence of overweight and obesity in children and adolescence is a global health concern. The long term health implications of overweight or obesity include respiratory issues, mobility joint issues, cardiovascular disease, type II diabetes, and certain types of cancer. The incidence of overweight and obesity is more common in low socioeconomic populations. Though there are many factors influencing children who become overweight or obese, beverage consumption is of particular interest since it is hypothesized that the energy supplied by beverages is not compensated by energy intake from the rest of the diet.
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    Comparison of Intravenous Lipid Emulsions in Parenteral Nutrition: A Pilot Study
    (2021-02) McGuigan, Alexis K.; O'Palka, Jacquelynn; Blackburn, Sara; Laughlin, Michelle; Carter, Amy
    Background: SMOF lipid™ infusion containing soybean oil, medium-chain triglycerides, olive oil, and fish oil has been approved and recommended for use in adults receiving parenteral nutrition (PN). Research shows that SMOF lipid infusion is safe for use in post-operative and critically ill patients. Improved patient outcomes are linked to SMOF lipid use over traditional soybean oil lipid emulsions. Objective: The purpose of this study was to determine the effect of SMOF lipid infusion on incidence of infection, ICU length of stay, hospital length of stay, and mortality in adult trauma patients as compared to parenteral nutrition utilizing 100% soybean oil emulsion or a lipid-free, dextrose and amino acid administration. Methods and Analysis: A retrospective chart review was conducted for adult trauma patients admitted to Eskenazi Health’s surgical intensive care unit (SICU) that received PN from May 2017 to May 2020. Data were collected from the electronic health record and trauma registry. Results: Twenty-nine patients were included who met study criteria: 17 patients in the traditional lipid cohort and 12 in the SMOF lipid cohort. The length of PN therapy was comparable between the traditional and SMOF ILE groups, 13.9 days (± 11.5) and 13.3 days (± 14.3) respectively. All 12 patients in the SMOF lipid cohort received intravenous lipid emulsion (ILE) compared to 42% (n=7) of traditional lipid group patients (p=0.001). SMOF treatment group were provided 100% of estimated energy needs via PN compared to an average of 94% (± 9.7) of estimated energy needs in the traditional lipid treatment group (p=0.036). Incidence of infection during initial hospitalization was significantly lower in the SMOF treatment group (n=3, 25%) compared to the traditional lipid treatment group (n=13, 76%). Mortality was decreased in the SMOF treatment group (0%) when contrasted to the Intralipid treatment group (23.5%), p=0.04. Conclusion: Patients receiving SMOF lipid emulsion within PN therapy had better clinical outcomes compared to those receiving Intralipid soybean-lipid emulsion or a dextrose and amino acid administration.
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    Evaluating the Burmese Population and their Use of the Women, Infants, and Children Program
    (2020-10) Schultz, Lisa Klenk; O'Palka, Jacquelynn M.; Blackburn, Sara; Bigatti, Silvia M.
    This pilot study examines the use of the Women, Infants, and Children (WIC) program by the Burmese population in Indianapolis, Indiana. A significant number of Burmese people migrated to the Indianapolis area starting in 2004. Many of them are families with young children and are enrolled in the WIC program. Language barriers and cultural differences make it more difficult for the WIC program to meet the needs of these families. To what extent is the WIC program meeting their needs? To answer this question, Burmese WIC participants enrolled in the Marion County WIC program were invited to participate in this study. Study participants received a survey at the time of their appointment at the WIC office. The survey included questions that focus on how the Burmese people feel about the foods provided and the nutrition education they receive on the program. Of the 30 study participants, 28 of them or 93.3% reported WIC as being very helpful. Some foods were reported as not being utilized as frequently by the Burmese population on the WIC program, including tortillas, brown rice, and whole wheat pasta. In addition, twenty six of the 30 participants or 86.7% reported the nutrition education they receive on WIC as being very helpful. Participants reported learning many new things through WIC nutrition education including how best to feed their infants and children, as well as breastfeeding being the best for their babies.
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    The Impact of a Growth Measurement Training Program on the Use of Length Boards in a Newborn Intensive Care Unit
    (2021-07) Thornton, Jessica Lynn; Blackburn, Sara; Denne, Scott; O'Palka, Jacquelynn
    Objective: Nutritional assessment of infants in the Newborn Intensive Care Unit (NICU) depends on the performance of accurate, serial anthropometric measurements. In this Level IV NICU, nurses used tape measures more often than length boards making the length measurements inaccurate. The purpose of this study is to determine if an in-person, hands-on length board training program versus a self-instruction poster education, increases the use of length boards to measure length in NICU infants. Methods: Two nursing in-service education training sessions on how to correctly use a length board were held with the NICU staff over two separate two (2-week) periods. One session consisted of a self-direct education training method. The second education method was an in-person interactive learning experience with hands on practice. At the end of each education session, the participants completed the same four-question post-test. One month later, data was collected for one month following each of the training periods on the tool used to obtain linear measurements on infants in the NICU. Statistics: A 2x2 contingency table was constructed using the two qualitative variables of length board uses after the poster education versus length board uses after the live in-service education. Analysis was performed using SAS 9.4 ™ statistical software. Chi squared equals 93.980 with 1 degree of freedom. P-value <0.0001. Results: The month following the self-directed poster education, two hundred ninety-one (291) or 92% measurements were obtained using a tape measure and 19 (7%) obtained using a length board. The month following the interactive, in-service training, one hundred forty-eight (148) or 57% measurements were obtained using a tape measure and 105 (41%) with a length board. Thirty five percent (35%) more length measurements were obtained using a length board after the line in-service training (P-value <0.0001). Conclusion: Nurses in a Level IV Newborn Intensive Care Unit utilized length boards significantly more after a live in-service education than after a self-directed education.
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    Measuring the Impact of Curriculum-Integrated Librarian Instruction on Dietetic Interns’ Evidence-Based Nutrition Practice Knowledge
    (Journal of the American Academy of Nutrition and Dietetics, 2020-09) Hinrichs, Rachel J.; O'Palka, Jacquelynn; Blackburn, Sara