Publications by authors named "A Wickham"
Introduction: Bladder and bowel dysfunction (BBD) is a commonly experienced disorder that can cause adverse physical and psychological impacts on a child and their family.
Objective: This study aimed to assess the yield of clinically significant sensitive genitourinary (GU) examination findings and whether findings influence BBD management.
Methods: A cross-sectional, descriptive, correlational research design was used to study the relationship between GU examination findings and management of pediatric BBD.
Background: Reproductive health conditions such as polycystic ovary syndrome (PCOS), endometriosis, and uterine fibroids pose a significant burden to people who menstruate, health care systems, and economies. Despite clinical guidelines for each condition, prolonged delays in diagnosis are commonplace, resulting in an increase to health care costs and risk of health complications. Symptom checker apps have the potential to significantly reduce time to diagnosis by providing users with health information and tools to better understand their symptoms.
View Article and Find Full Text PDFArticle Synopsis
- - Clean intermittent catheterization (CIC) is essential for managing urinary issues in children with neurogenic lower urinary tract dysfunction (NLUTD) due to conditions like spinal dysraphism and spinal cord injury, but adherence to this treatment is often low (18%-66%), leading to serious complications like UTIs and renal insufficiency.
- - This proposed study will investigate caregiver adherence to CIC protocols and the factors affecting it, using a mixed methods approach to gather both qualitative and quantitative data from 60 adult caregivers of children diagnosed with spinal dysraphism or spinal cord injury.
- - The analysis will include assessing adherence rates through established questionnaires and conducting thematic analysis on interviews to better understand caregiver experiences, with efforts made to ethically disseminate the findings
Clean intermittent catheterization (CIC) nonadherence may lead to renal compromise, incontinence, and frequent urinary tract infections in patients with spinal cord injury and spinal dysraphism. Adherence to CIC lacks definition in the nursing literature despite implications for research and clinical practice, including patient education. The aim of this concept analysis was to analyze how CIC adherence is conceptualized and synthesize a definition for nursing.
View Article and Find Full Text PDFArticle Synopsis
- - The study investigates hormonal and physiological changes in the menstrual cycle by looking at diverse data from users of a period-tracking app, focusing on how these changes vary with age and contribute to understanding female health throughout different life stages.
- - Data from over 19 million global app users aged 18-55 reveals that older age is associated with shorter, more variable menstrual cycles, especially as users approach menopause in their early 40s, where patterns begin to shift again.
- - The research also highlights age-related differences in menstrual cycle symptoms; older users report fewer cramps and acne but more headaches, backaches, stress, and insomnia.