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Medicine and Health Sciences

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University of Central Florida

2013

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The Risks And Benefits Of Running Barefoot Or In Minimalist Shoes: A Systematic Review, Kyle Perkins Dec 2013

The Risks And Benefits Of Running Barefoot Or In Minimalist Shoes: A Systematic Review, Kyle Perkins

HIM 1990-2015

The popularity of running barefoot or in minimalist shoes has notably increased in the last decade due to claims of injury prevention, enhanced running efficiency, and improved performance when compared to running in shoes (shod). A systematic review of the literature was performed using the Downs and Black checklist to assess the methodological quality of studies proposing risks or benefits between running barefoot, shod, or in minimalist shoes. The databases Ovid MEDLINE, SPORTDiscus, and CINAHL were searched using keywords or "Booleans" including: "Barefoot", "Running" and "Minimalist," exclusively. All included articles were obtained from peer reviewed journals in the English language …


An Investigation Of The Economic Viability And Ethical Ramifications Of Video Surveillance In The Icu, Laura Bagge Aug 2013

An Investigation Of The Economic Viability And Ethical Ramifications Of Video Surveillance In The Icu, Laura Bagge

HIM 1990-2015

The purpose of this review of literature is to investigate the various roles of video surveillance (VS) in the hospital's intensive care unit (ICU) as well as its legal and ethical implications. Today, hospitals spend more money on the ICU than on any other unit. By 2030, the population of those 65 and over is expected to double. 80% of older adults have at least one chronic diseases (Centers for Disease Control and Prevention, 2013). As a consequence, the demand for ICU services will likely increase, which may burden hospital with additional costs. Because of increasing economic pressures, more hospitals …


Sodium (Na) Levels In Drinking Water (H20) And Development Of Hypertension In Children, Sara Schiffman Aug 2013

Sodium (Na) Levels In Drinking Water (H20) And Development Of Hypertension In Children, Sara Schiffman

HIM 1990-2015

This integrative review of the literature focused on sodium (Na) content in drinking water (H?O) supplies and the subsequent effect on blood pressure levels in children. Studies for this review were drawn from the Cumulative Index of Nursing and Allied Health, PubMED, Science and Technology Databases, PsychInfo, United States (US) Environmental Protection Agency (EPA) and EPA in Florida websites. Criterion for inclusion in the data base searches were hypertension, high blood pressure, sodium in drinking water, drinking water salinity, children or preg'. Subsequently, further article selection criteria included children (under 18 years of age) and published in the English language …


Perceptions Of Senior Citizens In Central Florida Regarding Quality Of Care Under The Patient Protection And Affordable Care Act (Aca), Rafael Nieves Aug 2013

Perceptions Of Senior Citizens In Central Florida Regarding Quality Of Care Under The Patient Protection And Affordable Care Act (Aca), Rafael Nieves

HIM 1990-2015

On March 23, 2010, President Barack Obama signed the Patient Protection and Affordable Care Act (PPACA) into law. This reform, it is argued, is projected to increase insurance coverage of pre-existing conditions, to expand access to insurance for more than 30 million Americans, and to increase estimated National medical spending while lowering projected Medicare spending. This thesis sought to investigate and analyze the perceptions of senior citizens in Central Florida about PPACA and their perceived effects on the healthcare quality provided to them under this law. Four sections of PPACA bill, thought to specifically pertain to the elderly, were selected …


Human Papillomavirus And Vaccination Of Males: Knowledge, Beliefs, And Perceptions Of Registered Nurses, Leah White Aug 2013

Human Papillomavirus And Vaccination Of Males: Knowledge, Beliefs, And Perceptions Of Registered Nurses, Leah White

HIM 1990-2015

Background: Human papillomavirus (HPV) infections are the most common sexually transmitted infections in the world today. HPV has been identified as the cause of both cancer and genital warts. A vaccine to prevent select types of HPV infection was developed and approved for males and females ages 9 to 26. This vaccine has not been universally accepted by healthcare providers, parents, or the public and has lower vaccination coverage rates than other recommended vaccines for the same age group. Multiple studies addressing the knowledge, perceptions, and beliefs of providers and parents regarding the vaccine have taken place. Only a few …


We Must All Work To Solve Childhood Obesity, Lisa Barkley Jun 2013

We Must All Work To Solve Childhood Obesity, Lisa Barkley

UCF Forum

Obesity is a global epidemic. It is particularly affecting our children and adolescents. This new phenomenon of having a chronic medical condition affecting such a large proportion of those under 18 years old is unprecedented.


Examination Of The Relationship Between Sport Concussion And Long Term Neurodegenerative And Psychological Disorders: A Literature Review, Vivian Rivera May 2013

Examination Of The Relationship Between Sport Concussion And Long Term Neurodegenerative And Psychological Disorders: A Literature Review, Vivian Rivera

HIM 1990-2015

Background: According to the Center for Disease Control and Prevention, approximately 1.6 to 3.8 million Americans suffer a sports related concussion each year. Concussion is defined as a transient alteration of the brain structure caused by a direct or indirect force. During the last decade, a vast amount of clinical research on the long term effects of repetitive head trauma has occurred, especially on the subject of chronic traumatic encephalopathy (CTE), depression and dementia. Objective: The purpose of this literature review is to examine the literature pertaining to multiple concussion and the long-term effects of multiple concussion such as neurodegenerative …


Young-Onset Dementia: The Child's Experience With Coping, Jamie Zeher May 2013

Young-Onset Dementia: The Child's Experience With Coping, Jamie Zeher

HIM 1990-2015

Young onset dementia (YOD) affects not only the person diagnosed, but the family unit as a whole. It is estimated that as many as 500,000 people in the United States have YOD and around 250,000 children are involved in caring for these people. A child of a parent with YOD can begin to experience negative effects when the child begins to take part in caregiving for the person with young onset dementia (PWYOD). Feelings of stress, anger, fear of the future, depression, social isolation, and increasing responsibility of caring for the PWYOD can be felt by children as caregivers. Research …


The Use Of Wet-To-Dry Dressings For Mechanical Debridement, Katherine Villa May 2013

The Use Of Wet-To-Dry Dressings For Mechanical Debridement, Katherine Villa

HIM 1990-2015

Clinical management of complex wounds is essential to promote wound healing. Prolonged healing time may lead to longer and more costly hospitalizations and poorer patient outcomes. The removal of nonviable, necrotic tissue via debridement is vital to the healing process. One of the most common debridement techniques, in the United States, is the use of wet-to-dry dressings. There are no defined guidelines or protocols for the timing of dressing changes and subsceequent debridement. The purpose of this study was to perform a review of literature to determine the rationale for the use of wet-to-dry dressings, explore alternative time sequences of …


Nursing Interventions That Facilitate End-Of-Life Decision-Making In Pediatric Oncology, Lauren Baeringer May 2013

Nursing Interventions That Facilitate End-Of-Life Decision-Making In Pediatric Oncology, Lauren Baeringer

HIM 1990-2015

Nearly one-third of all pediatric oncology patients die from their disease, so nurses need to have an evidence-based standard of practice to guide their role in end-of-life decision-making. The purpose of this integrative review is to analyze current research on end-of-life decision-making within pediatric oncology to create a practice guideline for nurses working with this patient population. Eleven studies were examined to identify nursing interventions regarding the role of the nurse in end-of-life care, the role of the nurse in end-of-life decision-making, parent involvement in end-of-life decision-making, and child involvement in end-of-life decision-making, including the child's ability to participate in …


Barriers Affecting Compliance With The Implementation Of Early Goal Directed Therapy In The Emergency Department, Ivan Castro May 2013

Barriers Affecting Compliance With The Implementation Of Early Goal Directed Therapy In The Emergency Department, Ivan Castro

HIM 1990-2015

Early Goal Directed Therapy (EGDT) has been thoroughly researched and clinically supported to be effective at lowering morbidity and mortality associated with severe sepsis and septic shock. Due to the strengths of its efficacy, it has been integrated as an essential component of the Surviving Sepsis Campaign. However, very few studies have explored the barriers that affect compliance of the protocol in actual practice. The purpose of this study was to synthesize current research findings regarding nursing barriers associated with EGDT. This research was limited to studies performed in the United States between 2003-2012, with patients at least 18 years …


The Association Between Maternal Resiliency, Perceptions Of Touch, And Reports Of Infant Touch, Lisa D'Agostino May 2013

The Association Between Maternal Resiliency, Perceptions Of Touch, And Reports Of Infant Touch, Lisa D'Agostino

HIM 1990-2015

No abstract provided.


Assessment Of Perinatal Nurses' Knowledge Of Antiphospholipid Syndrome And Nursing Management Of Pregnant Women With Antiphospholipid Syndrome, Gabrielle Dennen May 2013

Assessment Of Perinatal Nurses' Knowledge Of Antiphospholipid Syndrome And Nursing Management Of Pregnant Women With Antiphospholipid Syndrome, Gabrielle Dennen

HIM 1990-2015

No abstract provided.


Support Systems In Adolescents With Type 1 Diabetes Mellitus And The Relationship To Diabetes-Related Stress, Conflict, And Metabolic Control, Samuel Foarde May 2013

Support Systems In Adolescents With Type 1 Diabetes Mellitus And The Relationship To Diabetes-Related Stress, Conflict, And Metabolic Control, Samuel Foarde

HIM 1990-2015

The purpose of this integrated review of the literature was to explore the effects of social support on diabetes-related stress, conflict, and metabolic control in adolescents with type 1 diabetes mellitus (T1DM). Social support was examined in four subgroups: adolescents with T1DM, family caregivers, peers, and teachers. Relevant findings in the literature revealed a significant deficiency of research devoted to adolescent males with diabetes as well as fathers as primary and secondary caregivers. Studies highlighted the importance of fostering autonomy and positive self-image in adolescents with T1DM and described effective interventions to improve diabetes-related stress, reduce disease-related conflict, and improve …


Evaluation Of Computer-Based Simulation For Pain Management Education, Nicole Gerardi May 2013

Evaluation Of Computer-Based Simulation For Pain Management Education, Nicole Gerardi

HIM 1990-2015

Effective pain management is an elusive concept in the acute care setting. Improving nurses' knowledge about optimal pain management is one way to improve the patient's pain experience. A computer-simulation game was developed as an alternative method of teaching the subject of pain management to nursing students. In the game, two patient scenarios are presented, one male and one female. Both patients present with acute pain and request help from the nurse. The player progresses through a series of nine questions as the scenarios unfold, each with one best or correct answer. The purpose of this study was to evaluate …


Factors Contributing To The Commission Of Errors And Omission Of Standard Nursing Practice Among New Nurses, Rachel Knowles May 2013

Factors Contributing To The Commission Of Errors And Omission Of Standard Nursing Practice Among New Nurses, Rachel Knowles

HIM 1990-2015

Every year, millions of medical errors are committed, costing not only patient health and satisfaction, but thousands of lives and billions of dollars. Errors occur in many areas of the healthcare environment, including the profession of nursing. Nurses provide and delegate patient care and consequently, standard nursing responsibilities such as medication administration, charting, patient education, and basic life support protocol may be incorrect, inadequate, or omitted. Although there is much literature about errors among the general nurse population and there is indication that new nurses commit more errors than experienced nurses, not much literature asks the following question: What are …


Women's Perceptions Of Nursing Care And Management After First Trimester Miscarriage, Jennifer Mcgee May 2013

Women's Perceptions Of Nursing Care And Management After First Trimester Miscarriage, Jennifer Mcgee

HIM 1990-2015

Spontaneous abortion, or miscarriage, is an event that affects approximately one in four women during their reproductive years. Despite the psychological and physiological trauma associated with the loss of pregnancy, few evidence-based practice recommendations exist to guide nursing care of women experiencing first trimester miscarriage. The purpose of this integrative review of literature was to examine research related to women's health care experiences of first trimester miscarriage and discuss common themes relating to nursing care. Inclusion criteria consisted of peer review research articles published after 2001 and available in the English language and women that experienced miscarriage during the first …


Interventions For Treatment Related Side Effects In Older Women With Breast Cancer, Stephanie Suarez May 2013

Interventions For Treatment Related Side Effects In Older Women With Breast Cancer, Stephanie Suarez

HIM 1990-2015

Over half (57%) of the women diagnosed with breast cancer are age 65 and older. Treatment for breast cancer may exacerbate current chronic illnesses and/or cause multiple treatment related side effects such as insomnia, fatigue, decreased physical functioning, alterations in body image, poorer quality of life, and changes in psychosocial health. While many women with breast cancer experience these changes, research suggests that older women have different needs than younger women and may not always benefit from interventions. The purpose of this integrative review of literature was to evaluate interventions designed to improve treatment related side effects in female breast …


A Systematic Review To Assess The Methodological Quality Of Intervention Research Designed To Increase Physical Activity In Children With Autism Spectrum Disorders, Jolene Winn May 2013

A Systematic Review To Assess The Methodological Quality Of Intervention Research Designed To Increase Physical Activity In Children With Autism Spectrum Disorders, Jolene Winn

HIM 1990-2015

In comparison to normally developing children, many children with Autism Spectrum Disorders (ASD) do not possess the same opportunities to be physically active due to the impairments exhibited by their disorder. A systematic review using the Downs and Black checklist and the PEDro scale was conducted to assess the methodological quality of the literature on promoting physical activity in children with ASD. The following inclusion criteria had to be met: (1) subjects must include children with a clinical ASD diagnosis (2) the children have to be under the age of thirteen years old (3) the interventions must target physical activity; …


Our Diversity Is What Will Drive New Levels Of Excellence, Lisa Barkley Apr 2013

Our Diversity Is What Will Drive New Levels Of Excellence, Lisa Barkley

UCF Forum

Diversity has changed and the face of America has changed. As a nation, we have to come to grips with the reality that our melting pot has never had so many ingredients mixed in – and we are never going back to what it used to be.


Young Athletes Must Learn To Balance Health, Challenges, Lisa Barkley Feb 2013

Young Athletes Must Learn To Balance Health, Challenges, Lisa Barkley

UCF Forum

We all want sports heroes and we all want to win – but that desire comes with a price. Just as there will always be winners in sports, there will always be injuries and losers. Often the lines are blurred between what is in the best interest of an athlete’s health and well-being and what it takes to win.


Nutrition Literacy And Demographic Variables As Predictors Of Adolescent Weight Status In A Florida County, Leslee D'Amato-Kubiet Jan 2013

Nutrition Literacy And Demographic Variables As Predictors Of Adolescent Weight Status In A Florida County, Leslee D'Amato-Kubiet

Electronic Theses and Dissertations

In recent years, childhood obesity has increased to epidemic proportions across the United States (U.S.) in parallel with adult obesity, which often reflects poor dietary choices and bad nutritional habits. Nutrition literacy, which encompasses the constructs of nutrition knowledge and skills, is considered a basic tool for good dietary habits and health promotion undertakings; however, its more definitive relationship to adolescent children’s weight status is unknown. Most childrens’ weight status studies have focused solely on behavioral aspects of adolescent food intake, taking into consideration parental influence, peer pressure, and societal expectations. Studies evaluating the measurement of nutrition literacy with regard …


Do Changes In Muscle Architecture Effect Post- Activation Potentiation, Danielle Reardon Jan 2013

Do Changes In Muscle Architecture Effect Post- Activation Potentiation, Danielle Reardon

Electronic Theses and Dissertations

Purpose: To examine the effect of three muscle potentiation protocols on changes in muscle architecture and the subsequent effect on jump power performance. Methods: Maximal (1RM) squat strength (Mean SD=178.3 ± 36.6kg), vertical jump power, and muscle architecture were obtained in 12 resistance trained men (25.2±3.6y; 90.67±12.7kg). Participants randomly completed three squatting protocols at 75% (3 x 10 reps), 90% (3 x 3 reps) or 100% (1 x 1) of their 1RM, or no workout (CON), with each protocol being separated by one week. During each testing session ultrasound and vertical jump testing were assessed at baseline (BL), 8min post …


Improving Chronic Kidney Disease Care With Group Visits, Vicki Montoya Jan 2013

Improving Chronic Kidney Disease Care With Group Visits, Vicki Montoya

Electronic Theses and Dissertations

First year death rates remain unacceptable high for the end-stage renal disease (ESRD) population. New effective methods are vital to improve first year morbidity and mortality outcomes for the population transitioning from Stage 4 chronic kidney disease (CKD) to ESRD)/Stage 5 CKD. Based on current methods, evidence-based recommendations made by nephrology providers are frequently not heeded by patients in Stage 4 CKD. Low levels of patient knowledge, self-efficacy, and a poor ability to self-manage CKD negatively influence a patient’s ability to follow provider recommendations. The group visit (GV) intervention has demonstrated improvements in disease-related outcomes through increased levels of patient …


Ventilator-Associated Complications In The Mechanically Ventilated Veteran, Joan Grano Jan 2013

Ventilator-Associated Complications In The Mechanically Ventilated Veteran, Joan Grano

Electronic Theses and Dissertations

Surveillance of ventilator-associated pneumonia (VAP) has been the common outcome measurement used for internal and external benchmarking for mechanically ventilated patients; and although not a clinical definition, it is commonly used as an outcome measurement for research studies. Criteria in the VAP definition include both subjective and objective components, leading to questions of validity. In addition, recent legislation has mandated the public reporting of healthcare-associated infections, including VAP, in many states. Infectious disease experts have recently recommended monitoring a new outcome, ventilator-associated events (VAE), that contain specific objective criteria. The Centers for Disease Prevention and Control (CDC) have refined this …


The Effects Of 6-Weeks Of Resistance Training On The Neuromuscular Fatigue Threshold In Older Adults, Nadia Emerson Jan 2013

The Effects Of 6-Weeks Of Resistance Training On The Neuromuscular Fatigue Threshold In Older Adults, Nadia Emerson

Electronic Theses and Dissertations

Age-related deficits in muscle mass, strength, and function place an increased burden of work on existing skeletal muscle and may lead to early onset of neuromuscular fatigue (NMF) during activities of daily living. Resistance exercise (RE) is the proven method for improving neuromuscular function in healthy older adults. PURPOSE: To investigate the effects of 6 weeks of RE on the NMF threshold as well as strength and functional performance in older adults. METHODS: Twenty-four older adults were randomly assigned to 6 weeks of RE (EXE; n = 12; age 72 ± 6.3 y; BMI 28.4 kg/m2 ) or control (CONT; …


The Possible Role Of Burnout In Nursing Errors, Kelley Hoskins Jan 2013

The Possible Role Of Burnout In Nursing Errors, Kelley Hoskins

HIM 1990-2015

Nurse burnout and the commission of errors are two seemingly unrelated phenomena in the health care arena. Burnout was first described by Herbert J. Freudenberger in 1974 and has since been studied in many industries, including nursing. The issue of errors in health care has been a growing concern since the Institute of Medicine published the report, To Err is Human in 1999. Little research has been done to link burnout and the commission of errors. A literature review was performed to investigate these two issues. Peer-reviewed research articles were analyzed for contributing factors and effects on patient outcomes. The …


Early And Intermediate Hospital-To-Home Transition Outcomes Of Older Adults Diagnosed With Diabetes, Jacqueline Lamanna Jan 2013

Early And Intermediate Hospital-To-Home Transition Outcomes Of Older Adults Diagnosed With Diabetes, Jacqueline Lamanna

Electronic Theses and Dissertations

Over 5 million older adults with diabetes are hospitalized each year. Though typically not the index condition that leads to hospitalization, diabetes control often decompensates during the course of an admission and necessitates changes in home self-management plans. The specific transitional care needs of older adults with diabetes have been largely unstudied. Transition theory provided the guiding framework for this research and proposes that each transition is a complex process created by the continuous interaction of personal, community, and societal-level conditions that facilitate or inhibit the health of a transition. Hospitalization has been described as a series of three successive, …


Physiological Muscle Qualitative Changes In Response To Resistance Training In Older Adults, Tyler Scanlon Jan 2013

Physiological Muscle Qualitative Changes In Response To Resistance Training In Older Adults, Tyler Scanlon

Electronic Theses and Dissertations

Muscle function is determined by structure and morphology at the architectural level. In response to resistance training, older adults have demonstrated that the neuromuscular system has a substantial adaptability, which may compensate for muscle size and quality and lead to improved functional capacities and higher quality of life. PURPOSE: The purpose of this study was to examine the effect of six weeks of progressive resistance exercise on muscle morphology and architecture in healthy older adults. METHODS: Twenty- five healthy men and women were randomly assigned to either six weeks of progressive resistance training (RT) (n=13; age = 71.08 ± 6.75, …


The Early Postpartum Experience Of Previously Infertile Mothers, Sigrid Ladores Jan 2013

The Early Postpartum Experience Of Previously Infertile Mothers, Sigrid Ladores

Electronic Theses and Dissertations

The lived experiences of previously infertile mothers in the early postpartum period have not been previously studied. The purpose of the research was to explore the experiences of previously infertile mothers during their early postpartum period. Colaizzi’s (1978) approach to descriptive phenomenological inquiry was used to analyze the interview data obtained from twelve first-time, previously infertile mothers. These new mothers, aged 27 to 43 years, were interviewed twice. The first interview focused on eliciting descriptions of new motherhood in the early postpartum period after overcoming infertility. The second interview validated the interpretations from the first interview and provided additional information …