Digital Commons Network^™

Shorter Duration Of Dual Antiplatelet Therapy Following Second Generation Drug Eluting Stent Placement, Alexandra Coy, Caitlyn M. Murtha

Physician Assistant Capstones, 2020-current

Heart disease is the leading cause of death in both men and women in The United States. Because advanced heart disease is often treated with percutaneous coronary intervention (PCI) for stent implantation, many patients will be put on dual antiplatelet therapy to prevent adverse effects such as stent thrombosis or restenosis. The purpose of this literature review is to determine if the development of second-generation drug eluting stents allows for a shorter, 6-month, duration of dual antiplatelet therapy (DAPT) versus the currently recommended 12 months. The articles discussed in this review were obtained on PubMed and narrowed using search terms …

Efficacy Of The Hepatojugular Reflux Test, Adrienne Irmiter, Cheyanne Dolan, Sarah Edrington

Physician Assistant Capstones, 2020-current

No abstract provided.

Efficacy Of Dry Cupping Therapy As Treatment For Non-Specific Lower Back Pain, Lucas Albrecht, Kelly Ettari

Physician Assistant Capstones, 2020-current

Lower back pain (LBP) is one of the most common conditions affecting adults globally. Non-specific lower back pain (NSLBP) is a diagnosis based on the exclusion of other pathoanatomical causes, and accounts for over 80% of cases of LBP. 1 Current treatments typically involve a multidisciplinary approach. Dry cupping therapy is a noninvasive treatment option that is used to treat musculoskeletal pain. 2 Three studies were analyzed which assess the utility of dry cupping therapy as a treatment modality for non-acute NSLBP; two of the studies were randomized control trials, and the third was a small pilot study. All three …

Are Lidocaine Infusions The Future Of Chronic Pain?, Clara Gilbert, Hayley Loos

Physician Assistant Capstones, 2020-current

No abstract provided.

Looking To The Future: Vitamin E Infused Highly Cross-Linked Polyethylene Acetabular Cups, Melissa Hango, Sarah Sutter Kaufmann

Physician Assistant Capstones, 2020-current

No abstract provided.

The Art Of Sustaining Orchestras Through Intentional Educational Experiences, Kimberly Souther

Dissertations, 2020-current

The purpose of this study is to identify the most current and successful advances in audience engagement that champion connection and result in sustainability through purposeful educational experiences.

The Symphony Orchestra currently serves an audience which represents a multiplicity of perspectives, background, and understanding. In an era of expanded canon and outreach to local communities, the orchestra must acknowledge that change is necessary if we are to truly create fulfilling experiences for our listeners. Unfortunately, many orchestras fail to connect their outreach to the concert hall, woefully categorizing their patrons into pre-determined subsets. What if all patrons were trusted with …

Exploring The Use Of Time Delay As A Pragmatic Cue In Text Messaging, Nicklas Phillips

Masters Theses, 2020-current

Text messaging is often used as a stand-in for face to face communication. While texting mimics the rapid back and forth, turn taking nature of oral conversation, it lacks many of the pragmatic cues conversationalists ordinarily rely on to establish common ground and inform their understanding of sometimes nonliteral meaning conveyed to them. To get around this hurdle, texters have developed sets of textisms. These are specific cues that can be used to make up for the lack of pragmatic information in the texting environment. Examples include emoji, emoticons, and punctuation. This is an experimental study exploring whether time can …

Investigation Of The Effectiveness Of Intraoperative Radiotherapy In Treatment Of Unifocal Invasive Breast Cancer, Julie Schultz, Annie M. Oslund

Physician Assistant Capstones, 2020-current

Objective: Assess the 5 year local recurrence rate of intraoperative radiotherapy (IORT) in relation to the conventional treatment of external breast radiotherapy (EBRT) in eligible females diagnosed with breast cancer over age 40.

Design: Systematic literature review.

Methods: PubMed was searched using the following limits and terms: breast neoplasms, intraoperative radiotherapy, randomized control trial, clinical trial, females, English, and published in the last 10 years.

Results: Three studies were found to directly compare IORT and EBRT regarding 5 year local recurrence rates.

Conclusion: IORT was shown to be non-inferior to EBRT in two of the three studies that were examined; …

Selected Lieder Transcriptions Of Franz Liszt And Leopold Godowsky: A Comparative Analysis, Jeremiah Padilla

Dissertations, 2020-current

Musicians have held differing views regarding the art of transcription. Purists, who are against the very idea of transcribing existing works, think of the genre as being disrespectful to the composer(s) of the original work. Conversely, musicians who appreciate the art of transcription welcome the opportunity to perform works not originally written for the piano. This document will examine Lieder (German art songs) transcriptions, which is is a valuable genre for transcription. The Lied has historically appealed to many composers, particularly Liszt and his contemporary, Leopold Godowsky, as a source of transcription material.

Chapters one and two will primarily compare …

Camargo Guarnieri's Twenty Estudos: A Commitment To Brazilian Nationalism And Virtuosity, Steven Brancaleone

Dissertations, 2020-current

This document aims to find how composer Camargo Guarnieri uses Brazilian trends and incorporates them into his individual style, specifically in his Twenty Estudos for piano. The long compositional period of these pieces displays frequent experimentation and maturation in Guarnieri’s style between 1949 and 1988. The trends that Guarnieri follow can be traced by examining his life, environment, and teachings. Brazilian figure and instructor, Mario de Andrade, also contributes to molding and refining Guarnieri’s ideas. With this study, the Twenty Estudos will display Guarnieri’s individualistic use of Brazilian trends and how they correlate to his mature compositional style.

Effectiveness Of Trauma Informed Care Implementation, Brooke Harmon, Jessica A. Stanley

Physician Assistant Capstones, 2020-current

No abstract provided.

Leak Complications In Laparoscopic Vs Robotic Bariatric Surgery, Kristina Benton, Amy Heung

Physician Assistant Capstones, 2020-current

No abstract provided.

Measuring Perceived Medical School Stress (Pmss) Scores Among Physician Assistant Students, Ashley Sharp, Anna Worthley

Physician Assistant Capstones, 2020-current

Wellness curriculum was introduced at James Madison University’s PA program in 2019. The intervention is student-led by upperclassmen and is two-part, consisting of wellness seminars and peer group discussions with a heavy emphasis on wellbeing, stress reduction, coping strategies and burnout. The aim of seminars and student-led discussions have been to promote mental health awareness and mindfulness practices, so that students experience lower perceived stress and greater life satisfaction. Perceived stress has not been examined among physician assistant students using the Perceived Medical School Stress (PMSS) scale which measures students’ perception of stress over four areas: medical school curriculum and …

Reducing Adverse Event With Single And Double Bundle Acl Reconstruction Techniques, Alicia Hudalla, Caroline Casey

Physician Assistant Capstones, 2020-current

Objective: Assess whether athletes or individuals who live an active lifestyle or occupation between the ages of 18-40, who have had an ACL reconstruction done by either single bundle or double bundle repair to compare whether or not double-bundle ACL reconstructive surgery reduce rates of adverse events (re-tear rates, graft failure and laxity) post ACL reconstruction as compared to single-bundle ACL reconstruction. Design: Systemic literature review. Methods: Searches were done in PubMed, utilizing the terms “single bundle vs. double bundle ACL reconstruction.” The following limits and terms were used wrong ligament discussed, systematic reviews or review, not enough participants, 10+ …

Does Probiotic Supplementation Help Decrease Symptoms In Adults Previously Diagnosed With Major Depressive Disorder?, Alexa Hammock, Hayley Loiselle

Physician Assistant Capstones, 2020-current

Objective: To assess the effect of probiotic supplementation on clinical symptoms of major depressive disorder in adults. Design: Systematic literature review. Methods: Searches were performed on PubMed using the terms “adults with depression and probiotics”. The limits on PubMed were set to include randomized control trials, studies on adults, studies done within the last 10 years, studies done on patients that did not have depression, studies that did not use the Beck Depression Inventory, and studies that focused on other conditions. Results: Three studies were found that met search criteria: Reninghaus et al., Schaub et al., and Chahwan et al. …

Utility Of Bariatric Surgery In The Remission Of Type 2 Diabetes Mellitus, Christine Ercoline, Alyssa Bower, Corinne Singh

Physician Assistant Capstones, 2020-current

Objective: Assess whether bariatric surgery is more effective than lifestyle modification and medication in the long-term reduction of hemoglobin A1c (HbA1c) and fasting plasma glucose among obese adults with type 2 diabetes mellitus. Design: Systematic literature review. Methods: A PubMed search was performed utilizing the terms bariatric surgery, type 2 diabetes and remission. In PubMed the following limits and terms were used: published in the last 10 years, humans, full text, clinical trial, randomized control trial, and English. Results: An analysis of three randomized control trials (RCTs) supports bariatric surgery as a modality to induce the remission of type 2 …

Is Racial Diversity Important When Applying To Jmu Pa Program?, Gaelyn E Young, Deonte J. Hope

Physician Assistant Capstones, 2020-current

The Physician Assistant profession is predominantly female and Caucasian. In order to increase the diversity of the profession at the level of the workforce, it is necessary to examine PA programs' role as the entryway into the profession. To that end, this evaluation aimed at surveying current and future PA students at James Madison University to understand whether racial diversity of both the program's cohort and/or its faculty was a factor in their decision to apply and/or attend the school.

Focused Assessment With Sonography Exams Vs Ct Scan, Anne Kresge, Charlotte Mueller, Briar Tures

Physician Assistant Capstones, 2020-current

Blunt trauma is a common reason patients present to the emergency department. Providers must evaluate these patients quickly to get them the correct treatment, especially for intra-abdominal bleeding. Focused assessment with sonography for trauma (FAST) exams are growing in use to evaluate trauma patients for free fluid in the abdomen. To be valuable to emergency providers, it must be known how FAST exams compare to the gold standard evaluation, computed tomography (CT) scans. Searches were done on Pubmed and Scopus databases using terms “focused assessment with sonography for trauma” and “FAST exam CT blunt abdominal trauma.” Limits were added to …

Virginia Refugee’S Access To Covid 19 Health Information, Krunal Patel, Sarah R. Blackstone, Fern R. Hauck

Virginia Journal of Public Health

Background: This study examined how refugees in central Virginia, United States were able to access public health information about COVID-19 and any barriers to following COVID-19 prevention guidelines.

Methods: Individual interviews were conducted with refugees (n = 40) attending a family medicine clinic serving refugees and immigrants. Participants answered questions about their primary methods of obtaining COVID-19 and COVID-19 vaccine information, how they prefer to receive this information, information given by employers, precautions taken at their place of work, and current vaccination status.

Results: We found that television and social media played a large role for refugees in obtaining COVID-19 …

Predictors Of Lung Cancer Screening Recommendation In Virginia Using The Community Health Assessment Survey, Aashish Batheja, Carrie Miller, Sunny Jung Kim, Bernard Fuemmeler F., Rajsh Balkrishnan

Virginia Journal of Public Health

Purpose: The purpose of this analysis was to determine the factors that may influence the probability of being recommended a lung cancer screening by a health professional in Virginia.

Methods: Data were obtained from the Community Health Assessment Survey conducted by the University of Virginia (UVA) Health System and Cancer System in collaboration with Virginia Commonwealth University (VCU) Cancer Center. SAS software was used to conduct a logistic regression with the following variables: age, sex, race, current smoking status, cancer history, education level, income level, insurance, and rurality.

Results: Statistically significant positive predictors included being a current smoker (OR: 3.504, …

Promoting Community Health Research Partnerships Through A Small Grants Program: Processes And Lessons Learned, Sophie G. Wenzel, Amanda J. Nguyen, Kristin Miller, Leigh Guarinello, Allison Mckell, Kathryn Hosig

Virginia Journal of Public Health

While there are multiple ways to engage communities in health research, one approach is through partnership-based research in which community representatives are involved as intentional partners in the research process, from conceptualization and co-creation to implementation, analysis, interpretation, and dissemination. However, there remain numerous challenges to supporting and sustaining such partnerships.

Since its launch in 2019, the integrated Translational Health Research Institute of Virginia (iTHRIV) has sought to foster community engaged health research among its four research/clinical institutions through a community partnership-based grant program. Over five funding cycles, iTHRIV has awarded 14 one-year research grants addressing topics such as opioid …

Empowering Community Health Workers In Guatemala, Oswald M. Attin, Gineska Castillo, Grace Sibert, Andrea Harper

Virginia Journal of Public Health

Introduction:

Community health workers (CHW) have been integral in helping middle- and low-income countries. This research paper discusses the benefits of the involvement of CHWs in health screenings.

Methods:

Health screenings were performed for three rural communities in Guatemala, in 2021, alongside a church in Zacapa, to identify community wide health risks. The screenings included a detailed questionnaire that collected demographic data, height and weight, a blood glucose check, a hemoglobin check, and a blood pressure reading. Additional nutritional data was collected to understand diet patterns and habits. In-depth educational sessions were done with the CHWs, emphasizing preventative care, and …

Detection Of Suicide Clusters Using Small-Area Geographic Data From The Virginia Violent Death Reporting System, 2010 – 2015, Kurtis M. Anthony, Allison Ertl, Rachel A. Leavitt, Alexander E. Crosby, Ryan M. Diduk-Smith, Kevin A. Matthews

Virginia Journal of Public Health

Introduction: From 1999 to 2020, the suicide rate in Virginia increased from 13.1 to 15.9 per 100,000 persons aged 10 years and older. Few studies have examined spatial patterns of suicide geographies smaller than the county level.

Methods: We analyzed data from suicide decedents aged ≥10 years from 2010 through 2015 in the Virginia Violent Death Reporting System. We identified spatial clusters of high suicide rates using spatially adaptive filtering with standardized mortality ratio (SMR) significantly higher than the state SMR (p < 0.001). We compared demographic characteristics, method of injury, and suicide circumstances of decedents within each cluster to decedents outside any cluster.

Results: We identified 13 high-risk suicide clusters (SMR between 1.7 and 2.0). Suicide decedents in the clusters were …

Let Public Health Profesionals Do Their Jobs, Ben Barber

Virginia Journal of Public Health

No abstract provided.

Social Determinants Of Health, Telehealth, And Hiv/Aids: Implications For Public Health Research And Practice In The State Of Virginia, Sonal S. Sathe, Adati Tarfa

Virginia Journal of Public Health

Purpose: The purpose of this commentary is to assert the importance of addressing the social determinants of health to support HIV/AIDS control efforts, to describe the importance of telehealth in HIV/AIDS control, and to recommend courses of action to support HIV/AIDS control efforts within the state of Virginia.

Discussion: We provide an overview of the social determinants of health and their role in HIV/AIDS control, telehealth and its uptake within the HIV/AIDS community, and issues in Virginia facing HIV/AIDS control.

Conclusion and Recommendations: We conclude that addressing social determinants of health, especially stigma, is an important measure of HIV/AIDS control …

Virginia Journal Of Public Health Fall 2023

Virginia Journal of Public Health

No abstract provided.

December 7, 2023, James Madison University

The Breeze, 2020-

The Breeze is the student newspaper of James Madison University in Harrisonburg, Virginia.

Jmu Libraries Magazine: Volume 2, Jenne M. Klotz

Libraries

Volume 2 of the biennial JMU Libraries magazine, highlighting services, events, awards of the JMU Libraries.

Exploring Artist Residencies For Academic Libraries, Jenne M. Klotz

Libraries

This white paper describes the results of a research leave that explored artist residencies and considered their potential in academic libraries.

The Reed-Above Embouchure: History, Geography And New Avenues For Clarinet Pedagogy, Gregorio Maria Paone

Dissertations, 2020-current

Clarinet is a versatile and expressive instrument that can be used in a variety of musical genres. This document is intended to investigate its versatility, how to develop it, and whether there are benefits from the adoption of an old approach, which today is generally considered obsolete.

Chapter 1 explores major issues involved in clarinet playing and tone production. I will discuss the physics of clarinet tone, as well as secondary approaches to tone production, such as double-lip embouchure. I will also devote a section of this chapter to clarinet equipment, especially the mouthpiece and the reed, and their mutual …