Medicine and Health Sciences Commons^™

Compounding Effects Of Reducing Nurse Burnout And How It Can Produce An Increase In Patient Safety And Satisfaction, Alexander Mua

Master's Projects and Capstones

The reduction of nurse burnout has shown to have an increase in patient satisfaction and quality of care. It also has shown a decrease in patient-related or sentinel events. Accordingly, with the reduction of nurse burnout, there has also been a reduction of compassion fatigue. This project has illuminated the benefits of acuity-based caseload at the micro-level, including the cost-effective nature of overtime pay, including HCHAPS benefit score. The method of obtaining, planning, and implementing was based on the Plan, Do, Study, Act (PDSA), which required collaboration amongst multiple disciplines, groups, departments, and executives. The process and goals concluded to …

Preparing Healthcare Staff For Cardiac Arrest Codes In The Outpatient Clinical Setting: Code Drill Training Improves Patient Outcomes, Rowan Edwards, Rn

Master's Projects and Capstones

Preparing Healthcare Staff for Cardiac Arrest Codes in the Outpatient Clinical Setting: Code Drill Training Improves Patient Outcomes

The acuity of care provided in outpatient clinical settings across the United States continues to rise. It is estimated that more than 350,000 cardiac arrests occur outside of a hospital each year (AHA, 2019). For the purpose of this clinical nurse leader (CNL)-lead quality improvement project, the relevant focus is directed towards improving the knowledge, physical skills and perceptions of healthcare staff within an urgent care center (UCC) regarding the application of advanced rescue skills. It is important to note that the …

Creative Arts-Based Parents Training Program For Parents Of Children With Autism Spectrum Disorder, Jung Eun Park

Expressive Therapies Dissertations

This study evaluated the impact of the Creative Arts-based Parents’ Training (CAPT) program. The 6-week long, creative arts therapy-based program and its impact on parental stress and sense of competence for parents of children with Autism Spectrum Disorder (ASD) was examined. Korean Parenting Stress Index Short-Form (K-PSI-SF) and Korean-Parenting Efficacy Test (K-PET) were used as quantitative measurements. Qualitative data were also collected for the experimental group (n = 17) using questionnaires, art journaling, and a 30 min focus group interview. The control group (n = 15) only participated in quantitative measurements. There was no difference in age between …

Effectiveness Of Individual Nutrition Education Compared To Group Education, In Improving Anthropometric And Biochemical Indices Among Hypertensive Adults With Excessive Body Weight: A Randomized Controlled Trial, Danuta Gajewska, Alicja Kucharska, Marcin Kozak, Shahla M. Wunderlich, Joanna Niegowska

Department of Nutrition and Food Studies Scholarship and Creative Works

Objective: The study aims to compare the effectiveness of individual and group nutrition education methods in improving key anthropometric and biochemical markers in drug-treated, overweight-obese hypertensive adults. Methods: The randomized trial included 170 patients with pharmacologically well-controlled primary hypertension and body mass index (BMI) ≥ 25 kg/m². For six months, the patients received six sessions, either one-to-one individual nutrition education (IE, n = 89) or group education (GE, n= 81), developed by dietitians. Anthropometric measurements, body composition, and fasting measures of biochemical parameters were obtained at baseline and after six months of intervention. Results: 150 patients completed the …

Alumni Journal - Volume 90, Number 3, Loma Linda University School Of Medicine

Alumni Journal, School of Medicine

Editorials
2 | Guest Editorial: Tiffany C. Priester '04
4 | From the President
7 | From the Dean

News
8 | This and That
10 | APC Preview
12 | School of Medicine News
14 | Students
15 | Wedding Announcements
16 | Alumni News

Missions
18 | Missions Feature - inspiring stories from the mission field

Features
45 | Alumni Spotlight - Lloyd Rudy Broomes '66
46 | Canadian Rockies Alumni Trip
50 | Department Report: Otolaryngology
53 | The Storm of Our Shores [Book review]

In Memoriam
53 | Featured Obituary - Stanley G. Sturges '55
54 …

Pharmacist Perceptions Toward Screening, Brief Intervention, And Referral To Treatment For Prescription Opioid Misuse: Initial Instrument Reliability And Validity, Tara Fouts

Boise State University Theses and Dissertations

Prescription opioid misuse has become a growing problem in the United States, and there has been a significant increase in the number of nonfatal overdose and overdose deaths since the 1990s. Idaho has also experienced an increase in the number of drug-induced deaths over time, increasing nearly 30% from 2012 to 2016. The Centers for Disease Control and Prevention indicates overprescribing and dispensing of prescription opioids is a main driver to the increase in overdoses. Evidence-based early intervention methods, such as screening, brief intervention, and referral to treatment (SBIRT), can be utilized in health care settings to identify risky behaviors …

Drug Interactions With Antimalarial Medications In Older Travelers: A Clinical Guide, Jelena Lewis, Tania Gregorian, Ivan Portillo, Jeff Goad

Pharmacy Faculty Articles and Research

Increasingly older adults are traveling to international destinations with malaria as a present risk. Surveillance systems indicate that older adults are more likely to suffer severe complications from malaria. The role of health care providers in selecting an appropriate medication for chemoprophylaxis or treatment of malaria in adults becomes more difficult as older adults undergo physiologic changes that alter the pharmacokinetic and pharmacodynamic nature of medications potentially causing increased drug interactions, adverse events, and altered drug action. A comprehensive literature search from 1970 to present, with a focus on the last 10 years, was conducted on drug interactions, pharmacokinetic and …

An Exploration Of The Effect Of Nosology On Clinical Coding In Nigeria, Tajudeen Temitayo Adebayo, Michael Segun Omole Dr.

Library Philosophy and Practice (e-journal)

The article aimed at exploring how Nosology bridges different aspects of Clinical Coding in Nigeria; through objective identification of the basic concept of Nosology, its place in the Clinical Coding and assessment of the effect of Nosology on Clinical Coding. The presentation started with introduction, followed by discussion on Importance of Clinical Coding and the Challenges of Clinical Coding. The Concept of Nosology, the Roles of Nosology in Clinical Coding was extensively discussed. Also, relationship between Nosology and Clinical Coding was established and this was followed by summary, conclusion and recommendations. The method used for this study is literature review …

Influence Of National Health Management Information System, On The Planning Of Health Care Services In Nigeria, Michael Segun Omole Dr., Tajudeen Temitayo Adebayo Dr., Rasaq Adetona Adio, Faruk Abubakar Umar, Michael Babatunde Adeojo, Aliyu Wada

Library Philosophy and Practice (e-journal)

This paper reported on the Influence of National Health Management Information System on the planning of health care services in Nigeria. The article, aimed at combining insights of how National Health Management Information System implementation, bridges different aspects of Health Care Service planning in Nigeria; through objective identification of the basic philosophy of NHMIS, its place in the National Health Policy, the concept of NHMIS and assessment of the effect of NHMIS on the planning of Health Care Services

The method used for this study is literature review and theoretical analysis. Inferences drawn from existing literatures and postulated theories indicated …

Health Information Management- A Tool For Effective Health Care Delivery In Nigeria; Mother And Child Hospital, Akure, Ondo State Experience, Tajudeen Temitayo Adebayo Dr., Ebenezer Seun Orimoloye Mr

Library Philosophy and Practice (e-journal)

The study investigates Health Information: A Tool for effective Health Care Delivery in Nigeria (Mother and Child Hospital, Akure Experience.). The descriptive survey design approach was employed and questionnaire was the research instruments. The patients, medical and paramedical staff (Doctors, HROs, Nurses, MLS and others) of the Mother and Child Hospital, Akure were used as the respondents; convenience sampling technique was adopted to get the samples involved. Two hundred questionnaires were administered and all were retrieved by the researcher and was used for this study. Data presentation and analysis were done using frequencies, simple percentages and chi-square statistics. The result …

Health Information Needs For The Aged In The Society, Tajudeen Temitayo Adebayo Phd, Michael Segun Omole Phd

Library Philosophy and Practice (e-journal)

The Aged are prone to a lot of challenges as they assume the latent phase of their life. These challenges include loneliness, incapacitates, and degenerative diseases among others. To adequately coop with this problems, information becomes an essential ingredients. This work reports on the importance of identify the types of information needed by the aged, sources and channels of information available to them and how the information may help in modifying their life. The general inputs expected from Librarian were also discussed.

Information Accessibility And Risk Practices Of People Living With Hiv/Aids In South-West, Nigeria., Tajudeen Temitayo Adebayo, Michael Segun Omole Dr., Muyiwa Adekunle Amin, Adebayo Olawepo Ogunniran

Library Philosophy and Practice (e-journal)

People living with HIV/AIDS (PLWHA) access information from different sources. They are being warned regularly on the need to stay away from all forms of risk practices which may cause further spread of the dreaded diseases. The study endeavour to investigate the level of information access opened to PLWHA and tried to find the relationship between information accessibility and risk practices.

The study adopted survey research design of correlational type. The target population was 8,135PLWHA in the selected three health institutions. Pooled standard error of proportion was used to determine 339 PLWHA and critical incident technique was used to …

Evaluating Controlled Substance Documentation In An Electronic Medical Record, Delora Brooks

Dissertations

The Centers for Disease Control and Prevention (CDC) directives issued in 2016 gave guidelines for safely prescribing opiates; however, primary source discussions about methods used for documenting opioid and controlled substance monitoring within an electronic medical record (EMR) are limited (Hussain, Nelson, Polston & Zheng, 2019). This leaves individual providers to determine the appropriate way to document. Inconsistent documentation may not protect providers or organizations from regulatory, civil or criminal liability. As stated by Raveesh, Nayak & Kumbar (2016), “The best way to handle medico-legal issues is by preventing them”. Even with the advent and widespread use of EMRs, documentation …

Welcome Readers, Barbara Aranda-Naranjo, Phd

Optometric Clinical Practice

Interim provost would like to welcome you as readers to our new journal, Optometric Clinical Practice.

Subconjunctival Orbital Fat Prolapse: Diagnosis And Management, Leonid Skorin Jr., Do, Od, Ms

Optometric Clinical Practice

Background:

Subconjunctival orbital fat prolapse is a benign condition and most patients who present with it are asymptomatic. Their main concern is the lesions' cosmetic appearance. Many other potentially dangerous orbital pathologies can mimic subconjunctival orbital fat prolapse. The excised orbital fat needs to be evaluated histopathologically to rule-out any malignancy. Surgical repair is straight-forward and cosmetically satisfying to patients.

Case Report:

A 79-year-old male presented with subconjunctival orbital fat prolapse. He wanted the lesion removed for cosmetic reasons. The prolapsed orbital fat was excised successfully and histopathologic analysis confirmed the benign nature of his lesion.

Conclusion:

Optometrists should be …

Presumed Diffuse Unilateral Subacute Neuroretinitis: A Review Supported By A Unique Case, Kirsti K. Ramirez Od, Joseph Pizzimenti Od, Jeannette Wong-Powell Od, Jeffrey Rabin Od

Optometric Clinical Practice

Diffuse unilateral subacute neuroretinitis (DUSN) is a rare, sight-threatening inflammatory condition caused by a nematode. It typically affects healthy children and young adults. Various nematodes have been implicated, including those that originate from dogs and raccoons. Late stage findings include optic nerve atrophy, retinal arterial attenuation, “retinitis pigmentosa-like” retinal pigmentary changes, and central and peripheral vision loss. We present a case study of long-standing DUSN. The combination of optical coherence tomography (OCT) and visual electrophysiology testing proved invaluable in establishing a presumptive diagnosis of this rare condition.

Inaugural Editorial, Paul B. Freeman Od

Optometric Clinical Practice

Letter from the Editor-in-Chief

Welcome Letter Of Introduction To Our New Journal - Optometric Clinical Practice, Timothy Wingert Od

Optometric Clinical Practice

On behalf of the entire editorial board, Timothy Wingert, OD, dean at the University of the Incarnate Word - Rosenberg School of Optometry, welcomes you to the inaugural issue of Optometric Clinical Practice. (ISSN: 2575-7717)

Global Impact: Serving Our World, Loma Linda University Health

Scope

Table of Contents

Features
16 | Dean Thomas on training physicians in changing landscapes
18 | Global service changes us back at home
20 | Loma Linda University Health and the Seventh-day Adventist Church
24 | Influencing care throughout China
26 | Resident surgeons train in Malawi
28 | Consulting for hospitals in developing nations
29 | School of Nursing’s gift to Puerto Rico
30 | The Trauma Team’s global support
32 | Fighting child smoking in Mongolia
34 | Students in mission service

Departments
4 | From the President: Global service changes us back at home
6 | Tribute: …

The Meaning And Motivation Of Children Participating In Animal-Assisted Therapy: A Pilot Study, Beth Laskowski, Melissa Y. Winkle, Whitney Lucas Molitor

People and Animals: The International Journal of Research and Practice

Background: Despite claims that animal-assisted therapy is beneficial, there is limited empirical evidence supporting this. Current literature supports the physical, emotional, and psychological benefits an animal can provide, but few studies have explored the outcomes of incorporating an animal into skilled treatment facilitated by a healthcare professional. This study seeks to explore the effects of animal-assisted therapy in outpatient pediatric occupational therapy practice.

Purpose: The purpose of this research is to explore the meaningfulness and motivation animal-assisted therapy interventions provide for pediatric clients when compared with traditional occupational therapy treatment.

Methods: Researchers utilized a within-participants repeated-measures design for this study. …

Exploration Of Factors Associated With Perceived Barriers To Cervical Cancer Screening Among Chinese American Women, Wei-Chen Tung, Minggen Lu, Michelle Granner, Jiani Mcdonough, Susan Ervin

Faculty Publications

This study explored factors associated with perceived barriers to Pap smear testing among Chinese American women (CAW). A total of 121 CAW, ages 21–65, living in California and Nevada completed a self-report questionnaire. Data included demographics, prior screening behavior, risk factors, and perceived barriers to screening. Logistic regression models revealed that participants with less education, and who have never been screened were more likely to report (I) worry about getting a Pap smear, (II) expense of a Pap smear, and (III) not knowing where to get a Pap smear. Partner’s resistance to the women’s participation in screening was another barrier …

Enhancing Quality Of Life Of People With Visual Impairments Through Aesthetic Techniques, Christia M. Labro

Student Capstone Papers

Vision loss affects roughly 285 million people globally and is one of the leading causes of age-related disability which can lead to reduced quality of life (QoL) and increased levels of depression and anxiety (van der Aa, Bruin, van Rens, Twisk, & van Nispen, 2015). Occupational therapists have been involved in the rehabilitation of individuals with low vision since 1917 (Warren, 1995) and are significant to the low vision community due to their knowledge and expertise addressing occupational limitations while taking into consideration psychosocial factors that result from vision loss. However, there appears to be gaps in the literature related …

The Power Of Pharmacist-To-Pharmacist Handoffs During Transitions Of Care, Jessica Wooster, Laressa Bethishou

Pharmacy Faculty Articles and Research

"Hospital readmissions are often medication-related and potentially preventable. Pharmacists can play a vital role in improving medication outcomes during transitions of care (TOC). Although numerous TOC practice models have been described, it remains unclear what practices will promote optimal continuity of care."

Nanomaterial-Agrichemical Interactions: Association Of Environmental Herbicides With Two-Dimensional Graphene Nanoplatelets, Nudar A. Bhuiya

The Journal of Purdue Undergraduate Research

Atrazine and glyphosate are the two most common agricultural herbicides used in the United States. Both herbicides can move in the environment, which results in contamination of drinking water sources. Graphene nanoplatelets (GNPs) are an emerging nanoparticle with potential uses for the remediation of environmental contamination. The first aim of this study was to determine binding interactions between atrazine and GNPs to mimic a mixture composition. To determine binding interactions, GNPs with different functional groups (none, carboxylated, or aminylated) were evaluated. GNPs at concentrations of 0, 0.5, 1, 2, or 3 mg/ml were incubated with atrazine at 3 ppb (μg/L) …

The Application Of Community-Based Participatory Research (Cbpr), Riley Kennedy

2019 Cohort

Community-based participatory research is a contemporary research methodology used largely in health research. Community-based participatory research works to balance power and control in research. Indigenous people around the world have had an continue to have an uncomfortable research. Community-based participatory research is viewed as a way to do ethical research with Indigenous people. This project seeks to understand factors that influence community-based participatory research on Indigenous health using a narrative literature review approach.

The Application Of Community-Based Participatory Research (Cbpr), Riley Kennedy

Head and Heart Posters 2019

Community-based participatory research is a contemporary research methodology used largely in health research. Community-based participatory research works to balance power and control in research. Indigenous people around the world have had an continue to have an uncomfortable research. Community-based participatory research is viewed as a way to do ethical research with Indigenous people. This project seeks to understand factors that influence community-based participatory research on Indigenous health using a narrative literature review approach.

The Application Of Community-Based Participatory Research (Cbpr), Riley Kennedy

Learning with your Head & Heart

Community-based participatory research is a contemporary research methodology used largely in health research. Community-based participatory research works to balance power and control in research. Indigenous people around the world have had an continue to have an uncomfortable research. Community-based participatory research is viewed as a way to do ethical research with Indigenous people. This project seeks to understand factors that influence community-based participatory research on Indigenous health using a narrative literature review approach.

Using And Misusing Legal Decisions: Why Anti-Vaccine Claims About Nvicp Cases Are Wrong, Dorit Rubinstein Reiss, Rachel Heap

Minnesota Journal of Law, Science & Technology

No abstract provided.

Study Protocol For A Stepped-Wedge Randomized Cookstove Intervention In Rural Honduras: Household Air Pollution And Cardiometabolic Health, Bonnie N. Young, Jennifer L. Peel, Megan L. Benka-Coker, Sarah Rajkumar, Ethan S. Walker, Robert Brook, Tracy L. Nelson, John Volckens, Christian L'Orange, Nicholas Good, Casey Quinn, Joshua P. Keller, Zachary D. Weller, Sebastian Africano, Anibal Osorto Pinel, Maggie L. Clark

Health Sciences Faculty Publications

Growing evidence links household air pollution exposure from biomass-burning cookstoves to cardiometabolic disease risk. Few randomized controlled interventions of cookstoves (biomass or otherwise) have quantitatively characterized changes in exposure and indicators of cardiometabolic health, a growing and understudied burden in low- and middle-income countries (LMICs). Ideally, the solution is to transition households to clean cooking, such as with electric or liquefied petroleum gas stoves; however, those unable to afford or to access these options will continue to burn biomass for the foreseeable future. Wood-burning cookstove designs such as the Justa (incorporating an engineered combustion zone and chimney) have the potential …

A Legacy Of Disease, Arthur L. Frank

Journal of Appalachian Health

In Appalachia, like much of America, there are important health issues that have not always been appropriately predicted or dealt with when they occur. Lifestyle issues in Appalachia lead to obesity and heart disease, not surprisingly due to extensive use of sugary drinks. The current opioid crisis could have been better predicted given the trauma of mining and the past abuse of less-potent narcotics. A continuing major problem in the whole country is inadequate support for preventive health activities.