Medicine and Health Sciences Commons^™

Central Washington University Campus Community Garden: A Mural Project, Angie Love, Blanca Soto, Catherine Leger, Alex Johnson

Symposium Of University Research and Creative Expression (SOURCE)

This service-learning project represents the first phase of constructing a mural for the campus community garden at Central Washington University. The purpose of the mural is to bring awareness to the garden by creating a welcoming space that empowers the community to learn from, work with, and teach others. As a group, we became involved with the Campus Community Garden through a Health Education (HED) course, Community Organization and Coalition Development (HED 450). The purpose of this course is to provide public health students the knowledge, practices, and skills necessary to be successful while working with community organizations. We started …

Migrant Health Education At Broetje Orchards, Megan Baker

Symposium Of University Research and Creative Expression (SOURCE)

Although it is recognized that there is a gap in health education in migrant and other under-served populations, very few programs have been established to address this problem. This research is important because it highlights areas in which health education is lacking and provides suggestions on how to address these issues. The purpose of the research was to assess the health education program present in the migrant community living in the Vista Hermosa community at the Broetje Orchards in Prescott, Washington, and to compare it to other migrant and agricultural communities. The Vista Hermosa Community is a unique case study …

Trends In Youth Drug Behavior In Guam, Jennifer Mccutchen

Symposium Of University Research and Creative Expression (SOURCE)

As a United States territory, the island of Guam is home to 159,358 individuals, including adolescents and young adults. Drug activity among Guamanian youth has increased considerably over the last 20 years. The purpose of this study is to examine trends in drug-related activities and behaviors among adolescents on the island of Guam, using the Youth Risk Behavior Surveillance System (YRBSS) public data set. Participating in drug use, sale, or other distribution during adolescence has been associated with declining grades, dropping out of high school, patterns of criminal activity, and both physical and mental health conditions, making it a concerning …

Family Planning And Reproductive Health Experiences Of Latina Women In A United States Border City, Erika Ojeda, Margarita Manzo-Casio

Symposium Of University Research and Creative Expression (SOURCE)

Family planning and reproductive health services are essential protective factors against unwanted, unintended, or mistimed pregnancies. However, underserved women such as those who are low-income, uninsured, or geographically or linguistically isolated may not have optimal access to these essential services. This study explores the experiences of Latina women in a United States’ border city in accessing family planning care through focus group discussions. We conducted two focus groups with Latina women of reproductive age in a border town in the United States, n=16. Focus groups were conducted in Spanish and audio recorded for transcription. Two independent bilingual student researchers transcribed …

The Effect Of A Five-Week Exercise Intervention Using Emg Biofeedback On Scapular Stabilizer Muscle Activation And Scapular Kinematics., Samantha Gunderson

Scholars Week

This study investigated the effects of a five-week EMG biofeedback intervention on scapular stabilizer muscle activation, and scapular kinematics, in a healthy population. Twenty subjects participated in the study (n = 10 exercise with biofeedback, n = 10 exercise only). Both groups participated in exercises targeted at activating the serratus anterior and lower trapezius muscles three days a week for five weeks. The exercise with biofeedback group completed a biofeedback session once a week. All subjects were tested at baseline, week 6, and week 8 for muscle activation of the upper trapezius (UT), lower trapezius (UT), and serratus anterior (SA), …

Pilot Study Of Symptom Burden And Quality Of Life Among Families Of Children In Palliative Care Or Hospice, Marci Z. Fults, Samantha Manring, Sarah Snyder, Mary Jo Gilmer, Michelle Walsh, Janine Winters, Cynthia A. Gerhardt

Research Day

Purpose: Despite calls for improvement in pediatric palliative care, children may have significant suffering at end-of-life (EOL). Research is limited and relies heavily on retrospective reports from mothers or nurses. We prospectively assessed symptom burden and quality of life (QOL) among children with life limiting conditions to examine concordance across multiple informants (i.e., mother, father, child, nurse). Method: Families were recruited shortly after their child (ages 5-18) was enrolled in palliative care or hospice. Of 36 eligible families, 8 children died before recruitment. Of the remaining 28, 25 (89%) participated. Participants included 25 mothers, 14 fathers, 12 children (Mage = …

Comparing Two Different Intravenous Regimens Of Tranexamic Acid In Total Hip Arthroplasty, Total Knee Arthroplasty, And Total Shoulder Arthroplasty, Mark Church, Myron Szczukowski Jr., Richard Mason, Laura Hanlon, Thomas Sisca

Research Day

One significant intraoperative outcome of concern to anesthesiologists and orthopedic surgeons is controlling the amount of blood loss both intraoperatively and postoperatively. The use of the antifibrinolytic, tranexamic acid (TXA), is an innovative strategy that has been shown to decrease postoperative bleeding as well as decrease the need for blood transfusions. Currently, there are multiple intravenous tranexamic acid dose regimens that are being employed for orthopedic surgeries. In this study, the aim was to evaluate the effectiveness of a 2 dose regimen (1000 mg within 30 minutes pre-op and 1000 mg 4-6 hrs post-op) compared to a single 1000 mg …

Blood Pressure Vs Altitude In Hypertensive And Non-Hypertensive Himalayan Trekkers, T. Douglas Sallade, Jennifer Starling, David Young, David Twillman, Nirakan Regmi, Benoit Phelan, Purshotam Paudel, Sushil Pant, Matthew Mcelwee, Theodore Mcconnell, Luke Mather, Charles Duke

Research Day

Introduction: Determine blood pressure (BP) response to changes in altitude in Himalayan trekkers with and without hypertension (HTN). Methods: BP was measured in Lukla (2800m), Namche (3400m), and either Pheriche or Dingboche (4400m) on ascent and descent. Hypertensive subjects were defined by self-reported diagnosis of HTN. Results: Trekkers had HTN (H, n=60) or no HTN (NH, n=604). Of those with HTN, 50 (83%) took one or more BP medications including ACEIs/ARBs (n=35, 48%), Ca++ channel blockers (n=15, 22%), beta-blockers (n=9, 13%), thiazide diuretics (n=7, 10%), and others (n=5, 7%). At 2800m, systolic BP (SBP) and diastolic BP (DBP) were greater …

The Effects Of Modulating Endothelial Nitric Oxide Synthase (Enos) Activity And Coupling In Coronary, Hindlimb, Renal, And Mesenteric Vascular Inflammation Models, Alexandra Lopez, Kerry-Anne Perkins, Amber Koon, Amelie Bottex, Qian Chen, Robert Barsotti, Lindon Young

Research Day

Ischemia/reperfusion (I/R) injury is initiated in part by vascular endothelial dysfunction, which is characterized by reduced endothelial-derived nitric oxide (NO) and/or increased oxidative stress, followed by inflammation. When the tetrahydrobiopterin (BH4) to dihydrobiopterin (BH2, oxidized form of BH4) ratio is reduced, eNOS can become uncoupled shifting production of NO to superoxide (SO). Protein kinase C epsilon activator (PKCε+) enhances eNOS activity while PKCε inhibitor (PKCε-) reduces eNOS activity. The effects of PKCε+ or PKCε- combined with BH4 or BH2 were studied in rat myocardial and hindlimb I/R, rat renal lithotripsy, and rat mesenteric inflammation models. Promoting eNOS coupling using PKCε+ …

Chikungunya Occurrence Among A Religious Missions Trip To Haiti In The Summer Of 2014 And Implications For Community Health, Veronica Williams, Jared Rutledge, Heather Brewer

Research Day

As global travel becomes more common, the risk of spreading infectious diseases is increasing. Vectors too are spreading and becoming invasive species in environmental niches where they had previously been absent. The potential continues to grow for people to bring back diseases and infect local naive insect populations, which over time will increase the likelihood of the disease transmission occurring locally. This article evaluates the impact of a mission’s trip to Haiti and the return to a region of the United States that just recently became invaded by Aedes aegypti. The attack rate among the missionaries was approximately 20% (n=2), …

Dust-Off The Ecmo, My Patient Just Inhaled 1,1-Difluoroethane, Robert A. Bassett, Michael Kowalski, William J. Borough, Steven J. Walsh

Research Day

Dust-Off® computer cleaner containing 1,1-difluoroethane (DFE) is frequently cited in cases of inhalation abuse. Malignant cardiac dysrhythmias are a well-recognized complication of DFE toxicity. We describe a patient with prolonged ventricular irritability following DFE inhalation, who was successfully treated with a central α-2 agonist and extracorporeal membrane oxygenation (ECMO).

Get The Right Fit: Strategies For Making Your Work More Visible, Stephanie Ferretti, Richard James, Skye Bickett

Research Day

Supporting research is one of the core missions of the PCOM Library, and “publish or perish” is still a central concern for faculty even with the fundamental transformation underway in the scholarly publishing industry. The PCOM Library wants to help you understand how these changes impact your research work.Here are some resources and ideas that can assist faculty, staff, and students with communicating your research and expanding its audience .Learn more about Selected Works faculty pages and how the library can enhance your scholarly works.

Astrocytes Infected With Chlamydia Pneumonia Alter Amyloid Processing Implicated In Alzheimer’S Disease, Zein Al-Atrache, Ahmad Cader, Susan Hingley, Denah Appelt

Research Day

Alzheimer’s Disease (AD) is a chronic, progressive neurodegenerative disease whose pathogenesis centers around the abnormal processing of amyloid precursor protein (APP) by proteases, resulting in the formation of neuritic plaques composed of toxic, insoluble fragments of amyloid protein (Aβ), including Aβ1-40 and Aβ1-42. Previously, our laboratory identified Chlamydia pneumoniae (Cpn) in autopsied sporadic AD brains. Additionally, an infection based animal model was developed using BALB/c mice that were intranasally inoculated with Cpn, in which the deposition of amyloid was consistent with that observed in the human AD brain. These studies have led to the pathogen hypothesis of AD that implicates …

Evaluation Of Liposomal Bupivacaine Versus Immediate Release Bupivacaine In Post-Operative Pain After Knee Surgery, Nathan Greenfield, Saba Gidey, Dusty Lisi, Cristina Refec

Research Day

Purpose: The use of liposomal bupivacaine, which is formulated to have an extended release, has been associated with a decrease in opiate use after total hip and knee arthroplasty. The aim of this retrospective study is to compare the use of liposomal bupivacaine and immediate release bupivacaine in patients who have undergone knee replacement. The purpose of this study is to determine the effectiveness of using liposomal bupivacaine for patients undergoing total knee arthroplasty in comparison to current practice. Methods This is a single-center, retrospective, cohort study that is being conducted in a 353 bed academic medical center. The electronic …

The Sto2 Non-Invasive Tissue Hypoperfusion Monitor As A Screening Tool For Early Sepsis Detection In The Emergency Department, Zachary Kopelman, James Zhou, Alexandra Dattilo, Sandra Schneider, Mary Frances Ward, John D'Angelo, Jason D'Amore

Research Day

Background: Early Recognition of patients with sepsis induced tissue hypoperfusion (SITH) Remains a significant clinical challenge. Non--‐invasive Tissue oxygenation saturation (StO2) Monitors have been developed to provide rapid, low--‐cost, and non--‐invasive bedside assessments of tissue oxygen extraction; they have not been well validated as an initial screening tool for sepsis in the ED. Objectives: To Assess the efficacy of initial bedside StO2 Readings in the early identification of patients with SITH And to compare StO2 Readings with lactate levels. Methods: IRB approved, prospective, observational pilot study of a convenience sample of ED Patients presenting with a sepsis continuum diagnosis. Setting: …

Review Of The Use Of Ceritinib, A Newly Approved Anaplastic Lymphoma Kinase (Alk) Inhibitor, In Crizotinib-Resistant Anaplastic Lymphoma Kinase-Rearranged Non-Small Cell Lung Cancer, Sonia Thomas, Afua Gyapong, Nathan Greenfield

Research Day

Lung cancer is one of the most prevalent cancers in the United States, and is the leading cause of death related to cancer. Non-small cell lung cancer is the most common subtype, with approximately 85% of diagnosed lung cancer being non-small cell lung cancer. Several genetic mutations exist in patients with non-small cell lung cancer, which allows for specialized targeted therapy. One such mutation, EML4-ALK fusion protein abnormalities, represents roughly 5% of non-small cell lung cancer patients, but the patient population in which it is most prevalent is young adults and those that don’t smoke or have a short history …

A Study To Evaluate The Maximal Dose Administration At Two Different Locations In Two Different Vdr4 High Frequency Percussive Ventilator (Hpfv) Circuits, Jeff L. Heltborg, Bethany S. Kobza, Ace Nilson

Student Research Symposium

The purpose of this study was to determine if the positioning of a nebulizer at two different locations in the VDR4, a specialty ventilator, would result in differing dose administrations of a bronchodilator, Albuterol Sulfate. We hypothesized that placement near the endotracheal tube will provide greater dose deposition. The ventilator was set up to mimic the normal adult patient. Administration was done through the nebulizer placed in the ventilator circuit either before the humidifier or between the endotracheal tube and the VDR 4’s Phasitron. Three trials were performed using a standard dose of Albuterol for each trial. The mass of …

University Scholar Series: Ed Cohen, Edward Cohen

University Scholar Series

Mental Health and Cultural Context in Vietnam

On May 6, 2015, Dr. Ed Cohen spoke in the University Scholar Series hosted by Provost Andy Feinstein at the Dr. Martin Luther King, Jr. Library. In this presentation, Dr. Cohen explored current research about mental illness and approaches to treatment in Vietnam, in addition to this country’s world view about illness, wellness and emotional health. Cohen is an Associate Professor in the School of Social Work and a Co-Investigator of SJSU's Social Work Education Enhancement Program in Vietnam.

Teaching Body Awareness To Students With Visual Impairments And Additional Disabilities, Vicki Depountis, Phoebe Okungu, Tracy Hallak, Jennifer Taylor

Bright Ideas Conference

Body awareness, spatial awareness, and positional language, are essential elements of orientation and mobility (O&M). Typically developing students usually learn these concepts and skills incidentally as they interact with various environments. Students with visual impairments and/or multiple disabilities must be deliberately taught these concepts using research-based strategies. Routine-based learning, integration of music, picture and tactile communication, and physical and verbal guidance have been shown to enhance learning by students with visual impairments and/or multiple disabilities. When these strategies are incorporated into individually designed structured movement routines (SMRs), students are more likely to anticipate movements and connect language to corresponding O&M …

Optimization Of Fluorescent Detection Of Rotavirus Protein Nsp4 And A Cellular Receptor In Two Cell Lines, Katelyn D. Defrates, Rebecca Walker, Ron Havenar, Rebecca D. Parr

Bright Ideas Conference

Rotavirus (RV) infections are the most common cause of severe diarrhea in infants and young children worldwide. The two licensed vaccines for RV protect children from common strains of RV, but they are less effective against new emerging RV strains. Therefore, new therapeutics to treat RV infections need to be developed. Recently, we have shown stilbenoids, trans-arachidin-1 (t-A1) and trans-arachidin-3 (t-A3), decrease progeny virus particles by one hundred fold. Likewise, western blot assays show a decrease in the amount of the viral protein NSP4 with the addition of the stilbenoids during a RV infection. This indicates an effect on viral …

Treating Test Anxiety With Diffused Aromatherapy, Carol Athey, Joanie Selman

Bright Ideas Conference

Nursing programs educate adult students to the professional nursing role. Student nurses experience stressful learning environments related to advances in technology, patient demographics, national patient safety standards and high expectations in the clinical and classroom settings. One of the barriers to nursing student success is test anxiety, which potentially reduces student retention and graduation rates. Educators need to research and offer anxiety-relieving strategies to students to foster student success.

Interprofessional Collaboration Between Occupational Therapists And Registered Nurses In Acute Care Settings: An Exploratory Study, Vincent P. O'Brien, Bethany Loy, Kelly Nguyen, Holly Micheff

Scholarly and Creative Works Conference (2015 - 2021)

Background. Collaboration between occupational therapists and nurses is key to a positive prognosis for their patients. Currently, there is a gap in the research on professional relationships between occupational therapists and registered nurses in acute care settings. Purpose. To examine interprofessional collaboration between registered nurses and occupational therapy in an acute care setting. Methods. A phenomenological, qualitative design with use of semi-structured interviews was used. Interviewees were four occupational therapists and four registered nurses who currently work in acute care settings in Northern California and were recruited through a snowball, convenience and purposive sampling. Themes and subthemes …

Nurse’S Perceptions Of Best Practices To Assess Pediatric Patients And Educate Their Families Experiencing Delayed Effects Of Cancer Therapy: “Chemo Brain:” A Pilot Study, Jennifer A. Tapping

Scholarly and Creative Works Conference (2015 - 2021)

With more advanced and more aggressive chemotherapy cancer treatment leading to higher survival rates, complications with quality of life are becoming more prominent. Of these complications, delayed cognitive processing, commonly known as “chemo brain,” is becoming a topic of interest. Cognitive changes are some of the most common as well as most challenging complications associated with central nervous system (CNS) directed treatment, such as intrathecal chemotherapy, for acute lymphoblastic leukemia (ALL) and brain tumors. The term “chemo brain” is often used to describe self-reported or observed cognitive processing delays in patients who receive chemotherapy as a form of cancer treatment …

Participants' Perceptions Of Factors In Preventing Falls, Jaclyn Fok

Scholarly and Creative Works Conference (2015 - 2021)

Falls pose a serious threat to older adults, often resulting in physical, emotional, and financial consequences. The use of multifactorial fall prevention programs has provided community- dwelling older adults with strategies to decrease the risk of falling. Outcomes for these programs are measured in terms of such factors as fear of falling, balance and self-efficacy. One outcome of fall prevention programs that is less well understood is what the older adults themselves perceive as most beneficial. For this program evaluation project, five women participated in semi-structured interviews to understand which aspects of a multifactorial fall prevention program they found to …

Literature Review Of Nosocomial Infections Passed Through Nurses' Personal Items, Corina Hickman

Scholarly and Creative Works Conference (2015 - 2021)

As defined by the encyclopedia, nosocomial infections are infections whose development is favored by a hospital environment, such as one acquired by a patient during a hospital visit or one developing among hospital staff. There has been more of a prevalence of hospital-acquired infections that are linked directly to medical personnel – especially nurses. Nurses have the most contact with patients and are potentially putting patients at highest risk for nosocomial infections. Even though nurses are following isolation precautions and standard hand washing in between patients; there are still a few things on nurses that could be harmful to their …

Acl Injuries In Female Athletes, Leslie A. Mesa

Scholarly and Creative Works Conference (2015 - 2021)

The Anterior Cruciate Ligament has been studied in many different ways and become injured more with the increase in sports participation by both male and female athletes. “ACL injuries are 9x more common in female athletes than male athletes and over 1.4 million women have been suffered from the ACL rupture which is twice the rate of the previous decade” (Hewett, 2010). ACL injuries are known to occur more in females than males because of differences in anatomy, knee alignment, muscle strength, and conditioning. Since female athletes are more prone to injury, it is important to incorporate neuromuscular training to …

Oral Wellness: Using Occupational Therapy To Enhance Oral Hygiene Delivery In Long-Term Care, Lauryn J. Banovitz, Liberty Bellah, Rosemarie Lion

Scholarly and Creative Works Conference (2015 - 2021)

Based on current literature, oral health in long-term care (LTC) facilities is frequently of low priority and does not follow evidence-based best practices. Poor oral health reduces the quality of life of older adult patients and can lead to systemic diseases, such as cardiovascular disease, stroke, and pneumonia which is the leading cause of death in LTC. Occupational therapists can play an instrumental role as oral care consultants, and educators to raise the standards of oral care in LTC facilities.

This capstone project explored ways in which occupational therapy can improve oral care in LTC facilities. The proposed solution was …

Improving Healthcare Outcomes Through An Interdisciplinary Effort Of Social Work And Pharmacy In A “Village” Model Setting, Elizabeth Hipp, Lauren Post

Ohio Association of Gerontology and Education Conference

No abstract provided.

Teen Perceptions Of Sexual Health Education In Marin County, Chaunte L. Mcmichael

Scholarly and Creative Works Conference (2015 - 2021)

Sexual health education in the United States has generally been taught utilizing two approaches, Abstinence-only or Comprehensive sex education. Abstinence- only until marriage programs teach abstinence as the preferred option in expressing sexuality and reducing risk of negative outcomes. This type of education usually censors out information regarding contraception and other barriers for protecting against sexually transmitted diseases (advocatesforyouth.org). Comprehensive-sex education also teaches that abstinence is the best method in preventing unintended pregnancies but it additionally explores preventative methods for people who choose to engage in sexual behavior. Although larger studies have been conducted in comprehensive or abstinence education, it’s …

A Literature Review Of Vertical Violence Between Staff Medical Surgical Nurses And Nursing Students During Clinical Rotations, Lisa N. Cunningham

Scholarly and Creative Works Conference (2015 - 2021)

Vertical violence is defined as any act of violence including yelling, snide comments, withholding information, ignoring, and humiliating behaviors occurring between two or more persons on different levels of a hierarchical system that prohibits professional performance and satisfaction within the workplace (Cantey, 2013). Vertical violence can occur in any unit of the hospital but is mainly felt and witnessed by student nurses and their clinical instructors in the medical surgical units. According to research done by Fenush and Hupcey (2008), the nursing shortage is most severe in the medical surgical units. Their research found that the two greatest factors in …