Medicine and Health Sciences Commons^™

Psychometric Evaluation Of The Shared Care Instrument In A Sample Of Home Health Care Family Dyads, Margaret Sebern

College of Nursing Faculty Research and Publications

Researchers have studied negative effects of caregiving on a family caregiver; however, less is known about positive aspects of exchanging assistance for both members of a family caregiving dyad. In a previous naturalistic inquiry the author indentified a basis for studying caregiving interactions was a construct called shared care. The three components of shared care identified in the naturalistic inquiry were communication, decision making, and reciprocity. The Shared Care Instrument (SCI) was developed to measure the construct. The purpose of this study was to assess the psychometric properties of the SCI, and to assess its construct and criterion-related validity. A …

Wound Debridement With 25 Khz Ultrasound, Margaret Mccarty Stanisic, Barbara Provo, David L. Larson, Luther C. Kloth

Physical Therapy Faculty Research and Publications

Several methods of wound debridement are described in the literature and are available to health care providers who specialize in wound management. Methods include the use of sharp surgical instruments; mechanical methods, such as whirlpool and pulsed lavage with suction; proteolytic and collagenolytic enzymes; autolysis; and sterile fly larvae (maggots). The use of surgical debridement is generally considered the most efficient method when performed by a skilled physician, who may in one session use his or her discretion to excise some viable tissue along with necrotic tissue in the wound. Sharp debridement performed in a clinical setting is a less …

A Systematic Review Of Mammography Educational Interventions For Low-Income Women, Tatiana Bailey, Jorge Delva, Kimberlee A. Gretebeck, Kristine Siefert, Amid I. Ismail

College of Nursing Faculty Research and Publications

Objective

We conducted a systematic review to examine the effectiveness of educational interventions in increasing mammography screening among low-income women.

Data Sources

Bibliographic databases, including MEDLINE, The Cochrane Central Register of Controlled Trials, The Cochrane Database of Systematic Reviews, and the ISI Web of Science, were searched for relevant articles.

Study Inclusion and Exclusion Criteria

Randomized, community-based trials targeting low-income women and published between January 1980 and March 2003 were included.

Data Extraction

The search yielded 242 studies; 24 met all inclusion criteria.

Data Synthesis

Three studies used mammography vans, three used low-cost vouchers or provided free mammograms, three used …

Studies On The Basis For The Properties Of Fibrin Produced From Fibrinogen-Containing Γ′ Chains, Kevin R. Siebenlist, Michael W. Mosesson, Irene Hernandez, Leslie A. Bush, Enrico Di Cera, John R. Shainoff, James P. Diorio, Laurie Stajanovic

Biomedical Sciences Faculty Research and Publications

Human fibrinogen 1 is homodimeric with respect to its γ chains (`γ_A-γ_A'), whereas fibrinogen 2 molecules each contain one γ_A (γ_A1-411V) and one γ' chain, which differ by containing a unique C-terminal sequence from γ'408 to 427L that binds thrombin and factor XIII. We investigated the structural and functional features of these fibrins and made several observations. First, thrombin-treated fibrinogen 2 produced finer, more branched clot networks than did fibrin 1. These known differences in network structure were attributable to delayed release of fibrinopeptide (FP) A from fibrinogen 2 by thrombin, which in …

Do Inhalation General Anesthetic Drugs Induce The Neuronal Release Of Endogenous Opioid Peptides?, Raymond M. Quock, Linda K. Vaughn

Biomedical Sciences Faculty Research and Publications

The antagonism of some effects of inhalation general anesthetic agents by naloxone suggests that there may be an opioid component to anesthetic action. There is evidence that this opioid action component is due to neuronal release of endogenous opioid peptides. The strongest evidence is provided by studies that monitor changes in the concentration of opioid peptides in the perfused brain following inhalation of the anesthetic. Indirect or circumstantial evidence also comes from studies of anesthetic effects on regional brain levels of opioid peptides, antagonism of selected anesthetic effects by antisera to opioid peptides and anesthetic-induced changes radioligand binding to opioid …

Shared Care, Elder And Family Member Skills Used To Manage Burden, Margaret Sebern

College of Nursing Faculty Research and Publications

Aim. The aim of this paper is to further develop the construct of Shared Care by comparing and contrasting it to related research, and to show how the construct can be used to guide research and practice.

Background. While researchers have identified negative outcomes for family caregivers caused by providing care, less is known about positive aspects of family care for both members of a family dyad. Understanding family care relationships is important to nurses because family participation in the care of chronically ill elders is necessary to achieve optimal outcomes from nursing interventions. A previous naturalistic inquiry …

Cigarette Smoking Among Low-Income African Americans: A Serious Public Health Problem, Jorge Delva, Marisol Tellez, Tracy L. Finlayson, Kimberlee A. Gretebeck, Kristine Siefert, David R. Williams, Amid I. Ismail

College of Nursing Faculty Research and Publications

Background

This study examines the current prevalence of cigarette smoking and the number of cigarettes smoked in a community-based sample of 1021 low-income African-American men and women.

Methods

Participants were selected using a two-stage, area probability sample design. Data were collected in 2002–2003 in face-to-face interviews and analyzed in 2005. All data and analyses were weighted to account for the complex sampling design.

Results

Fifty-nine percent of men and 41% of women were current smokers, with younger individuals apparently initiating smoking at an earlier age than older individuals.

Conclusions

The high prevalence of cigarette use provides further evidence that the …

The Absence Of Cd20 Messenger Rna In Recurrent Cutaneous B-Cell Lymphoma Following Rituximab Therapy, Yeshwant B. Rawal, Gerard J. Nuovo, Gwyn E. Frambach, Pierluigi Porcu, Robert A. Baiocchi, Cynthia M. Magro

School of Dentistry Faculty Research and Publications

Background: Rituximab has been used to treat relapsed low-grade or advanced non-Hodgkin's lymphoma since 1997, targeting the CD20 antigen expressed by B cells. Single-agent rituximab therapy is safe and well tolerated. Recurrences showing a loss of CD20 expression following rituximab therapy have been reported.

Methods: Four patients with CD20-positive cutaneous B-cell lymphoma received rituximab therapy with subsequent recurrences. The biopsies were assessed for cytoplasmic CD20 expression; CD20 messenger RNA was also assessed where tissue was available.

Results: Cutaneous relapses occurring within 1.5–3 months following the last dose of rituximab were CD20 negative. In three cases, subsequent relapses showed renewed expression …

Protocol For Determining Fertility While Breastfeeding And Not In Cycles, Richard Fehring, Mary Lee Barron, Mary Schneider

College of Nursing Faculty Research and Publications

A protocol was developed and evaluated for nonovulating breastfeeding women to determine potential fertility with an electronic hormonal fertility monitor. The amount of required abstinence (i.e., days of potential fertility) through the first menstrual cycle indicated by the fertility monitor was significantly lower (17% of the total days) compared with the amount of abstinence (50% of the total days) indicated by the self-observation of cervical mucus.

Basal Body Temperature Assessment: Is It Useful To Couples Seeking Pregnancy?, Mary Lee Barron, Richard Fehring

College of Nursing Faculty Research and Publications

Advanced practice nurses in primary care settings are often asked to give appropriate advice to couples seeking pregnancy. This article examines the issue of basal body temperature (BBT), a time-honored way to establish the presence of ovulatory cycles, and asks if BBT is an outdated recommendation. The article also reviews the benefits and limitations of recommending BBT to couples seeking pregnancy in light of recent fecundity research.

Presentation Of An Epithelioid Cell Histiocytoma On The Ventral Tongue, Yeshwant B. Rawal, John R. Kalmar, Brian S. Shumway, Susan R. Mallery

School of Dentistry Faculty Research and Publications

The epithelioid cell histiocytoma (ECH) is a polypoidal benign tumor of superficial connective tissue that is often diagnosed as a pyogenic granuloma. ECHs are speculated to originate from dermal dendritic subunits and are composed of 2 primary cell populations, ie, CD34⁺ primitive fibroblastic dendrocytes and factor XIIIa⁺ histiocytes. Although dendritic subunits are distributed throughout most collagenous tissues inclusive of oral mucosa, to date, all reported cases of ECH have been cutaneous lesions. ECHs' putative pathogenesis entails activation of CD34⁺ “sentinel” reserve dendrocytes, followed by an influx of histiocytes and mast cells. Juxtacrine communication increases release of wound …

Adaptation To Cesarean Birth: Implementation Of An International Multisite Study, Jacqueline Fawcett, Cynthia Aber, Marianne Weiss, Susan Haussler, Sheila Taylor Myers, Charlette King, Jennifer Newton, Virginia Silva

College of Nursing Faculty Research and Publications

The purpose of this column is to describe the implementation of an international multisite Roy adaptation model-based study of women’s perceptions of and responses to cesarean birth. The need for the study arose from the concern that women’s childbearing needs may not be met to their full satisfaction, especially if the infant is born by cesarean. Serendipity and networking played a part in the selection of four study sites in the United States (Boston, Milwaukee, Norfolk, Oklahoma City) and two in other countries (Finland, Australia). Data were collected by nursing students and staff nurses. Post-hoc consideration of the diversity of …

Treatment Of The Prominent Mandibular Angle By Using A Custom Made Surgical Splint, Luis Eduardo Almeida, Kingsley Wang, Davani Costa, Marco Antonio De Oliveira Filho

School of Dentistry Faculty Research and Publications

In this case report, we would like to present an alternative surgical technique for the treatment of the bilateral prominent mandibular angles by using a custom-made resin splint (template). The prefabricated template provided a precise outline for the osteotomy, which alleviated the uncertainty of the osseous cut. Furthermore, masseter muscle myomectomy was not necessary in this case which decreased morbidity, and procedure and recovery time, while assuring a more symmetric outcome.

Aiming For Zero Errors: Clarian’S Safe Passage Program Improves Infusion Safety, Dawn Daniels, Kathryn Rapala

College of Nursing Faculty Research and Publications

Few issues command as much attention in the healthcare industry as patient safety. As healthcare professionals and hospital administrators know, nurses are key players in patient safety programs. Nurses are at the best vantage point to see, report, and fix errors before they occur, and the high-touch nature of their jobs puts nurses in the best seat to advocate for a patient and address looming safety issues.

Hospitals across the country are recognizing nurses’ critical role in patient safety, and as a result, more nurses are being placed in pivotal care roles. Clarian Health Partners, a hospital system based in …

Patient Safety. From Metaphor To Model: The Clarian Safe Passage Program, Kathryn Rapala, Karlene M. Kerfoot

College of Nursing Faculty Research and Publications

The most important stakeholders in patient safety are alert and mobilized frontline health care staff. At Clarian Health Partners, Indianapolis, IN, clinicians in the Safe Passage Program work jointly with unit staff, physicians, and other departments to continuously improve the level of patient, employee, and visitor safety. Medical error reporting at Clarian has tripled. The enthusiasm and passion of Safe Passage clinicians is both inspiring and energizing.

Prevention Of Periodontal Diseases, Andrew R. Dentino, Moawia M. Kassab, Erica J. Renner

School of Dentistry Faculty Research and Publications

No abstract provided.

Mentoring Staff Members As Patient Safety Leaders: The Clarian Safe Passage Program, Kathryn Rapala

College of Nursing Faculty Research and Publications

We are at a crossroad in patient safety. Patient safety definitions, research, products, and implementation strategies have become as complex as health care itself. Almost every professional and regulatory organization now has a position or strategy to address the estimated 44,000 to 98,000 deaths per year due to health care error[1]. Memorizing and implementing the Joint Commission for Accreditation National Patient Safety Goals is not enough to establish and maintain a culture of safety. Patient safety literature offers few practical solutions on the implementation of an integrated, system wide application of patient safety approaches to clinical practice. It is our …

Time To Task Failure Differs With Load Type When Old Adults Perform A Submaximal Fatiguing Contraction, Sandra K. Hunter, Ludovic Rochette, Ashley Critchlow, Roger M. Enoka

Exercise Science Faculty Research and Publications

Young adults exhibit a longer time to task failure when performing a submaximal isometric contraction by pushing against a force transducer (force task) than when supporting an equivalent inertial load (position task). The purpose of this study was to compare the time to failure for old adults when they performed a force task and a position task with the elbow flexor muscles. Eighteen old adults (72 ± 4 years) performed the force and position tasks at 20% maximal voluntary contraction (MVC) force until task failure. The time to task failure was briefer for the position task (10.6 ± 6.1 min) …

Palatal Perforation Associated With Intranasal Prescription Narcotic Abuse, Wendi M. Jewers, Yeshwant B. Rawal, Carl M. Allen, John R. Kalmar, Eric Fox, Guillermo E. Chacon, Parish P. Sedghizadeh

School of Dentistry Faculty Research and Publications

Background

Palatal perforation resulting from insufflation of cocaine has been well documented. In comparison, reports of destructive orofacial lesions resulting from intranasal abuse of prescription narcotics are rare. We present the clinical and histologic findings in a case of palatal perforation arising in a patient abusing a prescription opioid drug. The patient denied any history of cocaine use but admitted to habitually crushing and snorting a hydrocodone/acetaminophen preparation.

Study design

The patient presented to our clinic seeking resolution of speech difficulties associated with an oroantral fistula. Surgical repair of the defect had been attempted unsuccessfully in the past. In addition …

Determinants Of Physical Activity And Low-Fat Diet Among Low Income African American And Hispanic Middle School Students, Marilyn Frenn, Shelly Malin, Antonia M. Villarruel, Kimberly Slaikeu, Stephanie Mccarthy, Joan Freeman, Erinn Nee

College of Nursing Faculty Research and Publications

African Americans, Hispanics, and those with low income experience disproportionate health problems that can be prevented by physical activity and a lower fat diet. In this descriptive cross-sectional study, antecedents of diet and exercise within the Health Promotion/Transtheoretical Model were examined among low-income African American and Hispanic seventh-grade students (n = 127). Total support was associated with higher physical activity for girls. African Americans perceived greater social support for activity than Hispanics. Family models and support for physical activity and low-fat diet were greater as family income increased. However, higher family role models and lower dietary fat were found …

Promoting Healthful Diets And Exercise: Efficacy Of A 12-Week After-School Program In Urban African Americans, Hermann-J. Engels, Randall J. Gretebeck, Kimberlee A. Gretebeck, Linda Jimenez

College of Nursing Faculty Research and Publications

This study examined the effectiveness of a unique extracurricular after-school initiative designed to promote healthy diets and exercise in urban African Americans. The Students and Parents Actively Involved in Being Fit after-school program was offered for 12 weeks to students and their parents/guardians at an urban middle school. Specific aims of the intervention were to increase participants’ vegetable and fruit intake by using established 5 A Day for Better Health educational resource materials/activities and to affect their health-related fitness through dance, games, and fitness activities. Fifty-six children and 25 parents/guardians completed a standard battery of evaluations before and after the …

Adhesive Fragment Reattachment After Orthodontic Extrusion: A Case Report, S. Burcak Cengiz, Ilken Kocadereli, H. Cem Güngör, Nil Altay

School of Dentistry Faculty Research and Publications

In the treatment of crown fractures, adhesive fragment reattachment provides a good alternative to other restorative techniques, offering several advantages. The present paper reports a case in which the treatment of a cervical crown fracture was accomplished by reattaching the tooth fragment with a flowable resin composite. Orthodontic root extrusion was performed with a modified Hawley appliance prior to fragment reattachment. The clinical and radiographic results after 2.5 years were successful.

Changing The Tide: An Internet/Video Exercise And Low Fat Diet Intervention With Middle School Students, Marilyn Frenn, Shelly Malin, Roger L. Brown, Yvonne Greer, Jaime Fox, Jennifer Greer, Sarah Smyczek

College of Nursing Faculty Research and Publications

The rising tide of obesity erodes the health of youths and many times results in adult obesity. The purpose of this investigation was to examine the effectiveness of an eight-session health promotion/transtheoretical model Internet/video-delivered intervention to increase physical activity and reduce dietary fat among low-income, culturally diverse, seventh-grade students. Those who completed more than half the sessions increased exercise, t(103) = −1.99, p = .05, and decreased the percentage of dietary fat, t(87) = 2.73, p = .008. Responses to the intervention by stage of change, race, and income are examined.

Pilot Survey Of Oral Health-Related Quality Of Life: A Cross-Sectional Study Of Adults In Benin City, Edo State, Nigeria, Christopher Okunseri, Amit Chattopadhyay, R Iván Lugo, Colman Mcgrath

School of Dentistry Faculty Research and Publications

Background

Oral health studies conducted so far in Nigeria have documented prevalence and incidence of dental disease using traditional clinical measures. However none have investigated the use of an oral health-related quality of life (OHRQoL) instrument to document oral health outcomes. The aims of this study are: to describe how oral health affects and impacts quality of life (QoL) and to explore the association between these affects and the oral health care seeking behavior of adults in Benin City, Edo State, Nigeria.

Methods

A cross-sectional survey recruited 356 adults aged 18–64 years from two large hospital outpatient departments and from …

New Low- And High-Tech Calendar Methods Of Family Planning, Richard Fehring

College of Nursing Faculty Research and Publications

Calendar-based methods are not usually considered effective or useful methods of family planning among health professionals. However, new “high-” and “low”-tech calendar methods have been developed, which are easy to teach, to use, and may be useful in helping couples avoid pregnancy. The low-tech models are based on a fixed-day calendar system. The high-tech models are based on monitoring urinary metabolites of female reproductive hormones. Both systems have high levels of satisfaction. This article describes these new models of family planning and the research on their effectiveness. The author proposes a new algorithm for determining the fertile phase of the …

Attitudes, Intentions, And Ethical Stance Of Advanced Practice Nursing Students Toward Abortion Provision: Part One B Quantitative Findings, Richard Fehring

College of Nursing Faculty Research and Publications

The availability of pre-implantation abortion pills has increased the probability that advanced practice nurses (i.e., nurse practitioners and certified nurse midwives) will be instrumental in providing abortion services in the United States. The purpose of this pilot study was to determine the attitudes, intentions, and ethical stance of advanced practice nursing students towards the provision of abortion services. The study was a descriptive cross-sectional survey of 53 advanced practice nursing students at a private Midwestern Catholic university. A multi-item abortion attitude survey was administered to students in three required courses. The survey included a section on ethical principles and open-ended …

Medical Students' Knowledge Of Midwifery Practice After Didactic And Clinical Exposure, Lisa Hanson, Jackie Tillett, Russell S. Kirby

College of Nursing Faculty Research and Publications

Information concerning the student outcomes of interdisciplinary education is limited. The purpose of this study was to identify the knowledge of third‐year medical students regarding the practice of certified nurse‐midwives (CNMs). A 1‐page survey instrument was developed and pretested. The instrument was administered as a pre‐ and posttest at the beginning and end of 7 Obstetrics and Gynecology rotations at 2 medical school clinical campuses of a large Midwestern medical school. Direct interaction with CNMs improved knowledge of collaborative practice arrangements and roles. This was particularly evident in knowledge areas related to CNM prescriptive authority. The medical students who had …