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Medicine and Health Sciences Commons

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Rhode Island College

2012

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Articles 1 - 12 of 12

Full-Text Articles in Medicine and Health Sciences

School Based Nutrition And Exercise Program, Darlene L. Amalfitano May 2012

School Based Nutrition And Exercise Program, Darlene L. Amalfitano

Master's Theses, Dissertations, Graduate Research and Major Papers Overview

The purpose of this project was to develop a school-based nutrition and exercise program aimed at encouraging and teaching healthful lifestyle choices and facilitating behavior change. A premise of the program was that sustainable changes in diet and physical activity accomplished in childhood may be carried into adulthood and may assist in the prevention of obesity in later years. The Ecological Theory by Urie Bronfenbrenner and Nola Pender's Health Promotion Model (2006) were the frameworks that guided this program development. The program duration was six weeks, and sessions met two times per week with 4th, 5th, and 6th grade participants. …


A Student's Perspective Of Learning On A Dedicated Education Unit, Rachael L. Johnsen May 2012

A Student's Perspective Of Learning On A Dedicated Education Unit, Rachael L. Johnsen

Honors Projects

It is the intent of this honors project to give a student’s perspective of learning in the Dedicated Education Unit (DEU) on Bridge 7 at Rhode Island Hospital. Bridge 7 is a 38-bed unit specializing in general medical surgical patient care services. A student’s perspective is illustrated by journal entries written from each clinical experience over the course of one semester, during the course Adult Health II. In addition to a student’s perspective, it is the intention to compare the learning experience on the DEU, to the traditional model of clinical learning. This project will include current nursing research that …


Effects Of Hypoxia-Ischemia And Anti-Inflammatory Prophylactic Treatment On Cortical And Hippocampal Volumes In The Developing Rat Brain, Llian Mabardi Apr 2012

Effects Of Hypoxia-Ischemia And Anti-Inflammatory Prophylactic Treatment On Cortical And Hippocampal Volumes In The Developing Rat Brain, Llian Mabardi

Honors Projects

Very low body weight as a result of premature birth is a common problem all around the world. Many of these infants have medical issues that arise as a direct result of their very low body weight. One of the biggest issues is a lack of oxygen, which is also known as hypoxia. Hypoxia and ischemia (lack of blood flow) are a problem at any age, but they can be especially devastating to infants who have not undergone critical periods of brain development. Hypoxia-ischemia (or HI) can cause problems that start as inflammation and end with large-scale cell death in …


Stereological Assessment Of The Thalamus In A Rat Model Of Periventricular Nodular Heterotopia, Jason Lennox Apr 2012

Stereological Assessment Of The Thalamus In A Rat Model Of Periventricular Nodular Heterotopia, Jason Lennox

Honors Projects

Malformations of neocortical development such as microgyria (MG) and periventricular nodular heterotopia (PNH) have been observed in the brains of language learning impaired (LLI) humans. Rats with MG have shown rapid auditory processing (RAP) deficits similar to acoustic deficits observed in some human LLI populations. Threlkeld et al., (2009) previously reported RAP and other learning impairments in rats with PNH resulting from disruption to embryonic neuronal cell division by way of Methylazoxymethanol (MAM) treatment on embryonic day 15 (E15). The thalamus and its subnuclei may be vulnerable to neurodevelopmental disruptions. Studies of MG rats have shown changes in cell size …


Relationship Between Hair Cortisol And Perceived Chronic Stress In A Diverse Sample, Kymberlee O'Brien, E. Z. Tronick, C. L. Moore Jan 2012

Relationship Between Hair Cortisol And Perceived Chronic Stress In A Diverse Sample, Kymberlee O'Brien, E. Z. Tronick, C. L. Moore

Faculty Publications

Hair cortisol (CORT) is a biomarker of chronic stress via long-termalterations in hypothalamus–pituitary–adrenal axis activity. Relationships to perceived stressmeasures, however, have rarely been specifically investigated. A diverse sample of 135 adults participated in a study assessing relationships between chronic stress indicator CORT to perceived stress and health indicators. CORT was not correlated to single perceived domain indices but with a global stress composite. Differences in objective and subjective measures were found for sociodemographics: racial/ethnic identity, sex and socioeconomic status (SES). Race by SES interactions predicted both CORT and perceived stress, but produced a complex and partially unanticipated pattern of results. …


Relational Psychophysiology And Mutual Regulation During Dyadic Therapeutic And Development Relating, Kymberlee O'Brien Jan 2012

Relational Psychophysiology And Mutual Regulation During Dyadic Therapeutic And Development Relating, Kymberlee O'Brien

Faculty Publications

Human experiences of empathy and presence are quintessential in therapeutic as well as intimate relationships. The work on relational psychophysiology has informed psychotherapeutic research by illustrating how early life physiological concordance between mother and infant are critical in mutual dyadic regulation. These processes cross several developmental domains, including biological, affective, social, and self-identity. By examining physiological concordance, this research has propelled our understanding of mutual regulation into the more expansive understanding of dyadically expanded states of consciousness. The core of the therapeutic relationship inherently engenders expanded opportunities and reorganization of the client, as well as the therapist. By incorporating the …


Development Of The Stroke Modules For Kent County Hospital Stroke Unit, Barbara J. Bird Jan 2012

Development Of The Stroke Modules For Kent County Hospital Stroke Unit, Barbara J. Bird

Master's Theses, Dissertations, Graduate Research and Major Papers Overview

Stroke is the number one cause of disability in the United States and costs over $68 billion annually. The majority of strokes are preventable but require education of the public on modifiable risk factors and prevention. Nurses play a major role in education related to prevention and care of stroke patients. The purpose of this project was to develop a self study educational program for nurses caring for stroke patients. A four module program was created. It was piloted by the sample population of nurses working on the stroke unit at Kent County Hospital. There was a thirteen point improvement …


Effects Of A Simulation Educational Experience On Critical Care Staff's Recognition Of Stressors Affecting Performance And Use Of Teamwork Skills, Heidi K. Paradis Jan 2012

Effects Of A Simulation Educational Experience On Critical Care Staff's Recognition Of Stressors Affecting Performance And Use Of Teamwork Skills, Heidi K. Paradis

Master's Theses, Dissertations, Graduate Research and Major Papers Overview

Human limitations are sources of medical error that result in injuries, deaths and cost reaching millions. Preventing human errors from reaching patients is an imperative goal of a healthcare system that desires to reduce costs and produce quality outcomes. There is a mounting body of evidence that safety culture measurement and intervention can impact the safety and quality of healthcare.


Attributes Of Effective Nurse Care Managers In Patient-Centered Medical Home, Susan Corner Jan 2012

Attributes Of Effective Nurse Care Managers In Patient-Centered Medical Home, Susan Corner

Master's Theses, Dissertations, Graduate Research and Major Papers Overview

The burden of chronic disease on our medical system and on society is substantial and adds to the difficulty of managing ever-increasing amounts of patient information as care becomes more complex. It has placed the quality of health care in the United States (US) under scrutiny because of medical errors, lack of coordination, patient frustration and poor outcomes. In response to the many challenges, the Patient-Centered Medical Home (PCMH) model of care was developed and is designed to increase the value of our health care and to improve the experience for the patient. The role of the Nurse Care Manager …


The Impact Of Timing, Selection, And Dosage Of Preoperative Prophylactic Antibiotics On Preventable Surgical Site Infections, Cathy S. Insana Jan 2012

The Impact Of Timing, Selection, And Dosage Of Preoperative Prophylactic Antibiotics On Preventable Surgical Site Infections, Cathy S. Insana

Master's Theses, Dissertations, Graduate Research and Major Papers Overview

Surgical site infections (SSIs) are a subset of a larger group of infections that are known as hospital acquired infections (HAis). SSIs are a huge financial burden, costing billions of dollars in excess hospital charges every year. There is a considerable amount of evidence-based practice recommendations that can help reduce the incidence of SSIs. Research has supported the efficacy of preoperative antibiotic prophylaxis when appropriately selected and timed according to published guidelines. In addition to these measures, re-dosing of antibiotics must occur for those procedures that last more than four hours in order to continue to maintain tissue perfusion throughout …


Healthy, Wealthy, Wise? Psychosocial Factors Influencing The Socioeconomic Status-Health Gradient, Kymberlee O'Brien Jan 2012

Healthy, Wealthy, Wise? Psychosocial Factors Influencing The Socioeconomic Status-Health Gradient, Kymberlee O'Brien

Faculty Publications

The present research investigated psychosocial factors: control beliefs; social relations moderating the SES–health gradient. Participants included 3775 respondents from a national probability sample, Midlife in United States (t1: Age, M = 46.40, SD = 13.00, t2: Age, M = 55.47, SD = 12.43), who provided reports on control beliefs, social relations, and health at two assessment occasions (1994/1995 and 2002/2003). Hierarchical regression demonstrated that control beliefs, social support, and strain uniquely moderated relationships between SES and longitudinal health. The present study highlights the importance of psychosocial factors as protective mechanisms of socioeconomic disadvantages and associated long-term deleterious health outcomes.


Quality Management Of Chemotherapy: Induced Nausea And Vomiting With Minimal Constipation, Mary Ellen Danzer Jan 2012

Quality Management Of Chemotherapy: Induced Nausea And Vomiting With Minimal Constipation, Mary Ellen Danzer

Master's Theses, Dissertations, Graduate Research and Major Papers Overview

Although clients diagnosed with colorectal cancer (CRC) are receiving more advanced and successful chemotherapy treatments, the side effects of these treatments continue to cause anxiety, discomfort, pain, and a diminished quality of life. Treatments must be developed to avoid some of the most unpleasant symptoms a client experiences as a result of these treatments. The purpose of this study was to examine the incidence of constipation related to the treatment of chemotherapy-induced nausea and vomiting (CINV) and to identify treatments that are successful in managing constipation while maintaining effective control of CINV. Constipation can be a significant problem with a …