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Full-Text Articles in Medicine and Health Sciences

The Effects Of Increasing Running Speed On Vgrf And Asymmetry, Kaela M. Hierholzer Aug 2020

The Effects Of Increasing Running Speed On Vgrf And Asymmetry, Kaela M. Hierholzer

Electronic Theses and Dissertations

Biomechanical and physiological parameters related to running performance are usually studied separately. However, evaluating both aspects together could be beneficial in improving athletic performance. The purpose of this study was to observe the change in peak vGRF and asymmetry as speed increases, while observing physiological responses during a O2maxtest. Data from athlete monitoring of 12 cross-country and triathlon athletes were analyzed. The athlete monitoring protocol included three unweighted countermovement jumps and a O2maxtest performed by the athletes. The athletes had an average O2maxof 53.4 ± 7.7 mL/kg/min, while their average vGRF ...


Discovery Of Distinct Mechanisms Underlying The Relationship Between Drug Taking And Predisposing Behaviors, Tyler A. Roy May 2020

Discovery Of Distinct Mechanisms Underlying The Relationship Between Drug Taking And Predisposing Behaviors, Tyler A. Roy

Electronic Theses and Dissertations

Drug addiction is a heritable disease characterized by compulsive drug use. The biological mechanisms driving addiction remain largely unknown.1 Previous studies show shared genetic mechanisms underlying addiction risk phenotypes such as anxiety, depression, and novelty/sensation seeking.2,3 Therefore, high-throughput behavioral screening of these traits in single gene knockout mice can allow for the rapid detection of addiction risk candidate genes and mechanisms. Many of these traits are represented in the Knock-Out Mouse Program (KOMP) phenotyping pipeline. Of the initial two hundred twenty-one strains screened in this program, we tested nineteen phenodeviant knock-out mouse strains with C57BL/6NJ ...


Gene Delivery To The Blood-Brain Barrier For Ischemic Stroke Therapy, Wanzhu Zhao May 2020

Gene Delivery To The Blood-Brain Barrier For Ischemic Stroke Therapy, Wanzhu Zhao

Electronic Theses and Dissertations

Stroke is a major cause of death in the United States. We aim to develop safe and efficient approaches for the treatment of stroke. Regenerative therapies have been identified as the major need for curing stroke [1]. We explored two different carriers (poly (ethylene glycol)5k-poly (L-aspartate-diethylenetriamine)48 (PEG-DET) / Pluronic P84 (P84) and exosomes (EXOs) / microvesicles (MVs)) to deliver brain-derived neurotrophic factor (BDNF) plasmid DNA (pDNA), a functional gene encoding a neurotrophin. In the first project, our data showed that DNA nanoparticles (NPs) with 0.03% P84 was a promising formulation to deliver Luciferase pDNA into immortalized human cerebral ...


Risk Factors Associated With Pressure Injury In Pediatric Congenital Heart Disease Patients, Ashlee Shields May 2020

Risk Factors Associated With Pressure Injury In Pediatric Congenital Heart Disease Patients, Ashlee Shields

Electronic Theses and Dissertations

Pediatric congenital heart disease (CHD) patients have unique risk factors associated with the pathophysiology of abnormal heart function. This vulnerable population is likely at an increased risk of acquiring a pressure injury during hospitalization. There are limited studies that include congenital heart disease patients and more specifically, factors unique to these patients. The purpose of this study was to identify risk factors associated with development of pressure injury in pediatric CHD patients. This retrospective study used a convenience sample from hospital-acquired data including subjects with congenital heart disease. The results demonstrated an association between pressure injury development and variables both ...


Quality In All Levels: A Model Defining And Measuring Quality In Bioethics Education, Ercan Avci May 2020

Quality In All Levels: A Model Defining And Measuring Quality In Bioethics Education, Ercan Avci

Electronic Theses and Dissertations

Due to the lack of academic studies in the quality assessment of bioethics education, this dissertation aimed to propose a normative model, Quality in All Levels (QAL), to define and measure quality in bioethics education. The QAL model described quality in bioethics education as conformance to the goals and determined these goals as (1) increasing ethical knowledge, (2) improving ethical skills to strengthen ethical sensitivity, awareness, and judgment, (3) developing ethicalbehavior, and (4) promoting cultural competence. The dissertation utilized Avedis Donabedian’s three approaches: structure, process, and outcome to formulate quality standards and indicators in bioethics education. In respect ...


The Benefits Of Alternative Therapies On Adult Mental Health, Sara Bryan May 2020

The Benefits Of Alternative Therapies On Adult Mental Health, Sara Bryan

Electronic Theses and Dissertations

The purpose of the following descriptive pre and post study was to collect and analyze data to determine if there are benefits to alternative therapies on adult mental health. Three types of alternative therapies were studied: aromatherapy, recreation therapy, and yoga. A literature review was conducted and pre and post questionnaires were administered. Frequencies and averages were run which showed that participants were mostly Caucasian, with an average age of 31 years and most diagnosed with depression and anxiety. Participants showed decreased levels of anxiety and depression after attending both aromatherapy and yoga classes. Participants showed decreased anxiety levels after ...


Attrition In A Holistic Job Skills Training Program: A Qualitative Study, Jeaniece Silas May 2020

Attrition In A Holistic Job Skills Training Program: A Qualitative Study, Jeaniece Silas

Electronic Theses and Dissertations

Today thousands of individuals and families are unemployed or underemployed and are seeking ways to combat poverty and become employed. One way that individuals seek to gain employment is by attending job skills training and adult education programs. However, there are barriers that hinder those individuals from successfully completing the programs. The purpose of this study is to explore the experience of applicants of a nonprofit job skills training program called FaithWorks and explore the reasons why applicants were not able to continue and, or complete the program. This study was conducted, through qualitative interviewing of four participants (N=4 ...


The Moderating Effect Of Social Support On The Impact Of Perceived Loneliness On The Mental Health Of Long-Term Care Nursing Home Residents, Lindsay Nicole Stivers May 2020

The Moderating Effect Of Social Support On The Impact Of Perceived Loneliness On The Mental Health Of Long-Term Care Nursing Home Residents, Lindsay Nicole Stivers

Electronic Theses and Dissertations

The purpose of the present study is to examine the moderating effect of social support on the impact of loneliness on anxiety and depression in long-term care residents in nursing homes. Recent research suggests that a relationship exists between loneliness and rates of depression and anxiety in long-term care nursing home residents. The present study seeks to examine the buffering effect of social support and utilize the findings to provide suggestions for policy, practice, and research. A binary logistic regression and a series of multiple linear regressions were conducted to examine the relationships between the variables. The present study’s ...


Managing Stress In A Constantly-Changing Workforce, Lorri Burch-Hubbard May 2020

Managing Stress In A Constantly-Changing Workforce, Lorri Burch-Hubbard

Electronic Theses and Dissertations

When staffing reductions occur in the workplace, staff left behind may face increased stress, may not be given the support they need to manage the feelings caused by the reduction. This study was conducted to evaluate the impact of stress caused by staffing reductions has on medical technologists (MT), medical technicians (MLT) and respiratory therapists (RT), and to identify any common methods of stress management used by those staff who remain in the organization.

Literature research showed the negative impact stress can have on individuals when it is not addressed, such as decreased work performance, health issues, and even the ...


Examination Of Perceptions Of Weight Loss And Weight Loss Methods, Andrew Seiber May 2020

Examination Of Perceptions Of Weight Loss And Weight Loss Methods, Andrew Seiber

Electronic Theses and Dissertations

The purpose of this study was to examine individuals’ perceptions of weight loss and weight loss methods. Respondents were employees and customers attending health/wellness events at local supermarkets in June, July, and August 2019. Participants completed a survey to assess their understanding and perceptions of weight loss and methods used to achieve weight loss. The majority of participants were white females, 60 years or older with a college degree and a Body Mass Index (BMI) classified as overweight or obese. Data revealed most participants had a variety of misconceptions relating to weight loss and weight loss methods that were ...


Health And Academic Achievement In College And University Students, Amber Beane May 2020

Health And Academic Achievement In College And University Students, Amber Beane

Electronic Theses and Dissertations

The purpose of this non-experimental quantitative correlational study was to investigate the relationship between academic achievement and health in a national sample of college students using quantitative data analysis. Specifically, the researcher analyzed the relationship between three health-promoting behaviors (physical activity, strength training, and fruit and vegetable consumption), three negative health behaviors (cigarette, e-cigarette, and opioid use) and obesity with GPA.

Cross-sectional data on student health collected from the American College Health Association’s National College Health Assessment II (ACHA-NCHA-II) and completed by 426,650 college students from 650 U.S. colleges during the semesters between 2015 and 2019 formed ...


The Relationship Of Self-Efficacy And Clinical Reasoning Of Undergraduate Nursing Students, Amy G. Holder May 2020

The Relationship Of Self-Efficacy And Clinical Reasoning Of Undergraduate Nursing Students, Amy G. Holder

Electronic Theses and Dissertations

Aim. This investigation aimed to discover if a there is a correlation between a student’s clinical reasoning self-efficacy and a student’s actual clinical reasoning ability. Also, this research sought to discover the connection between an undergraduate nurse’s self-efficacy of clinical reasoning and the locus of control of that student. Finally, this investigation sought to discover if perceived self-efficacy of clinical reasoning changed over time.

Background. The ability to successfully navigate the process of clinical reasoning is critical to providing safe, effective care for patients. For nurses, this process begins to develop in nursing school. Unfortunately, evidence suggests ...


School-Based Speech-Language Pathologist's Perceptions Of Sensory Food Aversions In Children, Ellen Monroe May 2020

School-Based Speech-Language Pathologist's Perceptions Of Sensory Food Aversions In Children, Ellen Monroe

Electronic Theses and Dissertations

Sensory Food Aversions occur frequently in children who are likely to appear on Speech-Language Pathologist’s (SLP’s) caseloads. The lack of research regarding intervention for Sensory Food Aversions in schools and the assertion of a gap in school-based services for children with feeding disorders was a significant indicator for the need of the study. A quantitative, descriptive, exploratory research design was selected using a self-developed questionnaire in order to exploreschool-based SLP’s perceptions of their knowledge and skills related to Sensory Food Aversions, as well as determine resources available for working with this population. Findings from the study suggest ...


Exploring The Relationships Between Collegiate Sport Coaches’ Creative Productivity And Factors Of Creative Potential, Sean Flanders May 2020

Exploring The Relationships Between Collegiate Sport Coaches’ Creative Productivity And Factors Of Creative Potential, Sean Flanders

Electronic Theses and Dissertations

Sport coaches are perceived as problem solvers who engage in creativity to handle the spontaneity of competitive activity and generate winning results. However, while creativity in athletes has been researched, little has been investigated regarding coaches. Therefore, the purpose of this study was to examine different aspects of creativity – person, process, press, and product – among collegiate team sport coaches in the United States. Specifically, how personality traits, ideational fluency, remote association ability, years of coaching experience, and work climate related to creative product impact and frequency. A modified creativity personality test was found to be positively related to both the ...


A Protocol Driven Stroke Code's Impact On Door-To-Needle Times, Jesse Osborne May 2020

A Protocol Driven Stroke Code's Impact On Door-To-Needle Times, Jesse Osborne

Electronic Theses and Dissertations

Tissue plasminogen activator (tPA) is most effective the faster it is able to be administered to a patient that has been affected by stroke. A Stroke Code is a strategy that acute care facilities implement to reduce the time from diagnosing a stroke to administering tPA. The purpose of this study was to determine if the initiation of a Stroke Code in an acute care hospital reduces the door-to-needle time for patients affected by a stroke. In particular, does a Stroke Code reduce door-to-needle times. The research was conducted using data from April 1, 2014 to December 31, 2014 (pre-Stroke ...


Effect Of Creatinine Point-Of-Care Testing On Turnaround Time For Computed Tomography Exams With Intravenous Contrast, Shannon Haltom Apr 2020

Effect Of Creatinine Point-Of-Care Testing On Turnaround Time For Computed Tomography Exams With Intravenous Contrast, Shannon Haltom

Electronic Theses and Dissertations

Abstract

Emergency departments often have a stigma of long wait times. They face multiple challenges related to the flow of patient care due to the variety of factors that affect care and treatment. In order to support patient-centered care, the purpose of this project was to determine if point-of-care testing of creatinine decreases turnaround time for computed tomography exams with intravenous contrast in the emergency department. A mixed methodology of consecutive sampling and retrospective data collection was used. In all, 128 ratio data elements were reviewed, including a retrospective review of 64 charts from September 2018 and a consecutive sample ...


Utilization Of A Concurrent Query Form To Improve Clinical Documentation In A Va Facility For Patients With Stroke Or Tia, Lisa A. Keefner Apr 2020

Utilization Of A Concurrent Query Form To Improve Clinical Documentation In A Va Facility For Patients With Stroke Or Tia, Lisa A. Keefner

Electronic Theses and Dissertations

Caring for stroke patients diagnosed with acute ischemic stroke (AIS) and transient ischemic attack (TIA) at Veterans Health Administration (VHA) acute care hospitals is a very complex process that centers on accurate documentation. Inaccurate or missing documentation leads to patient safety issues, lower quality care, and inaccurate Veteran Equitable Resource Allocation (VERA) classification for reimbursement. This pilot project’s 3 problems of interest include improving provider response to clinical queries about documentation, capturing national metrics collected by the VHA, and accurately representing veterans in VERA classification. Based on a review of the literature available on patient treatment file (PTF) accuracy ...


The Impact Of Education On The Attitudes Of Staff Of A Rehabilitation Hospital, Kathryn Voreis, Kathryn G. Voreis Mar 2020

The Impact Of Education On The Attitudes Of Staff Of A Rehabilitation Hospital, Kathryn Voreis, Kathryn G. Voreis

Electronic Theses and Dissertations

Stroke, also known as CVA or cerebrovascular accident, is a major chronic disease worldwide. In the United States, it is the leading cause of disability, costing a billion dollars each year (CDC, 2017). Typically, Western medicine is used for the treatment of stroke in the United States. An approach that has potential to improve general health outcomes, movement, mobility, aphasia, and quality of life includes acupuncture along with the standard therapies. The purpose of this quantitative research was to determine if the staff of a rehabilitation hospital would have a change in attitude after an educational program on acupuncture. The ...


How Do Nurse-To-Patient Ratios In The Emergency Department Impact Patient Experience?, Jessica L. Marcoux Mar 2020

How Do Nurse-To-Patient Ratios In The Emergency Department Impact Patient Experience?, Jessica L. Marcoux

Electronic Theses and Dissertations

There is a lack of consensus about the staffing matrix across nursing and especially in emergency

nursing, where variations in arrival patterns, acuity, social determinants of health, and length of stay all impact the workload of emergency nurses. The objective of this paper was to determine if government-mandated staffing ratios had a greater impact on patient experience at hospitals in California than staffing based on hours per patient visit at hospitals in Massachusetts. Seven hospitals from the state of California with government-mandated nurse-to-patient ratios were compared to 7 hospitals from Massachusetts that did not have mandated staffing ratios to determine ...


The Effect Of Heart Score Risk Stratification Tool On Length Of Stay, Kelly Huffman Mar 2020

The Effect Of Heart Score Risk Stratification Tool On Length Of Stay, Kelly Huffman

Electronic Theses and Dissertations

Abstract

With increasing national health care expenditures, different methods of reducing health care costs, along with supportive evidence-based research, are essential. This research will lead to changes in clinical practice standards including the utilization of tools by emergency room and hospitalist providers to reduce costs by decreasing the length of stay for acute chest pain admissions. The researcher utilized a retrospective review of charts for participants admitted into the acute care setting with the primary diagnosis of acute chest pain, with a focus on determining whether an initial calculation of a HEART Score risk stratification variable was completed and if ...


Increasing Healthy Lifestyle Behaviors In Cargo Drivers, Ronda L. Bell Mar 2020

Increasing Healthy Lifestyle Behaviors In Cargo Drivers, Ronda L. Bell

Electronic Theses and Dissertations

The purpose of this project was to examine the extent to which lifestyle behaviors of transportation drivers in North Texas can be improved with health education. This research study was conducted to examine the health behaviors of transportation drivers as a result of an educational partnership between nursing and the transportation industry. The goal was to improve healthy lifestyles through education to decrease chronic illness and comorbid conditions of a significantly at-risk occupational population. The impact of this education was immediate and verified with quantitative measurement and statistical analysis. Results demonstrated that after nurse-led health education, transportation drivers reported significant ...


The Effect Of Care Coordination On Hemoglobin A1c For Type 2 Diabetes Patients, Lee Ann Hinsky Feb 2020

The Effect Of Care Coordination On Hemoglobin A1c For Type 2 Diabetes Patients, Lee Ann Hinsky

Electronic Theses and Dissertations

The purpose of the study was to test the impact of care coordinator visits by primary care registered nurses on serum hemoglobin A1c (HbA1c) levels in patients with type 2 diabetes. In the study, the researcher compared 2 groups of type 2 diabetes patients—those who had care coordinator visits from registered nurses and those who did not—through retrospective data collection and analysis from the patients’ electronic medical record from July 2018 through December 2018. An independent samples t test was used to compare the means of the intervention and control groups’ change in HbA1c levels. The intervention and ...


Improving Low Health Literacy In Poststroke Patients By Educating The Health Care Staff, Marthilde Brzycki Jan 2020

Improving Low Health Literacy In Poststroke Patients By Educating The Health Care Staff, Marthilde Brzycki

Electronic Theses and Dissertations

Abstract

Lack of health literacy in the poststroke patient population is a serious issue; with the addition of the homeless population to that group, the result may be devastating. According to the American Heart Association and American Stroke Association (AHA/ASA, 2016), stroke is considered the primary cause of death and one of the chief reasons for disability in the United States, and nearly75% of strokes occur in those who are 65 years of age or older. Nurse practitioners are vital, providing necessary training and stroke education to the nursing and other health care staff. This DNP project was initiated ...


Reducing Gaps In Knowledge About Electroconvulsive Therapy Among Mental Health Nurses, Janice L. Edmonson Jan 2020

Reducing Gaps In Knowledge About Electroconvulsive Therapy Among Mental Health Nurses, Janice L. Edmonson

Electronic Theses and Dissertations

This DNP study was conducted to identify knowledge gaps about electroconvulsive therapy (ECT) among mental health nurses and to determine the effectiveness of an educational intervention on the knowledge and attitude of mental health nurses about the use of ECT at a psychiatric hospital. In this study, the researcher sought to build upon an existing knowledge base using principles of adult learning theory to enhance the therapeutic relationship of the nursing staff when caring for ECT patients. A sample of three-quarters (N = 119) of the mental health nursing staff employed by the psychiatric hospital consented to participate in the study ...


Description Of Mental Health Responses On An Electronic Ppe At A Ncaa Division I Institution: A Pilot Study, Megan Blomberg Jan 2020

Description Of Mental Health Responses On An Electronic Ppe At A Ncaa Division I Institution: A Pilot Study, Megan Blomberg

Electronic Theses and Dissertations

The purpose of this study was to improve the effectiveness of mental health screening forms that are used during the preparticipation physical exam, or PPE, process and to help start a discuss about the need for further mental health resources. This study aimed to look at the prevalence of mental illness being reported at a Division I Institution and whether we are receiving consistent answers across various forms. We pulled the data from all 750 student-athletes that competed during the 2017-18 academic year at South Dakota State University (SDSU) and looked specifically at their answers on the PHQ-9, GAD-7, and ...


Person-Centered Care Education For Caregivers Of Patients With Dementia In Long-Term Care Settings, Dawn Buckmire Jan 2020

Person-Centered Care Education For Caregivers Of Patients With Dementia In Long-Term Care Settings, Dawn Buckmire

Electronic Theses and Dissertations

Person-centered care (PCC) guidelines are being used as a care model to improve health outcomes for residents with impaired cognition. The researcher utilized PCC guidelines to educate caregivers in residential homes to provide care based on the residents’ individualized needs and choices to reduce worsening health conditions and potentially avoidable hospitalizations. The researcher created an educational tool to improve prompt management of health conditions for residents with cognitive impairment and set up a control group (n = 4) and an intervention group (n = 4) to conduct this project. The intervention group received the PCC education guidelines, whereas the control group did ...


Follow-Up Nurse Telephone Calls For Heart Failure Patients: A Case Study, Danielle M. Schievelbein Jan 2020

Follow-Up Nurse Telephone Calls For Heart Failure Patients: A Case Study, Danielle M. Schievelbein

Electronic Theses and Dissertations

Follow-up care is essential when trying to avoid readmissions for patients who have recently been discharged from a healthcare facility. As evidenced by the literature, multiple strategies have been implemented to help manage the care of heart failure patients; however, readmissions continue to be higher than desired, which implies the current strategies utilized should be reviewed and revised. It is important to evaluate the effectiveness of methods when providing follow-up care that prevents readmissions and is also beneficial and convenient for the patient. The qualitative case study explored a heart failure follow-up protocol completed by a registered nurse using the ...


Impact Of Coaching By Extension Professionals On Rural Wellness Coalition Success, Taylor Willhite Jan 2020

Impact Of Coaching By Extension Professionals On Rural Wellness Coalition Success, Taylor Willhite

Electronic Theses and Dissertations

Objective: To quantitatively assess coaches perceived confidence in coaching rural wellness coalitions and to qualitatively determine barriers and facilitators to success in coaching rural wellness coalitions.
Design: A mixed methods design was utilized with quantitative (scorecard) and qualitative (key informant interviews) methodologies.
Setting: Six rural South Dakota wellness coalitions.
Participants: Extension wellness coalition coaches (n=7), one previous and six current.
Intervention: A component of the broader SDSU Extension 1416 Centers for Disease Control (CDC) and Supplemental Nutrition Assistance Program Education (SNAP-Ed) intervention.
Analysis: STATA was utilized for the quantitative scorecard data by running paired ttests. NVivo was utilized in ...


The Relationship Between Burnout And Personality Traits In Secondary School Athletic Trainers, Marissa Abbondanzio Jan 2020

The Relationship Between Burnout And Personality Traits In Secondary School Athletic Trainers, Marissa Abbondanzio

Electronic Theses and Dissertations

Introduction: Research has found that 30% of Athletic Trainers (ATs) experience burnout in their career. Limited literature has found the effects of burnout on ATs in the secondary school setting, though they account for 18% of the population. Objective: The aim of this investigation was to determine the relationship between burnout and personality traits in secondary school ATs. Methods: Participants included 143 ATs working in the secondary school setting and members of National Athletic Trainers’ Association (NATA). The Maslach Burnout Inventory (MBI) was used to measure level of burnout. The Big Five Inventory (BFI) was used to measure one’s ...


Knowledge And Willingness Of Academic Advisors And College Professors Regarding Concussion And Academic Accommodations, Loriann Tedder Jan 2020

Knowledge And Willingness Of Academic Advisors And College Professors Regarding Concussion And Academic Accommodations, Loriann Tedder

Electronic Theses and Dissertations

Introduction: A significant increase in the number of concussions has guided research to look beyond physical return to play but rather examine cognitive return to learn as an all-inclusive approach to concussion management. Part of the return to learn protocol incorporates academic accommodations within the classroom, which can be implemented by academic advisors and professors. However, their knowledge and willingness of this role is unclear. Purpose: To determine academic advisors and college professor’s knowledge of concussions and their willingness to provide academic accommodations to students recovering from a concussion. Hypothesis: H1: Academic advisors and professors have a low ...