Medicine and Health Sciences Commons^™

Current Trends And Challenges Of Microbiome Research In Prostate Cancer, Shaun Trecarten, Bernard Fongang, Michael Liss

School of Medicine Publications and Presentations

Purpose of review: The role of the gut microbiome in prostate cancer is an emerging area of research interest. However, no single causative organism has yet been identified. The goal of this paper is to examine the role of the microbiome in prostate cancer and summarize the challenges relating to methodology in specimen collection, sequencing technology, and interpretation of results.

Recent findings: Significant heterogeneity still exists in methodology for stool sampling/storage, preservative options, DNA extraction, and sequencing database selection/in silico processing. Debate persists over primer choice in amplicon sequencing as well as optimal methods for data normalization. Statistical methods for …

Barriers To Exercise In Patients With Metabolic Dysfunction-Associated Steatotic Liver Disease: A Patient Survey, Kedar Deshpande, John Olynyk, Oyekoya Ayonrinde, Kazunori Nosaka

Research outputs 2022 to 2026

Background: Although adequate physical activity is an essential component of treatment for metabolic dysfunction-associated stea-totic liver disease (MASLD), the majority of people with MASLD do not engage in regular exercise and lead sedentary lifestyles. We aimed to identify perceived barriers to exercise and to examine awareness about the role of exercise in the treatment of MASLD. Methods: Individuals aged 18 years and above were recruited from a hepatology outpatient clinic. MASLD severity was assessed using controlled attenuation parameter (CAP) and transient elastography (TE) determined liver stiffness measurement (LSM) for the severity of hepatic steatosis and fibrosis, respectively. An online questionnaire …

A Systematic Collection Of Medical Image Datasets For Deep Learning, Johann Li, Guangming Zhu, Cong Hua, Mingtao Feng, Basheer Bennamoun, Ping Li, Xiaoyuan Lu, Juan Song, Peiyi Shen, Xu Xu, Lin Mei, Liang Zhang, Syed A. A. Shah, Mohammed Bennamoun

Research outputs 2022 to 2026

The astounding success made by artificial intelligence in healthcare and other fields proves that it can achieve human-like performance. However, success always comes with challenges. Deep learning algorithms are data dependent and require large datasets for training. Many junior researchers face a lack of data for a variety of reasons. Medical image acquisition, annotation, and analysis are costly, and their usage is constrained by ethical restrictions. They also require several other resources, such as professional equipment and expertise. That makes it difficult for novice and non-medical researchers to have access to medical data. Thus, as comprehensively as possible, this article …

Barriers To Early Detection In Women Experiencing A Postpartum Hemorrhage: An Integrative Review, Katie Ragsdale

Master of Science in Nursing Final Projects

Abstract

Aim: The aim of this integrative review is to explore barriers to early detection in women experiencing postpartum hemorrhage.

Background: Women in the United States are more likely to die from childbirth complications than any other women living in other developed countries. Despite advances in maternity care, postpartum hemorrhage is the cause of nearly 70,000 maternal deaths every year, comparable to one woman dying of postpartum hemorrhage blood loss every eight minutes. Most maternal deaths are avoidable, as the solutions to prevent and manage these deadly complications are well known. Risk factors, assessment tools, causes, interventions, and outcomes are …

Parents’ Emotional And Psychological Perspective Of Caring Children With Oncological Disorders: A Descriptive Qualitative Study, Ambreen Navroz Ali Salyani

Theses & Dissertations

Background: Childhood cancer has a profound effect on the emotional and psychological well-being of parents, yet often their own psychological health is overlooked as the primary focus while treating the child. These parents silently suffer from psychological distress while caring for their children. They use their own coping strategies to overcome the situation. However, limited studies have been carried out in low- and middle-income countries (LMIC) regarding parents’ emotional and psychological perspectives of caring their children with oncological disorder.
Purpose: The objective of this study was to explore the psychological perspectives that parents of children with cancer diagnosis, treatment, social …

Factors Hindering The Care Of Geriatric Patients Admitted In A Tertiary Care Hospital In Karachi, Pakistan, Muhammad Shoaib

Theses & Dissertations

Background: Older adult’s patient care presents multiple challenges to nurses due to their growing numbers worldwide. According to WHO in 2020 the number of older adults aged 60 and above is one billion and by 2050 this population will be doubled. The current geriatric population of Pakistan is above eight million and is estimated to reach twenty-seven million by 2050. This increasing trend of the geriatric population poses a greater challenge to the compromised healthcare systems in Pakistan, healthcare workers especially nurses struggle hard due to limited resources, lack of knowledge regarding geriatric, and the frailty of older patients, to …

“Is My Brain Ever Going To Work Fully Again?”: Challenges And Needs Of Cancer Survivors With Persistent Cancer-Related Cognitive Impairment, Darren Haywood, Evan Dauer, Frank D. Baughman, Blake J. Lawrence, Susan L. Rossell, Nicolas H. Hart, Moira O’Connor

Research outputs 2022 to 2026

Many cancer survivors experience cognitive impairments that impact memory, concentration, speed of information processing, and decision making. These impairments, collectively known as cancer-related cognitive impairments (CRCIs), are a key domain of unmet needs and can significantly impact a cancer survivor’s identity and quality of life. However, there are no purpose-built, multi-domain, needs assessment tools specifically for CRCI. The development of such tools requires an in-depth understanding of cancer survivors’ CRCI-specific challenges and associated needs. This study explored the challenges and associated needs of cancer survivors with persistent CRCI. An in-depth qualitative design using semi-structured interviews with (a) cancer survivors with …

Plan For Retirement Versus The Occupational Impact Throughout Retirement: The Significance Of Identity And Role Transitions, Priscilla Guardado, Amy Lyons-Brown

Summer 2023 Virtual OTD Capstone Symposium

OBJECTIVE: The purpose of this study was to conduct a mixed methods research study on retired individuals and identifying their occupational identity throughout their retired experience.

METHODS: Using survey methods, a demographic questionnaire was sent out to individuals who signed up to participate in the study. To participate, individuals had to be in the age range of 50-80 years with a minimum of 2 years post retirement. A total of 15 participants initially signed up with a 93% survey response rate (n=14) and 86% (n=13) response rate for completion of the study with an interview.

RESULTS: Most participants reported dealing …

Targeting The Gap In Mental Health Advocacy For First-Year College Students, Hailey Kurtz

Honors Projects

The transition from high school to attending a university has been shown to have an impact on the mental health and well-being of first-year university students. First-year students struggle with anxiety and depression in relation to being in a new environment, feeling lonely, fitting in, and taking more academically rigorous coursework. Current students have an awareness of what mental health and well-being resources on their campus are available to them, but such resources are not widely used, though a majority of students indicate that they do or have struggled with their mental health. This indicates that though students are struggling …

Understanding Asthma Care And Management Challenges In Pediatric Patients, Alexander Wind, Priya Spencer, Amy Delaroche

Medical Student Research Symposium

Background:

Asthma is a common pediatric health condition with highly variable manifestations. It may require daily management with medications and lifestyle adjustments throughout childhood. Due to the varied severity of the disease, effective management of asthma can place undue demands and challenges on asthmatic children and their families.

Objective:

To understand the challenges families face in managing their child’s asthma.

Methods:

Currently ongoing since November 18, 2021, this study enrolls 5-11 years old presenting with an acute asthma exacerbation to the emergency room of a tertiary care children’s hospital. We use structured questionnaires to collect information on …

Educator Preparedness In The Use Of Simulation In Nursing Education, Marcelene E. Hart

Walden Dissertations and Doctoral Studies

AbstractNurse educators lack preparation when using simulation as a teaching modality in educating nurses and nursing students within their clinical environment. The purpose of this basic qualitative study was to understand nurse educators’ perceptions of the challenges in preparing for simulation-based training experiences for nurses and nursing students. Vygotsky’s constructivist theory was used as the conceptual framework for the study to emphasize students’ innate ability to learn using active and hands-on processes through simulation experiences. Questions were developed to explore the challenges nurse educators encounter when preparing for simulation activities. Survey questionnaire invitations were sent through email to hundreds of …

Educator Preparedness In The Use Of Simulation In Nursing Education, Marcelene E. Hart

Walden Dissertations and Doctoral Studies

AbstractNurse educators lack preparation when using simulation as a teaching modality in educating nurses and nursing students within their clinical environment. The purpose of this basic qualitative study was to understand nurse educators’ perceptions of the challenges in preparing for simulation-based training experiences for nurses and nursing students. Vygotsky’s constructivist theory was used as the conceptual framework for the study to emphasize students’ innate ability to learn using active and hands-on processes through simulation experiences. Questions were developed to explore the challenges nurse educators encounter when preparing for simulation activities. Survey questionnaire invitations were sent through email to hundreds of …

Barriers, Challenges &Successes Among Human Service Professionals Stigma Reduction Treatment Among People With Mental Illness, Maureen Epps

Walden Dissertations and Doctoral Studies

According to the National Alliance on Mental Illness, over 9 million people in the United States suffer from a mental illness (MI). Although human service professionals seek the best practices to treat people with MI, people with MI sometimes struggle to seek treatment because of stigma. The purpose of this generic qualitative study was to explore the barriers and challenges of human service professionals who experienced using a stigma reduction treatment on a person with MI. The mental illness stigma framework and Goffman’s stigma theory provided the conceptual framework for the study. Data were collected through semistructured interviews with eight …

Redefining The Role Of Asha Workers In Indian Healthcare, Sufiya Mohsin, Satish Kumar Gupta, Imran Ahmed Khan, Anish Kumar Gupta

Digital Journal of Clinical Medicine

Community health professionals are critical in filling the gap between traditional healthcare systems and marginalized populations. Accredited Social Health Activists (ASHA) workers have been an important workforce in providing essential healthcare services to rural and marginalized communities. ASHA workers have emerged as a cornerstone of India's healthcare system, playing a pivotal role in bridging the gap between rural and marginalized communities and formal healthcare services. There is a need for expansion of the working of ASHAs to utilize them more efficiently. Through enhanced training, technological integration, and policy support, ASHA workers can transform into empowered agents of change, ensuring equitable …

Barriers And Challenges For Visually Impaired Students In Pe - An Interview Study With Students In Austria, Germany, And The Usa, Sebastian Ruin, Justin A. Haegele, Martin Giese, Jana Baumgärtner

Human Movement Studies & Special Education Faculty Publications

Physical education (PE) is an important part of school education worldwide, and at the same time, almost the only subject that explicitly deals with body and movement. PE is therefore of elementary importance in the upbringing of young people. This also applies to children with visual impairments. However, existing findings on participation and belonging in PE as well as on physical and motor development reveal that this group of children and adolescents is noticeably disadvantaged in this respect. Against this background, this paper aims to explore fundamental barriers and challenges across different types of schools, types of schooling, and countries …

Addressing The Barriers To Clinical Trials Accrual In Community Cancer Centres Using A National Clinical Trials Navigator:A Cross-Sectional Analysis, Caroline Hamm, Dora Cavallo-Medved, Devinder Moudgil, Lee Mcgrath, John Huang, Yueyang Li, Tyler W. Stratton, Tyler Robinson, Krista Naccarato, Stephen Sundquist, Janet Dancey

Biomedical Publications

Introduction: Clinical trials, although academically accepted as the most effective treatment available for cancer patients, poor accrual to clinical trials remains a significant problem. A clinical trials navigator (CTN) program was piloted where patients and/or their healthcare professionals could request a search and provide a list of potential cancer clinical trials in which a patient may be eligible based on their current status and disease. Objectives: This study examined the outcomes of a pilot program to try to improve clinical trials accrual with a focus on patients at medium to small sized cancer programs. Outcomes examined included patient disposition (referral …

Publication Dynamics: What Can Be Done To Eliminate Barriers To Publishing Full Manuscripts By The Postgraduate Trainees Of A Low-Middle Income Country?, Hafsa Majid, Lena Jafri, Sibtain Ahmed, Muhammad Abbas Abid, Mohammad Aamir, Aamir Ijaz, Aysha Habib Khan, Imran Siddiqui

Department of Pathology and Laboratory Medicine

Objectives: This study aimed to determine the publication rate of free paper abstracts presented by the postgraduate (PG) trainees and determine the reasons for non-publication. A mixed methods study was conducted. PG trainees presenting free papers at the at the Pakistan Society of Chemical Pathologist conferences from 2012 to 2018 were included. Three databases were searched to identify if the abstracts were published or not. The PG trainee authors of abstracts not published as full manuscript, were surveyed to determine the barriers and challenges in publishing a manuscript.
Results: The average rate of full manuscript publication was 51.8% (n = …

Ot Entrepreneurship: Perceived Challenges & Resources, Gunnar Daniel Olson

Occupational Therapy Capstone Presentations

The focus of my capstone is OT entrepreneurship and management with substantive focus areas including research skills, administration, and education. Ultimately, the dual purpose of this capstone was to investigate the experience of OT entrepreneurship and management through scholarly research and experiential learning and facilitate knowledge transfer through education and future research publication. The former purpose was be met through 1) the design and implementation of a mixed-methods research study investigating the perspectives and lived experiences of current and former OT entrepreneurs and 2) experiences and projects completed at Piller Child Development in Arizona focused on gaining exposure and experience …

Safety For Community Health Nurses In Rural And Remote Communities: A Literature Review And Research, Kathlyne Pham

Nursing | Senior Theses

Many safety measures devised and implemented are focused on urban hospital settings, which differs from rural and remote settings. Community health nurses are expected to travel and visit their clients’ homes alone, which leaves the nurses vulnerable to their environment. This brings up the question: Does the safety of community health nurses in rural and remote areas have an impact on the care provided in the communities that they serve? After reviewing the six primary literature, three common themes were revealed: lack of boundaries in their personal and professional lives, safety concerns (i.e. isolated geographical locations, workplace violence), and increased …

Resiliency Storyboard: Adapting To Change, Amir Kalantar, Tristan Papcun, Nada Jaradat, Rubab Imtiaz, Raisa Zahir, Ismail Aijazuddin

Patient Education Projects

No abstract provided.

Resiliency Storyboard: Mental Health, Nicholas Livingston, Laura Aravena, Tabassum Chowdhury, Kia Sweeney, Andrew Rabah, Andrew Gregory

Patient Education Projects

No abstract provided.

Resiliency Storyboard: Shifting From Negatives To Positives, Anyan Cheng, Nicolas Ceniza, Alex Duvall, Sai Dheeraj Reddy Kagithala, Maighdlin Patterson

Patient Education Projects

No abstract provided.

Resiliency Storyboard: Learn From Mistakes, Collin Gustafson, Adlai Nelson, Matthew Myhand, Arsh Kaiser, Erin Madden, Chelsea Yu

Patient Education Projects

No abstract provided.

Resiliency Storyboard: Seeking To Restore Balance By Mastering Any New Challenge, Eleanor Lasch, Sarah Chung, Jack Mcconnell, Hanna Simmons, Jordan Tall

Patient Education Projects

No abstract provided.

Cancer Incidence, Mortality, Years Of Life Lost, Years Lived With Disability, And Disability-Adjusted Life Years For 29 Cancer Groups From 2010 To 2019 A Systematic Analysis For The Global Burden Of Disease Study 2019, Ismaeel Yunusa Ph.D., Jonathan M. Kocarnik, Kelly Compton, Frances E. Dean, Weijia Fu, Brian L. Gaw, Et. Al.

Faculty Publications

Importance The Global Burden of Diseases, Injuries, and Risk Factors Study 2019 (GBD 2019) provided systematic estimates of incidence, morbidity, and mortality to inform local and international efforts toward reducing cancer burden.

Objective To estimate cancer burden and trends globally for 204 countries and territories and by Sociodemographic Index (SDI) quintiles from 2010 to 2019.

Evidence Review The GBD 2019 estimation methods were used to describe cancer incidence, mortality, years lived with disability, years of life lost, and disability-adjusted life years (DALYs) in 2019 and over the past decade. Estimates are also provided by quintiles of the SDI, a composite …

Experiences Of Critical Care Nurse Managers In Addressing Nurses' Work-Related Stress, Mariana Tsucuneli

Walden Dissertations and Doctoral Studies

AbstractNurses who work in the critical care unit are more likely to experience work-related stress, fatigue, understaffing, undesirable performance outcomes, and compromised workplace safety than general care nurses. Nurse managers in these units possess insights into nurses' stress-inducing challenges, in addition to managerial and administrative perspectives. Yet there is a lack of available knowledge about the experiences of critical care nurse managers in addressing nurses' work-related stress. The purpose of this study was to explore critical care nurse managers’ experiences of potential strategies to effectively address work-related stress among nurses. The job-demand resource model was the theoretical framework for the …

International Students’ And Alumni Perspectives On Their Transition To Graduate Level Occupational Therapy Education And Daily Life In The United States, Areli D. Benitez, Daniel Park, Sarah Bream

Journal of Occupational Therapy Education

International students who enroll in American occupational therapy academic programs must quickly adapt to the academic demands and everyday life rhythms within the United States. This qualitative study contributes to the body of knowledge of lived experiences of international occupational therapy students, specific to their transition to graduate occupational therapy education and daily life in a new country. Thirteen (13) international occupational therapy graduate students and alumni participated in an individual or joint interview. Three key themes emerged from the findings and include the following: 1) Challenges: Inside and Outside of the Classroom, 2) A Support System: A Home Away …

Experiences Of Critical Care Nurse Managers In Addressing Nurses' Work-Related Stress, Mariana Tsucuneli

Walden Dissertations and Doctoral Studies

AbstractNurses who work in the critical care unit are more likely to experience work-related stress, fatigue, understaffing, undesirable performance outcomes, and compromised workplace safety than general care nurses. Nurse managers in these units possess insights into nurses' stress-inducing challenges, in addition to managerial and administrative perspectives. Yet there is a lack of available knowledge about the experiences of critical care nurse managers in addressing nurses' work-related stress. The purpose of this study was to explore critical care nurse managers’ experiences of potential strategies to effectively address work-related stress among nurses. The job-demand resource model was the theoretical framework for the …

Mentorship And The Transition From Registered Nurse To Advanced Nurse Practitioner, Arcelia Kiss

Walden Dissertations and Doctoral Studies

The transition from registered nurse to nurse practitioner (NP) can be challenging and stressful. This problem is particularly true for the novice NP who must adapt to a new scope of practice coupled with increased demands. Recognizing that mentorship can contribute to competency development, employee satisfaction, higher retention rates, and improved patient care outcomes, the goal of this project was to develop a staff education program and manual on mentorship. Knowles’ adult learning theory; Benner’s novice-to-expert framework; and the analysis, design, development, implementation, and evaluation model guided development of the staff education program and mentorship manual. Practice-focused questions guiding the …

Mapping Services At Two Nairobi County Primary Health Facilities: Identifying Challenges And Opportunities In Integrated Mental Health Care As A Universal Health Coverage (Uhc) Priority, Manasi Kumar, Vincent Nyongesa, Martha Kagoya, Byamah B. Mutamba,, Beatrice Amugune, Neha S. Krishnam, Grace Nduku Wambua, Inge Petersen, Onesmus Gachuno, Shekhar Saxena

Brain and Mind Institute

Abstract: Introduction There is a need to scale-up mental health service provision in primary health care. The current extent of integration of mental health in primary care is pertinent to promoting and augmenting mental health at this level. We describe a facility mapping exercise conducted in two low-income/primary health facilities in Kenya to identify existing barriers and facilitators in the delivery of mental health services in general and specifically for peripartum adolescents in primary health care as well as available service resources, cadres, and developmental partners on the ground.

Method and measures This study utilized a qualitative evidence synthesis through …