Medicine and Health Sciences Commons^™

Evaluation Of Pharmacy Students’ Tendency To Self-Medicate, Rebekah Lee Crandall, Danielle O'Neal

Senior Theses

Objective: To investigate whether the tendency to self-medicate increases as students progress though the pharmacy curriculum.

Design: An online survey was administered through Survey Monkey by a link sent to the email addresses of students who attended the South Carolina College of Pharmacy/ University of South Carolina College of Pharmacy (SCCP/USC-COP) during the 2017-2018 school year.

Methods: Self-medication was defined as the use of over-the-counter (OTC) medications, medications prescribed to another person, and recreational (i.e. alcohol, tobacco) or illicit substances for therapeutic purposes. The primary outcome was the likelihood of each class of pharmacy students to self-medicate based on a …

Test-Retest Reliability Of The Short-Form Survivor Unmet Needs Survey, Karen Taylor, Max Bulsara, Leanne Monterosso

Research outputs 2014 to 2021

Objective: Reliable and valid needs assessment measures are important assessment tools in cancer survivorship care. A new 30-item short-form version of the Survivor Unmet Needs Survey (SF-SUNS) was developed and validated with cancer survivors, including hematology cancer survivors; however, test-retest reliability has not been established. The objective of this study was to assess the test-retest reliability of the SF-SUNS with a cohort of lymphoma survivors (n = 40).

Methods: Test-retest reliability of the SF-SUNS was conducted at two time points: baseline (time 1) and 5 days later (time 2). Test-retest data were collected from lymphoma cancer survivors (n …

Pediatric Type Ii Diabetes Mellitus: Examining The Upward Trend, Allison Foering

Senior Honors Theses

In recent years, there has been a significant increase in pediatric onset of type II diabetes. This paper will examine elements contributing to this trend. Type II diabetes will be discussed, including related pathophysiology, manifestations, diagnosis, and complications, with differentiation between adult and pediatric onset. Possible prevention and treatment methods appropriate for pediatric patients will also be discussed, along with possible outcomes in pediatric patients that could result from this disease. Overall, this paper will provide insight on the causes of this growing trend, and ways to improve the risks imposed on pediatric patients.

Perioperative Implication Of The Endothelial Glycocalyx, Jong Wook Song, Michael S. Goligorsky

NYMC Faculty Publications

The endothelial glycocalyx (EG) is a gel-like layer lining the luminal surface of healthy vascular endothelium. Recently, the EG has gained extensive interest as a crucial regulator of endothelial funtction, including vascular permeability, mechanotransduction, and the interaction between endothelial and circulating blood cells. The EG is degraded by various enzymes and reactive oxygen species upon pro-inflammatory stimulus. Ischemia-reperfusion injury, oxidative stress, hypervolemia, and systemic inflammatory response are responsible for perioperative EG degradation. Perioperative damage of the EG has also been demonstrated, especially in cardiac surgery. However, the protection of the EG and its association with perioperative morbidity needs to be …

Isoflurane Induces Neurodegenerative Changes In Pigment Epithelial Cells, Amro Ali, Thaddeus L. Wandel, Sansar C. Sharma

NYMC Faculty Publications

No abstract provided.

Antihypertensive Drug Therapy, Wilbert S. Aronow

NYMC Faculty Publications

No abstract provided.

Hutchinson-Gilford Progeria Syndrome Vascular Pathology: A Focused Review, Danielle M. Eschedor

Senior Honors Theses

Hutchinson-Gilford Progeria is an accelerated aging disorder caused by a de novo point mutation in the LMNA gene which codes for an intermediate filament of the nuclear lamina called lamin A. The point mutation at c.1824C>T causes a 50-amino-acid deletion that removes the binding site for Zmpste24, a metalloprotease responsible for defarnesylating prelamin A and producing mature lamin A. Without the ability to be defarnesylated, the mutated protein, called progerin, is more lipophilic and has a myriad of cytotoxic effects. As cardiovascular disease is the most common cause of death in HGPS patients, it is important for both healthcare …

Using Video Self-Modeling To Improve Reading Fluency In School Aged Children With Specific Learning Disabilities, Chelsea Nicole Ollar

Theses and Dissertations

Effective reading interventions for students with specific learning disabilities (SLD) are needed. A multiprobe multiple baseline across participants design was used to evaluate the effects of a video self-modeling intervention (VSM) on reading fluency skills. The VSM interventions effects on self-efficacy were also measured. Four male middle school students with SLD watched a pre-recorded video of themselves reading a passage fluently and were then asked to read another passage. Words correct per minute (WCPM) and accuracy data were taken. Results showed that students read significantly more words correct when they watched themselves read the same passage they were about to …

Traumatic Odontoid Epiphysiolysis In A Young Child, Case_Report And Literature Review, Ahmed Sultan

Advanced Spine Journal

Background Data: Traumatic Odontoid Epiphysiolysis fractures, although rare in the overall incidence of spinal trauma, these fractures are one of the common fractures in young children. The appropriate treatment of this type of odontoid fractures remains controversial. The rarity of literature reports on these fractures and limited number of cases prevented the consensus on the optimal line of treatment. Purpose: To clarify the role of non-operative treatment in this type of fracture and ascertain its beneficial role in reaching sound fusion.Study Design: Prospective assessment of Traumatic Odontoid Epiphysiolysis in young child with literature review.Patients and Methods: A 4 years female …

Scholars Day Program Of Events 2018, Carl Goodson Honors Program

Scholars Day

No abstract provided.

Meditation As A Tool For Blood Pressure Management, Maggie Ray

Thinking Matters Symposium Archive

PURPOSE: Appraise existing evidence about meditation and blood pressure in persons with cardiac risk factors and offer evidence-based recommendations about the use of meditation in management of blood pressure

The Relationship Between Breastfeeding Practices And Postpartum Depressive Symptoms In Appalachian Women, Rose Stephens, Andrea D. Clements, Valerie M. Hoots, Beth A. Bailey

ETSU Faculty Works

Abstract available through the Annals of Behavioral Medicine.

The Association Between Articulator Movement And Formant Histories In Diphthongs Across Speaking Contexts, Janae Valyn Christensen

Theses and Dissertations

This study examined the effect of context on the association between formant trajectories and tongue and lip kinematics in the American English diphthongs /aɪ/ and /aʊ/. Seventeen native speakers of American English had electromagnetic sensors placed on their tongue and lips to record kinematic signals that were time-aligned with the corresponding acoustic recording. Speakers produced the diphthongs in isolation, in a single word rVl context, in a phrase hVd context, and in a sentence context. Kinematic data and the F1 and F2 trajectories were extracted from the middle 50% of each diphthong production. To allow direct comparison of signals with …

The Nature Of Child Engagement And Teacher-Child Interactions Within Stem-Based Instruction In Preschool Classrooms, Hayley Ann Griffin

Theses and Dissertations

While educators and speech-language pathologists have been found to utilize informational texts far less than fictional texts when working with young children, informational texts can support young children's academic and language development. This study qualitatively analyzed how children engaged in informationally-based activities and how instructors interacted with children to support their engagement and learning. Fifty-three children from 4 Head Start classrooms participated in small and large group STEM-based instructional activities for 2 days each across 2 weeks. The instructional unit related to how plants grow and how they are used for food. The researchers reviewed and transcribed video recordings and …

Transitioning To The Role Of A Professional Physical Therapist Through Community Engagement, Brittany L. Wentzel

VA Engage Journal

This article recounts the author's experiences observing and interning with physical therapists in a variety of settings.The hands-on experiences the author describes allowed the author to learn the specific procedures and requirements in a typical day as a Physical Therapist, and to gain knowledge on the protocol for different injuries, the muscles that each exercise strengthens, and how to properly perform exercises to prevent further injuries. The author also explores how these experiences fostered observational and interpersonal skills and solidified the decision to pursue Physical Therapy as a career.

Fast And Robust Segmentation Of White Blood Cell Images By Self-Supervised Learning, Xin Zheng, Yong Wang, Guoyou Wang, Jianguo Liu

Research Collection School Of Computing and Information Systems

A fast and accurate white blood cell (WBC) segmentation remains a challenging task, as different WBCs vary significantly in color and shape due to cell type differences, staining technique variations and the adhesion between the WBC and red blood cells. In this paper, a self-supervised learning approach, consisting of unsupervised initial segmentation and supervised segmentation refinement, is presented. The first module extracts the overall foreground region from the cell image by K-means clustering, and then generates a coarse WBC region by touching-cell splitting based on concavity analysis. The second module further uses the coarse segmentation result of the first module …

Eat & Tell: A Randomized Trial Of Random-Loss Incentive To Increase Dietary Self-Tracking Compliance, Palakorn Achananuparp, Ee Peng Lim, Vibhanshu Abhishek, Tianjiao Yun

Research Collection School Of Computing and Information Systems

A growing body of evidence has shown that incorporating behavioral economics principles into the design of financial incentive programs helps improve their cost-effectiveness, promote individuals' short-term engagement, and increase compliance in health behavior interventions. Yet, their effects on long-term engagement have not been fully examined. In study designs where repeated administration of incentives is required to ensure the regularity of behaviors, the effectiveness of subsequent incentives may decrease as a result of the law of diminishing marginal utility. In this paper, we introduce random-loss incentive-a new financial incentive based on loss aversion and unpredictability principles-to address the problem of individuals' …

An Expert Consensus For The Management Of Chronic Hepatitis B In Asian Americans., M. J. Tong, C. Q. Pan, S.-H. B. Han, D. S.-K. Lu, S. Raman, K.-Q. Hu, J. K. Lim, H.W. Hann, A. D. Min

Division of Gastroenterology and Hepatology Faculty Papers

BACKGROUND: Hepatitis B virus (HBV) infection is common with major clinical consequences. In Asian Americans, the HBsAg carrier rate ranges from 2% to 16% which approximates the rates from their countries of origin. Similarly, HBV is the most important cause of cirrhosis, hepatocellular carcinoma (HCC) and liver related deaths in HBsAg positive Asians worldwide.

AIM: To generate recommendations for the management of Asian Americans infected with HBV.

METHODS: These guidelines are based on relevant data derived from medical reports on HBV from Asian countries as well as from studies in the HBsAg positive Asian Americans. The guidelines herein differ from …

An Exploration Of Art Therapy And Attunement In Treating Families With Dcfs Involvement, Amanda Gonzalez

LMU/LLS Theses and Dissertations

This qualitative research aimed to explore how art therapy may enhance attunement when working with families who have involvement with Department of Children and Family Services (DCFS). The study utilized a focus group methodology to examine the experience of two art therapists with backgrounds in treating families involved with DCFS. Through the analysis of the participants’ discussion, artwork and reflections, several subsequent emergent themes were revealed. These themes exposed various barriers within the system that may complicate the therapeutic relationship, as well as qualities within the art process, which act as an equalizer and source of containment. These themes illuminated …

A Comparison Of Curriculum Based Measures Of Oral Reading Fluency, Trish Merrill Psyd

All Student Scholarship

Curriculum Based Measurements (CBM) are a widely-used tool for Response to Intervention (RTI) progress monitoring. In addition, they can be used in the determination of learning disabilities and special education qualification. The most widely used type of CBM is a measure of oral reading fluency (ORF). This type involves having a student read out loud for 1 minute while the examiner records any errors. Also known as reading curriculum-based measures (RCBM), various published forms of RCBM have been documented to be reliable and valid measures of all aspects of reading skills. Nonetheless, not all RCBM forms are the same, and …

A Retrospective Analysis Of Patient Medical And Dental Treatment Histories, And Mronj-Related Events, Jon Irelan

Master's Theses (2009 -)

With patient medical histories continuing to increase in complexity, dental professionals are faced with the task of delivering necessary care while respecting said medical history. Though advances have been made in combating osteopathies like osteoporosis and bone-related malignancies through medicinal intervention, these same medications can alter the bone’s ability to heal properly. The result of this inability to heal can be medication-related osteonecrosis of the jaw (MRONJ). The purpose of this study was to evaluate whether patients at risk for MRONJ treated at Marquette University School of Dentistry (MUSoD) demonstrated any complications following endodontic therapies associated with MRONJ. During the …

Effect Of Different Finish Line Designs On The Marginal And Internal Fit Of Metal Copings Made By Selective Laser Melting Technology, Adel Al Maaz

Master's Theses (2009 -)

Introduction: Marginal fit has been defined as the gap between the prepared tooth and the intaglio surface of the restoration. Internal gap is the perpendicular measurement from the internal surface of the casting to the axial wall of the preparation. Selective laser melting has been used for fabrication of metal copings such as Co-Cr base alloys and Au-Pt noble alloys. The purpose of this study was to determine the effect of different finish line designs on the marginal and internal fit of metal copings made from high noble, 25% noble and base alloys manufactured by SLM technology. Material and Methods: …

Addressing The Targeting Range Of The Abilhand-56 In Relapsing-Remitting Multiple Sclerosis: A Mixed Methods Psychometric Study., Sophie Cleanthous, Sara Strzok, Farrah Pompilus, Stefan Cano, Patrick Marquis, Stanley Cohan, Myla D Goldman, Kiren Kresa-Reahl, Jennifer Petrillo, Carmen Castrillo-Viguera, Diego Cadavid, Shih-Yin Chen

Articles, Abstracts, and Reports

Background: ABILHAND, a manual ability patient-reported outcome instrument originally developed for stroke patients, has been used in multiple sclerosis clinical trials; however, psychometric analyses indicated the measure's limited measurement range and precision in higher-functioning multiple sclerosis patients.

Objective: The purpose of this study was to identify candidate items to expand the measurement range of the ABILHAND-56, thus improving its ability to detect differences in manual ability in higher-functioning multiple sclerosis patients.

Methods: A step-wise mixed methods design strategy was used, comprising two waves of patient interviews, a combination of qualitative (concept elicitation and cognitive debriefing) and quantitative (Rasch measurement theory) …

Antipsychotic Drug Use: Managing Cardiometabolic And Cost Effects, Olivia G. Braga

Health Policy & Management Student Scholarship

Across the US, 30%, or approximately one third of people meet the criteria for at least one mental illness.1 Of those with severe mental illness (SMI), namely schizophrenia and bipolar disorder, the mortality rate is more than twofold compared to the general population.2 The cardiovascular risk factors that contribute to cardiovascular related deaths, including metabolic disease and type II diabetes, are not only modifiable, but staggeringly higher for those with SMI.3 Though antipsychotic drug prescription is the standard protocol for SMI treatment, such drug effects on cardiovascular risk factors and related deaths exacerbate the much higher mortality rate for the …

Evaluation Of The Carestarttm Glucose-6-Phosphate Dehydrogenase (G6pd) Rapid Diagnostic Test At Community And Health Center Level, Cambodia, Bertha Nyagaya-Wojnarski, Dnp, Fnp-Bc, Mph

Doctor of Nursing Practice Projects

Background: Primaquine (PQ) is the only FDA-approved drug for radical cure of Plasmodium vivax (P.v) malaria, but treatment can result in life-threatening hemolysis if given to a glucose-6- phosphate dehydrogenase deficient (G6PDd) patient. Therefore, the G6PD status of the patient with P.v must be known prior to prescribing PQ. However, patient G6PD status in rural malaria endemic settings is generally unknown, illuminating the need for reliable point of care G6PD diagnostic tests as a prerequisite to safely administer PQ. To increase community PQ access in Cambodia, performance of CareStartTM G6PD rapid diagnostic tests (RDTs) needs to be evaluated in healthcare …

Evaluating Transfer Of Continuing Education To Practice: A Retrospective Mixed-Methods Study, Tiffany Bryant, Dnp, Msn, Rn-Bc

Doctor of Nursing Practice Projects

Background: Continuing education (CE) is an essential component of building and maintaining the competence and performance of health professionals. Evidence of its impact on practice is lacking. Organizations need evidence of CE transfer to the practice setting to demonstrate its value and inform CE practice.

Objectives: The purpose of this study was to provide evidence of CE’s impact on practice by analyzing nurses’ reports of intent to change practice, actual practice change, and examples of practice change. Research assessing the effects of CE on nursing practice across multiple courses involving different topics, levels of nursing practice and location supports generalizability. …

Evaluation Of Disparities In Healthcare Experiences Between Racial Identities And Age Cohorts, Christopher Ruckman, Dnp, Mba, Msn, Rn, Cen

Doctor of Nursing Practice Projects

Background: Healthcare consumers have their own perspectives and expectations of what should occur during an encounter of care; these unmet expectations create healthcare disparities. However, there is limited data regarding healthcare experiences among racial and aging groups.

Objectives: To compare the physical and emotional responses of healthcare experiences among racial/ethnic and aged cohorts in the United States.

Methods: Applying a descriptive-correlational design, secondary data from the 2014 Behavioral Risk Factor Surveillance System related to healthcare experiences among racial groups (White, Black, Hispanic, and Asian) and aged cohorts (18-39, 40-54, and 55- 69 years) were assessed.

Results: In the sample, there …

Cancer Screening Practices Among Sexual Orientation Groups, Scott Kilgore, Dnp, Msn, Bs, Rn

Doctor of Nursing Practice Projects

Background: Increasing cancer screening testing is a national health initiative to decrease the mortality rates of all Americans; however, cancer screening practices among sexual minorities have been understudied.

Objectives: To assess and compare breast, cervical, prostate, and colorectal cancer screening practices among straight, lesbian, gay, and bisexual individuals.

Methods: A descriptive-correlational study was conducted using data from the Center for Disease Control and Prevention 2014 Behavioral Risk Factor Surveillance System survey. Respondents who answered questions about their cancer screening practices and sexual orientation were included.

Results: This study identified disparities in breast cancer screening practices with bisexual women (81.9%) meeting …

Effects Of A Phase Ii Cardiac Rehabilitation Program On Patient Depression, Michael R. Legal, Dnp, Msn-Ed, Rn, Ccrn-K

Doctor of Nursing Practice Projects

Background: Screening for depression upon intake and completion of a Phase II cardiac rehabilitation (CR) program may influence the type of interventions implemented by CR staff and reduce depression.

Objectives: We examined patients before and after a Phase II CR program who self-reported as depressed using the CES-D score and also assessed scores by procedure, gender and age. We further identified the types of interventions used for those who were depressed.

Methods: We conducted a pre-post intervention study. Using a convenience sample, data were collected on CES-D scores before and after the program and by type of procedure, gender, and …

The Effects Of A Structured Teaching Session On Perceived Self-Efficacy Among Mental Health Nursing Supervisors, Pamela Fess, Dnp, Msn

Doctor of Nursing Practice Projects

Background: Specific factors that contribute to nursing supervisors perceived self-efficacy remains unclear. Although several studies have examined the relationship between self-efficacy and mental health nursing supervision most have focused on the impact of client care. To date, there is a dearth of studies to assess the impact of a leadership focused teaching session on the perceived self-efficacy of mental health nursing supervisors. Equipping nurses who are responsible for the supervision of others with the skills needed to fulfill their role responsibilities has the potential to improve their job performance, the work satisfaction, and well-being of staff nurses they supervise as …