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An Exploratory Study Of The Utlization Of Evidence-Based Pharmacological Treatment On Heart Failure Patients In Mississippi And Its Impact On Readmission, Keri A. Barron 2017 University of Southern Mississippi

An Exploratory Study Of The Utlization Of Evidence-Based Pharmacological Treatment On Heart Failure Patients In Mississippi And Its Impact On Readmission, Keri A. Barron

Dissertations

The purpose of this study was to explore the relationship of adherence to evidence-based guidelines for pharmacologic management by select Mississippi hospitals and their hospital readmission rates. This was an exploratory study with a retrospective design. This design offered insight into the relationship between readmissions of heart failure patients and adherence to the national guidelines for the pharmacologic treatment of heart failure. The study took place in a hospital in the southeastern section of the United States. Data were collected from a database of patients with heart failure seen between January 2011 and June 2014.

The unit of analysis for ...


A Motivational Profile Of Nurses Who Pursue Doctoral Education, Tomekia Yvette Luckett 2017 University of Southern Mississippi

A Motivational Profile Of Nurses Who Pursue Doctoral Education, Tomekia Yvette Luckett

Dissertations

The need for nurses to pursue doctoral education is imperative to the professionalization of the discipline of nursing in light of the changing healthcare environment. Presently, < 1% of the nursing workforce possesses a doctoral degree (“Transforming Nursing Education,” 2016), albeit recommendations from the Institute of Medicine (IOM) (2010) admonish the need to increase the number of doctoral-prepared nurses. The need to understand characteristics of nurses who seek doctoral education is critical in planning long-term strategies for nursing education in the United States (US) (Kovner, Brewer, Katigbak, Djukic, & Fatehi, 2012). In conjunction with describing characteristics of nurses pursuing doctoral education, this research describes the motivational orientation and factors of registered nurses (RNs) pursuing doctoral education.

A descriptive correlational design was utilized to examine concepts relating to motivational orientation of RNs pursuing doctoral education. Participants were divided into two categories: (a) RNs seeking the Doctor of Philosophy (Ph.D.) degree and (b) RNs pursuing the Doctor of Nursing Practice (DNP) degree. A total of 173 RNs enrolled in either a Ph.D. or DNP program in the Gulf South region of the US comprised the final sample. Binary logistic regression ...


The Design Of An Instrument To Assess Clinical Laboratories Efficacy Post Implementation Of The Patient Protection Affordable Care Act, Harry McDonald Jr. 2017 University of Southern Mississippi

The Design Of An Instrument To Assess Clinical Laboratories Efficacy Post Implementation Of The Patient Protection Affordable Care Act, Harry Mcdonald Jr.

Dissertations

The healthcare system in the United States has undergone substantial changes in support of the Patient Protection and Affordable Care Act (PPACA). On March 23, 2010, the implementation of the new healthcare law brought universal healthcare access to all Americans, while attempting to increase quality and decrease medical costs. The new law promotes more of a quality-focused, outcome-based model rather than a pay-for-fee service model; thus, moving the paradigm from infrequent to preemptive healthcare. The PPACA postulates as the only way to achieve cost savings while increasing quality and access. Never before has there been such an extensive change to ...


Stem Cell Derived Osteoprogenitors And Their Role In Bone Repair Using Morphogenic Activators, Angelina Miller, Sylvanna Islas, George Washington Brownridge III, Warren Hoeffler 2017 Dominican University of California

Stem Cell Derived Osteoprogenitors And Their Role In Bone Repair Using Morphogenic Activators, Angelina Miller, Sylvanna Islas, George Washington Brownridge Iii, Warren Hoeffler

Scholarly & Creative Works Conference 2017

Bone constantly cycles through a dynamic process of breakdown and remodeling. Osteoblasts are the specialized mesenchymal stem cells that have a major role in bone formation and the remodeling process whereas their counterpart osteoclasts, handle bone resorption. Embryonic stem cells can be partially differentiated into Progenitor cells, and we worked with #18, a candidate for being an osteoprogenitor that has the potential to respond to morphogenic activators. In the case of bone remodeling, TGF-β 2, BMP-2 and an abundance of CA++ have been shown to be potential activators of differentiation into osteoblasts. Eight different trials were conducted with the cells ...


The Efficacy Of Narcotic Contracts In Preventing Drug-Seeking Behaviors In Adolescents Experiencing Chronic Pain Related To Sickle Cell Anemia, Haley Russotti 2017 Dominican University of California

The Efficacy Of Narcotic Contracts In Preventing Drug-Seeking Behaviors In Adolescents Experiencing Chronic Pain Related To Sickle Cell Anemia, Haley Russotti

Scholarly & Creative Works Conference 2017

It is a primary job of a nurse to advocate for their patients. If a patient is in pain, it is the nurse who is responsible for making sure that their pain gets treated. Adolescents with sickle cell anemia experience chronic pain related to vaso-occlusive crises. Once the symptoms start, they will, “persist throughout life, and there is no cure” (Atoui, 2015, p. 425). Due to their long-term use of narcotics, these adolescents could begin to demonstrate drug-seeking behaviors. Narcotic contracts are an intervention that health care teams have created to prevent drug-seeking behaviors in patients using narcotics to treat ...


Chronic Cadmium Exposure May Lead To Breast Cancer Progression Through Oxidative Stress, Maurice Brady 2017 Dominican University of California

Chronic Cadmium Exposure May Lead To Breast Cancer Progression Through Oxidative Stress, Maurice Brady

Scholarly & Creative Works Conference 2017

Cadmium, a heavy metal, is an environmental contaminant and a carcinogen. Human exposure to cadmium can occur via contaminated food, water, and smoking. Studies suggest that cadmium functions as a metalloestrogen and mimics estrogen by binding and activating the estrogen receptor. To understand how chronic exposures to low levels of cadmium affects breast cancer progression, our lab previously demonstrated that cells chronically exposed to cadmium exhibit more metastatic phenotypes like increase growth rate and increase migration and invasion abilities. Furthermore, a change in the transcript of cells exposed to chronic cadmium matched with those experiencing oxidative stress. Therefore, Ros production ...


Psychological And Physiological Ramifications Of Inadequate Pain Management For The Pediatric Population: Influences Of Professional Nursing Preparation, Genica-Jade Cruz Ocampo 2017 Dominican University of California

Psychological And Physiological Ramifications Of Inadequate Pain Management For The Pediatric Population: Influences Of Professional Nursing Preparation, Genica-Jade Cruz Ocampo

Scholarly & Creative Works Conference 2017

Pain management in the pediatric population is an intricate process and many existing factors contribute to inadequate pediatric pain management. Research suggests that the preparation for the nursing profession remains unsatisfactory in managing pain experiences for pediatric patients. Nurses are essential in assessing and relieving pain in pediatric patients. It is imperative to research what determinants of professional nursing preparation influence effective pain management for the pediatric population. Additionally, how nurses describe their educational or professional development of effective pain management including the psychological and physiological aspect of undermanaged pain need to be addressed. This study is being conducted through ...


Cec Newsletter (Spring 2017), Mary Lloyd Moore, Executive Director 2017 Western Kentucky University

Cec Newsletter (Spring 2017), Mary Lloyd Moore, Executive Director

CEC Publications

No abstract provided.


A Human Factors Approach For Identifying Latent Failures In Healthcare Settings, Tara N. Cohen 2017 Embry-Riddle Aeronautical University

A Human Factors Approach For Identifying Latent Failures In Healthcare Settings, Tara N. Cohen

Dissertations and Theses

INTRODUCTION: The purpose of the current research was to assess the utility of the Human Factors Analysis and Classification System (HFACS), a tool that has historically been used reactively to look at accidents and incidents, for classifying observational data from various healthcare venues.

METHOD: Three studies are presented to investigate the reliability of HFACS for classifying observational data. In Study I, HFACS was applied to observational human factors data collected from the cardiovascular operating room (CVOR) at an academic medical university. Three trained analysts categorized the data using HFACS and several approaches were used to evaluate its reliability during the ...


Institutional Repositories, Evidence Exchange, And Other Options To Share Your Findings And Research With The World, And How To Retain Your Rights., Kimberly S. Mollo, OTD, OTR/L, Daniel G. Kipnis, MSI 2017 Thomas Jefferson University

Institutional Repositories, Evidence Exchange, And Other Options To Share Your Findings And Research With The World, And How To Retain Your Rights., Kimberly S. Mollo, Otd, Otr/L, Daniel G. Kipnis, Msi

Department of Occupational Therapy, Presentations

Objective 1: Understand the need for open access to research and interventions

Objective 2: Be aware for the available venues for disseminating research findings

Did you come up with a new intervention, and would you like to share it with the world? Would you like a secure place to put your conference posters and handouts from your AOTA and other professional presentations? If so then Open Access is for you. This discussion among peers will discuss how you are preserving your research, and how we could collaborate more to share our findings across the country.


Substance P Differentially Modulates Firing Rate Of Solitary Complex (Sc) Neurons From Control And Chronic Hypoxia-Adapted Adult Rats, Nicole L. Nichols, Frank L. Powell, Jay B. Dean, Robert W. Putnam 2017 Wright State University

Substance P Differentially Modulates Firing Rate Of Solitary Complex (Sc) Neurons From Control And Chronic Hypoxia-Adapted Adult Rats, Nicole L. Nichols, Frank L. Powell, Jay B. Dean, Robert W. Putnam

Robert W. Putnam

NK1 receptors, which bind substance P, are present in the majority of brainstem regions that contain CO2/H+-sensitive neurons that play a role in central chemosensitivity. However, the effect of substance P on the chemosensitive response of neurons from these regions has not been studied. Hypoxia increases substance P release from peripheral afferents that terminate in the caudal nucleus tractus solitarius (NTS). Here we studied the effect of substance P on the chemosensitive responses of solitary complex (SC: NTS and dorsal motor nucleus) neurons from control and chronic hypoxia-adapted (CHx) adult rats. We simultaneously measured intracellular pH and ...


Analysis Of Proprioceptive Sensory Innervation Of The Mouse Soleus: A Whole-Mount Muscle Approach, Martha Jean Sonner, Marie C. Walters, David R. Ladle 2017 Wright State University

Analysis Of Proprioceptive Sensory Innervation Of The Mouse Soleus: A Whole-Mount Muscle Approach, Martha Jean Sonner, Marie C. Walters, David R. Ladle

David R. Ladle

Muscle proprioceptive afferents provide feedback critical for successful execution of motor tasks via specialized mechanoreceptors housed within skeletal muscles: muscle spindles, supplied by group Ia and group II afferents, and Golgi tendon organs, supplied by group Ib afferents. The morphology of these proprioceptors and their associated afferents has been studied extensively in the cat soleus, and to a lesser degree, in the rat; however, quantitative analyses of proprioceptive innervation in the mouse soleus are comparatively limited. The present study employed genetically-encoded fluorescent reporting systems to label and analyze muscle spindles, Golgi tendon organs, and the proprioceptive sensory neuron subpopulations supplying ...


Motor Axon Synapses On Renshaw Cells Contain Higher Levels Of Aspartate Than Glutamate, Dannette Shanon Richards, Ronald W. Griffith, Shannon H. Romer, Francisco J. Alvarez 2017 Wright State University

Motor Axon Synapses On Renshaw Cells Contain Higher Levels Of Aspartate Than Glutamate, Dannette Shanon Richards, Ronald W. Griffith, Shannon H. Romer, Francisco J. Alvarez

Francisco J. Alvarez

Motoneuron synapses on spinal cord interneurons known as Renshaw cells activate nicotinic, AMPA and NMDA receptors consistent with co-release of acetylcholine and excitatory amino acids (EAA). However, whether these synapses express vesicular glutamate transporters (VGLUTs) capable of accumulating glutamate into synaptic vesicles is controversial. An alternative possibility is that these synapses release other EAAs, like aspartate, not dependent on VGLUTs. To clarify the exact EAA concentrated at motor axon synapses we performed a quantitative postembedding colloidal gold immunoelectron analysis for aspartate and glutamate on motor axon synapses (identified by immunoreactivity to the vesicular acetylcholine transporter; VAChT) contacting calbindin-immunoreactive (-IR) Renshaw ...


Wade & Bolton: Medical Critique, Andre Hellegers, M.D. 2017 St. John's University School of Law

Wade & Bolton: Medical Critique, Andre Hellegers, M.D.

The Catholic Lawyer

No abstract provided.


Arkansas, Meet Tarasoff: The Question Of Expanded Liability To Third Persons For Mental Health Professionals, J. Thomas Sullivan 2017 University of Arkansas at Little Rock

Arkansas, Meet Tarasoff: The Question Of Expanded Liability To Third Persons For Mental Health Professionals, J. Thomas Sullivan

Arkansas Law Review

No abstract provided.


Combinatorial Efficacy Of Antimicrobial Peptides And Silver Ions, Christina Lynne Chrom 2017 Rowan University

Combinatorial Efficacy Of Antimicrobial Peptides And Silver Ions, Christina Lynne Chrom

Theses and Dissertations

Antimicrobial peptides are produced by multicellular organisms as a defense against competing pathogenic microbes. The mechanism of action for positively charged antimicrobial peptides is widely believed to occur when the positively charged peptide interacts with the negatively charged outer lipid membrane followed by the insertion of the peptide into the membrane. This insertion into the outer or cytoplasmic membranes leads to disruption of membrane integrity. Alternatively, silver based antimicrobials, which have been well known for centuries, are thought to act by inhibiting the proton motive force, the respiratory electron transport chain, and by affecting membrane permeability resulting in cell death ...


Application Of Default Rules To Address Financial Conflicts Of Interest In Academic Medical Centers, Joanna K. Sax 2017 California Western School of Law

Application Of Default Rules To Address Financial Conflicts Of Interest In Academic Medical Centers, Joanna K. Sax

Joanna K Sax

A recent report issued from the Institute of Medicine contains an extensive analysis of financial conflicts of interest (FCOIs) in biomedical science. In brief, an FCOI exists when a profit-seeking motive either unduly influences or appears to influence an academic scientist’s primary obligations. The cornerstone of current policy to address FCOIs at academic medical centers (AMCs) is disclosure; however, disclosure does not appear to appropriately regulate, manage, or eliminate FCOIs.

Although the relationships between intramural scientists and industry and extramural scientists and industry may be structurally different, they both can lead to FCOIs that threaten scientific integrity. Overall, the ...


Utilizing Implementation Science Framework For Innovative Interprofessional Pedagogy, Kandice Porter, Monica Nandan 2017 Kennesaw State University

Utilizing Implementation Science Framework For Innovative Interprofessional Pedagogy, Kandice Porter, Monica Nandan

Academic Chairpersons Conference Proceedings

Today’s work environments require employees to function on interdisciplinary teams. Using the implementation science framework, the presenters will describe the planning and implementation of an undergraduate curriculum model that prepares students with interprofessional competencies. They will also describe the lessons learned and potential for scaling the model with other disciplines.


Leading In A Perpetual State Of Change, Stephanie Boss Dr., Lisa Huffman, Jennifer Dennis, Mary Dzindolet 2017 Cameron University

Leading In A Perpetual State Of Change, Stephanie Boss Dr., Lisa Huffman, Jennifer Dennis, Mary Dzindolet

Academic Chairpersons Conference Proceedings

Three academic chairs and their dean will provide examples of how they have led through the difficult and ever-changing higher education landscape. Topics will include faculty turnover, budget cuts, and university restructuring. The audience will be invited to share their own experiences and recommendations will be provided.


Developing And Supporting The Diversity Of Chairperson Roles, Jean Pawl, Richard Griner, Deborah Richardson, Elizabeth Nesmith 2017 Augusta University

Developing And Supporting The Diversity Of Chairperson Roles, Jean Pawl, Richard Griner, Deborah Richardson, Elizabeth Nesmith

Academic Chairpersons Conference Proceedings

A monthly Chair Professional Development program at Augusta University provides opportunity to mentor new chairpersons and foster collegiality amongst all chairpersons at a university with both liberal arts and health sciences programs. The merits and challenges of this program that addresses needs of such a diverse group will be highlighted


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