Anemia Management In Rural Haitian Children: A Mixed Methods Study, Marc-Aurel Martial, Kathy A. Sward, Janice M. Morse, Andrew R. Wilson, Cempaka S. Martial, Debra S. Penney, Elie Nicolas

Faculty Publications

Introduction: We examined factors influencing anemia outcomes in rural children following implementation of a prevention program. Method: Mixed methods study of children, parents, and clinicians utilized statistical modeling and content/ ethnographic analysis. Retrospective chart abstraction evaluated treatments administered and measured hemoglobin in children aged 6 to 59 months (n = 161). Prospective interviews/questionnaires examined parent (n = 51) and clinician (n = 19) perceptions. Results: Anemia prevalence decreased by 21.2%. Predictors of increased hemoglobin were clinic visit number and age at first visit. Once anemia improved, children were likely to remain improved (P = .65). Despite favorable program perceptions, stakeholders …

Medical School Watercooler Newsletter - January 8, 2021, Lindsey Lyle

Watercooler Newsletter

This is the January 8, 2021 edition of the Frederick P. Whiddon College of Medicine's newsletter - Watercooler.

Contents Include:

• Medical student named to Mobile Equity Task Force
• Townsley celebrates retirement with virtual reception
• Med School Café to address cervical cancer
• Annual COM Research Forum winners announced
• USA College of Medicine represented in Mobile Bay's 40 Under 40

Exploring The Acculturation Experiences Of Cuban Refugee Doctors And Their Families In Miami: A Phenomenological Study, Nelson Michel Perez

Department of Family Therapy Dissertations and Applied Clinical Projects

Since 1961, the Cuban government has used its medical missions worldwide for diplomatic, ideological, financial, and humanitarian purposes (Huish, 2014; Solano, 2019). Since the collapse of the Socialist Bloc, thousands of Cuban health workers have found a means of economic subsistence and exit from the island through these missions. The U.S. Department of State (2020) declared these medical missions to be forced labor and human trafficking, a move that had multiple consequences for these professionals and their families. From 2006 to 2017, more than 9,000 Cuban health workers entered the Unites States as refugee immigrants, with many settling in South …

Human Trafficking: Empowering Healthcare Providers And Community Partners As Advocates For Victims, Marielle A. Combs

Doctor of Nursing Practice Projects

Human trafficking (HT) is a public health crisis and the need for education is dire. Healthcare providers lack confidence in victim recognition and aid provision all while encountering victims in their practice. The project leader aimed to empower healthcare providers in recognizing signs of HT and making appropriate referrals. Ten community volunteers, including registered nurses, who assist with a mobile medical unit and spiritual 12-step program, participated in a Human Trafficking 101 training. The application of holistic nursing core principles and Human Caring Science was integrated as vital in victim identification. A pretest posttest design was utilized to administer the …

Department Of Education: Fy2021 Annual Report, Lehigh Valley Health Network

Department of Education

No abstract provided.

Cultural Competency Training For U.S. Army Security Force Assistance Brigade (Sfab) Brigade Medical Teams, Jacob Blount

Doctor of Nursing Practice Projects

The United States Army began standing up Security Force Assistance Brigades (SFAB) in February 2018. The Brigade Medical Team (BMT) is an 11-person, interdisciplinary Army National Guard team. National Guard Soldiers only have one weekend per month and two weeks of annual training per year to develop/maintain cultural competence. The researcher investigated the efficacy of the Cross-Cultural Competence Trainer (3CT) V2 course to develop and maintain cultural competency in BMT personnel. Pre-test results were obtained from three military medical personnel and a post-test immediately after the course. Participants completed a longitudinal test 28-31 days after the post-test. There was a …

Dean's Update December 2020, Jerry L. Nadler

SOM Dean's Research Newsletter

No abstract provided.

Optimizing Wellness In Academic Emergency Medicine, Kristen E. Nordenholz, Al'ai Alvarez, Michelle D. Lall, Christine Stehman, Cindy C. Bitter, Emily L. Hirsh, Rita Manfredi, Rosanna D. Sikora, Dave W. Lu, Leon D. Sanchez, Matthew L. Wong, Steven Bird, Andra L. Blomkalns

Journal of Wellness

Introduction

Academic Emergency Physicians (EPs) face additional unique challenges in optimizing wellness compared to community EPs.

Objective

Our objective was to explore specific individual and systems challenges that academic EPs encounter that affect their wellbeing and professional fulfillment in emergency medicine (EM).

Methods

An expert group of academic EPs convened in 2019 at the annual meeting of the Society of Academic Emergency Medicine to investigate the overall causes of burnout in healthcare providers, the effects of burnout on the healthcare system, specific causes of burnout in EM, and the distinct challenges facing academic emergency physicians.

Results

We outline specific causes …

Alumni Journal - Volume 91, Number 3, Loma Linda University School Of Medicine

Alumni Journal, School of Medicine

Editorials
2 | From the Editor
4 | From the President
7 | From the Dean

News
8 | Alumni News + This and That
10 | APC Preview
14 | AIMS Report
16 | School of Medicine News
18 | Students
20 | Department Reports: Transplant Surgery: Michael de Vera, MD (chief)

Missions
22 | Mission Stories: Trained to Heal, Choosing to Serve
24 | Haiti: Scott Nelson '96
28 | Nepal: Jonathon Thorp '12
30 | Honduras: Joel Mundall '06
32 | Zambia: Janie Yoo '06
34 | Chad: Andrew Trecartin '11
36 | Cameroon: Trixy Franke '06 …

Association Of Type And Severity Of Nonsyndromic Orofacial Clefts With Combined Genotypes Of Rfc1 80 Ga, Mthfr 677 Ct, Irf6 (Rs642961) And Irf6 (Rs2235371) Gene Polymorphisms In An Indian Population, Chantal Hakim Dds, Msd, Marie M. Tolarová Md, Phd, Drsc, Miroslav Tolar Md, Phd

Orthodontics and Endodontics Theses

Association of type and severity of nonsyndromic OROFACIAL CLEFTS with combined genotypes of RFC1 80 GA, MTHFR 677 CT, IRF6 rs642961 and rs2235371 gene polymorphisms in an Indian population Abstract By Chantal Hakim University of the Pacific. Arthur Dugoni School of Dentistry 2020 Introduction. Genetic etiology of nonsyndromic orofacial clefts comprises many genes acting together. However, little is known about their interactions. The purpose of our study was to analyze associations of phenotypic subtypes of nonsyndromic orofacial clefts with combinations of four genotypes involving candidate gene polymorphisms. Materials and Methods. We analyzed a large dataset of cases and controls collected …

Healthcare Provider Education: Adult Jamaicans With Type 2 Diabetes, Patricia Anderson

Doctor of Nursing Practice (DNP) Projects

Abstract

Problem: Worldwide prevalence of type 2 diabetes mellitus (T2DM) among the Jamaican population is 11.9% (WHO, 2016). Jamaican patients and their families have experienced first-hand the debilitating complications of this deadly disease.

Context: Jamaicans with diabetes who live in the US experience these same complications. Approximately 300,000 Jamaicans live in Florida (Peart, 2020). This change of practice project was conducted with healthcare providers employed in a family medicine clinic in Florida that treat Jamaicans with T2DM.

Intervention: This change of practice project used an online evidence-based educational training (i.e., Jamaican culture, diet, and health beliefs and how to use …

So Others May Live: The Price Of Healthcare In Combat, Robert Del Toro

War, Diplomacy, and Society (MA) Theses

“Medics carried more responsibilities than dry feet, salt tablets, syphilis, and puncture wounds,” U.S. Army Medic Ben Sherman stated after reflecting on his tour in Vietnam. On the battlefields of North Africa, Italy, France, and Vietnam, the medics of the U.S. Army Medical Department faced the difficult duty of preserving life while death surrounded them. Their patients were not strangers but, men they had grown close to, they were comrades and family. Analyzing the memoirs and letters of forward medical personnel from the Second World War and the Vietnam War, this thesis analyzes how a medic’s care went beyond the …

Nurse Practitioner Student Confidence And Competence In Common Women's Health Diagnostic Procedures, Jessica Cowan

Dissertations

Problem: In areas with limited health resources, such as Guatemala, cost-effective and reliable methods for sexually transmitted infection and cervical cancer screenings are needed. The purpose of this Quality Improvement (QI) project was to develop standardized training in Vaginal Wet Mount (VWM) preparation and cervical cancer screening using Visual Inspection with Acetic Acid (VIA) for Nurse Practitioner students who traveled to Guatemala for a week-long global immersion experience.

Methods: This was a QI project with a prospective descriptive design utilizing a purposive sample of 10 University of Missouri-St. Louis Nurse Practitioner students who traveled to Guatemala on medical mission trip …

2019-2020 Department Of Family Medicine Scholarly Activity Report, Quillen College Of Medicine, East Tennessee State University

Quillen College of Medicine Scholarly Activity Reports

No abstract provided.

The Impact Of An International Interprofessional Experience On Perceptions Of Pharmacist-Physician Relationships, Miranda R. Andrus, Emily A. Powell, Katherine Moody, Taylor D. Steuber

International Journal of Health Sciences Education

Objective. To assess the impact of this international interprofessional learning experience on perceptions of pharmacist-physician relationships and interprofessional teams.

Methods. Medical and pharmacy students completed a one-week interprofessional medical mission experience in the Dominican Republic. Anonymous surveys were administered to 17 students before and after completion to measure perceptions of pharmacist-physician relationships and interprofessional teams. Responses were matched and changes in perceptions were analyzed using the Wilcoxon Signed Rank test. The SPICE-R2 instrument was administered after the experience to measure attitudes toward interprofessional teams.

Results. Of the 17 participants, 100% responded to all surveys. Significant improvements were seen in the …

Screening For Iron-Deficiency Anemia In The Pediatric Population (Ages 1-17) In Gonaïves, Haiti, Cara Rose Fratianni

Doctor of Nursing Practice Final Manuscripts

Abstract

Purpose: The purpose of this pilot project is to screen for iron-deficiency anemia in pediatric patients (ages 1-17) in a primary school in Gonaïves, Haiti. Patients with anemia will be treated with oral supplemental iron for a period of four weeks according to WHO guidelines (WHO, 2011). All students will be treated empirically for helminths per WHO guidelines, unless treated elsewhere in the last six months (WHO, 2017). Nutritional status will also be assessed using MUAC according to WHO guidelines (2017).

Background Summary: Malnutrition contributes significantly to the problem of iron-deficiency anemia, with one in four children exhibiting stunting …

Reflection And Literature Review On Loving Choices Pregnancy Center Internship, Madison Stave

The Eleanor Mann School of Nursing Undergraduate Honors Theses

This honors thesis involves a personal reflection and literature review of a nurse internship at Loving Choices Pregnancy Center in Fayetteville, AR. The purpose of this internship was to provide a learning experience in women’s and obstetrical health. Responsibilities included completing community resource projects and assisting staff and nurses in the Care Center and Pregnancy Clinic. To satisfy honors requirements, five learning objectives were created during the internship. These objectives were all met and reflected upon in the first part of this thesis. The second portion of this thesis involves a literature review of the socioeconomic and health-related risks of …

The Effects Of Nursing School Peer Tutoring On Tutors, Yelyzaveta Soboleva

Undergraduate Honors Theses

An integrative review was used to examine the effects of being a tutor versus not being a tutor. The matrix method was used to guide the research process, to identify articles that met the inclusion criteria, and to reduce data into common topics of peer tutoring. The results of the integrative review yielded 20 articles and suggested that students in the position to assist others are more confident in communicating in groups and have higher knowledge in the subject they help with than their fellow peers. The literature showed that students in the position to assist others have defined personal …

Nicaraguan Homeowner Showing Gratitude For Concrete Flooring As Part Of A Public Health Mission Trip, Breonna Kinnison

HCA Healthcare Journal of Medicine

I’m Bree Kinnison, a fourth-year medical student and aspiring psychiatrist. When I’m not studying, I enjoy painting using acrylics. This painting depicts a very fond memory of mine. After completing the medical portion of our mission trip in Nicaragua, we began our public health portion. Along with fellow students, I laid concrete flooring in this woman’s house. For all 76 years of her life, she had never experienced anything other than a dirt floor in her home. Traditional dirt flooring in Nicaraguan homes is responsible for many preventable illnesses. When shown the final product, she reached out and hugged the …

Transitioning From Episodic To Sustained Care In Humanitarian Service, W Howard Mcalister Od, Ma, Mph, Jeffrey L. Weaver Od, Ms, Timothy A. Wingert Od, Kristen Kramlich Od

Optometric Clinical Practice

Background: Humanitarian missions serve populations needing care and usually provide short term interventions. Traditionally, care provided through humanitarian agencies like VOSH International has been episodic, consisting of a short-term mission placing a team in country for several days. There have been discussions that episodic care is a short term measure which impedes the systematic development of a long term solution to providing the necessary health care. The move toward sustained care is a step in the direction of improving the public health in developing countries.

Method: A survey instrument was mailed to the 26 VOSH chapters in the United States …

Delivering Non-Communicable Disease Interventions To Women And Children In Conflict Settings: A Systematic Review, Shailja Shah, Mariella Munyuzangabo, Michelle F. Gaffey, Mahdis Kamali, Reena P. Jain, Daina Als, Sarah Meteke, Amruta Radhakrishnan, Fahad J. Siddiqui, Anushka Ataullahjan, Zulfiqar Ahmed Bhutta

Woman and Child Health

Background: Non-communicable diseases (NCDs) are the leading cause of death worldwide. In the context of conflict settings, population displacement, disrupted treatment, infrastructure damage and other factors impose serious NCD intervention delivery challenges, but relatively little attention has been paid to addressing these challenges. Here we synthesise the available indexed and grey literature reporting on the delivery of NCD interventions to conflict-affected women and children in low- and middle-income countries (LMICs).
Methods: A systematic search in MEDLINE, Embase, CINAHL and PsycINFO databases for indexed articles published between 1 January 1990 and 31 March 2018 was conducted, and publications reporting on NCD …

Alumni Journal - Volume 91, Number 1, Loma Linda University School Of Medicine

Alumni Journal, School of Medicine

Editorials
2 | Guest Editorial: Warren R. Peters '69
4 | From the President
6 | From the Deam

News
7 | This and That
10 | School of Medicine News
12 | Students
13 | Wedding Announcements
14 | Alumni News
15 | AIMS Report

APC 2020
16 | APC 2020 in Review: Featuring photos, alumni honorees, and more

Features
27 | Interview Feature: Columbus D. Batiste '98 shares his thoughts on healthy living
30 | Department Reports: Dermatology and Cardiothoracic Surgery: Harry Doa Jr., MD, and Anees J. Razzouk '82 report on their respective departments
and distinguished faculty …

A Mixed-Methods Case Study Of Spiritual Formation And School Induced Stress In Student Registered Nurse Anesthetists During Hospital Residency, R. Dawn Whybrew

Doctoral Dissertations and Projects

Student registered nurse anesthetists in hospital residency undergo a rigorous schedule. For Christian nurse anesthesia students, spiritual formation may suffer due to the stressors of anesthesia residency. The purpose of this mixed-methods case study sought to understand and describe the perceived influence of participation in spiritual formation opportunities during nurse anesthesia hospital residency on students’ spiritual formation level as well as their ability to handle stressors of hospital residency. In phase one of the study, the researcher conducted a purposeful convenience sampling of 54 Junior and Senior students in a quantitative quasi-experimental design. In phase one, the participant's spiritual formation …

Medical School Watercooler Newsletter - March 8, 2020, Lindsey Lyle

Watercooler Newsletter

This is the March 8, 2020 edition of the Frederick P. Whiddon College of Medicine's Newsletter - Watercooler.

Contents Include:

Rwanda medical mission trip ‘a jewel in our curriculum’

Vande Waa named to state coronavirus task force

Medical School Watercooler Newsletter - January 5, 2020, Lindsey Lyle

Watercooler Newsletter

This is the January 5, 2020 edition of the Frederick P. Whiddon College of Medicine's newsletter - Watercooler.

Contents Include:

• Mark Your Calendar: Upcoming grand rounds
• Muslims in Medicine interest group addresses physician burnout
• USA Health and USA College of Medicine represented in Mobile Bay’s 40 Under 40
• Student-Run Free Clinic makes an impact in 2019

Health Professions Division Catalog_2020-2021, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Self Reported Cardiovascular Disease Risk Factors Among Deaf Users: A Communication Barrier, Dr. Jolene Ayres Ogunjirin

Walden Dissertations and Doctoral Studies

Cardiovascular disease (CVD) is the number one cause of mortality worldwide, and may disproportionately affect the Deaf and Hard of Hearing (DHOH) subpopulation in the United States. It has been suggested that communication barriers among the DHOH subpopulation contribute to the high prevalence of CVD risk factors. To assess this claim, this quantitative study utilized a cross-sectional data set of 400 DHOH and 400 non- DHOH participants taken from the National Health and Nutrition Examination Survey (NHANES) database. The differences of being told by a health professional of having specific CVD risk factors were assessed between the two groups and …

2020-2021 Com Student Research Fellowship During Covid-19, University Of New England College Of Osteopathic Medicine

Peter Morgane Research Fellowships

2020-2021 recipients of the University of New England College of Osteopathic Medicine's Peter Morgane Research Fellowship.

Fmic Annual Report 2020 | English, French Medical Institute For Mothers And Children

French Medical Institute for Mothers and Children (FMIC) Archives

No abstract provided.

Occupational Therapy In Haiti: A Pilot Study To Identify Intervention Methods Used During Short-Term Medical Missions, Sheelagh M. Schlegel, Kathleen Mathieson

Occupational Therapy Faculty Publications

Due to the shortage of occupational therapists (OTs) in Haiti and over 800,000 individuals with disabilities, most occupational therapy assessments and interventions are provided by OTs on short-term medical missions (STMMs). Learning which methods OT use to provide assessments and interventions during these STMMs is the first step to understanding how to facilitate followup and carry-over for clients and ensure longevity for STMMs in Haiti. This study used a cross-sectional, descriptive design to gather data on methods used by OTs. Thirty-three OTs, who travelled to Haiti on STMMs, completed a 16-question, online survey. The most common method provided by OTs …