Digital Commons Network^™

Poststroke Seizure And Epilepsy: A Review Of Incidence, Risk Factors, Diagnosis, Pathophysiology, And Pharmacological Therapies, Joseph Phan, Mario Ramos, Theodore Soares, Mayur S. Parmar

HPD Articles

Stroke is the most common cause of epilepsy and ultimately leads to a decrease in the quality of life of those affected. Ischemic and hemorrhagic strokes can both lead to poststroke epilepsy (PSE). Significant risk factors for PSE include age less than 65 years, stroke severity measured by the National Institutes of Health Stroke Scale (NIHSS), cortical involvement, and genetic factors such as TRPM6 polymorphism. The diagnosis of PSE is made by using imaging modalities, blood biomarkers, and prognostic criteria. Electroencephalography (EEG) is currently the gold standard to diagnose PSE, while new combinations of modalities are being tested to increase …

Jefferson Digital Commons Quarterly Report: July-September 2022, Anita Lai, Mlis

Jefferson Digital Commons Reports

This quarterly report includes:

• Articles
• CREATE Day Presentations
• Dissertations
• Grand Rounds and Lectures
• JCPH Capstone Presentations
• Journals and Newsletters
• Posters
• Miscellaneous
• What People are Saying About the Jefferson Digital Commons

The Write Stuff - Summer 2022 (Vol. 19, No. 3), Research Medical Library

Write Stuff 2022

• Next steps after grant rejection
• Resources on new NIH policy for data management and sharing
• What should you include as supplemental material?
• Tips for collaborating with manuscript authors online
• Unusual terms used in scientific writing and publishing: Overlay journal

Full Issue: The International Undergraduate Journal Of Health Sciences, Volume 2, Issue 1, June 2022, Sword Mtu

International Undergraduate Journal of Health Sciences

Full Issue: The International Undergraduate Journal of Health Sciences, Volume 2, Issue 1, June 2022

An Evidence--Based Intervention: Use Of Visual Aids For Patient Education During Bedside Team Rounding, Kristin Clifford, Shay Gruber

Nursing DNP Projects

Abstract Purpose: To increase patient health literacy and satisfaction in hospitalized adult medical-surgical patients through an evidence-based provider intervention (advanced practice providers, APPs, or physicians, MDs) adding visual aids to current verbal patient education methods during daily bedside team rounding (BTR).

Strength of Evidence: A literature review resulted in 15 studies meeting inclusion criteria including two meta-analyses, three randomized control trials, two quasi-experimental studies, five systematic reviews, two descriptive studies, and one clinical practice guideline. Evidence revealed the addition of visual information to verbal and written education methods significantly improves patient knowledge, understanding, and recall of health information and increases …

Animal-Assisted Programs In Deaf Education, Alexis Wright

Undergraduate University Honors Capstones

Dr. Boris Levinson first recognized animal-assisted therapy as a child psychologist in the 1970s (Fine, Beck, & Ng, 2019). After this recognition, there has been an increased usage of animal-assisted interventions (AAI), leading to more research in this field (Fine, Beck, & Ng, 2019). Many studies have shown the effects of animal-assisted programs in classrooms (Prothmann, Ettrich, and Prothmann, 2009, as cited in Grandin, Fine, O'Haire, Carlisle, & Bowers, 2015; Bassette & Taber-Doughty, 2016; Kirnan, Siminerio, & Wong, 2016; Kropp & Shupp, 2017), but none of these have focused on Deaf schools and programs. This study aims to partially fill …

Improving Healthcare Team Communication With Limited English Proficiency Families In The Nicu, Ivonne Mandell

Doctor of Nursing Practice Projects

Language barriers are common in healthcare settings, creating disparities in care between individuals with limited English proficiency and those with English proficiency. In the NICU setting, professional medical interpreters have been shown to improve parent/staff communication and increase parent satisfaction by allowing parents to ask questions and form trusting relationships with staff. Solid parent-provider communication can result in better health outcomes by increasing parental empowerment and participation in their child’s care. Despite the acknowledged advantages of using professional interpreters in healthcare settings, they are frequently under-utilized, even when readily available. The purpose of this project was to improve communication with …

Taking A User-Centered Design Approach To Develop A Data Dashboard For New York State Department Of Health And Implications For Improving The Usability Of Public Data Dashboards / Narrative Competence And Cognitive Mapping As A Culturally Sustaining Pedagogy In The Education Of Emergent Bilinguals, Bahareh Ansari

Legacy Theses & Dissertations (2009 - 2024)

In recent years, the increased availability of public data dashboards provided opportunities to democratize data access by summarizing large amounts of data into accessible snapshots to facilitate educational efforts and encourage evidence-based decision-making. However, many current practices have not reached their full potential because the dashboard design has not accounted for users’ needs and preferences. This dissertation employed the user-centered design framework with three studies. Study 1 investigated the usability problems of existing public health data dashboards through an expert review of existing dashboards on government websites. Study 2 established the requirements of a usable design for public health data …

Development Of An Experienced Quality Measure For Clients, Informal And Formal Caregivers In Home Care In The Netherlands: A Participatory Action Research, Roy Haex, Theresa Thoma-Lürken Phd, Anna J.H.M. Beurskens Phd, Sandra M.G. Zwakhalen Phd, Rn

Patient Experience Journal

To optimise home care provision and to identify potential improvements in the care process, it is important to gain insight into the care experiences that influence care quality. The aim was to develop a qualitative experienced quality measure for home care in The Netherlands, facilitating conversations between clients and caregivers in generating possible points of improvement for the primary care process. A participatory action research design to develop the measure following three iterative cycles, using various data sources in evaluating requirements related to the goal, feasibility in care setting, and usability in the care process. The final design comprises an …

Therapeutic Processes In Clinical Interventions : A View Of Qualitative Methodological Approaches, Jennifer Denis, Marc Tocquet, François Guillemette, Stephan Hendrick

The Qualitative Report

This article examines several qualitative methods to capture and analyze processes in therapeutic and clinical interventions. The study of therapeutic processes provides an understanding of what leads to changes in clinical interventions. This is a goal of any therapeutic intervention. This interest should allow us to try to identify what the therapists do and think they are doing, how they do it, how they think about their interventions, and what happens during the session that might explain changes. These types of studies require that researchers provide clarifications about their epistemological and methodological choices. To meet that requirement, we propose to …

A Pilot Study: An Evaluation Of Accessibility Of Resources For Parents Of D/Deaf/Hoh Children In Ky/Tn, Amara Danturthi

Mahurin Honors College Capstone Experience/Thesis Projects

Most parents of d/Deaf/Hoh children are not Deaf, making it imperative for easy access to diverse strategies to ensure smooth communication between them and their child. Parents make the paramount decision of what their child’s first language should be, therefore, access to current information on communication strategies is crucial in this journey. Many families fall on resources sometimes from sources in different formats to understand what may work best for them. The accessibility and availability of these resources are a crucial component in the parent’s decision-making process. Due to the unique dynamics between hearing parents and d/Deaf/Hoh children, this pilot …

A Multidisciplinary Collaboration Between Graphic Design And Physics Classes Responding To Covid-19, Szilvia Kadas, Eric M. Edlund

The SUNY Journal of the Scholarship of Engagement: JoSE

Students from graphic design and physics classes at SUNY Cortland collaborated during the spring semester of 2020 on a multidisciplinary project related to the COVID-19 pandemic. In these collaborations, the students’ individual contributions were part of a larger project that required a diverse skill set, through which students learned how different skills can complement their own disciplines. The graphic design and physics instructors applied a project-based learning philosophy applying the Common Problem Pedagogy (CPP) framework to construct student-teams composed of both disciplines. This project explored how coordinated social actions can allow the public to exercise control in uncertain times. Students …

Poststroke Seizure And Epilepsy: A Review Of Incidence, Risk Factors, Diagnosis, Pathophysiology, And Pharmacological Therapies, Joseph Phan, Mario Ramos, Theodore Soares, Mayur S. Parmar

HPD Articles

Stroke is the most common cause of epilepsy and ultimately leads to a decrease in the quality of life of those affected. Ischemic and hemorrhagic strokes can both lead to poststroke epilepsy (PSE). Significant risk factors for PSE include age < 65age less than 65 years, stroke severity measured by the National Institutes of Health Stroke Scale (NIHSS), cortical involvement, and genetic factors such as TRPM6 polymorphism. The diagnosis of PSE is made by using imaging modalities, blood biomarkers, and prognostic criteria. Electroencephalography (EEG) is currently the gold standard to diagnose PSE, while new combinations of modalities are being tested to increase diagnostic specificity. This literature review uncovers a newly found mechanism for the pathology of poststroke epilepsy. The pathogenesis of early-onset and late-onset is characterized by sequelae of neuronal cellular hypoxia and disruption of the blood-brain barrier, respectively. Interleukin-6 is responsible for increasing the activity of glial cells, causing gliosis and hyperexcitability of neurons. Epinephrine, high-mobility group protein B1, downregulation of CD32, and upregulation of HLA-DR impact the pathology of poststroke epilepsy by inhibiting the normal neuronal immune response. Decreased levels of neuropeptide Y, a neurotransmitter, act through multiple unique mechanisms, such as inhibiting intracellular Ca accumulation and acting as an anti-inflammatory, also implemented in the worsening progression of poststroke epilepsy. Additionally, CA1 hippocampal resonant neurons that increase theta oscillation are associated with poststroke epilepsy. Hypertensive small vessel disease may also have an implication in the temporal lobe epilepsy by causing occult microinfarctions. Furthermore, this review highlights the potential use of statins as primary prophylaxis against PSE, with multiple studies demonstrating a reduction in incidence using statins alone, statins in combination with antiepileptic drugs (AEDs), and statins with aspirin. The evidence strongly suggests that the second generation AEDs are a superior treatment method for PSE. Data from numerous studies demonstrate their relative lack of significant drug interactions, increased tolerability, and potential superiority in maintaining seizure-free status.

Sharing Is Caring:Decreasing Caregiver Stress For Pediatric Patients Undergoing Inpatient Surgerythrough Visual Communication, Abigail Holman, Jaime Kilmer, Brandon Shipley

2021

No abstract provided.

The Impact Of Icu Telemedicine On Patient Outcomes In The Surgical Critical Care Setting: An Observational Study, Megan Steely

DNP Projects

Abstract

Background: In April 2020, the University of Kentucky (UK) implemented a division entitled the Enhanced Care through Advanced Technology Intensive Care Unit (eCAT ICU) to provide tele-critical care (TCC) services in all critical care areas at UK Healthcare. The eCAT ICU at UK HealthCare was the first TCC delivery system of its kind in the state of Kentucky. Use of TCC has been associated with improved patient outcomes and decreased costs.

Purpose: The purpose of this study was to analyze targeted outcomes in the surgical critical care population pre- and post-implementation of TCC at UK HealthCare. Specifically, the aims …

Perceived Barriers To Health Care Access And Delivery Among Arkansas Medicaid Beneficiaries, Kimbra D. Butler

Walden Dissertations and Doctoral Studies

Arkansas has historically been one of the lowest ranking states in the United States in education, economy, opportunity, crime and corrections, and health care. Though more than 3 million Arkansans live in the state, nearly 1 million receive Medicaid-funded health insurance. This phenomenological study employed a constructivist paradigm and focused on the perceptions of underserved Arkansans regarding their health and their access to health care; additionally, within this study, the Health Belief Model shifted the study’s focus to individuals’ perspectives, perceptions, experiences, and opinions through interview responses. The research was intended to identify factors that may relate to the higher …

Spouses Of First Responders: A Narrative Inquiry Of Survival, Recovery And Healing, Jennifer D. Geiger

University of the Pacific Theses and Dissertations

The nature of the work of emergency responders (i.e., firefighters, law enforcement, paramedics, and dispatch) includes high stress and direct experiences of traumatic situations. The experience of posttraumatic stress is common. The spouse or significant other is often the first person to see a change in their responder and the person most likely to be sought out for support from the responder, yet there is little support for the spouses or significant others of emergency workers. The purpose of this qualitative study using in-depth interviews and narrative inquiry was to learn about participants’ experiences at the 6-day residential treatment (retreat) …

Defiantly Childlike: Using Aesthetic Resistance To Heal, Sarah K. Reagan

Theses and Dissertations

This thesis examines an alternative processing mechanism surrounding the act of healing after traumatic experiences in life. Using a methodology of iterative patterning and tool-pathing, a collection of inflatable garments and wooden mannequins analyzes defense mechanisms learned in early childhood development. This work highlights an essential body of recent scholarship that takes cuteification seriously to restore a childlike approach to mastering fear. This paper will review the definitions of cuteness and childlike humor and then describe how visual culture has implemented these components to subvert established power.

Full Issue: The International Undergraduate Journal Of Health Sciences, Volume 1, Issue 2, December 2021, Iujhs Full Issue

International Undergraduate Journal of Health Sciences

The full June 2021 issue (Volume 1, Issue 2) of the International Undergraduate Journal of Health Sciences

Developing Specialization Model Applications For High School Students, Agus Triyanto, Septinda Rima Dewanti, Widya Juwita Sari

Jurnal Kajian Bimbingan dan Konseling

This study aims to produce a model application of specialization for the majors of high school students. The research method used is the Borg and Gall development research method. The research procedure was carried out by conducting a literature review and preliminary study, planning, developing, validating, revising, testing on research subjects, revising, and finalizing and socializing the application specialization model. The research instrument used is a rating scale. Data analysis was carried out by averaging expert judgments on applying the specialization model that had been developed. In addition, data were also obtained from the results of student interest. The expert …

A Peer Feedback Process To Improve Assistant Nurse Manager Job Satisfaction, Juanita A. Jularbal-Walton

Doctor of Nursing Practice (DNP) Projects

Problem

Healthcare organizations offer different methods of training for emerging and newly hired Assistant Nurse Managers (ANM). Without sufficient orientation to what the role requires, new ANMs receive many requests without adequate guidance on how to respond to patient, staff, and leadership requests. This experience creates unhealthy work environments with low job satisfaction and high turnover rates.

Context

Peer feedback provides an opportunity to reflect on the purpose of the Assistant Nurse Manager role. With sufficient orientation and peer feedback, front-line assistant nurse managers develop competency and role satisfaction, as evidenced by reduced turnover and improved retention.

Intervention

This project …

Evaluation Of Pediatric Rheumatology Telehealth Satisfaction During The Covid-19 Pandemic, Lindsay N Waqar-Cowles, John Chuo, Pamela F Weiss, Sabrina Gmuca, Marianna Lanoue, Jon M Burnham

College of Population Health Faculty Papers

Background: During the Coronavirus disease 2019 pandemic, ambulatory pediatric rheumatology healthcare rapidly transformed to a mainly telehealth model. However, pediatric patient and caregiver satisfaction with broadly deployed telehealth programs remains largely unknown. This study aimed to evaluate patient/caregiver satisfaction with telehealth and identify the factors associated with satisfaction in a generalizable sample of pediatric rheumatology patients.

Methods: Patients with an initial telehealth video visit with a rheumatology provider between April and June 2020 were eligible. All patients/caregivers were sent a post-visit survey to assess a modified version of the Telehealth Usability Questionnaire (TUQ) and demographic and clinical characteristics. TUQ total …

Temperature Changes During Implant Osteotomy Preparations In Human Cadaver Tibiae Comparing Mis® Straight Drills With Densah® Burs, Andrew C Griggs, Crystal M Fausett, Richard J Simonson, Kimberly N Williams, Tiffany M Bisbey, Elizabeth H Lazzara, Joseph R Keebler, Deborah Diazgranados, Vimal K Mishra, Eric J Thomas, Eduardo Salas

Faculty, Staff and Student Publications

INTRODUCTION: Telerounding is slated to become an important avenue for future healthcare practice. As utilization of telerounding is increasing, a review of the literature is necessary to distill themes and identify critical considerations for the implementation of telerounding. We provide evidence of the utility of telerounding and considerations to support its implementation in future healthcare practice based on a scoping review.

METHOD: We collected articles from nine scientific databases from the earliest dated available articles to August 2020. We identified whether each article centered on telerounding policies, regulations, or practice. We also organized information from each article and sorted themes …

Motivations, Experiences, And Aspirations In Patient Engagement Of People Living With Metastatic Cancer, Patricia L. Stoop, Leslie Duran

Patient Experience Journal

The objective of this patient-led study was to explore the motivations, experiences, and aspirations of people living with metastatic cancer who volunteer in patient engagement. This qualitative study filled a gap in lived experience research about patient engagement by focusing on an oft ignored population – those living with metastatic cancer. We used a patient-oriented research approach throughout the research cycle from proposal development to data analysis. A Patient Partner helped develop the project proposal. We selected a qualitative descriptive design to best align with our patient-oriented research goals. The first author, a peer researcher with metastatic cancer, conducted semi-structured …

Pilot Development Of A Critical Food Safety Message Visual Communication Tool For Farmers’ Market Vendors, Lilly W. Jan, Shannon M. Coleman, Anirudh Naig

Journal of Human Sciences and Extension

Farmers’ markets are popular sources of fresh and ready-to-eat foods for consumers in the United States. However, research indicates that food safety practices of vendors and their employees serve as a concern for customers. This pilot study focused on assessing a visual-based, minimal-text educational tool that was disseminated to farmers’ market vendors and employees (n = 27) in Iowa. The tool was evaluated using a post-intervention survey of vendors’ and employees’ knowledge of food safety practices and their attitudes towards the educational tool. The results did not show a statistically significant increase in attitude and knowledge scores of farmers’ market …

Full Issue, Volume 9, Number 3, Donna J. Peterson, Scott Cummings

Journal of Human Sciences and Extension

No abstract provided.

Integrating Telemedicine Services In Ophthalmology: Evaluating Patient Interest And Perceived Benefits, Eric Shiuey, Yehuda Fox, Adam Kurnick, Rony Rachmiel, Shimon Kurtz, Michael Waisbourd

Department of Medicine Faculty Papers

Purpose: The purpose of this study was to assess patient interest and willingness to pay (WTP) for teleophthalmology services, whose benefits include improved healthcare access and potential cost savings.

Patients and methods: Cross-sectional study of 215 patients attending a single tertiary center to assess their interest in teleophthalmology. Comparisons between those interested and those not interested were conducted; logistic regression was used to evaluate the effect of price on interest.

Results: Two thirds (66.5%) of patients were interested in teleophthalmology instead of in-person clinic visits. Those interested were significantly younger than uninterested patients (48.8±22.7 vs 62.4±18.3 years) and were more …

Sex Differences And Neuroimmune Effects Of Microglial Response In The Mesolimbic Reward Pathway In Nicotine Substance Use Disorder, Erin Leigh Anderson

Theses and Dissertations

Smoking remains the leading cause of morbidity and mortality in the United States, with less than 5% of smokers attempting to quit succeeding. This is due to the unpleasant withdrawal symptomology, which includes affective symptoms, such as irritability, weight gain, anxiety, and severe craving among others, as well as the cognitive effects, such as difficulty concentrating. This low smoking cessation success rate is also thought to be due to the long-lasting sensitization of nicotinic acetylcholine receptors (nAChRs) leading to long-term neuroadaptations in the brain’s reward system and alterations in synaptic plasticity that occur following chronic nicotine exposure and withdrawal. Glial …

The 2021 Ipr Future Of Communications In Asia Report, Tina Mccorkindale, Sarah Crawshaw, Su Lin Yeo, Stephen Thomas, Alexis B. Fitzsimmons, Pang, A.

Research Collection Lee Kong Chian School Of Business

The communication function within Asian-headquartered organizations is undergoing significant growth and changes that will be pivotal for its future success, according to a new Institute for Public Relations (IPR) research report. The “IPR Future of Communications in Asia” research report investigates key changes that will impact the future of the communications function. The analysis is based on interviews with 30 senior communications executives based in Asia in a variety of industries from 2019 to 2020, and three focus groups with nearly 20 senior communication leaders in late 2020.

Implementation Of Telehealth Education In A Pre-Licensure Bsn Nursing Program In Rural Southeast Kansas, Anna Beth Gilmore

Doctor of Nursing Practice Scholarly Project

The purpose of this project was to facilitate the implementation of a successful telehealth education program in a pre-licensure nursing program at a regional university in the Midwest. The project took place at Pittsburg State University Irene Ransom Bradley School of Nursing. Participants included eighty-six undergraduate senior students in their last semester of nursing school enrolled in Community Health Nursing preparing to begin their nursing career. The group completed a 20-hour self-paced telehealth educational program offering made available through a partnership with Dr.’s Carolyn Rutledge and Tina Gustin of Old Dominion University Center for Telehealth Innovation, Education and Research (C-TIER). …