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Comprehensive Review Of Facial Asymmetry: Etiology, Diagnosis, And Management Strategies, Hiba Ammar Yahya, Sara M. Al-Mashhadany

Al-Esraa University College Journal for Medical Sciences

A certain degree of facial asymmetry is not only a normal biological variation but can also contribute positively to perceived beauty. However, delineating the precise boundary between ‘normal’ asymmetry and ‘abnormal’ asymmetry, the latter necessitating clinical intervention, remains a complex and subjective endeavor. Minor facial asymmetry is commonly observed even in individuals with aesthetically attractive faces, typically remaining indiscernible and thus not requiring any treatment. The determination of when ‘normal’ asymmetry transitions into ‘abnormal’ is frequently influenced by clinician’s aesthetic judgment and, critically, the patient’s perception of imbalance. The perceived abnormality of facial asymmetry is, therefore, highly dependent on individual …

Genetic Basis Of Diabetic Retinopathy: Uncovering Molecular Links And Risk Factors—A Review Article, Ammar Kadhim Alzubaidi

Al-Esraa University College Journal for Medical Sciences

Genetics play a major role in diabetic retinopathy DR, which is a leading cause of blindness worldwide. Although the factors such as how long a person has had diabetes and high blood sugar are important, the wide variation and progression of DR indicates to a clear genetic influence. Early studies focusing on a few candidate genes (such as VEGF) produced conflicting and population-dependent results. This confirmed the multifactorial nature of the disease and the limitations of small-scale studies. Conversely, genome wide association studies (GWAS) have provided more consistent findings in detection a new genes related to DR. For example, rs2239785 …

Relationship Between Hashimoto Thyroiditis And Some Immunogenic Markers, Amani Mahmood Tuama, Aliyaa Taresh Obaid

Al-Esraa University College Journal for Medical Sciences

Hashimoto thyroiditis (HT) is a common autoimmune disorder, affecting women 7–10 times more often than men, that develops because of genetic susceptibility, X chromosome inactivation patterns modulated by environmental factors as well as micro biome composition, and leads to an imbalance in self-tolerance mechanisms. The consequential thyroid infiltration by lymphocytes, potentiated by antibody-mediated autoimmune response through the antibodies against thyroid peroxidase (TPO Abs), leads to a destruction of thyrocytes. The presence of TPO Abs is associated with a 2 to 4-fold increase in the risk of recurrent miscarriages and preterm birth in pregnant women. Aim: The aim of the study …

Wettability Assessment Of Room-Temperature Soft Liners Incorporated With Strontium Titanate Nanoparticles, Zakaria Azzam Alabed, Aseel Mohammed Al-Khafaji

Al-Esraa University College Journal for Medical Sciences

Background: Soft denture liners are widely used in prosthodontics for their ability to cushion masticatory forces and enhance comfort in patients with compromised oral mucosa. However, conventional liners often exhibit limitations such as poor adhesion to the denture base, microbial colonization, and inadequate mechanical stability. Materials and Methods: Strontium titanate (SrTiO₃) nanoparticles were incorporated into a self-cured soft denture liner. Three equal groups of fifteen specimens were created, each of which contained 0%, 1%, and 1.5% SrTiO₃ by weight. All procedures were conducted under simulated intraoral temperature, following manufacturer guidelines. Results: The analysis revealed statistically significant differences …

Gpbb And Tg/Hdl Ratio As Emerging Indicators In Iraqi Patients Diagnosed With Acute Coronary Syndrome, Alzahraa Ahmed Ammash, Walaa Ismael Jassim, Mohammed Mezher Hussien

Al-Esraa University College Journal for Medical Sciences

Background: ACS is one of the most critical health challenge worldwide. It consists of several conditions resulting from a sudden reduction in blood flow to the heart muscle. The early diagnosis is essential to improve the diagnostic accuracy and risk stratification. This relies on finding early, sensitive and specific biomarkers. Among these biomarkers are GPBB (glycogen phosphorylase isoenzyme BB), also referred to as the brain-type isoform (PYGB), which is primarily expressed in the brain and heart tissues and the triglyceride-to-HDL cholesterol ratio (TG/HDL). GPBB has recently gained interest as a potential early marker for myocardial ischemia with high novelty, whereas …

The Effect Of VItex Agnus-Castus L. Medium On In Vitro Oocyte Maturation Rate, Nabaa Al-Nawab

Al-Esraa University College Journal for Medical Sciences

In vitro maturation (IVM) of oocytes offers a possible alternative to traditional in vitro fertilization (IVF) for individuals susceptible to ovarian hyperstimulation syndrome (OHSS). The use of plant-derived bioactive composites as supplements in culture media has attracted attention for their potential to enhance oocyte developmental competence in the absence of synthetic hormones. This investigation aims to examine the effect of Vitex agnus-castus L. (VAC) aqueous extract on the in vitro maturation rate of murine oocytes. A total of 16 mature female mice were divided into two groups, 8 animals in each group. Immature oocytes were collected and cultivated for …

Detection Of Uropathogenic Bacteria In The Samples Of Iraqi Male Patients, Marwa M. Al-Attar

Al-Esraa University College Journal for Medical Sciences

Prostate disease is found in elderly persons, the prostate is a male reproduction organ. It is approximately the size of a plum that may be found near the bladder’s base. It is the primary cause of the three commonest diseases: prostatitis, benign prostatic hyperplasia (BPH), and prostate cancer (PC). This study designed to identify the uropathogenic bacteria that caused prostate disorders in Iraqi male samples. A current study included 180 subjects from the Iraqi population, 135 patients were divided into three groups (prostate cancer, benign prostate hyperplasia and prostatitis), according to signs, symptoms and diagnosis by the physician each group …

Prevalence Of Aminoglycoside Resistance Genes Among Esβl Producer P. Aeruginosa In Burn Cases, Yasser Rabee Ibraheem, Majida Malik Alshammari

Al-Esraa University College Journal for Medical Sciences

Pseudomonas aeruginosa recurrently develops resistant towards aminoglycosides by gaining of aminoglycoside modifying enzyme (AME) genes. The study aimed to assess the antibiotic susceptibility profile of P. aeruginosa isolated from burn infections in hospitals in Baquba, AL Najaf and Karbala. Detection of genes that mediate the production of AMEs. 175 Burn swab (110 males and 65 females) were collected then cultured on MacConkey‘s and Blood agar for primary culture, and Cetrimide agar was used to isolate and purify the bacteria and incubated aerobically at 37°C for 24 hours. Then, Vitek 2 system to validate the results. Results revealed that 70 (40%) …

Antimicrobial Resistance Trends And Sccmec Typing Among Mrsa-Infected Diabetic Foot Cases In The Al-Najaf Community, Zahraa Hashim Abd Zaid Al-Sharoofi, Majida Malik Alshammari, Mohammed Abdzaid Akool

Al-Esraa University College Journal for Medical Sciences

Methicillin-resistant Staphylococcus aureus (MRSA) is a major cause of healthcare-associated infections worldwide, often linked to multidrug resistance and limited treatment options. This cross-sectional study aimed to investigate the molecular characteristics and antimicrobial resistance profiles of MRSA isolates recovered from diabetic foot ulcers in Al-Najaf Governorate, Iraq. A total of 76 S. aureus isolates were collected from patients attending three major hospitals. Identification was conducted using conventional microbiological methods, and methicillin resistance was confirmed phenotypically via cefoxitin disc diffusion and genotypically through PCR amplification of the mecA gene. SCCmec typing was performed using multiplex PCR. The findings revealed that 92.1% of …

Joyful Nursing By Leading With Heart In Perinatal Loss Care And Staff Wellness, Kelli Griffiths, Holly Puckett, Bruce Slagle

Montview Journal of Research & Scholarship

This quasi-experimental study evaluates if providing individualized follow-up care through self-care bags, follow-up phone calls, open communication for debriefing, and tailored mental health resources enhances support for obstetric staff and improves their ability to care for patients experiencing perinatal loss. Interventions were implemented from February 2024 to August 2024. A total of 103 self-care bags were distributed throughout the designated hospital systems’ two labor and delivery departments. A five question post-intervention survey was conducted and found the following question to be statistically significant, “I feel the joy in nursing would be restored, to a degree, if obstetric staff were more …

Sleep Menus: A Personalized Approach To Enhancing Patient Rest And Improving Sleep Quality, Justin W. Dorman

Doctor of Nursing Practice (DNP) Manuscripts

Sleep disruptions among hospitalized patients can negatively impact healing, recovery, and patient satisfaction. Hospital noise remains a persistent barrier to restful sleep, yet previous hospital-based noise reduction strategies have shown limited sustained success. This quality improvement project aimed to enhance patient-perceived sleep quality by implementing a patient-centered Sleep Menu offering patients earplugs or sound machines. A pre-post design was employed, using the Richard-Campbell Sleep Questionnaire (RCSQ) to assess patients' sleep quality before and after the Sleep Menu intervention. Sixty patients were approached; 25 chose earplugs, and 7 selected the sound machine. Despite environmental decibel levels remaining above the WHO recommendations …

How Ot Is Improving Aspects Of Daily Living In Children With Asd: An Integrated Review, Elizabeth Mearse, Reagan Mcgee, Elshaday Solomon, Zoe Curtis, Larissa Brooks

Student Scholar Symposium

This presentation aims to show how affective Occupational therapy is in improving aspects of daily living in children under 18.

In Pregnant Women, What Is The Effect Of Nutritional Guidance And Intervention On Maternal And Fetal Health Outcomes Compared With Standard Or No Nutritional Counseling Within The Prenatal And Postpartum Period?, Kaitlyn Boyer, Ainsley Cash, Mallye Merritt, Meagan Enbody

Student Scholar Symposium

No abstract provided.

Effect Of Nutritional Guidance And Intervention On Maternal And Fetal Health Outcomes, Kaitlyn Boyer, Meagan Enbody, Mallye Merritt, Ainsley Cash

Student Scholar Symposium

Title: Effect of nutritional guidance and intervention on maternal and fetal health outcomes

Short Title: Impact of nutrition guidance on maternal and fetal health

Keywords: nutritional guidance, pregnancy, pregnancy outcomes, maternal and fetal health, nutrition teaching

Association Between The Diet Of Adolescents In America And The Prevalence Of Depression Found Within This Population, Mary Hoffman, Belinda Asamoah, Fadeyemi Okewusi

Student Scholar Symposium

Poor nutrition and lack of physical activity increase the risk of chronic mental and physical health conditions such as depression and obesity in American adolescents. Depression is the leading mental illness found in adolescents across the United States and less than 1 in 10 children eat their recommended vegetables, only 16 % of adolescents meet U.S. physical activity guidelines, 36.3% consume fast food on a given day, and as many as 20% are obese. These numbers show a rapid rise along with the availability of fast food. Multiple studies examine the relationship between healthy nutrition and the signs and symptoms …

Emergence Delirium In Post-Op Pediatric Patients With Pharmacological And Non-Pharmacological Care: An Integrative Review, Ava Yune, Chloe Renaldi, Morgan Taylor, Jennarose Rangel, Alysa Penicaro

Student Scholar Symposium

No abstract provided.

The Effects Of Probiotics And The Low-Fodmap Diet On Symptoms Of Irritable Bowel Syndrome, Charlotte A. Renfrow, Carsyn Wharton, Jordan Overstreet, Jordyn Munch

Student Scholar Symposium

The Effects of Probiotics and the Low-FODMAP Diet on Symptoms of Irritable Bowel Syndrome

Keywords: gut microbiome, probiotics, low FODMAP, IBS

Sugar Sweetened Beverages And Dental Caries Prevalence In Children: An Integrative Review, Caroline Carr, Hailey Servin, Jada Davita, Addie Clementz, Bekah Doolittle

Student Scholar Symposium

Are children who consume sugar-sweetened beverages (SSBs) at increased risk for dental caries compared with children who don’t consume high SSBs during childhood? It has been previously established that children who consume (SSBs) are at an increased risk for dental caries. Nonetheless, we raise the question again to consider the current literature and statistical analyses of current trends. Are American children consuming fewer SSBs and subsequently developing fewer dental caries since before 2000? We are investigating this question to discover if the relationship between SSB consumption and the development of dental caries in children is a continued problem among children …

The Treatment Of Polycystic Ovary Syndrome (Pcos) Using Synthetic Hormone Therapy Versus Holistic Approaches: An Integrative Review, Sarah Mullin, Olivia Matis, Olivia Fair, Emma Joy Dolan, Jennifer Hicks

Student Scholar Symposium

Is synthetic hormone therapy more effective in treating PCOS compared to holistic approaches such as acupuncture, herbal medicine, supplements, and microbiome support?

Neonatal Immune System Development And Infection Susceptibility Within The First 6 Months After Vaginal Versus Cesarean Section Delivery: An Integrative Review, Lauren Ford, Jordan Lanham, Itzel Romo, Kelsey Olson, Leydi Ortiz-Barcenas, Jennifer Hicks

Student Scholar Symposium

No abstract provided.

Mitral Valve Surgery Outcomes, Post-Robotic Assisted Surgery, Compared To Traditional Surgical Procedures: An Integrative Review, Joshua Laborete, Jenna Grace Young, Hannah Fitzgerald, Dylan Crowder, Madelyn Lam, Presely Radar

Student Scholar Symposium

No abstract provided.

Staff Education To Improve Patient Medication Adherence For Schizophrenia Using Long-Acting Injectables, Adela Ghogomu

Walden Dissertations and Doctoral Studies

This doctoral project was conducted as a staff education initiative based on a comprehensive literature review that emphasized the importance of staff education in improving healthcare outcomes. The practice problem identified was a lack of staff knowledge and education regarding long-acting injectables (LAIs) in clients with schizophrenia, which contributed to inconsistent support for client medication adherence. It was essential to address this issue because nurses play a crucial role in medication management, patient education, and adherence support. The practice-focused question explored was: Will staff education regarding the use of long-acting injectables in clients with schizophrenia to enhance medication adherence improve …

Developing Nlp-Based Open-Source Tools To Improve Titratable Infusion Order Interpretation In Ehr Systems, Benjamin Brewer, Jay Dorris

Student Scholar Symposium

This study evaluates the feasibility of using natural language processing (NLP) tools to identify errors in titratable infusion orders for Joint Commission readiness. Titratable infusions are adjusted at the bedside by nurses based on predefined parameters, such as monitoring goals, titration rate, conditions for adjustment, and maximum dose. These parameters are often documented as free text within order sets but can be inadvertently removed during the verification process. Some electronic health records (EHRs) may not prominently display this critical information, leading to potential Joint Commission violations. A synthetic dataset was generated using artificial intelligence to simulate one year’s worth of …

Importance Of Sustainability Within Children’S Hospitals, Ashley Newby

Student Scholar Symposium

Author: Ashley Newby

Presentation Type: Poster

Faculty Mentor: G. Dodd Galbreath

Discipline: Sustainability and Pediatric Nursing

Importance of Sustainability within Children’s Hospitals

Sustainability is an important aspect of every environment that one encounters. For pediatric patients entering a children’s hospital, it is probably not something that is important and at the top of their list when looking for healthcare. However, sustainable children’s hospitals have not only their patients as their first priority, but they also take the earth into account. Some might not realize that they are walking into a sustainable children’s hospital unless someone tells them.

Topics include:

-Look …

Enhancing Readiness Of Novice Nurse Educators To Use Concept Mapping As An Active Learning Strategy, Kaitlyn Dutch

MSN Student Capstones

No abstract provided.

Reducing The Use Of Erythropoiesis-Stimulating Agents In Hemodialysis Patients, Myriamme Neree

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project was a quality improvement (QI) initiative. Nephrologists were inconsistent in ordering iron studies and sometimes delayed the initiation of erythropoiesis-stimulating agents (ESAs) on admission to the inpatient site. These delays often led to suboptimal outcomes. The practice-focused question guiding the project asked whether a nurse-driven iron protocol would improve adherence to anemia management guidelines. The project’s purpose was to evaluate the impact of the evidence-based nurse-driven protocol. I used descriptive and inferential statistics for data analysis. Findings demonstrated a statistically significant improvement in the timely completion of iron studies and in intravenous (IV) iron …

Nursing Faculty Attitudes Toward Artificial Intelligence: A Quantitative Causal-Comparative Cross-Sectional Study, Micaela Mcspadden

Doctoral Dissertations and Projects

The rapid growth of artificial intelligence (AI) in healthcare has highlighted the importance of understanding how nursing faculty perceive this technology. Although prior studies have explored public views, nurses’ perceptions, and faculty attitudes toward technology and curriculum change, limited research has focused on nursing faculty perspectives toward AI. Through the lens of the Theory of Reasoned Action (TRA) and the Technology Acceptance Model (TAM), this study examined factors that influence nursing faculty attitudes toward AI in nursing education. This study used a quantitative, causal-comparative, cross-sectional design with 263 nursing faculty participants from undergraduate pre-licensure programs in the United States. Participants …

Bridging The Gap: Optimizing Outpatient Care Delivery In Rural Kenya Through A Telemedicine Workflow Training Initiative, Elizabeth K. Bennett

Doctoral Dissertations and Projects

Access to timely, high-quality outpatient care in rural Kenya is constrained by workforce shortages, geographic barriers, and inefficiencies in care delivery. This Doctor of Nursing Practice project evaluated the impact of implementing a structured telemedicine workflow and training program for a regional mission hospital in the highlands of Western Kenya and its satellite outpatient clinic. Guided by the Iowa Model of Evidence-Based Practice, Kotter's Change Theory, and the reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) framework, the project employed a quasi-experimental, pre-post design, with eight medical providers participating in structured workshops, interactive telemedicine simulations, and workflow integration exercises. Impacts were …

Workplace Violence: A Paradigm Shift, Ann Marie Hutchens

Doctoral Dissertations and Projects

Workplace violence (WPV) has reached epidemic proportions. WPV poses devastating results on the healthcare industry: affecting quality of care and patient outcomes, contribute to the development of physical and psychological conditions for nurses, and reduce the healthcare teams’ level of job satisfaction and organizational commitment. The United States is already facing a nursing shortage due to baby boomers retiring and an increase chronic disease and the elder population. Although strongly prevalent, WPV is significantly underreported. It is believed that the low rate of reporting is a consequence of apathy that violence is an occupational hazard, and that nothing will change. …

Staff Education To Improve Knowledge Of Probiotic Use And Benefits For Best Patient Outcomes, Rebecca M. Hoover

Walden Dissertations and Doctoral Studies

Abstract The staff education project to improve knowledge of probiotic use and benefits with antibiotic use, has shown to improve patient recovery and outcome. The post-implementation impact of the project is increased awareness of probiotic use and their benefits to prevent Antibiotic. Associated Diarrhea at the project site organization. I identified no limitations in the project. Staff education can be used worldwide to prevent digestive diseases with the use of probiotics supplements or probiotic food. Probiotics use is to improve patient outcomes by maintaining gut microbiome and digestive health. The evidence-based practice solution of a staff education on probiotic use …