Digital Commons Network^™

Implementation Of A Decision Tree To Address Moral Distress, Tijuana Milton, Flor Culpa-Bondal, Sheryl Winn, Debra Hagerty

Graduate Research Showcase

Problem: According to the American Association of Critical-Care Nurses (AACN), moral distress (MD) is a major issue in the healthcare profession (2015). Many healthcare workers (HCW) are not aware of MD. The inability to recognize MD may lead to departing the profession.

Purpose: To offer an educational workshop about MD 1) explore the frequency and level of MD (2) establish a decision tree to mitigate MD.

Background: MD occurs when a person understands what they should do but cannot, due to organizational policies. The pandemic has exacerbated MD.

Design: A mixed-method study: Measure of Moral Distress for -Healthcare Professionals (MMD-HP) …

Side-By-Side Comparison Of Fluorescent Mg2+ Sensor Platforms, Hailey Lightle, Wren Konickson, Joey Bogaudo, Evan Pratt Dr

Celebration of Student Scholarship

Mg2+ is an essential metal that regulates the structure and function of biological macromolecules, including enzymes and nucleic acids, and cellular metabolites. Mg2+ is integral to supporting nerve and muscle function, the immune system and bone health, and Mg2+ deficiency and dysregulation of Mg2+ homeostasis are associated with the development of cardiovascular disease, diabetes and osteoporosis. Despite the well-accepted role of Mg2+ in preserving cellular and organismal health, the activity and regulation of Mg2+ at the single cell level is ill-defined. Genetically encoded fluorescent sensors can be used to illuminate the localization and behavior of metal ions in cells with …

Thermal Tolerances Of The Invasive Macrophyte Hydrilla Verticillata, Joshua Williams

Graduate Research Showcase

Invasive species often rapidly spread due to their ability to adapt to a wide range of habitats they can occupy and lack of competition. Hydrilla verticillata is an invasive aquatic macrophyte that has spread across the United States due to human activities. Like many aquatic plants, Hydrilla has the ability to reproduce through fragmentation of the mother plant. In this method, Hydrilla fragments are then dispersed by water current to other areas where they can settle and grow. To date, little is known about the abiotic conditions that may restrict the spread of invasive Hydrilla. However, compared to other macrophytes …

Finding Eternal Life At The Intersection Of Bergson And Proust, Kelly Capers

Graduate Research Showcase

Finding Eternal Life at the Intersection of Bergson and Proust is a research project that explores the relationship of spirit and matter attempting to answer the question: Does the Proust Effect prove humans have an eternal soul? The Proust Effect is defined as “the vivid reliving of events from the past through sensory stimuli” based on a passage in the novel Swann’s Way by Marcel Proust. Applying quantum mechanics to Proust’s themes of time and memory and philosopher Henri Bergson’s studies of matter and spirit, one can examine how the body and soul connect. Proust’s labyrinth of language offers a …

Accelerometry Reveals Hidden Variation In The Movement Response Of Timber Rattlesnakes (Crotalus Horridus) To Roadways, Anna F. Tipton, Morgan L. Thompson, Dominic L. Desantis

Graduate Research Showcase

Roadways are among the most widespread and disruptive anthropogenic land use features that influence the behavior and movement of wildlife. Negative impacts including vehicle-induced mortality, habitat destruction and fragmentation, and creating barriers to movement have been well documented across taxa, but the fine scale behavioral impact of roadways on smaller, cryptic species has yet to be directly examined. Using a novel integration of emerging spatial analyses and tri-axial accelerometry, we quantified spatial and temporal aspects of movement and space use in order to investigate the coarse and fine scale influence of roadways on the movement patterns of Timber Rattlesnakes (Crotalus …

Affirming Practices In Working With Lgb Youth (Eila), Gayle Mallinger

Social Work Faculty Publications

Learning Outcomes:

• Explain the Impact of Contexts Impacting LGB Youth.
• Identify Risks/Challenges to LGB Youth.
• Develop Interventions (micro/mezzo/macro) to Assist LGB Youth.

Migrant And Refugee Center: Demographic Collection For Strategic Outreach, Russell Cook

Petersheim Academic Exposition

No abstract provided.

Migrant And Refugee Center: Health Demographic Collection For Strategic Outreach, Russell Cook

Petersheim Academic Exposition

No abstract provided.

Implementing An Evidenced-Based Motor Lab Into A Primary School Setting, Stacey Sanders

Post-Professional Occupational Therapy Doctorate - Innovations in OT Symposium: Transforming Possibilities into Practice

No abstract provided.

Are Pharmacists Up To Speed?: Pharmacy Driven Initiatives, Allison Vargas

All Publications

No abstract provided.

Client-Centered Outcome Measurement For Goal Setting, Treatment Planning, And Documentation In Home And Community Health Utilizing Promis Rasch Model Outputs, Andra Stormer

Post-Professional Occupational Therapy Doctorate - Innovations in OT Symposium: Transforming Possibilities into Practice

No abstract provided.

Telehealth In Western North Carolina: Ensuring Equitable Health Outcomes, Matthew Maynard

Post-Professional Occupational Therapy Doctorate - Innovations in OT Symposium: Transforming Possibilities into Practice

No abstract provided.

Finessing Fine Motor Skills: Implementing A Parent Education Module And The Use Of A Fine Motor Box To Address Fine Motor Skills And Fine Motor Delays In Elementary Age Children, Rebecca Derrick Campbell

Post-Professional Occupational Therapy Doctorate - Innovations in OT Symposium: Transforming Possibilities into Practice

No abstract provided.

Data Visualization Using External Data, Sarah H. Theimer

Faculty Publications

This presentation describes how OpenRefine properties (native language, country of citizenship, sex/gender and religion/worldview can be used to enhance MARC data and provide more information about a library collection. The most authors did match to a Wikidata record. Of the records that matched sex/gender was the most frequently populated property. Using Alma’s Data Visualization feature we linked Wikidata properties with alma information to get a clearer understanding of the authors in the philosophy collection.

Establishing A Rifaximin Criteria For Use Protocol For Hepatic Encephalopathy, Allison Vargas, Stephanie Palma, Erika Dittmar, Heidi Clarke

All Publications

No abstract provided.

Initial Antihyperglycemic Options For Populations With Type 2 Diabetes Who Cannot Take Metformin, Rena Ogino

Capstone Showcase

Type 2 diabetes is a common disease in the United States that can result in life-threatening cardiac, vascular, and/or renal complications. The treatment of type 2 diabetes includes but is not limited to exercise, diet, multi-disciplinary approaches, and pharmaceuticals. Metformin is the first line pharmaceutical for newly diagnosed type 2 diabetes, however patients may be unable to tolerate metformin. With more than seven different antihyperglycemic drug classes and over twenty antihyperglycemic drugs, clinicians may have difficulty choosing the best agent for patients when metformin is not tolerated. This article compares common anti-hyperglycemic pharmaceutical agents and their drug classes, focusing on …

Necrotizing Fasciitis Caused By Vibrio Vulnificus: Cme, Michael Davis

Capstone Showcase

Vibrio vulnificus is a gram-negative bacillus that is found in warmer bodies of saltwater and brackish water. It can cause gastrointestinal syndromes as well as necrotizing fasciitis in rare cases. The latter has a worse prognosis and must be treated aggressively with antibiotics. Other adjunctive treatments may be used as well, such as hyperbaric oxygen, debridement, and early amputation. Antibiotic resistance and rising temperatures may contribute to increased cases along with refractory strains.

Clinical Pearls To Diagnosing Lyme Arthritis, Chandelle Keller

Capstone Showcase

Arthritis is one of the most common long term sequelae of Lyme disease infection in humans. Although the pathophysiology for Lyme arthritis is not concretely understood, there are several key features that are helpful in diagnosing Lyme disease as the culprit for the arthritic symptoms that an individual is experiencing. With a thorough history of an individuals’ age, geographic location, recent travel history and common outdoor recreational activities engaged in, a differential can be narrowed down. With the knowledge of how various arthritides present in the body, along with the use of diagnostic testing with ELISA and Western immunoblot, any …

The Benefit Of Bdnf Modification In The Treatment Of Post-Stroke Depression, Christine Gordynskiy-Ageyev

Capstone Showcase

Neuroplasticity has been a rapidly expanding area of research, and its findings have elucidated the potential of taking advantage of some of its components for the treatment of various neural pathologies. Stroke is the most common cause of long-term disability, and it is a disease process that affects many people. There are many rehabilitation programs that seek to restore a patient’s motor and cognitive functions after stroke; if not fully, then at least partially. Unfortunately, mental health changes contribute in large part to the overall disability of a patient, but these changes are not always targeted in these programs. In …

Quality Of Life Before And After Cosmetic Surgery: Should Body Dysmorphic Disorder Be Considered An Absolute Or Relative Contraindication For Cosmetic Surgery?, Lindsay Conlisk

Capstone Showcase

Body Dysmorphic Disorder (BDD) has historically been regarded as a strong contraindication for cosmetic plastic surgery. New research now suggests that the contraindications to cosmetic surgery in patients with BDD may not be so absolute. This paper reviews diagnostic criteria, diagnostic challenges, and current standard of treatment of BDD. It then presents the idea of insight analysis in the BDD patient as a significant factor in determining if patients with BDD may or may not benefit from cosmetic surgery or procedures.

Treatment Of Hypothyroidism: Desiccated Thyroid Extract, Aimee Fong

Capstone Showcase

The treatment of hypothyroidism with Levothyroxine (T4) has been well studied and FDA approved. However, many patients continue to have signs and symptoms of hypothyroidism while on Levothyroxine treatment despite reaching appropriate thyroid levels. An additional thyroid treatment known as desiccated thyroid extract (DTE) is made from dried pig thyroid glands and is advertised as a “natural” alternative to Levothyroxine. Despite lack of FDA approval and studies surrounding DTE, clinicians have prescribed DTE to patients, many of whom reported relief of their symptoms. The following poster highlights the approach to the treatment of hypothyroidism with Levothyroxine and DTE and outlines …

Vulvodynia: Making The Diagnosis And Improving Treatment Outcomes, Sophia Campbell

Capstone Showcase

Vulvodynia is an underdiagnosed condition that affects about 25% of women1. Patients report frustration and a lack of knowledge in the medical community regarding their symptoms of vulvar pain. Painful penetration makes performing an internal pelvic exam difficult, and patients may avoid annual gynecological appointments due to fear. It is imperative for providers to understand and implement the correct approach for accurate diagnosis. Once the diagnosis of vulvodynia has been identified, the multimodal treatment plan should be implemented to include pharmacological therapy, referral to physical therapy, and psychotherapy. With continued research and the use of evidence-based practice, the gap in …

Conditions That Mimic Attention Deficit Hyperactivity Disorder In A Pediatric Population: A Diagnostic Guide For Primary Care Providers, Elena Schatell

Capstone Showcase

This article outlines common neurobiological, developmental, psychological, and other medical diagnoses and conditions that symptomatically mimic attention deficit hyperactivity disorder (ADHD) in the pediatric population. Many of these disorders are comorbid with ADHD, but they may also be misdiagnosed as ADHD. Due to the similarity in presentation, these conditions must be included when formulating a differential diagnosis. Accurately diagnosing a child with ADHD requires a thorough evaluation and work up to rule out diagnoses on the differential.

Cme: Identification And Management Of Multisystem Inflammatory Syndrome In Children, Sarah Lasser

Capstone Showcase

This CME poster discusses Multisystem Inflammatory Syndrome in Children, or (MIS-C), which was first described in Europe in April 2020 as a post viral inflammatory syndrome. Since then it has gained attention worldwide and become better understood. This CME aims to give providers a brief overview of the current knowledge regarding MIS-C, as well as recommendations for recognition, diagnostic studies, treatment, and follow-up of this disease.

Case Report: Fournier's Gangrene, Abigail Groos

Capstone Showcase

•Fournier’s gangrene is a rare manifestation of the already sparse skin infection known as necrotizing fasciitis, specifically of the scrotal and perineal region. This case illustrates a patient in the emergency department with a severe necrotizing skin infection who quickly progressed to sepsis and multiorgan damage. It is important to understand the common presentation, complications, and ideal management of patients with necrotizing fasciitis.

Continuing Medical Education On Immunothombosis In Sepsis, Vivienne Van Nguyen

Capstone Showcase

In the past decades, the incidence of sepsis complicated by immunothrombosis has increased in critically ill patients, especially those with sepsis and septic shock. Despite intensive surveillance and prevention of the underlying causes, these disease syndromes are frequently fatal. The increased incidence of immunothrombosis in sepsis has been accompanied by many critical issues and concerns regarding current diagnostic and treatment protocols. This paper offers a concise critical assessment of the current state of knowledge about sepsis and immunothrombosis among clinicians in the ICU as well as problem concerning the recognition of sepsis and immunothrombosis and their management.

Case Of Acute Onset Cerebral Ischemia Involving The Subcortical Region: Corona Radiata, Devin Nichols

Capstone Showcase

Corona radiata cerebral infarcts have the capability of leaving detrimental residual deficits if not recognized and treated promptly. This article describes the presentation and management of a 43-year-old woman who was transferred from a local community hospital to a larger institution’s emergency department. Initially presenting with nausea, vomiting, and dysarthria and examined global left sided extremity weakness and dysarthria, leading to a confirmed diagnosis via magnetic resonance imaging (MRI) of a corona radiata infarction.

Altitude Illness, Kali Hepner

Capstone Showcase

With an increasing number of individuals traveling to high altitudes, it is important to address the risk these individuals face of developing altitude related illnesses. An example of high altitude related illness might be the elevation transition of travelers flying into Denver, Colorado (1,673 m) with the intention to then drive up to Rocky Mountain National Park’s Alpine Visitor Center (3,595 m) in the same day. This poses increased risk of unacclimatized visitors experiencing altitude illness in remote areas of the national park. This poster summarizes the diagnosis, prevention, and treatment of altitude illnesses so that clinicians and travelers may …

Will Screening Women For Bacterial Vaginosis In Pregnancy Reduce The Adverse Outcomes Of Bacterial Vaginosis Infection In Pregnancy, Such As Preterm Delivery Or Low-Birth-Weight Infants?, Lauren Greiner

Capstone Showcase

Abstract

Background: Bacterial Vaginosis (BV) is a common genital tract infection in women, and in pregnant women, has been linked to adverse birth outcomes such as premature delivery and low-birth-weight infants. The treatment of BV is either Metronidazole or Clindamycin, both of which are safe during pregnancy. Currently, there are no current guidelines for screening asymptomatic women for BV while pregnant. This paper aims to analyze current literature to determine if screening asymptomatic pregnant women will reduce the outcome of preterm and low-birth-weight infants.

Methods: A literature search was completed using search terms such as “bacterial vaginosis AND screening AND …

Diagnostic Imaging Read By Ai-Assisted Technology Within The Emergency Department, Joshua Leland

Capstone Showcase

Introduction: The emergency department (ED) has had an appreciable increase in volume over the past two decades with more individuals utilizing the ED now than a decade ago which has placed a strain on healthcare resources. Specifically adding to the rising costs in healthcare are diagnostics including chest x-rays. To combat this, institutions across the nation are developing deep-learning and artificial intelligence (AI) programs to assist in reading these diagnostics. Therefore, this systematic review analyzes the use of AI programs by clinicians in the ED to read diagnostic imaging compared to those who do not use these algorithms.

Methods: This …