Digital Commons Network^™

Relatedness Of Urinary Escherichia Coli Strains And Connection Between Strain Type And Clinical Presentation, Anet Szatkowski, Venkathesh Bai, Matthew D. Sims

Posters

INTRODUCTION
Urine is often not a sterile body fluid. When bacteria in the urine cause symptoms it is by definition a urinary tract infection (UTI). The specific symptoms will point toward a bladder infection (cystitis) or a kidney infection (pyelonephritis). Presence of bacteria in the urine without symptoms defines asymptomatic bacteriuria (AB). Despite requiring symptoms to diagnose a UTI, often AB is misdiagnosed as a UTI and treated with antibiotics when none are needed. Escherichia coli is the most common cause of UTIs accounting for 80-90% of community-acquired UTIs and 30-50% of nosocomial UTIs. The goals of this study are …

Quality Improvement Study On Human Papilloma Virus (Hpv) Vaccination Uptake In Hiv Patients, Hassan Akram, Paul Johnson, Trini A Mathew

Posters

INTRODUCTION HPV is strongly associated with cervical cancer and cancers of vagina, vulva, penis, anus, rectum. In 2019, WHO identified vaccine hesitancy as top 10 global threats and planned to increase the HPV vaccine coverage. In June 2019 Advisory Committee on Immunization Practices (ACIP) in the US recommended shared clinical decision-making regarding HPV vaccinations in adults aged 26 through 45 years. The goal of this project is to evaluate the uptake of HPV vaccination and challenges in the HIV patients at Beaumont Hospital.

Resistance In Gram-Negative Bacteria In The Pediatric Patient Population By Age And Sex, Benjamin Malamet, Matthew Sims

Posters

INTRODUCTION
Previous research within the Beaumont Infectious Diseases Research Program found an increase in antibiotic resistance in adult males versus females. Furthermore, there is a peak in resistance in 18-29-year-old males, not seen in females. The origin of this early peak of antibiotic resistance in adults is unclear. This study examines these trends in the pediatric patient population.

Dietary Supplement Use Among Brca1/2 Mutation Carriers, Ryan Rogers, Tara Ramgarajan, Virginia Uhley, Kristina Ivan, Dana Zakalik

Posters

INTRODUCTION
Women who carry BRCA1/2 mutations are at significantly increased risk of breast, ovarian, pancreatic and other cancer. Little is known regarding the use of dietary supplements among women harboring BRCA1/2 mutations. This study aims to characterize the utilization of and attitudes toward dietary supplement use in women who carry BRCA1/2 mutations.

Identifying Discrepancies In Diagnosis Of Pcos With Use Of Different Diagnostic Criteria, Naveena Daram, Sangeeeta Kaur

Posters

INTRODUCTION
Polycystic ovarian syndrome (PCOS) is the most common endocrine disorder in women of reproductive age. Two main diagnostic criteria are used for PCOS: the Rotterdam and Androgen Excess Society (AES) criteria. Depending on which criteria is used, the diagnosis of PCOS may change. Therefore, our study investigates the discrepancies in the diagnosis of PCOS when using the Rotterdam versus the AES scale in the Beaumont Health System. This is clinically significant because a PCOS diagnosis should not be made lightly as it can come with many lifelong social, emotional, and medical implications.

Vbac Success In Women With Diabetes Mellitus Types I + Ii: A Pilot Study, Emma Randall, Rachel Taylor, Sarah Becker, Zeynep Alpay-Savasan

Posters

Due to a rise in cesarean sections since the 1970s, the American College of Gynecology has acted to reduce unnecessary cesarean deliveries. In 2017, ACOG released clinical management guidelines for vaginal birth after cesarean delivery (VBAC), including a nomogram to predict VBAC success. This nomogram, developed by Grobman et al. (2007), explored factors impacting VBAC success for delivery at term for a singleton pregnancy. While the presence of diabetes was evaluated in the study, it was not found to be a significant factor in predicting outcome. This study will take a more detailed look at if pre-existing diabetes impacts a …

The Impact Of Medical Scribes On Emergency Physician Diagnostic Testing And Diagnosis Charting, Lucas Nelson, Brett R. Todd

Posters

INTRODUCTION
Since the widespread adoption of electronic medical records (EMRs), medical scribes have been increasingly utilized in emergency department (ED) settings to offload the documentation burden of emergency physicians (EPs). Scribes have been shown to increase EP productivity and satisfaction; however, little is known about their effects on the EP’s diagnostic process. We aimed to assess what effect, if any, scribes have on EP diagnostic test ordering and their documentation of differential diagnoses.

Transcatheter Aortic Valve Replacement: Volume Impact On Length Of Stay And Readmissions, Alexander M. Balinksi, Patrick Karabon, Girish Pathangey, Amr E. Abbas

Posters

INTRODUCTION
TAVR is an alternative to surgery in patients with severe aortic stenosis. Procedural volume impacts mortality but little is known of its effect on length of stay (LOS) and readmissions. We sought to examine the impact of transcatheter aortic valve replacement (TAVR) procedural volume on trends in LOS and hospital readmission rates from 2012 to 2016.

Fluoroscopic Demonstration Of Thoracic Tumor Immobilization With High Frequency Percussive Ventilation, Cristian Solano, Ina M. Sala, Beverly Maurer, Ronald Levitin, Thomas M. Guerrero

Posters

INTRODUCTION
High frequency percussive ventilation (HFPV) is a novel immobilization technique that utilizes high frequency low tidal volume ventilation to produce endotracheal percussion. In a previous departmental study of chest wall motion immobilization, it was found that volunteers were able to tolerate HFPV for varying lengths of time – from a few to tens of minutes. By investigating a novel process to immobilize the chest wall, and thus thoracic tumors, it can allow for more localized radiation delivery and reduction of healthy tissue irradiation.

Gauging The Impact Of Interactions With Autistic Children Early In Medical Education, Emily W. Yuen, Helen E. Huetterman, Jessica Korneder, Jason A. Wasserman, Mary O. Dereski

Posters

INTRODUCTION
One in fifty-nine children in the United States are currently diagnosed with Autism Spectrum Disorder (ASD). Despite this high prevalence, medical students receive little training on this unique population. This project aims to determine the impact on first-year medical students’ attitudes toward treatment of children diagnosed with ASD following small group interactions in an Applied Behavior Analysis (ABA) clinic.

Development Of Verbal Behavior In Early, Intensive Behavioral Therapy For Autism Spectrum Disorder, Mthya Jayakumar, Lesly Hendershot, Lori Warner, James F. Grogan

Posters

INTRODUCTION
The current study will explore the relationships between motor imitation (MI) and verbal requesting skills in children who are diagnosed with autism spectrum disorder (ASD). With nearly half of children with ASD evidencing minimal verbal skills, supporting language development is crucial in interventions. Early, intensive behavioral intervention (EIBI) is recommended to help children achieve better developmental outcomes. Functional language training often begins with the verbal requesting skill, MAND. Research suggests that a series of rapid motor imitations before a vocal model could facilitate vocal speech, but little is known about how MI can longitudinally influence functional language development. This …

Pediatric Obesity: A Survey Study Of Patients And Caregivers’ Concern And Interest In Specialized Programs, Dina Abdo, Ryan Rogers, Susan Edlibi, Aimee Pollak, Stacey Shubeck, Kerry P. Mychaliska

Posters

INTRODUCTION
Body mass index (BMI) ≥ the 85th percentile for age and sex is considered overweight in the pediatric population. Pediatric obesity is defined as a BMI at or above the 95th percentile. According to the Centers for Disease Control (CDC), obesity prevalence has tripled over the past 50 years; 1 in 5 school-aged children has a diagnosis of obesity. The purpose of this study is to survey caregivers’ perceptions and concerns about their child’s weight and patient and caregiver interest in a comprehensive healthy lifestyle program.

Effect Of Sars-Cov2 On Adolescent Phq-9 Screening Result, Anisah Hashmi, Aimee Pollak, Leah Ludwig, Kerry P. Mychaliska, Mara Rubenstein, Olufunke Adeyemo, Stacey Shubeck, Liu Qu, Mary Coffey

Posters

INTRODUCTION
The SARS-COV2 pandemic created numerous stressors for adolescents including financial insecurities, family illness or death, home schooling, discontinuation of group activities, and decreased peer interaction. Prior studies have shown an increased risk for self-reported depression symptoms in pediatric patients following traumatic events. The purpose of this study is to compare rates of newly diagnosed depression in adolescents and self-reported depression symptoms prior to and during the pandemic.

Insufficient Sleep Following Pediatric Mild Traumatic Brain Injury Correlates With Neurocognitive Dysfunction, Bailey Hull, Patrick Karabon, Neal Alpiner

Posters

INTRODUCTION
Sleep disturbance of any nature is reported in more than half of all mild traumatic brain injury (mTBI) patients. The pathophysiology of sleep disturbance following an mTBI is associated with structural and functional disruptions of sleep circuitry and circadian rhythm. Specifically, in the pediatric population, untreated sleep disturbance has been shown to delay mTBI recovery and compound other morbidities including neurocognitive dysfunction. It was our goal to further analyze the impact sleep disturbance has on neurocognitive function in children recovering from an mTBI.

Generational Harmony Saves The World: How The Power Of Generation Theory, Gen Z Youth, And Activism Can Mitigate The Climate Crisis, Ryan Hill

Undergraduate Scholarship and Creative Works

This paper explores generations as a concept for understanding and explaining the relationship between major sociohistorical events and societal members, posits generation succession as a way in which long-term social change occurs, compares and contrasts the perceptions of the major generations (Baby Boomers, Gen X, Millennials) created by popular media and scholarly research, illuminates characterizations of the youngest and still-emerging Gen Z, discusses what major sociohistorical events during the time of their adolescence have folded Gen Z into a distinct group with a common generational consciousness, outlines how anthropogenic climate change is a real phenomenon with harmful consequences already affecting …

Characterization Of Cd57+ T-Cell Subset In Blood, Bone Marrow, And Lymphoid Tissue, Michelle Ka Yan Wu, Xia Chen, James Huang

Posters

INTRODUCTION
A CD57+ T-cell subset has shown to have diagnostic and prognostic significances in some cancers. However, its specific distributions in tissues and specific variations among different diseases are yet to be further defined. This Embark project aims to examine the distributions and antigen expression profiles in the CD57+ T-cell subset in peripheral blood (PB), bone marrow (BM), and lymph node (LN).

Comparing Radiological Characteristics Of Neck Pain In Younger Versus Older Patients: A Retrospective Analysis, Jnana Aditya Challa, Abdul Majid Khan, Varna Taranikanti

Posters

INTRODUCTION
Neck pain commonly occurs during the fifth or sixth decade of life due to degenerative changes in the spine. With increased usage of digital technology from a very young age we hypothesized an earlier age of onset of these degenerative changes. There have been no recent epidemiologic studies that investigated difference in radiological changes seen in older versus younger patients presenting with neck pain. Hence, this study is undertaken to analyze the variability in radiological changes seen in the cervical vertebrae between older (>50) versus younger (≤50) patients presenting with the chief complaint of neck pain.

Exploring Social Media Usage And Its Effects On College Students' Mental Health: A Mixed-Methods, Intervention Study, Kimanh Le

Health and Kinesiology Theses

Background: Social media can cause detrimental effects to college students’ mental wellbeing. The purpose of this study was to examine UT Tyler students’ social media usage and its effects on mental health such as depression, anxiety, stress, self-esteem, and the fear of missing out (FoMO). The researcher wanted to see if one specific social media site, Instagram, had more deleterious effects compared to other social media platforms and if reducing time usage would help improve mental health.

Methods: A mixed-methods, intervention design was used. An online quantitative survey link, which contained questions about demographics, social media usage, and mental health …

A Mixed Methods Study Of Cultural Competence Among Nursing Students In Kenya, Sylvia Waweru

Nursing Theses and Dissertations

Significance and Background: Kenya has been experiencing an increase in cultural and ethnic diversity. As a result of cultural differences, health disparities among ethnic groups in Kenya are increasing. A component of patient centered care involves the incorporation of cultural aspects of health and illness in the delivery of nursing care. Understanding cultural competence of nursing students will provide guidance on educational needs related to cultural competence.

Purpose:. The purpose of this study was to assess nursing students’ cultural competence (CC) in the areas of cultural awareness, knowledge, sensitivity, skills, encounters and desire. Nursing students’ views on caring for …

Examining The Effect Of Mentoring On New Hire Aprns, Rochelle Kelly

Doctor of Nursing Practice Projects

Novice advanced practice registered nurses (APRNs) are at risk for isolation, transition difficulties, and burnout. These elements can lead to job dissatisfaction which can negatively impact employee turnover but improving job satisfaction can help retain novice APRNs. Establishing a built-in support system, such as an assigned mentor, upon hire of the novice APRN can improve job satisfaction for both the novice APRN and the experienced mentoring APRN. Improvements in clinic processes, such as implementing a mentoring program, allow the novice APRN to advance their career to an experienced APRN while retaining career satisfaction. Decreasing turnover can lead to significant cost …

Investigation Of Skid Resistance On Asphalt Pavements In Utah, Aaron B. Smith

Theses and Dissertations

Friction is one of the essential aspects of pavement performance and safety. Unfortunately, the rate at which the friction data are being collected exceeds the rate at which the data can be proficiently analyzed. Furthermore, the Utah Department of Transportation (UDOT) lacks long-term trend analysis for the many years of locked-wheel skid trailer (LWST) data collected in Utah. In addition, UDOT is missing a statistically adequate correlation equation between friction-testing devices. Likewise, only one method is used in Utah to prequalify aggregates for use in pavements. Finally, there has not been an investigation of the potential use of lithium silicate …

Diagnostic Accuracy Of Macular Thickness Map And Texture En Face Images For Detecting Glaucoma In Eyes With Axial High Myopia, Christopher Bowd, Akram Belghith, Jasmin Rezapour, Mark Christopher, Leslie Hyman, Jost B Jonas, Robert N Weinreb, Linda M Zangwill

Wills Eye Hospital Papers

Purpose: To evaluate the diagnostic accuracy of a novel optical coherence tomography texture-based en face image analysis (SALSA-Texture) that requires segmentation of only 1 retinal layer for glaucoma detection in eyes with axial high myopia, and to compare SALSA-Texture with standard macular ganglion cell-inner plexiform layer (GCIPL) thickness, macular retinal nerve fiber layer (mRNFL) thickness, and ganglion cell complex (GCC) thickness maps.

Design: Comparison of diagnostic approaches.

Methods: Cross-sectional data were collected from 92 eyes with primary open-angle glaucoma (POAG) and 44 healthy control eyes with axial high myopia (axial length >26 mm). Optical coherence tomography texture en face images, …

The Unspoken Audit: A Closer Look At The Impacts Of Financial Aid Verification, Heather J. Egan

Theses and Dissertations

The purpose of this quantitative study was to determine to what extent the undergraduate students from low socioeconomic and minoritized backgrounds are targeted by financial aid verification at Rowan University, as well as explore whether being selected for verification impacts students' cumulative grade point average (GPA) and first-year retention rate compared to students who are not selected. Analyses included frequencies and crosstabulations of the total undergraduate, degree/certificate-seeking student population (N = 15,976) and first-year, full-time student population enrolled for the Fall 2018 semester at Rowan University (N = 2,871). Results indicated minority students had a +12.7-percentage point gap to being …

Gabriel(Le) Et Marcel(Le): La Fluidité Du Genre Dans Gabriel (1839) De George Sand Et Madame Adonis (1888) De Rachilde, Elisa Rodriguez

French Honors Papers

George Sand and Rachilde, two important French female writers of the 19th c, discuss androgynous characters and borderline homosexual relationships in their works. They are part of a larger literary trend obsessed with liminal characters who are neither masculine nor feminine, or maybe both? This project studies the ambiguity of gender in Francophone literature in the 19^th c, specifically in George Sand’s Gabriel (1839) and Rachilde’s Madame Adonis (1888). Through a close study of two characters - Gabriel(le) and Marcel(le) -, we will discuss sex, gender and sexuality, and explore the ways in which the protagonists maneuver gender boundaries …

Covid-19 And The Subsequent Change On Buyer Behavior, Chloe J. Chadwick Miss

Honors Capstones

The purpose of this Honors Capstone research project is to gain insight and understanding into how buyer behavior may or may not have changed after by the COVID-19 Pandemic through the perspectives of sales professionals, marketing professionals, and consumers themselves. This research project compared data from literary based research, 1:1 interviews, and three unique mass surveys dispersed on LinkedIn to gather information from multiple touch points. There were limitations to this research given the Pandemic is ongoing and there continues to be adjustments to this global phenomenon. Additionally, data collection from interviews and surveys was strictly voluntary and survey responses …

Library Honor, Kassidy Taylor

UNH Today Archive

No abstract provided.

Serving Up A Celebration, Jeremy Gasowski

UNH Today Archive

No abstract provided.

Changing The Game, Keith Testa

UNH Today Archive

No abstract provided.

The Black College Student: How Success On A College Campus Is Influenced By Race, Jeffon F. Stubbs

Theses and Dissertations

The purpose of this study was to evaluate how the racial identity of Black and African American students at Rowan University impacts the success of those students. Success was evaluated from three perspectives - academic success, social aptitude, and emotional wellness. In addition to conducting a comprehensive review of literature related to this topic, an independent research design was carried out to assess how student success is affected by race. A qualitative survey was constructed and distributed to residential students at Rowan University who identified themselves as either Black or African American. The survey asked questions to ascertain the experiences …

Game-Based Refresher Training For Registered Nurse Providers Of Neonatal Resuscitation, Renee Billner-Garcia

Doctoral Projects

Based on evidence suggesting resuscitation provider knowledge and skill decay can occur as soon as four weeks post-training, the American Heart Association (AHA) recommends more frequent resuscitation refresher training. While current resuscitation training and education practices center on simulation training, its cost in terms of supplies, equipment, and personnel may be creating barriers to increasing the frequency of refresher training. This quality improvement project implemented a game-based, refresher training for registered nurse providers of neonatal resuscitation with a focus on improving the time to initiation of positive pressure ventilation (PPV) per Neonatal Resuscitation Program (NRP) guidelines. Using commonly available free …