Medicine and Health Sciences Commons^™

Combining Frameworks To Improve Military Health System Quality And Cybersecurity, Dr. Maureen L. Schafer, Dr. Joseph H. Schafer

Military Cyber Affairs

Existing conceptual frameworks and commercially available technology could be considered to rapidly operationalize the use of Quality Measures (QM) within military health systems (Costantino et al. 2020). Purchased healthcare as well as digital healthcare services have paved the way for data collection from multiple information systems thus offering stakeholders actionable intelligence to both guide and measure healthcare outcomes. However, the collection of data secondary to Smart Devices, disparate information systems, cloud services, and the Internet of Medical Things (IOMT) is a complication for security experts that also affect clients, stakeholders, organizations, and businesses delivering patient care. We have combined three …

Medicare Shared Savings Performance: Three-Year Pandemic Analysis, Bryan Adams

Theses & Dissertations

The Centers for Medicare and Medicaid's (CMS) Office of Actuary predicts that U.S. national health expenditures will surpass U.S. gross domestic product per capita by 1.1% annually until 2028, totaling $6.2 trillion in healthcare spending. A significant portion of this spending, 36%, is attributed to Medicare and Medicaid. To address this issue, CMS has implemented the Medicare Shared Savings Program (MSSP) to assist Accountable Care Organizations (ACOs) in reducing healthcare costs and improving the quality of care for beneficiaries. The main objectives of this dissertation are twofold. Firstly, it aims to investigate the relationship between various factors, such as quality …

Johnson & Johnson Strategic Audit, Hannah Headley, Lucy Peterkin, Ryan Nyffeler, Joshua Wiemers, Bailey Birkholtz

Honors Program: Senior Projects (Public)

Johnson & Johnson (J&J) is a healthcare company that generates economic value from its three core business segments: Consumer Health, Pharmaceuticals, and Medical Devices. Recent innovations include new pharmaceutical products, remote clinical trials, automated patient recruitment, improved scientific and digital literacy amongst employees, and innovative digitized models for supply chain planning. J&J has a competitive edge in R&D efficiency, with a 4.35 return on research capital ratio. Sociocultural, technological, and economic factors will play a large role in changing the pharmaceutical industry environment, and J&J is well positioned to benefit from sources of growth such as the increase in aging …

A Systematic Literature Review Of Ransomware Attacks In Healthcare, Jasler Klien Adlaon

Electronic Theses, Projects, and Dissertations

This culminating experience project conducted a Systematic Literature Review of ransomware in the healthcare industry. Due to COVID-19, there has been an increase in ransomware attacks that took healthcare by surprise. Although ransomware is a common attack, the current healthcare infrastructure and security mechanisms could not suppress these attacks. This project identifies peer-viewed literature to answer these research questions: “What current ransomware attacks are used in healthcare systems? “What ransomware attacks are likely to appear in the future?” and “What solutions or methods have been used to prepare, prevent, and recover from these attacks?” The purpose of this research is …

J Mich Dent Assoc May 2023

The Journal of the Michigan Dental Association

In this issue, the reader will find the following original content:

• A case study on recognizing the oral signs of Acute Lymphatic Leukemia
• A special pull-out section to assist clinicians in identifying and treating common oral lesions
• Advice on personal Wellness: "Finding Calm Amidst Chaos."
• State of Michigan C.E. Requirements for License Renewal of Dentists, Hygienists, and Registered Dental Assistants.
• A 10Minute EBD contrasting clinical success of composite restorations vs. glass ionomers.
• Guest commentary "Pretty Good Dentistry."
• News you need, Editorial, and an Advocacy Spotlight.

Finding Calm Amidst Chaos, Lisa Knowles Dds

The Journal of the Michigan Dental Association

This commentary on mindfulness and wellness provides the practitioner with strategies to achieve peace amidst chaos.

Salivary Microrna As A Concussion Biomarker And The Implications For Athletic Trainers' Practices, Thomas Richard Campbell

Rehabilitation Sciences Theses & Dissertations

Many concussions are sustained globally each year; however, research suggests that a large number may go undiagnosed due to a reliance on subjective information from patients and limitations of current objective measures. Recently, efforts have been focused on identifying clinical biomarkers of concussions, including salivary microRNA (miRNA), to improve healthcare professionals’ concussion management practices. Even if salivary miRNA were shown to be a valid and reliable measure for managing concussions, healthcare professionals, such as athletic trainers (ATs), must be familiar with the tool and have positive attitudes toward the implementation into clinical practice. Therefore, the purpose of this dissertation was …

Validation Of The Arabic Version Of The Food Safety And Hygiene Questionnaire Among Nutrition Student, Nada El Darra, Dina Cheaib, Leila Itani

BAU Journal - Health and Wellbeing

There is shortage of data on food safety knowledge and practices among Lebanese food handlers due to the lack of a reliable tool. The aim of the current study is to determine the reliability as well as the validity of an adopted Arabic version of the Osaili et al (2013) food safety questionnaire. Translation and back translation and testing equivalence were done using standard accepted procedures. A total of 110 undergraduate Nutrition and Dietetics students completed the questionnaire consisting of five subscales that covers major food safety concepts including personal hygiene, safe storage, cross contamination prevention, knowledge of health problems …

Meeting, Moving, Mastering - A Text Analysis Of The Aesthetic Attractions Of 'Wild Swimming', Dagmar Dahl, Åsa I. Bäckström

International Journal of Aquatic Research and Education

Why are people fascinated by swimming in nature? This article addresses the aesthetic experiences of wild swimming as expressed by five wild swimming authors in their books. Drawing from aesthetic philosophy, we analyze the ways in which the appeal of wild swimming is described on three levels: the allure of water in the environment, the sensory encounter between water and the body, and the experience of moving in water. Furthermore, with reference to Seel’s concept of nature aesthetics (1996), the experience of wild swimming is analyzed in terms of contemplation, correspondence, and imagination. We can conclude that the special intensity …

In This Issue (14:1), Stephen J. Langendorfer Ph.D.

International Journal of Aquatic Research and Education

In This Issue 14:1 introduces and overviews the research and education articles and position statement associated with the first issue of the fourteenth volume of the International Journal of Aquatic Research and Education.

Towards A Globalised Vision Of Aquatic Competence, Rita F. Pinto, Juan Antonio Moreno Murcia

International Journal of Aquatic Research and Education

Human interaction with the aquatic environment has always taken different forms to meet the needs of pleasure, survival, therapy or performance. The diversity of existing aquatic spaces presents itself as a challenge, due to their variety, dynamism, unpredictability and unrepeatable conditions. These factors potentiate an infinite number of possibilities for human response in interaction with the aquatic environment, with aquatic competence being the one that will be able to sustain all types of interaction. Thus, the aim of the proposal has been to present a new approach to the contextualisation of aquatic competence. After a literature review on the concept …

Revisiting The Metaphorical Concept Of “No Strokes First - All Strokes First”: Part One - Beginning Strokes, Robert Keig Stallman Ph.D., Alex Mwaipasi, Ebbe Laakso Horneman, Nils Olof Vikander, Bente Wäinösdatter Horneman Laakso, Haakon-Paavo Laakso Nysted, Toni Ongala

International Journal of Aquatic Research and Education

The aim of this article is to address the familiar question “Which swimming stroke should be taught first?” The discussion is usually focused on breaststroke versus crawl. Provoked by these naïve discussions of which stroke should be taught first (as if stroking equals swimming, which it emphatically does NOT), the question was answered metaphorically in an earlier article “No Stroke First – All Strokes First” (Stallman, 2008a). Here in Part I we identify and describe six strokes, all of which might be a candidate for any learners ‘very first’ stroke. We describe them as beginning strokes. Having identified and learned …

Building On A Decade Of Hope: Why We Must Champion The Human Experience, Jason A. Wolf

Patient Experience Journal

The pages of PXJ have served a primary purpose, to expand the evidence on patient experience and push the boundaries of innovation in this critical work. But through this commitment, PXJ has seen much more happen. The contributions of our thousands of authors, reviewers and editors have also fostered an environment of connection. PXJ has emerged as something more than just a journal. It has become a place for conversation. It has served as a conduit for expanding excellence in practice. It has fostered new thinking. And it has broadened our global community. There is something very special found on …

Employee Attrition: Analyzing Factors Influencing Job Satisfaction Of Ibm Data Scientists, Graham Nash

Symposium of Student Scholars

Employee attrition is a relevant issue that every business employer must consider when gauging the effectiveness of their employees. Whether or not an employee chooses to leave their job can come from a multitude of factors. As a result, employers need to develop methods in which they can measure attrition by calculating the several qualities of their employees. Factors like their age, years with the company, which department they work in, their level of education, their job role, and even their marital status are all considered by employers to assist in predicting employee attrition. This project will be analyzing a …

The Santa Clara, 2023-04-21, Santa Clara University

The Santa Clara

No abstract provided.

Importance In Decreasing Blood Culture Contaminations, Jannery Valdelamar

MSN Capstone Projects

Blood culture collection was a skill introduced while in nursing school. We are all human and make mistakes, and sometimes errors are made. Blood culture contamination happens. It happens even more in hectic departments like Emergency Department and Intense Care Unit. The American Society for Microbiology and Clinical Laboratory Standard have recommended that the %3 should be the overall rate for blood contamination rate (Center for Disease Control, 2023). In the current facility that I am in, blood culture contamination is an enormous issue. The facility rate is 9.3%, the Emergency Department was 11.3%, and the Phlebotomy was 5.2%. Multiple …

Benchmark Study: Impact Of Electronic Health Records Vs. Paper-Based Records, Erin Emmerich

MSN Capstone Projects

Medical documentation is an essential part of healthcare and conducted at the highest standard; documentation ensures the delivery of safe and high-quality healthcare services (Noureldin et al., 2014). Performance Improvement team reports the same poor outcomes each quarter that may be a result of the paper-based documentation system. These outcomes include patient safety, patient satisfaction and cost-effectiveness. This narrative review’s purpose is to determine whether the implementation of an electronic health record (EHR) system could improve outcomes. Evidence-based guidelines for the implementation of an EHR need special consideration to have a successful transition. Further studies may need to be reviewed …

An Exploratory Study Of Aquatic Walking On Symptoms And Functional Limitations In Persons With Knee Osteoarthritis: Part 1, John M. Coons, Brandon Grubbs, Vaughn W. Barry, Ryan T. Conners, Sandra Stevens

International Journal of Aquatic Research and Education

This paper represents Part 1 of a study that explored the effects of an underwater treadmill (UT) walking program on pain and function in adults with knee osteoarthritis (KOA). The Western Ontario & McMaster Universities Osteoarthritis Index (WOMAC), numerical rating scale (NRS), timed up-and-go (TUG), and 10-m walk were assessed in 6 adults (62.7 ±14.2 years) who participated in an 8-week (3x/wk) UT walking intervention based on the Arthritis Foundation’s Walk With Ease (WWE) program. Walking pace was self-selected, and walking duration of each session was increased from 10 to 45 minutes throughout the study. Knee pain and function were …

An Exploratory Study Of The Effects Of Aquatic Walking On Function And Muscle Activity In Knee Osteoarthritis: Part 2, John M. Coons, Brandon Grubbs, Conor Theiss, Vaughn W. Barry, Sandra Stevens

International Journal of Aquatic Research and Education

This paper presents Part 2 of a study that investigated the effects of an 8-week (3x/week) underwater treadmill (UT) walking intervention on knee osteoarthritis (KOA) outcomes in 6 adults with KOA (62.7 ± 14.2 years). The Knee Outcome Survey (KOS) for activities of daily living and muscle activity during a 10-m walk and a 20 cm step down were measured before and after the intervention. The following KOS measures improved after the UT walking program (p < 0.05; g > 0.8): stiffness, swelling, weakness, walking, going up stairs, going downstairs, kneeling on the front of the knee, squatting, and sitting with the …

Volume 9 Full Text, Bjur Staff

Butler Journal of Undergraduate Research

No abstract provided.

Air Temperature And Diet Are Not Associated With Oxygen Consumption Rate In Banded Crickets, Gryllodes Sigillatus, Nicole Bailey, Connor Oakes, Rachel Sleeth, Mallorie Smith

Butler Journal of Undergraduate Research

All living organisms acclimate to their environments, with ectothermic species particularly susceptible to environmental change, specifically temperature. Ectothermic insects like crickets directly alter their physiological processes depending on the environment in which they live. Temperature is vital in regulating processes such as metabolism, respiration, and reproduction, among other things. What remains unclear is how a change in the environment, specifically extreme temperature change and dietary alterations, affects physiological processes. In this study, we performed experiments on ectothermic banded crickets to examine the effects of temperature change and the interaction of temperature and diet on oxygen consumption. For both experiments, we …

Effects Of Anthropogenic Noise On Body Mass In Gryllodes Sigillatus, Jessica L. Venturi, Joyce Zheng

Butler Journal of Undergraduate Research

Insects use vibrational structures to produce and sense airborne sounds in intraspecific communication. These signals are important in courtship as well as defensive behavior against predators. For example, insects can detect the presence of nearby predators using vibrations. With an increase in anthropogenic activity, processing these signals and the constant threat they represent may increase stress on insects, subsequently affecting their behavior and physiology. Our experiment was designed to determine whether anthropogenic noise, possibly perceived as a stressor, will decrease the body mass of banded crickets, Gryllodes sigillatus. We predicted that the anthropogenic noise would stress the crickets, leading to …

Truth, Not Accuracy: Native American Fiction Vs. White Settler Colonialism, Charles Democker

Butler Journal of Undergraduate Research

For centuries, depictions of Native American culture have largely been constructed by White authors and have thus reflected white settler colonialist ideology. This paper suggests that one way to counter this point of view when studying Native American history is to turn to fiction, specifically fiction written by Indigenous authors. Taking as an example Ojibwe author Louise Erdrich’s Plague of Doves, a novel based on the real-life massacre of a frontier family in the late nineteenth century, this paper argues that the creative fiction of Indigenous authors can counter the biased, incomplete, and often incorrect official histories of White–Native interactions. …

Bad Boy Bias: Linguistic Bias In The Law, Parth Sharma

Butler Journal of Undergraduate Research

This paper seeks to establish and put in use methodology capable of analyzing the significant linguistic bias found within American jurisprudence. It summarizes the limited preexisting empirical work done and adds a new original empirical study on linguistic bias in the courtroom. It examines a large number of cases through various software and examines the prevalence of certain labels (badges of bias). In doing so, this paper seeks to find the most common labels and seeks to determine the amount of emotional variability present within the courtroom. Based on these results, the paper provides recommendations, answering how best to efficiently …

Higher Education Students’ Perceptions Of Online Learning During The Covid-19 Pandemic, Abby O’Bryant

Butler Journal of Undergraduate Research

This article focuses on the impacts of online learning during the COVID-19 pandemic on students at the University of Hawai‘i at Hilo. Using survey data (n = 64) and semistructured interviews with currently enrolled students (n = 17), key impacts of online learning on the student body were analyzed. The respondents reported disengagement in lectures, negative impacts on their mental and physical health, negative thoughts about dropping out and transferring, apprehension about the quality of course content, and dissatisfaction with tuition. The paper utilizes qualitative data analysis to report the findings.

The Physics Research Problem: A Brief Analysis Of Financial And Administrative Factors Relating To Recent Trends In Research Output In Physics In India, Varad Dhodapkar

Butler Journal of Undergraduate Research

This paper attempts to view and interpret data from various sources such as the World Bank database, research and development (R&D) reports by the Indian government, Nature Index, Scopus index, and others to examine the effect that the various government financial initiatives and administrative features and policies concerning funding of institutions of higher attainment have had on India’s research output in the field of physics. In addition to this, the inconsistent standards of funding across various institutes of higher education, investment in R&D activities made by other nations in comparison to India, the share of physics research output of various …

Survival Of Deaf Jewish People During The Holocaust Era, Phyllis D. Rifkin

Butler Journal of Undergraduate Research

This project uses academic and personal research to explore the experiences of Deaf Jewish survivors of the Holocaust. The author is a member of the Deaf community and a Deaf Interpreter, as well as the daughter of a Deaf Jewish Holocaust survivor. She examines the construction of Deafness in the eugenics era and chronicles the stories of Deaf Jewish survivors. A recurring theme in these narratives is Deaf survivors’ strategic use of silence to facilitate survival.

Almost 30 Years Later: Anti-Femicide Activism In Mexico From 1993 To 2022, Kathryn Webb

Butler Journal of Undergraduate Research

What factors have influenced the strategies of the anti-femicide social movement, and what has this movement accomplished after continuously advocating for almost 30 years? Analyzing news articles, scholarly journals, books on social movements, and Twitter accounts, I argue that the inaction of the government was a root cause of the movement’s change in strategies, from peaceful petitions to highly visible vandalism, and that institutional barriers prevent progress on this issue even in the current day. I demonstrate that transnational activism through international institutions such as the United Nations had a limited impact on effecting domestic change but that using social …

Work-Life And Health Experiences Of Computer Science Faculty Parents Of Children With Developmental Disabilities During Covid-19, Molly Armstrong

Butler Journal of Undergraduate Research

Prior to the COVID-19 pandemic, parents of children with developmental disabilities (PCDD) had been shown to experience more stress than parents of children without developmental disabilities (non-PCDD). COVID-19 may have exacerbated difficulties for PCDD. To compare differences in COVID-19 experiences between PCDD and non-PCDD, 202 parents working as computer science (CS) faculty reported their experiences of mental health symptoms, physical health symptoms, work-life conflict levels as experienced during the pandemic, and any changes in their childcare responsibilities because of COVID-19. Participants completed surveys on their experiences during Fall 2020 and Spring 2021, the first academic year after the start of …

Agency Actualization And Artistic Awakening: The Poetic Rhetoric Of Freedom School Students, Eden Doyle

Butler Journal of Undergraduate Research

This paper analyzes the rhetoric of poems written by Freedom School students in Mississippi amidst the Civil Rights Movement of the 1960s. Much of the rhetoric documented, explored, and valued from this era is of adults with the power and means to have their voices heard and respected; however, this paper argues the value of these students’ unique Black experience as one that is underexplored and greatly compelling. The social and political context surrounding the inception of Freedom Schools is discussed, as well as the need for further research and scholarship on the intellectual activity and rhetorical artifacts of the …