Medicine and Health Sciences Commons^™

The Effects Of Stiff Stent-Grafts On Segmental Aortic Stiffness And Left Ventricular Mass: A Pilot Swine Model Study, Paul Aylward, Alexey Kamenskiy, Jason Mactaggart

Graduate Medical Education Research Journal

No abstract provided.

A Performance Improvement Project In Antibiotic Administration For Open Fractures, Benjamin Ogden, Christopher Deans, Matthew Mormino, Michaela Mccarthy, Elizabeth Lyden, Justin Siebler

Graduate Medical Education Research Journal

No abstract provided.

Virtual Reality (Vr) To Improve The Experience Of The Mohs Patient: A Prospective Interventional Study, Shauna Higgins, Shera Feinstein, Makenzie Hawkins, Myles Cockburn, Ashley Wysong

Graduate Medical Education Research Journal

No abstract provided.

Sarcoidosis Of The Mandibular Condyle: A Rare Disease That Can Mimic Malignancy, Chad Sloan, Ben Lacrosse, Lei Yu, Alexander Braun, Scott Lauer, Timothy Donovan, John Baker, Jason Untrauer

Graduate Medical Education Research Journal

Sarcoidosis can involve any of the organs, however intraosseous involvement is rare and ranges from 5 to 15%, with lesions of the mandible being even rarer – currently with few known cases reported. Intraosseous lesions involving the mandible have been noted to be asymptomatic or associated with chronic jaw pain. Additionally, mandibular involvement can present as a lytic bone lesion mimicking osseous malignancy. Chronic polyarthritis is commonly associated with the progression of sarcoidosis and intraosseous involvement has been considered a late-stage sequelae. We report a case of biopsy-proven sarcoidosis within the mandibular condyle in an asymptomatic 56-year-old Caucasian female who …

A Case Of Parsonage-Turner Syndrome, Steven Embry, T. Jason Meredith

Graduate Medical Education Research Journal

Neuralgic Amyotrophy, also known as Parsonage-Turner Syndrome (PTS), is a clinically diagnosed and largely under-recognized inflammatory disorder which primarily affects the brachial plexus. Correct diagnosis is often delayed and the disease causes significant patient morbidity due to extreme pain, paresis, and often sensory abnormalities of the upper extremity. Although the pathophysiology is not completely understood, it is classically preceded by an identifiable inciting event and complete recovery may take months to years.

An Uncommon Adverse Effect Of A Common Drug-Dress Syndrome-Not Just Skin Deep!, Alamelu Udayappan

Graduate Medical Education Research Journal

Drug Rash with Eosinophilia and Systemic Symptoms (DRESS) Syndrome is a rare, life-threatening hypersensitivity reaction that causes skin exfoliation, hematological abnormalities, lymphadenopathy, and extensive internal organ involvement. Characterized by a long latency period, this unusual side effect of aromatic anti-epileptic drugs, as well as many common drugs cause a mortality rate of up to 10% if left untreated. In the absence of a well-established therapy, primary and secondary prevention have a key role in the management of DRESS Syndrome. Herewith presenting a case of an adolescent girl with rashes and systemic symptoms, the cause of which, on obtaining a detailed …

The Financial Burden Of The Urology Match: Room For Improvement, Jinfeng Jiang, Joshua S. Engelsgjerd, Chad A. Lagrange, Christopher M. Deibert

Graduate Medical Education Research Journal

Abstract

Introduction/ Background – The Urology match remains highly competitive, but there is limited published data on the costs of the application process for contemporary applicants. This study aims to determine the financial burden of the Urological match and the effect it has on applicants.

Methods/ Materials – All applicants to the University of Nebraska Medical Center (UNMC) Urology Residency in the 2019 Urology match were invited to complete an anonymous, IRB approved online survey containing 16 questions on interview travel and costs, financial aid, and debt burden.

Results – Thirty-nine out of 183 (21%) applicants responded to the survey. …

An Overview Of Neurology Residency Training In Epilepsy At The University Of Nebraska Medical Center, Daniel Crespo Artunduaga, Mohamed Taha, Arun Swaminathan

Graduate Medical Education Research Journal

Neurology residency offers a comprehensive training program over 4 years in management of various neurological disorders. Epilepsy represents a common condition managed by neurologists and forms a core curriculum in the training of neurology residents. We conducted an anonymous survey among the trainees at our neurology program to identify knowledge and treatment gaps and help us modify our training regimens to provide high impact and good quality training to our trainees. We conducted a 35-question survey to determine various aspects of our neurology residents’ training to identify and overcome shortfalls. Our program requirements are rigorous and match up with those …

Necrotizing Enterocolitis Following Gastroschisis Repair: An Update, Rachel K. Schlueter, Shahab F. Abdessalam, Stephen C. Raynor, Robert A. Cusick

Graduate Medical Education Research Journal

Purpose:

Necrotizing enterocolitis (NEC) is a known complication of gastroschisis with an incidence above the expected rate in the neonatal population. While many physicians today are aware of this association, the last publication to explore this association in detail and identify possible risk factors of NEC in gastroschisis patients was published over twenty years ago. From our large database of patients with gastroschisis managed by a single group of pediatric surgeons, we reviewed our experience and the recent literature to update what is known about gastroschisis and NEC.

Methods:

From 2001 to 2017, a gastroschisis registry was maintained. Data from …

Comprehensive Chronic Pain Treatment: Does Smoking Affect Outcomes?, Jamison Hofer, David Cates, Valerie K. Shostrom, Brendan Thelen, Kimberley Haynes-Henson

Graduate Medical Education Research Journal

Abstract

Objective: To determine whether smoking status effects pain and functional outcomes in a chronic pain program.

Methods: A retrospective cohort study of 178 patients treated at the Nebraska Medicine comprehensive Pain Management Program over a five year period was completed. Outcomes measures were the Visual Analog Scale Past Month Average Pain score (VAS-PMA), Multidimensional Pain Inventory pain and interference scales (MPI-P and MPI-I), and the Pain and Impairment Relationship Scale (PAIRS). Patients were categorized by smoking status into non-smoker or current smoker groups. Wilcoxon tests were used to compare the pre scores, post scores, and post-minus-pre scores between smoking …

Perceptions Of Safety And Support Among High School Football Players Utilizing A Helmet Impact Detection System, Chris Snyder, Kailey Snyder, Alyssa Irby, Danae Dinkel, Adam B. Rosen

Graduate Medical Education Research Journal

Background: Concussions are common in high school football athletes and can have short and long-term health impacts. New football helmets furnished with accelerometers to detect rate and location of impact have recently emerged. The use of these helmets offers the ability to rapidly and objectively assess concussions on the sideline. However, minimal research has explored athlete’s perceptions of the use of these helmets. Purpose: The purpose of this study was to determine high school football players’ perceptions of safety and support following a season of use of a Helmet Impact Detection System. Methods: 118 high school football players from a …

A Retrospective Study At Two Level One Trauma Centers On The Association Of Internal Injuries With Femoral Fractures, Ryan E. Miller, Catherine Olinger, Leonid Grossman, Dennis Chakkalakal, Karl Bergmann, Elizabeth Lyden, Justin Siebler

Graduate Medical Education Research Journal

Abstract: Injuries capable of fracturing the femur often involve concurrent internal organ damage. However, up to 25% of injuries are initially missed. Prior studies evaluating the association of femur fractures with internal injury included only automobile trauma, were skewed toward more severe injuries, and were broad database studies. To our knowledge, there are no studies of this kind that include bicycle, motorcycle, and motor vehicle-pedestrian trauma, excluding those deceased at the scene, and which included chart reviews. We hypothesized that in the trauma setting, the presence of a femur fracture would correlate with an increase in concomitant internal organ injuries. …

Orthopaedic In-Training Examination (Oite) Preparation And Study Habits Of Orthopaedic Residents: Revisited, Christopher F. Deans, Emmett J. Gannon, Joseph Morgan, Elizabeth Lyden, Matthew Mormino

Graduate Medical Education Research Journal

Introduction: The Orthopaedic In-Training Examination (OITE) is well-established as the cornerstone for educational evaluation of orthopaedic surgery residents. Great significance has been placed on the OITE, particularly as it has been found to correlate closely with successful completion of the American Board of Orthopaedic Surgery Part I Exam (ABOS I). Our study correlated different aspects of OITE study preparation, including resources and habits, with OITE performance.

Methods: An online survey was created to assess these different aspects and distributed to 163 programs across the United States for distribution to orthopedic residents in each program.

Results: Data analysis showed …

Developing Financial Literacy Skills For A Secondary Transition Program For Students With Learning Differences, Rose Marie Borillo, Becki Cohill, Susan Macdermott

San Marcos, Fall 2019

Under the Individuals with Disabilities Education Act (IDEA), schools are required to provide transition planning for students with disabilities and mental illness by age 16 (Eismann et al, 2017). Occupational therapists have been underutilized in secondary transition planning, despite their expertise in targeting functional abilities, comprehension, and health using activity analysis to promote skill attainment and achieve independence (Mankey 2012; Eismann et al, 2017).

At the Winston School, there was no formal transition program aside from the individual college counseling provided by a staff member. A coordinated transition program was indicated to prepare students for life after high school to …

Coaching Nurse Leaders In Conflict Management And Team Building To Improve Retention, Jeanette Black

Doctor of Nursing Practice (DNP) Projects

Abstract

Problem: Retention of assistant nurse managers (ANMs) was identified as a concern from interviews with executive leadership and ANMs employed at a large hospital within a Northern California integrated health system. The nurse leader orientation training was reviewed, with gaps identified in conflict management and team building.

Context: The attrition rate of U.S. nurse managers in 2010 was 8.3%, higher than executive nurse leaders, with replacement costs equal to 75% - 125% of a nurse manager’s salary (Loveridge, 2017). Employee turnover and dissatisfaction due to conflict can have detrimental effects on retention, productivity, morale, and quality of patient care. …

Strengthening The Advanced Practice Clinician Workforce Pipeline Through Preceptor Education And Support, Tarina Levitt-Trujillo

Doctor of Nursing Practice (DNP) Projects

Problem: The Advanced Practice Clinician (APC) workforce pipeline is dependent on clinical training opportunities. Clinician providers are encouraged to precept students but rarely are offered support tools to ensure a successful process. Lack of adequate support can result in a suboptimal outcome for the APC students.

Context: Clinician preceptors in a large healthcare organization looking to build a robust APC pipeline to support future patient populations.

Interventions: Preceptor materials were developed and delivered to clinical preceptors to help them successfully precept advanced practice clinician students during their clinical rotations. This material consisted of 20 microlearning modules to help clinicians …

Postpartum Pains, Lakea Youngblood

Capstones

The Academy once again came under fire. This time for banning a commercial that advertised a postpartum support. People all over the country became enraged. The Academy seemed more friendly to movies about murder than postpartum, in alignment with the sexist ideas that have been pervasive in this country since its foundations. This short documentary pushes back against this narrative and the silence around postpartum by showing the realities of it through a woman’s journey.

The film is a personal documentary about myself. After having my first child, I found myself traumatized and scarred by the pains of postpartum. Because …

Students With Mental Health Disabilities Suffer From Discrimination Across College Campuses, Abigail Nequa Napp

Capstones

Over the course of several months, we investigated and reported on how colleges and universities have been discriminating against students with mental health disabilities. We FOIA'd the Department of Education for a history of pending and resolved cases (from 2008 - November 2019) to uncover violations committed by colleges. In several instances, institutions discriminated and punished students instead of accommodating their mental health disabilities as required by law. We also reviewed recent lawsuits involving students against universities that focused on punitive leave of absence policies as well as wrongful death suits. This revealed further inefficiencies, deficiencies and tragedy in the …

A Quality Improvement Project To Implement Shared Medical Appointments For The Management Of Type 2 Diabetes In Latino Patients, Denisse Maldonado

Doctor of Nursing Practice (DNP) Projects

Problem: Santa Rosa Community Health (SRCH) is one of the largest federally qualified health centers in Northern California, providing health care to more than 30,000 patients. More than half of the patients receiving care at the SRCH Lombardi site are Latino patients. Patients self-identify as Latino or other ethnicity on the initial health center registration form. SRCH serves 964 patients with diabetes. Due to limited access to appointments and resources, seeing a healthcare provider regularly can be difficult, posing a barrier to diabetes management. Patients with diabetes would greatly benefit from regular appointments with their primary care provider and resource …

Cognitive And Non-Cognitive Outcomes Associated With Student Engagement In A Novel Brain Chemoarchitecture Mapping Course-Based Undergraduate Research Experience., Christina D'Arcy, Anais Martinez, Arshad Khan, Jeffrey Olimpo

Selected Works Temporary Series

No abstract provided.

Cognitive And Non-Cognitive Outcomes Associated With Student Engagement In A Novel Brain Chemoarchitecture Mapping Course-Based Undergraduate Research Experience., D'Arcy, Anais Martinez, Arshad Khan, Jeffrey Olimpo

Departmental Papers (Biology)

No abstract provided.

Can We Actually Improve Resident Wellness? Pilot Data From A Longitudinal Wellness Curriculum For Emergency Medicine Residents, Anne M. Messman, Claire Min-Venditti, Elizebeth Dubey, Brian Reed, Hanhan Zhang, Hafez Bazzi, James Paxton

Journal of Wellness

Objectives/Background: The wellness of resident physicians, particularly in emergency medicine with its high rate of burnout, has become of paramount importance to residency programs. This study aims to evaluate the effects of the implementation of an evidence-based wellness curriculum on self-reported resident wellness across three emergency medicine residency programs.

Methods: This is a prospective, interventional study of the impact of a well-defined, longitudinal wellness curriculum administered to all categorical residents in three emergency medicine residency programs. Anonymous surveys incorporating the Perceived Stress Scale (PSS) and the Connor-Davidson Resilience Scale (CD-RISC) were administered before and after implementation of the …

The Relationship Between Emotional Intelligence, Perceived Stress And Coping Mechanisms In The Undergraduate Nursing Student, Marissa Rebello

Master of Science in Nursing Final Projects

Purpose:The aim of this study was to evaluate the relationship between emotional intelligence (EI), coping mechanisms and perceived stress in undergraduate nursing students.

Design:A quantitative non-experimental descriptive design was followed.

Method:The data was collected through a convenience sample. The sample was collected during an undergraduate nursing class where the students in the classroom were asked to participate in the study. The students that chose to participate took a survey that included data collection on demographics, EI scores, perceived stress and coping mechanisms. The Perceived Stress Scale (PSS) (Cohen et al., 1983), the Brief COPE (Carver, 1997), and …

Exploration Of Emotional Intelligence, Dpt Curriculum, And Student Success, Lyndsey Vandenberg Pt, Dpt, Edd

Doctorate in Education

Positive professional performance as a physical therapist requires a combination of both cognitive and non-cognitive traits. To date, there has been little-to-no literature on how Doctor of Physical Therapy (DPT) programs engage, refine and enhance students’ non-cognitive traits and abilities throughout a DPT curriculum. This dissertation had five foundational research questions that examined whether there was a statistically significant correlation between Emotional Intelligence (EI) and student success throughout a DPT program. Additionally, it explored how, when and where a DPT program embedded EI constructs in the 8-semester curriculum. The study took place in a private University in the Midwest and …

A Single Case Study Of Sophomore College Students’ Self-Awareness And How It Relates To Teamwork At A Private College, Jeanne Thomas

CUP Ed.D. Dissertations

Teamwork is considered an essential 21st-century skill and is now included in most university curricula. Working in teams helps college students learn skills such as leadership and problem-solving, that can transfer to the workplace. Effective teams are defined as those with members who communicate well and whose members possess a high degree of self-awareness (SA). SA is the primary component of Goleman’s framework of emotional intelligence (EI). A single case study was conducted at a private college in the United States to better understand how sophomore students described SA and how it relates to teamwork. The participants were sophomore …

Creative Arts-Based Parents Training Program For Parents Of Children With Autism Spectrum Disorder, Jung Eun Park

Expressive Therapies Dissertations

This study evaluated the impact of the Creative Arts-based Parents’ Training (CAPT) program. The 6-week long, creative arts therapy-based program and its impact on parental stress and sense of competence for parents of children with Autism Spectrum Disorder (ASD) was examined. Korean Parenting Stress Index Short-Form (K-PSI-SF) and Korean-Parenting Efficacy Test (K-PET) were used as quantitative measurements. Qualitative data were also collected for the experimental group (n = 17) using questionnaires, art journaling, and a 30 min focus group interview. The control group (n = 15) only participated in quantitative measurements. There was no difference in age between …

Practicing Leadership Skills Through Peer Mentoring And Teaching: The Lived Experience Of Bsn Students, Alicia Bright

Nursing | Faculty Scholarship

Although leadership theory is introduced in baccalaureate nursing curriculum, opportunities to practice and develop leadership skills are limited for undergraduate nursing students. This study explores the experience of advanced nursing students who provided mentoring and tutoring to beginning nursing students. The experiences they describe are interpreted in light of literature on leadership education in undergraduate nursing schools, as well as that of peer mentoring and peer teaching. These advanced students described opportunities to practice and reflect on leadership skills and attributes. Peer mentoring and peer teaching programs may be an effective and efficient way of helping nursing students gain leadership …

Analysis Of Ashp Pgy1 Residency Placement Rates With Student Pharmacist Characteristics, Bradley S. Troyer, Karen L. Kier, Heather P. Roecker

Pharmacy Student Scholarship

No abstract provided.

Implementing The Patient-Centered Care Paradigm In An Academic Research Environment, Fernando Orgas

Theses & Dissertations

Research Focus. The healthcare landscape is transitioning from a provider-centered care model toward greater emphasis on patient-centered care (PCC). The shift to PCC reflects efforts to increase the quality of healthcare and the care experience. The current state of research within healthcare remains focused on how to provide high-quality and sound research that will bring new equipment, procedures, and verify strategies that may benefit healthcare globally. However, changes in the healthcare atmosphere bring a new perspective to research. How is the paradigm shift to patient-centered care implemented in an academic research environment? Does this holistic mindset fully cross into …

Progression Magazine, 2019 Fall/Winter, Coastal Carolina University

Progression Magazine

Magazine of the College of Science at Coastal Carolina University.