Medicine and Health Sciences Commons^™

Implementing A Clinical Research Program In Long Term Care Facilities: Experiences From The University Of Louisville Center Excellence For Research In Infectious Diseases [Cerid], Ruth Carrico, Dawn Balcom, Kuldeep Ghosh, Bilal Abaid, Vidyulata Salunkhe, Bibodh Jung Karki, Simra Kiran, Stephen Furmanek, Senen Pena, Julio A. Ramirez

Journal of Refugee & Global Health

Background: According to the US Census Bureau International Report, in 2015, almost nine percent of the world’s population was aged 65 and over. As the worldwide population ages, there is a need to understand how to best care for those individuals. Developing clinical research programs focusing on long term care (LTC) will be critical to defining best practice.

Objectives: The objectives of this manuscript are to: 1) outline the challenges identified in performing clinical research in long term care facilities (LTCF), and 2) offer solutions for future clinical research in the LTC environment based upon our experiences.

Methods: A research …

Trauma-Informed School Practices: Building Expertise To Transform Schools, Anna A. Berardi Phd., Brenda Morton, Edd.

Open Textbooks

This textbook represents the combined insight and experience of Morton, a k12 educator, and Berardi, a psychotherapist, both of whom are also university educators with extensive work experience serving districts and their teachers seeking to incorporate trauma-informed principles into their school culture and classroom. The authors identify that the field of education is now ready to deepen its level of response to the paradigm shift created by advances in neuroscience and traumatology. Hence, the primary focus is on identifying and applying trauma-informed educator competencies needed to transform districts, schools, educators, classrooms, and the field of education itself, while also including …

Improving Nursing Program Climate, Knowledge, And Attitudes Toward Lgbtq+ Health And Healthcare, Pamela J. Wadsworth

Instructional Development Grants

Purpose

To implement an educational intervention and examine the effects of the intervention on nursing student and faculty perceptions of nursing program climate, knowledge, and attitudes regarding LGBTQ+ health and healthcare.

Learner Saturation: The Tsunami We’Re Facing, Margaret A. Hadinger Edd, Ms, Acc, Kerri Green Ms, Med., Barbara Morici

Department of Education

No abstract provided.

2019 September 17 - Medical Student Education Committee Minutes, Medical Student Education Committee, East Tennessee State University

Medical Student Education Committee Minutes

No abstract provided.

A Competency Analysis Of Waterpark Aquatic Professionals, Christopher A. Crume, William D. Ramos

International Journal of Aquatic Research and Education

The purpose of this study was to further the knowledge base in the aquatics field and assist in the development of universal standards to ensure that competent managers are employed at waterpark type venues. Until recently, thanks in part to the establishment of the Model Aquatic Health Code (MAHC 2014), universal standards did not exist in aquatics. The development of standards in the field will help to ensure continuity in policies among all facility types, properly trained professionals, and ultimately safer environments for participants. Using a pair of five-point Likert scales to sample 600 aquatic professionals, this study sought to …

Energy Cost Of Land And Shallow Water Walking In Females Who Are Overweight And Obese, Jacquelyn N. Zera, Elizabeth F. Nagle, Bethany B. Gibbs, John P. Abt, John M. Jakicic

International Journal of Aquatic Research and Education

Nineteen overweight or obese females completed three 10-minute experimental trials including a self-selected pace shallow water walking trial, a matched heart rate response land walking trial, and a self-selected pace land walking trial. Energy expenditure (kcal·min^-1)was computed from expired gases assessed via indirect calorimetry. Results showed energy expenditure was lower (p= 0.046) during shallow water walking (6.46 ± 1.38 kcal·min^-1) compared to matched heart rate response land walking trial (7.26 ± 1.29 kcal·min^-1), with no significant difference in between shallow water and self-selected pace land walking (6.92 ± 1.61 kcal·min^-1). …

An Overview Of The Health Profile Of Syrian Refugees Arriving In Kentucky From 2012-2017, Camila Calderon, Annie Rominger

Journal of Refugee & Global Health

Background:

The civil unrest in Syria has led to millions of displaced Syrians. The United States has relocated over 15,000 Syrian refugees, mostly arriving since 2015. Little is known about the health of Syrian refugees entering the United States.

Methods:

Syrian refugees in Kentucky who had a medical screening and documented RHA from October 2012 to September 2017 were included in the study. The information is collected and stored in the Arriving Refugee Informatics Surveillance and Epidemiology (ARIVE) database. This study is a retrospective review of the ARIVE database to describe the general health of the Syrian refugees …

Applying The Plan-Do-Study-Act (Pdsa) Approach To Community Health Worker Job Satisfaction: Local And Global Perspectives, Wendy R. Thal, Rosalinda Jimenez

Journal of Refugee & Global Health

Community Health Workers (CHW) have been a continuing presence in the world health care arena for several decades. While the work they do is diverse, all abide by local social and cultural “norms” and are stakeholders within the population they serve. [1] While much literature is available on the importance of community health workers in the provision of care in regions with limited access to health care, there is little known on what inspires someone to engage in the role. The World Health Organization purports that building value for these lay health care providers within their community via training, support, …

Learning From Incidents To Reduce The Risk Of Drowning In Swimming Pools: Implementation Of Experience-Based Feedback Regarding Near-Misses In Four Public Facilities In France, Élie Vignac, Pascal Lebihain, Bastien Soulé

International Journal of Aquatic Research and Education

The prevention of sports accidents must rely on a detailed knowledge of accident circumstances and risk factors. Today, very few studies have investigated in depth non-fatal drowning incidents that have occurred in public swimming pools (PSP). Learning from incidents seems likely to advance the knowledge of accident scenarios. This research study aimed to capture minor incidents that might identify safety lessons and preventive measures. Incidents of minor and major aquatic events were collected from four PSPs that had hosted 700,000 bathers per year. About 800 incidents and 300 aquatic rescues performed by lifeguards were recorded within a time frame of …

Appendices And Codebook For Evaluating Nursing Faculty's Use Of Frameworks And Standards In Information Literacy Instruction: A Multi-Institutional Study, Bethany S. Mcgowan, Laureen Cantwell, Jamie Conklin, Julie Planchon Wolf, Maribeth Slebodnik, Rebecca Raszewski, Sandy Mccarthy, Shannon Johnson

Libraries Faculty and Staff Supplemental Materials

In January 2018, the ACRL Health Sciences Interest Group (HSIG) convened a working group to revise the ACRL Information Literacy Competency Standards for Nursing (2013) into a Framework for Information Literacy in Higher Education for Nursing. For nearly two years, the working group has conducted research to understand how nursing faculty integrate information literacy instruction in nursing education. Results from a review of the literature and surveying of nursing faculty at nine higher education institutions suggest that a majority of nursing faculty are unaware of the ACRL Framework for Information Literacy for Higher Education but are intentional in using the …

Emg Analysis Of The Neuromuscular Activity During Sit-To-Stand From Different Height Chairs In Water, Antonio Cuesta-Vargas

International Journal of Aquatic Research and Education

The purpose of this study was to use surface electromyography to measure the muscular activity during the sit-to-stand task in water and compare it at three different chair heights. Ten healthy young adults [5 males and 5 females (mean ± SD): age, 22.0 ± 3.1 yr; height, 172.8 ± 9.0 cm; body mass, 63.9 ± 17.2 kg] were recruited for study. We used a telemetry EMG system on the following muscles on the right side of the body: quadriceps (vastus medialis and rectus femoris), long head of the biceps femoris, tibialis anterior, gastrocnemius medialis, soleus, rectus abdominis, and erector spinae). …

Improving Patient Experience And Education By Leveraging Technology, Cathy Palleschi, Wendy Osgood, Mark Parker, Cecilia Inman, Alicia Russell, Eileen Shanahan, Erin Pappal

Operations Transformation

It is estimated that 65% of the population are visual learners. With that in mind, a team of cardiac nurses in a large academic tertiary hospital developed a quality improvement project to hopefully improve patient engagement as well the patients’ perception that the nurses explained things in a manner that they could understand.

Baseline patient survey scores for the question, “Nurses Explained Things In A Way That I Understand”, were under the 75^thpercentile for a period of 9 months. A root cause analysis was conducted and it demonstrated numerous reasons for this score.

Several countermeasures were instituted to …

Development Of Mechanical Ventilator Educational Brochure For Patients/Families, Cathy Palleschi, Wendy Osgood, Mark Parker

Operations Transformation

Patients on mechanical ventilation often have no memory of events while being ventilated. In addition, families during this time, are often overwhelmed and unable to retain information provided to them by caregivers.

In attempt to address these issues, a team of care providers in an tertiary academic hospital established a goal to create a mechanical educational brochure with the goal to reduce associated anxiety and improve overall understanding of information provided.

As part of a clinical transformation project, a root cause analysis was conducted and a number of countermeasures were initiated. Some of these included a survey to capture feedback …

Influence Of Gut Microbiome On Obesity In Western-Style Dietary Practices Versus Other Diets: A Systematic Review, Keely A. Niemeyer, Doris I. Buezo, Loren Landeros, Karina Corral

OSRI Journal of Student Research and Innovation

BACKGROUND: The human gut is home to a microbiome that has a complex relationship to human health. Like the human genome project, microbiome is catching the attention of researchers who seek new methods to combat obesity and negative health outcomes associated with it.

OBJECTIVES: This systematic review aims to distinguish the impact of a Western diet on gut health verses a plant-based diet.

DATA SOURCES: EBSCOHost library databases inclusive of CINAHL plus, ScienceDirect, and PubMed using keywords to better understand the correlation of dietary practices and microbiome balance.

STUDY ELIGIBILITY: Criteria that include diet, current research, and scholarly peer reviewed …

Analysis Of Cognitive Abilities In Female Swimmers, Nora Bekendam Ph.D., German Diaz Ph.D., Oscar García Ph.D.

International Journal of Aquatic Research and Education

This study compared the differences in spatial relations, spatial ability, and reasoning ability between female swimmers and sedentary people. Fifty-eight participants (24 swimmers and 34 sedentary females) were recruited to complete the PMA E & R tests (Primary Mental Ability Test) and the DAT-SR test (Differential Aptitude Test). Findings indicated that swimmers scored higher in spatial relations, spatial ability, and reasoning ability. The practice of competitive swimming appears to have a positive relationship with the spatial relation, spatial ability and reasoning ability.

Update On The Research Assessment Framework 2021, Yvonne Barnett

HUCBMS: Heads of University Centres of Biomedical Sciences

No abstract provided.

The Cost Of The Culturati: Studying The Neighborhood Stability Impact Of Cultural District Designations, Prakash Mishra

Dartmouth Undergraduate Journal of Politics, Economics and World Affairs

The decision to declare a district for a specific cause is a critical policy decision; making an area an official office park or designated cultural site means it will attract specific types of residents and businesses and require specific amenities. This paper reviews the impact of designating a cultural district as a place-based policy, specifically by developing a measure of neighborhood stability and applying a stress test of neighborhood stability in cultural districts during the Great Recession. The model underpining the neighborhood stability measure is an optimal stopping time model which frames neighborhood rents as a Brownian motion with drift. …

Volume I | Issue Ii | 2019.Pdf, Dujpew Editorial Board

Dartmouth Undergraduate Journal of Politics, Economics and World Affairs

No abstract provided.

Masthead 2019, Dujpew Editorial Board

Dartmouth Undergraduate Journal of Politics, Economics and World Affairs

No abstract provided.

Letter From The Editor 2019, Dujpew Editorial Board

Dartmouth Undergraduate Journal of Politics, Economics and World Affairs

No abstract provided.

Effect Of Aquatic Exercise On Fatigue, Fitness, Arm Edema, Levels Of Distress, And Quality Of Life Among Breast Cancer Survivors, Ellen Broach, Phillip Norrell

International Journal of Aquatic Research and Education

The purpose of this study was to evaluate the effect of a recreational therapy aquatic intervention on physical and psychosocial performance of breast cancer survivors. Eligible participants were assigned to either a water exercise group or a control group who received standard care treatment for breast cancer. The intervention group attended aquatic exercise sessions three times per week for eight weeks in a heated outdoor pool. Sessions lasted 50 minutes in duration. The aquatic exercise group significantly improved their endurance, body mass, level of distress, and total score for fatigue. No significant differences occurred in the control group. Social validity …

Perceptions And Motivation Toward Water Safety And Aquatic Activities In College Students, Jorge Olaves, Ezzeldin R. Aly, Asherah N. B. Allen, Maria Okeke

International Journal of Aquatic Research and Education

As individuals reach adulthood there is a substantial reduction of participation in physical activities. Quality instruction in various physical activities, more specifically aquatics, are beneficial to an individual’s health and career. This current study examined college student’s perceptions and motivations towards the impact of aquatic instruction and water safety skills. Participants included 265 college students between the ages of 19 and 30 years old (n = 147 males, n = 118 females), enrolled in aquatic-related courses at two Historically Black Colleges and Universities (HBCUs). Researchers used a mixed-method approach where the findings indicated that 72% of the participants reported the …

Trends In Well-Being In Nonmetropolitan Nebraska: Nebraska Rural Poll Research Report 19-3, Rebecca Vogt, Cheryl Burkhart-Kriesel, Randolph Cantrell, Bradley Lubben, Timothy Meyer, Jason L. Weigle

Rural Futures Institute: Publications

Nebraska’s economy remained strong in the beginning of 2019. However, the continued weakness of the agriculture sector had the possibility of hampering the state’s economic growth. In addition, the March flooding had the potential for negative economic effects. Given these challenges, how do rural Nebraskans feel about their community? Are they satisfied with the services provided by their community? How do rural Nebraskans believe they are doing and how do they view their future? How satisfied are they with various items that influence their well-being? Have these views changed over the past 24 years? This paper provides a detailed analysis …

An Exploration Of Supports For Increasing Classroom Physical Activity Within Elementary Schools, Hannah G. Calvert, Julianne A. Wenner, Lindsey Turner

Curriculum, Instruction, and Foundational Studies Faculty Publications and Presentations

Classroom-based physical activity (CBPA) can significantly benefit students’ health and educational outcomes, but many teachers do not utilize CBPA. This study examined teachers’ perceptions about the value and impact of several approaches to support CBPA implementation, and teachers’ weekly self-reported CBPA use. Interviews were conducted with 35 classroom teachers (including those using and not using CBPA) at two public elementary schools, and CBPA tracking logs were collected on a weekly basis. Interview transcripts were interpreted through key domains within implementation science. On average, teachers reported using one activity every other day. Interview data revealed that utilizing professional collaboration time for …

Assessing Resident And Fellow Wellbeing And Burnout Levels: Lessons Learned From A Pilot Of The Ama Mini-Z Wellbeing Survey, Tanya A. Ensminger Ba, Margaret A. Hadinger Edd, Ms

Department of Education

No abstract provided.

Emerging Health Professionals: A Collaborative Strategy For Addressing Health Care Workforce Needs, Kerri Green Ms, Med., Margaret A. Hadinger Edd, Ms

Department of Education

No abstract provided.

25 Years Of Workforce Development: The Story Of One Health Network’S “Research Scholar” Internship Program, Margaret A. Hadinger Edd, Ms, Kerri Green Ms, Med., Brooke Zumas Psyd

Department of Education

No abstract provided.

Shingrix Education For Providers, Lindsey Hanks Buzzeo

Doctoral Dissertations and Projects

Shingles is a prevalent disease within the overall population, and incidence in North America continues to increase. Shingles is commonly found in older adults 60 years of age and older and can recur two or three times. Shingrix was released in 2017 as a recombinant vaccine for prevention of shingles. Despite its benefits, this vaccine has not been recommended by many prescribing providers. Research has shown that an effective education program improves attitudes and misconceptions related to vaccines and can increase prescribing rates. An education program was created to share with prescribing providers to improve overall knowledge and recommendation rates …

The Assessment Of Swimming And Survival Skills: Is Your Programme Fit For Its Purpose?, Paolo Di Paola

International Journal of Aquatic Research and Education

Assessment of swimming and survival skills is a crucial part of any swimming and lifesaving programme. Unfortunately, quite often, it is also the weakest part of the programme itself. Inadequate skills assessment and verification might lead to ineffective skills acquisition and development, to a false sense of safety and over confidence in the water that can be extremely dangerous. Assessor experience and observation skills, assessment methodology, and criteria are all closely inter-linked and their interaction will somehow determine the assessment outcomes. Our paper analyses some of the current issues in these areas of the assessment process, such as assessor’s lack …