Medicine and Health Sciences Commons^™

Servant Leadership: A Powerful Paradigm For Effective Leadership In Africa, Franklin Ezeorah

Journal of Vincentian Social Action

Lack of good leadership is the greatest undoing of African progress. Unfortunately, good leadership for Africans is not just mirroring the western leadership system but adapting to a style of leadership that is attractive to African people’s way of life and effective for African people’s development and wellbeing. Because leadership is a crucial determining factor for the success of all economic, political, and organizational structures, determining an essential leadership style for a nation-state largely depends on how suitable the style can fit into the complex challenges facing such a nation-state. Considering the viability and profitability of the servant leadership style …

To Protect And To Serve: Community Policing And Servant Leadership Through The Lens Of A Lieutenant Of 25 Years In A Nj Police Precinct, Tara Deworsop

Journal of Vincentian Social Action

Police play a vital role in protecting communities and holding accountable those who have committed violent and property offenses. At the heart of this are the acts of protecting and serving the individuals that make up those communities.

This paper looks at how police officers interact, protect and serve the communities within which they work today. The history of policing and the way police officers are prepared to interact with the public are important. Servant leadership combined with community policing has the potential to create a positive impact that will have a ripple effect.

Using the example of a police …

Servant Leadership And Student-Worker Satisfaction, Shweta Sinha

Journal of Vincentian Social Action

There are several studies that show that the COVID-19 pandemic has led to immense physical and mental health distress. Not only did it impact people’s health but it posed a threat to their financial and professional security. The pandemic, in addition to the several socio-economic challenges, resulted in the restructuring of the corporate work environment. It gave rise to work-from-home culture which eventually became the preferred mode of work for many people. However, companies eventually started calling people back into work reducing the flexibility in schedule that was previously available to employees working from home. As a result, the post-pandemic …

Spirituality Of The Servant Leader, Sally Duffy

Journal of Vincentian Social Action

Reflecting on the words and lived actions of philosophers, theologians and others in the Catholic tradition can inform the Spirituality of a Servant Leader. Thoughtful considerations of the crucified today and personal examination of reader towards systems and structures of oppression should inform those in leadership. Members and alumni of a Vincentian university must recall and embody the leadership styles of Jesus Christ and St. Vincent De Paul in their own places of influence to make for a more just and righteous global society. A Vincentian education calls leaders to holistic care of those they lead coupled with radical principles …

Servant Leadership In Catholic Institutions Of Higher Education, Margaret M. Fitzpatrick

Journal of Vincentian Social Action

Catholic institutions of higher learning are charged with the formation of a significant number of privileged students, who received an advanced degree worldwide. All colleges and universities of Catholic identity, especially its presidents and leadership, would gain to reflect on servant leadership from a Vincentian perspective, What must be done? How must it be done? A Catholic college creates a faith-filled climate where the presence of the Spirit deepens the communion with the entire community, city, state, and beyond. A growing leadership philosophy is based on Greenleaf’s Servant Leadership, where the behaviors and practices emphasize the well-being of those being …

Servant Leadership In The Workplace, Joseph D'Mello

Journal of Vincentian Social Action

Starting from the definition of leadership in general, this work traces servant leadership in particular from its ancient roots to today’s business organizations and argues that the lacuna in organizational servant leadership is likely to be addressed by the growing existential and competitive imperative for organizations to undertake agile transformations.

Centering Those On The Periphery: Mother Teresa As Exemplar Of Catholic Social Thought (Cst) And Social Work Core Commitments To Dignity, Service, And Justice, Anthony Nicotera, Dawn Apgar, Ines Murzaku

Journal of Vincentian Social Action

The literature is void of scholarship on the integration of Catholic Social Thought (CST) and social work. While social work has been historically devoted to helping those who are marginalized and oppressed and recognizes the impact of religion/spirituality on those served, there are almost no articles published that link CST and social work pedagogy and practice. This article identifies why there is a natural fit between CST and social work values. Mother Teresa is presented as an exemplar of CST in action and an inspiration for further integration of CST into social work education. This integration is needed to help …

Robert Greenleaf: Changing Management To Change Society, Riccardo Colasanti

Journal of Vincentian Social Action

This paper is a critique of the thought provoking, if not problematic, ideas presented in Robert Greenleaf’s pamphlet, The Servant as Leader (Greenleaf, 2008) which appeared in print in the 1970’s. This text constituted the seminal work upon which a progressive, transformational movement was created in the training of management cadres in North American companies, with the transition of the concept of a “leader boss” to that of “leader as a servant”. The limits of Greenleaf’s servant leadership model are tested against the capitalist society within which we live and found contradictory, but no less inspiring in its attempt to …

Servant Leadership And Ten Supporting Attitudes, Larry W. Boone

Journal of Vincentian Social Action

The popular concept of servant leadership is discussed as are the characteristics of servant leaders and the relationships between the servant leader approach and power usage and service. Servant leadership is compared and contrasted to several other common leadership styles. Ten attitudes that support and facilitate servant leadership behaviors are identified from the leadership literature. Leadership practices that flow from these attitudes are examined. Emphasis is placed on the supportive, enabling work environment created by servant leaders.

Ministrare Non Ministrari: Urgently Needed Servant Leaders, Basilio G. Monteiro

Journal of Vincentian Social Action

No abstract provided.

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Journal of Vincentian Social Action

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Editors

Journal of Vincentian Social Action

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Journal of Vincentian Social Action

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2023 May 16 - Medical Student Education Committee Minutes, Medical Student Education Committee, East Tennessee State University

Medical Student Education Committee Minutes

No abstract provided.

Education As A Source Of Hope: An Examination Of Teacher Beliefs And The Lack Of Support For Children With Chronic Health Conditions, Marissa Schow

Education | Master's Theses

As survival rates increase, more children with chronic health conditions are returning to K-12 classrooms after receiving medical treatments. Research has shown that many teachers believe that students with chronic health conditions should not have to worry about school while they are going through treatment (Irwin & Elam, 2011; Legislative Alliance for Students with Health Conditions, 2017). Research also suggests that many schools are violating the Every Student Succeeds Act of 2015 by withdrawing students from the district due to chronic absenteeism (Eaton, 2012; Wilkie, 2012). The purpose of this mixed methods study was to explore and examine the ways …

Occupation-Based Social Skills Training Program With Animal-Assisted Therapy For Individuals With Intellectual/Developmental Disabilities (I/Dd), Jason Sebastian, Karen Park

Spring 2023 Virtual OTD Capstone Symposium

This presentation describes the development and implementation of an occupation-based social skills training program with Animal-Assisted Therapy (AAT) for Individuals with Intellectual/Developmental Disabilities (I/DD) and the implications for occupational therapy after program implementation.

The Relationship Between Adverse Childhood Experiences And Risky Health Behaviors: Avenues For Prevention In New Mexico, Arianna Trott

Individual, Family, and Community Education ETDs

This study was designed to assess if adverse childhood experiences (ACES) predict risky health behaviors in New Mexico. The purpose was to determine if any factors support improved outcomes for people who have experienced ACES in New Mexico. Lastly, the study aimed to identify if urban-rural status impacted outcomes of risky health behaviors related to ACES. This study used data from the 2019 New Mexico Community Survey across twelve counties (N = 853). Multiple logistic regression and hierarchical linear modeling were used to analyze the data. The findings concluded ACES could predict risky health behaviors. Overall, there was a gradated …

Implementation Of A Biometric Screening Program And Wellness Coaching Program In A Hospital Employee Wellness Center, Carl Gastanes

Doctor of Nursing Practice Scholarly Projects

Background: Wellness programs are an emerging priority among organizations concerned about employee wellness and productivity. Data from Long Island Jewish Medical Center (LIJMC) revealed that in 2019 there were 1,690 employee visits to the ER due to chronic diseases; 30% were classified as ER sick visit and 40% of employees who visited the ER had no primary care provider. Many companies use biometric screening and health risk assessment to measure the health of their employees. The purpose of this improvement project was to implement a biometric screening program (BSP) that included wellness coaching to improve the health outcomes of LIJMC …

Clinical Procedure Training For Physician Assistants: An Evaluation Of Reported Exposure And Perception Of Comfort To Perform, Allison Martin

Anatomical Education Dissertations

The purpose of this study was to examine physician assistant (PA) students’ perceptions of clinical procedure training following completion of didactic and clinical phases within a single program based in eastern Tennessee. The cross-sectional study design utilized two survey instruments to record responses from PA students. Responses were gathered from one cohort following the clinical rotation training phase of their program and from a consecutive cohort prior to beginning rotation training.

Evidence among medical student populations suggest that exposure to common clinical procedures is declining and reports from students indicate lower confidence to perform common procedures. The PA profession has …

Magnetic Resonance Image-Based Estimates Of Hepatic Blood Flow In Children With And Without Obesity; Implications For Physiologically-Based Pharmacokinetic Models, Yoon Cho, Sherwin S. Chan, Chance S. Friesen, Valentina Shakhnovich

Research Days

Background: Physiologically based pharmacokinetic models for simulating drug pharmacokinetics are useful to guide drug dosing for pediatric patients. Hepatic blood flow could be a useful variable to use in these models.

Objectives/Goal: In this study, we explored 2-D phase contrast non-invasive magnetic resonance imaging (MRI) to measure hepatic blood flow in children with and without obesity.

Methods/Design: In this IRB-approved study, we imaged pediatric patients with abdominal MRI with 2D phase contrast imaging of the descending aorta (AO) at the diaphragm, the inferior vena cava (IVC) at the right atrium, and inferior to hepatic drainage above the renal vein confluence …

Persistent Pediatric Breast Abscesses Following Initial Treatment At Tertiary And Community Centers, Derek Marlor, Kayla Briggs-Groves, Shai Stewart Md, Nelimar Cruz-Centeno, Charlene Dekonenko, Jason D. Fraser

Research Days

Introduction: Little data exist on the management of pediatric breast abscesses that fail initial treatment. Therefore, this study aimed to evaluate and report outcomes in these patients.

Methods: All patients <18-years-old treated for a breast abscess between January 2008 and December 2018 were included. Patients were divided into 2 groups: initial treatment at our institution (Group 1) and initial treatment at referring centers (Group 2). The primary outcome was disease persistence following treatment at our institution. Secondary outcomes included treatment modalities and patient characteristics.

Results: In total, 145 patients were identified: 111 in Group 1 and 34 in Group 2. Antibiotics alone were the initial treatment in 52.3% (n=58) of Group 1 patients and 64.7% (n=22) of Group 2 patients. Invasive treatment was more common in Group 1 (45.9% vs 5.8%; p<0.00001). Patients with persistent disease in Group 1 were treated with aspiration (n=7, 50%), I&D (n=5, 35.7%), antibiotics (n=1, 7.14%), and manual expression (n=1, 7.14%.), while Group 2 patients were treated with antibiotics (50%, n=17), aspiration (26.47%, n=9), I&D (17.65%, n=6), and manual expression (5.88%, n=2). Group 2 patients with persistent disease were more likely to be treated with antibiotics or a change in antibiotics (50% vs 7.14%; p=0.005). Following treatment at our institution, the rate of persistent disease was similar between groups (12.6% vs 11.8%).

Conclusions: Persistent breast abscesses may be treated with antibiotics in appropriate cases. Damage to the developing breast bud should be minimized. Disease …

Stewardship Opportunities For Cervical Lymphadenitis And Deep Neck Space Abscesses, Aaron Shaw, Brian R. Lee, Lauren Kazmaier, Emily Baker, Tina Dao, Sandra Arnold, Angela Myers

Research Days

Background: Cervical lymphadenitis (LAD) and deep neck space abscesses (DNSA) are common pediatric infections caused by similar bacteria. We sought to determine differences in presentation, diagnosis, and treatment between LAD and DNSA to identify antimicrobial and diagnostic stewardship opportunities.

Methods: Charts were obtained using ICD9/10 codes for retropharyngeal and parapharyngeal abscessed (DNSA), and LAD between 1/1/10-12/31/20 from two pediatric centers. 1981 charts were identified. Charts were excluded if the diagnosis was not a bacterial infection (e.g. Kawasaki disease), if the LAD was not in the neck, or if caused by less common bacteria (e.g. tuberculosis). Data on presenting signs, symptoms, …

How To Be An Anti-Racist Educator: A Book Review Through An Educational Perspective, Maria Cristina F. Soares, Melanie Morales

Journal of Multicultural Affairs

The authors reviewed the book How to be an Antiracist by Ibram X. Kendi (2019) while reflecting on how Kendi’s brilliant dismantlement of racism and discrimination would help educators become conscious of how racism operates in our society, their schools, and their communities. Kendi’s book could motivate teachers to self-reflect on intrinsic feelings and misconceptions about race and culture built over time, allowing them to adopt new attitudes towards their students and school community. The authors considered the need to reevaluate systemic racism in schools as research has, for instance, found evidence of discriminatory practices towards African American boys (Gregory …

Fantastic Four, Jaden Zumbahlen, Andrea Palmer

Doctor of Nursing Practice Projects

Clinical Issue
Heart failure claims one in four lives of those diagnosed each year. The term Guideline Directed Medication Therapy (GDMT) represents optimal medication therapy as defined by the American College of Cardiology Foundation and American Heart Association. Appropriate quadruple therapy results in an estimated 73% relative reduction in mortality over a two-year time span (Greene & Khan, 2021). However, there is a gap in proper GDMT stemming from suboptimal initiation and/or titration in the outpatient setting.

Project Implementation
Nursing staff in a rural midwestern cardiology clinic were provided with an in-service presentation discussing current guidelines and recommendations of GDMT …

Evaluating Equity: Examining Inclusionary Practices From Educational Organizations To Improve The Education Experience Of Lgbtqia+ Students, Jillian G. Torrento

Seton Hall University Dissertations and Theses (ETDs)

This qualitative study explored the ways in which education policy and practices within public schools are addressing the needs of minoritized populations with a particular focus on LGBTQIA+ students. This study first employed a document analysis to investigate the federal, state, and district-level equity practices that are mandated or elective in addressing the needs of marginalized populations and LGBTQIA+ students. Secondly, a critical discourse analysis was conducted to examine the specific language, word choices, and symbols found within the public documents that signify equitable practices pertaining to minoritized student populations and the LGBTQIA+ community. Ultimately, the goal of this study …

Respiratory Pathogen Panel Use In Hospitalized Infants <2 Months Of Age And Impact On Patient Management., Edward Lyon

Research Days

Background: Respiratory pathogen panels (RPP) are multiplex PCR platforms able to simultaneously detect several respiratory viruses. RPP utilization is not well described in infants < 2 months of age, who frequently require hospitalization for management of acute respiratory illness (ARI) and/or fever. Detection of a viral pathogen in this age group could impact the clinician’s decision to perform additional evaluation and administer antimicrobials.

Objectives/Goal: We sought to understand predictive features and clinical management impact of RPP use in infants < 2 months of age.

Methods/Design: Between October 2017 to September 2021, participants, aged < 18 years, hospitalized with an acute respiratory infection (ARI) were enrolled in Kansas City’s New Vaccine Surveillance Network (NVSN). Eligible patients were residents of Jackson County, had symptoms consistent with ARI (e.g., cough, fever, nasal congestion) lasting < 14 days, and enrolled within 48 hours of admission. For this study, only participants < 2 months of age were included. All participants had a research RPP, but results were not available to the clinician. Per provider discretion, some infants also received a clinical RPP (cRPP). Demographic characteristics, laboratory evaluations, and antimicrobial management were compared between infants with and without a cRPP.

Results: Of the 139 participants < 2 months of age, 57 (41%) had a cRPP (table 1). A cRPP was more frequently obtained in infants < 1 month of age (n=34 [47%]) compared with infants 1-2 months of age (n=23 [35%]; p=0.17). 35 (61%) participants with a cRPP had a parental report of fever while 41 (50%) of those without a cRPP had one reported. Only 20 (35.1%) of White, non-hispanic participants had a cRPP compared to 42 (51.2%) p=0.082 who did not have a cRPP. Participants who had blood or CSF culture collected were more likely to have a cRPP obtained, 47 (82.5%) p=

Conclusions: Overall, < 50% of infants < 2 months of age hospitalized with ARI received cRPP testing. Obtaining a blood or CSF culture was associated with increased cRPP usage. The length of stay was not different between the two groups. 35 viral infections went undetected in participants without a cRPP even with accounting for positive rapid NAAT testing, further investigation is needed to understand how this may influence clinical care.

Association Between Remote Monitoring And Interstage Morbidity And Mortality In Single Ventricle Patients Across Socioeconomic Groups, Bianca Cherestal

Research Days

Background: Despite improvements in outcomes over time, morbidity and mortality for infants with single ventricle (SV) heart disease remains high. Among other risk factors for mortality, infants of low socioeconomic status (SES) are known to be particularly vulnerable following stage 1 palliation.

Objectives/Goal: We sought to determine whether use of a novel remote monitoring program, CHAMP (Cardiac High Acuity Monitoring Program), mitigates differences in outcomes by SES for infants with SV during the interstage period.

Methods/Design: Using the CHAMP database, we identified 610 infants across 11 institutions enrolled in the program between 2014–2021. All enrolled patients’ families were provided with …

Pilot Study Using Sideline Hand-Grip Dynamometry To Assess Strength Changes In A High School Baseball Season: A Feasibility Study, Thomas Munro, Jason D. Yoderq, Brian R. Lee, Brian S. Harvey

Research Days

Background: Upper extremity injuries are common in baseball players. Objective measurements could assist in determining early signs of fatigue before injury occurs. Using HGD to measure strength changes may help identify early signs in the injury process. To our knowledge, HGD has not been tested on high school baseball players in the sideline setting. It is feasible to perform hand-grip dynamometry on-site at the high school level and HGD measurements will change throughout the season in varsity baseball athletes. Secondary aim: Asses HGD measurement in the context of injury/pain/fatigue/pitching.

Objectives/Goal: It is feasible to perform hand-grip dynamometry on-site at the …

Therapeutic Plasma Exchange To Alleviate Ventricular Tachycardia After Diphenhydramine Ingestion, Kaushal Dosani, Lejla Music Aplenc, Stephen Pfeiffer

Research Days

Background: The Covid-19 pandemic has adversely affected the mental health of children causing an increased incidence of suicide attempts. Diphenhydramine is a common household medication and is frequently ingested by children. Toxic doses of diphenhydramine can affect the cardiovascular and central nervous system. In the heart, diphenhydramine blocks fast sodium channels and potassium channels which can result in conduction abnormalities including sinus tachycardia, widening of QRS duration, ventricular tachycardia and torsades de pointes. Massive ingestion can cause severe cardiovascular collapse which may require ECMO support

Objectives/Goal: To describe a novel method of clearing highly protein-bound diphenhydramine molecules from circulation after …

Genes Predictive Of Aggressive Infant Acute Lymphoblastic Leukemia, Meghana Bhumireddy

Research Days

Background: Acute Lymphoblastic Leukemia (ALL) is a rapidly progressive cancer in which the bone marrow makes too many immature leukocytes that divide uncontrollably. KMT2A, or MLL, is a methyltransferase found in many types of leukemia, whose rearrangement (KMT2A-r) is present in approximately 2/3 of infants with ALL. KMT2A-r is associated with a very poor prognosis: roughly ⅔ of patients relapse within 1 year of diagnosis, and the relapsed KMT2A-r ALL is resistant to treatment (having nearly 100% morality). We explored gene expression in patient samples from three groups at diagnosis: KMT2A-r patients who relapsed, KMT2A-r patients who did not relapse, …