Medicine and Health Sciences Commons^™

Institutional Issues In The Implementation Of An International Student Exchange Program, Mary E. Duffy, Suzette Farmer, Patricia K. Ravert, Liisa Huittinen

Faculty Publications

The article discusses institutional issues related to the development and implementation of an undergraduate student exchange program in nursing. A consortium of four universities in the United States and six nursing schools in three European countries developed an exchange program to teach a common community health module. Thirty-one students from the United States and 30 students from Europe participated in this program, which was by the U.S. Department of Education and the European Union. The project commenced with a 3-week meeting of faculty and students to design the 8-week exchange program and cultural preparation module. This article describes institutional issues …

Beneficial Effects Of Flexible Insulin Therapy In Children And Adolescents With Type 1 Diabetes Mellitus, Ramin Alemzadeh, P. Palma-Sisto, Elaine Parton, Joan P. Totka, Mary De Sales Kirby

College of Nursing Faculty Research and Publications

The purpose of this study was to determine the feasibility of a flexible multiple daily insulin (FMDI) regimen in routine pediatric diabetes care by comparing HbA_1c, body mass index (BMI), and episodes of severe hypoglycemia (SH) before and after initiation of FMDI therapy. Data from 44 patients (2-16 years old), on a conventional insulin (CI) regimen, were collected during quarterly diabetes clinic visits. These patients were transitioned from CI to FMDI regimen: pre-meal lispro (bolus) and once or twice daily Humulin Ultralente with or without bedtime Humulin NPH as the basal insulin. There was a significant improvement in …

Diet And Exercise In Low Income, Culturally Diverse Middle School Students, Marilyn Frenn, Shelly Malin

College of Nursing Faculty Research and Publications

It is important to understand constructs essential to low-fat-diet and physical-activity behaviors of low-income culturally diverse middle-school-age students, because ethnicity and socioeconomic status influence body weight status, and these groups are most at risk for obesity later in life. In this descriptive study, constructs important in low-fat diet and physical activity in low- to middle-income, culturally diverse middle school students were examined. Revised for cultural/developmental appropriateness and reading level, instruments incorporating constructs from the Health Promotion and Transtheoretical Models were tested with 221 youth. Results demonstrated that percentage of fat in diet, total number of strategies used for a low-fat …

The Effectiveness Of A Congestive Heart Failure Teaching Program To Community-Based Elders, Debbie Meggs

MSN Research Projects

Heart failure affects more than 4.6 million people in the United States (Dahl & Penque, 2000). While mortality from myocardial infarction is on the decline, congestive heart failure numbers continue to rise. Statistics indicate that 550,000 cases occur each year, at an estimated cost of $21.4 billion a year (National Institutes of Health, National Heart, Lung and Blood Institute, 2002). Elders with congestive heart failure (CHF) do not always understand their disease nor do they recognize its symptoms. Recognition of CHF symptoms can lead to improved management and self-care. Therefore, the purpose of this study was to provide basic, low-literacy …

Knowledge Of Cardiovascular Disease Risk Factors And Perception Of Risk In Women, Kimberly Kuykendall-Marlar

MSN Research Projects

More women than men are dying of cardiovascular disease. The misconception persists that heart disease is a "man's disease" and not an urgent health care issue for women. In the United States, heart disease kills more women than all cancers combined. In 1997, 228,679 women died due to cardiovascular disease, and 41,443 women died from breast cancer. Yet, women are still not assessed effectively for their risk factors for cardiovascular disease; therefore, women are under-diagnosed and under-treated for this disease. The purpose of this study was to evaluate women's knowledge of cardiovascular disease risk factors, assess their perception of risk, …

Organizational Characteristics And Restraint Use For Hospitalized Nursing Home Residents., Meg Bourbonniere, Neville E. Strumpf, Lois K. Evans, Greg Maislin

College of Nursing Faculty Papers & Presentations

OBJECTIVES: To examine the effect of organizational characteristics on physical restraint use for hospitalized nursing home residents.

DESIGN: Secondary analysis of data obtained between 1994 to 1997 in a prospective phase lag design experiment using an advanced practice nurse (APN) intervention aimed at reducing physical restraint for a group of hospitalized nursing home residents.

SETTING: Eleven medical and surgical units in one 600-bed teaching hospital.

PARTICIPANTS: One hundred seventy-four nursing home residents aged 61 to 100, hospitalized for a total of 1,085 days.

MEASUREMENTS: Physical restraint use, APN intervention, age, perceived fall risk, behavioral phenomena, perceived treatment interference, mental state, …

The Relationship Among Lifestyle, Self-Esteem, And Body Mass Index In Children, Wanda Stroupe

MSN Research Projects

Current research demonstrated that childhood obesity has dramatically increased, especially in the rural South. Current research suggests that 25% of children are currently obese while there has been a 75% increase in relative obesity in children over the past three decades. A correlational, descriptive design was utilized to examine the following hypothesis : There will be a significant correlation among the variables of selfesteem, lifestyle, and body mass index in children. The purpose of this study was to determine if a significant correlation exists among body mass index, lifestyles, and self-esteem in children. Erickson, Tomlin, and Swain's Modeling-Role Modeling Theory …

Facilitators And Barriers To Compliance Of Middle-Aged Hypertensive African-American Adults, Monica Jones

MSN Research Projects

Hypertension is a major risk factor for cardiovascular disease, such as atherosclerosis, heart attack, and stroke. Surveys indicate that one out of four Americans has high blood pressure. It occurs more often in men than women and is most common in African-American males. Despite the fact that there are constantly improving treatments available, many hypertensive patients are noncompliant with prescribed treatment plans. The focus of this descriptive study was to identify facilitators and barriers to compliance in hypertensive middle-aged African American adults. Pender's Health Promotion Model served as the theoretical framework. The research question guiding this study was as follows: …

Primary Care Providers' Prescribing Practices Of Selective Serotonin Reuptake Inhibitors, Ginger Dowell

MSN Research Projects

The use of selective serotonin reuptake inhibitors (SSRIs) is rapidly growing among the general population. Researchers have identified only minimal empirical data regarding the SSRI-prescribing practices among primary care providers. The focus of this descriptive study was to explore SSRI-prescribing practices of primary care providers. Benner's (1984) Novice to Expert Model was the theoretical framework used to conduct this study. The research questions used to guide the research were as follows: What factors influence the prescribing practices of primary care providers regarding SSRIs? And what are the perceived competency levels of primary care providers in prescribing SSRIs? The research design …

Primary Care Family Nurse Practitioners’ Practices O F Assessment For The State O F Thriving Among Community-Based Elders, Judy Labonte

MSN Research Projects

The increasing life span of people within the developed world may produce major health problems for the elder. These health problems lead to premature declines in function and cognition. Many healthcare professionals do not recognize these declines until the need for institutionalized care is urgent. Research has demonstrated that healthcare professionals either fail to recognize or address these declines, contributing to poor outcomes for the elder and the exponential rise in healthcare expenses o f the Medicare and Medicaid funds. This exploratory, descriptive study was designed to examine the level of assessment by primary care family nurse practitioners (FNPs) for …

Identification Of Common Variables Among A Select Group Of Children With Autism, Angela Yarbrough

MSN Research Projects

Autism has become the topic of much recent debate. Autism is a serious, lifelong developmental disability characterized by significant impairments in reciprocal social interactions and communication skills, as well as a restricted and repetitive pattern of interests and or behaviors (American Psychiatric Association, 1994). Minimal information is available about the prevalence or causes of the disorder in the United States. The purpose of this descriptive study was to find and identify common variables among a select group of children diagnosed with autism. Roger's Science of Unitary Human Beings served as the theoretical framework for this study. Rogers (1980) states that …

Effects Of Mentholatum On Onychomycosis Of The Toenail, Susan Cappleman

MSN Research Projects

As many as 25% of the population age 60 years and older may be affected by onychomycosis, a chronic infection that is difficult to cure. Onychomycosis can cause pain and soft tissue injury that can lead to infection affecting gait from discomfort. Current oral medications available for the treatment of onychomycosis are costly and can pose the risk of serious side effects. The purpose of this study was to determine if the use of Mentholatum was an effective and cost-efficient means to treat onychomycosis of the toenail in elders. The Neuman Systems Model was used as the theoretical framework: specifically, …

A 39-Year-Old Man With Left Shoulder Pain: Comparing 3- And 5-Point Triage Scales, Renea L. Beckstrand, Ellen K. Sanders

Faculty Publications

A 39-year-old Hispanic man arrives in the emergency department complaining of pain in the area of his left shoulder.

Kearns, Merle Interview For The Miami Valley College Of Nursing And Health Oral History Project, Donna M. Curry, Kim Kirby, Merle Kearns

Wright State University - Miami Valley College of Nursing and Health Oral History Project

Donna Miles Curry and Kim Kirby interviewed Ohio State Representative Merle Kearns about the founding of the Wright State University College of Nursing and Health. In the interview, Kearns discusses her career and her relationship with the Wright State University College of Nursing and Health

Mcgonigal, Wendy Interview For The Miami Valley College Of Nursing And Health Oral History Project, Donna M. Curry, Kim Kirby, Wendy Mcgonigal

Wright State University - Miami Valley College of Nursing and Health Oral History Project

Donna Miles Curry and Kim Kirby interviewed Wendy McGonigal on July 2, 2003 about the founding of the Wright State University College of Nursing and Health. In the interview McGonigal discusses her career and her decision to come to Wright State as a student with the College of Nursing and Health.

Blame--Do You Know It When You See It?, Patricia R. Ebright, Kathryn Rapala

College of Nursing Faculty Research and Publications

The landmark Institute of Medicine Report, To Err Is Human: Building a Safer Health Care System. stated that medical error causes 44,000 to 98,000 deaths per year. There is no question that the report raised awareness of patient safety and stressed the importance of patient outcomes. Heightened awareness has produced a patient safety industry of sorts, with solutions that range from technology to outcomes measurement.

Regulatory bodies, such as the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), have recognized the need for patient safety to be embedded in the culture of healthcare organizations. In particular, the JCAHO has …

Medical Errors, Drug-Related Problems, And Medication Errors: A Literature Review On Quality Of Care And Cost Issues, Jane H. Lassetter, Myrna L. Warnick

Faculty Publications

Medical errors have received a great deal of attention in recent years. The phrase medical errors is an umbrella term for all errors that occur within the health care system, including mishandled surgeries, diagnostic errors, equipment failures, and medication errors. This article is a review and discussion of the literature on the scope of medical errors, with a focus on drug-related problems and medication errors. Cost and quality ideas for addressing these issues are provided.

Rh Negative Status And Isoimmunization Update: A Case-Based Approach To Care, Kathryn Shisler Harrod, Lisa Hanson, Leona Vandevusse, Patricia Heywood

College of Nursing Faculty Research and Publications

Prior to the 1970s and the advent of Rho (D) immune globulin (RIG) for Rh negative women, hemolytic disease of the newborn led to morbidity, long-term disabilities, and mortality. Antepartum RIG administration has been a standard of practice since 1983. Yet, Rh isoimmunization (sensitization) and its sequelae have not been completely eradicated. Rh-related issues remain clinical challenges facing perinatal and neonatal nurses. Evidence for the administration of RIG prenatally and during the postpartum period is presented including controversies and challenges. Current information about fetal and neonatal care of erythroblastosis fetalis and immune hydrops is also presented.

Localization Of Transfected B7-1 (Cd-80) In Human Melanoma Cells After Particle Mediated Gene Transfer, Donna O. Mccarthy, Lorraine F. Meisner, Jeanne Bourdeau-Heller, Timothy R. Roberts, Shi-Qi Wu, Thomas F. Warner, Mark R. Albertini

College of Nursing Faculty Research and Publications

The purpose of this study was to evaluate stable DNA transfection of M-21 human melanoma cells with particle-mediated gene transfer (PMGT) with B7-1 cDNA and to identify sites of gene integration. Stable B7-1 transfectants (M-21-B7) were obtained with PMGT using a plasmid vector containing cDNA for both B7-1 and neomycin phosphotransferase, with subsequent selection with G418. The transfected cells were flow sorted by B7-1 expression into two populations, bright and dim. The bright population had 85%–90% of cells expressing B7-1; the dim population had less than 50% of cells with B7-1 expression. Chromosome analysis with fluorescence in situ hybridization (FISH) …

Rethinking Nutritional Support For Persons With Cancer Cachexia, Donna O. Mccarthy

College of Nursing Faculty Research and Publications

Cancer cachexia is a poorly understood syndrome of anorexia, weight loss, and muscle wasting that negatively impacts quality of life and survival in cancer patients. Research has clearly implicated proinflammatory cytokines in the biology of cancer cachexia. More recent research implicates products of arachidonic acid and suggests that cachexia may be a chronic inflammatory condition rather than a nutritional aberration. To date, nutritional support to slow weight loss has focused primarily on increasing calorie intake. Alternatively, many foods contain factors that can modulate the synthesis or activity of proinflammatory mediators, especially the synthesis of prostaglandin E2 from arachidonic acid. These …

Using Peplau's Theory To Examine The Psychosocial Factors Associated With Hiv-Infected Women's Difficulty In Taking Their Medications, Janet Lynn Douglass, Richard Sowell, Kenneth D. Phillips

Faculty Articles

Although combination therapies slow progression of HIV disease, HIV-infected women face new challenges that must be overcome to increase their life expectancy. One challenge is adherence to strict, and often unpleasant, drug regimens. Peplau's Theory of Interpersonal Relationships provides a framework for identifying and examining factors that influence medication adherence, in particular difficulties in taking medication. A descriptive, correlational design was used to test associations between difficulty taking HIV medications and a woman's relationship with her primary healthcare provider (PHCP), depression, HIV-specific emotional and tangible support, present life satisfaction, family functioning, HIV-related symptoms, AIDS beliefs and perceptions, medication side-effects, and …

Chinn, Peggy Interview For The Miami Valley College Of Nursing And Health Oral History Project, Carol Holdcraft, Peggy Chinn

Wright State University - Miami Valley College of Nursing and Health Oral History Project

Carol Holdcraft interviewed Peggy Chinn on June 18, 2003 about the founding of Wright State University College of Nursing and Health. In the interview Dr. Chinn discusses her career and her decision to come to Wright State as a student for the College of Nursing and Health.

Sullivan, Jean Interview For The Miami Valley College Of Nursing And Health Oral History Project, Carol Holdcraft, Jean Sullivan

Wright State University - Miami Valley College of Nursing and Health Oral History Project

Carol Holdcraft interviewed Jean Sullivan about the founding of the Wright State University College of Nursing and Health. In the interview Ms. Sullivan discusses her career and her decision to come to Wright State as faculty with the College of Nursing and Health.

Commencement Program 2003, Loma Linda University

Commencement Programs

CONTENTS

2 | 2003 Events of Commencement

3 | The Academic Procession

4 | Significance of Academic Regalia

5 | The Speakers

12 | The University Honorees

21 | The School Honorees

29 | The Programs

• School of Medicine, 30
• School of Dentistry, 37
• Graduate School, 45
• School of Nursing, 55
• School of Allied Health Professions - Physical Therapy, 60
• School of Allied Health Professions, 68
• School of Public Health, 77

Editorial: Are You A Prime Mover?, Kathryn Schroeter

College of Nursing Faculty Research and Publications

No abstract provided.

Donation After Cardiac Death: The Reinvention Of A Forgotten Procedure, Gloria Taylor, Karen Samartan, Kathryn Schroeter

College of Nursing Faculty Research and Publications

No abstract provided.

Attitudes Of Mexican American Women Regarding Type 2 Diabetes Mellitus And Its Management, Ofelia M. Bustos

Master's Projects

Latinos are twice as likely as the general population to have diabetes. Hispanic women with diabetes are medically undeserved. The purpose of this study was to examine Mexican American women's attitudes about type 2 diabetes and its treatment. A convenience sample of 43 Mexican American women, > 18 years of age, and residing in Northern California participated in this descriptive/exploratory non-randomized survey conducted in February and March 2003. The Diabetes Attitude Scale was used to measure the attitudes of Mexican American women about type 2 diabetes and its treatment. Results supported the beliefs that health care professionals needed special training to …

2003 Commencement For College Of Health Professions

Jefferson College of Nursing Commencements

No abstract provided.

The Effect Of Ultra Low Dose Epidural Analgesia On Newborn Breastfeeding Behaviors, Sharon Radzyminski

Nursing Faculty Publications

Objective: To determine whether a difference in breastfeeding behaviors could be observed between newborns whose mothers received epidural analgesia for labor pain relief and those newborns whose mothers received no pain medication in labor. Design: There were two groups of neonates in this study. One group was born to mothers who received epidural analgesia, and one group was born to mothers who received no pain medication for labor. Both groups were observed for initial breastfeeding behaviors using the Premature Infant Breastfeeding Behavior Scale following birth and at 24 hours. Central nervous system functioning in the newborn was measured with the …

External Calf Compresses With Lemon As A Nursing Adjunct For Fever Treatment, Eira Klich-Heartt

Nursing | Master of Science in Nursing 2002 -2012

Fever is a common symptom of illness. Compresses are used in other areas and countries for comfort. Sponging has been studied and shown to be effective in lowering temperatures. This is a study that investigates the use of lemon calf compresses as a nursing adjunct for fever treatment

The Purpose of this study is: What are the experiences of adult patients during a febrile illness of greater than 101.5 degrees F. with the addition of a lemon calf compress to current treatment?

Methods: This was prospective study with a quasi-experimental design. Ten patients identified with a fever greater than or …