Medicine and Health Sciences Commons^™

Changing Weight Management Self-Efficacy Among Obese Puerto Rican Adults: A Quantitative Study Using A Health Coaching Intervention, Richard Valentin Ayala, Josh Bernstein

Internet Journal of Allied Health Sciences and Practice

Purpose: Obesity and associated healthcare-related issues continue to increase. The prevalence of obesity is on the rise, which has led many health professionals to find ways to improve health interventions. Health coaching can be a viable tool to reduce the obesity epidemic. The purpose of this quantitative study was to investigate the effects of an 8-weekhealth coaching intervention in obese individuals from Puerto Rico and to determine if self-esteem and body image influence weight managementself-efficacy. Method: A pretest-posttest design using a weight management self-efficacy scale helped the researcher evaluate the effectof the coaching sessions. In addition, body image …

A Case Of Intertrochanteric Fracture, Sahil Munjal

Digital Journal of Clinical Medicine

No abstract provided.

Patients' Understanding Of Diabetes Self-Management Education And Support In A Private Primary Care Clinic In Kuala Lumpur: A Qualitative Study, Thanapalan Tharini

Student Works (2020-2029)

Patients with diabetes mellitus should be actively self-managing their disease, since this can aid in producing better glycaemic control. Thus healthcare professionals managing diabetes patients, irrespective of whether they are in the public or private setting, need to focus on educating patients in order to empower them to carry out self-management practices. Little evidence is available to determine whether patients, especially those managed in private primary care clinics, are able to understand the education provided to them on diabetes self-management. This study aimed to explore patients’ comprehension of content and perception regarding delivery and quality of diabetes self-management education at …

A Case Of Alcohol Induced Psychotic Disorder With Depression Presenting During Covid19 Lockdown, Dr. Sopan T, Dr Kishor M

Digital Journal of Clinical Medicine

No abstract provided.

A Case Of Spina Bifida Occulta With Tethered Cord Syndrome, Dr. Shivangi G, Dr. M.D. Ravi

Digital Journal of Clinical Medicine

No abstract provided.

A Case Of Squamous Cell Carcinoma, Dr. Pranav Prabhu, Dr. Gurgi Mukthinath

Digital Journal of Clinical Medicine

No abstract provided.

Evaluation Of A Concussion Management And Discharge Education Training Module For Emergency Department Nurses, Carmen Frede

DNP Projects

Purpose: The purpose of this project was to improve the Emergency Department (ED) nurses’ knowledge on identifying patients at risk for concussions and delivering effective concussion discharge education using an educational training intervention.

Methods: This project used a descriptive, non-randomized pre-post survey design. Participation involved three stages: a pre-education survey to assess baseline concussion education knowledge, an educational intervention consisting of a narrated PowerPoint presentation, and a post-education survey to evaluate knowledge on concussion discharge education. The intervention was delivered online via the UK Canvas educational platform.

Results: The majority of nursing staff participants were female (97%) and had a …

Improving First Dose Administration Of The Hpv Vaccine For Adolescents In A Pediatric Primary Care Clinic, Scarlett Mikesell-Pierce

DNP Projects

BACKGROUND: Nationwide more than 90% of cervical cancer cases are caused by the human papilloma virus (HPV). Cervical cancer can be largely prevented by administration of the HPV vaccine for children before becoming sexually active. However, vaccination rates in the United States, remain low at 60%, and only 39.7% through series of completion, despite the strong evidence to support the effectiveness of the HPV vaccine. Research indicates a clinician’s recommendation, providing information and opportunity for discussion about the vaccine are strong motivators for parents to vaccinate their children, regardless of ethnicity. This study addresses the barriers to parent/caregiver intent to …

Person-Centered Physical Training Programs For Individuals With Intellectual Disabilities: Stimulating Motivation And Participation As Essential Components Of Program Development, Monica Bolaños-Boudreau

UNF Graduate Theses and Dissertations

This qualitative case study explored the perceptions of two individuals with intellectual disabilities who participated in a person-centered physical training program that identified factors of motivation and influences on self-determined physical choices. The findings of this study revealed five factors that seemed to motivate participants to exercise; (a) enjoyable activities, (b) personalized program, (c) exercises that promoted health and positive self-images, (d) exercise routines that were familiar and safe, and (e) an exercise partnership with the trainer. Considering these factors of motivation, community leaders, administrators, and practitioners may promote self-determination and ultimately, impact participation by individuals with intellectual disabilities. Additionally, …

Effects Of A Single Mutation In Chikungunya Virus Non-Structural Protein On Virus Infection In Aedes Albopictus And Mammalian Cell Lines, Yin Ling Jolene Fu

Student Works (2020-2029)

Chikungunya virus (CHIKV) has caused large-scale epidemics of fever, rash and arthritis since 2004. This unprecedented re-emergence has been mainly associated with mutations in genes encoding structural envelope proteins, providing increased fitness in the secondary vector Aedes (Ae.) albopictus. In the 2008-2013 CHIKV outbreaks across Southeast Asia, an R82S mutation in non-structural protein 4 (nsP4) emerged early in Malaysia or Singapore and quickly became predominant. To determine whether this nsP4-R82S mutation provides a selective advantage in host cells which may have contributed to the epidemic, the fitness of infectious clone-derived CHIKV with nsP4- 82R and nsP4-82S were compared in Ae. …

Occupational Burnout Among Healthcare Professionals In Obstetrics And Gynecology Department Of A Public Hospital In Islamabad, Pakistan, Kashif Sabin

Student Works (2020-2029)

The general purpose of this study was to investigate the extent of burnout experienced by healthcare professionals working in obstetrics & gynaecology units in public hospital of Islamabad, Pakistan. Specifically, this research attempted to explore the contributing factors of burnout, by correlating the burnout scores of exhaustion and disengagement, with the sociodemographic variables. The main objectives of the study were: (i) to assess the levels of burnout as determined by the extent of exhaustion and disengagement among the study participants, and (ii) to compare the mean scores of exhaustion and disengagement among healthcare professionals based on different demographic characteristics: (a) …

Tubular Adenoma Of Breast, Diksha Dadlani

Digital Journal of Clinical Medicine

No abstract provided.

Kikuchi-Fujimoto Disease, Rohan Karkra

Digital Journal of Clinical Medicine

No abstract provided.

Macular And Optic Disc Drusenoid Deposits With Hemifield Defects In A Patient With Iga Nephropathy: New Findings, Dr. Prabhakar S K

Digital Journal of Clinical Medicine

No abstract provided.

A Case Of Megaloblastic Anemia With Suspected Gilbert Syndrome, Nair A, Prasad R, Dr. Ravikumar S, Dr. Prasanna Kumar

Digital Journal of Clinical Medicine

No abstract provided.

A Case Of Recurrent Pregnancy Loss Due To Bicornuate Uterus, Chandran S

Digital Journal of Clinical Medicine

No abstract provided.

A Case Of Right Lower Lobe Lung Abscess With Stage Iii Empyema, Dey Sauparna, Dr. Ravi M D

Digital Journal of Clinical Medicine

No abstract provided.

Uterine Prolapse, Nimisha Sinha, Sakshi Anurika, Dr. Anu Prerana

Digital Journal of Clinical Medicine

No abstract provided.

Ataxia Telangiectasia- A Case Report, Pooja Pallavi, Dr. Rajani H.S

Digital Journal of Clinical Medicine

No abstract provided.

A Case Of Sjogren’S Syndrome With Leucocytoclastic Vasculitis With Hypokalemic Periodic Paralysis, Dr. Pranay Penmetsa, Dr. Subramanian R

Digital Journal of Clinical Medicine

No abstract provided.

“Hunting” A Case Of External Ophthalmoplegia: Tolosa-Hunt Syndrome, Dr Vaishnavi S.G, Dr Shasthara P

Digital Journal of Clinical Medicine

No abstract provided.

A Case Of Tenofovir Induced Osteopenia, Dr Kruthi M, Dr Rajendra Prasad S

Digital Journal of Clinical Medicine

No abstract provided.

Fertility Treatments Of Women In Nigeria: Using Long Versus Short Protocols, Michael Egwu

Walden Dissertations and Doctoral Studies

A global estimate indicates that over 70 million heterosexual married couples live with the burden of infertility, and Nigeria accounts for about 30%. Although protocols exist, it appears there are no standardized treatment guidelines for practicing fertility experts in Nigeria. This study, therefore, aimed to determine which protocol provides a better outcome across a given population of infertile women in Nigeria as a method to move towards developing standardized treatment guidelines. The study was grounded using the Patient-Centered Care Treatment Model, and the method of inquiry was a retrospective, cross-sectional, quantitative, and nonexperimental technique, and the influence of the patient’s …

A Provider Education Program Addressing Barriers To Diabetic Patients’ Self-Care, Henrietta O. Emokidi

Walden Dissertations and Doctoral Studies

Diabetes is the leading cause of death among American Indian/Alaskan Natives and the 7th leading cause of death in the United States. Type 2 diabetes (T2DM) affects 9% of the U.S. population and costs the United States an estimated $245 billion annually. The purpose of this project was to identify patients’ concerns related to their disease and to develop an education program for providers to address these concerns. The project was framed using Orem’s theory of self-care and the middle-range theory of self-care of chronic illness. Five providers in an underserved clinic in Alaska conducted assessments during a primary care …

Perceptions, Practices, And Risk Factors Associated With Typhoid Fever In Nimo Village, Nigeria, George Ilouno

Walden Dissertations and Doctoral Studies

Typhoid fever is a bacterial disease transmitted by the fecal-oral route. In Nigeria, the condition is life threatening and endemic. It affects communities such as Nimo that have limited water, sanitation, and hygiene infrastructure. Previous researchers focused on sanitation and hygienic conditions that contribute to the disease such as household-level hygiene and food and water contamination, including handling practices. However, there is limited knowledge on how the environmental behavior and living conditions of eating and sleeping on a floor harboring fecal materials affect typhoid fever prevalence. The purpose of this qualitative phenomenological study was to explore the perception of the …

Decreasing Hiv Stigmatization For Care Of Young Men Of Color Who Have Sex With Men, Alethea Arnett Miller

Walden Dissertations and Doctoral Studies

HIV-related stigma from healthcare provider attitudes, beliefs, perceptions, or misconceptions has been a barrier to healthcare delivery. This project was conducted to examine whether an HIV-related stigma education provided to healthcare clinic staff with a focus on advance practice registered nurses can improve knowledge and empathy toward young men of color who have sex with men (MSM), which can lead to improved overall quality of healthcare through increased health behaviors and retention in care. An educational intervention was conducted utilizing a blended-learning environment focused on social cognitive theory to influence social behavior change among healthcare professionals, increasing their exposure, knowledge, …

The Correlation Between Unemployment Rate, Gdp Per Capita, And Adult Obesity Prevalence In Developed Economies. Evidence From Oecd Member Countries., Uche Noel O'Martins

Walden Dissertations and Doctoral Studies

Adult obesity continues to be endemic in developed countries; at least 1 in every 5 people in developed economies is obese. In line with the theory of social suffering, socioeconomic factors may be correlated with the increasing prevalence of adult obesity. The purpose of this study was to investigate the correlation between socioeconomic factors and adult obesity prevalence rate in developed countries using Organization for Economic Co-operation and Development (OECD) member countries as a case study. In this study, the correlation between 2 independent variables - unemployment rate and Gross Domestic Product (GDP) per capita - and the dependent variable …

The Role Of Self-Mutilation Behaviors Among Adolescents Who Are Depressed, Patricia Wilkins

Walden Dissertations and Doctoral Studies

Adolescents who are depressed may self-injure themselves. Common methods for non-suicidal self-injury are cutting and burning the skin of one’s own body. Multiple confounding factors of age, gender, race and socio-economic status could lead one to engage in intentional or unintentional self-mutilation acts. The current body of literature on adolescent mental health demonstrates limited understanding of how racial and ethnic identity factors contributes to depression, self-injurious behavior, and suicide. This quantitative study determined if there was a relationship between depression and prevalence of adolescent self-mutilation. The social ecological theory was used to study the intersection of social determinants of depression …

Effectiveness Of A Standardized Fall Assessment Tool In Reducing Falls Among Elder Home Health Clients, Terica M. Woods

Walden Dissertations and Doctoral Studies

Because of the physiological changes that occur with the normal aging process, falls tend to have more serious consequences in individuals age 65 and older. The purpose of this systematic review of literature was to analyze studies that addressed the impact of a multifactorial fall risk assessment tool on decreasing falls in the elderly home health patient population following hospitalization. The conceptual model for this project was Roper, Logan, and Tierney’s activity of daily living model. A narrative analysis was used to analyze 16 selected articles from the CINAHL, ProQuest and MEDLINE databases. Results indicated that implementing fall assessment tools …

Antibiotic Stewardship And The Quality Of Life For Residents Over 65 Years, Reshma Beharry-Guest

Walden Dissertations and Doctoral Studies

Antibiotics were often over-prescribed in long term care facilities (LTCFs) and antibiotic stewardship guidelines, established by the CDC were not followed. The nursing home administrator was responsible for the quality of care for the residents and ensured that the facility met and/or exceeded the CMS antibiotic stewardship standard of care. The purpose of this quantitative study was to analyze operational secondary data collected from a Texas LTCF regarding antibiotic utilization for male and female residents over 65 years. The theoretical framework of the social cognitive theory was applicable for quality improvement in the LTCF setting. The data analysis showed that …