Medicine and Health Sciences Commons^™

The Pursuit Of Language Appropriate Care: Remote Simultaneous Medical Interpretation Use, Debra M. Logan

Nursing Dissertations - Archive

Background. The U.S. government mandates nurses to deliver linguistically appropriate care to hospital patients. It is difficult for nurses to implement the language mandates because there are 6,912 active living languages spoken in the world. Language barriers appear to place limited English proficient (LEP) patients at increased risk for harm when compared to non-LEP patients. Hospitals, a primary nurse employer, are responsible for supplying language services to support accessible, quality care to linguistically diverse populations. This descriptive study explored relationships among the use of remote simultaneous medical interpretation (RSMI) in hospital settings, hospital size as an indicator of organizational resources …

Pediatric Nurses' Journeys To Relieve Children's Post-Operative Pain, Renee C.B. Manworren

Nursing Dissertations - Archive

This study sought to bridge the gap of nurses' knowledge of pain management and translation into clinical practice by describing pediatric nurses' negotiation of the bureaucracy of caring. The purpose of this study was to describe factors that influenced pediatric nurses' actions to relieve children's acute post-operative pain on a pediatric post-surgical care unit. The bureaucracy of caring provided the theoretical framework. A qualitative descriptive study of human factors engineering and ethnography was used to quantify the impact of influential variables on time from assessment to intervention. Few knowledge deficits were identified; but nurses' general knowledge and attitudes regarding pain …

Factors Affecting The Relocation And Transition Of Internationally Educated Nurses Migrating To The United States Of America, Kristina Sylvia Ibitayo

Nursing Dissertations - Archive

A paucity of research studies and systematic reviews have been conducted on IEN nurse migration experiences in the US. The number of IENs in the US RN workforce is projected to continue growing. Therefore, studies on nurse migration and IEN relocation and transition experiences are essential. This exploratory descriptive study on the transition conditions and professional satisfaction of nurses migrating to the US provides information on the complex pull and push factors affecting nurse migration. This study described the push factors, pull factors, personal characteristics, motivation to migrate, transition conditions, family/social environment, work environment, and professional satisfaction of IENs in …

The Combined Effect Of Tiotropium And Formoterol On The Functional Status Of Patients With Moderate-To-Severe Copd, Catherine Dean Stengele Jones

Nursing Dissertations - Archive

This double blinded placebo controlled pilot study examined the use of combined inhaled medication for patients with moderate-to-severe COPD. The inhalation of formoterol versus placebo was studied when combined with the routine use of tiotropium. Maximizing bronchodilitation through the use of combination inhaler therapy is felt to be superior to the use of a single inhaled medication, yet few studies are found in the literature. Currently the Global Initiative for Obstructive Lung Disease (GOLD) recommends the use of combination inhaled therapy in patients with moderate-to-severe COPD. This study of 18 patients with moderate-to-severe COPD measured the effects on the functional …

Exploration Of The Cultural Beliefs In Mexican American Young Adult Childhood Cancer Survivors And Their Decisions To Engage In Cancer Screening Behaviors, Lisa Bashore

Nursing Dissertations - Archive

Gaps in the literature exist exploring the cultural beliefs and the cancer screening practices in Mexican American (MA) young adult childhood cancer survivors (YACCS). Lack of representation of MA in past survivor research is one reason for the gaps in knowledge about the beliefs in MA survivors, and the current study is the beginning of the examination of the cultural beliefs in MA YACCS and how these beliefs influence their decisions about cancer screening. Kleinman's (1978) cultural explanatory model (CEM) approach served as the conceptual framework in which this study was conducted. Survivors were recruited from the investigators institution where …

The Promotion Of Pediatric Sensory Integration Using Small Animals In A Clinical Or Classroom Environment: A Resource For Occupational Therapists, Nina Perez Jackson

Occupational Therapy Capstones

The purpose of this scholarly project was to create and provide a program to assist occupational therapists in setting up, managing, and providing animal assisted activities and therapies (AAA/T) as a useful conjunction with sensory integration therapy.

A review of the literature revealed a lack of information for occupational therapists to provide AAA/T with children. The research revealed that the use of sensory integration therapy as a pre-established framework to implement AAA/T would provide a research based platform to present a program incorporating animals into therapy.

Based on the literature findings, a product was developed to guide occupational therapists in …

Ethnography Of Chronic Pain Experiences Of Enlisted Women, Linda M. Denke

Nursing Dissertations - Archive

The American Pain Foundation reported in 2006 that 32% of military men and women with chronic pain reported that military culture is a barrier to pain care and receiving pain care jeopardized their career. Pain management required a series of understandings about pain in the military that motivated enlisted women's pain perceptions, pain behaviors, and pain relief strategies. The seen and unseen factors were ever-present in military life and contributed to the chronic pain experiences of enlisted women but to what degree was largely unknown. This ethnographic approach produced brief illustrations of pain beliefs, attitudes, and behaviors that enlisted women …

What Factors Predict Outcome At Relapse After Previous Esophagectomy And Adjuvant Therapy In High-Risk Esophageal Cancer?, Edward Yu, Patricia Tai, Richard Malthaner, Larry Stitt, George Rodrigues, Rashid Dar, Brian Yaremko, Jawaid Younus, Michael Sanatani, Mark Vincent, Brian Dingle, Dalilah Fortin, Richard Inculet

Oncology Presentations

Management of patients who have disease relapse after completion of surgery and adjuvant chemo-radiation (CRT) is controversial.

Some oncologists would advocate intensive therapeutic intervention due to promising experience on treatment for recurrence disease while others would recommend palliative support due to the concerns for poor patient outcome post disease recurrence.

In Addition, it is not clear if patient outcome is improved post adjuvant CRT when patients at risk have resection margin involvement and if time interval to recurrence can affect patient survival post relapse.

The present study was conducted to determine what factors will affect patient outcome at relapse after …

Prospects For Developing Odour Baits To Control Glossina Fuscipes Spp., The Major Vector Of Human African Trypanosomiasis, Maurice O. Omolo, Ahmed Hassanali, Serge Mpiana, Johan Esterhuizen, Jenny Lindh, Mike J. Lehane, Philippe Solano, Jean Baptiste Rayaisse, Glyn A. Vale, Steve J. Torr, Inaki Tirados

All Peer-Reviewed Publications

We are attempting to develop cost-effective control methods for the important vector of sleeping sickness, Glossina fuscipes spp. Responses of the tsetse flies Glossina fuscipes fuscipes (in Kenya) and G. f. quanzensis (in Democratic Republic of Congo) to natural host odours are reported. Arrangements of electric nets were used to assess the effect of cattle-, human- and pig-odour on (1) the numbers of tsetse attracted to the odour source and (2) the proportion of flies that landed on a black target (1 × 1 m). In addition responses to monitor lizard (Varanus niloticus) were assessed in Kenya. The effects of …

Individualized Learning Plans: Faculty As Facilitators, Ann Burke

Pediatrics Faculty Publications

Introduction: Individualized learning plans (ILPs) are documented personal learning objectives developed by a learner with the help of a facilitator. The Pediatric Residency Review Committee requires residents to accomplish one ILP per year. Faculty members, including program directors, who are newly responsible for facilitating development of resident ILPs may feel unprepared for the task. They are likely unfamiliar with the concepts of ILPs, and most have not created an ILP of their own. Methods: This paper-based faculty development curriculum is designed to educate faculty members on ILPs. The materials include a didactic introduction regarding ILPs and an overview of adult …

Effect Of Oral Stimulation On Feeding Progression In Preterm Infants, Brenda Lessen

Scholarship

This is a poster presentation of original research conducted to assess the safety and efficacy of a newly developed prefeeding oral stimulation intervention (Beckman Oral Motor Intervention-Premature Infant) on feeding progression and length of stay on preterm infants younger than 30 weeks PMA.

Functional Characterization And Protein-Protein Interactions Of Trypanosome Splicing Factors U2af35, U2af65 And Sf1, Martin P. Vazquez, David Mualem, Natalia Bercovich, Michael Zeev Stern, Benson Nyambega, Omer Barda, Dan Masiga, Sachin Kumar Gupta, Shulamit Michaeli, Mariano J. Levin

All Peer-Reviewed Publications

Early in the assembly of the spliceosome of eukaryotes the branch-point binding protein (BBP, also called SF1) recognizes the branch point sequence, whereas the heterodimer U2AF consisting of a 65 and a 35 kDa subunit, contacts the polypyrimidine tract and the AG splice site, respectively. Herein, we identified, cloned and expressed the Trypanosoma cruzi and Trypanosoma brucei U2AF35, U2AF65 and SF1. Trypanosomatid U2AF65 strongly diverged from yeast and human homologues. On the contrary, trypanosomatid SF1 was conserved but lacked the C-terminal sequence present in the mammalian protein. Yeast two hybrid approaches were used to assess their interactions. The interaction between …

The Use Of A Semiochemical Bait To Enhance Exposure Of Amblyomma Variegatum (Acari: Ixodidae) To Metarhizium Anisopliae (Ascomycota: Hypocreales), F. Nchu, N. K. Maniania, A. Touré, A. Hassanali, J. N. Eloff

All Peer-Reviewed Publications

Experiments were conducted to explore the use of a semiochemical bait to enhance exposure of Amblyomma variegatum Fabricius (Acari: Ixodidae) to different formulations of the entomopathogenic fungus Metarhizium anisopliae (Metsch.) Sorok. (Ascomycota: Hypocreales). Initially, the relative efficacies of attraction-aggregation-attachment pheromone (AAAP), made up of o-nitrophenol, methyl salicylate and nonanoic acid in the ratio 2:1:8, 1-octen-3-ol and butyric acid, were evaluated in an olfactometer. Only AAAP and 1-octen-3-ol were found to elicit attractive responses to the tick. Simultaneous release of 1-octen-3-ol and AAAP together with CO2 from a trap in semifield plots attracted up to 94.0 ± 6% of adult ticks …

Submicroscopic Gametocytes And The Transmission Of Antifolate-Resistant Plasmodium Falciparum In Western Kenya, Mayke J.A.M. Oesterholt, Michael Alifrangis, Colin J. Sutherland, Sabah A. Omar, Patrick Sawa, Christina Howitt, Louis C. Gouagna, Robert W. Sauerwein, Teun Bousema

All Peer-Reviewed Publications

Background: Single nucleotide polymorphisms (SNPs) in the dhfr and dhps genes are associated with sulphadoxine-pyrimethamine (SP) treatment failure and gametocyte carriage. This may result in enhanced transmission of mutant malaria parasites, as previously shown for chloroquine resistant parasites. In the present study, we determine the association between parasite mutations, submicroscopic P. falciparum gametocytemia and malaria transmission to mosquitoes. Methodology/Principal Findings: Samples from children treated with SP alone or in combination with artesunate (AS) or amodiaquine were genotyped for SNPs in the dhfr and dhps genes. Gametocytemia was determined by microscopy and Pfs25 RNA-based quantitative nucleic acid sequence-based amplification (Pfs25 QT-NASBA). …

Immunohistochemical And Histological Study Of Human Uncovertebral Joints: A Preliminary Investigation, J. M. Brismée, P. S. Sizer, G. S. Dedrick, B. G. Sawyer, M. P. Smith

Physical Therapy

No abstract provided.

Changes In Spinal Height Following Sustained Lumbar Flexion And Extension Postures: A Clinical Measure Of Intervertebral Disc Hydration Using Stadiometry, S. C. Owens, J. M. Brismée, P. N. Pennell, G. S. Dedrick, P. S. Sizer, C. R. James

Physical Therapy

No abstract provided.

Effects Of Neurotensin 1 Receptor And D2 Dopamine Receptor Antagonist In Amygdaloid Learning Mechanisms, K. Laszlo, K. Toth, A. Molnar, E. Kertes, L. Peczely, L. Lenard

Pharmaceutical Sciences

No abstract provided.

Nurse Anesthetists' Perception Of Their Rigorous Training Program A Grounded Theory Study, Joy Kieffer Phillips

Presidential Alumni Research Dissemination Award

There is no empirical understanding of the stressors that nurse anesthesia students encounter from their perspective as they negotiate a nurse anesthesia program. The initial research questions for this study examined what stressors these recent graduates encountered during their program and how they successfully negotiated those stressors. This study employed grounded theory methodology and the theory of symbolic interactionism. The data were collected from individual, semistructured, indepth interviews with 12 recent nurse anesthesia graduates who have been out of school for less than 2 years. The interview transcripts were analyzed using open, axial, and selective coding. The stressors discovered were …

Understanding The Physical Properties That Control Protein Crystallization By Analysis Of Largescale Experimental Data, W. Nicholson Price Ii, Yang Chen, Samuel K. Handelman, Helen Neely, Philip Manor, Richard Karlin, Rajesh Nair, Jinfeng Liu, Michael Baran, John Everett, Saichiu N. Tong, Farhad Forouhar, Swarup S. Swaminathan, Thomas Acton, Rong Xiao, Joseph R. Luft, Angela Lauricella, George T. Detitta, Burkhard Rost, Gaetano T. Montelione, John T. Hunt

Law Faculty Scholarship

Crystallization is the most serious bottleneck in high-throughput protein-structure determination by diffraction methods. We have used data mining of the large-scale experimental results of the Northeast Structural Genomics Consortium and experimental folding studies to characterize the biophysical properties that control protein crystallization. This analysis leads to the conclusion that crystallization propensity depends primarily on the prevalence of well-ordered surface epitopes capable of mediating interprotein interactions and is not strongly influenced by overall thermodynamic stability. We identify specific sequence features that correlate with crystallization propensity and that can be used to estimate the crystallization probability of a given construct. Analyses of …

Risk Assessment For Suicide Behaviour : Clinical Challenges, Amresh Srivastava, Charles Nelson

Data and Test Instruments

This is an audio-visual about risk assessment of suicide behavior. Part 1. Reformulating the concept of RISK and a New instrument for assessment: Risk assessment is an important clinical responsibility, which can be ‘life-saving’. Literature on risk factors has become voluminous; however a traditional risk assessment does not take into account the most relevant factors. This reflects the prevailing conceptualization of risk, which has not been fully and completely tied to clinical outcomes. Psychopathology is currently understood in biopsychosocial terms. A more progressive conceptualization of risk should consider the interplay of both, risk and protective factors. The present work proposes …

A National Study To Compare The Tolerability And Effectiveness Of Colon Cleansing Preparations, Glenda Lynn Daniels

Nursing Dissertations - Archive

Colorectal cancer is the third most common form of cancer, and the second leading cause of cancer-related deaths in the United States. Fortunately, 90% of colorectal cancer deaths are preventable if the disease is detected early. Colonoscopy, the gold standard for colorectal cancer screening, allows direct examination of the colon. However, the colon must be cleaned of all stool in order to detect polyps, tumors, inflammation, and other problems. A wide variety of purging agents are available for colon cleansing but all have limitations and poor bowel cleansing is common. The purpose of the study was to (1) describe bowel …

College Student Risk Behavior: Implications Of Religiosity And Impulsivity, Mary Cazzell

Nursing Dissertations - Archive

College student risk-taking among 18 to 21 years olds includes smoking cigarettes, binge drinking, casual sex with multiple partners, automobile accidents due to risky driving or driving under the influence, and substance use. Among 10 to 24 year olds, 72% of all fatalities result from automobile accidents, unintended injuries, homicide, and suicide. Since not all college students participate in risk behaviors, protective factors such as religiosity may be a protective social or psychological buffer that supports positive relationships and moral order. Impulsivity, an inability to squelch inappropriate thoughts or actions, is associated with the later development (in the mid-twenties) of …

Ros-Mediated Oxidative Stress Influence Anti-Apoptotic Genes And Cyt C Release In Hyperglycemic Mouse Kidneys To Initiate Late Nephropathic Complications, Krina Shah, Mayur S. Parmar, Sidhartha D. Ray

HPD Articles

Decades of intense research has shown that hyperglycemiainduced ROS production can lead to a redox-imbalance causing oxidative stress (OS) in a variety of target organs in vivo. In the absence of an efficient antioxidant counteracting system, massive OS often leads to activation of stress-responsive signaling pathways resulting in deregulated expression of pro-survival and/or pro-death genes. Persistent deregulation of such pathways eventually masterminds late complications of diabetes. Most studies hold hyperglycemia-induced OS as the ‘cause’, and premature onset of apoptosis as the ‘effect’. This ‘cause and effect’ axis ultimately initiates the development and progression of macro and microvascular complications including diabetic …

Networking: Building Relationships, Maxine A. Adegbola

Nursing Faculty Publications & Presentations - Archive

Presented to doctoral students, The University of Texas at Arlington, Texas

Unforeseen Misuses Of Bed Nets In Fishing Villages Along Lake Victoria, Noboru Minakawa, Gabriel O. Dida, Gorge O. Sonye, Kyoko Futami, Satoshi Kaneko

All Peer-Reviewed Publications

Background. To combat malaria, the Kenya Ministry of Health and nongovernmental organizations (NGOs) have distributed insecticide-treated nets (ITNs) for use over beds, with coverage for children under five years of age increasing rapidly. Nevertheless, residents of fishing villages have started to use these bed nets for drying fish and fishing in Lake Victoria. This study investigated the extent of bed net misuse in fishing villages. Methods. Seven fishing villages along the lake were surveyed to estimate how widely bed nets were being used for fishing and drying fish. Villagers were asked why they used the bed nets for such purposes. …

Research Utilization Barriers Perceived By Nurses In The Emergency Department, Yen Hai Nguyen

Nursing Theses - Archive

The purpose of this quantitative, descriptive study is to explore and describe Emergency Department nurses' perceived barriers to research utilization. The setting of this study takes place in the Emergency Department of a community hospital in North Central Texas. The BARRIERS to Research Utilization Scale (Funk, Champagne, Wiese, & Tornquist, 1991a) was the questionnaire used in this study. Sixteen completed questionnaires were obtained. The greatest barrier identified by this sample was that nurses do not feel they have enough authority to affect change, which is the same primary barrier found by Funk, Champagne, Wiese, and Tornquist in 1991. Implications for …

Trypanosoma Brucei Rhodesiense Transmitted By A Single Tsetse Fly Bite In Vervet Monkeys As A Model Of Human African Trypanosomiasis, John K. Thuita, John M. Kagira, David Mwangangi, Enock Matovu, C. M.R. Turner, Daniel Masiga

All Peer-Reviewed Publications

We have investigated the pathogenicity of tsetse (Glossina pollidipes)-transmitted cloned strains of Trypanosoma brucei rhodesiense in velvet monkeys. Tsetse files were confirmed to have mature trypanosome infections by xenodiagnosis, after which nine monkeys were infected via the bite of a single infected fly. Chancres developed in five of the nine (55.6%) monkeys within 4 to 8 days post infection (dpi). All nine individuals were successfully infected, with a median pre-patent period of 4 (range = 4-10) days, indicating that trypanosomes migrated from the site of fly bite to the systemic circulation rapidly and independently of the development of the chancre. …

Susceptibility Of Chlamydia Trachomatis To The Excipient Hydroxy-Ethylcellulose: Ph And Concentration Dependence Of Antimicrobial Activity, Ali A. Abdul-Sater, David M. Ojcius, M. P. Meyer

All Dugoni School of Dentistry Faculty Articles

Hydroxyethyl cellulose (HEC) is used as a neutral excipient in microbicides used against sexually transmitted pathogens. However, HEC inhibits the infection of cervical epithelial cells by Chlamydia trachomatis at pH 5 in a concentration-dependent manner. At pH 7, infection is inversely dependent on the concentration of HEC, possibly due to pH-dependent calcium sequestration.

Hydrological Modeling Of Geophysical Parameters Of Arboviral And Protozoan Disease Vectors In Internally Displaced People Camps In Gulu, Uganda, Benjamin G. Jacob, Ephantus J. Muturi, Erick X. Caamano, James T. Gunter, Enoch Mpanga, Robert Ayine, Joseph Okelloonen, Jack Pen Mogi Nyeko, Josephat I. Shililu, John I. Githure, James L. Regens, Robert J. Novak, Ibulaimu Kakoma

All Peer-Reviewed Publications

Background: The aim of this study was to determine if remotely sensed data and Digital Elevation Model (DEM) can test relationships between Culex quinquefasciatus and Anopheles gambiae s.l. larval habitats and environmental parameters within Internally Displaced People (IDP) campgrounds in Gulu, Uganda. A total of 65 georeferenced aquatic habitats in various IDP camps were studied to compare the larval abundance of Cx. quinquefasciatus and An. gambiae s.l. The aquatic habitat dataset were overlaid onto Land Use Land Cover (LULC) maps retrieved from Landsat imagery with 150 m × 150 m grid cells stratified by levels of drainage. The LULC change …

Clinical Significance Of Chronic Kidney Disease In The Elderly, Kathryn Marie Daniel

Nursing Dissertations - Archive

Background: Chronic kidney disease (CKD) is a common chronic disease which can be very costly to treat if it progresses to end stage renal disease. Screening for chronic renal insufficiency is widely available, yet little is known about which screening estimation formula is most appropriate in the elderly patient. Review: The two most common formulas for estimation of glomerular filtration rate (GFR) are the Cockcroft/Gault, developed in 1976 and the MDRD, developed in 1999. Both are based on demographic variables such as age, gender, and race as well as the laboratory variable of creatinine. The Cockcroft/Gault formula also includes patient …