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Articles 181 - 210 of 211
Full-Text Articles in Medicine and Health Sciences
An Analysis Of Immunization Understanding In Undergraduate Students At Bethel University, Jeff Dahlquist, Steven D. Lindblom
An Analysis Of Immunization Understanding In Undergraduate Students At Bethel University, Jeff Dahlquist, Steven D. Lindblom
All Electronic Theses and Dissertations
This investigation studied the level of understanding of the nature of immunizations and vaccine preventable diseases in undergraduate students at Bethel University. Immunization literature demonstrates a significant lack of understanding in the general population in relation to the nature of vaccine preventable diseases and the immunizations used to counter them. Furthermore, the literature concludes that such a grossly inadequate understanding of the nature of vaccine preventable diseases may precipitate dire epidemiological consequences. This investigation was a pre-experimental design and utilized a short questionnaire administered one time to a sample population of 171 subjects over 18 years of age who were …
Anterior Cruciate Ligament Reconstruction: Which Graft Is Best To Prevent Re-Tear?, Katherine Ann Eslinger, Brittany Kapala, Noelle Kreofsky
Anterior Cruciate Ligament Reconstruction: Which Graft Is Best To Prevent Re-Tear?, Katherine Ann Eslinger, Brittany Kapala, Noelle Kreofsky
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The three most widely used graft choices currently employed in anterior cruciate ligament (ACL) repair are: patellar tendon autograft, hamstring tendon autograft, and cadaver tendon allograft. The purpose of this study is to examine the efficacy of each of these 3 graft choices (patellar tendon autograft, hamstring tendon autograft and cadaver tendon allograft) and determine which graft is less prone to re-tear. The study was implemented using a quantitative design process. The patient data was obtained and analyzed via Facebook survey. All identifying patient information was removed. Patients were included based on whether or not their ACL reconstruction was performed …
Cardiovascular Strain In Overweight 5k Runners, Sara Geier, Polly Hendel
Cardiovascular Strain In Overweight 5k Runners, Sara Geier, Polly Hendel
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Previous research is vast and varied regarding how exercise affects the physiology of the cardiac system. Many studies have found adverse effects to the heart in ultra-endurance athletes, but fewer studies have focused on overweight populations. Hamer and Boutcher (2006) observed abnormal post exercise cardiovascular changes in obese individuals when compared to individuals of normal body mass index (BMI) but, were unable to draw any definitive conclusions from the results. With Americans facing an obesity epidemic and healthcare providers increasingly prescribing regular exercise routines to combat it, definitive conclusions regarding the topic of healthy long-term exercise in overweight and obese …
Diabetes Education For The Hispanic Population, Nohemi I. Haben, Misty M. Schmitz
Diabetes Education For The Hispanic Population, Nohemi I. Haben, Misty M. Schmitz
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The purpose of this study is to investigate the effects, if any, of utilizing Spanish language on the efficacy of an education program for type 2 diabetes among the Hispanic population in the twin-cities Minneapolis/St. Paul metro area. In the United States adult Hispanics over the age of twenty have a 5.2% higher incidence of type 2 diabetes than Non-Hispanic Whites, a number that keeps rising despite preventability. In this study, a diabetes education program was delivered in Spanish based on material developed by the Centers for Disease Control and Prevention and the National Diabetes Education Program. The program focused …
Minnesota Healthcare Barriers To The Medically Underserved, Ashley C. Hoffmann, Amanda Walters
Minnesota Healthcare Barriers To The Medically Underserved, Ashley C. Hoffmann, Amanda Walters
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Quality medical services and patient oriented satisfaction are important factors in a healthcare setting. Barriers preventing such factors are more prevalent in medically underserved areas (MUAs) ( Brems, Johnson, Warner, & Roberts, 2006 ). The purpose of this study was to identify barriers in the care of patients within Minnesota MUAs. The study was conducted by an online survey emailed to Minnesota Academy of Physician Assistant (MAPA) members, and only members who were currently employed in a Minnesota MUA county had valid data collection. Twelve barriers to healthcare were listed on the survey and required the MAPA members to grade …
The Impact Of An Implemented Scribe Program In Emergency Room Settings On Patient And Provider Satisfaction, Overall Patient Volume, And Emergency Room Cost Effectiveness, Kendra L. Kruger, Tara L. Tait
The Impact Of An Implemented Scribe Program In Emergency Room Settings On Patient And Provider Satisfaction, Overall Patient Volume, And Emergency Room Cost Effectiveness, Kendra L. Kruger, Tara L. Tait
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The purpose of the study is to evaluate medical scribe programs in emergency room settings as to their role, impact on patient satisfaction, patient volume, and cost-effectiveness, as well as their perceived value by emergency room medical providers through survey methods. This prospective, quantitative research study obtained information via surveys of Emergency Physicians Professional Association (EPPA) providers concerning the value emergency room providers placed on the function and role of scribes in emergency room settings. The data obtained from the surveys was analyzed using correlation and comparison of means. The results of the study indicated that emergency room providers thought …
Dietary Supplements: A Consumer Profile Of Knowledge And Use, Sarah J. Kucera, Yen Nguyen
Dietary Supplements: A Consumer Profile Of Knowledge And Use, Sarah J. Kucera, Yen Nguyen
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Alternative medicine, in the form of dietary supplements, is appealing to Americans. Supplements have been marketed as being natural promoters of general well-being, healing, and disease prevention. Even with minimal regulation and research, the majority of supplement use is self-prescribed, fueling an industry last estimated at $32.5 billion in 2012. The study explored the degree of consumer knowledge with regards to regulation, appropriate indications and dosages, and potential adverse effects of various dietary supplements. The study also sought to evaluate the relationship between supplement knowledge and demographic information as well as the extent of discussion about supplement use with a …
Centering Pregnancy: The Maternal And Neonatal Benefits Of Group Prenatal Care, Trisha Lynn Nelson
Centering Pregnancy: The Maternal And Neonatal Benefits Of Group Prenatal Care, Trisha Lynn Nelson
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Background/Purpose: Centering Pregnancy is a type of group prenatal care that allows women to meet and receive their prenatal care together. The groups meet ten times during the pregnancy and focuses on different aspects of prenatal care. This critical review of the literature focuses on maternal and neonatal benefits of group prenatal care over traditional one-on-one care. A secondary analysis looks at how group prenatal care affects adolescents, women of low socioeconomic status, and minority ethnicities. The Social Learning Theory by Albert Bandura was utilized to look at Centering Pregnancy. The Social Learning Theory states that learning in a group …
Non-Pharmacologic Antenatal Interventions To Reduce Or Prevent Postpartum Depression, Jenny Rebecca Olson
Non-Pharmacologic Antenatal Interventions To Reduce Or Prevent Postpartum Depression, Jenny Rebecca Olson
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Background/Purpose: The purpose of this paper is to critically examine the literature in order to identify whether there are non-pharmacologic antenatal interventions that are effective in reducing or preventing postpartum depression. Theoretical Framework: Cheryl Beck’s theory, Teetering on the Edge: A Substantive Theory of Postpartum Depression, was the theoretical framework used in this paper. Beck’s theory was based on 18 months of studying women with postpartum depression from symptom onset thru the recovery process. During her research, Beck identified four stages to describe the progression of postpartum depression: Encountering terror, dying of self, struggling to survive, and regaining control. Methods: …
Delayed Cord Clamping Impact On Transitional Outcomes Of The Newborn, Ann E. Rice
Delayed Cord Clamping Impact On Transitional Outcomes Of The Newborn, Ann E. Rice
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Background: Currently in the United States, after a baby is born, the umbilical cord is immediately clamped; this is a routine obstetric procedure despite lack of evidence supporting this practice (Elchenbaum-Pikser, 2009). The practice of cord clamping varies with each provider from immediate cord clamping, to delayed cord clamping (which can vary from 1 to 5 minutes) to cord clamping after pulsation of the cord ceases. The procedure of cord clamping is a practice choice made by each medical provider and is based largely on personal preference, not evidence. Purpose: The purpose of this review and synthesis of literature is …
Safety For Women Opting For Tolac Versus An Elective Repeat Cesarean Section, Nicole Marguerite Rothgarn
Safety For Women Opting For Tolac Versus An Elective Repeat Cesarean Section, Nicole Marguerite Rothgarn
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Background/Purpose: TOLAC is the trial of labor after cesarean. VBAC is the successful birth after cesarean. The aim of this paper is to establish safety for women opting for the trial of labor after a primary cesarean. The purpose is to be able to determine how we can better counsel our women opting for TOLAC to improve the worldwide cesarean rate. Theoretical/Conceptual Framework: Imogene King’s theory of goal attainment is used to show the correlation between the patient and the midwife thorough the journey of pregnancy. The ultimate goal is to use the four paradigm’s Imogene describes to achieve a …
The Potential Benefits And Risks Of Antidepressant, Antipsychotic And/Or Mood Stabilizing Medications Use In Pregnancy: A Critical Review Of The Literature, Brittany Kaye Schultz
The Potential Benefits And Risks Of Antidepressant, Antipsychotic And/Or Mood Stabilizing Medications Use In Pregnancy: A Critical Review Of The Literature, Brittany Kaye Schultz
All Electronic Theses and Dissertations
Background: Medication use in pregnancy walks a fine line between safety of the mother and adverse effects in the developing fetus. Medications are prescribed to either help the mother maintain mental stability or they are discontinued out of fear of fetal harm. Many providers hope that the shift in hormones during pregnancy will fulfill the medications requirement in the non-pregnant state but this is not always the case. Is a discontinuation in medications upon a positive pregnancy test warranted? Purpose: To determine if antipsychotics, mood stabilizers, and antidepressants should be continued or discontinued during pregnancy or if they negatively impact …
The Use Of Supplemental Progesterone In Preventing Preterm Birth In High-Risk Women: A Critical Review Of The Literature, Leah Marie Schroeder
The Use Of Supplemental Progesterone In Preventing Preterm Birth In High-Risk Women: A Critical Review Of The Literature, Leah Marie Schroeder
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Background: Twelve percent of births in the United States occur before 37 weeks of gestation and therefore are considered preterm births (Norwitz, 2015). While the ability to identify women at risk for preterm birth has improved dramatically over the past three decades, the application of primary and secondary interventions has failed to reduce the incidence of preterm delivery, which has actually been on the rise (Norwitz, 2015). Preterm birth is a phenomenon that needs to be reduced not only in the United States, but also across the world. Purpose: To determine to what extent the use of supplemental progesterone in …
Alzheimer's Disease: Knowledge Of Early Detection, Risk Factors, And Treatment, Anna H. Smith, Katlyn S. Spadino
Alzheimer's Disease: Knowledge Of Early Detection, Risk Factors, And Treatment, Anna H. Smith, Katlyn S. Spadino
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Alzheimer's disease causes a progressive and irreversible decline in cognitive functioning. There are many people living with this disease, and the prevalence is expected to triple between 2010 and 2050. Many members of society are affected through either a personal diagnosis or the diagnosis of a family member. There have been numerous studies outlining risk factors, signs and symptoms, and treatments for this disease, but it is unknown if this has translated to greater public awareness. This study aims to assess the general adult population's knowledge of Alzheimer's disease. The participants are 35 to 70 years old and live in …
Individual Physician Assistant's Spirituality And Job Satisfaction, Kyle J. Smisek, Kelsa L. Hovelson, Mali D. Langlie
Individual Physician Assistant's Spirituality And Job Satisfaction, Kyle J. Smisek, Kelsa L. Hovelson, Mali D. Langlie
All Electronic Theses and Dissertations
The factors that contribute to job satisfaction have been studied extensively. Additionally, in the healthcare setting, the influence of spirituality has been a topic of substantial research. However, few studies have researched a physician assistant’s individual spirituality and its influence on job satisfaction. The goal of this study was to first identify the effect, if any, between the spirituality of a PA and his or her perceived job satisfaction, and second, to determine where spirituality ranks among the various factors that influence job satisfaction. In addition, the study addressed whether there appears to be a connection between one’s spirituality and …
The Benefits Of Hydrotherapy During Labor, Karen M. Sonnenburg
The Benefits Of Hydrotherapy During Labor, Karen M. Sonnenburg
All Electronic Theses and Dissertations
Background: There are many holistic options available to help women cope with the discomforts of labor including pain and anxiety. The use of hydrotherapy during labor is supported by The American College of Nurse-Midwives (2014) due to its many benefits including providing alternative pain relief measures to women during their labor and actual birth (Harper, 2014). Purpose: The purpose of this critical review of the literature is to identify and analyze the benefits of the use of hydrotherapy during labor including the use of showers, water immersion (immersion to the nipple line) and regular bathtubs. Results: Nineteen articles were selected …
Non-Antibiotic Alternatives For Reducing Antepartum Group B Streptococcus Colonization, Rebecca M. Smith
Non-Antibiotic Alternatives For Reducing Antepartum Group B Streptococcus Colonization, Rebecca M. Smith
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Background: Streptococcus agalactiae (known as Group B strep, or GBS) is a bacterium that resides in the gastrointestinal tract and/or vaginal canal and is typically benign, but during pregnancy and birth it can potentially colonize the neonate, causing early-onset group B streptococcal disease (EOGBSD) of the neonate. The use of antibiotics has reduced the morbidity and mortality associated with neonatal infections, but it is not an entirely effective means of preventing the infections and the development of antibiotic resistance may render antibiotics ineffective for this purpose. Alternative methods of preventing GBS colonization are in use by consumers and out-of-hospital birth …
The Use Of Nitrous Oxide In The Management Of Labor Pain: Safet And Effiacy, Jennifer Ruth Christensen
The Use Of Nitrous Oxide In The Management Of Labor Pain: Safet And Effiacy, Jennifer Ruth Christensen
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Background: All women will experience pain while going through childbirth. The pain is caused by pressure and stretching on the uterus and visceral organs, lack of oxygen during uterine contractions, and musculoskeletal and perineal stretching. Difficulty coping with pain leads to an increase in catecholamines, which further complicates the labor process and can contribute to long term psychological consequences. Up to 75% of women in other countries use nitrous oxide, a colorless odorless gas, to manage their labor pain. In the United States, the options for managing labor pain have consisted of non-pharmacological methods such as massage, breathing and relaxation …
An Analysis Of The Effects Of The Carbohydrate Intake And Hydration On Feeling Of Exertion Throughout A Marathon, Kristine M. Baumann, Kaitlyn Proulx
An Analysis Of The Effects Of The Carbohydrate Intake And Hydration On Feeling Of Exertion Throughout A Marathon, Kristine M. Baumann, Kaitlyn Proulx
All Electronic Theses and Dissertations
The popularity of marathon running has grown exponentially since the 1970s (Noakes, 2003). This major gain in popularity has led to an increased interest in hydration and nutrition for marathon runners (Tucker et al 2009). The effects of dietary factors such as carbohydrates (CHO) and water on endurance has been extensively studied related to performance, but few studies have examined nutrition’s effect on feelings of exertion. The current study aimed to determine how the in-race nutrition and hydration habits of marathon runners affect their feelings of exertion throughout a 26.2-mile race. Individuals running Grandma’s Marathon in Duluth, MN on June …
The Effect Of Education On Folic Acid In Women On Childbearing Age And Low Socioeconomic Status, Macey I. Bentley, Anna R. Goetsch, Courtney L. Perpich
The Effect Of Education On Folic Acid In Women On Childbearing Age And Low Socioeconomic Status, Macey I. Bentley, Anna R. Goetsch, Courtney L. Perpich
All Electronic Theses and Dissertations
The purpose of this study was to investigate the effect of education to women of lower socioeconomic status about the importance of folic acid use before and during pregnancy. Previous research has shown the significance of folic acid in preventing neural tube defects; however, research has shown that women of lower socioeconomic status are not equipped with proper education regarding folic acid usage periconceptionally. An educational session was provided to three women’s shelters regarding folic acid, and questionnaires were used to gauge knowledge on folic acid before and after the sessions. The statistical analysis was consistent with our hypothesis in …
Concussion Education In High School Athletes, Nathan A. Birno, Larson Davick, Kyle Oostra
Concussion Education In High School Athletes, Nathan A. Birno, Larson Davick, Kyle Oostra
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This paper examines concussion education in high school athletes. Specifically, it examines how educationally beneficial a concussion presentation is for high school athletes. The study examined eighteen-year-old participants from two Minnesota high schools participating in Minnesota State High School League (MSHSL) sanctioned spring sports. A presentation on concussion definitions, signs/symptoms, and adverse effects was presented to the participants. A pre and posttest questionnaire was used to evaluate participants’ baseline knowledge on concussion related topics and their knowledge gained after hearing the presentation. Data was analyzed via a comparison of the mean score differences using a paired t-test of within group …
Analysis Of Lean/Six Sigma Production Model In A Tertiary Care Asthma And Allergy Clinlic, Erika Lynn Bullert, Laura Johnson, Ariel M. Schibilla
Analysis Of Lean/Six Sigma Production Model In A Tertiary Care Asthma And Allergy Clinlic, Erika Lynn Bullert, Laura Johnson, Ariel M. Schibilla
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In response to demands on healthcare, systems have looked to refine current processes to use time, materials, and finances more efficiently. Lean/Six Sigma (L/SS) is a model that has been used to improve procedural efficiency in various settings. The purpose of this study was to implement L/SS into an outpatient private practice setting and to evaluate the effect on efficiency as measured in the length of individual patient visits who presented to that clinic for routine re-evaluation. In this study, the amount of time between a patient’s entrance and exit from the clinic was documented for 878 patients before implementation …
Oncology Providers’ Opinions On Preventative Recommendations For Patients With Brca1 Or Brca2 Breast Cancer Mutations, Rebecca L. Crissman, Kathleen Dunsmore
Oncology Providers’ Opinions On Preventative Recommendations For Patients With Brca1 Or Brca2 Breast Cancer Mutations, Rebecca L. Crissman, Kathleen Dunsmore
All Electronic Theses and Dissertations
BRCA1 and BRCA2 gene mutations have been identified as increasing an individual’s risk for developing breast cancer. Genetic testing for these genes has become increasingly more common. However, once genetic testing has established that an individual has either a BRCA1 or BRCA2 mutation, there is no set guideline for preventative measures. The purpose of this study is to gain the opinions of oncology healthcare providers on their recommendation for preventative treatment in women who have been diagnosed with the mutation at varying ages. A web-based survey was emailed to oncology healthcare providers from Minnesota Oncology in Minnesota and Allegheny Health …
Current Usage Of Animal Assisted Therapy In Nursing Homes In Ramsey County, Minnesota, Lauren K. Duerst, Natalie E. Nikonovich, Ashley M. Young
Current Usage Of Animal Assisted Therapy In Nursing Homes In Ramsey County, Minnesota, Lauren K. Duerst, Natalie E. Nikonovich, Ashley M. Young
All Electronic Theses and Dissertations
The main purpose of this study was to determine the use of animal assisted therapy (AAT) for residents living in nursing home facilities in Ramsey County, Minnesota. Furthermore we compiled the thoughts and opinions of each facility director regarding the usage and perceived barriers that accompany the implementation of AAT programs.
Attitudes And Utilization Of Tissue Plasminogen Activator Involving Telemedicine, Karin K. Filip, Brittany R. Kelly, Stacy M. Underhill
Attitudes And Utilization Of Tissue Plasminogen Activator Involving Telemedicine, Karin K. Filip, Brittany R. Kelly, Stacy M. Underhill
All Electronic Theses and Dissertations
Tissue plasminogen activator (tPA) is used to treat acute ischemic stroke and is widely accepted as standard practice in the medical community. Literature shows that providers are hesitant to use this therapy due to the associated risks. Supporting literature shows that tPA is highly effective if administered within a three hour window, when adhering to strict protocols and guidelines for patient qualification. Telestroke programs have been shown to improve the time from stroke onset to administration of tPA by allowing a neurologist to be present during the decision making process. The aim of the study was to examine attitudes of …
Comparison Of Oral And Printed Health Literacy Tools In Hypertension Education For Low-Income Patients, Andrew D. Forsgren, Annie Heggestad, Charles Ruegemer
Comparison Of Oral And Printed Health Literacy Tools In Hypertension Education For Low-Income Patients, Andrew D. Forsgren, Annie Heggestad, Charles Ruegemer
All Electronic Theses and Dissertations
Hypertension is a prevalent health concern in today’s society, especially among individuals of low-income economic status. An increased risk for heart disease has long been correlated to hypertension, and this risk increases further as the population ages. Patient education is crucial for prevention and management of diseases such as hypertension; therefore it is necessary to develop effective education tools. This is particularly true among high-risk groups such as low-income populations. This study compared the efficacy of printed educational materials versus orally presented educational materials in terms of improving patient knowledge regarding hypertension. Subjects were randomly assigned to either the printed …
Chemically Self-Assembled Antibody Nanorings: A Novel Approach To Bispecific Design For Cancer Therapeutics, Kari A. Gabrielse
Chemically Self-Assembled Antibody Nanorings: A Novel Approach To Bispecific Design For Cancer Therapeutics, Kari A. Gabrielse
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Targeted antibody therapeutics are currently being developed for treatment of a wide variety of cancers. By extending the scope of targeted antibody therapeutics into a bispecific design, it has been shown that simultaneous targeting of the CD3 T cell receptor and cancer cell receptors is possible. While great success has been achieved with the use of bispecific agents, many of these agents are genetically fused antibody fragments that can only target one type of cancerous receptor. Here we describe a simple and straightforward method of spontaneously assembling bispecific antibody therapeutics. Using fusion proteins consisting of two dihydrofolate reductase proteins and …
Health Disparities On American Indian Reservations: Can Mid-Level Practitioners Make A Difference?, David Evard Johnston
Health Disparities On American Indian Reservations: Can Mid-Level Practitioners Make A Difference?, David Evard Johnston
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Introduction: American Indians/Alaskan Natives (AI/AN) suffer from a number of health issues and at higher rates than other United States populations. Efforts have been made through the Indian Health Service (IHS) to improve the AI/AN state of health, but healthcare disparities remain. Purpose: The purpose of this study was to assist in identifying options in reducing healthcare disparities on American Indian reservations in South Dakota. The need for recruitment of additional physicians and mid-level practitioners (also known as mid-level providers or advanced practice providers) was assessed, as well as the potential for mid-level practitioners to meet that need. Methods: A …
Prevalence Of Non-Conventional And Folk Medicine Usage Among Hmong In St. Paul, Minnesota, Matthew T. Vang
Prevalence Of Non-Conventional And Folk Medicine Usage Among Hmong In St. Paul, Minnesota, Matthew T. Vang
All Electronic Theses and Dissertations
Hmong Americans have been identified to utilize various modes of medicine including: folk/herbal remedies, spiritual/shamanistic rituals, and adapted treatments from countries like Thailand or Laos. However, there is a lack of studies that measured the prevalence of these medications among the Hmong community in Saint Paul, Minnesota. A questionnaire was distributed at a Saint Paul, Minnesota Hmong market to explore the prevalence of Hmong medicine usage. Demographical information was also collected to help determine any relationships that might exist between certain socio-cultural factors and Hmong medicine usage. The study had a total of 54 participants. Of the 54 participants, twenty-eight …
Assessing Deaf Culture Awareness Of Physician Assistant Students In The Midwest, Sheryl E. Delude, Morgan, Kay Foizie
Assessing Deaf Culture Awareness Of Physician Assistant Students In The Midwest, Sheryl E. Delude, Morgan, Kay Foizie
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Currently, there has been insufficient research to support the need for implementation of deaf awareness training into physician assistant (PA) program curriculums. To address this gap in research, PA students in the Midwest United States were surveyed in order to assess student knowledge of Deaf culture and knowledge regarding appropriate management of patients who are deaf. Survey knowledge scores were compared to previously documented knowledge scores of medical students enrolled in the Medical Students, Cancer Control, and the Deaf Community Training (DCT) program at the University of California, San Diego (UCSD). PA student scores were also compared to scores of …