Medicine and Health Sciences Commons^™

Why New Diseases Keep Popping Up, Alan L. Gillen, Jason Conrad

Faculty Publications and Presentations

New and reemerging diseases are terrifying and concerning problems. Not only do they carry a financial and emotional toll, but they account for significant numbers of death. Emerging diseases are usually zoonotic and highly virulent in nature. These are pathogenic and parasitic diseases of high consequence and impact. Why would a good Creator allow these new diseases? Why do new diseases keep popping up? Mutation and displacement of original types of microbes account for many new diseases; however, the answer is more complex than just these two factors. Zoonoses are the most common type of infection, specifically from viral pathogens, …

Using Preliminary Data And Prospective Power Analyses For Mid-Stream Revision Of Projected Group And Subgroup Sizes In Pragmatic Patient-Centered Outcomes Research, Elizabeth A. Tolley Md, Satya Surbhi Md, James E. Bailey Md

Faculty Publications and Presentations

Pragmatic clinical trials are commonly used in patient-centered outcomes research to assess heterogeneity of treatment effects. Patient-Centered Outcomes Research Institute (PCORI) methodology standards for assessing heterogeneity of treatment effects are extremely rigorous, but their implementation in real-world settings can be difficult. Predicting recruitment effectiveness and subgroup characteristics is often challenging and may require mid-stream revision of projected group and subgroup sizes. Yet, little real-world data are available to demonstrate methodologically valid approaches to address situations where such revisions are necessary. These data were used for mid-stream revision of group and subgroup sizes in the Management of Diabetes in Everyday Life …

Parenting A Child With Autism Spectrum Disorder: Perspective Of Jordanian Mothers, Khulood Kayed Shattnawi, Wafa'a M. Bani, Saeed, Ahlam Al-Natour, Mohammed M. Al-Hammouri, Manar Al-Azzam, Rachel Joseph

Faculty Publications and Presentations

Introduction: Parenting a child diagnosed with autism spectrum disorder (ASD) is challenging for mothers because of concerns related to behavior, difficulties in accessing specialized care, and lack of community acceptance, yet their stories in Jordanian context are still unknown. Common challenges in Jordan include financial burdens, lack of public awareness, and lack of specialized knowledge even among health care providers, which may lead to delays in obtaining the diagnosis and interventions for ASD.

Method: A phenomenological descriptive approach was used to explore and understand the mothers’ everyday lived experiences of raising a child with ASD. Semistructured interviews were conducted with …

Nurses' Knowledge And Practices Of Physical Restraints In Intensive Care Units: An Observational Study, Maysa H. Almomani, Wejdan A. Khater, Baha'a Aldin Abdel-Latif Qasem, Rachel Joseph

Faculty Publications and Presentations

Aim

To investigate the knowledge and practice of physical restraints (PR) among Jordanian intensive care unit (ICU) nurses.

Design

A descriptive, observational design was used.

Methods

A convenience sampling was used to recruit participants. We examined the knowledge of PR in 301 nurses (knowledge check) and the real‐time practice of PR in 81 nurses (direct observation) in ICU. A knowledge questionnaire was used to collect data on knowledge about PR use, and data on their practice of PR were observed and documented using an observation checklist.

Results

The mean scores of nurses' knowledge and practices were 61.5 (SD = …

Attitudes Towards An Evidence-Based Clinical Decision Support Tool To Reduce Exposure To Ionizing Radiation, Raymond Zakhari

Faculty Publications and Presentations

Patients who suffer minor brain injuries experience unnecessary ionizing radiation in the form of a non-contrast head CT scan despite the dearth of evidence supporting standard CT scans for all brain injuries. Exposure to ionizing radiation increases the incidence of certain types of cancer. This evidence-based practice change project assesses the attitude of clinicians towards evidence-based clinical decision support tools, specifically the Canadian CT head rule. The use of highly sensitive clinical decision support tools is supported in the literature to help healthcare providers mitigate the risk associated with unnecessary use of CT scan imaging studies. The project was conducted …

The Genesis And Emergence Of Community-Associated Methicillin-Resistant Staphylococcus Aureus (Ca-Mrsa): An Example Of Evolution In Action?, Alan L. Gillen, Jason Conrad, Michael Cargill

Faculty Publications and Presentations

Staphylococcus aureus infections are a common cause of disease, particularly in colonized persons. Recently, a series of published articles have reported that community-acquired methicillin-resistant S. aureus (CA-MRSA) strains are evolving and increasingly becoming prevalent in households while health care acquired MRSA (HA-MRSA) is declining in the USA. The changing superbugs have often been used as an example of evolution in action. Although MRSA infections have become increasingly reported in the community, population-based studies of students preparing for the health professions having S. aureus and MRSA colonization are lacking. During the 2014–2015 school year 544 students were tested for MRSA carriage …

A Pilot Study On The Effects Of Exercise On Depression Symptoms Using Levels Of Neurotransmitters And Eeg As Markers, Timothy H. Barclay, Scott Richards, James Schoffstall, Chad Magnuson, Christine Mcphee, Josh Price, Stephen Aita, Audrey Anderson, Dan Johnson, Jerry Price

Faculty Publications and Presentations

Context: The prescribing of exercise by physicians has become a popular practice, yet the effectiveness of exercise on symptoms of depression is difficult to determine due to a lack of randomized controlled trials with clinical populations. Reports also indicate that only a small percentage of physicians advise their patients regarding exercise and confusion still exists as to how much and what types are best. Aims: To understand the mechanisms that make exercise a viable treatment in depression. Settings and Design: This study employed a six‑week, two group, single‑level trial, pre‑ and posttest design using self‑report of symptoms, blood …

Aβ Alters The Dna Methylation Status Of Cell-Fate Genes In An Alzheimer’S Disease Model, Gary D. Isaacs, Noor Taher, Courtney Mckenzie, Rebecca Garrett, Matthew Baker, Nena Fox

Faculty Publications and Presentations

Alzheimer’s disease (AD) is characterized by neurofibrillary tangles and extracellular amyloid-β plaques (Aβ). Despite ongoing research, some ambiguity remains surrounding the role of Aβ in the pathogenesis of this neurodegenerative disease. While several studies have focused on the mutations associated with AD, our understanding of the epigenetic contributions to the disease remains less clear. To that end, we determined the changes in DNA methylation in differentiated human neurons with and without Aβ treatment. We isolated the DNA from neurons treated with Aβ or vehicle, and digested the two samples with either a methylation-sensitive (HpaII) or a methylation-insensitive (MspI) restriction endonuclease. …

Childhood Rage: Diagnosis And Treatment Strategies For Severe Mood Dysregulation - Part 2: Diagnosis And Treatment, Gary A. Sibcy, John Kuhnley

Faculty Publications and Presentations

No abstract provided.

Attachments And Neurobiology: Helping Children With Anxiety Disorders And Severe Mood Dysregulation, Gary A. Sibcy, John Kuhnley

Faculty Publications and Presentations

No abstract provided.

Treating Severely Depressed Adolescents With Integrated, Relational, Cognitive Therapy, Gary A. Sibcy

Faculty Publications and Presentations

No abstract provided.

Childhood Rage: Diagnosis And Treatment Strategies For Severe Mood Dysregulation - Part 1: Understanding Rage, Gary A. Sibcy, John Kuhnley

Faculty Publications and Presentations

No abstract provided.

Social And Behavioral Sti Risk Factors: Comparing A Two-Year Community College Setting To A Four-Year University Setting, Oswald M. Attin

Faculty Publications and Presentations

No abstract provided.

Attachment: The Antidote To Trauma, Joshua Straub

Faculty Publications and Presentations

Trauma and loss in life are inevitable. And all too often the traumatic experience itself can be enough to paralyze the mental, emotional, and spiritual state of any given person. Unable to interpret the traumatic experience, many instead are left defined by it. Helping clients discern the objective experience and their subjective reactions to it will help free them from the emotions and beliefs that subsequently control their lives. Based on the most relevant attachment theory research and clinical techniques, this workshop teaches the attentional strategies necessary to helping clients overcome trauma.

Deliverance As Part Of The Therapeutic Process, David W. Appleby

Faculty Publications and Presentations

Within the last few years there has been an increased interest in spiritual warfare and, along with it, the deliverance ministry. The increased visibility of this ministry has resulted in a plethora of books and tapes on the subject. The following is an outline of a presentation made at the 2007 American Association of Christian Counselor’s World Conference in Nashville, TN. It is entitled Deliverance as a Part of the Therapeutic Process.

Letter To The Editor On Doctor Of Nursing Practice....", Hila J. Spear

Faculty Publications and Presentations

No abstract provided.

Nursing Theory And Knowledge Development: A Descriptive Review Of Doctoral Dissertations, 2000–2004, Hila Spear

Faculty Publications and Presentations

Within the profession of nursing, nursing theory, conceptual models, and knowledge development continue to be points of discussion and debate. Some suggest that nursing research must either test or develop nursing theory, whereas others believe that research germane to practice can legitimately incorporate what is commonly referred to as borrowed theory. This descriptive analysis of nursing doctoral dissertations (N = 207) conducted from 2000 to 2004 focused primarily on the inclusion or exclusion of nursing theories. Almost half (45.4%) of the dissertations studied theories from fields other than nursing, 27.1% of the researchers studied nursing theories, and 27.5% of the …

Evidence-Based Nursing Practice: Making Progress And Making A Difference, Hila J. Spear

Faculty Publications and Presentations

No abstract provided.

The Community Awareness Rape Education (Care) Program For High School Students, Virginia Wright, Shanna Akers, Suzanne Rita

Faculty Publications and Presentations

According to national statistics, 17% of rape victims are between the ages of 13 and 17 years; however, this age group has limited access to information about sexual assault. In light of this fact and the widely held belief that sexual assault nurse examiners (SANEs) have a responsibility to educate others about sexual assault, we developed an educational program for adolescents.

Alcohol Related Violence And Unwanted Sexual Activity On The College Campus, Mary E. Nicholson, Min Qi Wang, Dolores Maney, Jianping Yuan, Beverly S. Mahoney, Daniel D. Adame

Faculty Publications and Presentations

The purpose of this study was to explore the relationships among alcohol consumption, sexual assault and rape, and nonsexual violence in a college population at a large Northeastern university. A 49-item questionnaire was designed to elicit responses from both victims and perpetrators. Of the 1,084 respondents: 518 were male, 566 were female, the majority were White (91.8%), and in the 18-21 age range. Unwanted sexual activity, rape, and violence were significantly related to alcohol consumption on the college campus studied. These data indicated that alcohol was involved in: a) unwanted sexual activity--both from the victim's perspective (85.7%) and from the …

Thirty Years And Going Strong, Beverly S. Mahoney

Faculty Publications and Presentations

No abstract provided.

Trends And Issues In Health Education Curriculum, Larry K. Olsen, Beverly S. Mahoney

Faculty Publications and Presentations

No abstract provided.

Predicting Alcohol Impairment: Perceived Intoxication Vs. Bac, Beverly S. Mahoney

Faculty Publications and Presentations

The purpose of this study was to report the relationship among perceived intoxication, performance impairment, and actual blood alcohol concentration (BAC) levels. Fifteen subjects, aged 21 to 40, completed both single- and double-dose sessions of alcohol consumption_ BACs, reaction and anticipation time, and perceived intoxication data were collected during both sessions. Analysis of data showed that perceived intoxication was significantly related to performance impairment, but the actual BAC was not.