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Health Sciences Program Student Theses, Dissertations and Capstones

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Integrative Molecular Pathological Epidemiology Of Congenital And Infant Acute Leukemia, Heather Elizabeth Williams Jan 2019

Integrative Molecular Pathological Epidemiology Of Congenital And Infant Acute Leukemia, Heather Elizabeth Williams

Health Sciences Program Student Theses, Dissertations and Capstones

Congenital and infant acute leukemia remain one of the most puzzling clinical issues in pediatric hematology-oncology. There is a paucity of studies focused on these rare, aggressive, acute leukemias; specifically, there is little study on the differences in disease in the youngest of infants less than 1 year of age unlike the numerous studies of the disease in older children. The United States National Cancer Institute’s Surveillance, Epidemiology, and End Results (SEER) cancer population registry program has been integral for a plethora of clinical population and pathology research studies for numerous diseases in the last 40 years and has an …


Assessing Beliefs, Attitudes, And Perceived Risks Of Hiv As Predictors Of Hiv Testing Behavior Among Seniors In The Coachella Valley, California, Gillian Sealy Jan 2018

Assessing Beliefs, Attitudes, And Perceived Risks Of Hiv As Predictors Of Hiv Testing Behavior Among Seniors In The Coachella Valley, California, Gillian Sealy

Health Sciences Program Student Theses, Dissertations and Capstones

According to the Centers for Disease Control and Prevention (CDC) (2017), at the end of 2014, approximately 428,724 people 50 years or older were diagnosed and living with HIV in the United States. A contributing factor to the high incidence of HIV in this population is unknown HIV/AIDS serostatus (Fenton, 2007). The U.S. Department of Health and Human Services (2018), terms serostatus as the state of having or not having detectable antibodies against a specific antigen (https://aidsinfo.nih.gov/understanding-hiv-aids/glossary/1632/serostatus). Contributing to the lack of knowledge about HIV serostatus, is that those over 50 are less likely to be tested for HIV even …


Interpretive Phenomenological Analysis: Exploring The Experiences Of Eye Bank Coordinators When Approaching Families Of Decedents For Eye Donation, Concetta Triglia Jan 2018

Interpretive Phenomenological Analysis: Exploring The Experiences Of Eye Bank Coordinators When Approaching Families Of Decedents For Eye Donation, Concetta Triglia

Health Sciences Program Student Theses, Dissertations and Capstones

This dissertation was used to addresses a group of individuals who work as eye bank coordinators. These individuals call families and approach them for eye donations from a loved one who has just passed away. An interpretative phenomenological analysis (IPA) was used to explain the lived experience of eye bank coordinators who call families for consent of eye tissue. The focus was to understand the dedication of the coordinators to giving the gift of sight and exploring the positive and negative experiences of eye bank coordinators. IPA is used for a keen understanding of eye bank coordinators, and the investigator …


Association Between Immunological Reactivity With Tetrabromobisphenol-A And Autoimmune Target Sites Of The Nervous System, Datis Kharrazian Jan 2018

Association Between Immunological Reactivity With Tetrabromobisphenol-A And Autoimmune Target Sites Of The Nervous System, Datis Kharrazian

Health Sciences Program Student Theses, Dissertations and Capstones

Tetrabromobisphenol-A (TBBPA) is the most widely used flame retardant. Flame retardants are sprayed on furniture, mattress beds, children’s pajamas, car seats, upholstery, carpets, and rugs in the United States. Chemical immune reactivity may play a role in the epidemic of autoimmune disease. The goal of this research is to investigate whether any correlation exists between immunological reactivity to TBBPA, a key chemical used in most flame retardants, and neurological autoimmune target sites that are associated with neurological autoimmune diseases with a diverse and specific list of antibodies that include myelin basic protein, myelin-associated glycoprotein, alpha-synuclein, aquaporin receptors, and S100B antibodies …


Relationship Between Affordable Care Act And Emergency Department Visits, Dovison Kereri Jan 2018

Relationship Between Affordable Care Act And Emergency Department Visits, Dovison Kereri

Health Sciences Program Student Theses, Dissertations and Capstones

Affordable Care Act (ACA) was passed and implemented to expand insurance coverage, reduce health care cost, and improve the quality of care. The purpose of this dissertation study was to investigate whether the ACA insurance expansion correlates with the number of visits made to emergency departments (EDs). The quasi-experimental design interrupted time series was utilized in the analysis. The ED visits were compared using MANOVA to determine the relationship between ED visits and ACA and canonical correlation analysis to assess the strength of the relationship and the extent to which independent variables could predict the dependent variable. The hypothesis was …


Lived Experience Of The Advanced Practice Provider On The Burn Surgery Service, Susan Lee Smith Jan 2017

Lived Experience Of The Advanced Practice Provider On The Burn Surgery Service, Susan Lee Smith

Health Sciences Program Student Theses, Dissertations and Capstones

The purpose of this qualitative dissertation study was to examine the lived experience and meaning making of challenges, benefits, satisfaction, and professional sustainability for the advanced practice provider in the burn surgery specialty service. The problem addressed was the knowledge gap resulting from a lack of literature describing aspects of the advanced practice provider role in the burn specialty. An interpretive phenomenological analysis, informed by the philosophy of Dr. Martin Heidegger, was undertaken. Participants were solicited from the American Burn Association Advanced Practice Provider (APP) special interest group site. The results provided a thick description of the lived experience of …


Faculty And Staff Perceptions Of Interprofessional Education: A Comparative Survey Of Dental And Health Science/Nursing Faculty And Staff, Tabitha Nicole Fair Jan 2017

Faculty And Staff Perceptions Of Interprofessional Education: A Comparative Survey Of Dental And Health Science/Nursing Faculty And Staff, Tabitha Nicole Fair

Health Sciences Program Student Theses, Dissertations and Capstones

Research has shown a strong correlation between oral and systemic disease; therefore, there is an increased need for collaboration between dental and medical professionals. The purpose of this study was to examine the current opportunities that exist for interprofessional education (IPE) at Nova Southeastern University (NSU), the perceived need for IPE for dental and health science/nursing students, the perceived advantages of an IPE program, the features that should be included in an IPE program, and the perceived administrative and financial barriers to increased interprofessional activities. This study surveyed graduate faculty and staff from NSU’s College of Health Care Sciences, College …


Evaluation Of Various Inspiratory Times And Inflation Pressures During Airway Pressure Release Ventilation, Tim Gilmore Jan 2017

Evaluation Of Various Inspiratory Times And Inflation Pressures During Airway Pressure Release Ventilation, Tim Gilmore

Health Sciences Program Student Theses, Dissertations and Capstones

There are few recommendations on how best to apply certain modes of mechanical ventilation. The application of Airway Pressure Release Ventilation (APRV) includes strategic implementation of specific inspiratory times (I-times) and particular mean airway pressures (MAWP) neither of which is standardized. This study utilized a retrospective analysis of archived electronic health record data to evaluate the clinical outcomes of adult patients that had been placed on APRV for at least 8 hours. 68 adult subjects were evaluated as part of a convenient purposive sample. All outcomes of interest (surrogates) for short-term clinical outcomes to include the PaO2/FiO2 (P/F) ratio, Oxygen …


Pneumonia Readmissions In Older Adults With Dementia, Sara Knox Jan 2017

Pneumonia Readmissions In Older Adults With Dementia, Sara Knox

Health Sciences Program Student Theses, Dissertations and Capstones

Objective: The purpose of this study was to investigate pneumonia readmissions of older adults with dementia. Readmission rates and predictive factors of older adults with and without dementia were compared in this study. Subjects: A nationally representative sample of 389,198 discharge records, representing 370,003 patients, was extracted from the 2013 Nationwide Readmission Database. Methods: Descriptive statistics were utilized to describe the demographics of the sample population. Differences between groups were analyzed using chi-square or t test statistics as appropriate. A generalized linear model was used to examine predictive factors for pneumonia readmissions. Results: Older adults with dementia had a readmission …


Cag Repeat Length And Suicidality In Huntington's Disease, Christen Kutz Jan 2015

Cag Repeat Length And Suicidality In Huntington's Disease, Christen Kutz

Health Sciences Program Student Theses, Dissertations and Capstones

Abstract: The purpose of this study was to determine if a correlation exists between suicide and CAG repeat length in Huntington’s disease. Methodology: A case-control study using the COHORT Study de-identified database was conducted. Responses were collected from 163 participants. Depression, substance abuse history and use of benzodiazepines were covariates. Responses to the UHDRS behavioral section pertaining to the frequency and severity of suicidal ideation (“feels life is not worth living”, “has suicidal thoughts”) were analyzed. Results: Despite taking depression, benzodiazepine use, and history of substance abuse into account, there was a predictive relationship between CAG repeat length and frequency …


Impact Of Preoperative Patient Profiles On Elective Open Intestinal Resection Outcomes, Wei Chao Chang Jan 2015

Impact Of Preoperative Patient Profiles On Elective Open Intestinal Resection Outcomes, Wei Chao Chang

Health Sciences Program Student Theses, Dissertations and Capstones

There are a myriad of risk factors for surgical mortality, intraoperative and postoperative complications, and prolonged length of stay. Effectively identifying possible risk factors in the preoperative patient profiles that may impact the outcome of elective open intestinal resection has significant implications on the quality of care, the safe delivery of surgical care, and the speedy recovery of patients undergoing elective open intestinal resection. Few studies specifically focused on the construction of individual preoperative patient risk profile used only preoperative patient profiles in elective open intestinal resection. A retrospective cohort predictive study was conducted to assess the impact of preoperative …


Investigation Of Physician Assistants' Choice Of Rural Or Underserved Practice And Framing Methods Of Recruitment And Retention, Jennifer A. Snyder Jan 2014

Investigation Of Physician Assistants' Choice Of Rural Or Underserved Practice And Framing Methods Of Recruitment And Retention, Jennifer A. Snyder

Health Sciences Program Student Theses, Dissertations and Capstones

Objective: This dissertation analyzed one state's physician assistant (PA) workforce focusing on recruitment and retention. The goal was to identify factors associated with Indiana PAs working in medically underserved, rural, and primary-care medicine. The study evaluated characteristics of PAs who chose initially to work in rural versus urban areas and who have continued to do so. From the literature and as a result of study outcomes, a framework was developed, upon which recommendations were made for effective methods of increasing and retaining the number of PAs in primary care within rural areas. Subjects: Data were obtained from applications for PA …