Medicine and Health Sciences Commons^™

Management And Disposition Of Patients With Venous Thromboembolism In Academic Vs. Rural Hospital Populations During The Covid-19 Pandemic, Michael Young, Matthew Mccambridge Md, Ms, Cphq, Cpps, Beatrice Oertner Bsn, Rn, Cphq, Catherine V. Levitt, Andrew C. Miller Do, Kira Galeano, Timlin Glaser Md, Amanda R. Stashin Do, Margaret A. Vido Do, Marna R. Greenberg Do, Mph, Facep

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No abstract provided.

Impact Of Supportive Housing Program Services On Loneliness And Well-Being Among Previously Homeless Individuals, Michelle Wagner Mph, Ashwini Kamath Mulki Md, Mph, Hoonani M. Cuadrado Mspas, Pa-C, Autumn Kieber-Emmons Md, Mph, Susan E. Hansen Ma

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No abstract provided.

Leveraging Mobile Documentation To Improve Access To Therapy Services In Acute Care, Jessica S. Watson Pt, Dpt, Amanda Fox Pt, Dpt, Ryan Vetter Ms-Otr/L

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No abstract provided.

Case Report Describing Mobility Of A “Happy Hypoxic” Patient With Covid-19, Courtney Stanlaw Pt, Dpt, James K. Miller

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No abstract provided.

Reduction In Unnecessary Blood Transfusions In Hospitalized Patients, Amy Slenker Md, Warren Behr Mba

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No abstract provided.

Antifreeze Ingestion Causing Methemoglobinemia: A Case Report, Alexandra Amaducci, Derek J. Fikse Do, Kenneth D. Katz Md, Timothy Kolosionek Do

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No abstract provided.

Uniting Physical Therapy And Emergency Medicine To Reduce Admissions, Joshua Rosentel Bsn, Rn, Daniel Sawyer Pt, Dpt

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No abstract provided.

Tri-State Mining District, Ecological System, And Human Health: Systematic Literature Review Analysis, Jihyun Jane Min

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Objective: Although extensive research exists on corrosive environments in the Tri-State Mining District (TSMD), there has been a lack of research on how such harmful effects in the TSMD could affect residents living in those areas. However, quite recently, such research regarding relationships between the health conditions of low-income residents and toxic elements in TSDM began to grow. Therefore, the increase of empirical studies means greater complexity of the findings that require a more intricate understanding.

Methods: To meet the necessity of the study, this research was conducted by an extensive systematic review of the literature on the harmful effects …

Osteoma Cutis, Lehigh Valley Health Network

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No abstract provided.

Breastfeeding And How It Affects Cognitive Development, Kylie Farris, Barbara Mcclaskey

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If one was asked “which is better: breastfeeding or formula feeding?” the most common answer would be “breastfeeding.” This would be the answer 9 times out of 10. It is a known fact by a wide range of people, that in general, breastfeeding is the better option. Infants who are breastfed exclusively in the first six months of life tend to have better overall health outcomes than children that are fed only iron-fortified formula or a combination of the two. Therefore, it is likely that breastfeeding will indeed also improve cognitive developmental outcomes. That is the purpose of this study. …

A Surveillance Study On Culex Sp. In Southeast Kansas And Prevalence Of West Nile Virus In The Mosquito Population, Sara Goins, Anuradha Ghosh

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West Nile virus (WNV) is the most common mosquito-borne disease in Kansas and the United States. Several species of mosquitoes are responsible for transmission of arboviruses but Culex species are the primary vector for WNV in Kansas and the United States. According to the US Centers for Disease Control and Prevention (CDC), 80 percent of people infected with WNV show no symptoms. But for the remaining 20 percent, symptoms can include headaches, body aches, joint pains, vomiting, diarrhea, or rash. Even less commonly, about one in every 150 people develop serious symptoms affecting the central nervous system, including brain and …

Spontaneous Pushing Vs Directed Valsalva Pushing, Erika Ellis, Barbara Mcclaskey

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The purpose of this study is to determine if spontaneous pushing during the second stage of labor produces better maternal outcomes than the more commonly used directed Valsalva pushing. A literature review of the recent studies has been performed to determine if Valsalva pushing is simply archaic or absolutely necessary for healthier mother/baby outcomes. To recommend that women go against their primal urges to push in the man­ner that their own bodies are directing them, indicates that there must be research-based evidence to intervene in the natural order of things and use Valsalva pushing instead. When in fact, there are …

Prophylactic Use Of Lmwh Vs Ufh In Pe Patients, Kyleigh Grieshaber, Barbara Mcclaskey

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As a result of deep vein thrombosis (DVT), a pulmonary embo­lism (PE) can occur which creates a blockage in the body’s pulmonary circulation, leading to cell death. PE is the third leading cause of death in the U.S., while being the most common, most preventable cause of death in hospitalized patients. Understanding the signs and symptoms of PE is essential in order to save patients’ lives. The objective of this research study was to compare the prophylactic use of Unfractionated Heparin (UFH) and Low Molecular Weight Heparin (LMWH) in patients effected with PE. Information for this research project was gathered …

The Effects Of Alchoholism Within Family Structures, Abbey Westmoreland, Eva Cumpton, Hyejoon Park

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Employing qualitative study with purposive sampling methods, we want to study family mechanism exposed alcoholic consumption. Testing the effects of alcoholism within family structures, we examined whether children and the spouse of the alcoholic displayed any signs of emotional or physical abuse after treatment had been in place. The number of years post treatment varied upon different individuals. We also tested whether the different treatment options such as AA or in-patient treatment had longer lasting effects. The sample size included 10 white males from different backgrounds. Family sample size includes 5 white individuals, 4 females and 1 male. Outcomes were …

Neonatal Abstinence Syndrome, Marissa Thompson, Barbara Mcclaskey

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Neonatal abstinence syndrome (NAS) is becoming more and more prevalent today. The number of women who are using narcotics while they are pregnant continues to rise. Neonatal abstinence syndrome may occur when a pregnant woman takes narcotics that cross the placenta to the fetus. The fetus then becomes dependent on the drug. When the infant is born, they are no longer receiving the drug. A large percent of these infants will go on to develop withdrawal signs and symptoms after birth. Since there has been no consistency in providing specific standardized care for treating infants with NAS, the purpose of …

A Pre And Post Survey To Evaluate Patient Perception Of Group Diabetes Self-Management Education In Rural Health Clinics, Stormy Carter, Ashleigh Heter

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Diabetes is a significant clinical issue in the primary care setting. Providers struggle to overcome barriers to facilitate therapeutic interventions for populations served. The specific aim of this study was to assess group diabetes self-management education from a patient perspective. Evaluation of diabetes knowledge and self-efficacy confidence was conducted in rural primary care clinics using pre and post surveys. This study utilized a one-group pretest-posttest design to patients receiving group diabetes self-management education in Southeast Kansas rural primary care clinics by a certified diabetes educator. The surveyed population included individuals ages 18-65 with prediabetes, type I, or type II diabetes …

Co-Bedding Preterm Infants In The Nicu, Payton Moss, Barbara Mcclaskey

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Providing the best possible environment for premature infants continues to be a challenge in the neonatal inten­sive care unit (NICU). The purpose of this literature review was to examine the evidence related to the care of preterm twins and whether twins benefit from co-bedding verses keeping them separated. Co-bedding is defined as caring for two or more infants in the same incubator and is considered a developmental initiative to minimize adverse effects of preterm birth. Twins share a tight space in utero and support each other as they grow. Skin-to-skin contact with preterm infants and their mothers has been shown …

Autism Screening Knowledge And Practice In Southeast Kansas, Briana Laforge, Ashleigh Heter, Janis Schiefelbein, Ananda Jayawardhana

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Autism spectrum disorder (ASD) is classified as a neurodevelopmental disorder characterized by delays in social communication and interaction as well as restricted repetitive behaviors, interest, and activities. According to the most recent reports from the CDC, it is estimated that 1 in 68 children are diagnosed with some form of ASD in the United States. Research has shown that early identification and intervention can significantly improve out­comes in those individuals diagnosed. As a result of this research, the American Academy of Pediatrics (AAP) has recommended routine screening on all children for ASD at the age of 18 months and again …

Implementing Zero/Neutral Displacement Iv Connectors To Reduce Blood Stream Infections, Kirsten Mitchell, Barbara Mcclaskey

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Catheter related blood stream infections are a major problem in the United States and account for over $225 million each year with over 1,300 infections occurring each day. By researching the most effective type of IV connector, health care providers can provide the best and safest care possible to patients requiring IV access. Zero/neutral IV connectors may be the answer to decreasing these infections as they produce no reflux in the connector which is a breeding ground for bacteria and occlusions. This literature review found that zero/neutral connectors performed better than positive and negative IV connectors when comparing both reflux …

Increasing Hepatitis C Infection Related To Growing Opioid Epidemic, Chelsea Poell, Barbara Mcclaskey

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Hepatitis C (HCV) is rapidly growing and has become the most common blood-borne infection throughout the United States. The objective of this study was to compare trends in rates of injection drug use (IDU), spe­cifically opioid injection, with national trends in the incidence of acute HCV infection to assess whether these events correlated over time. The methodology was a literature review. To test for trends researchers calculated the annual incidence rate, demographics, and risk characteristics of reported cases of acute HCV infection using surveillance data from 2004 to 2014. They also analyzed the annual percentage of admissions to substance use …

Pediatric Hospital Environments: Do They Make A Difference?, Rhyan Elliott, Barbara Mcclaskey

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The environment can have an extreme impact on a child’s well-being, growth and health. This should be taken into consideration especially for those children that are surrounded by a hospital environment. The healthcare system can come across as extremely intimidating and frightening to young patients. The purpose of his research study is to change this mind-set by creating a more welcoming atmosphere through child-friendly interventions such as magic, colorful art, and nature. By conducting interviews with the children of these hospitals and using visual and exploratory techniques, the essence of what keeps a child’s spirit alive can be captured to …

Human Gut Microbiome, Enrico José Aveiro Johannsen, Mandy Peak

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The human gut microbiome has been an area of interest for researchers due to its established link with human metabolism, nutrition, physiology, and immune functions. The research presented further investigates the microbiome to better understand it. Stools from two healthy young African males and a French obese individual were analyzed using MALDI-TOF MS and the enrichment culture technique. For the identification of bacterial species metagenomics, genomics, and culturomics were used. The results showed a much broader biodiversity in the human gut than previously predicted, as well as better results when using culturomics for measuring biodiversity in large-scale isolation.

Use Of Workplace Incentive Programs To Increase Health Behaviors In Nurses, Sydney Harris, Barbara Mcclaskey

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As the frontline and most visual health promoters in a hospital setting, nurses are to be at the top of their game in terms of their health behaviors. Unfortunately, several studies show that nurses tend to follow the trend of the general population in poor eating habits, physical inactivity, sleep habits, and smoking and alcohol consump­tion. The purpose of this study is to unveil the benefits of Workplace Health Incentive Programs in an effort to increase the overall health of those who are to be considered role models for a healthy lifestyle, the nurses who hold the seat for the …

Nurse-To-Nurse Bedside Handoff: Improving Communication And Patient Safety, Brynna M. Brouwer, Barbara Mcclaskey

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Effective communication and patient safety are very crucial aspects of nursing care. The purpose of this research was to explore the evidence supporting bedside reporting with a standardized handover tool and to identify the problems that exist when no standard handover method is used. Interventions and improvements that can be implemented to bring about better outcomes in patent safety and effective communication will be identified. Bedside nurse-to-nurse change-of-shift reports as well as a standardized handover tool are effective means of increasing shared understanding while improving the quality of care and the patient’s safety. Bedside reporting with a handover tool such …

The Use Of Turn Assistance Features On Hospital Beds For Prevention Of Caregiver Injury, Trenton Tucker, Barbara Mcclaskey

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In the world of nursing, caregiver injury is still a major problem. It has been reported that 44% of healthcare workers have lower back musculoskeletal pain. The purpose of this study was to examine ways to decrease injury to care providers. The methodology was a literature review focusing on turn assist technology. Education alone cannot always prevent a musculoskeletal injury, and thus the use of turn assistance features on beds is implemented. These turning functions have shown great success in helping prevent caregiver muscle strain, and in helping decrease caregiver injury. As general technology has increased, so has medical technology …

Agreement Study Between The Parvomedics Trueone 2400 And Vacu-Med Vista Mini-Cpx Metabolic Measurement System, Mohan D. Perumal, Allison M. Barry, Michael Carper, Derek A. Crawford

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Aerobic capacity (VO2 MAX) predicts both athletic performance and health status. Many tools are available to assess VO2 MAX ranging in both cost and accuracy. Understanding limitations of less expensive tools, likely found in settings such as health clinics or sports performance facilities, will help practitioners in developing accurate exercise prescriptions for their respective populations. To evaluate agreement lower cost VO2 MAX assessment tool (Vacu-Med Vista MINI-CPX) to the industry “gold standard” (ParvoMedics TrueOne 2400). Thirty-one participants (22.5 ± 3.5 years; BMI 24.9 ± 2.3; 51% female) completed two sessions of maximal VO2 MAX assessment using the Bruce Protocol graded …

Umbilical Cord Milking At Birth, Jennifer Bowers, Barbara Mcclaskey

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The World Health Organization recommends delaying cord clamping for at least 30-60 seconds after the birth of a full-term newborn. However, the recommendation on the time of cord clamping is not as clear with preterm infants or infants who need immediate resuscitation. The purpose of this study was to examine the best, most recent evidence regarding the timing of cord clamping. The methodology was a literature review. Recent research has focused on umbilical cord milking prior to cord clamping. Umbilical cord milking is described as “the unclamped umbilical cord is grasped and blood is pushed toward the infant several times …

The Decision Of Families And Hospice Nurses On Use Of Oxygen Therapy At End Of Life, Mary Gathoni, Janis Schiefelbein

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Minimal research efforts have focused on why family members make the decision to use oxygen therapy for their loved one at end of life, and the thoughts of hospice nurses who recommend the use of oxygen. Many families and nurses believe the use of oxygen therapy in palliative care is a practice endorsed by the medical community. However, this is inconsistent with existing knowledge that oxygen use at end of life contributes to comfort and decreases breathlessness or dyspnea. Dyspnea, the sensation of breathlessness or inadequate breathing, is common for patients with end of life illnesses. Dyspnea occurs when an …

The Correlation Between Stress And Alcohol Consumption In College Students, Christian Dowling, Sarah Cass, Morgan Hensley, Hyejoon Park

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Stress levels in the life of a college student can be extreme. Sometimes the only way that the student knows how to cope with the high levels of stress is to consume alcohol. This coping strategy is not healthy and unfortunately, the use of alcohol as a coping strategy can lead to more harm than good. Recent studies have shown that 80 percent of all college students in America consume alcohol and that almost half of those students have binge drank in the past two weeks. This study evaluates the relationship between stress levels and the level of alcohol consumption …

The Effect Of Exercise On Menopausal Women, Audry Holman, Barbara Mcclaskey

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The purpose of this research is to identify if the negative physical and physiological symptoms of menopause are decreased in menopausal women who exercise compared to menopausal women who do not exercise. There are many negative symptoms of menopause including an increase in waist circumference, hot flashes, and weight gain. Exercise is a non-pharmacological way to decrease some of these symptoms that women experience when going through menopause. Multiple studies show that exercise decreases the risk of osteoporosis, body fat, waist circumference, triglyceride levels, and depressive symptoms in menopausal women. The studies also show that exercise increases quality of life, …