Medicine and Health Sciences Commons^™

Comparing Balance Performance On Force Platform Measures In Individuals With Parkinson's Disease And Healthy Adults, Cathy C. Harro, Amanda Kelch, Cora Hargis, Abigail Dewitt

Funded Articles

Introduction. Postural instability is a known contributing factor to balance dysfunction and increased fall risk in those with Parkinson’s disease (PD). Computerized posturography employing a force platform system provides objective, quantitative as- sessments of postural control impairments. This study examines balance performance as measured by force platform (FP) tests in persons with PD compared to age-matched healthy adults. Secondarily, we examine if these FP measures provide diagnostic and clinically meaningful information about the underlying balance impairments in the PD population.

Methods. Participants—42 individuals with PD (Hoehn and Yahr stage 2.33 0.77) and 55 age-matched healthy adults—were assessed on …

An Enhanced Actualized Dnp Model To Improve Dnp Project Placements, Rigor, And Completion: A Research Brief, Marie Vanderkooi, Dianne Conrad, Sandra Spoelstra

Funded Articles

Doctor of nursing practice (DNP) projects are summative evaluations of enactment of the DNP Essentials. However, information about structure, process, and outcomes of DNP projects is scarce. Guided by an enhanced actualized DNP model, this study tested the effect of a PhD-DNP-site mentor model to guide DNP projects. Time-to-complete assignments, defense, and graduation improved; high satisfaction for students, mentors, and faculty were found; and a strengthened academic-practice partnership occurred, leading to additional student placements. Broader testing of the enhanced model in various size and types of academic-practice settings is needed prior to use.

Kappa Opioid Regulation Of Depressive-Like Behavior During Acute Withdrawal And Protracted Abstinence From Ethanol, Sorscha K. Jarman, Alison M. Haney, Glenn R. Valdez

Funded Articles

The dynorphin/kappa opioid receptor (DYN/KOR) system appears to be a key mediator of the behavioral effects of chronic exposure to alcohol. Although KOR opioid receptor antagonists have been shown to decrease stress-related behaviors in animal models during acute ethanol withdrawal, the role of the DYN/KOR system in regulating long-term behavioral changes following protracted abstinence from ethanol is not well understood. The objective of the current study was to further explore the role of the DYN/KOR system in regulating stress-related behavioral changes associated with acute withdrawal and protracted abstinence from ethanol. More specifically, the present experiments sought to examine the ability …

Profiles And Predictors Of Risk For Developmental Delay: Insights Gained From A Community-Based Universal Screening Program, Jing Chen, Gwenden Dueker, Candace Cowling

Funded Articles

No abstract provided.

Test Of An Interprofessional Collaborative Practice Model To Improve Obesity-Related Health Outcomes In Michigan, Jean Nagelkerk, Ramona Benkert, Brenda Pawl, Amber Myers, Lawrence J. Baer, Ann Rayford, Scott J. Berlin, Kimberly Fenbert, Holly Moore, Mark Armstrong, Drew Murray, Phyllis D. Boone, Sandra Masselink, Carly Jakstys

Funded Articles

The purpose of the study was to test the effectiveness of an interprofessional collaborative practice (IPCP) education program on clinicians' and students' knowledge and attitudes toward IPCP and to determine the effectiveness of an IPCP weight loss program in two nurse-managed centers. The study team used the Midwest Interprofessional Practice, Education, and Research Center (MIPERC) collaborative practice education program that consists of online learning modules followed by daily huddles and collaborative care planning. The obesity intervention program was implemented by faculty and staff practitioners and students in two clinics with very different patient populations (community residents and college students). Staff/faculty …

Relationship Between The Cortisol-Estradiol Phase Difference And Affect In Women, Karyn Butler

Funded Articles

Affective disorders impact women’s health, with a lifetime prevalence of over twelve per cent. They have been correlated with reproductive cycle factors, under the regulation of hormonal circadian rhythms. In affective disorders, circadian rhythms may become desynchronized. The circadian rhythms of cortisol and estradiol may play a role in affective disorders. The purpose of this study was to explore the temporal relationship between the rhythms of cortisol and estradiol and its relationship to affect. It was hypothesized that a cortisol-estradiol phase difference (PD) exists that correlates with optimal affect. A small scale, comparative, correlational design was used to test the …

Improving Outcomes In Adults With Diabetes Through An Interprofessional Collaborative Practice Program, Jean Nagelkerk, Margaret E. Thompson, Michael Bouthillier, Amy Tompkins, Lawrence J. Baer, Jeff Trytko, Andrew Booth, Adam Stevens, Kayleah Groeneveld

Funded Articles

In 2014, the Midwest Interprofessional Practice, Education and Research Center partnered with a Federally Qualified Health Center (FQHC) to implement an interprofessional collaborative practice (IPCP) education program to improve the health of adult patients with diabetes and to improve practice efficiency. This partnership included integrating an interprofessional team of students with the practice team. Twenty-five students and 20 staff engaged in the IPCP program, which included completion of educational modules on IPCP and implementation of daily huddles, focus patient visits, phone calls, team-based case presentations, medication reconciliation, and student-led group diabetes education classes. This study used a sequential mixed methods …