Medicine and Health Sciences Commons^™

Pain Management Efficacy Study Between Continuous And Single-Administration Bupivacaine Following Lumbar Spinal Fusion, Jay Tumulak, Steve Johnston, Patty Adams

College of Nursing Faculty Research and Publications

Poorly managed postoperative pain decreases patient satisfaction, impedes early patient mobilization, lengthens inpatient hospital stay, and increases healthcare costs. Multimodal analgesia with local anesthetics is considered most effective for postoperative pain management. This study compared patients undergoing lumbar fusion who received plain bupivacaine from May 2011 until August 2012 with those who received liposomal bupivacaine from September 2012 until May 2013. The aim was to determine which preparation reduced postoperative opioid use the most. All lumbar spinal fusion surgeries in the periods indicated were included in the study. Ninety-three patient charts were reviewed: 47 for the plain bupivacaine group and …

Building Research Infrastructure In Magnet® Hospitals: Current Status And Future Directions, Meg Johantgen, Marianne E. Weiss, Vicki Lundmark, Robin Newhouse, Karen Haller, Lynn Unruh, Maria Shirey

College of Nursing Faculty Research and Publications

OBJECTIVE: The aim of this study was to describe the infrastructures supporting research in Magnet® hospitals.

BACKGROUND: Hospitals undertaking the journey toward Magnet designation must build research and evidence-based practice (EBP) infrastructures that support the infusion of research and EBP into clinical practice.

METHODS: An electronic survey was developed and distributed to the chief nursing officer or Magnet coordinator of all Magnet hospitals between June 10, 2015, and July 8, 2015.

RESULTS: Of the 418 Magnet hospitals invited, 249 responses (60%) were received. Resources dedicated to nursing research were difficult to isolate from those for EBP. Supporting clinical nurses’ time …

Physical Activity Minimum Threshold Predicting Improved Function In Adults With Lower‐Extremity Symptoms, Dorothy D. Dunlop, Jing Song, Jungwha Lee, Abigail L. Gilbert, Pamela A. Semanik, Linda S. Ehrlich-Jones, Christine A. Pellegrini, Daniel Pinto, Barbara Ainsworth, Rowland W. Chang

Physical Therapy Faculty Research and Publications

Objective

To identify an evidence‐based minimum physical activity threshold to predict improved or sustained high function for adults with lower‐extremity joint symptoms.

Methods

Prospective multisite data from 1,629 adults, age ≥49 years with symptomatic lower‐extremity joint pain/aching/stiffness, participating in the Osteoarthritis Initiative accelerometer monitoring substudy were clinically assessed 2 years apart. Improved/high function in 2‐year gait speed and patient‐reported outcomes (PROs) were based on improving or remaining in the best (i.e., maintaining high) function quintile compared to baseline status. Optimal thresholds predicting improved/high function were investigated using classification trees for the legacy federal guideline metric requiring 150 minutes/week of moderate‐vigorous …

Speaker-Specific Adaptation Of Maeda Synthesis Parameters For Auditory Feedback, Joseph Vonderhaar

Master's Theses (2009 -)

The Real-time Articulatory Speech Synthesizer (RASS) is a research tool in the Marquette Speech and Swallowing lab that simultaneously collects acoustic and articulatory data from human participants. The system is used to study acoustic-to-articulatory inversion, articulatory-to-acoustic synthesis mapping, and the effects of real-time acoustic feedback. Electromagnetic Articulography (EMA) is utilized to collect position data via sensors placed in a subject’s mouth. These kinematic data are then converted into a set of synthesis parameters that controls an articulatory speech synthesizer, which in turn generates an acoustic waveform matching the associated kinematics. Independently from RASS, the synthesized acoustic waveform can be further …

Aging And Muscle Fatigability In The Upper Extremity, Andrew Kuplic

Master's Theses (2009 -)

Aging is accompanied by reductions in strength and contraction velocity, and increased fatigability of limb muscles during high-velocity dynamic contractions. These age-related changes affect functional tasks and are well described for the lower limb, with less known about the upper limb muscles. The aims of the thesis were to compare in young and old men and women: (1) maximal torque and power of the elbow flexor muscles across a range of isokinetic velocities, and (2) the neural (supraspinal) and muscular mechanisms of fatigue induced by high-velocity dynamic contractions of the elbow flexor muscles. 28 young (23.2 ± 2.6 years) men …

The Relationship Between The Military's Masculine Culture And Service Members' Help-Seeking Behaviors, Rachel Reit

Master's Theses (2009 -)

Since the terrorist attacks on September 11, 2001, over 2.5 million active duty U.S. military service members have deployed to Iraq and Afghanistan (Knobloch & Wilson, 2015). Of those who return as veterans, twenty percent experience serious mental health problems, and only 30-40% of them seek help or treatment (Tanielian & Jaycox, 2008; Wilson, Gettings, Hall, & Pastor, 2015). Recently, the military has increased efforts to encourage help-seeking behaviors among service members and to normalize mental health treatment. However, the military’s masculine culture and emphasis on strength and toughness inhibits the success of these efforts. The present studies investigate the …

Viability Of Human Periodontal Ligament Fibroblasts After Time In Tooth Storage Media, Scott Macdonald

Master's Theses (2009 -)

Periodontal ligament cell viability at the time of tooth replantation is of utmost importance for proper repair of the damaged tissues (1). Multiple different options are currently available for storage of an avulsed tooth. The goal of this study was to investigate new storage media and evaluate their ability to maintain cell viability over time. Materials and Methods: Cultured human periodontal ligament fibroblasts (hPDLF) were seeded on 96-well plates. These cells were exposed to different storage media including: Hank’s Balanced Salt Solution (HBSS), EMT Toothsaver (EMT), Save-A-Tooth (SAT), trehalose (T300), cell culture media, water, and different formulations of HBSS combined …

Survival Rates Of Primary Endodontic Therapy Following Core/Post And Crown Placement, Kandace Yee

Master's Theses (2009 -)

Introduction: The objective of this study was to determine if a correlation exists between the time to core or post and core (core/post) placement following non-surgical root canal therapy (NS RCT), the time to crown placement following core/post placement, and the incidence of an untoward event. Materials and Methods: Utilizing the Delta Dental of Wisconsin Insurance Database, information was analyzed from 476,479 initial NS RCT procedures. Of these teeth, 160,040 had a core/post and a crown placed before the end of the continuous coverage period or occurrence of an untoward event. Untoward events were defined as having a retreatment, apicoectomy, …

Qmix 2in1 And Naoci Precipitate: Documentation, Identification, And Exothermic Reaction, Gordon L. Barkley Iii

Master's Theses (2009 -)

Introduction: The aim of this study was to document and identify precipitate formation and exothermic reaction caused when mixing NaOCl and QMiX. Methods: Photography captured time-dependent changes when mixing NaOCl and QMiX at; 0 seconds, 30 seconds, 1 minute, 30 minutes, 1 hour, and 24 hours. A differential scanning calorimeter (DSC) was utilized in determination of heat flow while analyzing temperature change (°C), enthalpy (mJ), and time (seconds) for NaOCl with QMiX and NaOCl with 2% chlorhexidine (CHX). 1H Nuclear Magnetic Resonance (NMR) and 2D NMR (DOSY) spectroscopy analyzed precipitation formed from NaOCl and QMiX. Results: Digital photography documented immediate, …

Analysis Of Flexural Strength And Monotonic Load To Failure Following Simulated Chairside Adjustments And Repair In A Lithium Disilicate Glass-Ceramic, Ali Ramadhan

Master's Theses (2009 -)

Introduction: There are no studies regarding e.max Press that evaluate post-adjustment healing protocols and their effect on the load to failure in a clinically relevant test. It is essential to find the ultimate treatment protocol which will help clinicians preserve the physical properties of the ceramic restoration after adjustment. Material and Methods: The total number of samples used in this study was 440 IPS e.max press discs. The discs were 15 mm in diameter and 1 mm of thickness. The material was tested for flexural strength and monotonic load to failure. The test was done in two parts and with …

Objective And Subjective Influences On Cognitive Performance In Adolescents With Type 1 Diabetes, Natalie E. Benjamin

Master's Theses (2009 -)

Type 1 diabetes mellitus (T1DM) is an increasingly common chronic illness in children and adolescents that can result in short- and long-term health complications. Disease management can be a particular challenge for adolescents seeking autonomy from caregivers. Recently, there has been a significant increase in adolescents’ use of diabetes-related technology to aid in blood glucose (BG) management and insulin administration. Individuals with T1DM also experience symptoms related to their BG levels, and these symptoms can serve as indicators of out-of-range BG levels and guide management decisions. Although research shows that diabetes-related health factors can affect cognitive functioning, no existing research …

Comparison Of Anterior Denture Teeth Arrangements Made With The Tooth Mold Template And Definitive Computer-Aided Design & Computer-Aided Manufacturing Complete Removable Dental Prostheses, Jose Antonio Sierra

Master's Theses (2009 -)

Introduction: There is a dearth of information in the refereed literature regarding esthetics of CAD/CAM complete removable dental prostheses (CRDPs). The purpose of this study was to investigate and compare the anterior denture teeth arrangement made with the medium-size anterior tooth mold template to CAD/CAM complete removable dental prostheses fabricated with bonded denture teeth and milled teeth. Material and methods: Poly-vinyl siloxane impression were made of an edentulous maxillary model and selected for use as the patient template. The edentulous model was mounted on a semi-adjustable articulator. Definitive impressions and jaw relation records were made according to the manufacturer’s protocol. …

The Application Of Crispr Technology To High Content Screening In Primary Neurons, Ben L. Callif, Brian Maunze, Nick L. Krueger, Matthew T. Simpson, Murray G. Blackmore

Biomedical Sciences Faculty Research and Publications

Axon growth is coordinated by multiple interacting proteins that remain incompletely characterized. High content screening (HCS), in which manipulation of candidate genes is combined with rapid image analysis of phenotypic effects, has emerged as a powerful technique to identify key regulators of axon outgrowth. Here we explore the utility of a genome editing approach referred to as CRISPR (Clustered Regularly Interspersed Palindromic Repeats) for knockout screening in primary neurons. In the CRISPR approach a DNA-cleaving Cas enzyme is guided to genomic target sequences by user-created guide RNA (sgRNA), where it initiates a double-stranded break that ultimately results in frameshift mutation …

How Postpartum Women With Depressive Symptoms Manage Sleep Disruption And Fatigue, Jennifer J. Doering, Dauphne A. Sims, Donald D. Miller

College of Nursing Faculty Research and Publications

Postpartum sleep and fatigue have bidirectional relationships with depressive symptoms and challenge women's everyday functioning. The everyday process of managing postpartum sleep and fatigue in the context of depressive symptoms remains unexplored. We conducted a grounded theory study with a sample of 19 women who screened positive on the Postpartum Depression Screening Scale (PDSS™) Short Form at 3 weeks postpartum. Women completed semi‐structured in‐home interviews and the full PDSS and Modified Fatigue Symptoms Checklist at 1, 3, and 6 months postpartum. The sample was on average 27 years old, with 2.8 children, and 63% were African‐American. They described a basic …

Evaluation Of A Primary Care Weight Loss Program, Callie Chiroff, Christine Shaw, Kristin Haglund, Susan Breakwell

College of Nursing Faculty Research and Publications

Nurse practitioners at a primary care clinic established a weight loss program to address high obesity rates among their African American patients. Interviews and a retrospective chart review were used to evaluate the weight loss program. Number of appointments was the only significant predictor of weight loss, and there was a strong positive correlation between total number of appointments and weight loss. The overall view of the program was positive. This description and evaluation of the program may be useful to nurse practitioners seeking to develop an individualized effective weight loss intervention for African Americans within a primary care setting.

Onset Of Mild Cognitive Impairment In Parkinson Disease, David K. Johnson, Zachary Langford, Mauricio Garnier-Villarreal, John C. Morris, James E. Galvin

College of Nursing Faculty Research and Publications

Objective: Characterize the onset and timing of cognitive decline in Parkinson disease (PD) from the first recognizable stage of cognitively symptomatic PD-mild cognitive impairment (PD-MCI) to PD dementia (PDD). Thirty-nine participants progressed from PD to PDD and 25 remained cognitively normal.

Methods: Bayesian-estimated disease-state models described the onset of an individual’s cognitive decline across 12 subtests with a change point.

Results: Subtests measuring working memory, visuospatial processing ability, and crystalized memory changed significantly 3 to 5 years before their first nonzero Clinical Dementia Rating and progressively worsened from PD to PD-MCI to PDD. Crystalized memory deficits were …

Relationship Of Exposure To Heart Failure Discharge Teaching To Readmission Within 30 Days, Becky Ann Pogacar

Dissertations (1934 -)

Heart Failure (HF) patients are at increased risk for higher rates of hospital readmission within 30 days. Previous studies have demonstrated educational interventions delivered by nurses reduce readmission but the relationship of the dose of teaching to HF readmission or ED utilization remains unclear. A retrospective correlational design framed by the General Outcomes Effectiveness Model was utilized to (1) establish a relationship between the dose of discharge teaching documented by acute care nurses and the outcomes of hospital readmission and ED utilization within 30 days of a previous hospital discharge and (2) identify the teaching components included in an evidence-based …

Regulation Of System Xc-By The Neuropeptide Pacap: Implications For Glutamate Transmission In Drug Addiction, Linghai Kong

Dissertations (1934 -)

Drug addiction is a chronic brain disorder characterized by heightened relapse susceptibility. Drug-induced aberrant glutamate signaling in corticostriatal circuitry contributes to behaviors in virtually every preclinical model of drug seeking and correlates with drug craving in human. Here, we propose that glutamate signaling is a product of integrated activity between neurons and astrocytes, such that disruptions within astrocytes can stem from abnormal neuronal signaling (e.g., altered corticostriatal firing) and be the source of additional disruptions in other neuronal circuits. The astrocytic mechanism studied in these experiments is system xc- (Sxc) since drug-induced changes to this non-vesicular glutamate release mechanism contribute …

The Cry Of The Poor: Anthropology Of Suffering And Justice In Health Care From A Latin American Liberation Approach, Alexandre Andrade Martins

Dissertations (1934 -)

This dissertation examines the connection between poverty and health inequalities from a liberation theological ethics perspective. It uses Simone Weil’s and Latin American liberation theology’s approaches to suffering and social justice as theoretical sources to address health inequalities and the suffering of the poor because of social injustice, vulnerability to diseases, and lack of healthcare assistance. First of all, these approaches are examined from how they shape an anthropology of suffering that enable us to understand the suffering of the poor and, at the same time, to recognize them as agents of their own liberation and struggle for justice in …

Correlation Between Subjective Nasal Patency And Intranasal Airflow Distribution, Kevin P. Casey, Azadeh A.T, Borojeni, Lisa J. Koenig, John S. Rhee, Guilherme J.M. Garcia

School of Dentistry Faculty Research and Publications

Objectives

(1) Analyze the relationship between intranasal airflow distribution and subjective nasal patency in healthy and nasal airway obstruction (NAO) cohorts using computational fluid dynamics (CFD). (2) Determine whether intranasal airflow distribution is an important objective measure of airflow sensation that should be considered in future NAO virtual surgery planning.

Study Design

Cross-sectional.

Setting

Academic tertiary medical center and academic dental clinic.

Subjects and Methods

Three-dimensional models of nasal anatomy were created based on computed tomography scans of 15 patients with NAO and 15 healthy subjects and used to run CFD simulations of nasal airflow and mucosal cooling. Subjective nasal …

From Solvent-Free Microspheres To Bioactive Gradient Scaffolds, Morta Rasoulianboroujeni, Mostafa Yazdimamaghani, Payam Khoshkenar, Venkata Raveendra Pothineni, Kwang-Min Kim, Teresa A. Murray, Jayakumar Rajadas, David K. Mills, Daryoosh Vashaee, Keyvan Moharamzadeh, Lobat Tayebi

School of Dentistry Faculty Research and Publications

A solvent-free microsphere sintering technique was developed to fabricate scaffolds with pore size gradient for tissue engineering applications. Poly(D,L-Lactide) microspheres were fabricated through an emulsification method where TiO₂ nanoparticles were employed both as particulate emulsifier in the preparation procedure and as surface modification agent to improve bioactivity of the scaffolds. A fine-tunable pore size gradient was achieved with a pore volume of 30 ± 2.6%. SEM, EDX, XRD and FTIR analyses all confirmed the formation of bone-like apatite at the 14^th day of immersion in Simulated Body Fluid (SBF) implying the ability of our scaffolds to bond to …

Predoctoral Dental Students’ Perceptions Of Dental Implant Training: Effect Of Preclinical Simulation And Clinical Experience, Soni Prasad, Naveen K. Bansal

School of Dentistry Faculty Research and Publications

The aims of this study were to assess 1) differences in perceptions of dental implant training between dental students who received didactic training alone (control group) and those who received didactic plus simulation training (test group); 2) differences in response between students with and without clinical experience in implant dentistry; and 3) the interaction effect of simulation training and clinical experience on students’ satisfaction. A survey was distributed to the control group in 2014 and to the test group in 2015; both groups were at the same U.S. dental school. Data were collected on confidence levels with various implant restorative …

Language Variation: What's An Educator To Do?, Maura Jones Moyle

Speech Pathology and Audiology Faculty Research and Publications

No abstract provided.

Development Of A Self‐Management Theory‐Guided Discharge Intervention For Parents Of Hospitalized Children, Kathleen Sawin, Marianne E. Weiss, Norah L. Johnson, Karen Gralton, Shelly Malin, Carol Klingbeil, Stacee M. Lerret, Jamie J. Thompson, Kim Zimmanck, Molly Kaul, Rachel Schiffman

College of Nursing Faculty Research and Publications

Background

Parents of hospitalized children, especially parents of children with complex and chronic health conditions, report not being adequately prepared for self‐management of their child's care at home after discharge.

Problem

No theory‐based discharge intervention exists to guide pediatric nurses' preparation of parents for discharge.

Purpose

To develop a theory‐based conversation guide to optimize nurses' preparation of parents for discharge and self‐management of their child at home following hospitalization.

Methods

Two frameworks and one method influenced the development of the intervention: the Individual and Family Self‐Management Theory, Tanner's Model of Clinical Judgment, and the Teach‐Back method. A team of nurse …

An Online Educational Program Improves Pediatric Oncology Nurses’ Knowledge, Attitudes, And Spiritual Care Competence, Cheryl L. Petersen, Margaret Callahan, Donna O. Mccarthy, Ronda G. Hughes, Rosemary White-Traut, Naveen K. Bansal

Mathematics, Statistics and Computer Science Faculty Research and Publications

This study evaluated the potential impact of an online spiritual care educational program on pediatric nurses’ attitudes toward and knowledge of spiritual care and their competence to provide spiritual care to children with cancer at the end of life. It was hypothesized that the intervention would increase nurses’ positive attitudes toward and knowledge of spiritual care and increase nurses’ level of perceived spiritual care competence. A positive correlation was expected between change in nurses’ perceived attitudes toward and knowledge of spiritual care and change in nurses’ perceived spiritual care competence. A prospective, longitudinal design was employed, and analyses included one-way …

Maternal Weight After Childbirth Versus Aging-Related Weight Changes, Olga Yakusheva, Kandice A. Kapinos, Marianne E. Weiss

College of Nursing Faculty Research and Publications

Background

Pregnancy weight gain is believed to contribute to female overweight and obesity. However, most studies do not account for the changes in body weight expected to occur as women age. We examined the long-term weight trajectory of childbearing women relative to weight progression that could be expected in the absence of pregnancy.

Methods

From the hospital records of 32,187 women with two births in Wisconsin during 2006 to 2013, we extracted the maternal weight at pregravid, delivery, and subsequent pregravid. We predicted the corresponding aging-progressed weights using a weight-for-age equation adjusted for sociodemographic variables. Nonparametric mixed effects models estimated …

Interleukin-1 Receptor Antagonist Polymorphism And Birth Timing: Pathway Analysis Among African American Women, Shannon L. Gillespie, Jeremy L. Neal, Lisa Christian, Laura A. Szalacha, Donna O. Mccarthy, Pamela J. Salsberry

College of Nursing Faculty Research and Publications

Background: Timing of birth is a major determinant of newborn health. African American women are at increased risk for early birth, particularly via the inflammatory pathway. Variants of the IL1RN gene, which encode the interleukin-1 receptor antagonist (IL-1Ra) protein, are implicated in early birth. The biological pathways linking these variables remain unclear. Evidence also suggests that inflammatory pathways differ by race; however, studies among African American women are lacking.

Objectives: We assessed whether an IL1RN variant was associated with timing of birth among African American women and whether this relationship was mediated by lower anti-inflammatory IL-1Ra production or …

Combined Chondroitinase And Klf7 Expression Reduce Net Retraction Of Sensory And Cst Axons From Sites Of Spinal Injury, Zimei Wang, Kristen N. Winsor, Evan Hess, Murray G. Blackmore, Christopher Nienhaus

Biomedical Sciences Faculty Research and Publications

Axon regeneration in the central nervous system is limited both by inhibitory extracellular cues and by an intrinsically low capacity for axon growth in some CNS populations. Chondroitin sulfate proteoglycans (CSPGs) are well-studied inhibitors of axon growth in the CNS, and degradation of CSPGs by chondroitinase has been shown to improve the extension of injured axons. Alternatively, axon growth can be improved by targeting the neuron-intrinsic growth capacity through forced expression of regeneration-associated transcription factors. For example, a transcriptionally active chimera of Krüppel-like Factor 7 (KLF7) and a VP16 domain improves axon growth when expressed in corticospinal tract neurons. Here …

Screening Of Nci-Dtp Library To Identify New Drug Candidates For Borrelia Burgdorferi, Venkata Raveendra Pothineni, Dhananjay Wagh, Mustafeez Mujtaba Babar, Mohammed Inayathullah, R. Edward Watts, Kwang-Min Kim, Mansi B. Parekh, Abhijit Achyut Gurjarpadhye, David Solow-Cordero, Lobat Tayebi, Jayakumar Rajadas

School of Dentistry Faculty Research and Publications

Lyme disease is the most rapidly growing tick borne zoonotic disease of the Northern Hemisphere and is among the 10 most commonly reported nationally notifiable diseases in the United States.¹ Clinical presentations include erythema migrans, fever, chills, muscle and joint pain.^{2, 3} Though these symptoms tend to fade away even without therapeutic intervention, a significant number of untreated patients develop arthritis and persistent myalgia following exposure to Borrelia burgdorferi.⁴ Furthermore, 10–20% of patients treated for Lyme disease develop symptoms considered typical, or even exaggerated, including muscle, joint pain and generalized fatigue^{5, 6}. This condition is …

A Novel Electrochemical Biosensor Based On Fe3o4 Nanoparticles-Polyvinyl Alcohol Composite For Sensitive Detection Of Glucose, Niuosha Sanaeifar, Mohammad Rabiee, Mojgan Abdolrahim, Mohammadreza Tahriri, Daryoosh Vashaee, Lobat Tayebi

School of Dentistry Faculty Research and Publications

In this research, a new electrochemical biosensor was constructed for the glucose detection. Iron oxide nanoparticles (Fe₃O₄) were synthesized through co-precipitation method. Polyvinyl alcohol-Fe₃O₄ nanocomposite was prepared by dispersing synthesized nanoparticles in the polyvinyl alcohol (PVA) solution. Glucose oxidase (GOx) was immobilized on the PVA-Fe₃O₄ nanocomposite via physical adsorption. The mixture of PVA, Fe₃O₄ nanoparticles and GOx was drop cast on a tin (Sn) electrode surface (GOx/PVA-Fe₃O₄/Sn). The Fe₃O₄ nanoparticles were characterized by X-ray diffraction (XRD). Also, Fourier transform infrared …