Medicine and Health Sciences Commons^™

The Relationship Of Financial Performance, Quality Indicators, And The Role Of Nurse Executives In Virginia Nursing Homes, Jeany V. Murphy

Health Services Research Dissertations

Problem statement. The dynamic nature of the healthcare industry has triggered changes in nurse executive functions. The job has expanded into entrepreneurial roles to be able to provide the most cost effective services while maintaining good quality outcomes for the residents. The new responsibility requires a different set of knowledge and competencies that is usually achieved through advanced education. It is not known whether nurse executives in long term care in Virginia possess the skills to influence both the financial and quality outcomes of the facility.

Methods. This descriptive research study examined the relationship of the nurse executives' technical, human, …

An Integrated Computer-Aided Robotic System For Dental Implantation, Xiaoyan Sun, Yongki Yoon, Jiang Li, Frederic D. Mckenzie

Electrical & Computer Engineering Faculty Publications

This paper describes an integrated system for dental implantation including both preoperative planning utilizing computer-aided technology and automatic robot operation during the intra-operative stage. A novel two-step registration procedure was applied for transforming the preoperative plan to the operation of the robot, with the help of a Coordinate Measurement Machine (CMM). Experiments with a patient-specific phantom were carried out to evaluate the registration error for both position and orientation. After adopting several improvements, registration accuracy of the system was significantly improved. Sub-millimeter accuracy with the Target Registration Errors (TREs) of 0.38±0.16 mm (N=5) was achieved. The target orientation errors after …

A Survey Of Georgia Adult Protective Services Staff: Implications For Older Adult Injury Prevention And Policy, Sheryl M. Stasser, Judith Kerr, Patricia S. King, Brian Payne, Sarah Beddington, Danielle Pendrick, Elizabeth Leyda, Frances Mccarty

Sociology & Criminal Justice Faculty Publications

Introduction:

The aging population is a rapidly growing demographic. Isolation and limited autonomy render many of the elderly vulnerable to abuse, neglect and exploitation. As the population grows, so does the need for Adult Protective Services (APS). This study was conducted to examine current knowledge of older adult protection laws in Georgia among APS staff and to identify training opportunities to better prepare the APS workforce in case detection and intervention.

Methods:

The Georgia State University Institute of Public Health faculty developed a primary survey in partnership with the Georgia Division of Aging Services’ leadership to identify key training priority …

Bcc Skin Cancer Diagnosis Based On Texture Analysis Techniques, Shao-Hui Chuang, Xiaoyan Sun, Wen-Yu Chang, Gwo-Shing Chen, Adam Huang, Jiang Li, Frederic D. Mckenzie

Electrical & Computer Engineering Faculty Publications

In this paper, we present a texture analysis based method for diagnosing the Basal Cell Carcinoma (BCC) skin cancer using optical images taken from the suspicious skin regions. We first extracted the Run Length Matrix and Haralick texture features from the images and used a feature selection algorithm to identify the most effective feature set for the diagnosis. We then utilized a Multi-Layer Perceptron (MLP) classifier to classify the images to BCC or normal cases. Experiments showed that detecting BCC cancer based on optical images is feasible. The best sensitivity and specificity we achieved on our data set were 94% …

Eeg Artifact Removal Using A Wavelet Neural Network, Hoang-Anh T. Nguyen, John Musson, Jiang Li, Frederick Mckenzie, Guangfan Zhang, Roger Xu, Carl Richey, Tom Schnell, Thomas E. Pinelli (Ed.)

Electrical & Computer Engineering Faculty Publications

In this paper we developed a wavelet neural network. (WNN) algorithm for Electroencephalogram (EEG) artifact removal without electrooculographic (EOG) recordings. The algorithm combines the universal approximation characteristics of neural network and the time/frequency property of wavelet. We compared the WNN algorithm with the ICA technique and a wavelet thresholding method, which was realized by using the Stein's unbiased risk estimate (SURE) with an adaptive gradient-based optimal threshold. Experimental results on a driving test data set show that WNN can remove EEG artifacts effectively without diminishing useful EEG information even for very noisy data.

Prediction Of Brain Tumor Progression Using Multiple Histogram Matched Mri Scans, Debrup Banerjee, Loc Tran, Jiang Li, Yuzhong Shen, Frederic Mckenzie, Jihong Wang, Ronald M. Summers (Ed.), Bram Van Ginneken (Ed.)

Electrical & Computer Engineering Faculty Publications

In a recent study [1], we investigated the feasibility of predicting brain tumor progression based on multiple MRI series and we tested our methods on seven patients' MRI images scanned at three consecutive visits A, B and C. Experimental results showed that it is feasible to predict tumor progression from visit A to visit C using a model trained by the information from visit A to visit B. However, the trained model failed when we tried to predict tumor progression from visit B to visit C, though it is clinically more important. Upon a closer look at the MRI scans …

Histogram Analysis Of Adc In Brain Tumor Patients, Debrup Banerjee, Jihong Wang, Jiang Li, Norbert J. Pelc (Ed.), Ehsan Samei (Ed.), Robert M. Nishikawa (Ed.)

Electrical & Computer Engineering Faculty Publications

At various stage of progression, most brain tumors are not homogenous. In this presentation, we retrospectively studied the distribution of ADC values inside tumor volume during the course of tumor treatment and progression for a selective group of patients who underwent an anti-VEGF trial. Complete MRI studies were obtained for this selected group of patients including pre- and multiple follow-up, post-treatment imaging studies. In each MRI imaging study, multiple scan series were obtained as a standard protocol which includes T1, T2, T1-post contrast, FLAIR and DTI derived images (ADC, FA etc.) for each visit. All scan series (T1, T2, FLAIR, …

Estimating The Reproductive Numbers For The 2008-2009 Cholera Outbreaks In Zimbabwe, Zindoga Mukandavire, Shu Liao, Jin Wang, Holly Gaff, David L. Smith, J. Glenn Morris Jr.

Biological Sciences Faculty Publications

Cholera remains an important global cause of morbidity and mortality, capable of causing periodic epidemic disease. Beginning in August 2008, a major cholera epidemic occurred in Zimbabwe, with 98,585 reported cases and 4,287 deaths. The dynamics of such outbreaks, particularly in nonestuarine regions, are not well understood. We explored the utility of mathematical models in understanding transmission dynamics of cholera and in assessing the magnitude of interventions necessary to control epidemic disease. Weekly data on reported cholera cases were obtained from the Zimbabwe Ministry of Health and Child Welfare (MoHCW) for the period from November 13, 2008 to July 31, …

Ixodes Affinis (Acari: Ixodidae) In Southeastern Virginia And Implications For The Spread Of Borrelia Burgdorferi, The Agent Of Lyme Disease, Robyn M. Nadolny, Chelsea L. Wright, Wayne L. Hynes, Daniel E. Sonenshine, Holly Gaff

Biological Sciences Faculty Publications

Ixodes affinis Neumann is a hard-bodied (ixodid) tick known to be a competent vector for Borrelia burgdorferi, the agent of Lyme disease, and agents of other human diseases (Keirans et al. 1999). Ixodes affinis has been reported in Florida, Georgia, and South Carolina and throughout coastal North Carolina (Clark et al. 1998, Harrison et al. 2010). Harrison et al. (2010) indicated that I. affinis was established throughout the coastal plain of North Carolina up to the Virginia border and suggested that I. affinis might occur in Virginia.

Re: Sleep And The Family Doctor: Time To Lead, D. Bluestein, A. C. Healey, C. M. Rutledge

Ellmer School of Nursing Faculty Publications

No abstract provided.

Educating Advanced Practice Nurses In Using Social Media In Rural Health Care, Carolyn M. Rutledge, Michelle Renaud, Laurel Shephard, Michele Bordelon, Tina Haney, Donna Gregory, Paula Ayers

Ellmer School of Nursing Faculty Publications

Health care in the United States is facing a crisis in providing access to quality care for those in underserved and rural regions. Advanced practice nurses are at the forefront of addressing such issues, through modalities such as health care technology. Many nursing education programs are seeking strategies for better educating students on technology utilization. Health care technology includes electronic health records, telemedicine, and clinical decision support systems. However, little focus has been placed on the role of social media in health care. This paper describes an educational workshop using standardized patients and hands-on experiences to introduce advanced practice nurses …

Educating Advanced Practice Nurses In Using Social Media In Rural Health Care, Carolyn M. Rutledge, Michelle Renaud, Laurel Shepherd, Michele Bordelon, Tina Haney, Donna Gregory, Paula Ayers

Ellmer School of Nursing Faculty Publications

Health care in the United States is facing a crisis in providing access to quality care for those in underserved and rural regions. Advanced practice nurses are at the forefront of addressing such issues, through modalities such as health care technology. Many nursing education programs are seeking strategies for better educating students on technology utilization. Health care technology includes electronic health records, telemedicine, and clinical decision support systems. However, little focus has been placed on the role of social media in health care. This paper describes an educational workshop using standardized patients and hands-on experiences to introduce advanced practice nurses …

Coping Strategies Of Family Members Of Hospitalized Psychiatric Patients, Phyllis M. Eaton, Bertha L. Davis, Pamela V. Hammond, Esther H. Condon, Zina T. Mcgee

Ellmer School of Nursing Faculty Publications

This exploratory research paper investigated the coping strategies of families of hospitalized psychiatric patients and identified their positive and negative coping strategies. In this paper, the coping strategies of 45 family members were examined using a descriptive, correlational, mixed method research approach. Guided by the Neuman Systems Model and using the Family Crisis Oriented Personal Evaluation Scales and semistructured interviews, this paper found that these family members used more emotion-focused coping strategies than problem-focused coping strategies. The common coping strategies used by family members were communicating with immediate family, acceptance of their situation, passive appraisal, avoidance, and spirituality. The …

Exploring The Effects Of An Art Based Trauma Protocol With An Active Duty Police Officer Experiencing Symptoms Of Posttraumatic Stress Disorder, Khaki Wieters

EVMS School of Health Professions Theses & Dissertations

Because of repeated exposure to traumatic events as part of their job requirements, Posttraumatic Stress Disorder is a common problem found among police officers. Although treatments in some agencies are limited, they can include, Critical Incident Stress Management, mandatory referrals to mental health professionals, and trained peer support. Art therapy is an efficient treatment for trauma because it bypasses defenses and aids in processing and integrating traumatic imagery by naturally connecting the brain’s right and left hemispheres. Police diagnosed with PTSD may benefit from art therapy since it can penetrate resistance and has proven effective for processing traumatic imagery.

This …

3,4-Methylenedioxymethamphetamine Alters Left Ventricular Function And Activates Nuclear Factor-Kappa B (Nf-Kappab) In A Time And Dose Dependent Manner, David A. Tiangco, Sapna Halcomb, Frank A. Lattanzio Jr, Barbara Y. Hargrave

Bioelectrics Publications

3,4-Methylenedioxymethamphetamine (MDMA) is an illicit psychoactive drug with cardiovascular effects that have not been fully described. In the current study, we observed the effects of acute MDMA on rabbit left ventricular function. We also observed the effects of MDMA on nuclear factor-kappa B (NF-kappa B) activity in cultured rat ventricular myocytes (H9c2). In the rabbit, MDMA (2 mg/kg) alone caused a significant increase in heart rate and a significant decrease in the duration of the cardiac cycle. Inhibition of nitric oxide synthase (NOS) by pretreatment with L-NAME (10 mg/kg) alone caused significant dysfunction in heart rate, systolic pressure, diastolic pressure, …

Dispersion Of Cytotoxic Properties Of Multi-Walled Carbon Nanotubes Suspended In Biological Solutions With Tween 80: Their Role In Enhancing Killing Effects Of Nanosecond Pulse Electric Fields On Tumor Cell Lines, Bhargava S. Kalluri

Biological Sciences Theses & Dissertations

The objective of this study was to determine whether multi-walled carbon nanotubes (MWCNTs) suspended in the surfactant Tween 80 give an additive killing effect on tumor cells when exposed to nsPEFs. In this study, MWCNTs were suspended in DMEM and RPMI with or without T80 (surfactant). The size distribution of MWCNTs suspended in these solutions was evaluated with a Delsa™ Nano Zeta potential and sub micro particle Size Analyzer and confirmed with microscopy. The cytotoxicity of MWCNTs dispersed in different concentrations of T80 was evaluated in PANC1 (Human pancreatic cancer cell line) and Jurkat cell lines (Human T-cell lymphoblast cell …

Distinct Macrophage Subpopulations Regulate Viral Encephalitis But Not Viral Clearance In The Cns, Christina D. Steel, Woong-Ki Kim, Larry Sanford, Laurie Wellman, Sandra Burnett, Nico Van Rooijen, Rochard P. Ciavarra

Biological Sciences Faculty Publications

Intranasal application of vesicular stomatitis virus (VSV) induces acute encephalitis characterized by a pronounced myeloid and T cell infiltrate. The role of distinct phagocytic populations on VSV encephalitis was therefore examined in this study. Ablation of peripheral macrophages did not impair VSV encephalitis or viral clearance from the brain, whereas, depletion of splenic marginal dendritic cells impaired this response and enhanced morbidity/mortality. Selective depletion of brain perivascular macrophages also suppressed this response without altering viral clearance. Thus, two anatomically distinct phagocytic populations regulate VSV encephalitis in a non-redundant fashion although neither population is essential for viral clearance in the CNS. …

Women's Compliance In Outpatient Substance Abuse Treatment: The Role Of Children And Mental Health, Cathy Gertrude Cooke

Psychology Theses & Dissertations

The purpose of this study was to examine the role of children and mental illness in women's compliance in a treatment program for substance abuse. Information was retrieved from medical records of female clients ( N=221) who took part in a community-based day treatment program for substance abuse in a large city in southeastern Virginia during a 32-month period. It was anticipated that, as compared to women who resided with minor children, women who did not reside with minor children would have greater treatment success defined as: (1) more days in the treatment program; (2) higher percentage of negative …

Persistence Of Community College Transfer Students In A Private Liberal Arts University Nursing Program, Rita M. Amerio

Educational Leadership & Workforce Development Theses & Dissertations

The United States is bracing for the largest shortage of registered nurses that the United States health care system has ever experienced. As the population of "baby boomers," those born between 1946 and 1960, turns 65 beginning in 2011, the nation will be faced with providing health care services to the largest group of elderly Americans in history. Unlike previous generations, this group has had the advantage of advanced medical care that will allow them to live well into their 80s and even 90s.

The purpose of this study was to conduct a preliminary investigation to identify predictor variables that …

Art Therapists’ Strategies For Improving Adolescent Self-Esteem: A Qualitative Study, Jennifer Lauren Barnette

EVMS School of Health Professions Theses & Dissertations

The purpose of this study was to interview art therapists who work with an adolescent population in a variety of settings, to acquire an in depth understanding of what various therapeutic approaches and art-making strategies they utilized to improve adolescents’ self-esteem. Six art therapists were interviewed. The interviews, which were transcribed, generated information about the art therapists’ theoretical orientation, how they addressed self-esteem with their clients, and what processes and materials they find to be most effective for improving such a goal. Themes were extracted from the interviews in order to acquire a further understanding of work with adolescents as …

An Art-Based Self-Study Of Immersion In Amish Culture: Implications For Art Therapists, Alison R. Hunt

EVMS School of Health Professions Theses & Dissertations

Literature reveals that cross cultural experiences can be beneficial to therapists in terms of personal growth and cultural competency (Finlay, 2005). This heuristic study employed Moustakas’ (1990) six stages of initial engagement, immersion, incubation, illumination, explication, and creative synthesis to examine the impact of immersion in Amish culture on my sense of myself as an art therapist. Data collection included keeping a visual journal and making art during the immersion stage. The data was evaluated using qualitative techniques of categorizing, interpreting, and integrating (Ansdell & Pavlicevic, 2001). Themes which emerged from the artwork were reported in a narrative format and …

A Grant Proposal For An Art Therapy Open Studio For The Homeless Population Of Hampton Roads, Virginia, Jessica Renée Chevalier

EVMS School of Health Professions Theses & Dissertations

It has been shown that community arts programs for the homeless can aid in the development of problem-solving skills, raise self-esteem, facilitate the development of valuable workplace skills, and help the individual feel more connected to his or her community. Though homelessness is a tremendous problem in Hampton Roads, Virginia, there are currently no community art programs devoted to assisting this population. In addition to summarizing other successful community art programs, this paper explains just how valuable and necessary an art therapy based community art program, such as the one being proposed here, would be to the communities of Hampton …

Proposal For An Art-Based Program Promoting Positive Identity Formation In Sexual Minority Youth, Anthony Philip Stroud

EVMS School of Health Professions Theses & Dissertations

According to current scholarly research, there is a paucity of literature aimed at preventing negative identity formation for sexual minority adolescents. Unfortunately, most literature aims at the treatment of the consequences of negative minority identity formation. More important, strengthening positive minority identity formation, particularly in reference to sexual minority adolescents, needs to be a primary goal of current research. This paper provides an arts-based program plan for sexual minority adolescents grappling with identity formation. Moreover, this proposed program plan aims at utilizing art therapy and museum education to prevent negative identity formation amongst the participants.

An African-American Breast Cancer Survivor’S Journey With The Use Of Visual Journaling, Kristen Spellman

EVMS School of Health Professions Theses & Dissertations

This qualitative case study guided one female breast cancer survivor through a 6-week art therapy visual journaling experience. The art therapist taught the participant about the purpose of visual journaling and the potential benefits, as well as the basic methods used to journal. Qualitative data consisted of the visual journal entry (containing both images and writing) that she made in each session and entries made between sessions. Through content analysis, the following themes emerged from the data: breast cancer treatment, anger, family, body image, and depression. The sessions appeared to be beneficial to the participant, and she was enthusiastic and …

A Study Of Artwork By Individuals With Eating Disorders, Michelle L. Mong

EVMS School of Health Professions Theses & Dissertations

This study explored formal elements and content of 200 images created by eating disordered individuals to identify common themes or content. Images were found on 24 websites containing eating disordered artwork. Gathered artwork was viewed on a laptop and analyzed using methods of content analysis. After categories of formal elements and content were entered into a spreadsheet, percentages of categories and subcategories were calculated. The majority of images, 96.5%, were created with representational, rather than abstract, content. Other high percentages were in the subcategories of drawings (67.5%), vertical orientation (63%), color (61%), and partial figures (53%). Common themes noted in …

A Proposed Bereavement Art Therapy Group For Children Who Experienced A Loss, Laurie Mcarthur

EVMS School of Health Professions Theses & Dissertations

Bereavement, grief, and loss have been topics of interest to many individuals (Bowlby, 1969; Freud, 1917; Kubler-Ross, 1969) over the years, whereas child bereavement has become a more recent topic of interest. Recently, however, researchers (Lowenstein, 2006; Rogers, 2007; Trozzi, 1999) have gained an awareness of the importance of child bereavement as it pertains to developmental level, support systems, and circumstances surrounding the loss. Typically, both non-clinical and clinical interventions are used as forms of treatment for children who are experiencing grief and loss. Art therapy provides individuals with the opportunity to express themselves through their artwork. Individuals suffering from …

The Effect Of Art Therapy On The Working Memory Of Children With Attention Deficit Hyperactivity Disorder, Kelly N. Lee

EVMS School of Health Professions Theses & Dissertations

This study explored the effect of a short-term art therapy intervention on the working memory and behavior of male children with Attention-Deficit/Hyperactivity Disorder (ADHD). The methodology was quasi-experimental, involving a two-group controlled design with three objective pretest and posttest measures and one observer behavior report. Four subjects ages 7 to 9 were recruited for this study, and they were randomly divided between the experimental (i.e. art making) and control (i.e. board game play) conditions. Each subject participated in four individual sessions with the investigator, and completed two working memory measures at pretest and posttest administration. One parent for each child …

Art Therapy And Anorexia: A Heuristic Self-Study From Treatment To Career, Katie Kiskinis

EVMS School of Health Professions Theses & Dissertations

The purpose of this self-study was to explore the personal experience had during treatment for anorexia nervosa that included an art therapy component and what impact this has had on subsequent recovery, current healthy functioning, and the career decision to become an art therapist.

The total duration of the study was 13 weeks. Thirty-minute reflection sessions supplemented with writing were scheduled for the first four days of the study, during which there was a submersion in artwork made during treatment (Treatment Artwork) for anorexia nervosa and any related memories. On the fourth day, eight themes were identified to be the …

A Proposal For An Art Therapy Intervention For The Reduction Of Dementia Caregiver Stress, Eileen Douglas

EVMS School of Health Professions Theses & Dissertations

The purpose of this thesis was to develop an art therapy intervention program to test the efficacy of art therapy in the mitigation of stress among informal caregivers who are caring for individuals suffering from dementia. The design of this program is a prospective, randomized, controlled study of informal caregivers. This program will run for a period of 2 months, with a 30 day follow-up session. The study is designed to recruit at least 20 participants. Participants will be randomized into two separate groups, an art therapy intervention group and a controlled art making group. The Zarit Burden Interview, Cohen …

Philosophical Concerns: Implications For Art Therapy, Anzhela Akbarova

EVMS School of Health Professions Theses & Dissertations

Throughout centuries, philosophers have asked and attempted to answer questions that address human concerns: identity establishment, search for purpose in life, fear of nonexistence, spirituality, and relationships with other people in the world. Some psychologists and arts therapists have also acknowledged the existence of these concerns. This thesis is a comparative analysis of philosophical literature and concludes that art therapists should acknowledge human concerns in their theory and practice.