Medicine and Health Sciences Commons^™

Trends Of The Portrayal Of Yahweh In The Hebrew Bible, Kenneth Price

Best Integrated Writing

Kenneth Price explores trends of the portrayal of Yahweh in the Hebrew bible in this essay written for the Integrated Writing course ENG 2040: Great Books, Bible and Western Culture, taught by Dr. Heidi Wendt at Wright State University.

Contents And Acknowledgements

Best Integrated Writing

Table of Contents and acknowledgements for Best Integrated Writing: Journal of Excellence in Integrated Writing Courses at Wright State. Fall 2014. 1st Edition. Wright State University Department of English Language and Literatures.

Department Of Surgery Update, March 2014, Wright State University Department Of Surgery

Department of Surgery Updates

A three page newsletter created by the Department of Surgery documenting changes to the department. This issue contains a message from the chair, a list of important dates, committee meetings, scholarly activity and more.

Vital Signs, Spring 2014, Boonshoft School Of Medicine

Vital Signs

A sixty page newsletter created by the Boonshoft School of Medicine to document the current affairs of the school. This issue includes a variety of feature articles, a research spotlight, alumni notes, and more.

Emergency Department Length Of Stay: Accuracy Of Patient Estimates, Brendan T. Parker, Catherine A. Marco

Emergency Medicine Faculty Publications

Introduction

Managing a patient’s expectations in the emergency department (ED) environment is challenging. Previous studies have identified several factors associated with ED patient satisfaction. Lengthy wait times have shown to be associated with dissatisfaction with ED care. Understanding that patients are inaccurate at their estimation of wait time, which could lead to lower satisfaction, provides administrators possible points of intervention to help improve accuracy of estimation and possibly satisfaction with the ED. This study was undertaken to examine the accuracy of patient estimates of time periods in an ED and identify factors associated with accuracy.

Method

In this prospective convenience …

Cama Newsletter - February, 2014, Civil Aviation Medical Association

Browse all Civil Aviation Medical Association Newsletters

An eleven page newsletter of the Civil Aviation Medical Association. The newsletter provided news about civil aviation medicine and information related to the organization.

Substance P Differentially Modulates Firing Rate Of Solitary Complex (Sc) Neurons From Control And Chronic Hypoxia-Adapted Adult Rats, Nicole L. Nichols, Frank L. Powell, Jay B. Dean, Robert W. Putnam

Neuroscience, Cell Biology & Physiology Faculty Publications

NK1 receptors, which bind substance P, are present in the majority of brainstem regions that contain CO₂/H⁺-sensitive neurons that play a role in central chemosensitivity. However, the effect of substance P on the chemosensitive response of neurons from these regions has not been studied. Hypoxia increases substance P release from peripheral afferents that terminate in the caudal nucleus tractus solitarius (NTS). Here we studied the effect of substance P on the chemosensitive responses of solitary complex (SC: NTS and dorsal motor nucleus) neurons from control and chronic hypoxia-adapted (CHx) adult rats. We simultaneously measured intracellular pH …

Complexity Of Interferon-Γ Interactions With Hsv-1, Nancy J. Bigley

Neuroscience, Cell Biology & Physiology Faculty Publications

The intricacies involving the role of interferon-gamma (IFN-γ) in herpesvirus infection and persistence are complex. Herpes simplex virus type 1 (HSV-1) uses a variety of receptors to enter cells and is transported to and from the host cell nucleus over the microtubule railroad via retrograde and anterograde transport. IFN-γ exerts dual but conflicting effects on microtubule organization. IFN-γ stimulates production of suppressors of cytokine signaling 1 and 3 (SOCS1 and SOCS3), which are involved in microtubule stability and are negative regulators of IFN-γ signaling when overexpressed. IFN-γ also interferes with the correct assembly of microtubules causing them to undergo severe …

Department Of Surgery Update, February 2014, Wright State University Department Of Surgery

Department of Surgery Updates

A three page newsletter created by the Department of Surgery documenting changes to the department. This issue contains an obituary for Robert P. Turk, M.D., a message from the chair, a list of important dates, committee meetings, scholarly activity and more.

Epc-Derived Microvesicles Protect Cardiomyocytes From Ang Ii-Induced Hypertrophy And Apoptosis, Shenhong Gu, Wei Zhang, Ji Chen, Ruilian Ma, Xiang Xiao, Xiaotang Ma, Zhen Yao, Yanfang Chen

Pharmacology and Toxicology Faculty Publications

Cell-released microvesicles (MVs) represent a novel way of cell-to-cell communication. Previous evidence indicates that endothelial progenitor cells (EPCs)-derived MVs can modulate endothelial cell survival and proliferation. In this study, we evaluated whether EPC-MVs protect cardiomyocytes (CMs) against angiotensin II (Ang II)-induced hypertrophy and apoptosis. The H9c2 CMs were exposed to Ang II in the presence or absence of EPC-MVs. Cell viability, apoptosis, surface area and β-myosin heavy chain (β-MHC) expression were analyzed. Meanwhile, reactive oxygen species (ROS), serine/threonine kinase (Akt), endothelial nitric oxide synthase (eNOS), and their phosphorylated proteins (p-Akt, p-eNOS) were measured. Phosphatidylinositol-3-kinase (PI3K) and NOS inhibitors were used …

Assessing Multicultural Knowledge, Attitudes, Skills And Comfort: Medical Education For A Changing World, Seth Vanzant

Master of Public Health Program Student Publications

Objectives: To assess the knowledge, skills, comfort and attitudes pertaining to cultural competency of first and fourth year medical students at Wright State University’s Boonshoft School of Medicine in Dayton, Ohio.

Study Design: The Cross Cultural Competency Questionnaire (CCCQ) was distributed to first and fourth year medical students. The CCCQ provided demographic information, as well as the students’ perceptions of their cross cultural knowledge, skills, comfort and attitudes. IBM’s Statistical Package for the Social Sciences (SPSS) was used to analyze the data, in an attempt to identify potential predictive factors for higher levels of cultural competency among entry level students, …

Qualitative Analysis On Reintegration Needs Of Formerly Incarcerated Women In Clark County, Ohio, Londa E. Holliday

Master of Public Health Program Student Publications

There has been a significant increase in the rate of incarceration among women. Since 1995, women’s incarceration rate has increased by about 203%. With this growing trend it is important to explore the unique needs of women, particularly those that relate to community reintegration. It has been found that women reported their needs differently than men. This study examines some of those needs reported by women in the Clark County Jail through a pilot focus group conducted in January 2012. The women in this study discussed what they felt would be needs they would face once they were released from …

The Preliminary Study Of Effects Of Tolfenamic Acid On Cell Proliferation, Cell Apoptosis, And Intracellular Collagen Deposition In Keloid Fibroblasts In Vitro, Dan Yi, Mackenzie S. Newman, Yanfang Chen, Richard Simman

Pharmacology and Toxicology Faculty Publications

Keloid scarring is a fibroproliferative disorder due to the accumulation of collagen type I. Tolfenamic acid (TA), a nonsteroidal anti-inflammatory drug, has been found to potentially affect the synthesis of collagen in rats. In this preliminary study, we aimed to test the effects of TA on cell proliferation, cell apoptosis, and the deposition of intracellular collagen in keloid fibroblasts. Normal fibroblasts (NFs) and keloid fibroblasts (KFs) were obtained from human dermis tissue. Within the dose range 10−3–10−6 M and exposure times 24 h, 48 h, and 72 h, we found that 0.55 × 10−3 M TA at 48 h exposure …

Selecting Valid Questionnaires For A Longitudinal Study Of African-American College Student Health, Matthew Collins

Master of Public Health Program Student Publications

Purpose: To create a modular public health questionnaire that can be used to conduct longitudinal academic research in the areas of sleep habits, dietary habits, cardiovascular disease risk, and physical activity and sedentary behavior in an African American collegiate population. Methods: A literature search for questionnaires used in collegiate studies was conducted separately for each category via PubMed. Valid questionnaires were identified and critically reviewed.

Results: Questionnaires recommended for use were the Munich Chronotype Questionnaire, Rate Your Plate Questionnaire, and the International Physical Activity Questionnaire Short Form. For the category of cardiovascular disease risk, no calculators provide a result for …

Analysis Of Barriers To The Successful Prevention And Management Of Pediatric Obesity And Their Relationship To Care At Community Health Centers, Rebecca Beesley, Nicole Craker

Master of Public Health Program Student Publications

Despite international attention, pediatric obesity continues to burden healthcare. Much research has been done to identify barriers to the successful reduction of childhood overweight and obesity, however, a more condensed and accessible compilation of these barriers was lacking. A literature review was done to identify the barriers healthcare providers perceive to the prevention and management of pediatric obesity. It was performed in Fall of 2013 from the following databases: PubMed, PsycINFO, CINAHL, ERIC, and SocIndex. Two independent reviewers selected relevant articles, developed a coding template, and extracted themes. Barriers to the prevention and management of pediatric obesity fell into three …

Larckit: A Toolkit To Increase Prescribing Of Long Acting Contraceptives To Adolescent And Young Women In A Public Health Setting, Eva M. Fried

Doctor of Nursing Practice Program Projects

In an urban, publicly funded women’s health and family planning clinic, 56% of pregnancies were reported to be unintended. The clinic director decided to address this problem by focusing on providers’ contraceptive prescribing habits; especially contraceptive prescribing for women aged 15-25. The purpose of the evidence-based practice improvement (EBPI) project was to increase provider disclosure about longer-acting reversible contraception (intrauterine and implantable methods known as “LARC” methods). The goal of the EBPI project was to increase the percentage of contraceptive prescriptions that are LARC methods for women aged 15-25 years. The clinical question guiding the EBPI project was “Among healthcare …

Maintaining The Vision In The Intensive Care Unit, Camille Leadingham

Doctor of Nursing Practice Program Projects

Background: Intensive care patients receiving mechanical ventilation have an increased chance for eye complications due to the inability to operate their own protective mechanisms resulting in dry eye.

Purpose: Develop and test an eye care protocol utilizing the evidence to prevent dry eye.

Method: In phase 1 retrospective data was collected on sedated and mechanically ventilated patients in the ICU (n=30) to determine baseline eye care practices and outcomes. Then the DEPP was developed based on the evidence. Finally data were collected prospectively (n=30) in the same patient population.

Results: From Phase 1 to Phase 2, eye crust cases diminished …

Improvement Of Standardized Documentation Of Patients With Copd In An Acute Care Setting, Kimberly Biery

Doctor of Nursing Practice Program Projects

The purpose of this project was to improve patient clinical outcomes of average length of stay, mortality rate, and readmission within 30 days by increasing health care provider order set usage and documentation as it relates to patients with a primary diagnosis of Chronic Obstructive Pulmonary Disease (COPD). Epic ™ computer based clinical documentation by healthcare providers at The Christ Hospital (TCH) was inconsistent. The PICOT question developed was: in the COPD population of an acute care hospital, how does standardized electronic COPD process measure documentation and order set usage compared to no COPD process measure documentation and order set …

Self-Care Of Heart Failure In A House Call Program, Becky Bryant

Doctor of Nursing Practice Program Projects

The incidence and prevalence of persons living with heart failure (HF) is growing in the United States. Heart failure is the most common admission in hospitals among Medicare recipients aged 65 years or older. Self-care of heart failure (SCHF) has been reported to decrease HF hospital admission rates. Elderly patients who are homebound do not have access to typical HF education and follow-up care. The purpose of this evidence-based practice (EBP) project was to implement a SCHF program intervention by nurse practitioners (NPs) with homebound elderly HF patients receiving home visits in a house call program. There were 18 sample …

Leveraging Practice-Based Research Networks To Accelerate Implementation And Diffusion Of Chronic Kidney Disease Guidelines In Primary Care Practices: A Prospective Cohort Study, James W. Mold, Cheryl B. Aspy, Paul D. Smith, Therese M. Zink, Lyndee Knox, Paula Darby Lipman, Margot Krauss, D. Robert Harris, Chester Fox, Leif I. Solberg, Rachel Cohen

Family Medicine Faculty Publications

Background

Four practice-based research networks (PBRNs) participated in a study to determine whether networks could increase dissemination, implementation, and diffusion of evidence-based treatment guidelines for chronic kidney disease by leveraging early adopter practices.

Methods

Motivated practices from four PBRNs received baseline and periodic performance feedback, academic detailing, and weekly practice facilitation for 6 months during wave I of the study. Each wave I practice then recruited two additional practices (wave II), which received performance feedback and academic detailing and participated in monthly local learning collaboratives led by the wave I clinicians. They received only monthly practice facilitation. The primary outcomes …

Traumatic Axillary Artery Pseudoaneurysm Treated With Intravascular Balloon Occlusion And Percutaneous Thrombin Injection, Maria Carratola, Priti Parikh, Kathryn M. Tchorz, Shannon Kauffman

Department of Surgery Faculty Publications

Axillary artery pseudoaneurysms are relatively rare, with few reported cases found in the literature. Furthermore, treatment with percutaneous thrombin injection has not yet been reported. We report the case of a 59-year-old man with a large (10 cm) post-traumatic pseudoaneurysm of the left axillary artery found five weeks after a motorcycle crash. The patient sustained multiple injuries, including fractures of the left scapula and clavicle. Edema was observed at the time of diagnosis. Arteriography with successful ultrasound-guided percutaneous thrombin injection was undertaken. The patient experienced no complications after the procedure.

Wound Healing In Peripheral Arterial Disease: Current And Future Therapy, Jon C. Henry, Laura Peterson, Richard E. Schlanger, Michael R. Go, Chandan K. Sen, Robert S.D. Higgins

Department of Surgery Faculty Publications

Wounds secondary to peripheral arterial disease (PAD) result in substantial morbidity and burden to the healthcare industry. To aid in the care of this patient population, knowledge of the disease process and current standards of therapy is paramount for healthcare providers.The future care of these patients and improvement from our existing standards hinges on the active translational research. To implement new technologies and advances in the treatment of PAD-induced wounds and ensure adequate utilization of our current therapies a PAD-wound team is necessary.

The Effect Of An Early Mobility Protocol In Critically Ill Mechanically Ventilated Patients On Incidence And Duration Of Delirium And Length Of Stay, Melody R. Campbell

Doctor of Nursing Practice Program Projects

Delirium in mechanically ventilated patients is a significant problem. At Good Samaritan Hospital, the incidence of delirium in mechanically ventilated patients was found to be 78%, which is similar to results found by other researchers. Delirium is associated with longer lengths of stay on the mechanical ventilator, in the ICU, and hospital, as well as higher ICU mortality and healthcare costs.

The use of an early mobility protocol has demonstrated effectiveness in decreasing delirium and ventilator stay with minimal risk or harm to patients. The objective of the project was to answer a population-intervention-comparison-outcome-time question (PICOT): In (P) critically ill, …

State Zoonotic Disease Program Structure In The United States: Implications For Local Public Health, Dustin W. Ratliff

Master of Public Health Program Student Publications

Objective: The purpose of this research was to assess to current status of zoonotic disease biosurveillance in the United States.

Methods: A questionnaire was administered to 53 state zoonotic disease program representatives in the United States and Puerto Rico. The questionnaire assessed the structure of zoonotic disease biosurveillance in the respective states, current biosurveillance activities such as testing arthropods for pathogens, information provided to local public health on zoonotic disease, and opinions of the current state of zoonotic disease surveillance. A website assessment was conducted to identify fact sheets that are provided by states on vectors of diseases of public …

One Health: Veterinary Involvement And Zoonoses In Humans, Jasmine Cheeks

Master of Public Health Program Student Publications

Introduction: As veterinarians are often first to identify zoonotic disease events in animals, their involvement in One Health should be facilitated and strengthened by support from zoonotic disease surveillance systems and health regulations specific to zoonotic disease surveillance.

Objectives: To identify relatable trends between the relationship of the number of active veterinary professionals and the incidence of zoonotic diseases in the developed countries of Australia, Brazil, Czech Republic, Denmark, Ireland, Israel, Netherlands, Spain, and the United States of America. Another objective was to illustrate potential barriers current health regulations place on veterinary contributions to One Health surveillance. Methods: Data were …

The Importance Of The Young Invincibles To The Success Of The Affordable Care, Ethel K. Ishimwe

Master of Public Health Program Student Publications

Health care reform in the United States, as codified in the Affordable Care Act (ACA), includes an individual mandate to insure that all citizens are participants in public or privately funded health insurance programs. Universal participation insures that the national risk pool of insured persons will include the broadest spectrum of patient utilizers from the very healthy, who are low utilizers, to the very sick who are high utilizers of health care services. It is only through this high level of participation that the increased services and cost savings of health care reform can be realized. Key to this comprehensive …

Biomechanical Comparison Of Hybrid Versus Non Locking Screw Fixation For Midshaft Clavicle Fractures, Joseph T. Cox, J Christopher Gayton, Matthew P. Noyes, Gregory C. Gould, Ronald J. Markert, Michael J. Prayson

Internal Medicine Faculty Publications

Objectives: Recent studies report nonunion rates of up to fifteen percent for nonoperative treatment of displaced, comminuted, or shortened midshaft clavicle fractures. Additionally, authors suggest operative treatment of these comminuted displaced midshaft clavicle fractures leads to a more satisfactory clinical outcome. Biomechanically, clavicle fracture plate fixation has been analyzed for locking versus non-locking screw use, but little evidence on hybrid screw use exists. We hypothesized that fixation of a comminuted midshaft clavicle fracture model with a pre-contoured hybrid screw-plate construct would increase stiffness and load-to-failure compared to a non-locking screw construct. Methods: Fourteen matched pairs of fresh frozen cadaveric clavicles …

Polish Healthcare System In Transition - Perceptions Of The Old And New Systems, Paul Puchta

Master of Public Health Program Student Publications

Poland is the largest country in central Europe. During the Second World War (WWII) Poland lost 39% of its physicians. After WWII, Poland fell under Soviet influence. Socialist parties dominated its government until 1989. Poland was the first country from the Soviet block to adopt economic reforms and turn away from centrally planned system.

Poland is presently a stable democracy with a growing economy, and was accepted to the European Union as a full –fledged member in May 2004. Startling results of the population perception of national healthcare system were published in 2013. Polish customers rated current system poorly, giving …

Is Public Health - Dayton & Montgomery County's Level One Food Safety Certification Training Effective?, Matthew M. Tyler

Master of Public Health Program Student Publications

The objective of the culminating experience was to evaluate the effectiveness of Public Health – Dayton & Montgomery County’s (PHDMC) Level One Food Safety Certification class. Pre-training and post-training quiz score data from approximately 692 participants were examined. Paired t-tests were used to evaluate change in scores, overall, on individual questions, and by job responsibility. There was significant improvements in quiz scores both aggregately (20.6%) and also by individual questions, except for question one which assessed how people could become ill from improper food safety. The temperature related questions were answered incorrectly the most but also showed the most improvement. …

Increasing Chlamydia Retesting Rates In Std Clinics, Michelle L. Bellando

Master of Public Health Program Student Publications

Background: Chlamydia is the most common STD in the United States (Mishori, McClaskey, & WinklerPrins, 2012). Due to the high reinfection rate of Chlamydia, the CDC recommends retesting three months after initial treatment (Park, Amey, Creegan, Barandas, & Bauer, 2010).

Objective: The purpose of this study is to investigate strategies that might improve STD follow-up rates in a clinic setting.

Methods: Public Health - Dayton and Montgomery County STD clinic patients 18 years and older who tested positive for NonGonococcal Urethritis (NGU) or Mucopurulent Cervicitis (MPC) and who agreed to participate were given an opinion survey.

Results: Of the 31 …