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Articles 8731 - 8760 of 71054
Full-Text Articles in Medicine and Health Sciences
Guidelines For Non-Anesthesia Providers Performing Point Of Care Ultrasound (Pocus) For Airway Assessment In The Emergency Room, Shannen Steinbrunner
Guidelines For Non-Anesthesia Providers Performing Point Of Care Ultrasound (Pocus) For Airway Assessment In The Emergency Room, Shannen Steinbrunner
Doctor of Nursing Practice Scholarly Projects
Effective airway management is critical for nurse anesthetists, encompassing tasks such as anesthesia administration, airway establishment, and patient safety, particularly in challenging cases where airway difficulties may arise. The subjectivity in airway assessments poses challenges for clinicians when accurately predicting difficult cases. Point-of-care ultrasound (POCUS) has emerged as a valuable tool for quantifying airway parameters, providing objective data to guide decision-making. This project aims to establish evidence-based guidelines for managing the airway in unconscious trauma patients requiring intubation using POCUS. By quantifying parameters such as PEP/E-VC ratios, hyomental distance, thyrohyoid membrane thickness, and anterior neck thickness, healthcare providers can make …
Final Scholarly Project: Implementation Guidelines Of Ultrasound-Guided Regional Anesthesia In Pediatric Cardiac Surgical Patients, Matthew Hall
Doctor of Nursing Practice Scholarly Projects
In the United States, around 40,000 surgeries are conducted on pediatric patients yearly to address congenital heart disease. These surgeries involve a variety of complications beyond cardiovascular problems, including pain management. Traditional pain management involving intravenous opioids has drawbacks such as sedation, respiratory depression, and prolonged recovery times. As the healthcare industry moves away from opioid-centric pain management, the use of multimodal analgesia, including ultrasound-guided regional anesthesia, is being utilized. Regional anesthesia techniques, such as the transversus thoracis muscle plane block and the thoracic erector spinae block, are being considered for the ability to provide adequate pain relief while reducing …
The Sensory Library: Facilitating Opportunities For Success At Bellevue Elementary School, Reagan M. Trussell
The Sensory Library: Facilitating Opportunities For Success At Bellevue Elementary School, Reagan M. Trussell
OTD Capstone Projects
This doctoral capstone project was completed through a partnership with Lamar County School District near Hattiesburg, Mississippi. This school district has eight elementary school campuses. The purpose of this project is to provide teachers with tools to improve focus, learning, and participation to facilitate opportunities for success in the classroom. A “sensory library” was created at two elementary school campuses to service grades prek-5 to accomplish this goal.. Faculty was also provided deliverables including rules of the sensory library, instructions to access and use the sensory library digital QR checkout system, the basics of sensory processing, sensory guidebook, contents of …
Enhancing Participation In Play Through Staff Training At We Rock The Spectrum, Megan Poppens
Enhancing Participation In Play Through Staff Training At We Rock The Spectrum, Megan Poppens
OTD Capstone Projects
This doctoral capstone was completed by partnering with We Rock the Spectrum in Franklin, Tennessee. We Rock the Spectrum is an inclusive, sensory-safe play environment for all children. The goal was to provide education, coaching, and practical tips for staff to foster increased inclusion and participation in play. A training manual was created with topics including the impact of play, development, respectful disability language, disability terms and abbreviations, sensory regulation, safety, common misconceptions, pediatric diagnoses, strategies for leading groups, behavior management, and interacting one-on-one with children. The educational resources were used to enhance the staff member’s knowledge, confidence, and skills …
Expanding The Availability Of Adapted Athletics For Youth With Physical Disabilities In Middle Tennessee, Alexandra Hurd
Expanding The Availability Of Adapted Athletics For Youth With Physical Disabilities In Middle Tennessee, Alexandra Hurd
OTD Capstone Projects
This doctoral capstone project was completed in partnership with ABLE Youth in Nashville, TN. ABLE Youth is a non-profit organization that uses sports as the motivation for children who use wheelchairs to reach their goals of independence. The two main goals of this project were as follows: One, to facilitate the Music City Wheelchair Basketball Tournament, the largest adaptive athletics event in Tennessee, and Two, to expand the variety of sports offered at the monthly Super Sports Saturday events. By the end of this capstone experience, volleyball and lacrosse were introduced to the ABLE youth program participants. Ideas for future …
Best Screening: Introducing The Neonatal Assessment Visual European Grid To Nicus In Tennessee, Gabrielle Sledge
Best Screening: Introducing The Neonatal Assessment Visual European Grid To Nicus In Tennessee, Gabrielle Sledge
OTD Capstone Projects
Blind Early Services Tennessee (BEST) is an early intervention agency that serves children ages 0-5 with visual impairments across Tennessee. BEST serves over 200 children and families across the state offering early intervention (BEST Start), parent empowerment (BEST Advocate), and family support (BEST Together) programming. The purpose of this project was to assist in the implementation of an early identification initiative (BEST Screening) using the Neonatal Assessment Visual European Grid (NAVEG). The NAVEG is a newborn vision screening shown to identify neurological risk for visual impairments. The long-term goal of this program is to promote the screening and early identification …
Childhood Cancer Survivorship: Navigating A New Normal In Middle Tennessee, Karli M. Beaumont
Childhood Cancer Survivorship: Navigating A New Normal In Middle Tennessee, Karli M. Beaumont
OTD Capstone Projects
Monroe Carell Jr. Children’s Hospital at Vanderbilt in partnership with Vanderbilt-Ingram Cancer Center offers REACH for Cancer Survivorship, a pediatric cancer survivorship clinic. REACH provides a full range of follow-up care designed to meet the physical, emotional, and practical needs of survivors and continuous surveillance of deleterious effects of cancer and its treatments. The purpose of this project was to meet population and agency needs through research of long- and late-term sequela while advocating for occupational therapy’s role in the oncology population through the proactive therapy and prospective surveillance models. The process of creating this project included synthesizing the literature, …
Flip For Function Program Development To Increase Effectiveness Of Current And Future Program Offerings, Brianne Dombrowski
Flip For Function Program Development To Increase Effectiveness Of Current And Future Program Offerings, Brianne Dombrowski
OTD Capstone Projects
This doctoral capstone was completed in partnership with Flip for Function, a therapeutic gymnastic program that combines occupational therapy practices to serve children with developmental differences. The goal of this project was to address gaps in the company from perspectives of the current program and the population it serves, to increase satisfaction of all those involved in Flip for Function. This capstone project focused on creating updated training protocols, developing effective curriculum for class offerings, and furthering marketing content for current and future programming. Resources were created for the onboarding process to ensure each new hire is provided with all …
Evaluation Of Seizure Recognition And First Aid Training Course And Improving Self-Efficacy Related To Medical Emergencies In Mississippi, Anna Katherine Herrington, Collin Earl Wayne Crawson, Daniel Robert Zuckerman
Evaluation Of Seizure Recognition And First Aid Training Course And Improving Self-Efficacy Related To Medical Emergencies In Mississippi, Anna Katherine Herrington, Collin Earl Wayne Crawson, Daniel Robert Zuckerman
Honors Theses
Within recent years, there has been increased attention to the growing physician shortage across the United States. This shortage has placed substantial strain upon regions of lower healthcare access, particularly those of rural regions such as much of the state of Mississippi. As rural healthcare providers are placed under more strenuous conditions, they encounter issues of increased patient volume, lack of a trauma team, or adequate transportation to higher-level care facilities. These issues may exacerbate the present inequities in cost of living, access to adequate healthcare, and the distress caused by these concerns. Individuals with epilepsy are one cohort with …
Enhancing Srna Confidence: Simulation-Based Crm Training For The Management Of Intraoperative Cardiac Arrest, Melissa Lee
Enhancing Srna Confidence: Simulation-Based Crm Training For The Management Of Intraoperative Cardiac Arrest, Melissa Lee
Doctor of Nursing Practice Scholarly Projects
Intraoperative emergencies in the operating room (OR) are rare but necessitate early recognition and intervention.
Individual Differences In Cannabis Use Disorder With Implications For Endocannabinoid Modulation In Therapeutics Development, Erin L. Martin
Individual Differences In Cannabis Use Disorder With Implications For Endocannabinoid Modulation In Therapeutics Development, Erin L. Martin
MUSC Theses and Dissertations
Cannabis use disorder (CUD) is increasingly prevalent in the United States, but there is no effective pharmacological means to treat it. The endocannabinoid (eCB) system has emerged as a candidate therapeutic target demonstrating some evidence of efficacy in treating CUD. However, clinical trials evaluating eCB-modulating therapeutics have historically undervalued individual differences that could contribute to variation in treatment outcome (e.g. sex, comorbid psychiatric illness). To address this gap in the literature, the present set of studies (a) compared plasma eCB tone in groups underrepresented in treatment trials for CUD (females, individuals with comorbid major depressive disorder; MDD/CUD) with males or …
Occupation-Based Fine Motor Activities For Individuals With Parkinson's Disease At Rock Steady Boxing, Caylin N. Dean
Occupation-Based Fine Motor Activities For Individuals With Parkinson's Disease At Rock Steady Boxing, Caylin N. Dean
OTD Capstone Projects
This doctoral capstone project represents a collaborative effort with Rock Steady Boxing (RSB), an organization dedicated to supporting individuals with Parkinson’s Disease (PD). Many individuals with PD experience fine motor deficits which highlights the importance of addressing these challenges. The primary objective of this project is to identify and address such deficits among participants at RSB Music City and Franklin through the development of occupation-based fine motor activities. Qualitative surveys were utilized to understand participants' satisfaction with their fine motor abilities and the impact on quality of life. The outcome of this project is a set of occupation-based fine motor …
Bridging The Gap: Equipping Caregivers With Skills To Promote Development, Victoria Long
Bridging The Gap: Equipping Caregivers With Skills To Promote Development, Victoria Long
OTD Capstone Projects
This doctoral capstone project was completed through a partnership with Alverson Pediatric Therapy, a private, community-based pediatric practice. Alverson Pediatric Therapy aims not only to meet the child’s needs, but also to equip all parents with the skills and confidence to help their child reach the next stage of development. The primary focus of this project was to develop accessible caregiver education on various occupation-based and developmentally appropriate topics. These topics included developmental milestones, emotional regulation, sensory processing, dressing, and so forth. Outcomes of the project included fourteen weeks of social media programming and four, in-depth video module scripts with …
Bridging The Gap Between The Occupational Therapy Department And The Education Department At An Inclusive Preschool, Brenna C. Hunt
Bridging The Gap Between The Occupational Therapy Department And The Education Department At An Inclusive Preschool, Brenna C. Hunt
OTD Capstone Projects
This doctoral capstone project was completed through a partnership with First Steps Inc. in Nashville, TN. First Steps Inc. is both an outpatient therapy clinic and an inclusive childcare facility that provides education for children with special needs alongside their typically developing peers. This project sought to bridge the gap between the occupational therapy department and the education department at First Steps to promote participation, inclusion, and developmental growth in the classrooms. The focus of the project was the development and implementation of various OT tools and resources to be used in the classrooms. Deliverables included choice boards, visual schedules, …
Increasing Staffs’ Awareness Of Adaptive Swim Lesson Methodology And Enhancing Agency’S Infant Lesson Programming, Chloe E. Volpi
Increasing Staffs’ Awareness Of Adaptive Swim Lesson Methodology And Enhancing Agency’S Infant Lesson Programming, Chloe E. Volpi
OTD Capstone Projects
This doctoral capstone project was conducted in partnership with Sunshine Swim Center, located in Elk Grove, CA. Sunshine is a small-scale swim lesson company that is proud to offer their community small class sizes and personalized swim instruction. The focus of this project was to educate agency staff on the importance of adaptive swim lessons for children with disabilities and enhance the current infant lesson programming. The staff education material included information on instruction modification, informal behavior modification, alternate forms of communication, cueing, skill grading, and the sensory properties of water. Enhancements to the infant programming included adding fifteen new …
A Parent's Guide To Pediatric Wheelchair Equipment, Gianna M. Sarli
A Parent's Guide To Pediatric Wheelchair Equipment, Gianna M. Sarli
OTD Capstone Projects
This capstone project was completed through a partnership with Permobil. Permobil is an assistive technology company that makes assistive technology solutions that enrich the lives of individuals with disabilities. They create a wide range of assistive technology products including power wheelchairs, manual wheelchairs, cushions, extremity supports, positioning equipment, and so much more. The focus of this project was to create the Content Brief for a pediatric landing page on their website. This webpage is focused on how Permobil products can support a child’s occupational participation and help them achieve their daily goals. The goal of this content was to have …
The Implementation Of Animal Assisted Therapy In Adult Neurological Rehabilitation, Rachel Camilleri
The Implementation Of Animal Assisted Therapy In Adult Neurological Rehabilitation, Rachel Camilleri
OTD Capstone Projects
This doctoral capstone project was completed through a partnership with Pi Beta Phi Rehabilitation Institute at Vanderbilt University Medical Center. The focus of this project was to develop animal assisted therapy interventions that could be utilized amongst occupational therapy practitioners with the clinic’s facility dog in an effort to increase utilization of animal assisted therapy. The process for this project required a thorough review of the literature on animal assisted therapy and neurological rehabilitation, conversations with current and past facility dog teams to learn about their work, and trialing animal assisted therapy activities in patient sessions. The outcome of this …
Latent Classification Of Multi-Model Non-Homogeneous Continuous-Time Markov Chains, Joonha Chang
Latent Classification Of Multi-Model Non-Homogeneous Continuous-Time Markov Chains, Joonha Chang
Dissertations and Theses (Open Access)
The continuous-time Markov chain (CTMC) model and latent clustering models are commonly used to study longitudinal measures of categorical outcomes. Because of its simple but powerful Markovian property, CTMC models have been widely used in medical and public health researches. Due to limitations in the standard CTMC model, there have been some studies on non-homogeneous continuous-time Markov chain (NH-CTMC) that utilized time-dependent rates, but the progresses have been limited. NH-CTMC can be more powerful than CTMC by its default nature of time-dependent rate that can be fitted to a wider range of applications in medical studies. In this study, we …
Enhancing Srna Confidence: Integrating Simulation-Based Crm Training With Didactic Education To Improve Intraoperative Recognition, Communication, And Management Of Intraoperative Cardiac Arrest, Melissa Lee
Doctor of Nursing Practice Scholarly Projects
Within the operating room (OR), the ability to identify deteriorating patient conditions and effectively communicate, is essential to delivering safe and efficient care. Although rare, the critical nature of emergent events necessitates early recognition and prompt intervention by an experienced anesthesia provider. The complexity of emergency management is often related to diagnostic ambiguity, individual provider experience, and disruptions of the fast-paced OR environment, requiring appropriate training methods for proficient execution. However, student registered nurse anesthetists (SRNAs) often lack sufficient exposure to emergent clinical scenarios, leading to delayed intervention and diminished confidence during crisis management. An evidence-based simulation education guideline for …
Promoting Participation In Individuals With Parkinson’S Disease Through The Development Of Accessible Occupation-Based Resources, Kelly Struthers
Promoting Participation In Individuals With Parkinson’S Disease Through The Development Of Accessible Occupation-Based Resources, Kelly Struthers
OTD Capstone Projects
This doctoral capstone project was completed through partnership with Rock Steady Boxing Music City, a non-profit organization that provides boxing classes for individuals diagnosed with Parkinson’s disease and other motor-related disorders. The purpose of this project was to understand the participatory barriers that are common within the Parkinson’s disease community and develop solution-oriented resources in response to these barriers. All developed resources were intentionally created to maximize accessibility and explored areas such as driving, fatigue, caregiving, and memory. These resources were compiled and distributed to the “fighters” of Rock Steady Boxing via an in-person “OT Corner” bulletin board, the weekly …
Supporting Adolescent Parents Involved In Younglives, Rachel Fister
Supporting Adolescent Parents Involved In Younglives, Rachel Fister
OTD Capstone Projects
This doctoral capstone project focused on creating educational tools and resources for adolescent caregivers, volunteer mentors, and staff associates involved in YoungLives. YoungLives is a branch of the non-profit outreach organization YoungLife, that supports adolescent/teen parents and expecting mothers worldwide. The goal of this project was to supply accessible and user-friendly resources for the population to gain knowledge on pediatric topics such as child development, age appropriate milestones, sensory processing, as well as activities to promote occupational skills. The project outcomes resulted in a guidebook and deliverables for education and training purposes, a social media platform for nationwide connection and …
Providing Sensory Integration Education And Transition Tools For The Tennessee Baptist Children’S Homes, Thuy-Duong D. Huynh
Providing Sensory Integration Education And Transition Tools For The Tennessee Baptist Children’S Homes, Thuy-Duong D. Huynh
OTD Capstone Projects
This doctoral capstone project was completed through a partnership with the residential department of the Tennessee Baptist Children’s Homes, a state-wide ministry that cares for children whose families are in crisis. There were two primary focuses for this project: (1) providing sensory integration education to house parents and (2) creating tools to ease transitions. Outcomes included a presentation and training on sensory integration, a booklet with easily accessible sensory integration information, a local activity guide for day visits with families, and a routine schedule of home visits to ease transitions.
Engineering Mesenchymal Stromal Cells To Suppress Inflammation And Increase Beta-Cell Mass For Treating Type 1 Diabetes, Dhruva Patel
Engineering Mesenchymal Stromal Cells To Suppress Inflammation And Increase Beta-Cell Mass For Treating Type 1 Diabetes, Dhruva Patel
MUSC Theses and Dissertations
Type 1 diabetes (T1D) is a life-threatening autoimmune disease where the immune system destroys the insulin producing beta-cells in the pancreas. There is no cure for the disease, and the current treatment involves life-long, daily injection of insulin. An ideal therapy for T1D will be the suppression of autoimmunity and increased functional beta-cell mass. The immune regulatory cytokine IL10 can suppress inflammation in various autoimmune diseases. On the other hand, several growth factors and peptide hormones are known to promote an increase in beta-cell mass, through neogenesis and beta-cell proliferation. However, efficient induction of increased beta-cell mass requires preferential and …
The Effects Of Neuromuscular Electrical Stimulation On Chronic Dysphagia Following Anterior Cervical Disc Fusion Surgery: A Case Report, Anna Munson
Honors Theses
Background: Current literature is lacking an understanding of the physiological mechanisms underlying dysphagia (impairment in swallowing function) that manifests as the result of anterior cervical discectomy and fusion (ACDF). ACDF is a common cervical spinal procedure that, due to its anterior to posterior (front-to-back) approach, risks significant injury to the larynx, which is critical for swallowing food and liquid safely. Furthermore, the general therapeutic approaches available to individuals with dysphagia after ACDF lack specificity of what is being targeted (Ko, et al. 2022). This project is a single subject case report of an individual who underwent ACDF and received neuromuscular …
Navigating Dysautonomia: A Workbook For Empowered Living, Madison Thornton
Navigating Dysautonomia: A Workbook For Empowered Living, Madison Thornton
OTD Capstone Projects
Dysautonomia Support Network (DSN) is a nonprofit organization composed of volunteers who have a passion for serving the population of individuals with dysautonomia. Dysautonomia is a complex and often debilitating disorder affecting the autonomic nervous system, which regulates involuntary bodily functions such as heart rate, blood pressure, digestion, and temperature control. Those living with dysautonomia face a myriad of challenges ranging from chronic fatigue and dizziness to gastrointestinal issues and cognitive impairment. The unpredictability of symptoms can significantly impact daily life, leading to feelings of frustration, isolation, and helplessness. However, amidst these challenges lies the potential for empowerment and transformation. …
Nursing Interventions For Psychosis And Other Mental Health Crises: A Hermeneutical Phenomenological Study Of Nurses’ Experiences, Christopher Jasensky
Nursing Interventions For Psychosis And Other Mental Health Crises: A Hermeneutical Phenomenological Study Of Nurses’ Experiences, Christopher Jasensky
Dissertations
The nursing profession experiences caring for patients suffering psychosis and managing crises events in a way that is unique to all other healthcare providers. A gap in research and literature exists related to this phenomenon. The purpose of this study was to examine the lived experiences of nurses caring for patients experiencing psychosis or some other severe mental health issue. By analyzing the common expressions and behaviors of nurses in situations involving care of psychosis, the meaning of the care giving experience and thus, an understanding of the interactions involved with caregivers in psychosis was revealed. Participants provided experiential, firsthand …
Fighting Against Parkinson's: A Collection Of Occupation-Inspired Workouts For Rock Steady Boxing, Landis Llewelyn
Fighting Against Parkinson's: A Collection Of Occupation-Inspired Workouts For Rock Steady Boxing, Landis Llewelyn
OTD Capstone Projects
This doctoral capstone project was completed through a partnership with Rock Steady Boxing in Hendersonville, North Carolina. Rock Steady Boxing provides group workout classes for all stages of Parkinson’s disease with a focus on improving quality of life through empowering individuals to fight back against Parkinson’s. The purpose of this project was to analyze various occupations deemed as difficult by the participants of Rock Steady Boxing in Hendersonville, North Carolina, and create workouts directly targeting the skills needed to successfully perform these occupations. These workouts were implemented into classes at Rock Steady Boxing and modified to accommodate a wide range …
Encouraging Participation For Trainees At Autism Career Training, Sydney L. Stahl
Encouraging Participation For Trainees At Autism Career Training, Sydney L. Stahl
OTD Capstone Projects
This doctoral capstone project was completed with Autism Career Training (ACT), a non-profit organization that teaches vocational skills to young adults with autism. The purpose of this project was to improve the participation of ACT trainees in all aspects of programming. To do this, various strategies; social activities; and community networking were implemented. Strategies to improve classroom participation, social conversation, and address sensory needs were developed and incorporated, along with a sensory profile assessment. Social activities were introduced, and partnerships were started with various employers in the community. An activity analysis was done per each job position available at these …
Mental Health And Wellness Programming For Adults With Down Syndrome, Chloe Samter
Mental Health And Wellness Programming For Adults With Down Syndrome, Chloe Samter
OTD Capstone Projects
This capstone project was completed in partnership with GiGi’s Playhouse located in Brentwood, TN. GiGi’s Playhouse is a non-profit organization that offers free programming for individuals with Down syndrome and their families. The focus of this project was addressing the mental health and wellness of adults with Down syndrome. The goal of this project was to provide meaningful lessons and activities for participants to learn about mental health, coping strategies, and emotional exploration. Participants had the opportunity to learn and practice meditation, mindfulness, self-advocacy, healthy relationships, creative expression, and more. Participants completed The Warwick-Edinburgh Mental Well-being Scale (WEMWBS) as a …
Living With Chemo Brain – Tips And Tricks To Improve The Quality Of Life For Individual’S Diagnosed With Cancer, Jamie Brown
Living With Chemo Brain – Tips And Tricks To Improve The Quality Of Life For Individual’S Diagnosed With Cancer, Jamie Brown
OTD Capstone Projects
This doctoral capstone project was completed through a partnership with Gilda’s Club of Middle Tennessee, a non-profit organization focused on creating a sense of community and support for individuals who are impacted by cancer. The focus of this project was to develop a resource for members that addressed executive functioning changes that occur with chemo brain with a goal of making it both applicable and user friendly. The deliverable sought to provide members with basic tips and tricks for improving their quality of life. Utilizing an occupational lens, this manual contains practical strategies to address decreased memory, cognitive fatigue, processing …