Medicine and Health Sciences Commons^™

Relationship Of Weekly Rest To Bsn Appraisal Of Stress And Hardiness, Everly Batuik

Walden Dissertations and Doctoral Studies

No abstract provided.

Cameroonian Women's Experiences In Seeking Breast Cancer Screening And Preventive Services, Cynthia N. Moore

Walden Dissertations and Doctoral Studies

No abstract provided.

Correlates For Nonmedical Prescription Opioid Use Among Young Adults, Uchenna Sam Chinweuba

Walden Dissertations and Doctoral Studies

No abstract provided.

Racial/Ethnic Differences In The Association Between Health Literacy And Quality Of Life Among Breast Cancer Survivors, Tenesia D. Carey

Walden Dissertations and Doctoral Studies

No abstract provided.

Integrating Health Equity Into Implementation Science To Advance Chronic Disease Prevention And Control, Callie Walsh-Bailey

Brown School Graduate Student Theses and Dissertations

Marginalized populations are inequitably burdened by chronic diseases such as diabetes, heart disease, obesity, and cancer. The goal of health equity work is to ensure all people have a fair and just opportunity to achieve optimal health. Implementation science has made health equity a greater focus and priority in recent years. There has been a proliferation of guidance on what implementation science needs to do to advance equity. However, the field currently lacks specific, actionable guidance on how to integrate equity. The overarching goal of this dissertation is to synthesize conceptual and theoretical underpinnings regarding health equity and bring them …

The Shifting Landscape Of Adolescent Wellness In Boarding Schools: Can Time Spent Off Screens And Outdoors Improve Adolescent Wellbeing?, Kristen H. Peterson

Dartmouth College Master’s Theses

For nearly twenty years I have worked directly with adolescents as an independent school educator. Whether in the classroom, on the field, or in the dorm, I have observed and supported students through their middle and high school experiences. During this time, I have witnessed an alarming shift in adolescent physical, emotional, and social wellbeing. Concurrently, I have observed a dramatic increase in the amount of time students spend using screen-based devices, and a decrease in their time spent outdoors.

Using research to ground my anecdotal accounts in empirical understanding, my thesis examines whether or not screen use might help …

Self-Efficacy Of Urban African Americans In Response To Covid-19 Health Information, Katrina Volbrecht

Walden Dissertations and Doctoral Studies

No abstract provided.

Hypertension Health Literacy Education For Unlicensed Assistive Living Facility Staff, Rhonda Gary Jackson

Walden Dissertations and Doctoral Studies

No abstract provided.

Antibiotic Use, Obesity, And Preterm Birth Among Women In The United States, Mya Thuzar Win

Walden Dissertations and Doctoral Studies

No abstract provided.

The Association Between Dietary Flavonoid Intake And Cardiovascular Health Indicators In Women Aged 45 To 65, Melissa Wedel

Walden Dissertations and Doctoral Studies

No abstract provided.

Fall Prevention In Behavioral Health, Kanesha Moss

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem:

Falls in hospital settings pose significant safety and financial risks, particularly in Behavioral Health Units (BHU), where fall rates often exceed national averages. Despite traditional fall prevention practices, such as risk assessments and post-fall huddles, the target BH unit continued to experience high fall rates, failing to meet the National Database of Nursing Quality Indicators (NDNQI) standards. The lack of alignment between fall prevention strategies and the unique needs of behavioral health patients contributed to these unmet targets.

Aim of the Project:

This project aimed to reduce the number of falls in a 41-bed BH unit by 20% over …

Physical Activity And Its Association With Academic Performance Among Malaysian Adolescents, Vinura Venugopal

Student Works (2020-2029)

The rates of physical inactivity among adolescents have been increasing yearly. Physical activity can reduce the risk of diseases, help manage weight, improve brain health, and ensure healthy growth and development. Besides these benefits, physical activity has also been linked to better academic achievement in certain studies. This study examines the relationship between physical activity and academic performance (national-based examinations) among adolescents in Malaysia. It was also designed to identify a feasible standardised physical activity programme. Methods: This is a multimethod study. The first phase is a prospective closed cohort study using data from 579 students from the Malaysian Health …

Examining The Effects Of Manualized Suicide Intervention Training On Clinical Psychology Doctoral Trainees: A Quasi-Experimental Trial, Alexander Dorfman M.S.

Selected Full Text Dissertations, 2011-

Although most clinical psychology doctoral trainees encounter at least one suicidal client over the course of their training (Dexter-Mazza & Freeman, 2003), there is notable variability in the degree of formal suicide risk assessment and intervention training offered across clinical psychology doctoral programs (Monahan & Karver, 2021). Most suicide-related training involves passive (e.g., lectures) rather than active (e.g., role-plays, experiential exercises) training techniques, despite evidence for the effectiveness of the latter in improving clinicians’ skills (Gryglewicz et al., 2020). The Applied Suicide Intervention Skills Training (ASIST) is a manualized, evidence-based training incorporating didactics and role-plays (LivingWorks, 2013; Rodgers, 2010). The …

Developing A Pbpk Model For Intranasal Naloxone And Opioid Displacement From Brain Receptors, Jasmin Akther Hossain

Selected Full-Text Dissertations 2020-

The therapeutic and nontherapeutic use of potent opioid agonists has increased dramatically over the past 20 years, with overdose trends following suit. Currently, naloxone is the primary drug used for treating emergency rescue from an opioid overdose. Naloxone works by displacing opioid agonists that are bound to receptors such as the μ-opioid receptor (MOR) in the brain, which are thought to be the sites of action responsible for symptoms due to overdosing, such as respiratory depression.

Intranasal (IN) administration of naloxone is an excellent alternative to the invasiveness of injections and poorly bioavailable oral formulation. However, the exact mechanism of …

Is Long-Term Survival Higher In Patients Who Receive Propofol-Based Total Intravenous Anesthesia During Colorectal Cancer Surgery Compared To Volatile Anesthesia, Shad Anthony Mitchell

Theses, Dissertations and Capstones

The study reviewed several retrospective cohort studies that examined the impact of propofol-based total intravenous anesthesia (TIVA) versus volatile anesthesia (VA) on the long-term survival of colorectal cancer (CRC) surgery patients. Eight studies found no significant difference in mortality between the two anesthesia types, while three studies indicated a significant decrease in all-cause mortality favoring propofol TIVA. The studies had varying follow-up periods, with some extending to five years. Notably, two studies controlled the type of volatile anesthetic used, specifically sevoflurane and desflurane. The findings suggest a potential survival advantage for propofol TIVA, warranting further investigation.

Understanding The Role Of Occupational Therapists In Managing Type 1 Diabetes In Adolescents: A Critically Appraised Topic, Jatin Cranmore, Morgan Harshman, Kelsey Milleson

Critically Appraised Topics

This critically appraised topic focuses on occupational therapy's role in working with adolescents (10-18 years of age) to manage Type 1 diabetes (T1D). Managing T1D can be challenging and overwhelming, especially for younger individuals because of the added responsibility and transitions that occur during puberty. There is a lack of literature that supports occupational therapy's role when working with clients who have T1D, especially when it comes to the younger populations.

Identifying Occupational Therapy’S Role In Rural Areas For Women Who Have Experienced Domestic Violence, Meagan R. Danda, Maria L. Johnson, Hannah L. Street

Critically Appraised Topics

This critically appraised topic (CAT) paper focuses on the effectiveness of occupational therapy utilized via telehealth within adult women (18-64 years old) who are experiencing or who have experienced domestic violence in rural areas. Domestic violence is a common type of violence/abuse that can occur toward any gender or sexual orientation (Rural Health Information Hub, 2024). Domestic violence encompasses physical, social, and/or emotional abuse (Rural Health Information Hub, 2024). It is a form of repetitive behaviors of abuse that occurs within a relationship. (Rural Health Information Hub, 2024). Common behaviors of domestic violence may include preventing social contact, preventing access …

The Use Of Evidence-Based Practice To Strengthen Professional Identity Among Occupational Therapists., Allison M. Stephani, Kaelyn J. Talley, Ariel K. Tix

Critically Appraised Topics

This critically appraised topic focuses on occupational therapy practitioners’ use of evidence-based practice in their practice regarding how it connects to their professional identity. The population studied was occupational therapy practitioners in their work settings. The main factors that were considered were level of connection to the profession, informal and formal education, and current use of evidence-based practice. Professional identity is defined as how a person sees themselves based on values, motives, experiences and beliefs related to their profession (Poole & Patterson, 2021). According to the Tornebohm Model, professional identity is broken down into four categories, which includes competence, conceptual …

Role Of Mindfulness-Based Interventions In Occupational Therapy With Young Adults With Mental Health Conditions Evoked By Social Media, Allison Haiby, Kennedy Reimann, Katie Quinley

Critically Appraised Topics

This critically appraised topic (CAT) paper focuses on the efficacy of mindfulness-based interventions in occupational therapy within a young adult college-aged population, specifically from the ages 18 to 29. The main factors considered in this paper are mental health in young adults, the role of mindfulness-based interventions and occupational therapy, and the implication of social media on occupation.

Increasing Autonomy In The Homeless Veteran Population Through Education-Based Occupational Therapy Intervention: A Critically Appraised Topic, Madeline Kuntz, Karli March, Cheyenne Thompson

Critically Appraised Topics

The focus for this critically appraised topic (CAT) is increasing the autonomy of homeless veterans through life-skills-based education programs. A review of existing literature found a gap of published research on this topic within occupational therapy and interdisciplinary research communities. There is a lack of experimentally designed research studies focusing on autonomy and community assistance programs utilizing life skills education training for or including the homeless veteran population. The level of evidence presented in the literature relating to this topic has been predominantly found to include non-experimental descriptive quantitative studies (Jones et al., 2021; Kline et al., 2021; Laan et …

Naloxone And Dexmedetomidine Reversal Of The Effects Of Methamphetamine And Fentanyl Co-Administration, Wesley R. Tackett

Theses, Dissertations and Capstones

Agitation is common amongst individuals who have taken methamphetamine (METH) when they arrive at the emergency room (ER). Fentanyl (FENT) and other opioids can mask this agitation which could then unexpectedly present after the reversal of these drugs by naloxone (NLX). Commonly used medications for agitation caused by METH include benzodiazepine sedatives (like alprazolam and similar drugs), but these drugs can produce dangerous sedation and inhibition of breathing when combined with opioids such as FENT. Therefore, the purpose of this MS thesis project was to use a rat model of METH-FENT overdose to test the ability of opioid antagonist NLX …

The Comfort Of Being At Home: The Benefits Of Outpatient Rehabilitation In The Homes Of Rural Residents, Madison Jo Christian

Occupational Therapy Capstones

Title: The Comfort of Being at Home: The Benefits of Outpatient Rehabilitation in the Homes of Rural Residents

Background: Rural residents experience more disease, injury, and death than individuals living in metropolitan areas. Harsh weather conditions, distances to healthcare facilities, lack of public transportation options, and restrictions of health insurance coverage make accessing healthcare services difficult for these residents expediting worse health outcomes. One method to address the barriers rural residents face in accessing healthcare services, especially ongoing rehabilitation services, is to establish more accessible healthcare delivery methods in residents’ homes. Many rural residents will benefit from receiving ongoing rehabilitation …

Modulation Of Diet-Induced Gut Inflammation In Slowing Initiation Of Hematologic Malignancies, Esther Nyarkoa Mensah

Theses, Dissertations and Capstones

The intestinal tract serves as a host to an extremely complex microbial system. Microbes in the gut regulate their metabolism in response to chemicals generated by other microorganisms as well as nutrition supply from dietary intake. Alterations in gut bacteria have been implicated in the development of metabolic disorders such as obesity and the progression of diseases such as Myelodysplastic syndromes (MDS). Although the cause of obesity is multifactorial, the consumption of high-fat or sugar-rich diets (Western diets) has been proposed as a significant contributor to this global epidemic. Obesity is a major public health concern that has been extensively …

Mothers' Perceptions Of Stigma: Implications For Early Identification And Treatment For Children With A History Of Prenatal Opioid Exposure, Pamela Jane Holland

Theses, Dissertations and Capstones

There is a lack of research that specifies the long-term effects on a child’s language development when prenatally exposed to opioids (Fill et al.,2018; Rutherford et al., 2022). Despite this, children prenatally exposed to opioids are more likely to be referred for, qualify for, and receive therapy services secondary to developmental delays and speech/language deficits. (Kaltenbach et al., 2018). Stigma continues to be a barrier to the initiation of early intervention services for children prenatally exposed to opioids (Levickis et al., 2020; Livingston et al., 2011; Peacock-Chambers et al., 2020). This phenomenological study aims to understand the perceptions of the …

In-Vitro Time-Kill Assays And Semi-Mechanistic Pharmacokinetic-Pharmacodynamic Modeling Of A Beta-Lactam Antibiotic Combination Against Enterococcus Faecalis: Optimizing Dosing Regimens For The Geriatric Population, Zeel Saumin Shah

Selected Full-Text Dissertations 2020-

Pharmacokinetic-pharmacodynamic (PKPD) modeling and simulation have emerged as pivotal tools in drug development and usage. Such models characterize typical trends in data and quantify the variability in relationships among dose, concentration, and desired effects. For antibacterial applications, models characterizing bacterial growth and antibiotic-induced bacterial killing offer insight into interactions between antibiotics, bacteria, and the host. Simulations from these models predict outcomes for untested scenarios, refine study designs, and optimize dosing regimens.

Enterococcus faecalis, a significant opportunistic bacterial pathogen with increasing clinical relevance, is commonly found in the gastrointestinal tract but can lead to severe infection, such as endocarditis. Treatments for …

Practice Patterns And Medical Provider Perceptions Of Ketamine In The Treatment Of Psychiatric Disorders: A Nationwide Survey, Amna M. Aslam

Theses and Dissertations

Background: Major Depressive Disorder (MDD) significantly impacts society, with a prevalence of 8.4% in the U.S., highlighting the need for effective treatments for treatment-resistant depression (TRD). Ketamine, while not FDA-approved for TRD, shows promise in treating mental health disorders and is used in specialized clinics, though evidence of effectiveness is scarce. Objectives: This study investigates the use of off-label ketamine for TRD and other disorders, focusing on ketamine clinic operations where the drug is administered, treatment methods, patient characteristics, and ketamine's impact on psychiatric care, from providers' perspectives. Methods: The survey was distributed to over 1,000 ketamine providers across the …

Occupational Therapy’S Role In Addressing The Mental Health Of Transitioning Postsecondary Students, Katie Koxlien, Amorelle Upton, Kiley Washnieski

Critically Appraised Topics

There is an increasing concern for mental health in university students transitioning to postsecondary education. For the purposes of this study, we were concerned with the overall mental health of university students, not specific to diagnosed mental illnesses. Mental health is “a state of mental well-being that enables people to cope with the stresses of life, realize their abilities, learn well and work well, and contribute to their community” (World Health Organization, 2022, para. 1). This may impact the individual’s ability to function on a daily basis and interact with others within their educational setting. The role of a student …

Unlocking Vr Magic: Duration Of Anxiety Relief For Pediatric Needle Procedures, Anna Angelica Guzman Mendoza

Nursing | Senior Theses

There have been various studies that show the effectiveness of virtual reality (VR) being used as a non-pharmacologic and distraction method on school-aged children ranging from 6-12 years old. Despite this research, there has not been a follow-up with the use of VR and its duration of effect between each patient visit within this certain population. This study focuses on measuring the participants’ anxiety and pain levels during the needle-related procedure. The assessment tools that will be used to measure these important variables are the Children’s Fear Scale and Wong-Baker’s FACES scale. The participants of this study will be placed …

Incorporation Of Nutrition Education With Medication Injection To Sustain Weight Loss, Julia Calvelo

Nursing | Senior Theses

Background: Obesity is a widespread occurrence linked to comorbidities. Weight loss and maintenance is crucial to sustain existing health conditions and reduce risk of chronic diseases.

Lack of maintained weight loss is associated with poor education on nutrition, diet, and physical activity literacy. Objective: The purpose of this quantitative experimental study is to determine the efficacy of nutrition education among medication injection to sustain weight loss throughout treatment. It aims to promote comprehension of the aspects of nutrition, dietary habits, and physical education to not only sustain weight loss, but to understand the significance of how these elements contribute to …

Maternal Health Crisis: Implicit Bias/Cultural Humility Education For Perinatal Nurses, Carmen Rezak

Regis University Student Publications (comprehensive collection)

Abstract

Today, perinatal nurses are challenged to provide equitable care for a very diverse and

high-risk pregnant/postpartum patient population. Pregnant women of color are mistrustful of

the health care system and concerned about their care and risks when admitted to the hospital for

fear that they are not listened to or treated with the same respect and intent as their white patient

counterparts. Reverend Martin Luther King, Jr., in a 1966 speech, made in connection with the

Medical Committee for Human rights stated, “Of all the forms of inequality, injustice in health is

the most shocking and inhumane.” Nurses play …