Medicine and Health Sciences Commons^™

Does A Gatekeeper Suicide Prevention Program Work In A School Setting? Evaluating Training Outcome And Moderators Of Effectiveness, Tanya L. Tompkins, Jody Witt, Nadia Abraibesh

Faculty Publications

The current study sought to evaluate the suicide prevention gatekeeper training program QPR (Question, Persuade, and Refer) among school personnel using a non-equivalent control group design. Substantial gains were demonstrated from pre- to post-test for attitudes, knowledge, and beliefs regarding suicide and suicide prevention. Exploratory analyses revealed the possible moderating effects of age, professional role, prior training, and recent contact with suicidal youth on QPR participants’ general knowledge, questioning, attitudes toward suicide and suicide prevention, QPR quiz scores, and self-efficacy. The need for replication using a more rigorous experimental design in the context of strong community collaboration is discussed.

The Short-Term Effectiveness Of A Suicide Prevention Gatekeeper Training Program In A College Setting With Residence Life Advisers, Tanya L. Tompkins, Jody Witt

Faculty Publications

Although the college years prove to be a vulnerable time for students and a critical period for suicide prevention, few school-based prevention strategies have been empirically evaluated. The current study examined the short-term effects of QPR (Question, Persuade, and Refer), a gatekeeper training program that teaches how to recognize warning signs, question suicidal intent, listen to problems, and refer for help. The 122 residence advisers (RAs) who were trained in QPR demonstrated significant post-training gains across a variety of domains relevant to suicide and suicide prevention, with the 60 completing the follow-up assessment showing sustained knowledge and appraisals into the …

Ob-Pdcds English, Marianne E. Weiss

Quality of Discharge Teaching Scale

The Readiness for Hospital Discharge Scale, Quality of Discharge Teaching Scale, and Post-Discharge Coping Difficulty Scale were developed by Dr. Marianne Weiss to measure nurse-sensitive discharge care processes and patient outcomes. Three versions of the scales were developed concurrently for different patient populations – Adult medical-surgical patients, Parents of hospitalized children, and Postpartum Patient mothers (see Weiss & Piacentine, 2006, Weiss et al., 2007, and Bobay et al., 2018 for description of the development and initial testing). Additional scales and information about translation rights are located at Marquette Nursing.

PERMISSION TO USE

The Readiness for Discharge Scale, Quality of Discharge …

Looking Forward To A Safer Future: The New Who Guidelines For Safe Surgery, Jed S. Duff

Nursing Conference Papers

Each year in Australia there are approximately 2 million hospital admissions for surgical services (Australia’s Health, 2008) and this number is set to grow significantly, with forecasts of at least a 22% increase by 2021 (Birrell, Hawthorne & Rapson, 2003). Surprisingly, for such a high-risk high-volume specialty, we have very little data on perioperative adverse events. This lack of even basic data means that we are unable to track event rates, leaving us oblivious to the full extent of the problem.

Research on intraoperative adverse events tells us that the rate of major complications is between 3-16%, with a mortality …

Do Inquiries Make A Difference Or Are They A Waste Of Time?, Heather Gluyas

Nursing Conference Papers

Government inquiries into system failures are expensive, time consuming and have an enormous impact professionally and personally on those involved. They are set up to investigate systemic failures in healthcare delivery. Such major failures are different from a single event failure that may capture media attention or be the focus of a coronial inquest. Health system failures that result in an inquiry are distinguished by the scale and magnitude of the breakdown in care. The timescale of the events may stretch over months or years, and there are a number of different occasions where poor patient outcomes (including patient deaths) …

Clinical Placement Experiences In The Highlands Of Vietnam, Heather Gluyas, Annette Fraser

Nursing Conference Papers

There is a considerable body of literature which supports the value of international placements, however there is little reported in the literature where these experiences have been in remote third world countries. This presentation will present the experiences of the students and their clinical supervisors who traveled to the remote Highlands of Vietnam to provide health assessment clinics and health education in schools.

The objectives were to provide the opportunity for students to develop professionally and personally through:

• Experiencing a clinical placement within a health care system other than the Australian system

• Working within a health care system …

Glasgow Coma Scale: Improving Practice In Non-Neuro Specialty Wards, Lauren Rullis, Tracey Thornley

Nursing Conference Papers

The Glasgow Coma Scale published in 1974 was designed with simplicity in mind. The tool was developed for use in a wide range of clinical environments and for staff who had no specialised training (Teasdale and Jennett 1974) ensuring standardisation in assessment. Evidence (Waterhouse 2008) however suggests that there are ongoing problems in the use of the GCS assessment, and the impact that this might have on patient outcomes are unknown. Variations in practice have been found in all areas, including neurological specialty wards, however the skill level of nursing staff in non neurological areas is concerning with inconsistencies in …

Interactive Video Method Of Teaching And Assessment: Poster Presentation, Karen Clark-Burg, Selma Alliex, Annie Das

Nursing Conference Papers

The School of Nursing (University of Notre Dame Australia) was very keen to trial a method of teaching and assessment in one of the Nursing skills units. Students were divided into two groups to experience both traditional and interactive video methods using a commercially available software program in a cross-over research. It was expected that this strategy would enhance students ‘deeper learning’ and better standards of skills.

Cortical Training In The Management Of Acute Upper Limb Burns: A Pilot Randomised Controlled Trial, L M. Zorzi, N Brockman, M Clifford, C Griggs, F M. Wood, Benedict M. Wand, D W. Edgar

Health Sciences Conference Papers

Introduction: A burn injury causes pain which leads to decreased use and loss of function. Pain and decreased function are themselves distressing and when excessive may impede healing of the burn. Hyperalgesia will enhance the pain experience and may contribute to avoidant behaviours. Primary hyperalgesia is driven largely by local tissue events; however central nervous system changes appear to contribute strongly to secondary hyperalgesia. Within days, neural system changes such as reorganization of the cortical representation of the injured area can occur. Such cortical re-organization has been linked to hypersensitivity and may play a role in the development of ongoing …

The Ethical Phenomenon Of Gm-Corn: Anger, Anxiety, And Arrogance In Crossing American Borders, Jules Simon

Departmental Papers (Philosophy)

In terms of phenomenology, I often wonder about the relevance of what I do as a philosopher for the life of those with whom I come into contact. This ‘coming into contact’ happens for me on several levels: as one human among many, as a husband and father and son and brother, as a teacher, as a neighbor, and as country or city dweller. I remember with fondness those times in the late sultry summer months when, as a youth, I would drive with my father to this or that local farm-stand on some remote back road in the hills …

Assessing A Smoking Cessation Program For Veterans In Substance Use Disorder Treatment., Theodore Cooper, Y. Hunt, R. Burke, C. Stoever

Departmental Papers (Psych)

No abstract provided.

Club Drug Use In Hispanic College Students, Michelle Resor, Theodore Cooper

Departmental Papers (Psych)

No abstract provided.

Nerve, Muscle, Blood, Toil, Tears, And Sweat: England’S Pioneering Biophysicist, Soldier, And Statesman, Khan

Departmental Papers (Biology)

No abstract provided.

Reactive Attachment Disorder, Kalen J. Espy

Graduate Research Papers

Reactive Attachment Disorder, or RAD, has several possible causes usually stemming from traumatic childhood events. The attachment disorders were initially explored in 1948 by John Bowlby which led to the attachment theory being established in the 1960's. Attachment is the bond a child makes with other human beings, allowing for a healthy emotional and psychological growth. Attachment is developed primarily from birth to two years of age and up to the age of five.

There are four attachment styles and four phases that a child must go through to develop a healthy attachment to a caregiver. A child who is …

Ob-Pdcds English, Marianne E. Weiss

Quality of Discharge Teaching Scale

The Readiness for Hospital Discharge Scale, Quality of Discharge Teaching Scale, and Post-Discharge Coping Difficulty Scale were developed by Dr. Marianne Weiss to measure nurse-sensitive discharge care processes and patient outcomes. Three versions of the scales were developed concurrently for different patient populations – Adult medical-surgical patients, Parents of hospitalized children, and Postpartum Patient mothers (see Weiss & Piacentine, 2006, Weiss et al., 2007, and Bobay et al., 2018 for description of the development and initial testing). Additional scales and information about translation rights are located at Marquette Nursing.

PERMISSION TO USE

The Readiness for Discharge Scale, Quality of Discharge …

Mass Stranding Of Marine Birds Caused By A Surfactant-Producing Red Tide., David A. Jessup, Melissa A. Miller, John P. Ryan, Hannah M. Nevins, Heather A. Kerkering, Abdou Mekebri, David B. Crane, Tyler A. Johnson, Raphael M. Kudela

Natural Sciences and Mathematics | Faculty Scholarship

In November-December 2007 a widespread seabird mortality event occurred in Monterey Bay, California, USA, coincident with a massive red tide caused by the dinoflagellate Akashiwo sanguinea. Affected birds had a slimy yellow-green material on their feathers, which were saturated with water, and they were severely hypothermic. We determined that foam containing surfactant-like proteins, derived from organic matter of the red tide, coated their feathers and neutralized natural water repellency and insulation. No evidence of exposure to petroleum or other oils or biotoxins were found. This is the first documented case of its kind, but previous similar events may have gone …

Without Improved Security, Biodefense Laboratories May Double As Arsenals For Terrorists, Jim Shen

Quill & Scope

In the wake of the "Amerithrax” anthrax attacks of September and October 2001, the United States committed a large amount of funding towards biodefense research. With this commitment came a large increase in the number of federally-funded and private laboratories conducting biodefense research that was not well-regulated by the federal government. The result is that many laboratories are currently studying dangerous agents such as anthrax with inadequate security measures and little oversight. Unless reform is enacted to correct this situation, these laboratories will continue to represent a potential threat to public safety.

Hyperandrogenism And Obesity: Ominous Co-Morbidities, Amit M. Deokar, Shawn J. Smith, Amanda J. Goodwin, Hatim A. Omar

Pediatrics Faculty Publications

This review has a two-fold objective. One, it addresses the association of hyperandrogenism and obesity and the complex metabolic derangements that are part of the problem. Clinical management of these co-morbidities is challenging and complex. Second, this article will aid health care providers with the key features to an early diagnosis and intervention to decrease the morbidities in the short as well as long term. Method: Systematic review of articles and information on the topic of interest that were published in the last 15 years. Conclusion: Obesity and hyperandrogenism are integral parts of Metabolic Syndrome/Polycystic Ovarian Syndrome (PCOS)/Hyperandrogenism, Insulin resistance, …

Alterations In Default Network Connectivity In Posttraumatic Stress Disorder Related To Early Life Trauma, Robyn L. Bluhm, Peter C. Williamson, Elizabeth A. Osuch, Paul A. Frewen, Todd K. Stevens, Kristine Boksman, Richard W.J. Neufeld, Jean Théberge, Ruth A. Lanius

Philosophy Faculty Publications

Background: The "default network" consists of a number of brain regions that exhibit correlated low-frequency activity at rest and that have been suggested to be involved in the processing of self-relevant stimuli. Activity in many of these areas has also been shown to be altered in individuals with posttraumatic stress disorder (PTSD). We hypothesized that the posterior cingulate cortex (PCC)/precuneus, part of the default network, would exhibit altered connectivity at rest with other areas of the default network and regions associated with PTSD.

Methods: Seventeen medicated and unmedicated female patients with chronic posttraumatic stress disorder (PTSD) related to early-life trauma …

Reduced Genomic Potential For Secreted Plant Cell-Wall-Degrading Enzymes In The Ectomycorrhizal Fungus Amanita Bisporigera, Based On The Secretome Of Trichoderma Reesei, Subashini Nagendran, Heather E. Hallen-Adams, Janet M. Paper, Nighat Aslam, Jonathan D. Walton

Heather Hallen-Adams Publications

Based on the analysis of its genome sequence, the ectomycorrhizal (ECM) basidiomycetous fungus Laccaria bicolor was shown to be lacking many of the major classes of secreted enzymes that depolymerize plant cell wall polysaccharides. To test whether this is also a feature of other ECM fungi, we searched a survey genome database of Amanita bisporigera with the proteins found in the secretome of Trichoderma reesei (syn. Hypocrea jecorina), a biochemically well-characterized industrial fungus. Additional proteins were also used as queries to compensate for major groups of cell-wall-degrading enzymes lacking in the secretome of T. reesei and to substantiate conclusions …

Emerging Role Of Garcinol, The Antioxidant Chalcone From Garcinia Indica Choisy And Its Synthetic Analogs, Subhash Padhye, Aamir Ahmad, Nikhil Oswal, Fazlul H. Sarkar

Wayne State University Associated BioMed Central Scholarship

Abstract

Garcinol, harvested from Garcinia indica, has traditionally been used in tropical regions and appreciated for centuries; however its biological properties are only beginning to be elucidated. There is ample data to suggest potent antioxidant properties of this compound which have been used to explain most of its observed biological activities. However, emerging evidence suggests that garcinol could be useful as an anti-cancer agent, and it is increasingly being realized that garcinol is a pleiotropic agent capable of modulating key regulatory cell signaling pathways. Here we have summarized the progress of our current research knowledge on garcinol and its observed …

Induction Of Endogenous Γ-Globin Gene Expression With Decoy Oligonucleotide Targeting Oct-1 Transcription Factor Consensus Sequence, Xiaoxin S. Xu, Xin Hong, Gan Wang

Wayne State University Associated BioMed Central Scholarship

Abstract

Human β-globin disorders are relatively common genetic diseases cause by mutations in the β-globin gene. Increasing the expression of the γ-globin gene has great benefits in reducing complications associated with these diseases. The Oct-1 transcription factor is involved in the transcriptional regulation of the γ-globin gene. The human γ-globin genes (both Aγ and Gγ-globin genes) carry three Oct-1 transcription factor consensus sequences within their promoter regions. We have studied the possibility of inducing γ-globin gene expression using decoy oligonucleotides that target the Oct-1 transcription factor consensus sequence. A double-stranded 22 bp decoy oligonucleotide containing the Oct-1 consensus sequence was …

A Unique Case Of Urinary Bladder Simple Melanosis: A Case Report And Review Of The Literature, Bo Jin, Syed Y. Zaidi, Melvin Hollowell, Christopher Hollowell, Husain Saleh

Wayne State University Associated BioMed Central Scholarship

Abstract

Melanosis refers to abnormal or excessive deposition of melanin pigment in the cells and/or tissue, which can be seen in any organ but commonly in skin and oral mucosa. Melanosis of the urinary bladder is an extremely rare benign condition and only a handful of cases been reported in the English literature before. In this article, we report a new case of urinary melanosis, describe the differential diagnostic features from pseudomelanosis and offer clues for correct diagnosis. We also provide comprehensive review of the literature on the subject.

Prevalence, Evaluation And Management Of Overactive Bladder In Primary Care, Wellman W. Cheung, Nadia H. Khan, Karmina K. Choi, Martin H. Bluth, Miriam T. Vincent

Wayne State University Associated BioMed Central Scholarship

Abstract

Background

Patients with overactive bladder (OAB) are under-diagnosed in the primary care setting. Primary care physicians (PCP) approach to the patient and appropriate patient disclosure may contribute to under-diagnosis.

Methods

An outpatient primary care setting was used to determine the prevalence and characteristics of OAB. Patients who visited the family medicine outpatient clinic were invited to answer a self-administered questionnaire. It included questions on evidence of lower urinary tract symptoms (modified Overactive Bladder-Validated 8-question Screener [OAB-V8]), relevant medical and surgical history, and demographic data. Relationship between OAB and other independent variables were analyzed using chi-square and risk ratio (RR) …

Lymphomatoid Granulomatosis Masquerading As Interstitial Pneumonia In A 66-Year-Old Man: A Case Report And Review Of Literature, Ashima Makol, Kalyan Kosuri, Deimante Tamkus, Wanderley De M Calaca, Howard T. Chang

Wayne State University Associated BioMed Central Scholarship

Abstract

Lymphomatoid granulomatosis (LG) is a rare, Epstein-Barr virus (EBV)-associated systemic angiodestructive lymphoproliferative disorder that may progress to a diffuse large B cell lymphoma. Pulmonary involvement may mimic other more common lung pathologies including pneumonias. Therapeutic standards have not been established for LG, but rituximab, interferon-α2b (INF-α2b), and chemotherapy have shown to improve symptoms and long term prognosis.

We report a case of rapid respiratory deterioration in a 66-year-old man with clinical presentation, chest radiography, pulmonary function testing and high resolution computed tomography (HRCT) findings consistent with idiopathic interstitial pneumonia, but very poor response to antibiotics and low dose steroids. …

Identification And Characterization Of Novel Sir3/Mecp2-Chromatin Interactions, Nicholas L. Adkins

Theses, Dissertations and Capstones

The eukaryotic genome is packaged into chromosomes that are made up of a highly organized and heavily regulated structure called chromatin. The proteins involved in the compaction of DNA into this condensed state are mostly understood at the level of the structure of the nucleosome. The higher order arrangement of chromatin and how it effects gene regulation is only partially understood and characterized. The compaction of nucleosomal arrays into 30-nm and higher structures are partially the responsibility of architectural, or structural, chromatin associated proteins. The following dissertation analyzes the individual chromatin contributions of two well studied architectural proteins, the yeast …

Overweight Children And Adolescents: Impact On Psychological And Social Development, Kimberly K. Mcclanahan, Marlene B. Huff, Hatim A. Omar

Pediatrics Faculty Publications

The global epidemic of childhood and adolescent overweight has become a major public health concern. Not only are these youth more likely to become obese as adults, and thus more prone to obesity-related diseases than their non overweight peers, they are also likely to suffer emotional and social effects associated with overweight. Overweight in youth has been linked to depression, low self-esteem, eating disorders, negative body image, and stigma. It appears to be bi-directional in nature, with overweight sometimes predicting certain psychological effects and psychosocial issues sometimes predicting overweight. Effective assessment and treatment of psychological and mental health issues in …

Gsbs News, Spring 2009, Graduate School Of Biomedical Sciences, University Of Texas Health Science Center At Houston/M.D. Anderson Cancer Center

GSBS News

No abstract provided.

Pharmacists’ And Pharmacy Students’ Ability To Identify Drug-Related Problems Using Timer (Tool To Improve Medications In The Elderly Via Review), Sarah Snyder Lee, Ann K. Schwemm, Jeffrey Reist, Matthew Cantrell, Michael Andreski, William R. Doucette, Elizabeth A. Chrischilles, Karen B. Farris

United States Public Health Resources

Objective. Determine the effectiveness of TIMER (Tool to Improve Medications in the Elderly via Review) in helping pharmacists and pharmacy students identify drug-related problems during patient medication reviews.
Methods. In a randomized, controlled study design, geriatric patient cases were sent to 136 pharmacists and 108 third-year pharmacy students who were asked to identify drug related-problems (DRPs) with and without using TIMER.
Results. Pharmacists identified more tool-related DRPs using TIMER (p 5 0.027). Pharmacy students identified more tool-related DRPs using TIMER in the first case (p 5 0.02), but not in the second.
Conclusion. TIMER increased the number of DRPs identified …

Children’S Exposure To Violence: A Comprehensive National Survey, David Finkelhor, Heather Turner, Richard Ormrod, Sherry Hamby, Kristen Kracke

United States Public Health Resources

This Bulletin discusses the National Survey of Children’s Exposure to Violence (NatSCEV), the most comprehensive nationwide survey of the incidence and prevalence of children’s exposure to violence to date, sponsored by the Office of Juvenile Justice and Delinquency Prevention (OJJDP) and supported by the Centers for Disease Control and Prevention (CDC). Conducted between January and May 2008, it measured the past-year and lifetime exposure to violence for children age 17 and younger across several major categories: conventional crime, child maltreatment, victimization by peers and siblings, sexual victimization, witnessing and indirect victimization (including exposure to community violence and family violence), school …