Medicine and Health Sciences Commons^™

Development Of Novel Non-Invasive Diagnostic Methods For Early Detection Of Prostate And Breast Cancer, Marisol Sanchez^, Olivia C. Jones, Wen-Yee Lee*

COURI Symposium Abstracts, Spring 2012

No abstract provided.

Insulin Degludec, The New Generation Basal Insulin Or Just Another Basal Insulin?, Sami N. Nasrallah, L. Raymond Reynolds

Internal Medicine Faculty Publications

The advances in recombinant DNA technology have led to an improvement in the properties of currently available long-acting insulin analogs. Insulin degludec, a new generation ultra-long-acting basal insulin, currently in phase 3 clinical trials, has a promising future in clinical use. When compared to its rival basal insulin analogs, a longer duration of action and lower incidence of hypoglycemic events in both type 1 and type 2 diabetic patients has been demonstrated. Its unique mechanism of action is based on multihexamer formation after subcutaneous injection. This reportedly allows for less pharmacodynamic variability and within-subject variability than currently available insulin analogs, …

Assessing The Effects Of Stress Resilience Training On Visual Discrimination Skills: Implications For Perceptual Resilience In U.S. Warfighters, Andrea Taylor

Theses and Dissertations

Current military operational environments are highly improvised and constantly evolving, threatening the lives of U.S. warfighters. For instance, since 2001, 60% of all hostile casualties and 65% of hostile injuries in the Middle East theater have been attributed to improvised explosive devices (IEDs). IEDs are powerful physical weapons, and the stressful atmosphere they, and other operational challenges create, can also result in a range of psychological dysfunctions, including anxiety, depression, alcohol abuse, and Post-Traumatic Stress Disorder (PTSD). Not only are these issues concerning for mental health reasons, they are also problematic in terms of combat performance. Extreme arousal (i.e., stress) …

Living The Tasty Life: Cooking For People With Diabetes, Sarah Feye, Carrie Flowers, Amanda Johnson

Undergraduate Research Conference

To compile, format, distribute and organize high quality, affordable and easy-to-understand recipes to the greater East Texas Area in conjunction with East Texas Community Health Services, Inc. of Nacogdoches, TX.

To address the following Didactic Program in Dietetics student learning outcomes required by the Accreditation Council for Education in Nutrition and Dietetics: KR 2.1 a, b; KR 4.1 a, and KR 4.2 b.

Medicating America: Exploring Prescription Drug Abuse In A Rural East Texas Community, Christi Courade

Undergraduate Research Conference

No abstract provided.

Acupuncture: The New Ancient, Connie Jennings

Year of China Events

No abstract provided.

2012 April 10 - Medical Student Education Committee Minutes Called Meeting, Medical Student Education Committee, East Tennessee State University

Medical Student Education Committee Minutes

No abstract provided.

2012 - The Seventeenth Annual Symposium Of Student Scholars

Symposium of Student Scholars Program Books

The full program book from the Seventeenth Annual Symposium of Student Scholars, held on April 10, 2012. Includes abstracts from the presentations and posters.

The Nurse In The School Health Office: Exploring Health Care In A Public School, Pamela A. Rademacher

College of Education and Human Sciences: Dissertations, Theses, and Student Research

To provide a high-quality education for all its students, schools must address a variety of needs that are related to physical, social and/or emotional health. School nurses are positioned to do that in the schools that they serve. Exploring how the school nurse intervenes to help children and their families to maintain a high level of health may contribute to an understanding of health care and academic achievement in the educational community. The purpose of this qualitative study is to gain an understanding of what a nurse does on a regular basis to provide health care to all children in …

Systems And Devices For Isothermal Biochemical Reactions And / Or Analysis, Robert W. Doebler Ii, Christopher Cooney, Anna Hickerson, James D. Sterling, Ali Nadim

Business and Information Technology Faculty Research & Creative Works

An isothermal reaction and analysis system may include a receiver to receive sample holders, a thermal control sub system to control a temperature of the receiver, an excitation Subsystem, a detection Subsystem and an analysis Subsystem. Excitation Sources and/or detectors are positioned to enhance data collection. Sample holders may include filters, selectively blocking and passing wavelengths or bands of electromagnetic radiation.

Genetics Of Clusterin Isoform Expression And Alzheimer's Disease Risk, I-Fang Ling, Jiraganya Bhongsatiern, James F. Simpson, David W. Fardo, Steven Estus

Sanders-Brown Center on Aging Faculty Publications

The minor allele of rs11136000 within CLU is strongly associated with reduced Alzheimer's disease (AD) risk. The mechanism underlying this association is unclear. Here, we report that CLU1 and CLU2 are the two primary CLU isoforms in human brain; CLU1 and CLU2 share exons 2-9 but differ in exon 1 and proximal promoters. The expression of both CLU1 and CLU2 was increased in individuals with significant AD neuropathology. However, only CLU1 was associated with the rs11136000 genotype, with the minor "protective" rs11136000T allele being associated with increased CLU1 expression. Since CLU1 and CLU2 are predicted to encode intracellular and secreted …

Junior Pharmacy Faculty Members’ Perceptions Of Their Exposure To Postgraduate Training And Academic Careers During Pharmacy School, Nicholas E. Hagemeier, Matthew M. Murawski

ETSU Faculty Works

Objective. To determine the perceptions of junior pharmacy faculty members with US doctor of pharmacy (PharmD) degrees regarding their exposure to residency, fellowship, and graduate school training options in pharmacy school. Perceptions of exposure to career options and research were also sought.

Methods. A mixed-mode survey instrument was developed and sent to assistant professors at US colleges and schools of pharmacy.

Results. Usable responses were received from 735 pharmacy faculty members. Faculty members perceived decreased exposure to and awareness of fellowship and graduate education training as compared to residency training. Awareness of and exposure to academic careers and research-related fields …

Opioid Withdrawal Signs And Symptoms In The Pediatric Patient During Opioid Tapering, Deborah Fisher

Theses and Dissertations

Opioids are used routinely in the pediatric intensive care population for analgesia, sedation, blunting of physiologic responses to stress, and safety. In children, physical dependence may occur in as little as two to three days of continuous opioid therapy. Once the child no longer needs the opioid, the medications are reduced over time. A review of the literature revealed that the majority of the published studies used either a neonatal opioid assessment tool or no assessment tool. A subsequent international survey of pediatric providers found a wide range of opioid tapering practices and sporadic use of opioid withdrawal instruments to …

Comparing Risk Factors Of Hiv Among Hijra Sex Workers In Larkana And Other Cities Of Pakistan: An Analytical Cross Sectional Study, Arshad Altaf, Aysha Zahidie, Ajmal Agha

Community Health Sciences

Background

In 2005, Pakistan was first labeled as a country with concentrated epidemic of Human Immunodeficiency Virus (HIV). This was revealed through second generation surveillance conducted by HIV/AIDS Surveillance Project (HASP). While injection drug users (IDUs) were driving the epidemic, subsequent surveys showed that Hijra (transgender) sex workers (HSWs) were emerging as the second most vulnerable group with an average national prevalence of 6.4%. An exceptionally high prevalence (27.6%) was found in Larkana, which is a small town on the right bank of river Indus near the ruins of Mohenjo-Daro in the province of Sindh. This paper presents the risk …

Fieldwork Challenge 2012, Michael E. Roberts, Rebecca Simon

Health & Wellness Department Faculty Publications and Research

No abstract provided.

Louisville Medical School - Louisville, Kentucky - Notes (Sc 321), Manuscripts & Folklife Archives

Manuscript Collection Finding Aids

Finding aid only for Manuscripts Small Collection 321. Notebook kept by an unidentified student at the Louisville (Kentucky) Medical School. Includes notes of lectures given by professors Yandell, Miller, Gross, Palmer, Rogers, Flint and Smith.

Primary Prevention Of Preschool Children Through A Patient Centered Medical Home Approach, Joanna Dominick

Regis University Student Publications (comprehensive collection)

Background: Data from the Colorado Health Department Child Health Survey (2010) confirmed particular needs for increased enrollment in Medicaid and Child Health Plan Plus (CHP+) and improved coordination of health services. Families in Adams County continue to face challenges and barriers in the Medicaid/CHP+ enrollment and retention process. Improved outreach at the local level is needed to improve access to these vital resources for children in Adams County.

Purpose: To ascertain whether a referral and tracking system in Adams County preschools will identify children with healthcare needs, improve access to the healthcare system from the preschool, and improve preventive care …

Effects Of A Cued Break And Stretch Program On Computer Use Productivity And Hand Or Wrist Pain, Ruth R. Korecki

Regis University Student Publications (comprehensive collection)

Problem Computer usage is commonplace in today's workplace environment. Over time, employees who use computer keyboards greater than six hours per day, five days per week risk developing a repetitive motion injury of the hands or wrists (U.S. Department of Labor, 2009). Could a computer program that cues a break and stretch activity every two hours increase stretching at the workstation, create a workplace environment of positive productivity and ultimately decrease hand or wrist pain? The population understudy is computer users, using an intervention a break and stretch computer program, for one month, with outcomes measured through pre and post …

Patient Satisfaction: Communication With Nurses, Cathy C. Oni

Regis University Student Publications (comprehensive collection)

Abstract Patient satisfaction is a pivotal issue within the healthcare industry. Hospital Consumer Assessment of Healthcare Provider and System (HCAHPS) survey clearly states that patient response to surveys is the indicator for '“quality of care" (Wagner & Bear, 2008, p. 692). A patient may equate quality of care to the manner in which it was delivered; hence when unsatisfied with their care, the patient may translate this into negative feedback on HCAHPS surveys (Lo, Burman, Rodin, & Zimmermann, 2009).

The Development Of A Faculty/Peer Mentoring Program For First Semester Baccalaureate Nursing Students, Felicia G. Pendleton

Regis University Student Publications (comprehensive collection)

The employment of Bachelor of Science in Nursing (BSN)-prepared nurses at the bedside in clinical areas is necessary to realize improved care outcomes. The increased retention of BSN students will ultimately provide for an increased proportion and larger workforce of BSN-prepared nurses. The purpose of the Doctor of Nursing Practice (DNP) Capstone Project was to demonstrate nurse-sensitive outcomes in the educational setting. These outcomes have the potential to ultimately impact clinical practice and patient care outcomes. This DNP Capstone Report describes an evidence-based intervention aimed at increasing academic performance and retention of undergraduate baccalaureate nursing students '“at risk" for academic …

The Effects Of Instructor Immediacy And Online Course Design In Student Satisfaction And Successful Course Completion, Nancy Slizewski

Regis University Student Publications (comprehensive collection)

Background: The withdrawal and failure rates for online classes and student satisfaction of online courses are identified as problems. Aim and Objectives: The aim was to investigate the effects of course design and instructor feedback on student success and satisfaction in online courses. Method: The literature review supported further investigation of student satisfaction and course completion in online courses and the college approved the project. Student satisfaction with the course and instructor were evaluated utilizing the college's current survey tool. Student course completion was evaluated. Results of the project were compared to the 2010 online Medical Terminology course and all …

Evidence-Based Practice Gap In Knowledge, Margaret M. Orn

Regis University Student Publications (comprehensive collection)

Evidence-based practice (EBP) has been shown to affect quality, safety, and decrease costs to organizations. To improve patient outcomes, health care facilities are adopting standards that require nurses to provide care based on evidence. Until recently, diploma and associate nursing curriculums have failed to include education on the principles of EBP leaving these nurses unprepared to adapt to changes as evidence is implemented. The American Association of Colleges of Nursing (2008) designates EBP as a key component of professional education in the baccalaureate level of education. The purpose of this project was to investigate a change in Associate Degree Nurses' …

An Educational Intervention For Hospice And Palliative Care Nurses, Troy E. Fletcher

Regis University Student Publications (comprehensive collection)

The provision of high quality nursing care to the dying has become a significant concern in the United States (Kruse, Melhado, Convertine & Stecher, 2008). The goal of palliative care is to provide care that allows for optimal quality of life for patients and their families (Betcher, 20 10; Mcllfatrick, Mawhinney, & Gilmour, 2010). The recognition of valuable and underutilized zed end-of-life nursing skills may provide guidance for the development of interventions to improve nurses' roles in caring for dying patients and their family members (Reinke et al., 2010). The American Association of the Colleges of Nursing (AACN. 2002) has …

An Educational Intervention To Enhance Nursing Competency In The Prevention And Treatment Of Pressure Ulcers In The Rural Setting, Cassie M. Banks

Regis University Student Publications (comprehensive collection)

Abstract Pressure ulcers have been identified as a major source of morbidity, contributing to poor patient outcomes and increased healthcare cost (Bergquist-Beringer et aI., 2009). The significance to nursing practice lies in the fact that pressure ulcers are preventable with appropriate nursing care and interventions (Benbow). According to Banks, Gilmartin and Fink (2010), nurses caring for patients "in the rural setting have faced a unique challenge in maintaining competency" (p. EI), particularly when encountering uncommon complications. This study aimed to assess the effectiveness of a focused, multifaceted educational intervention on nursing knowledge related to prevention and treatment of pressure ulcers …

From Competency To Capability, Rickie Jo Bonner

Regis University Student Publications (comprehensive collection)

Abstract Nursing students may experience difficulty tmnsitioning from being competent in the campus lab environment to being capable in a clinical environment when the campus lab experience does not offer realistic challenges. Students have the knowledge of how to safely perform the skills but cannot demonstrate the skills, utilizing clinical reasoning, in the unstable and unpredictable hospital environment. Traditional campus lab instruction for medication administration includes small group practice that is task oriented in a stable and predictable environment. Progressive simulation challenges the student with utilization of multiple levels of simulation incorporating clinical reasoning .. The goal of this project …

Improving Access To Primary Healthcare And Cost Effective Care For Underserved Populations, Patricia T. Dey

Regis University Student Publications (comprehensive collection)

Abstract Background: Research findings continue to demonstrate populations who lack healthcare insurance have limited or restricted access to primary healthcare. Lack of health insurance has been shown to be the most significant contributing factor to poor quality of care for some of the core measures captured by the Agency for Healthcare Research and Quality. Health insurance coverage is highly correlated with an individual's ability to gain access to health care, from doctor visits to filling prescriptions. Purpose: The purpose of the this Capstone Project was to analyze the potential impact of independent Nurse Practitioner models of care on accessibility and …

Nursing Students' Experiences Using High-Fidelity Cardiovascular Simulation: A Descriptive Study, Teresa A. Paden

Regis University Student Publications (comprehensive collection)

In recent years high-fidelity simulation in nursing has become an increasingly popular education tool (Sanford, 2010). Many nursing programs throughout the United States and abroad have incorporated simulation into their nursing program curricula. In 2003, the National League of Nurses (NLN) endorsed the use of simulation in order to prepare students for critical thinking, self-reflection and the complex clinical environment (Jeffries, 2007). Simulation was defined as the creation of an event, situation or environment that closely mirrors what one would encounter in the '“real world" (Cioffi, 2001; Rauen, 2001). Simulations were designed to motivate students to actively participate in the …

Utilizing High Fidelity Simulation To Enhance Nursing Students' Level Of Self-Efficacy In Caring For Patients And Their Families In Their End Of Life Journey, Joann Gjellum Crownover

Regis University Student Publications (comprehensive collection)

Abstract Background: Thc nurse impacts the EOL journey for both the patient and family members more than any other healthcare provider. Many nurses believe that they are inadequately prepared and lack confidence in providing care to dying patients and family. Research has shown that there are major deficiencies in EOL education for nurses. Design: This Capstone Project assessed the pedagogical effectiveness of utilizing hybrid high fidelity simulation to enhance the self-efficacy of senior level baccalaureate nursing students in caring for dying patients and their families. This innovative educational strategy was evaluated using a descriptive study design to determine the students' …

Ada News - 04/09/2012, American Dental Association, Publishing Division

ADA News

Established in 1970 as the official newspaper of the American Dental Association, the ADA News serves practicing dentists and others allied to the dental profession in the U.S. and internationally. It is the No. 1 source of news and information about the many benefits and services the ADA delivers to members daily as well as timely information on scientific, social, political and economic developments affecting dentistry and health care.

Improving Empathy Of Physicians Through Guided Reflective Writing, Anita D. Misra-Hebert, J. Harry Isaacson, Martin Kohn, Alan L. Hull, Mohammadreza Hojat, Klara K. Papp, Leonard Calabrese

Department of Psychiatry and Human Behavior Faculty Papers

Objectives: This study was designed to explore how guided reflective writing could evoke empathy and reflection in a group of practicing physicians.

Methods: Total participants recruited included 40 staff physicians at Cleveland Clinic, a tertiary care academic medical center. Twenty physicians (intervention group) were assigned to participate in a 6-session faculty development program introducing narrative medicine and engaging in guided reflective writing. Ten physicians (comparison group 1) received the assigned course reading materials but did not participate in the course sessions. Ten physicians (comparison group 2) neither received the reading materials nor participated in the sessions. Qualitative analysis of the …