Medicine and Health Sciences Commons^™

Reasons For Low Pandemic H1n1 2009 Vaccine Acceptance Within A College Sample, Russell D. Ravert, Linda Y. Fu

Pediatrics Faculty Publications

This study examined health beliefs associated with novel influenza A (H1N1) immunization among US college undergraduates during the 2009-2010 pandemic. Undergraduates (ages 18–24 years) from a large Midwestern University were invited to complete an online survey during March, 2010, five months after H1N1 vaccines became available. Survey items measured H1N1 vaccine history and H1N1-related attitudes based on the health belief literature. Logistic regression was used to identify attitudes associated with having received an H1N1 vaccine, and thematic analysis of student comments was conducted to further understand influences on vaccine decisions. Among the 296 students who participated in the survey, 15.2% …

Web-Based Assessment Of Visual And Visuospatial Symptoms In Parkinson's Disease, Melissa M. Amick, Ivy N. Miller, Sandra Neargarder, Alice Cronin-Golomb

Psychology Faculty Publications

Visual and visuospatial dysfunction is prevalent in Parkinson’s disease (PD). To promote assessment of these often overlooked symptoms, we adapted the PD Vision Questionnaire for Internet administration. The questionnaire evaluates visual and visuospatial symptoms, impairments in activities of daily living (ADLs), and motor symptoms. PD participants of mild to moderate motor severity (n = 24) and healthy control participants (HC, n = 23) completed the questionnaire in paper and web-based formats. Reliability was assessed by comparing responses across formats. Construct validity was evaluated by reference to performance on measures of vision, visuospatial cognition, ADLs, and motor symptoms. The web-based …

Effects Of Intubation And Maintenance Sedation On Blood Pressure In Acute Stroke Patients Undergoing Mechanical Endovascular Thrombectomy, Frank Farkash

Graduate Research Projects

No abstract provided.

Dementia And The Role Of Occupational Therapy: American Occupational Therapy Association Fact Sheet, Regula H. Robnett

Occupational Therapy Faculty Publications

Dementia results from impaired cognition, due to damage to the brain. The majority of dementia cases (60% to 80%) are classified as Alzheimer’s disease (Alzheimer’s Association, n.d.). The signs of dementia generally include, but are not limited to, decreased short term memory, decreased problem solving skills, decreased perceptual skills, and personality changes. The onset of dementia is gradual, and the course of the disease spans several years or more. In Alzheimer’s disease, the person progresses through several stages that roughly coincide with reverse developmental levels, with those in the final stages being completely dependent on others. Occupational therapy practitioners, through …

Creating Collaborative Lifelong Solutions: Person, Family, Professionals, And Community, Laurie Raymond, Kathryn M. Loukas

Occupational Therapy Faculty Publications

Across the United States, two million families are struggling to create supports for their loved ones with an intellectual disability and mental illness (Easter Seals, 2008). This same trend is being seen in the State of Maine where there are an increasing number of youth diagnosed on the Autism spectrum with a co-morbid mental health disorder. Specifically, the Department of Health and Human Services reports that Maine Care recipients with Autism and related disorders in 2009, numbered 4156 (Richardson, 2011), with those entering adulthood in the fastest growing group. As we look to the future, there are over 2500 individuals …

Turf, Team, And Town: A Geriatric Interprofessional Education Program, Nancy Macrae

Occupational Therapy Faculty Publications

Describes the Interprofessional Geriatric Education Program (IGEP) at the University of New England (U.S.). This course involves collaboration among health care students and faculty, including dental, occupational therapy, physician assistant, and physical therapy programs, and is focused on treatment for and feedback from elderly patients, who serve as “teachers” for students in the program.

Access To Home Modification Resources For Healthy Aging In Place, Jennifer Golder, Amanda Kolodge, Timothy Muldoon

Older Adult

This qualitative study investigated how community-dwelling older adults learn about home modification resources to facilitate successful aging in place. Two focus groups were conducted to collect data on older adults’ experiences with aging in place resources. A total of 11 participants attended the focus groups. The focus group data were transcribed and analyzed using framework analysis. Twelve initial codes were developed. Upon further data analysis, the codes were broken down to three main themes: Resources, personal perceptions, and residence choices. The researchers concluded that participants had a basic understanding of home modification through their membership at the senior activities center. …

Mood Management Intervention For College Smokers With Elevated Depressive Symptoms: A Pilot Study, Holly E. Schleicher, Kari J. Harris, Duncan G. Campbell, Solomon W. Harrar

Public and Community Health Sciences Faculty Publications

Objective

This pilot study examined smoking reduction and cessation among college smokers with elevated depressive symptomatology participating in a group-based behavioral counseling, mood management, and motivational enhancement combined intervention (CBT).

Participants & Methods

Fifty-eight smokers (smoked ≥ 6 days in the past 30) were randomized to six sessions of CBT (n=29) or a nutrition-focused attention-matched control group (CG, n=29).

Results

Relative to CG participants, significantly more CBT participants reduced smoking intensity by 50% (χ2(1, N=58)=4.86, p=.028) at end of treatment. Although CBT participants maintained smoking reductions at 3- and 6-month follow-up, group differences were no longer significant. No group differences …

Infusing Oral Health Care Into Nursing Curriculum: Addressing Preventive Health In Aging And Disability, Joan Earle Hahn, Leah Fitzgerald, Young Kee Markham, Paul Glassman, Nancy Guenther

Nursing

Access to oral health care is essential for promoting and maintaining overall health and well-being, yet oral health disparities exist among vulnerable and underserved populations. While nurses make up the largest portion of the health care work force, educational preparation to address oral health needs of elders and persons with disabilities is limited across nursing curricula. This descriptive study reports on the interdisciplinary development, implementation, and testing of an oral health module that was included and infused into a graduate nursing curriculum in a three-phase plan. Phase 1 includes evaluation of a lecture presented to eight gerontological nurse practitioner (GNP) …

Salmon Aquaculture And Antimicrobial Resistance In The Marine Environment, Alejandro H. Buschmann, Alexandra Tomova, Alejandra Lopez, Miguel A. Maldonado, Luis A. Henriquez, Larisa Ivanova, Fred Moy, Henry P. Godfrey, Felipe C. Cabello

NYMC Faculty Publications

Antimicrobials used in salmon aquaculture pass into the marine environment. This could have negative impacts on marine environmental biodiversity, and on terrestrial animal and human health as a result of selection for bacteria containing antimicrobial resistance genes. We therefore measured the numbers of culturable bacteria and antimicrobial-resistant bacteria in marine sediments in the Calbuco Archipelago, Chile, over 12-month period at a salmon aquaculture site approximately 20 m from a salmon farm and at a control site 8 km distant without observable aquaculture activities. Three antimicrobials extensively used in Chilean salmon aquaculture (oxytetracycline, oxolinic acid, and florfenicol) were studied. Although none …

Quantification Of Collagen Organization Using Fractal Dimensions And Fourier Transforms, Kayt E. Frisch, Sarah E. Duenwald-Kuehl, Hirohito Kobayashi, Connie S. Chamberlain, Roderic S. Lakes, Ray Vanderby Jr.

Faculty Publications - Biomedical, Mechanical, and Civil Engineering

Collagen fibers and fibrils that comprise tendons and ligaments are disrupted or damaged during injury. Fibrillogenesis during healing produces a matrix that is initially quite disorganized, but remodels over time to resemble, but not replicate, the original roughly parallel microstructure. Quantification of these changes is traditionally a laborious and subjective task. In this work we applied two automated techniques, fast Fourier transformation (FFT) and fractal dimension analysis (FA) to quantify the organization of collagen fibers or fibrils. Using multi-photon images of collagen fibers obtained from rat ligament we showed that for healing ligaments, FA differentiates more clearly between the different …

College Of Pharmacy 2012, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Master Of Science In Nursing 2012-2013, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Master Of Public Health 2012, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Doctor Of Health Science On-Line 2012, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Graduate Certificate In Public Health Informatics 2012, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Do Photoperiodic Changes In Melatonin Secretion Detrimentally Affect The Female Reproductive Cycle?, Riki Szlafrok

The Science Journal of the Lander College of Arts and Sciences

Melatonin, better known as "the hormone of darkness," is secreted by the pineal gland during the night and helps us fall asleep. Because its internal regulation depends on light, melatonin is part of chronobiology, the study of biological mechanisms and their adaptations to lunar and solar related rhythms (Klein et al. 1991). Therefore, photoperiod changes greatly impact melatonin concentration, influencing changes in neuronal and hormonal mechanisms of the photo neuro-endocrine systems, namely reproduction. Research has shown that a disruption in the circadian rhythm of melatonin due to photoperiod changes detrimentally affects the rhythmic function of the female reproductive cycle. Research …

Su People, Yuhan Xu, Paula Meseroll, Kathleen Haley, Jay Cox, Jim Reilly, Carol L. Boll

Syracuse University Magazine

No abstract provided.

Orange Matters, Tom Raynor, Jay Cox, Eileen T. Jevis, Christine Yackel, Susan Parks

Syracuse University Magazine

No abstract provided.

Our Experience With Two Cardioplegic Solutions: Dextrose Versus Non-Dextrose In Adult Cardiac Surgery, R. Lessen, J. Dicapua, R. Pekmezaris, R. Walia, K. Bocchieri, L. Jahn, M. Akerman, M. L. Lesser, A. Hartman

Journal Articles

Intraoperative hyperglycemia has been observed to be associated with increased morbidity and mortality after cardiac surgery. Dextrose cardioplegia is used for its cardioprotective effects but may lead to intraoperative hyperglycemia and more postoperative complications. This was a retrospective observational study. Patient records (n = 2301) were accessed from a large database at a tertiary care facility. The two groups (dextrose vs. nondextrose) were then matched using preoperative variables of age, sex, body mass index, wound exposure time, preoperative HbA1c levels, renal failure, hypertension, and prior cerebrovascular disease. The following outcomes were recorded: 30-day mortality, sternal wound infection, stroke, and highest …

The Effect Of Select Programmatic Characteristics On First-Time Pass Rate Of The Board Of Certification Examination, Matthea S. Hungerford

Education Dissertations and Projects

This study was designed to examine the progression of Board of Certification (BOC) Domain content within athletic training courses and the introduction of Domain content within the curriculum of the Athletic Training Education Program (ATEP) on first-time pass rate of the BOC exam for 2010 graduates. The researcher also gauged the perceptions of athletic training education program directors and instructional faculty regarding importance of specific ATEP characteristics on preparing students for success on the BOC examination.

Invited study subjects included all Commission on Accreditation of Athletic Training Educated accredited ATEP directors and associated instructional faculty. Participants were e-mailed a study …

Tetanus Toxoid, Reduced Diphtheria Toxoid And Acellular Pertussis Vaccination And Influenza Vaccination Of Pregnant And Postpartum Women, Colleen M. Mccormick

Master of Public Health Program Student Publications

Introduction: Infants ≤2 months are at greatest risk for morbidity/mortality from pertussis. Tdap vaccines given in late pregnancy or postpartum can protect infants from pertussis. Pregnancy increases risks for maternal and perinatal complications. Influenza vaccine (FLUV) given in pregnancy can protect women and newborns.

Objectives: To determine Tdap and FLUV rates in pregnant and postpartum patients and identify factors associated with vaccination.

Methods: Miami Valley Hospital delivery records from 01/2009-12/2011 were retrospectively reviewed. Data reviewed included age, insurance, race/ethnicity, and county of residence. Descriptive statistics analyzed prevalence of immunization, timing, and demographics. Chi-square and odds ratios detected differences between characteristics. …

Neurodevelopmental Consequences Of Sub-Clinical Carbon Monoxide Exposure In Newborn Mice, Ying Cheng, Adia Thomas, Feras Mardini, Shannon L. Bianchi, Junxia X. Tang, Jun Peng, Huafeng Wei, Maryellen F. Eckenhoff, Roderic G. Eckenhoff, Richard J. Levy

Anesthesiology and Critical Care Medicine Faculty Publications

Carbon monoxide (CO) exposure at high concentrations results in overt neurotoxicity. Exposure to low CO concentrations occurs commonly yet is usually sub-clinical. Infants are uniquely vulnerable to a variety of toxins, however, the effects of postnatal sub-clinical CO exposure on the developing brain are unknown. Apoptosis occurs normally within the brain during development and is critical for synaptogenesis. Here we demonstrate that brief, postnatal sub-clinical CO exposure inhibits developmental neuroapoptosis resulting in impaired learning, memory, and social behavior. Three hour exposure to 5 ppm or 100 ppm CO impaired cytochrome c release, caspase-3 activation, and apoptosis in neocortex and hippocampus …

The Youth Comprehensive Risk Assessment (Ycra) As A Treatment Guidance Tool For Adolescents With Behavioral And Developmental Challenges, Kenneth M. Coll, Brenda J. Freeman, John Butgereit, Patti Thobro, Robin Haas

Counselor Education Faculty Publications and Presentations

This chapter describes the evolution of the Youth Comprehensive Risk Assessment (YCRA) by first describing the need, then the evolution of the assessment tool, and finally studies that provide validation.

Daytime Predictors Of Evening Alcohol Use: Treatment Implications For Moderate To Heavy Drinkers, Diana M. Doumas

Counselor Education Faculty Publications and Presentations

This study examined daytime mood, stress, and drinking-related consequences as predictors of evening alcohol use. Twenty-four moderate to heavy drinkers completed diaries twice daily for 28 days. Results of hierarchical linear modeling (HLM) analyses indicated daytime negative mood states predicted higher levels of evening alcohol use, whereas negative drinking-related consequences predicted lower levels of subsequent alcohol use. Clinical implications include emphasizing negative drinking-related consequences in enhancing client motivation to change. Results also support routine assessment of anxiety and depressed mood to help clinicians identify risk factors for drinking and provide intervention strategies targeting negative mood states to improve treatment outcomes.

Community Benefit Report For 2012, Children's Mercy Hospital

Community Benefits

Fiscal year report on the community benefits provided by Children's Mercy Kansas City to the communities in the Kansas City region.

Improved Left Ventricular Mass Quantification With Partial Voxel Interpolation – In-Vivo And Necropsy Validation Of A Novel Cardiac Mri Segmentation Algorithm, Noel C.F. Codella, Hae Yeoun Lee, David S. Fieno, Debbie W. Chen, Sandra M. Hurtado Rua, Minisha Kochar, John Paul Finn, Robert Judd, Parag Goyal, Jesse Schenendorf, Matthew D. Cham, Richard B. Devereux, Martin Prince, Yi Wang, Jonathan W. Weinsaft

Mathematics and Statistics Faculty Publications

Background—CMR typically quantifies LV mass (LVM) via manual planimetry (MP), but this approach is time consuming and does not account for partial voxel components - myocardium admixed with blood in a single voxel. Automated segmentation (AS) can account for partial voxels, but this has not been used for LVM quantification. This study used automated CMR segmentation to test the influence of partial voxels on quantification of LVM. Methods and Results—LVM was quantified by AS and MP in 126 consecutive patients and 10 laboratory animals undergoing CMR. AS yielded both partial voxel (AS_PV) and full voxel (AS_FV) …

Augmented Input: The Effect Of Visuographic Supports On The Auditory Comprehension Of People With Chronic Aphasia, Sarah E. Wallace, Aimee R. Dietz, Karen Hux, Kristy S.E. Weissling

Department of Special Education and Communication Disorders: Faculty Publications

Background: Augmented input (AI), or the use of visuographic images and linguistic supports, is a strategy for facilitating the auditory comprehension of people with chronic aphasia. To date, researchers have not systematically evaluated the effects of various types of AI strategies on auditory comprehension.

Aims: The purpose of the study was to perform an initial evaluation of the changes in auditory comprehension accuracy experienced by people with aphasia when they received one type of AI. Specifically, the authors examined the effect four types of non-personalized visuographic image conditions on the comprehension of people with aphasia when listening to narratives.

Methods …

Artificial Devices As A Viable Alternative To The Conventional Heart Transplant, Hadassah Radzik

The Science Journal of the Lander College of Arts and Sciences

The human heart is one of the most vital organs in the body. It distributes blood throughout the body, providing the body with oxygen and nutrition, and contributes to metabolism. When the heart fails, blood flow is impaired, thereby limiting the exchange of oxygen within the cardiopulmonary system as well as diminishing oxygenation and nutrition to the other major organs and periphery. The only current proven treatment for advanced heart failure is cardiac transplant. Given the heart’s importance and the scarcity of donated organs, modern medicine has experimented with the creation of an artificial heart. Because the heart is primarily …

Protocol Assessment Adherence For Depression Among Community-Dwelling And Inpatient Older Adults, Cassie Cabor

Nursing Student Work

Many older adults are under diagnosed and undertreated for depression by healthcare professionals (Brown, Bruce, McAvay, Raue, Lachs, & Nassisi, 2003). Depression is very prevalent in all older adults and, during times of war, veterans are at increased risk for development of some type of mental disorder (Allen & Annells, 2009). Cully, Khan, Peterson, and Zimmer (2008) indicate that almost one in 10 veterans are affected by depression. This study aimed to fill some of the gaps that exist in literature regarding depression screening and adherence to protocols for older adults. This retrospective study looked at impatient versus outpatient PHQ-2 …