Medicine and Health Sciences Commons^™

Necrotizing Sarcoid Granulomatosis With Hemoptysis: A Case Report And Literature Review, Haidong Huang, Chen Li, Chong Bai, Qiang Li, Weiqiang Zheng, Zhi Zhu, Paul Zarogoulidis, Konstantinos Zarogoulidis, Andreas Gschwendtner, Wolfgang Hohenforst-Schmidt, Michael Simoff

Internal Medicine Faculty Publications

We present a case of 39-year-old male with the symptoms of fever, cough, chest pain and bloody phlegm, whose chest CT showed multiple subpleural nodules and inflammatory infiltration. Video-Assisted Thoracic Surgery ( VATS ) for right subplural nodule was performed and confirmed the diagnosis of necrotizing sarcoid granulomatosis. Prednisolone was administered and the symptoms were under control untill the occurrence of intermittent hemoptysis after 10 months. Chest CT and bronchoscope revealed the right lower lobe nodule with intraluminal necrotic tissue in the right lower lobe posterior basal segment respectively. Fatal hemoptysis happened during endobronchial biopsy by flexible bronchoscope forcep. Based …

Self-Medication Practices Of Undergraduate College Students: Non-Medical Prescriptive Stimulant Use, Kim M. Vo

Honors Scholar Theses

Purpose: The purpose of this study was to determine self-medication practices of undergraduate students enrolled at the University of Connecticut in attempt to inform future educational efforts on drug misconceptions in order to encourage safe medication practices among incoming undergraduate students.

Background: Non-medical use of stimulants prescribed for attention-deficit/hyperactivity disorder (ADHD) treatment has gained attention due to non-medical prevalence rates in U.S. colleges. Current literature investigates circumstances, demographics and motives in sample populations that increase student misuse of these prescription medications.

Methods:

Design: Multi-method research strategy investigating the perceived focus group coded data to the actual self-reported Adhere Tx Know …

Limited English Proficient Patient's Use Of Family Members And Interpreters: A Pilot Study, Brittany T. Histing

Honors Scholar Theses

The purpose of this study is to explore and describe the experiences of “Spanish speaking, Spanish dominant and Limited English Proficient Latino patients” accessing health care in the United States (Parés-Avila, Sobralske, & Katz). This will be a descriptive study addressing caring for LEP patients accessing the healthcare setting using interpreters. The goal of the study is to describe LEP patient’s familiarity of interpreter services available via the CLAS standards, describe LEP patient’s experiences accessing healthcare in the United States, and describe LEP patient’s experiences in the United States health care system using or not using an interpreter.

Self-Medication Practices Of Adults With Sickle Cell Disease: Design And Methodology, Courtney Marie Beyers

Honors Scholar Theses

Aim of study

To survey the self-medication practices of adults with Sickle Cell Disease (SCD) using NIH-validated ActualMeds™ Medication Management System via Apple iPad®, in order to improve individual medication management (adherence).

Rationale and Significance

Adults with SCD are a significant population to study when considering self-medication behaviors. Because individuals with SCD are now outgrowing the speciality care of pediatricians, and often find themselves left to manage multiple medications and self-care interventions.

This research is important in understanding medication management, such as high-risk medication adherence behaviors, prescription drug interactions, and over-the-counter drug interactions with prescription drugs in the UCHC patient …

Test Anxiety And Nursing Students., Brad Moore

Undergraduate Honors Theses

Test anxiety has been a problem for many individuals not only in the workforce, but also in many schools and colleges (Driscoll, Evans, Ramsey & Wheeler 2009). According to Driscoll et al., when compared to high school students and the general public (17%), nursing students are shown to have over double (55-60%) the rate of moderately high to high test anxiety. Cognitive test anxiety can account for a 7 to 8% drop in test grades, which can drop test score’s an entire letter grade (Cassady & Johnson, 2001). The purpose of this research is to explore the level of test …

Changes In Student Attitudes Towards The Elderly Following A Hypertension Education And Screening Event, David William Martin

Undergraduate Honors Thesis Collection

Objective: To assess student comfort levels and perceptions toward geriatric care after participation in a hypertension screening and education event, and to assess knowledge retention in the elderly participants.

Methods: This multiphase, survey based study evaluated pharmacy and physician assistant students' comfort levels and perceptions of the elderly. The study also used questionnaires to assess knowledge retention in the elderly at immediate, one-month, and three-month intervals.

Results: Student comfort levels significantly increased and perceptions remained unchanged after participation in the education and screening event. Elderly participant knowledge retention remained at around a 90% correct response rate.

Conclusion: Increasing student interactions …

Nursing Students' Perceptions Of Uncivil Behavior In The Classroom Setting., Jessica Marie Stamey

Undergraduate Honors Theses

There is an increase in uncivil student behaviors in the classroom setting including inattention, lying, cheating, and plagiarism. The purpose of this quantitative descriptive study was to determine behaviors that undergraduate nursing students perceived as uncivil in the classroom. The research question was, “How do undergraduate nursing students perceive uncivil behavior in the classroom?” A convenience sample using cluster sample method of all five undergraduate baccalaureate nursing student cohorts from a College of Nursing in Appalachia were invited to complete the researcher’s edited version of the Incivility in Nursing Education (INE) survey. There were 526 undergraduate nursing students enrolled in …

A Literature Review Of The Health Effects Of A Plant Based Diet Versus An Animal Based Diet, James Cote

Senior Honors Theses

Health and nutrition can mean a myriad of things to many people in today’s culture. The majority of the time people are unaware of the proper nutrients their body needs and how to get them from food. This thesis will seek to expose the health benefits that are associated with consuming a raw plant-based die, offering a more profound and encompassing view on nutrition. Investigating further into today’s most common diseases such as diabetes, heart disease, obesity, cancer and autoimmune disorders, it will seek to discover and answer why we have so many health issues. This thesis will discuss the …

Electromyographical Analysis Of Barefoot Squat: A Clinical Perspective., Sarah E. Brown

Undergraduate Honors Theses

The purpose of this study was to compare muscle activation in eight superficial lower limb muscles during execution of barbell back squats while in barefoot and athletic shoe conditions. It was hypothesized that greater muscle activity would be seen when squats were performed in barefoot conditions. Six participants were included in the study (means: 21.33±1.53 years, 170.45±11.33cm height, 69.85±12.46kg mass, 3.4±1.40 years training). Each met specific inclusion criteria. Participants came in three separate days for data collection (Day 1 – 1 repetition maximum [1RM] was determined, Day 2 – maximum voluntary contraction tests were held, Day 3 – squat tests …

Balance And Gait Among A Community Dwelling Older Adult Population Using Nintendo Wii Bowling Game., Carly Hutchins

Undergraduate Honors Theses

Due to the increase in the aging population older adults are looking for ways to stay fit and active in their later years. Such activities need to be fun, easy to operate, and encourage socialization. The Nintendo Wii© Bowling provides these features for the aging population. Participants in this quantitative pilot study had the opportunity to play the Nintendo Wii© Bowling Game twice a week for six weeks to see if their balance and mobility would improve when compared with the pre and post scores from the Performance Oriented Mobility Assessment (POMA). The participant’s scores on the Performance Oriented Mobility …

Nursing Student's Perceptions Of Cultural Competency., Caitlin Malcolm

Undergraduate Honors Theses

As the United States population becomes more culturally diverse, it has become a priority for health care professionals to competently provide culturally sensitive care. Cultural competency is required in baccalaureate (BSN) programs, mandated by collegiate nursing accrediting agencies. Although BSN programs have integrated cultural competency education into their core curricula, little data has been collected evaluating outcomes and effectiveness. Using a 36 question survey, students in all levels of a selected BSN program were asked questions regarding cultural competency and attitudes towards cultural care. The ANOVA and a Tukey Kramer analyses were performed with an alpha coefficient of 0.05 and …

Dose Creep: Is It Real Or Imagined?, Cody Baker

Undergraduate Honors Theses

Two types of patient-centered care in the radiology profession are service and safety. Service relates to the technologist being a patient advocate by effectively communicating, building relationships and providing care. Two types of safety in the radiologic sciences profession relate to contrast media and radiation safety. The focus of this study was on radiation safety. The project was designed to evaluate exposure indicator values from radiographic procedures performed by junior and senior radiography students during the month of March 2013. The mean exposure indicator values for radiographic procedures were evaluated by all students and then by student rank (juniors and …

Analysis Of The Role Of D2 Receptors In Methylphenidate-Induced Conditioned Place Preference., Chase M. Duty

Undergraduate Honors Theses

ADHD is one of the most commonly diagnosed disorders during adolescence. Recently, significant increases in the diagnosis of ADHD have caused the prescription of the ADHD medication methylphenidate (MPH) to increase. MPH is a psychostimulant that blocks the dopamine transporter, which is responsible for dopamine reuptake at the synapse. The blockade of the dopamine transporter results in an increase in the availability of dopamine in the synaptic cleft. This increase of dopamine accounts for the addictive properties of a MPH due to strong effects on portions of the brain’s drug-reward pathway, including the striatum and nucleus accumbens. In this study, …

Next Generation Public Health Delivery: Optimizing Health And Economic Impact, Glen P. Mays

Health Management and Policy Presentations

Improving population health in the context of significant policy and economic change will require governmental public health agencies to rethink their roles within the U.S. health and social services systems, giving much greater attention to "catalytic" functions intended to mobilize, direct, and coordinate the actions of others. A growing body of evidence and experience suggests that such changes are likely to be feasible, effective, and efficient.

The Architects Of Healing, Bro. Ignatius Perkins, O.P.

Faculty Conference Presentations

Salute to Nurses – 2013 ~ National Nurses Week.  Co-Sponsored by the Tennessean and the Tennessee Nurses Association, May 10, 2013. Aquinas College, Nashville, Tennessee.

Anr And Its Activation By Plch Activity In Pseudomonas Aeruginosa Host Colonization And Virulence, Angelyca A. Jackson, Maegan J. Gross, Emily F. Daniels, Thomas H. Hampton, John H. Hammond, Isabelle Vallet-Gely, Simon L. Dove, Bruce A. Stanton, Deborah A. Hogan

Dartmouth Scholarship

Pseudomonas aeruginosa hemolytic phospholipase C (PlcH) degrades phosphatidylcholine (PC), an abundant lipid in cell membranes and lung surfactant. A ΔplcHR mutant, known to be defective in virulence in animal models, was less able to colonize epithelial cell monolayers and was defective in biofilm formation on plastic when grown in lung surfactant. Microarray analyses found that strains defective in PlcH production had lower levels of Anr-regulated transcripts than the wild type. PC degradation stimulated the Anr regulon in an Anr-dependent manner under conditions where Anr activity was submaximal because of the presence of oxygen. Two PC catabolites, choline and glycine …

Isolation And Partial Characterization Of Bioactive Fucoxanthin From Himanthalia Elongata Brown Seaweed: A Tlc-Based Approach, Gaurav Rajauria, Nissreen Abu-Ghannam

Articles

Seaweeds are important sources of carotenoids, and numerous studies have shown the beneficial effects of these pigments on human health. In the present study, Himanthalia elongata brown seaweed was extracted with a mixture of low polarity solvents, and the crude extract was separated using analytical thin-layer chromatography (TLC).The separated compounds were tested for their potential antioxidant capacity and antimicrobial activity against Listeria monocytogenes bacteria using TLC bioautography approach. For bio-autography, the coloured band on TLC chromatogram was visualized after spraying with DPPH and triphenyltetrazolium chloride reagents which screen antioxidant and antimicrobial compounds, respectively, and only one active compound was screened …

Lrp5 And Lrp6 Exert Overlapping Functions In Osteoblasts During Postnatal Bone Acquisition, Ryan C. Riddle, Cassandra R. Diegel, Julie M. Leslie, Kyle K. Van Koevering, Marie-Claude Faugere, Thomas L. Clemens, Bart O. Williams

Internal Medicine Faculty Publications

The canonical Wnt signaling pathway is critical for skeletal development and maintenance, but the precise roles of the individual Wnt co-receptors, Lrp5 and Lrp6, that enable Wnt signals to be transmitted in osteoblasts remain controversial. In these studies, we used Cre-loxP recombination, in which Cre-expression is driven by the human osteocalcin promoter, to determine the individual contributions of Lrp5 and Lrp6 in postnatal bone acquisition and osteoblast function. Mice selectively lacking either Lrp5 or Lrp6 in mature osteoblasts were born at the expected Mendelian frequency but demonstrated significant reductions in whole-body bone mineral density. Bone architecture measured by microCT revealed …

Impact Of Storm Events On Water Quality Of A Karst Stream And Implications For Public Health Protection At A Historic Landmark, Ellen R. Barringer

Mahurin Honors College Capstone Experience/Thesis Projects

A water quality study was conducted on Lost River near Bowling Green, Kentucky. The emphasis of the study was to assess the influence of storm events on water quality and E. coli (cfu/100ml) levels. Lost River is a karst stream and flows underground for much of its course through Warren County and Bowling Green, Kentucky. The Lost River watershed is approximately 55 square miles and receives surface runoff from rural and urban land uses. Within the watershed exists the Lost River Cave and Valley, which receives secondary contact use throughout the year. A water quality assessment of multiple parameters was …

Artistic Anatomy: Utilizing Dancer's Individual Physicality Within The Choreographic Process, Erin E. Finn

Mahurin Honors College Capstone Experience/Thesis Projects

As curious people, we find ourselves asking “how?” My research investigates the “how” of dance by exploring the individual and natural abilities of a dancer’s anatomy and utilizing them through movement. Challenging the individual limits of the human body is a vital aspect of what makes a dancer a thinking artist. For example, recognizing the uniqueness of the hip socket as it relates to a dancer’s turn out and flexibility can help in understanding its effect on movement from one dancer to the next. This provides insight into the challenges each dancer can face when working with a specific area …

The Lived Experience Of African American Nurses Who Attended Predominantly White University Baccalaureate Programs: Characteristics Of Success And Resilience, Carmen A. Stokes

Master's Theses and Doctoral Dissertations

This qualitative dissertation explores the lived experiences of successful African-American nurses who attended baccalaureate programs at predominantly White universities (PWUs). Only 5.4% of the national registered nurse workforce is identified as African American; yet African-American citizens account for approximately 12.9% of the United States' population, and 24% of all enrollments in nursing programs nationwide is composed of African-American students. Past nursing education research has almost exclusively focused on the deficits of African-American students. This dissertation study focuses on a gap in the literature because it addresses the strengths and attributes of those African-American students who succeed, thereby contributing to an …

Research Brief: "Transitions In Dual Care For Veterans: Non-Federal Physician Perspectives", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about non-federal physicians' perspectives on the organization and delivery of dual care for veterans. In policy and practice, patients should tell non-VHA physicians when VHA physicians change the patients' medications, and veterans should keep track of their health records, appointments, tests, treatments, and medications to support communication between dual care physicians; non-VHA and VHA physicians should improve communication between each other and adopt Electronic Medical Records. Suggestions for future research include improving survey response rates, using electronic surveys, carefully constructing the survey questions, and looking at the availability and compatibility of Electronic Medical Records between VHA and …

Maresin-1 Reduces The Pro-Inflammatory Response Of Bronchial Epithelial Cells To Organic Dust., Tara M. Nordgren, Art J. Heires, Todd A. Wyatt, Jill A. Poole, Tricia D. Levan, D. Roselyn Cerutis, Debra J. Romberger

Journal Articles: Pulmonary & Critical Care Med

BACKGROUND: Exposure to organic dust causes detrimental airway inflammation. Current preventative and therapeutic measures do not adequately treat resulting disease, necessitating novel therapeutic interventions. Recently identified mediators derived from polyunsaturated fatty acids exhibit anti-inflammatory and pro-resolving actions. We tested the potential of one of these mediators, maresin-1 (MaR1), in reducing organic dust-associated airway inflammation.

METHODS: As bronchial epithelial cells (BECs) are pivotal in initiating organic dust-induced inflammation, we investigated the in vitro effects of MaR1 on a human BEC cell line (BEAS-2B). Cells were pretreated for 1 hour with 0-200 nM MaR1, followed by 1-24 hour treatment with 5% hog …

The Santa Clara, 2013-05-09, Santa Clara University

The Santa Clara

No abstract provided.

Biomedical Photoacoustic Imaging Using Gas-Coupled Laser Acoustic Detection, Jami Johnson

Student Research Initiative

Several detection methods have been explored for photoacoustic and ultrasound imaging of biological tissues. Piezoelectric transducers are commonly used, which require contact with the sample to be imaged and have limiting bandwidth characteristics. Interferometry detection exhibits improved bandwidth characteristics and resolution, yet generally require complicated optics and the incorporation of a contacting reflective medium. In this paper, we report the use of a noncontact photoacoustic imaging system that does not require the use of a reflective layer. A simple, robust technique known as gas-coupled laser acoustic detection is used, which has previously been applied to evaluation of composite materials. This …

Rhinoscleroma Presenting As A Nasal-Palatal Mass With Airway Obstruction, Mark C. Domanski, Alexander Rivero, David E. Kardon

Surgery Faculty Publications

We report a case of a 45-year-old male with severe rhinoscleroma. The patient presented to the emergency room with dyspnea from a long-standing nasal-palatal mass. A tracheostomy was required for airway control. While dyspnea in the presence of an upper airway mass is typical of malignancy, consideration of non-oncological etiologies is important. We review the epidemiology, pathology, diagnosis, and treatment of rhinoscleroma.

Relationship Between Program And Faculty Characteristics And Success On The Board Of Certification Examination, Nicole Chris

Sycamore Center for Wellness and Applied Medicine

Context: When comparing success for health care professionals on certifying exams, Athletic Trainers perform lower. Other professions have identified predictors of success on their respective exams; however, Athletic Training (AT) has yet to do so. Objective: To determine the relationship between characteristics of Athletic Training Education Programs (ATEP), Program faculty and success on the Board of Certification Examination (BOC). Design and Setting: Survey. Patients or Other Participants: We solicited responses from the program directors (PD) of all 363 entry-level ATEPs and 38-52 PDs responded to various questions. We analyzed all completed responses for each item. Data Collection: We developed an …

Kinematic Analysis Of Hip And Knee Joints Between Barefoot And Shod Treadmill Running, Stephanie E. Lloyd

Honors Program Theses and Projects

Running shoes have recently been designed to mimic barefoot walking or running, and they are marketed with promises that runners will benefit from the effects of barefoot running. Studying gait analysis with particular running shoes is extremely important because the ankle and foot serve as the foundation of structural balance, support, and propulsion. In this study, the knee and hip joint motions will be addressed while wearing Vibram FiveFinger and Nike Free Run shoes, which are designed to imitate barefoot running while providing protection from the elements. The purpose of this current study was to investigate the movement kinematics in …

Differences And Similarities In Rural Residents’ Health And Cardiac Risk Factors, Florence M. Weierbach, Bernice Yates, Melody Hertzog, Bunny Pozehl

ETSU Faculty Works

Purpose: The current U.S. population exceeds three hundred million with approximately 20% living in non-urban rural areas. A higher percentage of rural residents have diagnosed heart disease and report poorer health compared to non-rural residents; however, it is not known whether risk factor modification for heart disease and health status differ based on degree of rurality. The purposes of this study were: 1) to compare differences in health status and cardiac risk factors between cardiac patients living in large and small/isolated rural areas, and 2) to compare the health status of rural cardiac patients with a national sample. Method: A …

Finding Solutions To Institutional Corruption: Lessons From Cognitive Dissonance Theory, Lisa Cosgrove, Robert Whitaker

Counseling, School Psychology & Sport Faculty Publication Series

The American Psychiatric Association and academic psychiatry in the United States have two conflicts of interest that may affect their assessment of psychiatric drugs and their development of diagnostic and clinical care guidelines: payments from pharmaceutical companies and guild interests. Until recently, the proposed solution to industry-academic relationships has been transparency. However, cognitive dissonance research reveals that disclosure is not a solution because cognitive biases are commonplace and difficult to eradicate. Indeed, bias is most often manifest in subtle ways unbeknownst to the researcher or clinician, and thus is usually implicit and unintentional. Also, recent studies suggest that disclosure of …