Medicine and Health Sciences Commons^™

State Compliance On The Cdc Recommendations For Hepatitis C Testing, Amanda Norcott

Public Health Undergraduate Program

Last August, the CDC updated its recommendations regarding what populations are at risk and should get tested for the hepatitis C virus, adding that those born from 1945 through 1965, or “baby boomers”, should receive a one-time Hepatitis C test due to the disproportionate number of cases in the age group. My goal was to identify which states are in compliance with these recommendations, and how many include the latest update. I collected data by searching specific terms about Hepatitis C within each state’s department of health website; I found that 34% of states were fully in line with the …

Massacre In Central Burma: Muslim Students Terrorized And Killed In Meiktila, Richard Sollom, Holly G. Atkinson

Publications and Research

This report details the results of a Physicians for Human Rights (PHR) investigation into the March 20 and 21, 2013, attacks on Muslim students, teachers, and residents in the Mingalar Zayyone quarter of Meiktila, a small town in central Burma.

A two-person team, the authors of the report, from PHR conducted 33 interviews about the attacks, which resulted in the deaths of at least 20 children and four teachers. The report details the attacks by the Buddhist mobs, provides evidence that local police officers were complicit in the crimes, and lists policy recommendations for the Burmese government and the international …

Peer Influence And Body Dissatisfaction Amongst College Sorority Women, Paige Giles

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Body dissatisfaction is becoming a phenomenon in Western culture. Body dissatisfaction is designed for this study as being unhappy with one’s own body, leading to negative mental and physical conditions. In order to test levels of body dissatisfaction and a possible correlation between peer influence and body dissatisfaction, a sample of college sorority women at a southern university were given a survey dealing with peer influence utilizing appearance conversations with friends in one category, and body dissatisfaction in the other. The two scales utilized included The Appearance Conversations with Friends Scales as well as the Satisfaction and Dissatisfaction with Body …

Factors Affecting The Outcomes In Bilateral Total Knee Arthroplasty: A Case Report, Laura K. Parry

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

The purpose of this case study was to determine the effects of femoral nerve block use during total knee arthroplasty on the return of quadriceps activation and functional outcomes in a single patient. This case study focused on an individual case consisting of simultaneous bilateral knee replacement. The individual received a femoral nerve block in one knee and traditional anesthesia in the other. We considered the improvement in functional outcomes following surgery. It was expected that the femoral nerve block will delay the activation of the quadriceps muscle and the return of functional measures. However, the femoral nerve block will …

The Relationship Between Confidence And Performance Throughout A Competitive Season, Benjiman R. Skinner

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

The importance of understanding how confidence varies across time has been encouraged by sport confidence researchers (Vealey & Chase, 2008). The purpose of this study was to examine the relationship between confidence and performance throughout an entire competitive season. Two levels of confidence consistent to team sports were analyzed. Team and coach confidence were collected through the Collective Efficacy Questionnaire for Sport (CEQS) and Coaching Efficacy Scale (CES) respectively. Two teams, women’s soccer and volleyball (n=48) from a college in the western United States, completed their specific questionnaires five times throughout the season. The CEQS measured collective efficacy (team confidence) …

Oncolog, Volume 58, Number 05, May 2013, Jill Delsigne, Bryan Tutt

OncoLog MD Anderson's Report to Physicians (All issues) Archives

• Robotic Surgery Makes Tissue Harvest for Breast Reconstruction Less Invasive: A new minimally invasive robotic procedure enables surgeons to harvest latissimus dorsi muscle flaps for breast reconstruction with less scarring and discomfort than traditional techniques
• Diagnosis and Treatment of Invasive Fungal Infections in patients with Hematological Malingnancies: Invasive fungal infections are important causes of morbidity and death for patients with hematological malignancies. Although much progress has been made in the management of opportunistic fungal infections, their diagnosis and treatment remain a challenge
• INBRIEF: Beta-Blocker Use Associated With Higher Survival Rates in Lung Cancer Patients Receiving Radiation Therapy/ Selumetinib Shows Promise …

Structured Debriefing And Students' Clinical Judgment Abilities In Simulation, Bette Mariani, Mary Ann Cantrell, Colleen H. Meakim, Patricia Prieto, Kristina Dreifuerst

College of Nursing Faculty Research and Publications

Background

Debriefing is a critical component of clinical simulation, yet there are limited studies that demonstrate the outcomes of debriefing on learners' clinical judgment.

Method

Using the Lasater Clinical Judgment Rubric, this mixed-method study examined the effects of structured debriefing after 2 clinical simulation experiences on 86 junior-level baccalaureate nursing students' clinical judgment. Debriefing for Meaningful Learning© was the method used for the structured debriefing sessions.

Results

The mean clinical judgment scores of the intervention group were higher and improved more over time compared with the mean scores of those in the control group; however, the differences were not statistically …

Evaluating The Formation Of Bacterial Chondronecrosis With Osteomyelitis In Broilers Raised On Portable Wire Floor Models, Alex David Gilley

Graduate Theses and Dissertations

Rearing birds on wire flooring has proven to be an effective method for consistently triggering significant levels of lameness in broilers, and while the wire flooring model has been proven effective, more mobile wire floor models have been developed to compliment the facility management conditions within commercial genetic selection programs. The mobile wire floor models have been titled "speed bumps", and through previous evaluation have resulted in significantly higher levels of lameness in broilers compared to litter floor shavings. The current experiment contains two studies (studies 1 and 2). Both studies involved comparing leg weakness between broiler strains; while in …

Design And Fabrication Of Nanofluidic Systems With Integrated Sensing Electrodes For Rapid Biomolecule Characterization, Taylor Bradley Busch

Graduate Theses and Dissertations

A transparent nanofluidic system with embedded sensing electrodes was designed and fabricated by integrating Atomic Force Microscopy (AFM) nanolithography, Focused Ion Beam (FIB) milling and metal deposition, and standard microfabrication processing. The fabrication process started with the evaporation of chrome/gold (Cr/Au) onto a Pyrex 7740 wafer followed by photolithography and wet etching of the microchannels. The wafer was patterned a second time to form Au microelectrodes with 15-45 micrometer separation gaps in the nanochannel region. Sensing electrodes (up to one micron wide) were then deposited using FIB to bridge the gaps. The nanochannels were realized through both AFM nanolithography and …

Master Physician Scheduling Problem, Aldy Gunawan, Hoong Chuin Lau

Research Collection School Of Computing and Information Systems

We study a real-world problem arising from the operations of a hospital service provider, which we term the master physician scheduling problem. It is a planning problem of assigning physicians’ full range of day-to-day duties (including surgery, clinics, scopes, calls, administration) to the defined time slots/shifts over a time horizon, incorporating a large number of constraints and complex physician preferences. The goals are to satisfy as many physicians’ preferences and duty requirements as possible while ensuring optimum usage of available resources. We propose mathematical programming models that represent different variants of this problem. The models were tested on a real …

Ccaat-Binding Factor As A Transcriptional Regulator Of Cyc1 In Candida Albicans, Carmen S. Padilla-Marcia

Graduate Theses and Dissertations

Candida albicans is a normal commensal of the human flora; however, under appropriate circumstances this organism can become pathogenic to the host and cause life threatening conditions. In fact, Candida species are the fourth most common nosocomial infection in the Unites States with a mortality rate of over 30%

The CCAAT binding factor is a multi-protein transcription factor highly conserved in eukaryotes. It binds specifically to the consensus sequence 5'-CCAAT-3' in promoters and it is one of the most common cisacting elements in eukaryotes promoters. This transcription factor is composed of three DNA binding subunits; Hap2p, Hap3p and Hap5. In …

Restoring Effort-Related Functions In Models Of Depression Symptoms: Reversing Fatigue Symptoms Induced By Catecholamine Depleting Agent Tetrabenazine With The Adenosine A2a Antagonist Msx-3, Charlotte Freeland

Honors Scholar Theses

Motivational symptoms related to effort expenditure have been associated with major depression and other disorders that afflict millions of individuals worldwide. In an effort to identify potential therapeutic agents and characterize the underlying biochemical mechanisms related to these behaviors, recent research has utilized animal models to study and characterize such behavior. Previous work in the Salamone lab produced evidence that rats with impaired dopamine (DA) transmission show changes in response allocation in tasks that measure effort-related choice behavior, which are characterized by a decrease in selection of the high-effort choice but increased selection of the low-effort alternative. The present work …

Veterans Affairs Benefits For Sexually Assaulted Male Veterans, Reid C. Schweitzer

William & Mary Journal of Race, Gender, and Social Justice

No abstract provided.

Diffusion Of Polst Education In Maine: Successes, Challenges, And Opportunities, Mary Lou Ciolfi

Muskie School Capstones and Dissertations

POLST, Physicians Orders for Life Sustaining Treatment originted in Oregon in the 1990's and is a vehicle for recording patient health care choices near the end of life as actionable physician orders so choices are honored with greater clarity and frequency at the point of care. This capstone is about educating and encouraging clinicians and the public to engage in conversations surrounding POLST.

Evidence For Covalent Linkage Between Some Plasma Α2-Antiplasmin Molecules And Aα Chains Of Circulating Fibrinogen, Michael W. Mosesson, Trudy Holyst, Irene Hernandez, Kevin R. Siebenlist

Biomedical Sciences Faculty Research and Publications

Plasma alpha₂-antiplasmin (α₂AP) is a single-chain serine protease inhibitor acting mainly through the fibrinolytic system. Its physiological importance is underscored by the observation that homozygous α₂AP deficiency results in a severe hemorrhagic disorder due to rapid fibrin clot lysis (hyperfibrinolysis).

Comparison Of Chronic Persistent And Post-Operative Atrial Fibrillation On Long Term Survival In Patients Undergoing Cardiac Valve Surgery, Nasir Shariff, Ravi V. Desai Md, Sherrine Eid, Michael J. Weiss, Matthew W. Martinez, Sultan M. Siddique, Ronald S. Freudenberger Md

Department of Medicine

No abstract provided.

Pre-Operative Angiotensin Converting Enzyme Inhibitors And Angiotensin Receptor Blockers On The Occurrence Of Post Operative Atrial Fibrillation After Cardiac Valve Department Of Surgery, Nasir Shariff, Matthew W. Martinez Md, Ravi V. Desai Md, Michael J. Weiss, Vadim Levin Md, Larry E. Jacobs Md, Martin E. Matsumura Md, Ronald S. Freudenberger Md

Department of Medicine

No abstract provided.

Humanitarian And Civic Assistance Health Care Training And Cultural Awareness Promoting Health Care Pluralism, Rose E. Facchini

Faculty and Staff - Articles & Papers

Integration between traditional and contemporary health care in a host nation can be beneficial to nation- and capacity-building and, subsequently, to the overall health of the society. Traditional health care in this sense refers to the indigenous health care system in the host nation, which includes characteristic religious or cultural practices, whereas contemporary health care is also known as conventional or Westernized; integration is a synchronization of these two health care forms. However, the choice of integration depends on the political and cultural situation of the nation in which the Department of Defense health care personnel are intervening. Thus, cultural …

Effectiveness Of Community Health Workers (Chws) In Coordinating Diabetes Self Management Education (Dsme) For High-Need Appalachian Clients, Frances J. Feltner, Willie Bates

Center of Excellence in Rural Health Presentations

Objective

Examine effectiveness of CHWs in supporting a nurse-led DSME intervention among clients who are characterized by high rates of poverty and poor education.

Methods

Study Population/Research Design: New Kentucky Homeplace clients (3,217) ages 18-65+ from a 26-county study area who were processed prior to study starting date July 1, 2011. The 30.6% (983) of clients who had been told by a health professional they were diabetic, could speak English, and were willing to sign IRB consent were eligible to participate. Women who were diagnosed with diabetes during pregnancy were not eligible. Clients were able to enroll on a first-come …

Tailored Breastfeeding Intervention For Hispanic Mothers, Helen Mashie

The Eleanor Mann School of Nursing Undergraduate Honors Theses

A retrospective chart review was done using a sample of breastfeeding Hispanic mothers recruited from a large pediatric clinic in Northwest Arkansas in order to examine the impact of a tailored breastfeeding intervention and to identify factors associated with discontinuation of breastfeeding before four months of age. It was hypothesized that Hispanic women who participated in the study would increase their breastfeeding rates compared to Hispanic women who received no intervention. Breastfeeding rates at four months were assessed via self-report in the electronic medical record. Variables within the sample population that were measured include maternal age, maternal education, primary language …

Investigating The Relationship Between Goal- Oriented Strivings And Motives For Engaging In Physical Activity, Minakshi Raj

Renée Crown University Honors Thesis Projects - All

Chronic psychological stress has been shown to increase risk for conditions such as obesity and cardiovascular disease. Social Action Theory (SAT) says that an individual's patterns of goal-oriented strivings influence his or her ability to manage stress responses as well as his or her overall exposure to stress. According to SAT, self-regulatory skills, which involve the ability to plan and maintain behavior with the intent of achieving goals, and goal motives influence an individual’s exposure and vulnerability to certain stressors. Using SAT as a framework, the present study explores the negative consequences of implicit motives on health via the body’s …

The Stigma Of Mental Illness, Ambivalent Attitudes, And Motivation To Learn, Jennifer Moore

Renée Crown University Honors Thesis Projects - All

Prior research has demonstrated that much of the stigma of mental illness falls under the category of ambivalence. In other words, individuals hold both positive and negative impressions of mentally ill individuals and their attitudes tend to not be restricted to one side. On the positive end, they may feel sympathetic toward these individuals, as they understand they are not responsible for their illnesses. On the negative side, they may also believe these individuals are more unpredictable and dangerous than their mentally healthy counterparts. These ambivalent attitudes subsequently result in a feeling of uneasiness, as people feel more comfortable when …

Self-Reported Symptoms Of Central Auditory Processing Dysfunction Following Mild Traumatic Brain Injury, Devon Beebe

Renée Crown University Honors Thesis Projects - All

Mild traumatic brain injury (mTBI), also known as concussion, has emerged as a major public health concern in the United States and worldwide. Of the estimated 1.7 million head injuries that occur nationally each year, about 75% are mTBI. Despite the “mild” label, a significant percentage of these individuals continue to experience a wide array of life-altering physical, emotional, and cognitive post-concussion symptoms for months and years following injury. The central auditory nervous system is vulnerable to several injury mechanisms in TBI and, as a result, auditory problems can be among these long term problems.

Although evidence of auditory processing …

One Step Away: Life In Minor-League Golf, Kevin Michael Prise Ii

Renée Crown University Honors Thesis Projects - All

My project serves as an exploration of life in minor league golf, particularly the Web.com Tour, which is the Triple-A level of professional golf. In order to conduct research for my project, I hit the road for a few weeks of summer 2012 and traveled to Tour events in far-flung places such as Springfield, Missouri; Greenville, South Carolina; Evansville, Indiana and Wichita, Kansas. While at the events, I watched plenty of tournament golf and interviewed dozens of players on various topics, ranging from the differences between the PGA Tour and the minors to caddies. Along the way, I kept a …

Maternal Obesity Alters Fetal Development Due To Impaired Placental Function And Has Lasting Effects On Adult Offspring, Kristin Ann Norwood

Department of Animal Science: Dissertations, Theses, and Student Research

Obesity is an epidemic in many developed nations and maternal obesity can result in developmental alterations in offspring that have long-lasting effects. Two experiments were conducted to determine the impact of maternal obesity on placental development and early embryonic growth and muscle development. Experiment one utilized obese Lethal Yellow (LY) and normal weight C57BL/6 (B6) dams to assess how maternal obesity alters skeletal muscle development in mid-gestational embryos. Embryos from LY dams exhibited decreased embryo and placental weights as well as an increase in the myogenic marker desmin. Furthermore, the adipogenic marker PPARG expression was predominately localized to the neural …

Aerodynamic And Acoustic Features Of Vocal Effort, Allison Rosenthal

Speech-Language Pathology - Theses

Many voice disorders are associated with an effortful voice; however, there have been very few studies that have examined the physiological changes that contribute to this sense of effort. Determining the factors that contribute to change in vocal effort may help clinicians to effectively target these variables when working with people with voice disorders so that voice improvement is accompanied by decreased vocal effort after treatment. Prior research has shown that alterations in aerodynamic and acoustic variables are often associated with voice disorders involving increased muscular effort, and change in these variables is correlated with abnormal voice qualities. The current …

Family Physicians’ Perceptions On How They Deliver Cost-Effective Care: A Qualitative Study From The Residency Research Network Of Texas (Rrnet), Richard A. Young, Bryan Bayles, Terrell B. Benold, Jason H. Hill, Kaparabonya A. Kumar, Sandra Burge

Public Health (Archived)

BACKGROUND AND OBJECTIVES: The aim of our study was to deepen our understanding of the factors that may explain the observational literature that more primary care physicians in an area contribute to better population health outcomes and lower health care costs.

METHODS: This study used in-depth, qualitative interviewing of family physicians in both urban and rural, academic, and private practices. Interviews were initiated with a series of grand tour questions asking subjects to give examples and personal narratives demonstrating cost-effectiveness and cost inefficiencies in their own practices. An iterative open-coding approach was used to analyze transcripts to search for unifying …

Identification Of Enzymes Causing Redox Cycling, Causing Oxidative Stress And Damaging Mitochondria, Kiran Sebastian

Honors College Theses

Oxidative stress is thought to contribute to the death of dopamine neurons and the consequential progression of Parkinson’s disease. Redox cycling of quinones, including compounds formed by dopamine oxidation, can lead to oxidative stress and damaging of the mitochondria. Which enzymes catalyze the redox cycling of quinones is unknown, however. Inhibitors of the mitochondrial respiratory chain (cyanide, rotenone) do not inhibit redox cycling. Mitochondrial NAD(P)H:quinone oxidoreductases are likely candidates, but dicumarol, a common inhibitor of such enzymes is not effective. We observed that Cibacron Blue does indeed inhibit NADH-dependent redox cycling to an extent. Our data shows that the rate …

Expanding Our Roles: Embedded In Curriculum Design, Gisela Butera, Alexandra Gomes, Thomas Harrod, Seema Kakar, Julia B. Frank, Jennifer Owens

Himmelfarb Library Faculty Posters and Presentations

Objectives To describe how librarians became involved in helping to design curriculum for Problem- Based Learning (PBL) Course for first- and second-year medical students. Librarians became part of a team collaborating with medical faculty to revise the PBL curriculum, incorporating innovative teaching techniques and creating effective simulated patient case scenarios.

Methods In August 2010, the PBL Director contacted the Library to help revise 10 cases for second-year problem-based learning course. Two librarians joined the PBL multi-disciplinary curriculum team meeting bi-weekly to create and revise medical tutor and student guides, and case modules. The cases successfully evolved from paper handouts to …

The Validity And Reliability Of The Fort Hays State University Shuttle Walk Test, Lynae Wright

Master's Theses or Doctor of Nursing Practice

A variety of time limited, distance limited and incremental shuttle walk tests have been utilized to evaluate functional fitness. Most incremental shuttle walk tests require the same leg to always be on the inside of the walking pattern; therefore receiving more stress because the body’s mass shifts to the inside foot. Only one previous study used a figure-8 walking pattern, it was not used to measure functional fitness (Hess, 2010). The purpose of this study was to determine the validity and reliability of the Fort Hays State University (FHSU) shuttle walk test of functional walking fitness incorporating a figure-8 walking …