Medicine and Health Sciences Commons^™

Demonstrating Nurse-Sensitive Outcomes: Do Barrier Perceptions Differ By Role?, Jean Beckel

Nursing Posters

This study provides some of the first evidence to demonstrate the existence of barriers and differences in barrier perception related to role.

Blood Transfusion In Elective Total Hip And Total Knee Arthroplasty Patients, Naomi Schneider, Gina Anderson-Malum

Nursing Posters

To standardize the use of blood transfusion in total hip arthroplasty (THA) and total knee arthroplasty (TKA) patients.

Improving The Preparedness Of Discharge Education For Patients On The Bone And Joint Center, Angela Moscho

Nursing Posters

To improve discharge education in order to increase the percent of overall discharge and patient satisfaction in relation to being discharged.

Sitter Observation, Lisa Kilgard, Elizabeth Schuler

Nursing Posters

To implement a practice change at St. Cloud Hospital which reduces one to one observation in medical and behavioral patients as compared to current routine practice of one to one sitter use as a common intervention used.

Methadone Use In Palliative Care Patients, Kim Ruprecht

Nursing Posters

Methadone is increasingly being used for palliative cancer patients for pain management. Physicians are "rotating" opioids to help reduce opioid side effects, and help increase pain response due to tolerance of another opioid. Methadone has been compared to other opioids in studies in which it has been rotated with another opioid. The studies compared the adverse effects, cost, and the rate of success to achieve adequate pain management.

Rehabilitation Fall Prevention Strategies, May Schomer, Kathy Toulouse

Nursing Posters

To improve communication and education among health care workers on fall prevention measures in order to decrease fall rates and increase patient satisfaction.

Northern Stars Of Education: Enhancing Nursing Practice Through Collaboration, Jenelle Brekken, Kristin Brandt, Tammy Filippi, Mary Leyk

Nursing Posters

To utilize collaboration to increase communication, innovation, and support.

Revising A Patient Medication Program To Improve Medication Adherence And Patient Outcomes, Rebecca Kastanek, Sandi Mulliner, Ann Summar

Nursing Posters

To improve education and understanding of medications in order to improve overall quality of care, to ensure our patients stay healthy and retain the gains they made during their rehabilitation stay, and to decrease readmission rates.

Nicu Ebp Project: Transitioning Caregivers To A Private Room Nicu, Kristin Gjerset

Nursing Posters

To identify challenges, address concerns, and educate staff in order to make the transition to the utilization of private rooms in the NICU a smooth one.

It's Just An Insulin Pump! The Top 10 Questions Asked By Staff Nurses, Sue Kruse, Chelsea Kilanowski

Nursing Posters

To educate staff nurses on the use of insulin pumps.

Nursing Bed Side Report: Changing Our Relationship With Our Patients, Naomi Schneider, Mary Leyk

Nursing Posters

To improve bed side shift reporting in order to standardize practices, to increase efficiency, to decrease RN late clock outs, and to increase patient satisfaction.

Expanding Ethical Work Environments: Impact On Nurse Satisfaction, Jennifer Brown

Faculty Bibliography

No abstract provided.

National Athletic Trainers' Association Position Statement: Evaluation Of Dietary Supplements For Performance Nutrition, Jackie L. Buell, Rob Franks, Jack Ransone, Michael E. Powers, Kathleen M. Laquale, Amanda Carlson-Phillips

Movement Arts, Health Promotion and Leisure Studies Faculty Publications

Objectives: To help athletic trainers promote a "food-first'" philosophy to support health and performance, understand federal and sport governing body rules and regulations regarding dietary supplements and banned substances, and become familiar with reliable resources for evaluating the safety, purity, and efficacy of dietary supplements.

Background: The dietary supplement industry is poorly regulated and takes in billions of dollars per year. Uneducated athletes need to gain a better understanding of the safety, eligibility, and efficacy concerns associated with choosing to take dietary supplements. The athletic trainer is a valuable athletic team member who can help in the educational …

Connecticut Guidelines For A Clinical Diagnosis Of Autism Spectrum Disorder, University Of Connecticut School Of Medicine And Dentistry

Articles - Patient Care

Overall, the number of children who are diagnosed with autism spectrum disorders (ASD) has increased. The Centers for Disease Control (CDC; CDC, 2012a) now estimates that 1 in 88 children have ASD (1 in 54 boys and 1 in 252 girls). This represents a 23% increase from data collected two years previously (CDC, 2009). This increased prevalence suggests that there is a growing need for screening and further referral, when indicated, for a diagnostic evaluation for children suspected of having ASD. To receive appropriate diagnostic services, a child must be able to obtain a comprehensive evaluation conducted by competent and …

Healthnet News V.28:No.4 Winter 2013, Judith S. Kronick, Alberta Richetelle

Articles - Patient Care

A newsletter for public librarians and others interested in consumer health information services.

Coordinated Activation Of The Rac-Gap Β2-Chimaerin By An Atypical Proline-Rich Domain And Diacylglcercol, Bruce J. Mayer

UCHC Articles - Research

Chimaerins, a family of GTPase activating proteins (GAPs) for the small G-protein Rac, have been implicated in development, neuritogenesis, and cancer. These Rac-GAPs are regulated by the lipid second messenger diacylglycerol (DAG) generated by tyrosine-kinases such as the epidermal growth factor receptor (EGFR). Here we identify an atypical Pro-rich motif in chimaerins that binds to the adaptor protein Nck1. Unlike most Nck1 partners, chimaerins bind to the third SH3 domain of Nck1. This association is mediated by electrostatic interactions of basic residues within the Pro-rich motif with acidic clusters in the SH3 domain. EGF promotes the binding of β2-chimaerin to …

Neurogenesis Continues In The Third Trimester Of Pregnancy And Is Suppressed By Premature Birth, Nada Zecevic

UCHC Articles - Research

Premature infants exhibit neurodevelopmental delay and reduced growth of the cerebral cortex. However, the underlying mechanisms have remained elusive. Therefore, we hypothesized that neurogenesis in the ventricular and subventricular zones of the cerebral cortex would continue in the third trimester of pregnancy, and that preterm birth would suppress neurogenesis. To test our hypotheses, we evaluated autopsy materials from human fetuses and preterm infants of 16–35 gestational weeks (gw). We noted that both cycling and non-cycling Sox2⁺ radial glial cells as well as Tbr2⁺ intermediate progenitors were abundant in human preterm infants until 28 gw. However, their densities consistently …

Retrospective Study Of Microorganisms Associated With Vascular Access Infections In Hemodialysis Patients, Andre A. Kaplan, Richard S. Feinn, Rajesh V. Lalla

UCHC Articles - Research

Objective

To assess microorganisms associated with vascular access-associated infections (VAIs) in hemodialysis patients, with respect to possible origin from the mouth.

Study Design

A retrospective and comparative analysis of the microbes associated with VAI in hemodialysis patients treated during a 10-year period was performed using the Human Oral Microbiome Database (HOMD).

Results

Of 218 patient records identified, 65 patients collectively experienced 115 VAI episodes. The most common microorganisms involved were Staphylococcus aureus (49.6% of infections), Staphylococcus epidermidis (10.4%), Serratia marcescens (10.4%), Pseudomonas aeruginosa (9.6%), and Enterococcus faecalis / fecum (8.7%). None of these was found in 1% or more of …

Copper Signaling In The Mammalian Nervous System: Synaptic Effects, Eric D. Gaier, Betty A. Eipper, Richard E. Mains

UCHC Articles - Research

Copper (Cu) is an essential metal present at high levels in the CNS. Its role as a co-factor in mitochondrial ATP production and in other essential cuproenzymes is well defined. Menkes and Wilson’s diseases are severe neurodegenerative conditions that demonstrate the importance of Cu transport into the secretory pathway. Brain levels of Cu, which is almost entirely protein bound, exceed extracellular levels by more than a hundred-fold. Cu stored in the secretory pathway is released in a Ca²⁺-dependent manner and can transiently reach concentrations over 100 µM at synapses. The ability of low µM levels of Cu to …

Variation In Mu-Opioid Receptor Gene (Oprm1) As A Moderator Of Naltrexone Treatment To Reduce Heavy Drinking In A High Functioning Cohort, Jonathan M. Covault

UCHC Articles - Research

Background

It is well known that naltrexone, an FDA-approved medication for treatment of alcohol dependence, is effective for only a subset of individuals. Recent studies have examined the utility of a functional A118G single nucleotide polymorphism (SNP) of the mu-opioid receptor gene (OPRM1) as a predictor of naltrexone treatment response. Although the findings to date have generally been consistent with a moderating effect of the SNP, further evaluation of this hypothesis is warranted.

Objective

To evaluate whether problem drinkers with one or two copies of the 118G allele respond better to naltrexone treatment. The treatment goal in this cohort of …

Millon Behavioral Medicine Diagnostic (Mbmd) Predicts Health-Related Quality Of Life (Hrqol) Over Time Among Men Treated For Localized Prostate Cancer, Dean G. Cruess

UCHC Articles - Research

Prostate cancer treatment presents multiple challenges that can negatively affect health-related quality of life (HrQoL), and which may be further compromised by maladaptive personality styles and psychological adjustment difficulties. This study examined the utility of a comprehensive psychosocial screening tool to identify psychosocial traits that prospectively predict HrQoL status among men treated for localized prostate cancer. The Millon Behavioral Medicine Diagnostic (MBMD) was administered to 66 men (mean age 68 years, 59% Caucasian) treated by either radical prostatectomy or radiotherapy along with standard measures of general and prostate cancer-specific quality of life assessed at a 12-month follow-up. Higher scores on …

Display Overload: An Artifact-Based Work Analysis Of Air Traffic Management, Alicia Borgman Fernandes, Chris Brinton

International Symposium on Aviation Psychology - 2013

Air traffic management personnel manage traffic flows into, out of, and through the area for which air traffic controllers in their facilities are responsible. We report on a cross-domain, artifact-based, work analysis of air traffic management that employed a hierarchical modeling methodology centered on the artifacts used in the operational setting and the information and decision-making support they provided. Many tools support traffic managers in planning for, managing, and monitoring traffic flows, but information and decision support functions are rarely integrated across tools. Thus, traffic managers spend much of their time acquiring and assimilating information from multiple displays and manually …

Teamwork And Performance Outcomes Of High-Fidelity Airline Operations Center Simulations, Glenn Littlepage, Paul Craig, Michael Hein, Richard Moffett Iii, Emily Sanders, Paul Carlson, Artyom Ivakh, Andrea Georgiou

International Symposium on Aviation Psychology - 2013

This study describes effects of a series of simulations of an airline flight operations center and related functions such as pilots and airport ramp control. It is continuation of a multi-year project designed to develop an effective training program for entry level aviation professionals and to develop insights into teamwork processes. Results indicate that the interdependent multi-specialization simulations enhanced teamwork and performance.

Sensor To Analyst: Improved Decision-Making In Aerial Isr Through Training And Decision Support Tools, Tiffany R. Poeppelman, Dan Caggiano, Cullen Jackson ., Scott Galster ., Capt Chad Tossell ., Bruce Bolley, Lawrence Scarff, David Lind, Kevin Durkee, Sterling Wiggins

International Symposium on Aviation Psychology - 2013

From sensors to analysts, modern day intelligence, surveillance and reconnaissance (ISR) requires concerted efforts from players in the aviation, aerospace, and intelligence domains to complete the Planning and Direction, Collection, Processing and Exploitation, Analysis and Produ and ction, Dissemination (PCPAD) cycle. While the pilots, analysts, and consumers of ISR products in the PCPAD cycle have very different tasks and duties, all of th must constantly adapt to new environments, new challenges, and new enemies. The uncertainty generated by the nature of these environments places considerable decision-making and workload demands on the various operators. Currently, government, industry, and the operational community …

Optimizing Data Processing And Management Decisions During Isr Through Innovative Training Regimens, Capt Chad C. Tossell, Cullen Jackson, Lisa M. Tripp ., Lt Robert A. Nelson

International Symposium on Aviation Psychology - 2013

Effective intelligence, surveillance, and reconnaissance (ISR) relies heavily on both technological and human analytical capabilities. Intelligence analysts must be able to detect, interpret, process, and perform other critical tasks to turn data into meaningful information for decision-makers. The ability to aggregate massive data sets into operationally relevant information is challenging due to issues such as information overload, team coordination, time constraints, tunnel vision, and limited or vague guidance. This report describes research and development efforts to enhance training for geospatial intelligence analysts. Initial results from cognitive task analyses with these analysts along with associated technology development are discussed.

Preliminary Examination Of Simulator-Based Training Effectiveness, Maxine Lubner, Sharon Devivo, Emerson Allen, Andrew Dattel ., Deb Henneberry

International Symposium on Aviation Psychology - 2013

A preliminary examination of the effectiveness of a simulator-based training program for pilots was conducted. Thirteen students of varying backgrounds, with limited flight experience enrolled in an intensive, simulator-based flight training program. Six students completed their FAA Private Pilot certificates in an average of five weeks, while five completed within four weeks. They completed instrument ratings within three or four weeks. These qualifications were completed with fewer flight hours than the US average. One student stopped training, but four remaining students have completed their FAA commercial, multi-engine and instructor qualifications in a timely and cost-effective manner. A combination of intensive …

Perceived Usefulness Of Planned Nextgen Capabilities By Air Traffic Control Tower Controllers, Jon Holbrook, Ray Oyung, Kari M. Gonter, Bonny Parke, Rebecca Collins, Bettina L. Beard

International Symposium on Aviation Psychology - 2013

The Next Generation Air Transportation System (NextGen) is an ambitious collaborative effort between government agencies and industry to increase the capabilities of the current air traffic system. Under NextGen, tools are being developed to support air traffic controllers in many aspects of their jobs. However, budgetary constraints, unanticipated technological hurdles and other challenges to implementation make it unlikely that every NextGen tool in development will find its way into future air traffic control facilities. Information is needed to prioritize NextGen tool development to ensure that the tools that will provide the most benefit can be implemented in the appropriate facilities. …

Sequential Required Time Of Arrival Intervals Utilizing Existing Technologies, Amy L. Alexander, Thomas L. Teller

International Symposium on Aviation Psychology - 2013

Four-dimensional trajectory-based operations (4D TBO) requiring aircraft to meet specified timing constraints at designated waypoints along their route are a key strategy for increasing airspace throughput and efficiency. The Required Time of Arrival (RTA) function of the aircraft Flight Management System (FMS) and the ground-based Traffic Management Advisor (TMA) were tested for supporting such operations. Two different methods for implementing appropriate time intervals between sequential RTA aircraft were explored in this paper: a fixed 90-second interval versus discrete intervals varied to match the prevailing conditions. Both methods yielded a good balance between separation assurance and flow efficiency. Three different types …

Situation Awareness And Situation Assessment: How Are They Related?, Norman R. Hertz, Michael T. Hertz

International Symposium on Aviation Psychology - 2013

The goals of human factors practitioners and industrial psychologists in situation awareness milieu are to assess individuals, teams, and organizations to measure current performance and predict future performance. The value in assessing situation awareness (SA) is that it impacts performance. Endsley (1995a) stated “SA provides the primary basis for subsequent decision making and performance in complex, dynamic systems.” The purpose of this paper is not to discuss or propose another means of describing or measuring SA but instead to propose the role of situation assessment (SAS) in identifying the nature of SA, product and/or process, regardless of the definition or …

Refinement Of Mental Models Of Interdependence And Communication, Emily Sanders, Glenn Littlepage, Michael Hein

International Symposium on Aviation Psychology - 2013

This study examined the relationship between mental models of interdependence and communication in a simulated aviation flight operations center. Social network analysis indicated that mental models of both interdependence and communication importance develop with team interaction and that, following team interaction, the two types of models were closely related.