Medicine and Health Sciences Commons^™

Reproducibility Of Bracket Positioning In The Indirect Bonding Technique, Dale A. Nichols, Gary Gardner, Alain D. Carballeyra, Curtis M. Marsh

United States Air Force: Publications

Introduction: Current studies have compared indirect bonding with direct placement of orthodontic brackets; many of these have shown that indirect bonding is generally a more accurate technique. However, the reproducibility of an indirect bonding setup by an orthodontist has yet to be described in the literature. Using cone-beam computed tomography and computer-assisted modeling software, we evaluated the consistency of orthodontists in placing orthodontic brackets at different times.

Methods: Five orthodontists with experience in indirect bonding were selected to place brackets on 10 different casts at 3 time periods (n 5 30 per orthodontist). Each participant completed an initial indirect bonding …

Evidence Based Practice: Patient Discharge Education Barriers To Patient Education, Catherine Lyerly Lingle

Nursing Theses and Capstone Projects

Evidence-based guidelines for discharge instructions, when successfully administered, reduce readmission rates in patients, leading to improved quality of life and economic savings. Unfortunately, effective delivery is complex and time consuming, placing a high demand on already overworked bedside nurses. Failure to provide complete discharge instructions can result in non adherence to patient treatment regimens and lack of essential follow-up, the most commonly identified reasons for readmissions. To improve quality of care, hospitals need to adopt a new model that incorporates delivery of intensive, one on one education to patients during the hospital stay with continuing support, guidance, and education throughout …

The Effect Of A Simulation Experience On Student Perception Of Self Confidence, Ginny N. Little

Nursing Theses and Capstone Projects

The aim is to determine if participation in a high-fidelity simulation increases student levels of self-confidence. Thirty-eight first year associate degree nursing students enrolled in a medical-surgical course in a southeastern community college participated in a diabetes simulation as part of their course. Students then voluntarily completed a survey indicating self-confidence following the simulation. Descriptive statistics were used to determine the overall mean of student responses to each question on the National League for Nursing (NLN) Student Satisfaction and Self Confidence in Learning Tool. Students rated the teaching helpful and effective with a mean score of 4.47 (sd = .951). …

Pregnancy Resolution Counseling With Adolescents, Michelle Taylor Skipper

Nursing Theses and Capstone Projects

The results of a positive pregnancy test for an adolescent female mandate a time-sensitive decision to be chosen on the outcome of that pregnancy--whether to continue to pregnancy or terminate. Ambivalence regarding the pregnancy in adolescence is typically high as the rate of unplanned pregnancies has been reported as high as eighty-six percent. In this project, Allanson's Abortion Decision Balance Sheet (ADBS) was modified to an age-appropriate literacy level and completed by nine adolescents in a public health department setting in the project "Pregnancy Resolution Counseling with Adolescents" (PRCA). Providing objective questions related to emotions regarding the pregnancy was proposed …

Registered Nurses Experience With And Perceived Effects Of Horizontal Violence, Reba B. Williams

Nursing Theses and Capstone Projects

The prevalence of horizontal violence in nursing has been well documented in the past 20 years. Recently the focus of the literature has been on developing strategies to prevent horizontal violence from occurring. The purpose of this exploratory descriptive study was to ascertain how Registered Nurses at one rural North Carolina hospital experienced and perceived horizontal violence. A "zero" tolerance policy was in place at the time of the study. The Nursing 2011 horizontal violence survey was used to examine a convenience sample of 40 nurses in this facility. The subjects were employed in seven different units throughout the hospital. …

The Effects Of A Care Delivery Model Change On Nursing Staff And Patient Satisfaction, Kathleen Gier

Nursing Theses and Capstone Projects

Hospitals across the nation are faced with the challenge of providing high-quality, cost-effective patient care. The purpose of the research study, The Effects of a Care Delivery Model Change on Nursing Staff and Patient Satisfaction, was to examine the impact of implementing a team-approach care delivery model on defined outcomes of staff satisfaction and patient satisfaction. A quasi-experimental design study was utilized to examine the effects of implementing a team-approach care delivery model on a 33-bed Medical-Surgical unit. Prior to and after implementation of the new care delivery model, data were collected regarding patient and staff satisfaction. All nursing and …

Development Of A Lateral Workplace Incivility Nurse Liaison Position In The Psychiatric Healthcare Setting, Christopher L. Brown

Nursing Theses and Capstone Projects

Workplace incivility is becoming commonplace in all work environments including health care. Research highlights the dangerous, distressing, and costly side effects of lateral workplace incivility (LWPI) including nursing staff's overall health, organizational commitment, and intent to stay. Historically, organizations have been considered safe work environments but LWPI has increased over the last several decades. There has also been limited research related to LWPI as it affects psychiatric healthcare staff and no study recommending a needs assessment or developing a position to educate and assist victims. The purpose of this project was to assess psychiatric healthcare staff's understanding and exposure to …

Floating Nurses To Specialty Areas, Deborah S. Hickman

Nursing Theses and Capstone Projects

As the largest group of health care providers, nurses play a vital role in the safety and satisfaction of patients. Despite this vital role, the nursing shortage continues to grow. As a result of this shortage and to fix staffing insufficiencies, nurses are frequently assigned to work in an area that they are not familiar with. This reassignment of a nurse to a different unit from their normally assigned unit is referred to as "floating." Nurses that are reassigned to a different unit from their normally assigned unit are referred to as "float nurses." Some healthcare professionals believe the use …

Medication Safety: Improving Faculty Knowledge And Confidence, Sharon S. Cherry

Nursing Theses and Capstone Projects

The purpose of this capstone project was to increase knowledge and confidence among nursing faculty assisting pre-licensure nursing students with the medication administration process. The project administrator designed a one day Safe Medication Practices seminar that included a Medication Administration Toolkit to increase knowledge and confidence in faculty members about safety and efficiency in giving medications with multiple students on any clinical day. This toolkit included high-fidelity simulation medication scenario case examples as a teaching pedagogy, as well as other teaching strategies to utilize in the clinical environment. Bandura's Social Learning theory provided the framework for this capstone project. The …

Compassion Fatigue Among Emergency Department Nurses, Tracy Ann Petleski

Nursing Theses and Capstone Projects

Aim: The purpose of this capstone project was to determine the prevalence of compassion fatigue among emergency department nurses. Background: Healthcare workers especially nurses working in high acuity areas are at high risk for developing compassion fatigue, burnout, and secondary stress. A concern is nurses working in the emergency department are at risk for developing compassion fatigue and should be aware of the concept, self-care activities, and available resources to improve compassion satisfaction scores and to reduce the effects of compassion fatigue burnout, and secondary stress on nurses' working in stressful environments. Method: The project was carried out at a …

Registered Nurses Perceptions Of Patient Advocacy Behaviors In The Clinical Setting, Irma Laney

Nursing Theses and Capstone Projects

Healthcare is becoming more complex and advanced; there is an increase in patient's awareness and safety, higher educational levels of the public, internet access, improved medical technology, development of the Patient's Bill of Rights, and distrust of experts. Patients are often left vulnerable and helpless in the healthcare setting due to limited knowledge about medicine, healthcare, illnesses, and their rights. The purpose of this thesis was to provide an understanding of the RN's perceptions of patient advocacy behaviors in the clinical settings. King's Interacting Systems Framework and middle range Theory of Goal Attainment provided the framework used to identify the …

Nurses' Perceptions Of Shared Medical Appointments, Kristin Monza

Nursing Theses and Capstone Projects

With the increased economic burdens placed on Americans in recent years, the topic of healthcare has been in the forefront. As healthcare reform embraces the country, healthcare organizations are forced to re-examine their business structure more accurately to reflect the changing culture and patient population. The Shared Medical Appointment (SMA) is a model in the chronic disease setting, and many of the benefits and proficiencies have been studied but no studies have assessed nurse experiences or perceptions of SMAs. The purpose of this study was to determine the Registered Nurses's experience with and perception of SMAs. A descriptive exploratory design …

The Late Preterm Infant: How Much Transition Time Is Needed To Prevent Hypothermia?, Sandi Lane

Nursing Theses and Capstone Projects

Late preterm infants are those infants born between 34 weeks and 36 and 6/7 weeks gestation. They are generally the same weight and appearance of full term infants and are treated in level 1 or well baby nurseries the same as full term infants. Late preterm infants are not as physiologically mature as full term infants and have problems that may go overlooked. Late preterm infants experience complications such as hypothermia, hypoglycemia, respiratory difficulties, and feeding problems that lead to hyperbilirubinemia. These complications can lead to longer hospital stays or readmissions and higher healthcare costs. It is the purpose of …

The Effect Of Emotional Freedom Technique On Stress And Anxiety In Nursing Students, Susan L. Patterson

Nursing Theses and Capstone Projects

Stress and anxiety have been identified as significant issues experienced by student nurses during their education. In fact, some studies have suggested that the stress experienced by nursing students is greater than that experienced by medical students, other non-nursing healthcare students, degreed nurses, and the female population in general. A recently introduced energy type therapy, Emotional Freedom Technique (EFT), combines the tapping of meridian points with a focus on the feared object or negative emotion to provide desensitization to the fear. In addition, there is repetition of a statement of self-acceptance suggested to contribute to cognitive restructuring. The purpose of …

The Effect Of Diabetes Education On Self-Efficacy And Readmission Rates Of Diabetic Patients, Angela M. Rasheed

Nursing Theses and Capstone Projects

The purpose of this study was to determine the effect of a diabetes education program on self-efficacy and readmission rates of diabetic patients. All participants were recruited based on their current enrollment with one of the largest primary care physician's practices in the Southeastern United States. Qualifying criteria included the diagnosis of being either diabetic type I or II and commitment to attend a five-week diabetes educational workshop. Participants were given the Diabetes Self-Efficacy Survey at the initial start of the diabetes educational program and also at the end of the five-week workshop to evaluate the effectiveness of the diabetes …

Awareness Of Academic Incivility: Comparison Utilizing Second Year Associate Degree Nursing Students, Myra T. Thompson

Nursing Theses and Capstone Projects

Academic incivility is a growing concern on college campuses ranging from rude behaviors, offensive language, and cheating, to hostile violent behaviors. A quantitative descriptive design was used to compare the awareness of perceptions regarding academic incivility among fourth semester nursing students currently enrolled in a private, Christian, Baptist-related university, and a rural public community college. As evidenced in the literature, uncivil behaviors in the classroom negatively impact the teaching-learning environment. Research is limited regarding academic incivility in the private institution. An identifiable gap in research is found when comparing awareness of academic incivility among students who attend a private institution …

A Structured Orientation Development System For Nursing Faculty, Dana R. Mangum

Nursing Theses and Capstone Projects

A national nursing shortage is nearing its crest. The Baby Boomer generation is beginning to retire in record numbers. Healthcare technology is continually evolving and the topography of nursing education is changing. In order to acquire, develop, and retain excellent nursing faculty to meet the ever changing demands, nursing faculty need to be streamlined into the world of academia. A Structured Orientation Development System (SODS) was developed to aid nursing faculty into the transition from expert bedside nurse to expert nursing faculty. A literature review found no evidence of a structured type nursing faculty orientation system. The purpose of this …

A Descriptive Study Of Second Year Adn Students On The Use Of Study Groups Outside The Classroom, Francine Hebert Sheppard

Nursing Theses and Capstone Projects

Study groups formed independently by students outside the classroom environment have been reported to provide some positive assistance to the learning process. This study was conducted to define the frequency that students use such study groups, to establish any relationship between using study groups and academic outcome, and to identify any themes common to the participants when describing their perceptions and experiences with study groups. The study utilized a previously-published survey tool acquired from the public domain. Forty-five ADN students enrolled at a private, Christian university participated in this study. Sample mean age of participants was 25.7 years of age. …

The Qualitative Learning Experience Of Healthcare Workers Completing A Hybrid Workplace Violence Educational Program, Gordon Gillespie, Sharon Farra, Donna Gates, Patricia Kunz Howard, Kristy L. Atkinson

Nursing Faculty Publications

Background: Hybrid educational methodologies which include online and classroom-based learning experiences increase learning. However, the course delivery preferences of learners need to be evaluated so the design and delivery of future programs will maximize learning outcomes. The aim of this study was to describe how the delivery of a hybrid program contributes to learning outcomes.

Methods: A qualitative descriptive design was used. Participants were recruited from two large emergency departments that completed a hybrid workplace violence educational program. Four focus group sessions were held with a convenience sample of 17 participants to discuss their learning experience with the hybrid educational …

Serum 25-Hydroxyvitamin D Levels And C-Reactive Protein In Persons With Human Immunodeficiency Virus Infection, C. Anderson Johnson, Kalpana Poudel-Tandukar, Krishna C. Poudel, Masamine Jimba, Jun Kobayashi, Paula Palmer

CGU Faculty Publications and Research

Human immunodeficiency virus (HIV) infection has frequently been associated with vitamin D deficiency as well as chronic inflammatory response. We tested the hypothesis of an independent relationship between serum concentrations of 25-hydroxyvitamin D [25(OH)D] and high-sensitivity C-reactive protein (CRP) in a cohort of HIV-positive people. A cross-sectional survey was conducted among 316 HIV-positive people (181 men and 135 women) aged 16 to 60 years residing in the Kathmandu Valley, Nepal. Serum high-sensitivity CRP concentrations and serum 25(OH)D levels were measured by the latex agglutination nephelometry method and the competitive protein-binding assay, respectively. The relationship between serum CRP concentrations and 25(OH)D …

Early Alzheimer's And Parkinson's Disease Pathology In Urban Children: Friend Versus Foe Responses—It Is Time To Face The Evidence, Lilian Calderón-Garcidueñas, Maricela Franco-Lira, Antonieta Mora-Tiscareño, Humberto Medina-Cortina, Ricardo Torres-Jardon, Michael Kavanaugh

Biomedical and Pharmaceutical Sciences Faculty Publications

Chronic exposure to particulate matter air pollution is known to cause inflammation leading to respiratory- and cardiovascularrelated sickness and death. Mexico City Metropolitan Area children exhibit an early brain imbalance in genes involved in oxidative stress, inflammation, and innate and adaptive immune responses. Early dysregulated neuroinflammation, brain microvascular damage, production of potent vasoconstrictors, and perturbations in the integrity of the neurovascular unit likely contribute to progressive neurodegenerative processes. The accumulation of misfolded proteins coincides with the anatomical distribution observed in the early stages of both Alzheimer's and Parkinson's diseases. We contend misfolding of hyperphosphorylated tau (HPrc), alpha-synuclein, and beta-amyloid could …

Exposure To Urban Air Pollution And Bone Health In Clinically Healthy Six-Year-Old Children, Lilian Calderón-Garcidueñas, Antonieta Mora-Tiscareño, Maricela Franco-Lira, Ricardo Torres-Jardon, Bernardo Pena-Cruz, Carolina Palacios-López, Hongtu Zhu, Linglong Kong, Nicolas Mendoza-Mendoza, Hortencia Montesinoscorrea, Lina Romero, Gildardo Valencia-Salazar, Michael Kavanaugh, Silvestre Frenk

Biomedical and Pharmaceutical Sciences Faculty Publications

Air pollution induces systemic inflammation, as well as respiratory, myocardial and brain inflammation in children. Peak bone mass is influenced by environmental factors. We tested the hypothesis that six-year-olds with lifetime exposures to urban air pollution will have alterations in inflammatory markers and bone mineral density (BMD) as opposed to low-polluted city residents when matched for BMI, breast feeding history, skin phototype, age, sex and socioeconomic status. This pilot study included 20 children from Mexico City (MC) (6.17 years ± 0.63 years) and 15 controls (6.27 years ± 0.76 years). We performed full paediatric examinations, a history of outdoor exposures, …

Novel Dicarboxylate Selectivity In An Insect Glutamate Transporter Homolog, Hui Wang, Avi M. Rascoe, David Charles Holley, Eric Gouaux, Michael Kavanaugh

Biomedical and Pharmaceutical Sciences Faculty Publications

Mammals express seven transporters from the SLC1 (solute carrier 1) gene family, including five acidic amino acid transporters (EAAT1-5) and two neutral amino acid transporters (ASCT1-2). In contrast, insects of the order Diptera possess only two SLC1 genes. In this work we show that in the mosquito Culex quinquefasciatus, a carrier of West Nile virus, one of its two SLC1 EAAT-like genes encodes a transporter that displays an unusual selectivity for dicarboxylic acids over acidic amino acids. In eukaryotes, dicarboxylic acid uptake has been previously thought to be mediated exclusively by transporters outside the SLC1 family. The dicarboxylate selectivity was …

Brain Immune Interactions And Air Pollution: Macrophage Inhibitory Factor (Mif), Prion Cellular Protein (Prpc), Interleukin-6 (Il-6), Interleukin 1 Receptor Antagonist (Il-1ra), And Interleukin-2 (Il-2) In Cerebrospinal Fluid And Mif In Serum Differentiate Urban Children Exposed To Severe Vs. Low Air Pollution, Lilian Calderón-Garcidueñas, Janet V. Cross, Maricela Franco-Lira, Mariana Aragón-Flores, Michael Kavanaugh, Ricardo Torres-Jardon, Chih-Kai Chao, Charles Thompson, Jing Chang, Hongtu Zhu, Amedeo D'Angiulli

Biomedical and Pharmaceutical Sciences Faculty Publications

Mexico City Metropolitan Area children chronically exposed to high concentrations of air pollutants exhibit an early brain imbalance in genes involved in oxidative stress, inflammation, innate and adaptive immune responses along with accumulation of misfolded proteins observed in the early stages of Alzheimer and Parkinson's diseases. A complex modulation of serum cytokines and chemokines influences children's brain structural and gray/white matter volumetric responses to air pollution. The search for biomarkers associating systemic and CNS inflammation to brain growth and cognitive deficits in the short term and neurodegeneration in the long-term is our principal aim. We explored and compared a profile …

Comparison Of Latanoprost, Brimonidine Tartrate, And Bimatoprost Plus Timolol Maleate In Fixed Combinations, Güli̇z Fatma Yavaş, Tuncay Küsbeci̇, Onur Polat, Mahmut Karadaş, Sitki Samet Ermi̇ş, Ümi̇t Übeyt İnan

Turkish Journal of Medical Sciences

To compare the intraocular pressure (IOP)-lowering efficacy of fixed-combination antiglaucoma agents, and to evaluate the effect of these drugs on the visual field and optic disk morphology. Materials and methods: Included in this retrospective study were 17 eyes receiving latanoprost 0.005% + timolol maleate 0.5% fixed combination (group 1), 18 eyes receiving brimonidine tartrate 0.2% + timolol maleate 0.5% fixed combination (group 2), and 16 eyes receiving bimatoprost 0.03% + timolol maleate 0.5% fixed combination (group 3), all with the diagnosis of primary open-angle glaucoma or ocular hypertension. Intraocular pressure was measured by Goldmann applanation tonometer, a visual field test …

Analysis Of 161 Adult Patients With Brucellosis, Bi̇rcan Kayaaslan, Esragül Akinci, Ali̇ye Baştuğ, Seli̇m Sirri Eren, Pinar Öngürü, Ayşe But, Meltem Arzu Yetki̇n, Hurrem Bodur

Turkish Journal of Medical Sciences

To evaluate the epidemiology, clinical features, and complications of brucellosis. Materials and methods: Between January 2005 and December 2008, 161 patients with brucellosis who were admitted to our clinic were evaluated prospectively. Results: Of the patients, 97 (60.2%) were male, and the mean age was 47 ± 17 years (range: 16-79). There were 99 patients (61.5%) classified as acute, 36 (22.4%) classified as subacute, and 6 (3.7%) classified as having a chronic infection. Relapse or reinfection was observed in 20 (12.4%) patients. Blood culture positivity rates were 60.7% and 44.8% among acute and subacute cases, respectively (P = 0.008). In …

Special Issue On Medical Simulation, Michel Audette, Hanif M. Ladak

Computational Modeling & Simulation Engineering Faculty Publications

We would like to welcome you to this Special Issue on Medical Simulation, the first of its kind not only for SIMULATION: Transactions of The Society for Modeling and Simulation International, but for any technical journal. Our respective backgrounds are an indication of the technical and clinical breadth of medical simulation, as we approach the subject as primarily medical image analysis and biomechanics experts respectively, each with a variety of clinical interests spanning virtual reality (VR)–based neuro-, orthopedic and ear-nose-and-throat surgery. Moreover, we believe that the breadth of the papers that comprise this issue reflects an even broader perspective. After …

Patent Landscape Of Helminth Vaccines And Related Technologies, Jon R. Cavicchi, Stanley P. Kowalski, John Schroeder, Rayna Burke, Jillian Michaud-King

Law Faculty Scholarship

Executive Summary This report focuses on patent landscape analysis of technologies related to vaccines targeting parasitic worms, also known as helminths. These technologies include methods of formulating vaccines, methods of producing of subunits, the composition of complete vaccines, and other technologies that have the potential to aid in a global response to this pathogen. The purpose of this patent landscape study was to search, identify, and categorize patent documents that are relevant to the development of vaccines that can efficiently promote the development of protective immunity against helminths. The search strategy used keywords which the team felt would be general …

Crawling Kinematics In An Early Knee Protocol For Pediatric Prosthetic Prescription, Mark Geil

Faculty Articles

No abstract provided.

Efficacy Of Robot-Assisted Radical Cystectomy In Advanced Bladder Cancer: Results From The International Radical Cystectomy Consortium (Ircc), A. Al-Daghmin, E. C. Kauffman, Y. Shi, K. Badani, M. D. Balbay, E. Canda, P. Dasgupta, R. Ghavamian, L. Richstone, K. A. Guru, +24 Additional Authors

Journal Articles

OBJECTIVES: To characterize the surgical feasibility and outcomes of robot-assisted radical cystectomy (RARC) for pathologic T4 bladder cancer. SUBJECTS/PATIENTS: Retrospective evaluation of a prospectively maintained IRCC database was conducted for 1118 patients who underwent RARC between 2003 and 2012. We dichotomized patients based on pathologic stage (10 days, and 90-day readmission were significantly associated with complications in pT4 patients. Meanwhile, BMI, LOS >10 days, grade 3-5 complications, 90-day readmission, smoking, previous abdominal surgery and neoadjuvant chemotherapy were significantly associated with mortality in pT4 patients. On multivariate analysis, BMI was an independent predictor of complications in pT4 patients, but not for …