Medicine and Health Sciences Commons^™

Benefits, Barriers And Readiness To Adopt A Universal Serial Bus (Usb) Personal Health Record Among Older Adult Hispanic Americans, Kristen Painter, Dr. Barbara Heise

Journal of Undergraduate Research

As the older adult population has aged, learning to manage their health and concurring chronic disease conditions has become a prevalent topic for health care providers. It has been shown that advances in information technology can improve healthcare outcomes (IOM, 2001; IOM, 2008). Recently, personal health records (PHRs) have emerged as an important information exchange technology to avoid injury and death by increasing access to patient health information by clinicians (AHIMA/AMIA Position Statement, 2007). Yet older adults with chronic illnesses who may gain the most from this technology are reluctant to use a PHR system.

Interventional Workshops For Children With Type 1 Diabetes, Cristy Davis, Dr. Donna Freeborn

Journal of Undergraduate Research

The purpose of my project was to determine the effectiveness of interventional workshops to help children manage their type 1 diabetes. This project comprised the third and fourth phases of a larger interventional study, conducted by Dr. Donna Freeborn. The first two stages of the study focused on gathering and analyzing data about the needs of children/adolescents with type 1 diabetes. During the first two stages of the study Dr. Freeborn conducted a series of focus groups with children/adolescents with type 1 diabetes. From these focus groups, Dr. Freeborn identified four themes that were of concern for children/adolescents with diabetes. …

Evaluation Of Methods To Relieve Parental Perceptions Of Vaccine-Associated Pain And Anxiety In Children: A Pilot Study, Amy Pulsipher, Dr. Beth Luthy

Journal of Undergraduate Research

The development and widespread use of vaccinations is one of the most important public health achievements of the 20th century (Schechter, Zempsky, Cohen, McGrath & McMurtry, 2007). Despite the immeasurable benefits of vaccinations, many parents are still reluctant to vaccinate their children. Multiple studies have reported that the perceived pain and anxiety associated with the administration of vaccines is a significant reason why parents are reluctant to vaccinate their children in a timely manner (Luthy, Beckstrand & Peterson, 2009; Luthy, Sperhac, Faux & Miner, 2010).

The Influence Of Family Hardiness On Caregiver Burden In Families With A Child With Disabilities, Devaun Sheppard, Dr. Barbara Mandleco

Journal of Undergraduate Research

The purpose of this quantitative descriptive study was to examine caregiver burden and family hardiness in families raising children with disabilities (CWD) to determine 1) If there are differences in these variables according to parent gender and type of disability, and 2) If there is a relationship between the variables so more appropriate interventions can be provided to these families.

Regulatory Roles Of Facit Collagens Xii And Xiv In Cornea Stromal And Endothelial Development And Function, Chinda Hemmavanh

USF Tampa Graduate Theses and Dissertations

Purpose:

Corneal transparency depends upon the precise organization of corneal stromal extracellular matrix and corneal endothelial function. Stromal structure and extracellular matrix organization is responsible for proper refraction of light into the eye. The corneal endothelium is responsible for pumping excess fluid out of the cornea, effectively maintaining corneal hydration and thickness. Corneal transplantation is the current form of treatment for corneal endothelial and stromal dystrophies. The mechanisms controlling stromal collagen fibril packing and organization into orthogonal layers as well as maturation of the endothelium into a fully functioning cellular layer are unknown. Collagens XII and XIV, fibril associated collagens …

Outils Vibrants : Paramètres Biomécaniques Et Sensorimoteurs Affectant La Réponse Biodynamique Du Système Main-Bras, Denis Marchand, Pierre Marcotte, Christian Larivière, Christian Kelly, Vincent Mandeville-Gauthier

Rapports de recherche scientifique

L’exposition aux vibrations est une préoccupation importante au regard de la prévention des troubles musculo-squelettiques aux membres supérieurs. Les vibrations main-bras sont spécifiquement reconnues pour être la cause du syndrome des vibrations, une maladie atteignant les doigts et la main en matière vasculaire, musculo-squelettique et neurosensoriel. De longues durées et de fortes intensités de vibration peuvent accélérer l’apparition des symptômes.

Cette étude, qui comporte deux volets, a servi à explorer différentes variables pouvant influencer la transmission de la vibration aux membres supérieurs tout comme la sollicitation musculaire. Douze participants regroupés selon deux somatotypes (six ectomorphes et six mésomorphes) ont participé …

Principals’ Perceived Supervisory Behaviors Regarding Marginal Teachers In Two States, Bret Range, Paul Hewitt, Suzie Young

Administrative Issues Journal

This descriptive study used an online survey to determine how principals in two states viewed the supervision of marginal teachers. Principals ranked their own evaluation of the teacher as the most important factor when identifying marginal teachers and relied on informal methods to diagnose marginal teaching. Female principals rated a majority of supervisory methods and data sources as being more useful and the importance of formative assessments and teachers’ self-reflection as significantly more important than did male principals. Female principals adopted a procedural style, while males identified with the situational style when working with marginal teachers.

Can Remote Monitoring Improve Quality Of Care In Heart Failure Patients With Implantable Cardioverter Defibrillators?, Jeanne Gargiulo

GW Research Days 2014

Abstract

Background:

Remote monitoring (RM) of Implantable Cardiac Defibrillators (ICDs) for the management of patients with heart failure (HF) is a reliable and feasible concept to prevent impending acute HF de-compensation.

Aim:

The design of this study was to determine the value of monthly cardiac devices interrogations for patients with ICDs as compared to quarterly in-office interrogations and to assess the anxiety level of both groups of patients at baseline and upon completions of the study.

Method:

This was a prospective single centered pilot clinical trial where patients were randomly allocated to the conventional quarterly face-to-face encounter (control group) or …

Lhds' Implementation And Evaluation Of Strategies To Target Psychological, Mental Health, And Other Behavioral Healthcare Needs Of The Underserved Population, Gulzar H. Shah, Huabin Luo, Carolyn J. Leep, Nancy L. Winterbauer

Health Policy & Management: Faculty Presentations (2008-2022)

Background: Underserved subgroups face barriers when accessing behavioral healthcare. Local health departments (LHDs) are charged with “linking people to needed personal health services and assure the provision of healthcare when otherwise unavailable”.

Research Objectives: 1) To assess the extent to which LHDs implement and evaluate strategies to target the behavioral healthcare needs for the underserved populations; 2) To identify factors that are associated with these undertakings.

Datasets and Sources: Data were drawn from the 2013 National Profile of Local Health Departments Study conducted by National Association of County and City Health Officials The Module 2 questionnaire of the Profile contained …

Brief Intervention For Truant Youth Sexual Risk Behavior And Alcohol Use: A Parallel Process Growth Model Analysis, Richard Dembo, Rhissa Briones-Robinson, Rocio Ungaro, Kimberly Barrett, Laura Gulledge, Ken C. Winters, Steven Belenko, Lora M. Karas, Jennifer Wareham

Faculty Publications

Truant youths frequently experience family problems, emotional/psychological issues, substance misuse, and delinquency. They are likely engaging in alcohol use and sexual risk behavior at a higher rate than the general youth population. Early intervention services would benefit them, their families, and society. We present interim findings from an ongoing, National Institute on Drug Abuse-funded, experimental, brief intervention (BI) study involving truant youths and their parent/guardians. Baseline, 3-, 6-, and 12-month follow-up data were analyzed to determine whether alcohol use and sexual risk behaviors were longitudinally related, to examine the effects of the BI on alcohol use and sexual risk behaviors, …

Prepregnancy Low-Carbohydrate Dietary Pattern And Risk Of Gestational Diabetes Mellitus: A Prospective Cohort Study, Wei Bao, Katherine Bowers, Deirdre K. Tobias, Sjurdur F. Olsen, Jorge Chavarro, Allan Vaag, Michele Kiely, Cuilin Zhang

Publications and Research

Background: Low-carbohydrate diets (LCDs) have been vastly popular for weight loss. The association between a low-carbohydrate dietary pattern and risk of gestational diabetes mellitus (GDM) remains unknown.

Objective: We aimed to prospectively examine the association of 3 prepregnancy low-carbohydrate dietary patterns with risk of GDM.

Design: We included 21,411 singleton pregnancies in the Nurses’ Health Study II. Prepregnancy LCD scores were calculated from validated food-frequency questionnaires, including an overall LCD score on the basis of intakes of carbohydrate, total protein, and total fat; an animal LCD score on the basis of intakes of carbohydrate, animal protein, and animal …

An Examination Of The Relationship Of Abo Blood Group And Lifespan In A Hospitalized Population In The Southeastern United States, Tara Moon

Theses and Dissertations

The clinical significance of ABO blood group is evident and universally accepted with regards to blood transfusion and pregnancy; however, the importance of ABO blood group as it relates to other diseases or disorders and overall mortality is not fully understood by the scientific community. Many studies have suggested associations between blood groups and disease, but consensus has not been reached regarding overall survival or longevity. This epidemiological, retrospective review of ABO blood group and age at the time of death in a hospitalized population in the Southeastern United States is the first multi-site study to examine this relationship. The …

A Novel Parp Inhibitor Resistance Mechanism Mediated By The Rna-Binding Protein Hur, Saswati N. Chand, Nicole Meisner-Kober, Shruti Lal, Charles J. Yeo, Md, Jordan M. Winter, Md, Jonathan R. Brody, Md

Department of Surgery Faculty Papers

Abstract

Pancreatic ductal adenocarcinoma (PDA) is the 4th leading cause of cancer-related deaths in the United States, and ranks as the third most common cancer associated with BRCA mutations, not including Fanconi Anemia gene mutations such as PALB2. Current combinations of chemotherapeutics have significant toxicities and only minimally extend overall patient survival. Poly-ADP ribose polymerase (PARP) inhibitors (PARPi), which target the DNA damage repair (DDR) pathway, have delivered promising preclinical and clinical results. Although synthetic lethality conferred by PARPi is a promising approach, still “selected” patients with DNA repair-deficient tumors (e.g., BRCA2 mutated) that initially respond to such molecular-targeted therapies …

The Effect Of Transdermal Scopolamine For The Prevention Of Postoperative Nausea And Vomiting., María A Antor, Alberto A Uribe, Natali Erminy-Falcon, Joseph G Werner, Keith A Candiotti, Joseph V Pergolizzi, Sergio D Bergese

Pharmacy Articles

Postoperative nausea and vomiting (PONV) is one of the most common and undesirable complaints recorded in as many as 70-80% of high-risk surgical patients. The current prophylactic therapy recommendations for PONV management stated in the Society of Ambulatory Anesthesia (SAMBA) guidelines should start with monotherapy and patients at moderate to high risk, a combination of antiemetic medication should be considered. Consequently, if rescue medication is required, the antiemetic drug chosen should be from a different therapeutic class and administration mode than the drug used for prophylaxis. The guidelines restrict the use of dexamethasone, transdermal scopolamine, aprepitant, and palonosetron as rescue …

Taboo Topics: Depression, Anxiety, Sexual Assault, And Ptsd; The Influence Of Stigma On Help Seeking, Kaitlyn Cichocki-Goss

Honors Theses

This review analyzes investigations into the stigma associated with depression, anxiety, sexual assault, and post-traumatic stress disorder (PTSD) and how stigma affects patients seeking treatment. The three disorders and the experience of sexual assault are examined for; prevalence, past and present stigma, and the history of the diagnosis. Each of the three disorders and sexual assault carry social stigma. Stigma can be described as a negative belief towards one group of people and in this case, stigma likely prevents people from seeking help. Researchers have found that one way to reduce stigma and the barrier that it has on help …

Relationship Between Horizontal Violence Among Registered Nurses And Falls, Elizabeth Densford Rocha Phd

Dissertations

Background: Horizontal violence is a manifestation of oppressed group behavior leading to low self-esteem and feelings of worthlessness among nurses. Horizontal violence leads to the creation of a hostile, unsafe work environment preventing nurses from performing at their highest potentials. A hostile work environment leads to a culture of unsafe patient care which may result in increased harm to patients. An understanding of why horizontal violence occurs and the implications of this phenomenon are the first steps in addressing this destructive behavior as well as protecting patients from harm. Health care environments must support nurses to perform at their best …

Employment And Economic Development In Southern Nevada, Jennifer Pharr, Courtney Coughenour, Shawn Gerstenberger

Nevada Journal of Public Health

Wealth influences a person’s health. People who are higher on the socioeconomic scale tend to have better health outcomes. To improve the health of a community, it is important to understand the employment opportunities of the people living in the community.

Southern Nevada’s economy was hit hard between 2008 and 2012. Unemployment rates in the region exceeded national and peer regions between during this time period. Construction; leisure and hospitality; trade, transportation and utilities; and professional and business service sectors experienced the greatest job loss during the recession. The Education and Health Services sectors did not experience a decrease in …

Healthcare Access And Health Outcomes In Southern Nevada, Jennifer Pharr, Courtney Coughenour, Shawn Gerstenberger

Nevada Journal of Public Health

In a publication from the Robert Woods Johnson Foundation, it was recognized that a person’s zip code was a more important predictor of health than their genetic code. Where we live influences not only our access to health care, but other health indicators as well. Clark County has a low primary care physician to population ratio compared to other counties in Nevada and in the US. Clark County also has highest rates of uninsured in the Mountain West and among the highest in the nation.

Southern Nevada fared worse than other Mountain West Metropolitan areas in health indicators and preventative …

Demographic Makeup And Population Projections For Southern Nevada: Understanding The Emerging Healthcare Needs In Our Community, Jennifer Pharr, Courtney Coughenour, Shawn Gerstenberger

Nevada Journal of Public Health

Even with a leveling-off of population growth from 2008 to 2011, Southern Nevada had one of the fastest growing populations in the nation over the past decade. While population growth is projected to increase for the next ten years, the rate of growth will be slower than in the past decade. The Hispanic population, as a percentage of the total population, is projected to surpass the White population somewhere near the year 2030. The Southern Nevada population is aging, as the median age in the region increased between 2000 and 2010. The 65+ age group is projected to increase as …

Building A Sustainable Community Through Public Engagement: A Study Of Southern Nevada, Jennifer Pharr, Courtney Coughenour, Shawn Gerstenberger

Nevada Journal of Public Health

This manuscript is the first of a series written for the Nevada Journal of Public Health. The series is result of research conducted for the Southern Nevada Strong, Sustainable Communities Grant. During Year One of the planning process, we created a Southern Nevada Existing Conditions Report. This report highlighted where the region stood on key metrics including: demographics and population projections, access to healthcare and health outcomes, healthy community, housing, environment, economy and education. For this special issue of the Nevada Journal of Public Health, the report was separated into seven articles related to each of these metrics. The articles …

Refining Best Practices For The Diagnosis Of Autism: A Comparison Between Individual Healthcare Practitioner Diagnosis And Transdisciplinary Assessment., Jessica Rae Stewart, Debra C. Vigil, Erika Ryst, Wei Yang

Nevada Journal of Public Health

The purpose of this study is to compare the diagnostic decision-making of individual healthcare practitioners against that of a transdisciplinary team. Despite national recognition of transdisciplinary assessment as the gold standard diagnostic approach, autism is most frequently diagnosed by individuals working independently in a variety of disciplines. The current study examined how closely these individual practitioners make diagnoses matching that of a transdisciplinary team. Twenty professionals from five different disciplines viewed videotape clips of fifteen children previously assessed by a transdisciplinary team. Results confirmed that individual healthcare practitioners matched the transdisciplinary team diagnosis on average only 65.6% of the time. …

Analysis Of The Morbidity And Mortality Of Severe Influenza Infection In Clark County, Nevada For The 2010-2011 Influenza Season, Kindra St. Jacques, Patricia Cruz, Brian Labus

Nevada Journal of Public Health

Throughout the duration of any influenza season, influenza strains have the ability to evolve through mutation causing alterations in virulence. These changes may result in severe illness or death among susceptible populations; therefore, it is important to closely monitor influenza-associated hospitalizations and deaths. The University of Nevada, Las Vegas in collaboration with the Southern Nevada Health District analyzed data from the hospitalized influenza morbidity and mortality surveillance project for Clark County for the 2010-2011 influenza season. Among the study population (N= 158): the influenza strain type was found to be significantly associated with deaths (n= 25), vaccination status was not …

Environmental Correlates Of Physical Activity Among African-American Adults, Tim Bungum, Jennifer Pharr, Paulo S. Pinheiro, Maria Azzarelli

Nevada Journal of Public Health

The purpose of this cross-sectional study was to identify perceived environmental correlates of meeting physical activity guidelines among African-American adults living in Southern Nevada. Trained interviewers phoned potential participants who lived in the 12 zip codes of Clark County, Nevada with the highest proportions of African-American residents. Respondents (n=237) answered 52 health-related and demographic questions. Slightly less than 50% of participants met physical activity guidelines. A factor analysis procedure produced two environmental variables, neighborhood safety and environmental supports for physical activity. Age, gender and educational attainment (p<.05) predicted the meeting of those guidelines (R2=.214), while neighborhood support for physical activity, neighborhood safety, and BMI failed to do so. This finding suggests that environmental factors are not strong predictors of physical activity among African- American adults, although environmental supports for physical activity approached significance. Future studies should consider assessing additional aspects of the built environment as an influence on physical activity.

Organizational Training And Relationship Building For Increasing Public Participation In A Public School District, John Poynton, Carole Makela, Don Haddad

Administrative Issues Journal

From the early twentieth century to the present, citizen participation in U.S. public institutions—particularly schools—has continually decreased. The trend has been linked to the bureaucratization of public schools and their increasing reliance on expert knowledge for solutions to school- and education-related problems. The purpose of this study was to evaluate the impact of a parent training program designed to increase a school district’s capacity for public participation by parents and other citizens. The program—known as Leadership St. Vrain—provided citizens knowledge about school district operations and management (know-how) and relationship-building opportunities with key decision makers (know-who). This article focuses on the …

Photobiostimulation In C. Elegans As A Model For Low Level Light Therapy, Michael J. Spoto, Daryl D. Hurd

Science Scholars

Low-Level Laser Therapy (LLLT) is a developing therapeutic technique that has been gaining recognition in the scientific community in recent years. Previous experiments performed in LLLT research projects have been primarily mammalian and cell culture based. These experiments have produced results showing accelerated tissue repair. In this experiment, we introduce a new model, Caenorhabitidis elegans, a free-living soil nematode, to be used in LLLT research by testing the effects of exposure of the organism to various wavelengths and intensities of light commonly used in LLLT. C. elegans was shown to respond to photobiostimulation when exposed to specific wavelengths of …

Ankle Proprioception Correlates With Functional Mobility In People With Peripheral Neuropathy, Shuqi Zhang, Li Li

Health Sciences & Kinesiology: Faculty Presentations (2005-2023)

Introduction: The ankle proprioception could influence the functional stability of ankle joint. In addition, ankle proprioception may indirectly influence postural control. Furthermore, ankle proprioception may play an important role in the impaired somatosensory system. Purpose: The purpose is to examine if ankle proprioception is correlated with functional mobility in people with Peripheral Neuropathy (PN) and health age-matched control. Methods: Twenty one people with, and twelve age-matched without PN, were recruited. Active (AAP) and passive (PAP) ankle proprioception were assessed using Biodex 3 dynamometer (Biodex Medical System, Inc, Shirley, NY, USA). Participants sat in the Biodex chair with the back of …

Public Health Services & Systems Research: Taking The Pulse Of The Field, Glen P. Mays

Health Management and Policy Presentations

New research is continuing to reveal pathways for improving health and reducing health disparities at reasonable costs through multi-sector public health strategies.

Gender Differences In Cardiac Arrest Survivors Who Receive Therapeutic Hypothermia (Poster), Marna R. Greenberg Do, Mph, Facep, Amy M. Ahnert Md, Nainesh C. Patel Md, Courtney Bennett Do, Nicole Elliott Do, Mark Lundquist, Andrew C. Miller Do, Ellina C. Feiner Md, Anita Kurt Phd, Rn, Bernadette Gl-Porter Bs, Mercedes Rios-Scott Bs, David B. Burmeister Do, Facep

Department of Emergency Medicine

No abstract provided.

Perceived Mechanical Fall Risk And Openness To Communication With Providers, Marna R. Greenberg Do, Mph, Facep, Michael Nguyen Md, Brian Stello Md, Robert D. Barraco Md, Arnold R. Goldberg Md, Colin L. Donnelly Do, Benjamin R. Preiss Do, Bernadette Gl-Porter Bs, Anita Kurt Phd, Rn, Bryan G. Kane Md

Department of Emergency Medicine

No abstract provided.

Palliative Medicine Competency Education In Emergency Medicine Residency Training: A Preliminary Report, Chadd K. Kraus Do, Mph, Matthew Meyers Bs, Bryan G. Kane Md, Marna R. Greenberg Do, Mph, Facep

Department of Emergency Medicine

No abstract provided.