Medicine and Health Sciences Commons^™

Factors Contributing To Registered Nurse Job Satisfaction In The Nursing Home, Michael Shipley

Seton Hall University Dissertations and Theses (ETDs)

Over the next several years the aging population will increase the number of patients suffering from chronic illness. A sicker aging population, coupled with changes in healthcare reimbursement will require nursing homes to admit sicker patients for shorter lengths of stays. To meet the needs of the increased number of chronic patients and those patients with higher acuities, nursing homes will require more skilled, registered nurses. Registered nurses (RNs) are the linchpin to providing high-quality care in the healthcare environment and especially in nursing homes.

Understanding the factors of RN job satisfaction in the nursing home is important in increasing …

Exploring A Staff Training Model For Enhancing Post-Training Procedural Integrity And Staff Performance Outcomes When Working With Children Diagnosed With Asd, Lina Slim

Seton Hall University Dissertations and Theses (ETDs)

Background: The increased prevalence of Autism has generated higher special needs enrollment and requires teachers to acquire the skills to address Autistic children’s unique needs. At the same time, however, budget cuts have generated a shortage of qualified professionals with expertise in autism interventions. More effective staff training may provide an avenue for addressing this shortage. This study investigated the impact that a Staff Training Procedure (STP), consisting of Video Self-Monitoring (VSM), Performance Feedback (PF) and Reflection (R) with and without Mentoring has on sustained and generalized teacher performance on two DVs – application of the Learn Unit (LU) and …

#Narcissus, Lauren Potts

Student Scholar Symposium Abstracts and Posters

My senior BFA exhibition is a project bringing awareness and reflection to the college subculture of drinking. I am creating a large installation (approx. 10x20ft) made out of over 4,000 red plastic cups in the shape of a Catholic Church altar. The cups are stacked and glued together in order to create patterns to separate the forms of the altar (three stairs, columns, the facade arches). The installation is shown at Chapman University's Guggenheim Gallery and must be site specific in order to reflect the nature of its existence and purpose. The installation reflects a parallel between forms of ritual: …

Puffs And Tufts: A Comparison Of Trichodesmium Colony Formations And Nutrient Availability Across The North Atlantic Ocean Using Remote Sensing Methods, Marc Rosenfield

Student Scholar Symposium Abstracts and Posters

Trichodesmium, a genus of diazotrophic bacteria, has the capability and the population to produce a large percentage of the total oceanic N2-fixation. Though their population is known to be heavily dependent on two of the ocean’s largest limiting factors, phosphorus and iron concentrations, it is unknown what affect these factors have on the population. In this study two of the largest colony formations of Trichodesmium in the North Atlantic, tufts and puffs, are compared nutrient quality with respect to time and geographical location. Though very little nutrient in situ data was collected from the cruise, remote sensing data collected from …

Prostate Field Cancerization – Thinking Outside The Tumor, Dor Shoshan

Student Scholar Symposium Abstracts and Posters

Analysis of tumor adjacent tissue is assumed to reveal a temporal record of molecular pathways that define oncogenesis. The present study determines expression of the key transcription factor and potential marker of field cancerization early growth response 1 (EGR-1) in human prostate tissues derived from prostatectomies and biopsies. Expression was detected using immunofluorescence and quantified using ImageJ software. Accordingly, EGR-1 expression was similar in cancerous and in histologically normal adjacent tissues from prostatectomy and biopsy specimens. EGR-1 could be exploited as pre-surgical disease indicator in false negative biopsies, identify areas of repeat biopsy, and add molecular information to surgical margins.

Characterizing Psychological Management Practices Of College And University Athletic Trainers In Orange, California, Hannah L. Alexander, Paulina Tselikis, Michelle A. Cleary, Sara L. Nottingham, Jason Bennett

Student Scholar Symposium Abstracts and Posters

An increase in the prevalence, types, and severity of psychological disorders among adolescents and young adults is being recognized. A multidisciplinary team approach to address mental health concerns among student-athletes, including well-developed referral and management plans, is important in the health care setting. Athletic trainers are often the first to notice subtle changes indicative of psychopathology, and have the ability to appropriately intervene and refer student-athletes as necessary. The purpose of this study was to investigate the psychological management practices of college and university athletic trainers in Orange, California. A descriptive exploratory online questionnaire was used to obtain information regarding …

Analyzation Of Metabolic Reprogramming In Drug-Resistant Mcf-7 Cells, Derick Han, Ho Leung, Andrew Vo

Student Scholar Symposium Abstracts and Posters

The Warburg effect states that cancer cells mainly receive their energy from anaerobic glycolysis. Thus, mitochondria play a different role in the metabolism of cancer cells as opposed to normal, healthy cells. In chemotherapy, there is always a chance of the cancer regressing. Making drug-resistant cancer cells to analyze their metabolism may change how cancer is treated. This study aimed to create drug-resistant MCF-7 cell lines with doxorubicin in order to determine the metabolic changes that have occurred in the process of becoming resistant to drug treatments.

Reliability Of Precision In Motion Software, Nicole Laura, Kristen Petrillo, Marybeth Grant-Beuttler, Richard Beuttler

Student Scholar Symposium Abstracts and Posters

Background: There is a current lack of affordable 3-D motion analysis systems available to physical therapists for documenting objective data.

Objective: Compare data from inexpensive 3-D motion capture system using the Kinect, to the Codamotion, a traditional active marker, motion analysis system. Determine data reliability.

Design: Reliability-method comparison study

Methods: Seventeen subjects (9 females, 8 males) were instructed to walk down marked runway, arms across chest while both systems recorded data. Data was collected with Kinect on the same and opposite side as the Coda. Kinect and Coda data were interpolated and normalized for comparison. A program for heel strike …

Clinical Applications Of A Combination Chemotherapy Using 8-Chloro Camp And 8-Chloro Adenosine, Erik Munoz, Andrea Saich, Andrew Cox, Yu-An Peter Chang

Student Scholar Symposium Abstracts and Posters

Dr. Cho-Chung from the NIH first thought to use halogenated cAMP derivatives as competitive inhibitors of cAMP to slow down cancer cell mitosis. While the iodine and bromine substituted versions showed very little therapeutic actions, 8-Chloro cAMP has been shown to have strong anti-cancer effects. This has been shown in the phase II clinical trials this drug has undergone. However, these trials have had issues with solubility and toxicity. The drug is similar to vitamin C and is excreted quickly. Scientists tried to overcome this by using a peristaltic pump to give patients a continuous dosage, but this proved too …

Efficacy Of The Picture Exchange Communication Systemin Children With Autism Spectrum Disorder, Reagan Blason

Student Scholar Symposium Abstracts and Posters

The increasing diagnoses of Autism Spectrum Disorder (ASD) each year affect many families worldwide and are a major concern to therapists, healthcare workers, and educators. Many children diagnosed with ASD will never go on to develop functional speech or will have limited communication, as well as impaired social-communication skills. Limited communication makes education and therapy difficult for these children and their caregivers. Language therapy and interventions aim to improve social-communication and speech in these children, so it is crucial to find the most efficient interventions. The Picture Exchange Communication System (PECS) is a common tool used to assist communication in …

The Effects Of A Caloric Restrictive Diet On Bone Mineral Density And Bone Strength In Male And Female Rats, Haley Folta

Student Scholar Symposium Abstracts and Posters

The purpose of this study was to determine the existence of sex differences following a 40% caloric restrictive diet and its impact on tibial bone mineral density (BMD) and bone strength between male and female rats. Thirty-two, six-week old Sprague Dawley rats (16 males and 16 females) were randomly divided into an ad libitum fed control group (MC, n=8 and FC, n=8) and a pair fed diet group placed on the 40% caloric restriction (MD, n=8 and FD, n=8) for a 6 week period. The caloric restrictive diet was equivalent to the normal fed diet in vitamin and mineral content …

Exploring Egr-1 As A Master Regulator Of Prostate Field Cancerization, Kristin Gabriel, Marco Bisoffi

Student Scholar Symposium Abstracts and Posters

Field cancerization denotes the presence of molecular aberrations (genetic, epigenetic, biochemical) in structurally intact cells residing in histologically normal tissues adjacent to tumors. Markers of field cancerization in prostate tissues have the potential to improve the clinical management of this malignancy through their potential to act as indicators of early disease and to serve as molecular targets for early intervention. However, for this, a detailed understanding of the functional pathways underlying field cancerization is necessary. We have recently identified four protein markers of prostate field cancerization, i.e. the key transcription factor early growth response 1 (EGR-1), the lipogenic enzyme fatty …

The Impact Of A 20% Vs. A 40% Caloric Restrictive Diet On Bone Mineral Density During The Growth Period In Male Rats, Kassandra Lee

Student Scholar Symposium Abstracts and Posters

Purpose: The purpose of this study was to determine the impact of a 20% and a 40% caloric restrictive diet on bone mineral density (BMD) and bone strength in male rats during the growth period. Methods: 32 male rats were randomly divided into: control groups (C20, n=8 and C40, n=8), a group fed the 20% caloric restrictive diet (D20, n=8), and a group fed the 40% caloric restrictive diet (D40, n=8). An animal in the caloric restrictive diet group was matched and pair fed with an animal in the control group for 6 weeks. Each caloric restrictive diet contained additional …

College Students' Communication About Nonmedical Use Of Prescription Stimulants: Applying The Theory Of Planned Behavior, Ana Andreoli, Darren Breese, Kylie Deschenes, Lindsey Sarver

Student Scholar Symposium Abstracts and Posters

The study examines college students' communication surrounding nonmedical use of prescription stimulants (NPS). Using a hypothetical scenario, the researchers will employ the Theory of Planned Behavior to investigate if students' attitudes and perceived social norms affect their intent to intervene on behalf of a friend who is engaging in what they believe to be excessive NPS. College students’ will complete anonymous web-based surveys, reporting on each of the study variables as well as demographic information. Self-reports of both perceived and actual knowledge of engaging in NPS, as well as students' levels of communication health literacy, will also be collected as …

Effect Of Curcumin Analog Ca27 On Androgen Receptor Translocation In Prostate Cancer Cells, Lijah Vann Gardner

Student Scholar Symposium Abstracts and Posters

The androgen receptor (AR) plays an essential role in promoting the development and progression of metastatic prostate cancer and represents an important molecular target for therapeutic intervention. We have recently described a series of synthetic analogs of the natural product diferuloylmethane (curcumin), some of which induce the down-regulation of AR expression in prostate cancer cells by an as yet largely unknown mechanism of action. While such analogs may in the long term be lead structures for the development of therapeutic drugs, we hypothesize here that they represent ideal molecular probes to identify the mechanism(s) of action for AR down-regulation. We …

Pilot Study Of Symptom Burden And Quality Of Life Among Families Of Children In Palliative Care Or Hospice, Marci Z. Fults, Samantha Manring, Sarah Snyder, Mary Jo Gilmer, Michelle Walsh, Janine Winters, Cynthia A. Gerhardt

Research Day

Purpose: Despite calls for improvement in pediatric palliative care, children may have significant suffering at end-of-life (EOL). Research is limited and relies heavily on retrospective reports from mothers or nurses. We prospectively assessed symptom burden and quality of life (QOL) among children with life limiting conditions to examine concordance across multiple informants (i.e., mother, father, child, nurse). Method: Families were recruited shortly after their child (ages 5-18) was enrolled in palliative care or hospice. Of 36 eligible families, 8 children died before recruitment. Of the remaining 28, 25 (89%) participated. Participants included 25 mothers, 14 fathers, 12 children (Mage = …

Comparing Two Different Intravenous Regimens Of Tranexamic Acid In Total Hip Arthroplasty, Total Knee Arthroplasty, And Total Shoulder Arthroplasty, Mark Church, Myron Szczukowski Jr., Richard Mason, Laura Hanlon, Thomas Sisca

Research Day

One significant intraoperative outcome of concern to anesthesiologists and orthopedic surgeons is controlling the amount of blood loss both intraoperatively and postoperatively. The use of the antifibrinolytic, tranexamic acid (TXA), is an innovative strategy that has been shown to decrease postoperative bleeding as well as decrease the need for blood transfusions. Currently, there are multiple intravenous tranexamic acid dose regimens that are being employed for orthopedic surgeries. In this study, the aim was to evaluate the effectiveness of a 2 dose regimen (1000 mg within 30 minutes pre-op and 1000 mg 4-6 hrs post-op) compared to a single 1000 mg …

The Effects Of Modulating Endothelial Nitric Oxide Synthase (Enos) Activity And Coupling In Coronary, Hindlimb, Renal, And Mesenteric Vascular Inflammation Models, Alexandra Lopez, Kerry-Anne Perkins, Amber Koon, Amelie Bottex, Qian Chen, Robert Barsotti, Lindon Young

Research Day

Ischemia/reperfusion (I/R) injury is initiated in part by vascular endothelial dysfunction, which is characterized by reduced endothelial-derived nitric oxide (NO) and/or increased oxidative stress, followed by inflammation. When the tetrahydrobiopterin (BH4) to dihydrobiopterin (BH2, oxidized form of BH4) ratio is reduced, eNOS can become uncoupled shifting production of NO to superoxide (SO). Protein kinase C epsilon activator (PKCε+) enhances eNOS activity while PKCε inhibitor (PKCε-) reduces eNOS activity. The effects of PKCε+ or PKCε- combined with BH4 or BH2 were studied in rat myocardial and hindlimb I/R, rat renal lithotripsy, and rat mesenteric inflammation models. Promoting eNOS coupling using PKCε+ …

Chikungunya Occurrence Among A Religious Missions Trip To Haiti In The Summer Of 2014 And Implications For Community Health, Veronica Williams, Jared Rutledge, Heather Brewer

Research Day

As global travel becomes more common, the risk of spreading infectious diseases is increasing. Vectors too are spreading and becoming invasive species in environmental niches where they had previously been absent. The potential continues to grow for people to bring back diseases and infect local naive insect populations, which over time will increase the likelihood of the disease transmission occurring locally. This article evaluates the impact of a mission’s trip to Haiti and the return to a region of the United States that just recently became invaded by Aedes aegypti. The attack rate among the missionaries was approximately 20% (n=2), …

Astrocytes Infected With Chlamydia Pneumonia Alter Amyloid Processing Implicated In Alzheimer’S Disease, Zein Al-Atrache, Ahmad Cader, Susan Hingley, Denah Appelt

Research Day

Alzheimer’s Disease (AD) is a chronic, progressive neurodegenerative disease whose pathogenesis centers around the abnormal processing of amyloid precursor protein (APP) by proteases, resulting in the formation of neuritic plaques composed of toxic, insoluble fragments of amyloid protein (Aβ), including Aβ1-40 and Aβ1-42. Previously, our laboratory identified Chlamydia pneumoniae (Cpn) in autopsied sporadic AD brains. Additionally, an infection based animal model was developed using BALB/c mice that were intranasally inoculated with Cpn, in which the deposition of amyloid was consistent with that observed in the human AD brain. These studies have led to the pathogen hypothesis of AD that implicates …

Get The Right Fit: Strategies For Making Your Work More Visible, Stephanie Ferretti, Richard James, Skye Bickett

Research Day

Supporting research is one of the core missions of the PCOM Library, and “publish or perish” is still a central concern for faculty even with the fundamental transformation underway in the scholarly publishing industry. The PCOM Library wants to help you understand how these changes impact your research work.Here are some resources and ideas that can assist faculty, staff, and students with communicating your research and expanding its audience .Learn more about Selected Works faculty pages and how the library can enhance your scholarly works.

Blood Pressure Vs Altitude In Hypertensive And Non-Hypertensive Himalayan Trekkers, T. Douglas Sallade, Jennifer Starling, David Young, David Twillman, Nirakan Regmi, Benoit Phelan, Purshotam Paudel, Sushil Pant, Matthew Mcelwee, Theodore Mcconnell, Luke Mather, Charles Duke

Research Day

Introduction: Determine blood pressure (BP) response to changes in altitude in Himalayan trekkers with and without hypertension (HTN). Methods: BP was measured in Lukla (2800m), Namche (3400m), and either Pheriche or Dingboche (4400m) on ascent and descent. Hypertensive subjects were defined by self-reported diagnosis of HTN. Results: Trekkers had HTN (H, n=60) or no HTN (NH, n=604). Of those with HTN, 50 (83%) took one or more BP medications including ACEIs/ARBs (n=35, 48%), Ca++ channel blockers (n=15, 22%), beta-blockers (n=9, 13%), thiazide diuretics (n=7, 10%), and others (n=5, 7%). At 2800m, systolic BP (SBP) and diastolic BP (DBP) were greater …

Dust-Off The Ecmo, My Patient Just Inhaled 1,1-Difluoroethane, Robert A. Bassett, Michael Kowalski, William J. Borough, Steven J. Walsh

Research Day

Dust-Off® computer cleaner containing 1,1-difluoroethane (DFE) is frequently cited in cases of inhalation abuse. Malignant cardiac dysrhythmias are a well-recognized complication of DFE toxicity. We describe a patient with prolonged ventricular irritability following DFE inhalation, who was successfully treated with a central α-2 agonist and extracorporeal membrane oxygenation (ECMO).

Acupuncture And Assisted Reproductive Technology: The Effect On Clinical Pregnancy Rates, Hannah K. Holland

Yale School of Medicine Physician Associate Program Theses

Acupuncture has become an increasingly common concurrent therapy for women undergoing assisted reproductive technology. The effect of acupuncture on clinical pregnancy rates, however, remains unclear due to inconclusive study results and a lack of proper comparisons to all possible controls. In this three arm, single-blinded, randomized controlled trial, we propose to compare clinical pregnancy rates of women under age 35 undergoing in vitro fertilization with or without intracytoplasmic sperm injection in combination with either true acupuncture, sham acupuncture, or standard medical care. We hypothesize there will be a statistically significant difference in clinical pregnancy rates six to eight weeks following …

Dance/Movement Therapy And The Journey Of Infertility: A Phenomenological Study, Sara Ogawa

Creative Arts Therapies Theses

The purpose of this phenomenological study is to understand the holistic phenomenon of infertility in order to assess the basic needs of women who struggle with infertility and the associated medical treatments. In order to address a comprehensive understanding of the experience of infertility, this study employed a body-mind perspective, which is based on the dance/movement therapy principle that “the body and the mind are inseparable”. Five women, who had experience with infertility, were invited to the study, and each participated in individual verbal and movement interviews. Kvale’s interview analysis was utilized to analyze verbal data, and the researcher’s kinesthetic …

Moving Thru: Dance/Movement Therapy Based Program For Direct Caregivers Of Childhood Survivors Of Human Trafficking And Commercial Sexual Exploitation In Belize, Amy Vanbecelaere

Creative Arts Therapies Theses

The purpose of this project was to; identify the biopsychosocial needs of child survivors of human trafficking and commercial sexual exploitation in Belize and to develop a dance/movement therapy based program that Belizean caregivers can utilize to better serve the children they work with. The Moving THRU (Trauma Healing, Recovery + Understanding) program was developed based on current literature regarding post-trafficking mental health care and information provided in interviews by Belizean direct caregivers currently working with youth who have been trafficked and exploited in the Cayo District of central Belize. The curriculum is designed to help direct caregivers utilize techniques …

Electronic Health Records In Simulation And Its Effects On Student Knowledge Of Patient Condition, Katie Holiday, Debra Wing

Journal of Undergraduate Research

As a nursing student I have been involved in countless simulations throughout my time in the BYU nursing program. All have been different, challenging, and enlightening, helping me to learn the art of nursing. However, I noticed, as I became a facilitator of these simulations that very often students don’t remember very much about the scenario or the patients they work with. I began to think about this and how we could help students understand what they learn in simulations to help them remember more about the scenarios and their patients. It was at the National Student Nurses Conference that …

Increasing The Number Of Adults In Utah County Who Receive The Pertussis Vaccine Through Proper Education, Sarah Jones, Beth Luthy

Journal of Undergraduate Research

Pertussis is a vaccine-preventable disease that has plagued our nation for many years. Since the vaccine’s creation in 1945, rates of pertussis thankfully decreased overall. However, in recent years, due to the decrease in the number of vaccinated individuals, especially adults, pertussis cases have drastically increased, rising by 500% since 2002 (Centers for Disease Control and Prevention [CDC], 2012). For the first time since 1955, the United States has had more than 40,000 cases of pertussis in a single year (CDC, 2012). Even more startling, however, is the fact that Utah County had 76.6 cases per 100,000 people, compared to …

Assessment Of Patient Empowerment - A Systematic Review Of Measures, Paul Barr, Isabelle Scholl, Paulina Bravo, Marjan J. Faber, Glyn Elwyn, Marion Mcallister

Dartmouth Scholarship

Patient empowerment has gained considerable importance but uncertainty remains about the best way to define and measure it. The validity of empirical findings depends on the quality of measures used. This systematic review aims to provide an overview of studies as- sessing psychometric properties of questionnaires purporting to capture patient empower- ment, evaluate the methodological quality of these studies and assess the psychometric properties of measures identified.

Nurses' Self-Efficacy For Managing Elder Abuse, Alana Anderson

Nursing Theses and Dissertations

Elder abuse is a serious issue that negatively affects physical and mental health in a significant portion of the older population. Abuse of older adults is not adequately detected or reported. Nurses have frequent contact with older victims of abuse, providing them the opportunity to play a significant role in detecting, reporting, and intervening in such cases. Nurses are reluctant to intervene due to lack of education on elder abuse and lack of self-efficacy in their ability to properly manage elder abuse. This quantitative, descriptive study was designed to determine whether educational content on elder abuse, perceived capability, and self-efficacy …