Medicine and Health Sciences Commons^™

Advocacy: A Vital Step In Attaining Full Practice Authority For The Advanced Practice Registered Nurse, Mandi Cafasso

Doctor of Nursing Practice Scholarly Projects

Problem Statement

Recent passage of the Affordable Care Act has made the imminent concern of poor patient/provider ratios a reality. Unfortunately, despite increasing numbers of advanced practice registered nurses graduating annually, the access to healthcare issue continues. Advanced practice registered nurses (APRNs) are limited in the care they can provide as a result of Ohio law.

The Ohio Nurse Practice Act requires APRNs to work in a collaborative relationship with a physician and also requires that prescribing practices be guided by an inclusionary formulary (Nurse Practice Act, 2014). Thus, APRNs in Ohio cannot practice to their fullest scope of education …

Development Of A Personalized Education Program Based On An Assessment Of Knowledge Of Coronary Heart Disease And Risk Factors In A Filipino-American Community In New York City, Mervin David

Doctor of Nursing Practice Scholarly Projects

Abstract

Filipino-Americans (FAs) are considered the fastest growing Asian immigrant population in the United States. There are about 2.6 million Filipino-Americans living in the United States (U.S. Census, 2010). Coronary Heart Disease (CHD) is the leading cause of death among FAs in the United States (National Vital Statistics, 2009). Research studies on CHD and CHD risk factors among FAs are limited. The purpose of the study was to explore FAs’ knowledge of CHD, risk factors for CHD and to provide a personalized educational intervention in raising awareness and changing attitudes about CHD among FAs aged 35-75 in a community setting …

The Contemporary Use Of Nurse Practitioners In U.S. Emergency Departments, Jeffrey L. Bevan

Doctor of Nursing Practice Scholarly Projects

Problem: The increased demand for emergency care in the United States (U.S.) has been well-documented and there is growing utilization of nurse practitioners in U.S. emergency departments. However, little is known about the nurse practitioner (NP) role in the emergency department setting within the past five years.

Purpose: The purpose of this project was to describe the demographic characteristics of patients, patient conditions treated, diagnostic tests ordered, and procedures performed by nurse practitioners in a national sample of U.S. emergency departments.

Methodology: This secondary analysis used a non-experimental quantitative, descriptive exploratory design to review data from the National Hospital Ambulatory …

Implementation Of Educational Program For Nurses To Improve Knowledge And Use Of Discharge Planning Best Practices, Eric C. Snyder

Doctor of Nursing Practice Scholarly Projects

Abstract

Problem Statement: The frequency and severity of hospital post-discharge events has become a national problem. The increase in readmission rates post-discharge has a negative impact on the patients overall morbidity and increases healthcare costs (Jack, 2012). Non-comprehensive discharge planning contributes to post-discharge events such as less than 30-day readmissions (Jack, 2012). Best practices for discharge planning should be utilized.

Purpose: The purpose of this project was to evaluate the impact of Project Re-engineering Discharge (RED) education to increase nurses' knowledge and use of best practices on discharge planning. An adapted Project RED educational intervention, using Knowles' adult learning …

Promoting Oral Health Knowledge In African American College Students, Terri Huff-Simmons

Doctor of Nursing Practice Scholarly Projects

Objective. The primary aim was to assess African American college student's knowledge of oral health and healthcare access.

Methods. The project was a quantitative descriptive study using a pre and posttest design. A pre questionnaire containing items regarding oral hygiene and oral health based on the recommendations of the American Dental Association (ADA) as well as questions about access to oral healthcare was distributed to African American college students to measure their knowledge. A demographic questionnaire was distributed. Students participated in a 20-30 minute oral health educational program. A post-test was given 4-6 weeks after the initial pre-test.

Results. …

Advanced Practice Nurses Knowledge And Use Of Fall Prevention Guidelines, Katherine Hays

Doctor of Nursing Practice Scholarly Projects

Falls are a significant public health issue resulting in a significant economic and social burden on society. Specific strategies are available that can reduce the risk of falling for older adults age 65 and older; however, providers have failed to integrate these guidelines into clinical practice (Rubenstein, Solomon & Roth, 2004; Chou, Tinetti, King, Irwin, & Fortinsky, 2006; Jones, Ghosh, Horn, Smith, & Vogt, 2011). The CDC has published the STEADI toolkit, a healthcare resource for integrating fall prevention guidelines into clinical practice; but little information is available on the knowledge and use of the STEADI toolkit by Advance Practice …

Blood Inorganic Mercury Is Directly Associated With Glucose Levels In The Human Population And May Be Linked To Processed Food Intake, Renee Dufault, Zara Berg, Raquel Crider, Roseanne Schnoll, Larry Wetsit, Wayne Two Bulls, Steven G. Gilbert, H.M. “Skip” Kingston, Mesay Mulugeta Wolle, G.M. Mizanur Rahman, Dan R. Laks

Publications and Research

Background: The goals of the study were (1) to determine the impact of inorganic mercury exposure on glucose homeostasis; and (2) to evaluate the effectiveness of two community-based interventions in promoting dietary changes among American Indian college students to reduce risk factors for Type-2 Diabetes including fasting glucose, insulin, and mercury levels, weight, and body mass index.

Methods: To accomplish goal one, the National Health and Nutrition Examination Survey (NHANES) dataset was analyzed using a previously published method to determine if there is a relationship between inorganic blood mercury and fasting glucose. To accomplish goal two, ten college students were …

Improving Vaccination Compliance Among Amish Children In Knox County, Ohio, Laura J. Segraves

Doctor of Nursing Practice Scholarly Projects

Abstract

Children living in Amish communities in Ohio are under-immunized and under-immunized communities are reservoirs for preventable childhood diseases. A recent measles outbreak in central Ohio involved 9 counties and 377 cases of this vaccine-preventable disease. There were 5 hospitalizations related to this measles outbreak in Knox County. Vaccine-preventable illnesses contribute to pediatric morbidity and mortality and are cost prohibitive to individuals and society.

The purpose of this study was to identify real and perceived barriers to immunizations among Amish parents in Knox County, Ohio. The information obtained in this study will be disseminated to the Knox County Health Department …

Transplantation Of Kidneys From Donors With Acute Renal Failure Five-Year Results From Double Center Experience, Ahmad Safra, Md, Ashesh P. Shah, Md, Cataldo Doria, Md, Phd, Warren R Maley, Md, Adam M. Frank, Md, Chad Gorn, Laurel Lerner, Rn, Marie Manley, Carlo B Ramirez, Md

Department of Surgery Faculty Papers

Background:

Transplantation of kidneys from deceased donors with acute renal failure (ARF) has been described and represents an underutilized source of renal grafts. We reviewed retrospectively our double center experience with transplantation of ARF donor kidneys.

Methods:

Between January 2009 and June 2014, we performed a total of 397 kidney transplants at the two hospitals. Of which, 65 came from donors with ARF. The outcome was compared with 62 expanded criteria donor kidneys and 270 standard criteria donor kidneys. ARF was defined as donor terminal creatinine higher than 2. All kidneys from ARF donors had acceptable biopsies and were pumped. …

Declaring A Patient Brain Dead On Extracorporeal Membrane Oxygenation (Ecmo): Are There Guidelines Or Misconceptions, Kristin J. Kreitler, Nicholas C. Cavarocchi, Hitoshi Hirose, Sharon West, Richard Hasz, Michelle Ghobrial, Rodney D. Bell

Department of Surgery Faculty Papers

Objectives:

• To review the clinical practice variations and trends with declaring patients brain dead on ECMO
• To highlight the need for the development of consensus guidelines to assist clinicians in the accurate diagnosis of brain death in this specific patient population

Radon Potential, Geologic Formations, And Lung Cancer Risk, Ellen J. Hahn, Yevgeniya Gokun, William M. Andrews Jr., Bethany L. Overfield, Heather Robertson, Amanda T. Wiggins, Mary Kay Rayens

Nursing Faculty Publications

OBJECTIVE: Exposure to radon is associated with approximately 10% of U.S. lung cancer cases. Geologic rock units have varying concentrations of uranium, producing fluctuating amounts of radon. This exploratory study examined the spatial and statistical associations between radon values and geological formations to illustrate potential population-level lung cancer risk from radon exposure.

METHOD: This was a secondary data analysis of observed radon values collected in 1987 from homes (N = 309) in Kentucky and geologic rock formation data from the Kentucky Geological Survey. Radon value locations were plotted on digital geologic maps using ArcGIS and linked to specific geologic map …

Effects Of Acupuncture Versus Non-Acupuncture Treatment On Pain, Stacie Phan

The Review: A Journal of Undergraduate Student Research

This study examines the impact of acupuncture treatment in comparison to non-acupuncture treatment on multiple facets of pain. All studies included met inclusion criteria in which patients were to have experienced some sort of pain before treatment. After being informed of the procedure, each study’s participants were assigned to a control group or a treatment group in order to test the true effect on pain. After gathering data from each of the studies, it was necessary to standardize the data for comparison. It was found that the overall effect of acupuncture reduced pain in the participants. However, Hegu acupuncture compared …

Sound Stimulation In Patients With Alzheimer’S Disease, Amy Clements-Cortés

Music Faculty Publications

Sound stimulation is an important approach to consider when working with patients with Alzheimer’s disease. Both music and other forms of sound stimulation can contribute to improved health and well-being and are often easily implemented in the long-term care (LTC) environment. This paper provides an overview of the two basic approaches to the use of sound with persons in LTC (music therapy and music medicine), as well as a discussion of considerations for implementing various types of sound stimulation in the LTC setting.

Section Abstracts: Medical Sciences

Virginia Journal of Science

Abstracts of the Medical Sciences Section for the 93rd Annual Meeting of the Virginia Academy of Science, May 21-23, 2015, James Madison University, Richmond, Virginia

Multi-Color Reflectance Imaging Of Middle Ear Pathology In Vivo, Tulio A. Valdez, Kaitlyn Longo, Christopher Grindle, Donald Peterson

Articles - Patient Care

Otoscopic examination using white-light illumination has remained virtually unchanged for well over a century. However, the limited contrast of white-light otoscopy constrains the ability to make accurate assessment of middle ear pathology and is subject to significant observer variability. Here, we employ a modified otoscope with multi-color imaging capabilities for superior characterization of the middle ear constituents in vivo and for enhanced diagnosis of acute otitis media and cholesteatoma. In this pilot study, five patients undergoing surgery for tympanostomy tube placement and congenital cholesteatoma excision were imaged using the custom-designed multi-color video-rate reflectance imaging system. We show that the multi-color …

Correlations Between The Functional Movement Screen (Fms), The Balance Error Scoring System (Bess), And Injury, Jamie Perry

Graduate Theses

Men’s ice hockey is a fast and exciting sport that draws elite athletes into its rink. The demands of the sport place athletes at an exceptionally high risk for musculoskeletal injury if they are not properly conditioned. Determining at risk athletes during pre-season screenings is of particular importance to the medical staff, and any opportunity to provide prophylactic treatment is sought after. The purpose of this study was to investigate a potential correlation between a) total FMS scores and total BESS scores, b) total FMS scores and the incidence of injury, c) total BESS scores and the incidence of injury, …

A Translational Study Determining The Impact Of Timing And Duration Of Aerobic Walking On Metabolic Control And Personal Preferences Among Adults Recently Diagnosed With Type 2 Diabetes, Cory Cox

Graduate Theses

Type 2 diabetes (T2D) is a potentially life threatening metabolic disease characterized by insulin resistance and inability to metabolize glucose (Meneilly & Elliott 1999). According to the American Diabetes Association (ADA, 2013), diabetes played a contributing role in 231,404 deaths in 2007 alone. Because of this, researchers strive to develop the best methods of managing diabetes. Physical activity has been shown to improve glucose control by reducing insulin resistance and reducing body fat (Bacchi et al., 2012). Recent data from DiPietro et al. (2013) indicated that multiple bouts of exercise may be favorable over one continuous bout in managing blood …

The Effect Of Warm Up Music Compared To No Warm Up Music In Collegiate Anaerobic Athletes, Mallory Zappitelli

Graduate Theses

Music is a very influential part of life. Music has been linked to psychological effects on exercise, however, there are mixed outcomes when it comes to its effects on exercise performance. The purpose of this study was to test music’s influence on anaerobic performance on the Wingate test. Subjects included 20 track and field athletes at a Division I school in South Carolina. The methodology used in this research was a blind randomized cross over design. Twenty college-age track and field athletes participated in two Wingate tests. Each involved a warm-up with music and a warm-up without music. The warm-up …

Department Of Surgery Update, May 2015, Wright State University Department Of Surgery

Department of Surgery Updates

A five page newsletter created by the Department of Surgery documenting changes to the department. This issue contains a message from the chair, pictures of the new interns for 2015-2016, scholarly activity and more.

Fall Prevention Among Older Adults Living In The Community, Clarissa Silva Lopez

Theses & Dissertations

Older adults are within the fastest population growth rate in the United States, and as the population ages, the potential for falls increases (DHHS, 2011). This was a mixed-method explanatory study that investigated the perceptions of older adults regarding the usefulness, adequacy, and positive experience of fall information among older adults living in the community when received from healthcare professionals during physician’s office visits. The research questions were: 1. What is the relationship among perceptions of usefulness, adequacy, and positive experience of fall information among older adults? 2. Is there a difference in the perceptions of usefulness and adequacy among …

An Assessment Of The Relationship Between The Hospital Chief Executive Officer’S Leadership Behaviors And Hospital Success, Newton J. Courtney

Theses & Dissertations

The health care delivery system in the United States has received increased attention over the last 2 decades. Concerns of access, choice, cost, and quality have been in the forefront. This study was conducted to assess the leadership behaviors of hospitals’ chief executive officers and how they impact the performance of hospitals. Two instruments were used to collect the data for the study: the Multifactor Leadership Questionnaire (MLQ-5X; Avolio & Bass, 2004) and a demographics questionnaire. A correlational research design was used to measure the degree of association between variables related to hospital CEOs, the hospitals they represented and hospital …

Sustained Release Of Calcium Hydroxide From Poly(Dl-Lactide-Co-Glycolide) Acid Microspheres For Apexification, Bernardino Isaac Cerda-Cristerna, Alejandro Breceda-Leija, Verónica Méndez-González, Daniel Chavarría-Bolaños, Héctor Flores-Reyes, Arturo Garrocho-Rangel, Takashi Komabayashi, Aniket S. Wadajkar, Amaury J. Pozos-Guillén

Dental Medicine Faculty Publications

Calcium hydroxide (Ca(OH)2) loaded poly(DL-lactide-co-glycolide) acid (PLGA) microspheres (MS) might be employed for apexification requiring a sustained release of Ca++. The aim of this study was to formulate and characterize Ca(OH)2-PLGA-MS. The Ca(OH)2-loaded MS were prepared by either oil-in-water (O/W) or water-in-oil/in-water (W/O/W) emulsion solvent evaporation technique. MS produced by the O/W technique exhibited a larger diameter (18.63 ± 7.23 μm) than the MS produced by the W/O/W technique (15.25 ± 7.37 μm) (Mann Whitney U test P < 0.001). The Ca(OH)2 encapsulation efficiency and Ca++ release were calculated from data obtained by absorption techniques. Ca++ release profile was evaluated for 30 days. The percentage of encapsulation efficiency of the O/W-produced MS was higher (24%) than the corresponding percentage of the W/O/W-produced MS (11%). O/W- and W/O/W-produced MS released slower and lower Ca++ than a control Ca(OH)2 paste with polyethylene glycol 400 (ANOVA 1 way, Tukey HSD P < 0.01). O/W-produced MS released higher Ca++ than W/O/W-produced MS (statistically significant differences with t-Student test). We concluded that Ca(OH)2-PLGA-MS were successfully formulated; the technique of formulation influenced on the size, encapsulation efficiency and release profile. The MS were better sustained release system than the Ca(OH)2 paste.

Medical Education Digest, Vol. 17 No. 3 (May-June 2015), Nova Southeastern University

Medical Education Digest

No abstract provided.

Complete Genome Sequence Of A Highly Pathogenic Avian Influenza Virus (H5n2) Associated With An Outbreak In Commercial Chickens, Iowa, Usa, 2015, Travis Clement, Gerald F. Kutish, Jill Nezworski, Joy Scaria, Eric A. Nelson, Jane Christopher-Hennings, Diego Diel

Veterinary and Biomedical Sciences Faculty Publications

A novel reassortant influenza A virus (H5N2) was first detected in British Columbia, Canada, in December 2014. The virus rapidly spread along the waterfowl migration flyways in the United States, causing multiple HPAI outbreaks in poultry. Here, we present the complete genome sequence of HPAIV-H5N2 from a commercial chicken flock in Iowa.

Development Of An In Vivo Exsheathment Assay Of Infective L3 Haemonchus Contortus Larvae In Fistualated Sheep, Holly N. Williams, Katherine Petersson, Carly Barone

Senior Honors Projects

Purpose: Gastrointestinal nematodes (GIN) hinder the sustainable production of small ruminants on pasture and parasite resistance to chemical dewormers is becoming a growing concern. Condensed tannin containing legume forages are being tested to evaluate their anti-parasitic properties and potential contribution to an overall parasite control program for small ruminants such as sheep and goats. One of the most pathogenic GIN of small ruminants is Haemonchus contortus. The final step to full infectivity of H. contortus third stage larvae (L3) is exsheathment in the rumen. The objective of this study was to establish an in-vivo exsheathment assay in fistulated sheep …

The Effects Of Rhein And Thymoquinone On Obesity And Diabetes In Diet-Induced Obese Mice., Emily Martell

Senior Honors Projects

Natural product extracts and chemicals isolated from natural products (e.g. plants, berries, seeds) have been commonly used in various types of traditional medicines. In addition, some drugs on the market today have been derived from natural product sources. The purpose of our study was to evaluate two natural products, Rhein and Thymoquinone, for as potential anti-diabetic and anti–obesity agents. According to the Center for Disease Control (CDC), the number of people in the US diagnosed with diabetes has increase from 11.9 million people in the year 2000 to 20.8 million people in the year 2011. Rhein is a natural compound …

Risk Perception Of Developing Type 2 Diabetes Mellitus In Healthcare Related Majors At The University Of Rhode Island, Iman Aberra

Senior Honors Projects

Objective: To determine risk perception of developing type 2 diabetes mellitus in health orientated majors at the University of Rhode Island and if perceived risk is significantly different in those who have trouble affording nutritious foods.

Methods: An email was sent to an academic advisor for the doctorate of pharmacy, nursing, physical therapy, kinesiology, pre-professional health studies, nutrition, and health studies programs at the University of Rhode Island. Pre-pharmacy was included in pre-professional health studies. An additional email was sent to a professor in the nutrition department. The advisors and the nutrition professor then sent out an email with the …

The Dangers Of The 'No Pain, No Gain' Mentality In Modern Exercise., Allison B. Costa

Senior Honors Projects

Abstract

Background: With the pressure to be fit in todays society the “no pain, no gain” exercise mentality has become a dangerous mindset among the average gym goer and the collegiate athlete. Studies assessing sports injuries in college-aged students in the United States indicate that the levels of sports injuries are rising. About 30% of all those injuries are a result of overuse (2015). Research is needed to identify the physical and mental factors that inhibit or promote these sports related injuries and provide steps that could be taken to prevent them.

Objective: To determine the top three injuries among …

Improving Rhode Island’S Health Care System: Lessons From The Cuban Model, Sarah R. Moffitt

Senior Honors Projects

Improving Rhode Island’s health care system: lessons from the Cuban model

Cuba is world renowned for its health care system. In regards to international health crises, Cuba is a leader in sending workers abroad and training doctors from all over the world. Within its own borders, the Cuban model provides free access to all citizens in which every individual has a primary care provider. Cuba boasts high vaccination rates, a long life expectancy, low infant mortality rate, and a population that is one of the healthiest in the western hemisphere.

The purpose of this research project is to evaluate the …

Guilty By Reason Of Insanity: Unforeseen Consequences Of California's Deinstitutionalization Policy, Jen Rushforth

Themis: Research Journal of Justice Studies and Forensic Science

Beginning with the passage of the Lanterman-Petris- Short Act in 1969, deinstitutionalization in California has had a devastating effect on the mentally ill. Instead of affording the mentally ill with more rights and protections, the process of shutting down state psychiatric hospitals and impeding psychiatric care for those in need caused a cascade effect leading to an increase of homelessness and incarceration. Over the past four decades, prisons and jails in California have become the de facto state mental hospitals, with severely mentally ill individuals having nearly a four-to-one chance of ending up in jail or prison over a psychiatric …