Medicine and Health Sciences Commons^™

Understanding And Treating Emergence Delirium, Peter Currie

Nurse Anesthesia MSNA Student Capstones

This paper examines our current understanding of the phenomena of emergence delirium, which can occur following general anesthesia. Much research has been conducted to elucidate the causative factors of this condition, with findings ranging from anxiety to volatile agents and the neurodevelopment of the brain (Aono, Ueda, & Mamiya, 1997; Kain et al., 2004; McLott, Jurecic, Hemphill, & Dunn, 2013). While much of our understanding of emergence delirium has come from studying children, who are more prone to this condition, we can attempt to learn even more by examining the increased incidence of emergence delirium that occurs in those with …

Assessment Of The Preoperative Assessment: A Case Study, Steven James Birchenough

Nurse Anesthesia MSNA Student Capstones

The geriatric population defined as individuals 65 years of age or older is expected to increase to 20% of the total population by the year 2020. This population currently makes up one-third of the surgical population and is projected to double by 2020. The perioperative risks for this population are also increased and pose significant increases in morbidity and mortality. The need for a detailed preoperative assessment is crucial in any surgical patient. It is increasingly imperative for the geriatric surgical patient as assessment is vital for the surgical team to make decisions regarding the projected necessity, plan and desired …

Minimal Opioid Anesthetic In Patient With History Of Substance Abuse: A Case Study, Sarah E. Varney

Nurse Anesthesia MSNA Student Capstones

More than half of the population in the United States of America drinks alcohol regularly. Thousands of deaths annually are linked to drug overdoses, and that number continues to rise. Anesthesia professionals can expect to see patients in various levels of substance abuse and recovery during their practice. This case study is presented to discuss a minimal narcotic technique given in a patient with a history of prescription drug abuse, who had been substance free since successfully been through a recovery program years prior.

Detection And Treatment Of Hemorrhage In The Postoperative Patient, Vanessa M. Derosby

Nurse Anesthesia MSNA Student Capstones

Hemorrhage is a devastating event that can occur in the perioperative period. It is estimated that 2.35 in 1000 patients will experience hemorrhage associate with surgery. Adverse outcomes affecting patient morbidity, mortality and quality of life are associated with hemorrhage. Timely detection, diagnosis and appropriate intervention in the setting of hemorrhage are imperative to reduce adverse outcomes of shock such as end organ damage, chronic disability or death. Anesthesia practitioners hold the charge of monitoring and managing the patient’s hemodynamic status and play an integral role in the detection and management of the hemorrhaging patient.

Low Back Pain: A Study On Which Demographic Characteristics Contribute, Sarah M. Uhlenbrock

Undergraduate Distinction Papers

Abstract

This statistical study examined low back pain and possible contributing socioeconomic factors using the National Health And Nutrition Examination Survey. The Center for Disease Control and Prevention funds this biannual survey which documents everything from nutrition, physical activity, and overall health status of Americans. The survey uses a nationally representative sample of approximately 10,000 individuals from all races and ethnicities. Across the United States, it is well-known that minorities suffer from a higher burden of illness and disease compared to Caucasians. The goal of this study was to identify if low back pain is also experienced more by minority …

Nsu Sharks Rx - Spring 2015, College Of Pharmacy

NSU Sharks Rx

No abstract provided.

An Evaluation Of Carbon Concentrations Associated With Biodiesel Particulate Matter In An Underground Metal Mine, David Evans

Graduate Theses & Non-Theses

Exposure to diesel particulate matter from diesel exhaust has been shown to have adverse health effects in humans. In 2012 The International Agency for Research on Cancer classified diesel exhaust as a group 1 know human carcinogen. Because of the associated health effects, there has been a strong push to reduce the amount of diesel exhaust present in the mining industry. Biodiesel is one to the more common and promising control options used to reduce the amount of diesel particulate matter that is generated during fuel combustion. The use of biodiesel over petroleum diesel has been shown to reduce not …

Knowledge And Attitude Towards Rape And Child Sexual Abuse – A Community-Based Cross-Sectional Study In Rural Tanzania, Muzdalifat Abeid, Projestine Muganyizi, Siriel Massawe, Rose Mpembeni, Elisabeth Darj, Pia Axemo

Obstetrics and Gynaecology, East Africa

Background, Violence against women and children is globally recognized as a social and human rights concern. In Tanzania, sexual violence towards women and children is a public health problem. The aim of this study was to determine community knowledge of and attitudes towards rape and child sexual abuse, and assess associations between knowledge and attitudes and socio-demographic characteristics.

Methods, A cross-sectional study was undertaken between May and June 2012. The study was conducted in the Kilombero and Ulanga rural districts in the Morogoro Region of Tanzania. Men and women aged 18–49 years were eligible for the study. Through a three-stage …

Walkable Scores For Selected Three East Texas Counties: Physical Activity And Policy Implications, Wycliffe W. Njororai Simiyu, Fletcher J. Njororai, Billystrom Aronya Jivetti

Health & Kinesiology Faculty Publications and Presentations

Introduction: Physical activity has become an important intervention against overweight and obesity cases in the USA and worldwide. One key aspect of physical activity is walking, which has been identified as a component that can easily be incorporated into one’s lifestyle. Recent studies on physical activity have focused on promoting walking as a health enhancing endeavor. In 2010, the proportion of Texas adults who reported no participation in leisure time activity (26.7%) was significantly higher than the national average (24.4%). However, many Texans, like most Americans, are sedentary. Purpose: This study examined the walkability of the environments in selected counties …

A Dual Conversation About Mentoring: Undergraduate Student Faculty Perspectives, Belinda Deal, Jennifer Grimes

Faculty Posters

This poster was presented at the Sigma Theta Tau, Beta Chi Regional Research Conference in Shreveport, LA.

Active Learning And Technology Immersion: Jumping In With Both Feet, Belinda Deal, Jerri L. Post

Faculty Posters

This poster was presented at the Sigma Theta Tau, Beta Chi Regional Research Conference in Shreveport, LA.

The Affordable Care Act And Student Perceptions, Jenifer Chilton, Danice B. Greer, Melinda Hermanns, Colleen Marzilli

Faculty Posters

A poster presented at UT Tyler's Faculty Awards, 2015.

Successful Strategies For Recruiting Minority Participants In Clinical Research, Danice B. Greer

Nursing Faculty Publications and Presentations

This presentation discusses the history of and successful strategies for recruiting minorities in participating in clinical research.

Prevalence Of Overweight And Obesity Among Iranian Preschoolers: Interrelationship With Physical Fitness, Hamid Agha-Alinejad, Babak Farzad, Mansoureh Salari, Bonnie Lee Harbaugh, Maghsoud Peeri

Faculty Publications

BACKGROUND: The preschool years are a crucial time to study the determinants of childhood obesity, as it is when eating and physical activity habits are becoming established. The purpose of this study was to compare the prevalence of overweight and obesity among preschoolers living in the capital of Iran and to determine relationships between overweight and obesity and selected motor- and health-related fitness parameters.

MATERIALS AND METHODS: This exploratory cross-sectional study was conducted with 190 boys and 191 girls aged 5-6 years. Study children were selected from the kindergartens in Tehran, the capital of Iran. All children underwent …

Mindfulness: Being Present In The Moment, Stephanie Ann Stathas, Christine Frazer

Walden Faculty and Staff Publications

This article serves to enlighten childbirth educators’ knowledge about mindfulness and the mother-baby benefits associated with incorporating mindfulness- based interventions into practice. Jon Kabat-Zinn, who developed the Mindfulness Based Stress Reduction program, brought the concept of mindfulness into the world of healthcare and mainstream society. Mindfulness is the practice of bringing awareness to the here and now using a variety of methods. Nancy Bardacke has taken the practice of mindfulness further and developed a program for expecting mothers, known as Mindfulness Based Childbirth and Parenting. This program has been shown to reduce stress responses that may be harmful to a …

A Randomized Controlled Prospective Study Comparing A Low Dose Bupivacaine And Fentanyl Mixture To A Conventional Dose Of Hyperbaric Bupivacaine For Cesarean Section, Himabindu Gandam Venkata, Surender Pasupuleti, Upender Gowd Pabba, Sridevi Porika, Goutham Talari

Internal Medicine Faculty Publications

CONTEXT: Hormonal and mechanical factors make obstetric patients need strict dose calculations of local anesthetics intrathecally for spinal anesthesia. Any greater dose of local anesthetics can cause hemodynamic instability, maternal morbidity and any lesser dose can produce inadequate block. Hence, we hypothesized in our study that by using low dose of bupivacaine with fentanyl can maintain stable hemodynamics and provide better analgesia.

AIM: The aim was to compare the hemodynamics and duration of analgesia using a low dose (7.5 mg) bupivacaine fentanyl mixture to a conventional dose (10 mg) of hyperbaric bupivacaine for cesarean section.

SETTINGS AND DESIGN …

Are We Empowered? A Qualitative Approach To Unfold The Experiences Of Female Nurses In Pakistan, Saleema A. Gulzar, Rozina Karmaliani, Nasreen Lalani, Qurratulain Nasiruddin

School of Nursing & Midwifery

The disparity of men and women in certain societies, such as Pakistan, is a growing concern. The disparity, unchanging mind-set, and definitions rooted in traditions do not free individuals from the socially bound gender identities. In such circumstances, educational institutions can become a way of transforming social structures. Considering female nurses in Pakistan as a case study, this paper explores the notion of “empowerment” and the factors responsible for empowerment or disempowerment of female nurses. The study also evaluates the role of a leading nursing institution in Pakistan namely the Aga Khan University- School of Nursing and Midwifery (AKUSONAM) in …

Dental Practice Success Vol. 2 No. 1, American Dental Association, Publishing Division

Dental Practice Success

No abstract provided.

Evaluation Results Of An Innovative Pilot Program To Increase Access To Fresh Fruits And Vegetables In Cobb County, Ga, Rebecca C. Woodruff, Rebecca Shipley, Agnes F. Brown, Anne-Marie Coleman, Jennifer Munoz, Sally Honeycutt, April K. Hermstad, Lorna Loh, Michelle C. Kegler

Journal of the Georgia Public Health Association

Background: This abstract describes a public health practice initiative called the Farm Fresh Market (FFM) and presented pilot evaluation results.

Methods: The FFM, developed by Cobb and Douglas Public Health, the McCleskey-East Cobb Family YMCA, and Cobb2020, sold low-cost fruits and vegetables to families living in the 30168 zip code of Austell, Georgia. The evaluation focused on documenting to what extent the FFM reached its intended population and increased perceived access to fresh fruits and vegetables among customers. A convenience sample of 100 returning FFM customers completed self-administered, written intercept surveys at the end of the 2014 market season.

Results: …

Student Adjustment To College: Examining The Impact Of An Outdoor Orientation Program, Timothy Posey, Eddie Hill, Edwin Gomez, Mike Mcfall, Shea Humenik, Dakota Clifford

Human Movement Studies & Special Education Faculty Publications

This pilot study examined the impact of an outdoor orientation program (First Ascent) on participants’ level of transference, resilience, well-being and transition to college. Pre and posttest instruments were administered during a four- day college outdoor orientation program, as well as an open-ended series of questions. Nonparametric tests revealed significant differences from the pre- and posttest of the measures on skill transference and resiliency. Additional, individual items from each questionnaire were examined.

Treatment Of A 65 Year Old Deconditioned Female Admitted With Complications Resulting From Morbid Obesity: A Case Report, David Sarvin

All Capstone Projects

Background/Purpose: Obesity is a growing concern among the population of adults and children living in the United States. It costs the medical industry a great deal of money each year treating these patients, especially in those individuals classified as morbidly obese. The purpose of this study is to assess effectiveness of a cardiovascular based treatment plan on a deconditioned subject who suffers from complications resulting from morbid obesity.

Case Description: The patient described in this case study is a 65 year old Caucasian female admitted to the skilled nursing facility with complications resulting from morbid obesity, among other co-morbidities.

Interventions/Ouctomes …

Transylvania University And Its Hemp Connection, Charles T. Ambrose

Microbiology, Immunology, and Molecular Genetics Faculty Publications

No abstract provided.

Promoting Adult Pertussis Vaccination In The Workplace, Jennifer Bainum, Karlen Beth Luthy, Renea L. Beckstrand, Janelle L. B. Macintosh, Lacey M. Eden

Student Works

Vaccines are an important disease prevention strategy among individuals of all age groups. Despite the success of vaccinations in preventing communicable diseases, adults, in particular, often have sub-optimal vaccination rates. Consequently, some vaccine-preventable diseases, such as pertussis, are still on the rise in the United States despite the availability of the Tdap vaccine. As most adults can be found in the workplace, occupational health and environmental health nurses (OHEHNs) are in a unique role to encourage employers to promote adequate Tdap vaccination among their employees. As specific resources regarding Tdap vaccination are lacking, the Pertussis Prevention Toolkit was developed to …

Knee Morphometric Risk Factors For Acute Anterior Cruciate Ligament Injury In Skeletally Immature Patients, Kenneth Aaron Shaw, Brian S. Dunoski, Neil J. Mardis, Donna M. Pacicca

Manuscripts, Articles, Book Chapters and Other Papers

© 2015, The Author(s).

Study design: Retrospective, case–control.

Purpose: Knee morphometric risk factors for noncontact anterior cruciate ligament (ACL) injury have been a popular topic with skeletally mature patients. Little research has focused on the skeletally immature, with conflicting conclusions. This study performs a comprehensive analysis of identified parameters thought to predispose to ACL injury in a skeletally immature cohort.

Methods: A retrospective review of pediatric patients undergoing knee magnetic resonance imaging (MRI) was performed over a 4-year period. Inclusionary criteria included mid-substance ACL disruption, skeletal immaturity, noncontact injury, without associated ligamentous disruption, and no medical condition associated with ligamentous …

Point-Of-Care Ultrasonography By Pediatric Emergency Medicine Physicians., Jennifer R. Marin, Resa E. Lewiss, American Academy Of Pediatrics, Committee On Pediatric Emergency Medicine, Society For Academic Emergency Medicine, Academy Of Emergency Ultrasound, American College Of Emergency Physicians, Pediatric Emergency Medicine Committee, World Interactive Network Focused On Critical Ultrasound, Gregory P. Conners

Manuscripts, Articles, Book Chapters and Other Papers

Emergency physicians have used point-of-care ultrasonography since the 1990 s. Pediatric emergency medicine physicians have more recently adopted this technology. Point-of-care ultrasonography is used for various scenarios, particularly the evaluation of soft tissue infections or blunt abdominal trauma and procedural guidance. To date, there are no published statements from national organizations specifically for pediatric emergency physicians describing the incorporation of point-of-care ultrasonography into their practice. This document outlines how pediatric emergency departments may establish a formal point-of-care ultrasonography program. This task includes appointing leaders with expertise in point-of-care ultrasonography, effectively training and credentialing physicians in the department, and providing ongoing …

Himmelfarb Library Liaison Letter - April 2015, George Washington University, Himmelfarb Health Sciences Library

Himmelfarb Library Liaison Letters

No abstract provided.

J Am Coll Dent 2015 82 2

Journal of the American College of Dentists

The Journal of the American College of Dentists (JACD) publishes scholarly articles, editorials, essays, and reflections addressing the ethical, professional, and social dimensions of dentistry. The Journal serves as a forum for advancing ethics, professionalism, leadership, and excellence within the dental community. By fostering dialogue across disciplines and perspectives, JACD provides readers with insights that encourage ethical, professional practice, lifelong learning, and service to the public, reinforcing dentistry’s commitment to advancing oral healthcare and the common good.

Prevalence Of Rheumatoid Arthritis In Low-And Middle-Income Countries: A Systematic Review And Analysis, Igor Rudan, Simrita Sidhu, Angeliki Papana, Shi–Jiao Meng, Yu Xin-Wei, Wei Wang, Ruth M. Campbell–Page, Alessandro Rhyll Demaio, Harish Nair, Devi Sridhar, Evropi Theodoratou, Ben Dowman, Davies Adeloye, Azeem Majeed, Josip Car, Harry Campbell, Wei Wang, Kit Yee Chan

Research outputs 2014 to 2021

Background: Rheumatoid arthritis (RA) is an autoimmune disorder that affects the small joints of the body. It is one of the leading causes of chronic morbidity in high–income countries, but little is known about the burden of this disease in low– and middle–income countries (LMIC).

Methods: The aim of this study was to estimate the prevalence of RA in six of the World Health Organization's (WHO) regions that harbour LMIC by identifying all relevant studies in those regions. To accomplish this aim various bibliographic databases were searched: PubMed, EMBASE, Global Health, LILACS and the Chinese databases CNKI and WanFang. Studies …

Pubh 6532 - Environmental Health (Online), Atin Adhikari

College of Public Health: Faculty Syllabi (2014-2021)

Survey of specific environmental conditions and factors that contribute to the development of health problems in communities. Health effects, policy issues, intervention strategies and control programs for community environmental health protection are discussed.

Pubh 3331 - Stress Theory/Management, Jamie S. Cromley

College of Public Health: Faculty Syllabi (2014-2021)

Explores issues related to the etiology of stress and stressors with emphasis on environmental, organizational, interpersonal and individual patterns of stress in various health promotion settings. Competency in the active management of stress and mobilizing support in health settings will be evaluated.