Medicine and Health Sciences Commons^™

Cardiac Arrest In An Adolescent With Uhl’S Anomaly: Two Unusual Cardiac Arrhythmia Mechanisms, Jeffrey P. Moak, Gail D. Pearson, Bradley Clark, Charles I. Berul, Russell R. Cross, Dilip S. Nath

Pediatrics Faculty Publications

No abstract provided.

Improving Sickle Cell Transitions Of Care Through Health Information Technology., Jennifer R Frost, Rebecca K Cherry, Suzette O Oyeku, Elissa Z Faro, Lori E Crosby, Maria Britto, Lisa K. Tuchman, Ivor B. Horn, Charles J Homer, Anjali Jain

Pediatrics Faculty Publications

Introduction

Transitions between inpatient and outpatient care and pediatric to adult care are associated with increased mortality for sickle cell disease (SCD) patients. As accurate and timely sharing of health information is essential during transitions, a health information technology (HIT)-enabled tool holds promise to improve care transitions.

Methods

From 2012 through 2014, the team conducted and analyzed data from an environmental scan, key informant interviews, and focus groups to inform the development of an HIT-enabled tool for SCD patients’ use during care transitions. The scan included searches of peer-reviewed and gray literature to understand SCD patient needs, transition concerns, and …

Intracardiac Tumor Causing Left-Ventricular Outflow-Tract Obstruction In A Newborn, Christopher P. Jordan, John P. Costello, Kendal Endicott, Christine Reyes, Thomas Hougen, Susan Cummings, Dilip S. Nath

Pediatrics Faculty Publications

The following report describes the case of newborn girl with an asymptomatic systolic murmur, which on imaging revealed a nearly obstructive mass in the left-ventricular outflow tract. The mass was resected and found to be consistent with a rhabdomyoma. Here, we describe the pathologic and clinical characteristics of this tumor.

Angioedema: Adverse Reaction From Ace-Inhibitors, Jennifer L. Hawkins

Nursing Student Class Projects (Formerly MSN)

Angiotensin-converting enzyme inhibitor (ACEI) medications are one of the leading causes of angioedema in the United States, also known as ACEI-RA (Chan & Soliman, 2015). ACEI medications are frequently prescribed to help manage diseases, such as hypertension and congestive heart failure, and include, but are not limited to lisinopril and enalapril, with lisinopril being the most commonly prescribed at this time (Chan & Soliman, 2015). In addition, ACEIs are used to help prevent myocardial infarction, diabetic neuropathy, and a cerebrovascular accident (Chua, Ignaszewski, & Schwenger, 2011). There are several risk factors for developing ACEI-RA, with African-American females being the greatest …

Time Lost Is Brain Lost: Impact Of Ischemic Stroke, Paula Severns

Nursing Student Class Projects (Formerly MSN)

Stroke is the leading cause of functional impairment and the fourth leading cause of death in the United States. Annually 795,000 stokes occur with mean annual lifetime cost estimated at $140,000 per person. Approximately every 40 seconds a stroke occurs while every four minutes a stroke death occurs. Stroke is the broad term often used to describe a neurological emergency, of either ischemic or hemorrhagic etiology, affecting blood flow to the brain. Although approximately 90% of strokes are ischemic in nature, both are medical emergencies requiring time sensitive medical intervention. Decreasing modifiable risk factors, public education and recognition, along with …

Systemic Lupus Erythematosus And Cardiovascular Disease, Jayme York

Nursing Student Class Projects (Formerly MSN)

Systemic lupus erythematosus (SLE) is a challenging auto-immune disorder that incurs sporadic flares, remissions, and relapses (Robinson & Currie, 2011, p. 629). This auto-immune process is caused by the lack of tolerance to self-antigens within the adaptive immune system and can involve multiple organ systems, including the brain, heart and kidneys (Chen, Wu, Wang, Li, 2015, p. 1). SLE, also referred to as lupus, is a disease that affects women more often than men, especially during their childbearing years (Robinson & Currie, 2011, p. 631).

Over the past 3 decades, the five-year survival rate for patients suffering from Lupus have …

Japanese Octopus Traps & Broken Hearts: Takotsubo Cardiomyopathy, Chase A. Smith

Nursing Student Class Projects (Formerly MSN)

This academic poster provides a brief overview of Takotsubo Cardiomyopathy (TTC), it’s pathophysiology, and implications for nursing care. TTC is a non-ischemic cardiomyopathy that typically presents acutely in a very similar fashion to an acute myocardial infarction (Reeder & Prasad, 2015). Interestingly the disease primarily afflicts females (90% of cases) and is often triggered by an intense emotional or physical stressor (Minhas, Hughey & Kolas, 2014). Despite the acute onset and symptoms, the majority of cases are benign and resolve with conservative heart failure treatment (Scantlebury & Prasad, 2014) though a small percentage of cases can develop profound shock, resulting …

Diabetic Retinopathy, Tara L. Smith

Nursing Student Class Projects (Formerly MSN)

This poster is intended to cultivate a better understanding of diabetic retinopathy, the pathological process of the disease, signs and symptoms, and nursing implications related to the disease.

Mobilization With Movement Symptom Modification Procedure For A 38 Year-Old Male With Patella Femoral Pain Syndrome, Scott Gray, Eric Chaconas, David Kempfert

Physical Therapy Collection

No abstract provided.

Disease Burden And Functional Outcomes In Congenital Myotonic Dystrophy: A Cross-Sectional Study, Nicholas E. Johnson, Russell Butterfield, Kiera Berggren, Man Hung, Wei Chen, Deanna Dibella, Melissa Dixon, Heather Hayes, Evan M. Pucillo, Jerry Bounsanga, Chad Heatwole, Craig Campbell

Physical Therapy Collection

OBJECTIVE: Herein, we describe the disease burden and age-related changes of congenital-onset myotonic dystrophy (CDM) in childhood.

METHODS: Children with CDM and age-matched controls aged 0 to 13 years were enrolled. Participants were divided into cohorts based on the following age groups: 0-2, 3-6, and 7-13 years. Each cohort received age-appropriate evaluations including functional testing, oral facial strength testing, neuropsychological testing, quality-of-life measurements, and ECG. Independent-samples t test or Wilcoxon 2-sample test was used to compare the differences between children with CDM and controls. Probability values less than 0.05 are reported as significant.

RESULTS: Forty-one participants with CDM and 29 …

Training Elementary School Students To Intervene As Peer-Advocates To Stop Bullying At School: A Pilot Study, Aida Midgett, Diana M. Doumas

Counselor Education Faculty Publications and Presentations

The prevalence of bullying among children has prompted the development of school- based programs to address this problem. This pilot study evaluated the effectiveness of a brief, standalone bystander bullying program for elementary school students. The purpose to the program was to train students to take action as peer-advocates. After completing the 75-minute program, students reported an increase in their ability to identify what different types of bullying look like, knowledge of bystander intervention strategies, and general confidence intervening as peer-advocates. Furthermore, fifth grade students showed the greatest response to the program. Implications for school counselors as leaders in program …

Progressive Multifocal Leukoencephalopathy In Multiple Sclerosis, Lauren R. Jackson

Nursing Student Class Projects (Formerly MSN)

Progressive multifocal leukoencephalopathy (PML) is a rare and debilitating disease caused by the JC virus and results in demyelination of oligodendrocytes and glial cell lysis. The virus is able to cross the blood brain barrier, leading to plaque development on the brain and neurological problems. (Gorelik et al., 2011). PML develops in individuals who have an immune disorder and who have been treated with immunomodulatory medications, including patients with Multiple Sclerosis (MS). There is no cure for PML and 30-50% of patients who develop the disease die within the first few months of diagnosis. The JC virus is thought to …

Acute Respiratory Distress Syndrome, Jessica L. Kaufman

Nursing Student Class Projects (Formerly MSN)

Acute respiratory distress syndrome (ARDS) is defined as lung failure with a ratio of partial pressure oxygen (PaO2) to fraction of inspired oxygen (FiO2) <100 (Michaels, Hill, Long, Young, Sperley, Shanks, & Morgan, 2013). ARDS is characterized by acute, widespread pulmonary inflammation due to infection (viral or bacterial), trauma, and/or inhaled toxins (Aokage, Palmer, Ichiba, & Takeda, 2015). Approximately 150,000 patients are diagnosed with ARDS each year in the U.S. with reported mortality rates varying from 20%-40% (Butt, Kurdowska, & Allen, 2016; Drahnak & Custer, 2015). The pathophysiology of acute respiratory syndrome is complex, and can result from a number of different insults. Acute respiratory distress syndrome is a life threatening condition that requires aggressive treatment with close monitoring. Successful treatment of ARDS requires expert knowledge from physicians, advanced practice nurses, bedside nurses, and respiratory therapists; all of whom must understand the complex underlying pathophysiology and critical nature of this condition.

Guillain-Barre Syndrome, Tyler B. Skelton

Nursing Student Class Projects (Formerly MSN)

Guillain-Barre Syndrome consists of a group of neuropathic conditions characterized by progressive weakness and diminished or absent myotatic reflexes. The estimated annual incidence in the United States is 1.65 to1.79 per 100,000 persons (Walling & Dickson, 2013). Understanding how this condition progresses and the affects it has on a patient will assistant in providing optimal patient care as a future nurse anesthetist. As stated by Turakhia, P., Barrick, B., and Berman, J. (2013) “the anesthetic implications for the various comorbidities are varied and can be profound” (p.1). An individual who suffers from Guillain-Barre is a patient who certainly requires critical …

Neurohormonal Activation In Cardiorenal Syndrome, Eric J. Glasstetter

Nursing Student Class Projects (Formerly MSN)

Cardiac and renal functioning are highly related as each system is interdependent on the other, and subsequently, dysfunction of one system can potentiate the development of dysfunction of the other, a conditioned referred to as Cardiorenal Syndrome, or CRS. (Scully & Goldsmith, 2013). In CRS, heart failure and renal failure exist together. Heart failure is the result of decreased heart efficiency and results in hemodynamic and neurohormonal changes (Nicholson, 2014). A decrease in cardiac function and cause dysfunction of other body systems, including the renal system, and at the same time, impaired renal functioning can result in increased fluid retention …

Amyotrophic Lateral Sclerosis, Emily Stitzel

Nursing Student Class Projects (Formerly MSN)

Amyotrophic Lateral Sclerosis (ALS) is a terminal neurodegenerative disorder affecting an individual’s motor neurons. With a high prevalence affecting people in the United States of America, the progressive disease affects the lives of many. Once a patient is diagnosed, a short survival rate is to be expected. Importance for healthcare workers should be to focus on proper diagnosis, therapeutic communication, and palliative care. The pathophysiology is still under investigation; however, there have been breakthroughs regarding genetic alterations within the Cu/Zn superoxide dismutase gene (SOD1) and a large repeat on the C9ORF72 gene. By examining the signs and symptoms, doing the …