Medicine and Health Sciences Commons^™

Kawasaki Disease In Pediatric Patients, Cassandra F. Krinn

Nursing Student Class Projects (Formerly MSN)

Kawasaki Disease (KD) is an idiopathic, multi system disorder that is characterized by vasculitis of the arteries, capillaries, and veins. It typically affects children 5 years old or younger and is predominately seen in male children of Japanese decent. The inflammation of the blood vessels seen makes Kawasaki disease the leading cause of acquired heart disease in children, with 20% of those affected developing coronary artery aneurysms, cardiac arrhythmias, and heart failure. Diagnosis is based on criteria including presence of fever for 5 days, bilateral conjunctivitis, erythema of the lips and oral mucosa, changes in extremities, rash, and cervical lymphadenopathy. …

Congenital Syphilis, Natalie T. Bennett

Nursing Student Class Projects (Formerly MSN)

Despite available prevention and treatment measures, congenital syphilis is on the rise again in the United States (Su et al, 2016). Congenital syphilis is caused by maternal infection during pregnancy with the bacteria Treponema pallidum, which is then transmitted to the fetus. Complications include miscarriage, fetal and neonatal death, premature birth, and other anomalies in the newborn. The leading factor in congenital syphilis infection is limited or no prenatal care (Dobson, 2016). If the syphilis-infected mother is treated during pregnancy, infection of the fetus can be prevented (Su et al, 2016). Nurses and health care providers need to be …

Pulmonary Fibrosis, Coreena Wells

Nursing Student Class Projects (Formerly MSN)

Pulmonary fibrosis is a lung disorder characterized by development of a fibrotic pathway following injury and inflammation. Initial injury can be caused by environmental, biologic, or chemical irritants. Many times the cause is unknown. Lung fibrosis leads to difficult ventilation and perfusion and subsequent hypoxemia. Current research shows an increase in inflammatory mediators which stimulate ECM deposition.

Gram-Negative Bacteria And Sepsis, Christine D. Ridge

Nursing Student Class Projects (Formerly MSN)

Today’s medical world encompasses an environment in which gram-negative bacteria that once were defeated with common antibiotics, have now become resistant. Gram-negative bacteria like Klebsiella pneumoniae, Pseudomonas aeruginosa, Enterobacter, and Acinetobacter are pathogens that are an emerging threat causing sepsis due to multidrug-resistance (Pop-Vicas & Opal, 2014, p.189). The multidrug-resistance mechanisms of gram-negative bacteria coupled with a patient population commonly seen in hospital settings, that consist of immunocompromised adults due to advancing age, comorbidities (e.g. AIDS, history of transplants, diabetes, and chemotherapy), and immunotherapies, create an environment for advanced infection or sepsis to take place.

Complications of multidrug-resistant gram-negative bacteria …

Guillain-Barré- Adding Insult To Injury, Casey M. Hudnall

Nursing Student Class Projects (Formerly MSN)

a poster project about Guillain-Barré syndrome (GBS) which is described as an acute peripheral neuropathy causing limb asthenia, or weakness, that progresses over a short period of time.

“Great Job Cleaning Your Plate Today!” Determinants Of Child-Care Providers’ Use Of Controlling Feeding Practices: An Exploratory Examination, Dipti A. Dev, Brent A. Mcbride, Katherine E. Speirs, Kimberly A. Blitch, Natalie A. Williams

Department of Child, Youth, and Family Studies: Faculty Publications

Background National early childhood obesity prevention policies recommend that child-care providers avoid controlling feeding practices (CFP) (e.g., pressure-to-eat, food as reward, and praising children for cleaning their plates) with children to prevent unhealthy child eating behaviors and childhood obesity. However, evidence suggests that providers frequently use CFP during mealtimes.

Objective Using the Academy of Nutrition and Dietetics (2011) benchmarks for nutrition in child care as a framework, researchers assessed child-care providers’ perspectives regarding their use of mealtime CFP with young children (aged 2 to 5 years).

Design Using a qualitative design, individual, face-to-face, semi-structured interviews were conducted with providers until …

Biliary Microbiota, Gallstone Disease And Infection With Opisthorchis Felineus., Irina V. Saltykova, Vjacheslav A Petrov, Maria D Logacheva, Polina G Ivanova, Nikolay V Merzlikin, Alexey E Sazonov, Ludmila M Ogorodova, Paul J. Brindley

Microbiology, Immunology, and Tropical Medicine Faculty Publications

BACKGROUND: There is increasing interest in the microbiome of the hepatobiliary system. This study investigated the influence of infection with the fish-borne liver fluke, Opisthorchis felineus on the biliary microbiome of residents of the Tomsk region of western Siberia.

METHODOLOGY/PRINCIPAL FINDINGS: Samples of bile were provided by 56 study participants, half of who were infected with O. felineus, and all of who were diagnosed with gallstone disease. The microbiota of the bile was investigated using high throughput, Illumina-based sequencing targeting the prokaryotic 16S rRNA gene. About 2,797, discrete phylotypes of prokaryotes were detected. At the level of phylum, bile from …

Simulation In Orientation: Increasing Nurses' Self-Confidence In Hospital Equipment, Policies, And Procedures, Haley Wilmoth

Nursing Theses and Capstone Projects

Simulation provides a safe environment for the nurse to practice and learn new skills in a safe and controlled manner. This allows a novice nurse to advance to an expert level without placing a patient at harm and increasing self-confidence at the bedside. The purpose of the Orientation Simulation Study is to evaluate the effectiveness of simulation on self-confidence on new hire nursing staff when learning how to use the hospital Heparin Nomogram and dose mode on the IV pump. The study was conducted over four months with 18 nurses surveyed using a pre- and post-Likert scale called the Confidence …

Nclex-Rn Success: Correlation Study Of Ati Comprehensive Predictor In An Associate Degree Nursing Program, Wanda L. Jenkins

Nursing Theses and Capstone Projects

The purpose of this quantitative study was to determine the relationship between the ATI Comprehensive Predictor and NCLEX-RN success on first attempt for the ADN program at a consortium of three community colleges in the foothills of North Carolina. The population sample consisted of graduates from the associate degree consortium of three community colleges in the foothills of North Carolina in 2014-2015 that have made one attempt at NCLEX-RN. The total number of students included in the study was 111. The results were collected and analyzed utilizing the SPSS version 23 statistical system and a predictive spreadsheet to determine overall …

Bedside Nurses' Perceptions Of Intensive Care Unit Telemedicine In A Rural Setting, Susan Parker

Nursing Theses and Capstone Projects

Healthcare is a rapidly changing and continuously advancing field. Currently, virtual care technology (e-ICU) is moving into many rural healthcare facilities in an effort to improve patient care outcomes and bridge physician and nursing shortages. The purpose of this Masters of Science thesis is to determine the impact that electronic telemedicine has on the quality of nursing care at the bedside. The study done by Mullen-Fortino et al. (2012) in an urban academic center was replicated to compare the bedside nurses’ perception of ICU telemedicine in a rural hospital setting. Thirty-eight rural ICU nurses working with ICU telemedicine responded to …

The Structure Of Multidisciplinary Rounds And The Effects On Patient Perceptions, Frank Alagna

Nursing Theses and Capstone Projects

Daily rounds is one strategy to improve communication between caregivers and engage patients and families in care decisions. The purpose of this study was to determine if the structure of multidisciplinary rounds affected the patient's perception of care. King's Theory of Goal Attainment guided this study related to the relationship of interaction and outcomes three medical surgical units were identified as using different structures for patient rounding: tabletop rounds, nurse-led rounds, and team-based rounds. Patient perceptions were collected from the Professional Research Consultants (PRC) database, a nationally recognized patient satisfaction survey. Over a six month period, survey data was analyzed …

Factors That Influence Mothers' Decisions Concerning Breastfeeding, Kimberly M. Futrelle

Nursing Theses and Capstone Projects

The purpose of this study was to explore factors that influence decisions concerning breastfeeding in a group of 30 mothers who are employed, place their children in a childcare center, and whose children are five years of age and under. The study utilized Fishbein and Ajzen’s Theory of Reasoned Action as the conceptual framework. The descriptive study allowed for determination of the factors of attitudes, beliefs, and opinions that influence mothers’ decisions concerning breastfeeding. Statistical data compiled from survey results revealed many participants believed that breast milk is less expensive than formula. However, a significant number of mothers were neutral …

Examining Kaplan Nursing School Entrance Exam For Student Success And Attrition: A Retrospective Review, Delicia Mckoy

Nursing Theses and Capstone Projects

The purpose of this study is to determine what the relationship is between student performance on the Kaplan Nursing School Entrance Exam, academic success, and attrition. Nursing Undergraduate Retention and Success (NURS) Model by Marianne R. Jeffreys (2012) was the theoretical framework for a study. The population consisted of 94 BSN students at a southeast public university in North Carolina. An existing nursing student database was used to collect the data. The independent variables were Kaplan Nursing School Entrance Exam scores, including the composite score and subtest scores in math, science, reading, and writing. The dependent variable, academic success, was …

Alcohol Withdrawal Syndrome, Sharon F. Ali

Nursing Theses and Capstone Projects

Alcohol withdrawal syndrome (AWS) is a very serious problem that may affect the patient when admitted inpatient for a traumatic or non-traumatic diagnosis. Chronic Alcohol consumption in moderation may put the patient at risk for delirium tremens which is the most severe form of alcohol withdrawal. Management of alcohol withdrawal in acutely ill hospitalized patients is challenging for healthcare providers (Riddle, Bush, Tittle, & Dilkhush, 2010). Signs and symptoms of AWS are caused primarily by neurophysiologic changes in the brain, which may be mild to severe, and may develop within 6-72 hours after abstaining from alcohol. Mild symptoms of withdrawal …

Outcomes Of Peer Mentoring At An Associate Degree Nursing Program, Melissa B. Harper

Nursing Theses and Capstone Projects

Nursing students have described clinical experiences as being stressful, yet the application of classroom knowledge to the clinical health care setting is a requirement. The purpose of this mixed-method study is to compare students’ perceptions of the peer mentoring leadership experience (PMLE) and the student charge nurse experience (SCNE). The PMLE was piloted at a southeastern community college’s associate degree nursing (ADN) program. Hand-selected PMLE second-year nursing students (n=5) were paired with hand-selected PMLE first-year nursing students (n=5) for medical/surgical clinical rotations. The ADN program’s purpose for these clinical rotations was to provide a mutually beneficial mentoring experience. The remaining …

Sperm Aneuploidy In Faroese Men With Lifetime Exposure To Dichlorodiphenyldichloroethylene (Dde) And Polychlorinated Biphenyl (Pcb) Pollutants., Melissa J Perry, Heather A Young, Philippe Grandjean, Jónrit Halling, Maria S Petersen, Sheena E Martenies, Parisa Karimi, Pál Weihe

Environmental and Occupational Health Faculty Publications

Background: Although it is known that sperm aneuploidy contributes to early pregnancy losses and congenital abnormalities, the causes are unknown and environmental contaminants are suspected.

Objectives: Our goal was to evaluate associations between lifetime exposure to organochlorines, specifically dichlorodiphenyldicholorethylene (p,p´-DDE) and polychlorinated biphenyls (PCBs), and sperm aneuploidy in men from the general population of the Faroe Islands, a population with a known history of organochlorine exposures.

Methods: Serum and semen samples from men (n = 90) 22–44 years old who participated in Faroe Islands health studies were analyzed for p,p´-DDE and PCBs 118, 138, 153, and …

Untangling The Relationship Between Antiretroviral Therapy Use And Incident Pregnancy: A Marginal Structural Model Analysis Using Data From 47,313 Hiv-Positive Women In East Africa, Batya Elul, Kara K. Wools-Kaloustian, Yingfeng Wu, Beverly S. Musick, Harriet Nuwagaba-Biribonwoha, Denis Nash, Samuel Ayaya, Elizabeth Bukusi, Pius Okong, Juliana Otieno, Deo Wabwire, Andrew Kambugu, Constantin T. Yiannoutsos

Publications and Research

Background: Scale-up of triple-drug antiretroviral therapy (ART) in Africa has transformed the context of childbearing for HIV-positive women and may impact pregnancy incidence in HIV programs.

Methods: Using observational data from 47,313 HIV-positive women enrolled at 26 HIV clinics in Kenya and Uganda between 2001 and 2009, we calculated the crude cumulative incidence of pregnancy for the pre-ART and on-ART periods. The causal effect of ART use on incident pregnancy was assessed using inverse probability weighted marginal structural models, and the relationship was further explored in multivariable Cox models.

Results: Crude cumulative pregnancy incidence at 1 year after enrollment/ART initiation …

Microrna-Target Interactions In Embryonic Stem Cells, Shuang Wu

Graduate School of Biomedical Sciences Theses and Dissertations

Animal embryogenesis is a highly orchestrated process involving many geneexpression programs that determine specific fates of individual cells during development. Gene expression can be regulated at different stages such as at transcription initiation or mRNA stability, and microRNA-mediated gene regulation is a crucial pathway on the regulation of mRNA stability. microRNAs, or miRNAs, are small, conserved non-coding RNAs that negatively regulate gene expression post-transcriptionally. The mouse miR-290-295 cluster and its human homolog miR-371-373 are stem cell-specific miRNA clusters, and their expression can only be observed in early embryos, primordial germ cells, germ cell compartments of adult testis and embryonic stem …

Book Review: Madness In Civilization: A Cultural History Of Insanity From The Bible To Freud, From The Madhouse To Modern Medicine, Edward Cohen

Faculty Publications

A review of: Scull, Andrew. (2015). Madness in civilization: A cultural history of insanity from the Bible to Freud, from the madhouse to modern medicine. Princeton, NJ: Princeton University Press. 448 pp. $39.50 (Hardback), ISBN 978-0-691-16615-5.

Growing South Dakota (Summer 2016), College Of Agriculture &. Biological Sciences

Growing South Dakota (Publication of the College of Agriculture, Food and Environmental Sciences)

[Page] 2 Breaking New Ground SDSU Leads Nation With Precision Agriculture Initiative
[Page] 6 In The Driver's Seat Utility Vehicles Provide Students Hands-On Precision Ag Experience
[Page] 7 Introduction To Industry Travel To National Events Opens Opportunities For Students
[Page] 9 On The Ground SDSU Extension Specialists Have Vital Role In Bringing Data To Producers
[Page] 10 Curricula Collaboration SDSU Leaders Among Team Preparing Future Precision Ag Coursework
[Page] 12 Future Focus Ag 2020 Plan Prompts Important Reinvestments In State's Ag Experiment Station
[Page] 13 The Power Of Connections Connected Approach Helps Solve "Real-Life" Problems To Benefit Animal And …

Long Term Benefits Of Lsvt-Big Program For Individuals With Parkinson’S Disease, Emily Sandberg, Katelyn Weiandt

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

A 60 year old, male has been diagnosed with Parkinson’s Disease for 5 years. Referral received from MD stating deficits in the following areas: balance, perception, gait, postural instability, coordination, swallowing, tremors, rigidity, bradykinesia, hypokinesia, and loss of higher cognitive functions. Currently there is not a cure, but there are treatment options for Parkinson’s Disease. LSVT-BIG is one type of treatment that Occupational or Physical Therapist can implement. This program uses high amplitude movements to overcome bradykinesiaand hypokinesia. The client attended 16 sessions in total (1 hour sessions, 4 days a week, for 4 weeks). The client has been discharged …

Age, Frequency, And Precautions In Relation To Stimulation In The Nicu, Kathleen Nickens, Ceara Fauble

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

In a Neonatal Intensive Care Unit (NICU), occupational therapists work with infants and their families to provide the appropriate stimulation and environmental adaptations necessary for growth and development. Occupational therapists are utilized in the NICU setting to contribute to a multidisciplinary approach, as well as focus holistically on an infant’s neurobehavioral development, sensorimotor regulation, and developmentally-appropriate occupations. One key component of an occupational therapist’s role in the NICU is determining appropriate stimulation in regards to their gestational age and providing protocols to prevent overstimulation.

Inter-Rater Reliability: Wrist Goniometer Placement, Jamie Hain, Kelli Turner

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

A 26-year-old female client sustained a right distal radius fracture due to a fall on an outstretched hand (FOOSH) while riding her bike with her dog two weeks ago. She had an open reduction internal fixation (ORIF) and now has limited range of motion (ROM) in both her right wrist and hand. ROM measurements were completed in order to accurately determine her progress in therapy. Correct goniometer placement is of great importance when making clinical decisions and when looking at overall therapy outcomes.

Pediatric Constraint Induced Movement Therapy Protocols For Hemiplegia, Christina Fisher, Brittany Newton

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

In a variety of settings, the OT works with children with hemiplegic cerebral palsy (CP). Hemiplegic CP often affects sensation, perception, cognition, communication, and motor movements. These skills impact participation in home, school, community life, and activities of daily living (ADLs) such as grooming, dressing, and feeding. The OT has the responsibility to decide the most effective way to allocate treatment. Constraint induced movement therapy has been shown to improve developmental disuse in the effected upper extremity. As there are many variations of this intervention, the OT wants to know what is the most effective type, frequency, duration, and intensity …

Pediatric Constraint Induced Movement Therapy Vs. Bimanual Training For Hemiplegia, Heather Duyck

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

Sarah is a five year old girl diagnosed with congenital hemiplegia from cerebral palsy. Her right side is affected, and she has no intellectual disabilities. While her parents want her to start first grade in the fall, they are worried about her ability to do well in the classroom because she is right handed. As her occupational therapist, you are interested in whether pediatricconstraint induced movement therapy (pCIMT) or bimanual training (BIT) would be a more effective treatment plan for Sarah.

Effective Utilization Of Progressive Mobility Programs In Medical Intensive Care Units (Micu’S), Abby Davis, Megan Palczewski

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

In medical intensive care units (MICU’s), the OT frequently works with clients who are in the early stages of mobility. Clients with orders of bed rest are at heightened risk to co-morbid conditions that significantly impact client health. The OT plays an important role in the mobility process, and wants to know the most effective utilization of progressive mobility programs. The OT is ideally interested in their role in the progressive mobility process.

Examining Sensory Processing Tools For A School System, Rachel Chaney, Lisa Wilkey

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

A child with sensory processing issues leads a life that differs significantly from typically developing children. There are numerous types of sensations that children encounter every day in different environments, especially in school. If a child does not process the incoming stimuli correctly then their motor response is affected. As a result of this, the child is unable to perform to their fullest potential in school. The Sensory Profile (SP) and the Sensory Processing Measure (SPM) are two tools that help assess sensory processing.

Best Practices In Weaning Children Off Tube Feeds To Oral Intake, Kylie Abernathy, Andrea Newton

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

In an outpatient pediatric clinic, the multidisciplinary team frequently works with the child to promote oral intake. Assessments and questionnaires were utilized to identify challenges faced by the client ability to properly intake food. The OT was approached by the child’s family to help meet their feeding goals to make mealtime more enjoyable. As the OT is generally not involved in the act of proper weaning technique, they are interested in what steps they can take to provide the family with support and to develop subsequent feeding skills.family with support and to develop subsequent feeding skills. family with support and …

Assessment Of Texan Pharmacists' Attitudes, Behaviors, And Preferences Related To Continuing Pharmacy Education, Fadi M. Alkhateeb, Omar F. Attarabeen, Alameddine Sarah

Pharmacy Practice & Administration

Background: Whether the available Continuing Education (CE) programs meet pharmacists’ continuously increasing needs and preferences is open to question.

Objectives: to investigate pharmacists’ perceptions and attitudes concerning available CE programs, evaluate the pharmacists’ choices with regard to selecting among different CE programs, and investigate the factors that are associated with preference to utilize online CE programs.

Method: A 17-question survey was developed and mailed to a random sample of 600 Texan pharmacists. In addition to collecting basic demographic information, the survey investigated pharmacists’ choices with regard to delivery and content of CE programs, motivations to participation in CE programs, and …

Morena, Morena, Tsos

TSOS Interview Gallery

Morena has two children and a husband, and she is currently pregnant. Her life in Afghanistan felt normal, and she was able to study there until she had to flee. Her father in law was a truck driver for an American company and he had to surrender several vehicles to the Taliban. They robbed his vehicle and threatened violence. Because of this danger, Morena and her family fled. Their eight-month journey included rejection in Turkey and Iran multiple times and many struggles with smugglers and police. They eventually made it to a camp in Greece.

Because Morena is pregnant, they …