Medicine and Health Sciences Commons^™

The Flame, 2015-2016, Mennonite College Of Nursing

The Flame (1985-present)

The Flame is a newsletter of Illinois State University's Mennonite College of Nursing

Sharing Success: Expansion Of A Tutor-Run Assessment Method To Multiple Courses And Colleges, Melinda E. Lull, Ashley N. Castleberry, Jennifer L. Mathews, Sarah Thornton, Ryan Mckelvie

Pharmacy Faculty/Staff Publications

Objectives: In 2014, data were presented on a successful pilot program using quizzes written by tutors in a single course at Wegmans School of Pharmacy. The objective of this study was to use the methods from the pilot to expand the program to other pharmacology courses at Wegmans School of Pharmacy as well as the University of Arkansas for Medical Sciences College of Pharmacy.

Methods: Methods from the previous study were replicated, whereby tutors wrote weekly quizzes administered using ExamSoft®. The optional quizzes were openly accessible to students in preparation for course exams. Performance data were collected from students in …

Path To Success: Development Of The Pharmacist Through The Continuum Of Pharmacy School And Beyond, Deirdre P. Pierce, Kathryn A. Connor, Nabila Ahmed-Sarwar, Keith Delmonte, David Mccaffrey, Angela Nagel, Melinda E. Lull, Jennifer L. Mathews, Anne Schweighardt, Judianne Slish, Elizabeth Sutton Burke, Melanie Symoniak, Matthew Zak, Christine R. Birnie Phd, Jack Brown

Pharmacy Faculty/Staff Publications

Objective: To explore the processes and opportunities provided in the co-curriculum of the Wegmans School of Pharmacy (WSoP) that contribute to the development of successful pharmacy graduates.

Methods: Pharmacy career preparation begins at orientation with workshops on emotional intelligence, leadership, and the APhA Career Pathway Evaluation Program. During the P1 through P4 years, the optional Student Development Workshop Series (SDW) offers seminars for students on a variety of topics including time management, exam taking strategies/anxiety management, learning styles, personal “brand” creation, CV/portfolio development, and interview soft skills. All students may participate in the annual WSoP Career Day, which offers networking …

Nsu Sharks Rx-Summer, 2016, Nova Southeastern University

NSU Sharks Rx

No abstract provided.

Comparison Of Two Surface Contamination Sampling Techniques Conducted For The Characterization Of Two Pajarito Site Manhattan Project National Historic Park Properties, Lopez Tammy

Graduate Theses & Non-Theses

Technical Area-18 (TA-18), also known as Pajarito Site, is located on Los Alamos National Laboratory property and has historic buildings that will be included in the Manhattan Project National Historic Park. Characterization studies of metal contamination were needed in two of the four buildings that are on the historic registry in this area, a “battleship” bunker building (TA-18-0002) and the Pond cabin (TA-18-0029). However, these two buildings have been exposed to the elements, are decades old, and have porous and rough surfaces (wood and concrete). Due to these conditions, it was questioned whether standard wipe sampling would be adequate to …

Large Deletions At The Shox Locus In The Pseudoautosomal Region Are Associated With Skeletal Atavism In Shetland Ponies, Nima Rafati, Lisa S. Andersson, Sofia Mikko, Chungang Feng, Terje Raudsepp, Jessica Pettersson, Jan Janecka, Ove Wattle, Adam Ameur, Gunilla Thyreen, John E. Eberth, John Huddleston, Maika Malig, Ernest Bailey, Evan E. Eichler, Göran Dalin, Bhanu Chowdary, Leif Andersson, Gabriella Lindgren, Carl-Johan Rubin

Maxwell H. Gluck Equine Research Center Faculty Publications

Skeletal atavism in Shetland ponies is a heritable disorder characterized by abnormal growth of the ulna and fibula that extend the carpal and tarsal joints, respectively. This causes abnormal skeletal structure and impaired movements, and affected foals are usually killed. In order to identify the causal mutation we subjected six confirmed Swedish cases and a DNA pool consisting of 21 control individuals to whole genome resequencing. We screened for polymorphisms where the cases and the control pool were fixed for opposite alleles and observed this signature for only 25 SNPs, most of which were scattered on genome assembly unassigned scaffolds. …

Early Goal-Directed Therapy In Severe Sepsis And Septic Shock: Insights And Comparisons To Process, Promise, And Arise, H. Bryant Nguyen, Anja Kathrin Jaehne, Namita Jayaprakash, Matthew W. Semler, Sara Hegab, Angel Coz-Yataco, Geneva Tatem, Dhafer Salem, Steven Moore, Kamran Boka, Jasreen Kaur Gill, Jayna Gardner-Gray, Jacqueline Pflaum, Juan Pablo Domecq, Gina Hurst, Justin B Belsky, Raymond Fowkes, Ronald B. Elkin, Steven Q. Simpson, Jay L. Falk, Daniel J. Singer, Emanuel P. Rivers

Internal Medicine Faculty Publications

Prior to 2001 there was no standard for early management of severe sepsis and septic shock in the emergency department. In the presence of standard or usual care, the prevailing mortality was over 40-50 %. In response, a systems-based approach, similar to that in acute myocardial infarction, stroke and trauma, called early goal-directed therapy was compared to standard care and this clinical trial resulted in a significant mortality reduction. Since the publication of that trial, similar outcome benefits have been reported in over 70 observational and randomized controlled studies comprising over 70,000 patients. As a result, early goal-directed therapy was …

Immunoglobulin G4-Related Disease: A Rare Disease With An Unusual Presentation, Muhammad Waqas Khan, Terrance Hadley, Melissa Kesler, Zartash Gul

Internal Medicine Faculty Publications

IgG4-RD can also present in the skeletal muscle, mimicking several other diseases. It is unusual for this relatively new classification of diseases to present in the muscles and can be mistakenly diagnosed as other autoimmune diseases rendering a delay in the appropriate management and progression of the disease.

The Write Stuff - Summer 2016 (Vol. 13, No. 3), Research Medical Library

Write Stuff 2016

• Tips for writing a journal submission cover letter
• New biosketch instructions and samples provided by the NIH
• Tips for shortening grant proposals through document and text formatting
• Fall schedule for the Research Medical Library webinar program
• Unusual terms used in scientific writing and publishing: Structured and unstructured abstracts

Evaluating Treatments And Interventions: What Constitutes “Evidence-Based” Treatment?, Lisa Jobe-Shields, Amanda Costello, Carrie Jackson, Rochelle F. Hanson

Psychology Faculty Publications

This chapter provides an overview of the evidence-based treatment (EBT) paradigm, beginning with definitional issues, followed by a discussion on use of the iterative process and the importance of strong academic–practice partnerships to inform the development, selection, and implementation of EBTs. The discussion then turns to the importance of attaining, measuring, and sustaining fidelity to the treatment models; and identifying common barriers to sustained EBT use. Drawing from our expertise related to interventions for children and adolescents, a few dissemination/implementation models are highlighted as examples of current efforts to achieve sustained use of EBTs among practitioners, within agencies, and across …

Understanding Public Health: Research, Evidence, And Practice, Johanna M. Hinman

Journal of the Georgia Public Health Association

N/A

Reducing And Eliminating Health Disparities Through Prevention And Public Health, Daniel S. Blumenthal

Journal of the Georgia Public Health Association

N/A

Evidence To Practice: Using Data To See The Faces Of Those We Serve, David A. Ross

Journal of the Georgia Public Health Association

Evidence to Practice: Using Data to See the Faces of Those We Serve

Perinatal Health And School Trajectories, Bryan L. Williams, Arianne B. Weldon, Brenda Fitzgerald, Fran Gary

Journal of the Georgia Public Health Association

Perinatal Health and School Trajectories

Attitude Towards Research Among Undergraduate Nursing Students, Anunay Bhattacharya, Marian M. Tabi

Journal of the Georgia Public Health Association

Background: This study investigated undergraduate nursing students’ attitude towards research. It has been shown in numerous studies that there exists a negative attitude towards research among undergraduate students and this attitude acts as a barrier. This negative attitude affects the willingness and efforts of students to excel in a research course.

Methods: A 15-item pre and post-test questionnaire was administered to undergraduate nursing students to identify the factors that may have an effect on their attitude towards research. The Georgia Southern University Institutional Review Board approved the study. Statistical analysis was performed using paired sample t-test and IBM SPSS 23.0. …

Nicotine Poisoning Trends In Georgia, Oluwayomi Fabayo, Alina Chung, Ray Kenneth, Jean O'Connor

Journal of the Georgia Public Health Association

Background: Nicotine is a toxic chemical that can cause adverse health effects. Nicotine poisoning can result from exposure to tobacco and other nicotine containing products. It can cause nausea, vomiting, abdominal pain, fever, dizziness, seizures, tachycardia, hypertension and edema. Nicotine poisoning can affect both adults and children.

Methods: The Georgia Department of Public Health secured data from the Georgia Poison Center in order to analyze nicotinespecific poisoning calls, including e-cigarette poisoning calls. The data on tobacco/nicotine poisoning or exposure calls were collected from April 2009 to April 2015. The data on calls related to nicotine poisoning from e-cigarettes were collected …

Evidence-Based Strategies Identified To Increase Access To Oral Health Services To Promote A Healthier Lifestyle, Breyana D. Davis, Sara S. Plaspohl

Journal of the Georgia Public Health Association

Background: Leading Health Indicators (LHI) are a subset of Healthy People 2020 objectives, selected to communicate at- risk health issues and actions that can be taken to address them. The number of children, adolescents, and adults who visited the dentist in the past year has decreased nationally, suggesting that oral health continues to be a problem caused by barriers preventing access to oral services.

Methods: Preliminary research was conducted on the LHI via the Healthy People 2020 website. Health-related peer reviewed articles were selected and reviewed.

Results: Evidenced-based literature shows that economic, educational, and personal barriers prevent access to oral …

A Central Georgia Asthma Prevalence Assessment Of School-Age Children And Compliance With Senate Bill 472, Cheryl L.R. Gaddis, Jimmie Smith

Journal of the Georgia Public Health Association

Background: A common theme among the counties of the North Central Health District is the disparity between the number of asthma-related visits of African-American and white children ages 1-14 to the emergency department. In 2013, 858 children ages 1-14 in the district had emergency room visits related to asthma. The purpose of this study was to assess North Central Health District (NCHD) schools to determine the prevalence of self-reported asthma by parents and school age children and the adequacy of students’ access to maintenance inhalers at school, and to identify schools that qualify for Asthma Friendly School Recognition.

Methods: The …

Collecting Physiological Stress Measures In Research Among High-Risk Parents For Child Maltreatment: A Qualitative Investigation, Ashwini Tiwari, Shannon Self-Brown, Charles Robinson, Colleen Mccarty, Laura Carruth

Journal of the Georgia Public Health Association

Background: Studies on evidence-based, behavioral training programs have shown a positive reduction in self-reported stress among parents at high risk of child maltreatment (CM). However, no known studies on these programs have examined physiological biomarkers for stress, such as impaired levels of cortisol and dehydroepiandrosterone (DHEA), and telomere length. Further, no details are known regarding the feasibility of collecting biological markers from parents. This research examined qualitative findings from a multidisciplinary neurobiology and public health study that examined physiological responses to a six week, evidence-based, behavioral parenting program, among a maternal population at risk of CM perpetration in Atlanta, Georgia. …

Bridging The Gap Between Local Public Health And The Healthcare Community: The Public Health Talk, Puja Bharucha, Rachel Franklin

Journal of the Georgia Public Health Association

Background: District epidemiologists often rely on healthcare providers for medical information regarding reportable diseases in order to properly investigate cases. It becomes difficult when providers do not share patient information due to apprehension and/or lack of knowledge of HIPAA exemption laws. It is also challenging when the provider staff is not knowledgeable regarding disease specific information. When information is withheld, there is a delay in completing investigations, and high priority cases and outbreaks such as emerging infectious diseases can be missed or lost to follow up.

Methods: The Public Health Talk (The Talk) initiative was established at Cobb and Douglas …

The Effectiveness Of Text Message Reminder- Recalls On Human Papilloma Virus Vaccination Coverage In Georgia, Tamira M. Moon, Nicolle Dally, Ben Sloat, Kia Bryant, Sherrionda L. Grady

Journal of the Georgia Public Health Association

Background: Routine vaccination against Human Papilloma Virus (HPV), the main cause of cervical cancer, is recommended by the Advisory Committee on Immunization Practices for adolescents ages 11 to 12 years, yet vaccine coverage remains low. The Georgia Comprehensive Cancer Control Program and Georgia Immunization Program implemented and evaluated a textmessaging campaign aimed at improving HPV vaccination coverage, using the Georgia Immunization Registry (GRITS).

Methods: The text message reminder-recall campaign, aimed at the parents of adolescents 9 – 18 years, was launched in July 2015. A total of 208,792 adolescents in the GRITS database met the inclusion criterion, receipt of at …

Assessment Of Early Intervention Services To Better Child Outcomes Among Part C Infants And Toddlers, Brendan Ibe, Tiffany Fowles, Seema Csukas, Jackie Conner, Grace Kelley, Donna Johnson, Cynthia Bryant, Michelle Allen

Journal of the Georgia Public Health Association

Background: Early intervention services have been shown to improve child outcomes. Rapid proliferation of neural connections and circuits contribute to the rapid growth of the brain in the first three years of life. These neural circuits which create the foundation for learning are most flexible in this period and become increasingly more difficult to change thereafter. The purpose of this study is to examine the relationship between early enrollment in Georgia’s Part C birth to three early intervention program and improved child outcome ratings upon exiting the program at 3 years of age. The study used 2013 & 2014 Annual …

A Cross Sectional Study Of Mostly African- American Men Examining Mental Health And Child Behavior, Matt C. Jackson, Melissa Cowart-Osborne, Shannon Self-Brown

Journal of the Georgia Public Health Association

Background: Home visiting receives bipartisan support at both the state and federal level, because several models have demonstrated significant results in both reduction of child maltreatment as well as parenting behavior modification. Yet, parenting research and services lack further engagement and involvement as a primary component. That is, even though research has shown that fathers play an integral role in child development, there is very little research done in which fathers are the primary focus; most of this research focuses on mothers. When it comes to serving children who are victims of child abuse and neglect, this is a problem …

Domestic Violence Intervention For Latino Families: Baseline Program Evaluation Data, Jacque-Corey Cormier, Nancy Nava, Charmaine Mora, Rebecca Rodriguez

Journal of the Georgia Public Health Association

Background: In the United States, Latino families affected by domestic violence (DV) often face unique challenges influenced by changing ecologies and personal/political histories. Caminar Latino is Georgia’s first and only comprehensive DV intervention program for Latino families. The program is geared towards helping family members begin their journey towards non-violence. The purpose of this evaluation is to better understand how Caminar Latino is benefiting families within the program. Baseline data of interest included perceptions of power in the relationship among family members and whether mothers and/or youth had safety plans.

Methods: A longitudinal, quasi-experimental research design was utilized to collect …

The Influence Of Georgia’S Quality Rated System On School Readiness In Pre-School Children, Dena Phillips, Nancy C. Webb

Journal of the Georgia Public Health Association

Background: Georgia rates the quality of early childcare learning centers using a tiered quality improvement system. Georgia’s Quality Rated system (QR) designates a star level, (one star, two stars or three stars) to each center based on a portfolio of QR standards and an onsite assessment by Georgia Department of Early Care and Learning (DECAL). Childcare centers applying for QR status first submit a portfolio documenting how their practices align with QR standards centered on staff qualifications; child health, nutrition and physical activity; family engagement; holistic curricula and teacher-to-student ratios. Subsequently, an on-site assessment of the center is performed by …

Psychotropic Medications, Weight Gain And Chronic Diseases In A Correctional Setting: Impact On Women’S Health, Madison L. Gates, Elizabeth Ferguson, Thad Wilkins, Darra Balance, Wonsuk Yoo

Journal of the Georgia Public Health Association

Background: Studies with non-incarcerated populations have found a relationship between psychotropic medications and metabolic side effects, such as weight gain. Few studies have investigated the relationship between psychotropic medications associated with weight gain in prisoners, despite data showing that 73% of female and 55% of male offenders have a mental health problem and 15% have had medications prescribed.

Methods: This longitudinal study investigated the relationship among psychotropic medications and weight gain in prisoners. We hypothesized that women prescribed psychotropic medications gain more weight than men. Data were extracted from Department of Corrections’ electronic health records. All prisoners with active records …

Meeting The Public Health Workforce’S Training Priorities In Georgia And The Southeast, Laura M. Lloyd, Melissa Alperin, Michelle L. Carvalho, Kathleen R. Miner

Journal of the Georgia Public Health Association

Background: The mission of the Region IV Public Health Training Center (R-IV PHTC) is to build knowledge and skills in the public health workforce in the eight states of HHS Region IV by providing competency-based training. Workforce training needs are changing quickly and dramatically in light of new developments in public health practice and science, emerging diseases, changes in the health care environment, and the growing emphasis on inter-professional practice. Additionally, a 2014 survey conducted by the Association of State and Territorial Health Officials (ASTHO) found that at least 38% of the current public health workforce plans to retire by …

Hepatitis C And Injection Drug Use: Testing And Linkage To Care, Marie Sutton, Cole G. Youngner, Winona J. Holloway

Journal of the Georgia Public Health Association

Background: The recent outbreak of HIV infection in Indiana linked to injection drug use demonstrates the importance of timely HIV and Hepatitis C surveillance and rapid response to interrupt disease transmission. An estimated 2.7 – 3.9 million Americans have chronic hepatitis C virus (HCV) infection. Of those, 50 – 70% are unaware of their infection. People who inject drugs account for more than half of new HCV cases. Within 5 years of beginning injection drug use, 50 – 80% of injection drug users (IDUs) become infected with HCV. Since 2007, HCV-related deaths have surpassed HIV-related deaths. CDC reported 19,368 death …

Surveillance, Epidemiology, And End Results (Seer) Data For Monitoring Cancer Trends, Wonsuk Yoo, Steven S. Coughlin

Journal of the Georgia Public Health Association

Background: Monitoring cancer trends allows evaluation of the effectiveness of cancer screening or detection methods and determination of priorities in cancer control programs. Government officials and policy makers also use information on cancer trends to allocate resources for cancer research and prevention. Although data from the Surveillance, Epidemiology, and End results (SEER)-affiliated cancer registry are accessible to the public, there is a shortage of published research describing cancer incidence rates for White, Black, and other residents in Georgia. The objective of this research is to provide an overview of how to use SEER data through analysis of the incidence rate …

Community Preparedness: Expanding Existing Partnerships With Academia To Build Resilience Through Experiential Learning, Nina Cleveland, Mark Palen

Journal of the Georgia Public Health Association

Background: Sustainability and mitigation in preparedness after grant money is gone has suddenly become a hot topic in the public health emergency preparedness world. By the same token, funding provided by the Federal Emergency Management Agency (FEMA) for individual preparedness initiatives has not had the desired mitigation impacts. The question becomes, are there alternative approaches that reach more individuals to build a culture of preparedness in communities? One solution involves the leveraging of academic and regional public health partnerships with their Medical Reserve Corps Units (MRC), to train college students in individual preparedness. The purpose of this study is to …