Medicine and Health Sciences Commons^™

Non-Antibiotic Alternatives For Reducing Antepartum Group B Streptococcus Colonization, Rebecca M. Smith

All Electronic Theses and Dissertations

Background: Streptococcus agalactiae (known as Group B strep, or GBS) is a bacterium that resides in the gastrointestinal tract and/or vaginal canal and is typically benign, but during pregnancy and birth it can potentially colonize the neonate, causing early-onset group B streptococcal disease (EOGBSD) of the neonate. The use of antibiotics has reduced the morbidity and mortality associated with neonatal infections, but it is not an entirely effective means of preventing the infections and the development of antibiotic resistance may render antibiotics ineffective for this purpose. Alternative methods of preventing GBS colonization are in use by consumers and out-of-hospital birth …

A Comparative Analysis Of Men’S And Women’S Sports With Respect To Types Of Injury, Anatomy And Physiology, And Care And Prevention, Melissa Peet

Undergraduate Honors College Theses 2016-

Although studies have been performed to retrieve information about sports-related injury incidence patterns observed in high school and collegiate athletes, little research has been done to investigate the causes of the injuries that occur. This study analyzes five sports (tennis, baseball/softball, soccer, basketball, and football) to explore the connections between the sport-specific motions of each of these sports and the most common injuries that correlate in frequency with the sport. While this research answers the question of why certain athletes are prone to the injuries that correspond with their sport, it also examines care and prevention strategies with the goal …

Foster Care Experiences And Correlated Outcomes, Courtney Ocasio

Undergraduate Honors College Theses 2016-

The current study sought to expand the knowledge base on the relationship between foster care experiences and the outcomes associated with these experiences. The different reported experiences in foster care were assessed using safety, power/control, esteem, and intimacy/trust themes. Foster care experiences were first identified and then compared to subsequent positive or negative outcomes. It was hypothesized that when subjects were reporting on their positive experiences in foster care, there would be positive correlations between intimacy/trust and positive outcomes, as well as safety and positive outcomes. In addition, with subjects reporting on their negative foster care experiences, there would be …

Beacon Journey: Improving Patient Outcomes: Reducing Adverse Drug Events Using An Inter-Professional Team Approach, Laurie Annett, Nicole Higel-Backes, Jaclyn Hoppe, Michelle Huffman, Teresa Jahn, Bridget Klein, Jessica Mackedanz-Johnson, Kirsten Skillings, Jayna Theis, Jessica Thoma

Nursing Posters

Literature states that the use of sedation regimens that include routine reversal of benzodiazepines or narcotic agents are not recommded. An inter-professional team concurred that planned reversals would no longer be the standard of practice for patients post post-procedural sedation. An inter-professional team analyzed the use of reversal agents, reviewed literature related to sedation and analgesia by non-anesthesiologists, and proposed recommendations for practice changes.

Best Practice For Core Charge Nurse Orientation And Leadership Development, Melissa Fradette

Nursing Posters

Purpose Statement: Develop and implement evidence based, standardized orientation and leadership development for core charge nurses (CCN) compared to current unit-based orientation which has inconsistent content and structure.

Heart Huddle: Increasing Cohesiveness In Ccu And Cvtu, Ashley Douvier

Nursing Posters

The American Association of Critical Care Nurses identifies six standards for a healthy work environment, two of which are skilled communication and true collaboration. CCU and CVTU are two separate units staffed by one Charge RN. A need to improve communication and collaboration has existed throughout both units. Thus, Heart Huddle has been developed. The objective of Heart Huddle is to bring cohesiveness to CCU and CVTU through improving communication and collaboration, which is imperative to a healthy work environment.

Finding The Missing Pieces: Comprehensive Cerebellar Assessments With Cytarabine Administration, Tara Hinnenkamp

Nursing Posters

A study conducted at the University of Maryland Greenebaum Cancer Center found that one in four nurses felt there were widespread inconsistencies with cerebellar assessments. One of every two nurses felt the current assessment was incomplete and the patient may be suffering as a result. Nurses need to have the means to accurately and consistently assess and document neurological changes noted with Cytarabine administration.

Improving Bedside Ecg Monitoring In Telemetry, Teresa Jahn, Jennifer Lang, Jaclyn Hoppe

Nursing Posters

To improve accuracy of bedside ECG (EASI lead) monitoring through accurate placement of electrodes and proper skin preparation.

Etc Code Stroke Improvement, Melissa Fradette, Jessica Miller

Nursing Posters

There was a 42% increase in median times for patients receiving alteplase (tPA) within 60 minutes from 48 minutes in Q3FY13 to 68 minutes in Q1FY15. Research indicates every 15 minute delay in stroke treatment, the odds of good outcome decreased by 10%. During two day rapid improvement event team members and content experts used process mapping to identify waste in current state ETC Code Stroke process and determine countermeasures to eliminate waste and improve throughout.

Improving Transitions Of Care For Newborns Requiring Home Phototherapy Through Innovation & Collaboration, Carla Bieniek, Kristi Patterson

Nursing Posters

Improve transitions of care for newborns requiring home phototherapy by providing skilled nursing services through Home Care and changing the phototherapy modality from the BiliBed to the BiliSoft which provides more intense home phototherapy & is easier to administer.

Inpatient Rehabilitation Performance Improvement: Skin Care And Guidelines, Golden Fisk

Nursing Posters

To improve skin integrity care as well as use of hospital policies and guidelines within Inpatient Rehabilitation.

Integrative Therapy Program: Evaluation And Implementation Of Aromatherapy In An Inpatient Setting, Wendy Wheeler

Nursing Posters

Purpose Statement: The purpose of this project is to implement integrative therapies, such as aromatherapy, in addition to current nursing interventions. Goal is to improve patient experience and outcomes and enhance the patient/nurse relationship.

Mindfulness Program At Work, Chelsie Bakken, Kathleen Mahon, Kristi Patterson

Nursing Posters

Develop and implement a mindfulness based stress reduction program that is easily accessible, effective, and utilized by staff to improve care quality and positively affect the wellbeing of CCH employees.

Moving Weekly Team Conference To Bedside, Joyce Belanger

Nursing Posters

CMS has specific requirements for all Inpatient Rehab Facilities. Weekly team conferences on the patients is one of the requirements. Team members required are Dr, LSW, PT, OT, SLP and RN. Our Practice Nurse (RN) attended conferences, as she has working knowledge of the patient. Our challenge was to get the bedside nurse, instead of the practice nurse, to attend the weekly conference.

National Database Of Nursing Quality Indicators, May Schomer

Nursing Posters

National Database of Nursing Quality Indicators (NDNQI) was launched by American Nursing Association (ANA) in 1998, with an initial set of ten quality indicators that assessed the quality of patient care. The continued mission of the NDNQI's is to improve patient care and safety by providing evidence based national research to nurses by comparing nursing care data and the connection this data has on patient outcomes. A relationship between patient outcomes and nurse staffing practices was noted, but further data collection was needed to appraise the quality of nursing care on each hospital unit in order to assess, evaluate and …

Optimal Perioperative Management Of The Geriatric Patient, Sherry Sonsalla

Nursing Posters

Purpose: Review best practice guidelines, perform a gap analysis, and provide recommendations for areas of opportunity for geriatric surgical patients.

Reducing Overnight Vital Signs, Jill Libbesmeier

Nursing Posters

As delirium has been identified to increase functional decline, cost per patient day of hospitalization, and length of stay, previous delirium work has been completed at St. Cloud Hospital. Changes in sleep pattern and sleep environment have been identified as a cause of delirium. The purpose of this project is to change frequency of vital signs on Med 1, Med 2, and Medical and Oncology, allowing for increased uninterrupted periods of sleep to help reduce delirium rates; in turn reducing average length and cost of stay.

Protecting Patients From Hospital-Acquired Infections, Ann Backes

Nursing Posters

Goal: Implement chlorohexidine (CHG) bathing for patients on the Medical and Oncology Unit with a central venous catheter and/or urinary catheter in addition to existing prevention measures to reduce catheter associated urinary tract infections (CAUTIs) and central line associated bloodstream infections (CLABSIs), because increases in CAUTIs and CLABSIs were seen despite various unit and hospital prevention strategies in place.

Opening An Observation Unit, Emily Zempel

Nursing Posters

The definition, benefits, and structure of an observation unit within a hospital.

Sep-1: Early Management Bundle, Severe Sepsis/Septic Shock, Roberta Basol, Jennifer Burris

Nursing Posters

To educate, monitor, and improve the sepsis core measure SEP-1 results required by CMS.

Reduction Of Cesarean Section Surgical Site Infections (Ssi): Progression And Implementation Of Evidence Based Practice, Patricia Dumonceaux, Melissa Erickson, Kim Schuster, Elizabeth Kiffmeyer

Nursing Posters

To improve cesarean section patient experience by reduction of postoperative SSI.

Study Buddies: Peer-To-Peer Collaboration During An Online Otd Program, Rene' Wren

Occupational Therapy Collection

No abstract provided.

From 'D' To 'I': A Critique Of The Current United States Preventive Services Task Force Recommendation For Testicular Cancer Screening, Michael J. Rovito, Janna Manjelievskaia, James E. Leone, Michael J. Lutz, Ajay Nangia

Movement Arts, Health Promotion and Leisure Studies Faculty Publications

In 2004, the United States Preventive Services Task Force (USPSTF) gave testicular cancer (TCa) screening a ‘D’ recommendation, discouraging the use of this preventive service. The USPSTF suggested that screening, inclusive of testicular self-examination (TSE) and clinician examination, does not reduce TCa mortality rates and that the high risk of false positives could serve as a detriment to patient quality of life. Others suggests that TCa screening is ineffective at detecting early-stage cases of TCa and readily highlights a lack of empirical evidence demonstrating said efficacy. These assertions, however, stand in stark contrast to the widely held support of TCa …

Safe And Effective Treatment Of Various Cancers, As Well As Myocardial Ischemia, Memory And Other Brain Problems Using Optimal Doses Of Vitamin D3 And Taurine Or Special Use Of Specific Acupuncture Points True St-36 With Or Without Pc-6 And Sp-6., Yoshiaki Omura

NYMC Faculty Conference Abstracts

Our recent research indicated that in most of the cancers we examined, we often found the following abnormalities. In a majority of the cancers, including breast cancer, ovarian cancer, uterus cancer, as well as various adenocarcinomas, including those of the esophagus, stomach, colon, pancreas,& prostate gland, we found significantHuman Papilloma Virus type 16 (HPV-16)infections. In these cancer tissues, we found Vitamin D3 receptor stimulant, 1α, 25 (OH)2 D3 is markedly reduced. As a result, by giving optimal dose of Vitamin D3 400 I.U. 3 times/day, cancer markers such as Oncogene-C fosAB-2, Integrin α5β1 and 8-OH-dG were significantly reduced. It was …

A Rare Case Report Of Probable Indigotindisulfonate Sodium-Induced Cardiac Arrest, Andrew P. Smith, Catherine A. Millares-Sipin, Henry Cohen, William Lois

Touro College of Pharmacy (New York) Publications and Research

Background: Indigotindisulfonate (Indigo Carmine, American Regent, Shirely, NY) is a blue dye that is commonly used for localizing ureteral orifices during surgery. In general, it is safe and biologically inactive, with the package insert citing only rare idiosyncratic reactions and mild pressor effects in some patients. We report a case of a severe life-threatening anaphylactoid reaction due to indigotindisulfonate following intravenous administration.

Case Report: We describe a case of a 42-year-old female admitted for a total abdominal hysterectomy. Upon arrival to the operating room, her heart rate (HR) was 80/min, blood pressure (BP) was 135/75 mm Hg, and …

Benzocaine-Induced Methemoglobinemia: A Case Report, Keith Veltri, Ellen Rudnick

Touro College of Pharmacy (New York) Publications and Research

The authors present introductions to local anesthetics and methemoglobinemia, and detail a case report of a patient with benzocaine-induced methemoglobinemia.

Overcoming Cancer Multidrug Resistance Through Inhibition Of Microparticles, Sora Vysotski, Rivka Winzelberg, Mariana Babayeva

Touro College of Pharmacy (New York) Publications and Research

One of the main obstacles to success of chemotherapy agents is the development of cancer resistance. Cancer multidrug resistance (MDR) is thought to arise from over-expression of efflux transporters on cancer cells’ plasma membranes. Recently, microparticles (MP) were found to play a major role in mediating the resistance to antineoplastic agents. Microparticles can confer MDR phenotype to cancer cells though 3 complimentary pathways: 1) Intercellular transfer of P-gp and MRP1; 2) Intercellular transfer of regulatory nucleic acids that ensure acquisition of MDR phenotype; and 3) Internal sequestration of anticancer drugs to reduce the amount of free active drug. Compounds that …

Cyclophosphamide For Suspected Primary Angiitis Of The Central Nervous System In A Patient With Human Immunodeficiency Virus: A Case Report, Martha M. Rumore, Samantha Su, Jake Pellinen

Touro College of Pharmacy (New York) Publications and Research

Introduction: Central nervous system (CNS) vasculitis is rare, including in human immunodeficiency virus (HIV), occurring in less than 1% of patients. Systemic vasculitis affecting the CNS is termed secondary CNS vasculitis, whereas primary CNS vasculitis, referred to as primary angiitis of the CNS (PACNS) refers to an extremely rare disease specifically confined to the CNS. Only some cases of PACNS in HIV patients have been reported in literature.

Case Report: We report a case of a 46-year-old female with HIV who developed probable primary CNS vasculitis, which was treated with intravenous cyclophosphamide and glucocorticoids for both induction and …

A Resource Manual To College And University Academic Return For Young Adults With A Mild Traumatic Brain Injury, Rachel Gromek, Emily Hermanson

Occupational Therapy Capstones

Purpose: Reportedly, in the United States 75% of traumatic brain injuries that occur each year are referred to as mild (Centers for Disease Control Prevention, 2010). Traumatic brain injury is the leading cause of disability each year with the highest prevalence being between ages 15-24 years (Willmott, Ponsford, Downing, & Carty, 2014). The greatest deficits experienced by college or university students with a mild traumatic brain injury (mTBI) are cognitive, psychosocial, and physical (Kennedy, Krause, & O’Brien, 2014; Marschark, Richtsmeier, Richardson, Crovitz, & Henry, 2000). The purpose of this project was to address the limited resources available to individuals with …

An Exploratory Study Of Patient Falls, Jeffrey A. Coto, Coleen Wilder

Nursing and Health Professions Faculty Presentations

Debate continues between the contribution of education level and clinical expertise in the nursing practice environment. Research suggests a link between Baccalaureate of Science in Nursing (BSN) nurses and positive patient outcomes such as lower mortality, decreased falls, and fewer medication errors. Purpose: To examine if there a negative correlation between patient falls and the level of nurse education at an urban hospital located in Midwest Illinois during the years 2010-2014? Methods: A retrospective crosssectional cohort analysis was conducted using data from the National Database of Nursing Quality Indicators (NDNQI) from the years 2010-2014. Sample: Inpatients aged ≥ 18 years …