Medicine and Health Sciences Commons^™

Computerized Tailored Interventions To Enhance Prevention And Screening For Hepatitis C Virus Among People Who Inject Drugs: Protocol For A Randomized Pilot Study., Ryan P Westergaard, Shawnika J. Hull, Alana Merkow, Laura K Stephens, Karli R Hochstatter, Heidi K Olson-Streed, Lisa M Baker, Timothy M Hess

Prevention and Community Health Faculty Publications

BACKGROUND: Hepatitis C virus (HCV) infection is a growing problem among people who inject drugs. Strategies to reduce disease transmission (eg, syringe exchange programs) and facilitate HCV screening and linkage are available but are under-utilized in many communities affected by injection drug use. Novel approaches to increasing the use of these strategies are needed.

OBJECTIVE: The goals of this project are to (1) develop and pilot test a computerized tailored intervention for increasing HCV screening and decreasing risky drug use behavior among people who inject drugs and (2) determine the feasibility of disseminating such an intervention using peer-based referrals in …

Comparison Of Drug Delivery With Autoinjector Versus Manual Prefilled Syringe And Between Three Different Autoinjector Devices Administered In Pig Thigh, Robert Hill, John Wilmot, Beth Belluscio, Kevin Cleary, David Lindisch, Robin Tucker, Emmanuel Wilson, Rajesh Shukla

Radiology Faculty Publications

Parenteral routes of drug administration are often selected to optimize actual dose of drug delivered, assure high bioavailability, bypass first-pass metabolism or harsh gastrointestinal environments, as well as maximize the speed of onset. Intramuscular (IM) delivery can be preferred to intravenous delivery when initiating intravenous access is difficult or impossible. Drugs can be injected intramuscularly using a syringe or an automated delivery device (autoinjector). Investigation into the IM delivery dynamics of these methods may guide further improvements in the performance of injection technologies. Two porcine model studies were conducted to compare differences in dispersion of injectate volume for different methods …

Interpretative Phenomenological Analysis: A Contemporary Phenomenological Approach, Raissa M. Miller, Casey A. Barrio Minton

Counselor Education Faculty Publications and Presentations

Interpretative Phenomenological Analysis (IPA) is a contemporary qualitative research method grounded in phenomenology, hermeneutics, and idiography. The philosophical principles and rigorous methodology make this approach well suited for research in counselor education and supervision. This primer introduces counselor educators to IPA theory and methodology and discusses considerations for implementation.

Factors Underlying Ebola Virus Infection Among Health Workers, Kenema, Sierra Leone, 2014-2015, Mikiko Senga, Kimberly Pringle, Andrew Ramsay, David Brett-Major, Robert A. Fowler, Issa French, Mohamed Vandi, Josephine Sellu, Christian Pratt, Josephine Saidu, Nahoko Shindo, Daniel G. Bausch, Sierra Leone Kenema District Task Force And Kenema Government Hospital

Journal Articles: Epidemiology

BACKGROUND: Ebola virus disease (EVD) in health workers (HWs) has been a major challenge during the 2014-2015 outbreak. We examined factors associated with Ebola virus exposure and mortality in HWs in Kenema District, Sierra Leone.

METHODS: We analyzed data from the Sierra Leone National Viral Hemorrhagic Fever Database, contact tracing records, Kenema Government Hospital (KGH) staff and Ebola Treatment Unit (ETU) rosters, and burial logs.

RESULTS: From May 2014 through January 2015, 600 cases of EVD originated in Kenema District, including 92 (15%) HWs, 66 (72%) of whom worked at KGH. Among KGH medical staff and international volunteers, 18 of …

West African Anopheles Gambiae Mosquitoes Harbor A Taxonomically Diverse Virome Including New Insect-Specific Flaviviruses, Mononegaviruses, And Totiviruses, Joseph R. Fauver, Nathan D. Grubaugh, Benjamin J. Krajacich, James Weger-Lucarelli, Steven M. Lakin, Lawrence S. Fakoli, Fatorma K. Bolay, Joseph W. Diclaro, Kounbobr Roch Dabiré, Brian D. Foy, Doug E. Brackney, Gregory D. Ebel, Mark D. Stenglein

Journal Articles: Epidemiology

Anopheles gambiae are a major vector of malaria in sub-Saharan Africa. Viruses that naturally infect these mosquitoes may impact their physiology and ability to transmit pathogens. We therefore used metagenomics sequencing to search for viruses in adult Anopheles mosquitoes collected from Liberia, Senegal, and Burkina Faso. We identified a number of virus and virus-like sequences from mosquito midgut contents, including 14 coding-complete genome segments and 26 partial sequences. The coding-complete sequences define new viruses in the order Mononegavirales, and the families Flaviviridae, and Totiviridae. The identification of a flavivirus infecting Anopheles mosquitoes broadens our understanding of the evolution and host …

Doctor Of Health Science Overview, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

R.N. To M.S.N. Overview, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

The Career Readiness Of Intercollegiate Athletes: Is There A Gender Gap?, Megan Parietti, Leeann Lower, Kristy Mccray

Health and Sport Sciences Faculty Scholarship

Career development is one of the major objectives of universities. It is well-known that intercollegiate athletes have many time commitments that make it more challenging for them to focus on their career development. To compound this issue, the effectiveness of career development efforts may be impacted by the gender of the intercollegiate athlete. The purpose of this study was to examine the career readiness of student-athletes, focusing on differences based on gender. This was accomplished through the lenses of the social cognitive career theory and career decision self-efficacy. A total of 137 intercollegiate student-athletes at a large Midwestern university completed …

Shingles, Kimberly M. Holland

Nursing Student Class Projects (Formerly MSN)

Millions of people in the United States are effected by shingles each year. Shingles, which is also known as herpes zoster, is caused by the reactivation of the varicella zoster virus. The varicella zoster virus is what causes chicken pox. After a person is infected with chicken pox the virus lies dormant in the spinal and cranial sensory nerve ganglia. When the virus comes out of dormancy it travels down nerve axons affecting the skin in the area of the nerve endings. The prodromal phase is the time period before the rash appears where a person may experience itching, burning, …

Treacher Collins Syndrome: Challenges For Anesthesia Care, Clara Smith

Nursing Student Class Projects (Formerly MSN)

This poster discusses the disorder known as Treacher Collins syndrome with a focus on understanding the syndrome and unique challenges in patient care. Hallmark features of the disorder present unique challenges for healthcare professionals, especially those providing anesthesia care. Patients with Treacher Collins syndrome are more much more likely than patients without the disorder to have a difficult airway. This poster explores the condition and some of the implications for providing safe patient care and achieving positive outcomes.

Anaphylaxis: Signs, Symptoms, And Pathophysiology, Brian A. Snyder

Nursing Student Class Projects (Formerly MSN)

Anaphylaxis is an emergent, life-threatening condition and quick provider response is imperative. When a patient has this acute and severe Immunoglobulin E hypersensitivity immune response, the health care provider must be ready to immediately act using an expert level of awareness. This project serves as an overview of this important topic and should cultivate a spirit of inquiry into institutional policies for management, as well as to inspire further research.

Understanding Ige-Mediated Food Allergies, Melissa M. Malinky

Nursing Student Class Projects (Formerly MSN)

Working as a nurse in a pediatric Allergy/Immunology clinic one would observe that the prevalence and resulting awareness of IgE-mediated food allergies in children has increased over the past decade. Many schools and camps are now going “nut free” and requiring Food Allergy Action Plans from a diagnosing physician. A study by Gupta et al. (2011) estimated 8% of children in the United States have a food allergy. Primary care providers (PCPs) are at the forefront of recognition, diagnosis, treatment and patient education of IgE-mediated food allergies. PCPs can benefit greatly from further education of the current evidence based diagnostic …

Septic Shock, Lacey Lauer

Nursing Student Class Projects (Formerly MSN)

Sepsis is a frequently seen diagnosis in hospital settings, which when left untreated can progress to severe sepsis and septic shock. Septic shock occurs in more than 230,000 patients in the United States annually and is the cause of more than 40,000 deaths (Seymour & Rosengart, 2015). It is very important for hospital staff members to quickly and accurately identify signs of sepsis, severe sepsis, and septic shock so that patients can undergo treatment as quickly as possible. Studies have shown that the early treatment of sepsis may lead to decreased sepsis-related mortality (Benedict, 2015).

Ards: Acute Respiratory Distress Syndrome, Jeffrey Lobacz

Nursing Student Class Projects (Formerly MSN)

The purpose of this poster presentation is to discuss and examine the medical condition known as acute respiratory distress syndrome (ARDS). The presentation will include a review of the epidemiology, pathophysiology and etiologies of ARDS, as well as treatment strategies and recovery. The implications to nursing will also be discussed with the hope that a deeper understanding of the disease process will result in continued improvement of the management of this patient population.

Takotsubo Cardiomyopathy, Jessica Walter

Nursing Student Class Projects (Formerly MSN)

Takotsubo cardiomyopathy (TCM) is a reversible form of non-ischemic cardiomyopathy. Patients typically present with symptoms of acute coronary syndrome including chest pain, shortness of breath, elevated cardiac biomarkers and ST elevation. As a result, patients are emergently taken to the coronary catheterization lab for angiography of the coronary arteries.

Diabetic Nephropathy, Natalie Cochran

Nursing Student Class Projects (Formerly MSN)

Poster project on Diabetes mellitus (DM) which is a group of metabolic diseases characterized by an increase in blood glucose levels, or hyperglycemia, resulting from inadequate secretion or action of insulin preventing glucose from being absorbed into the cells (McCance and Huether, 2014).

Joint Manifestations Of Rheumatoid Arthritis, Pamela Allen

Nursing Student Class Projects (Formerly MSN)

Poster project on Rheumatoid arthritis (RA) which is a common autoimmune disorder, affecting approximately 1% of the population worldwide. The interaction of genetic and environmental factors results in a cascade of immune reactions, which eventually lead to the development of structural bone damage, joint damage, and synovitis (Gibofsky, 2012).

Postoperative Ileus, Jamie Pearson

Nursing Student Class Projects (Formerly MSN)

This author’s goal with this poster is to provide research on postoperative ileus to help others learn more about the pathophysiology of the condition, causes of ileus, symptoms, treatments, and prevention. By learning more on postoperative ileus, healthcare providers will be better prepared to care for postoperative patients to help prevent ileus after surgery and to better care for the patient if they were to develop an ileus. This poster can also serve as an education tool for patients by teaching the patient preventative measures to help protect themselves postoperatively.

Polycystic Ovarian Syndrome, Tameka Todd

Nursing Student Class Projects (Formerly MSN)

The content of this poster describes the pathophysiology of Polycystic Ovarian Syndrome. The components included are an introduction, signs & symptoms, implications for nursing care and evidence-based references.

Pediatric Gastroesophageal Reflux Disease, Regina F. Prusinski

Nursing Student Class Projects (Formerly MSN)

Gastroesophageal reflux is the return of stomach contents into the esophagus. It is normal in the newborn due to an immature gastroesophageal sphincter. Gastroesophageal reflux disease (GERD) is a common condition found in 3.3% of the pediatric population that occurs when the physiological barrier of the esophageal sphincter opens during a transient lower esophageal sphincter relaxation (TLESR)period (Rinsma et al., 2016) resulting in complications like mucosal erosion, bleeding, dysphagia or failure to thrive (Quitadamo, Ummarino, Saiano, 2015). GERD in children can be directly related to late maturation of the gastroesophageal (GE) sphincter or an impaired hormonal or neurotransmitter response. A …

Combined Endoscopic And Laparoscopic Management Of Postcholecystectomy Mirizzi Syndrome From A Remnant Cystic Duct Stone: Case Report And Review Of The Literature, Arpit Amin, Yuriy Zhurov, George Ibrahim, Anthony Maffei, Jonathan Giannone, Thomas Cerabona, Ashutosh Kaul

NYMC Faculty Publications

Mirizzi syndrome has been defined in the literature as common bile duct obstruction resulting from calculi within Hartmann's pouch or cystic duct. We present a case of a 78-year-old female, who developed postcholecystectomy Mirizzi syndrome from a remnant cystic duct stone. Diagnosis of postcholecystectomy Mirizzi syndrome was made on endoscopic retrograde cholangiography (ERCP) performed postoperatively. The patient was treated with a novel strategy by combining advanced endoscopic and laparoscopic techniques in three stages as follows: Stage 1 (initial presentation): endoscopic sphincterotomy with common bile duct stent placement; Stage 2 (6 weeks after Stage 1): laparoscopic ultrasonography to locate the remnant …

Phage Therapy As A Mrsa Treatment, Miriam Sussman

The Science Journal of the Lander College of Arts and Sciences

This paper seeks to review how previous research on bacteriophage therapy can be utilized to improve the treatment of MRSA infections. Due to the growing phenomenon of antibiotic resistance, scientists are looking to utilize the natural antibacterial qualities of bacterial viruses called phages to fight MRSA infections. In order to improve the therapeutic methods of combatting MRSA, one must first understand the mechanics of how phages infect bacterial cells and lyse them with their proteins. The narrow host range of bacteriophages causes the infection of only the pathogenic bacteria and maintains the state of the normal flora. Research suggests that …

2016 Apothecary, Southwestern Oklahoma State University

Apothecary

This publication is dedicated to the Southwestern College of Pharmacy faculty, staff, alumni, and students. We congratulate this year's graduating seniors and wish you success in your professional careers.

It is with great honor we present the 2016 Apothecary issue. This year’s Apothecary was made possible by the provision of generous financial contributions from many stores, businesses, and Southwestern College of Pharmacy alumni. We greatly appreciate and thank you for your continued support.

The Use Of Nitrous Oxide In The Management Of Labor Pain: Safet And Effiacy, Jennifer Ruth Christensen

All Electronic Theses and Dissertations

Background: All women will experience pain while going through childbirth. The pain is caused by pressure and stretching on the uterus and visceral organs, lack of oxygen during uterine contractions, and musculoskeletal and perineal stretching. Difficulty coping with pain leads to an increase in catecholamines, which further complicates the labor process and can contribute to long term psychological consequences. Up to 75% of women in other countries use nitrous oxide, a colorless odorless gas, to manage their labor pain. In the United States, the options for managing labor pain have consisted of non-pharmacological methods such as massage, breathing and relaxation …

An In-Vitro Comparison Of Bond Quality Using A Novel Flash-Free Adhesive System With Metal Brackets, Joseph Kevin Ryan

Student Theses, Dissertations and Capstones

Introduction: 3M Unitek (2724 Peck Rd, Monrovia, CA 91016) has recently released a new adhesive system labeled APCTM Flash-Free (APCTM FF) that pledges to eliminate flash removal from the orthodontic bracket bonding process. The company states that the bond strength of this new system is comparable to other adhesive systems such as APCTM PLUS. The purpose of this study was to evaluate the bond quality of APCTM FF by measuring excess adhesive, shear bond strength (SBS), microleakage penetration and adhesive remnant index (ARI) compared to APCTM PLUS. Methods: Eighty brackets were bonded on freshly extracted bovine permanent mandibular incisors as …

Removal From Play After Concussion And Recovery Time, R.J. Elbin, Alicia Sufrinko, Philip Schatz, Jon French, Luke Henry, Scott Burkhart, Michael W. Collins, Anthony P. Kontos

Faculty Publications - Doctor of Psychology (PsyD) Program

OBJECTIVE: Despite increases in education and awareness, many athletes continue to play with signs and symptoms of a sport-related concussion (SRC). The impact that continuing to play has on recovery is unknown. This study compared recovery time and related outcomes between athletes who were immediately removed from play and athletes who continued to play with an SRC. METHODS: A prospective, repeated measures design was used to compare neurocognitive performance, symptoms, and recovery time between 35 athletes (mean ± SD age, 15.61 ± 1.65 years) immediately removed after an SRC (REMOVED group) compared with 34 athletes (mean ± SD age, 15.35 …

The Meaning Of Evidence And Nonmaleficence: Cases From Nursing, Chenit Ong-Flaherty Dnp, Angela Banks Phd, Martha Doyle Msn, Claire Olivia Sharifi

Journal of Health Ethics

In our increasingly diverse environment, nurses are obligated to question the meaning of “evidence” when history has shown that our emphasis on the empirical and quantitative data has shaped our biases against knowledge unknown to us. This bias has limited our ability to provide patient or person-centered care, and can be harmful to patients. Nurses are encouraged to reflect on what evidence means in their practice, and to make sure harm is not caused to patients by dismissing evidence yet unknown to us or accepting “truths” not fully understood by us. The authors use composite case studies to share experiences …

Western Kentucky University College Of Health And Human Services (Chhs) Strategic Plan 2016-2020, Wku College Of Health & Human Services

College of Health & Human Services Publications

No abstract provided.

Doctor Of Health Care Science On-Line 2016, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Bachelor Of Science In Respiratory Therapy 2016, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.