Medicine and Health Sciences Commons^™

Effect Of Ph And Recharge Protocol On Fluoride Release From Orthodontic Band Adhesives, Erica Kader

Student Theses, Dissertations and Capstones

Objective: This study evaluated the release of fluoride from orthodontic band adhesives before and after exposure to fluoride varnish (FV), MI Paste (MIP), MI Paste Plus (MIPP), or no application, in neutral and acidic solutions. Background: White spot lesions (WSLs) occur in 73% of orthodontic patients. WSLs occur as a result of plaque accumulation, which leads to increased acidity of the oral cavity and subsequent enamel demineralization. Topical fluoride is frequently used as therapy for WSLs, in the form of toothpaste, mouth-rinse and varnish. In an effort to reduce demineralization around fixed appliances, fluoride-releasing adhesives have been employed, including glass …

Project Soar's Approach To Research Utilization, Project Soar

HIV and AIDS

Project SOAR (Supporting Operational AIDS Research) conducts operations research (OR) with the aim of producing a large, multi-faceted body of high-quality evidence that can guide the planning and implementation of programs and policies for HIV prevention, care, and treatment. OR provides the needed evidence to make sound policy and program decisions at national, subnational, and service-delivery levels by identifying practical solutions to challenges delivering program services. Translating OR findings into action at these levels requires two-way information exchange between people who can apply research findings and researchers. Project SOAR’s premise is that this exchange will bring about eventual use of …

Ua1c11/57 2015-16 School Year Photos, Wku Nursing

WKU Administration Documents

Unidentified images of WKU Nursing during the 2015-16 school year.

Best Practices To Increase Efficacy Of Graduate School Admissions Communications At Clark University, Diana Curran, Nikki Feinberg, Mitchell Kelley, Ruiqi Li, Anning Zhou

School of Professional Studies

Within the period of time that a graduate student deposits and subsequently arrives at their academic institution, receiving timely information is important for their preparation. This process has been deemed by the Deans of the Enterprise Schools at Clark University as one that needs further investigation. As such, this Capstone looks at the array of communication that goes out to each graduate student during this four-month period. The purpose of examining this communication is to analyze its effectiveness in engaging students. To analyze the effectiveness of this communication, surveys were distributed to current students in these schools to gather data …

Joint Ncaa Division I And Ii National Championship Finals, Rachel D. Jacobson

Master of Arts in Sport Management

The following thesis discussed a potential future event consisting of a joint National Collegiate Athletic Association (NCAA) National Volleyball Championship involving the top two Division I teams and the top two Division II teams, each playing for their own national title. Before such an event can take place, what is needed is a realistic budget, a careful marketing strategy keeping in mind the ten P's, a plan to motivate employees, a safe environment for spectators and participants, and an ethical framework for team preparation limits.

2018 Super Bowl, Tony Dehler

Master of Arts in Sport Management

This paper is dedicated to the Super Bowl that will be held in Minneapolis, Minnesota in February of 2018. It introduces the organization responsible for the planning of the event, the event itself; as well as describes the venue in which the game will be played. The paper also includes marketing strategies for the event, suggestions to minimize risks, methods to manage employees, and discusses an ethical issue dealing with the event, as well as a personal reflection on the project and program.

Sports Medicine For Coaches- A Coaching Clinic, Jessica Slavik

Master of Arts in Sport Management

Sports medicine is a vast area of medicine, and expecting a coach to understand all of the medical knowledge is improbable. A coaching clinic that entails basic knowledge of first aid and injury prevention for coaches is critical in today's age where young athletes are put at risk of injury. By utilizing the knowledge and skills of the area clinic, Affiliated Communities Medical Centers, the coaching clinic aims to educate coaches with the latest techniques in injury treatment and prevention. Using local venues to educate the coaches allows for easy access, and small size to ensure quality learning. The coaching …

Tough Mudder, Matt D. Dovenberg

Master of Arts in Sport Management

This Capstone paper examined the Tough Mudder, a 10-12 mile obstacle course that has been gaining popularity over the past five years. The paper evaluated different aspects of the Tough Mudder organization to help determine what has made this event so effective. Specifically, the paper provided an in-depth review of the organization's event, marketing strategies, employee and volunteer management, risk management, risk analysis, and history of the company.

Prevention Strategies And Mental Health In Vietnam, Edward Cohen

Faculty Publications

This paper addresses the current state of mental health services in Vietnam and provides recommendations for improving the care of people with mental illness. Vietnam’s mental health problems are as prevalent as anywhere else in the world. The country has recently begun an initiative to reform mental health care by improving community-based services for people with serious mental illness. However, mental illness has not been a part of public discourse in Vietnam. There is little recognition of prevalent common mental illnesses (such as depression, anxiety and alcohol abuse) and the care of people with serious mental illnesses relies on either …

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

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

This issue includes the 2015 South Dakota Agricultural Experiment Station Annual Report.

[Page] 2 Director's Message
[Page] 3 Concentrating On Cattle: Researcher Studying Mechanics To Improve Reproduction Efficiency In Beef Cattle
[Page] 5 At The Forefront: SDSU Diagnostic Lab Scientists Sequence Avian Influenza Genome
[Page] 6 Seeking Superior Wheat: Breeder Using Extensive Genome Testing To Improve Winter Wheat Cultivars
[Page] 8 Profiles In Leadership: Plant And Fungi Interactions May Offer New Plant Production Possibilities
[Page] 9 Targeting Emerging Diseases: Plant Pathologists Working To Better Manage Soybean & Sunflower Diseases
[Page] 10 Compelling New Crop: Carinata Offers Potential For Crop Diversity, …

Stress Reduction Program In A Military Clinic, Hyun-Ju Kang

Doctor of Nursing Practice Projects

Occupation-related stress has been a long-standing concern of the health care industry. Studies indicate that health care workers have higher rates of substance abuse and suicide than other professionals and elevated rates of depression and anxiety linked to job stress. In addition to psychological distress, other outcomes of job stress include burnout, absenteeism, employee intent to leave, reduced patient satisfaction, and diagnosis and treatment errors. Mindfulness interventions, such as practicing yoga on a regular basis, have been found to be effective in reducing work-related stress by multiple researchers. The overall level of stress, anxiety and depression decreased after implementation of …

Examining The Lived Experiences Of Families Who Have Adopted Children And Received Occupational Therapy Services, David Simpson

Online Theses and Dissertations

Purpose: This qualitative descriptive study focused on the experiences of families who have adopted children from different countries and placed them in occupational therapy services.

Method: Three different sets of parents were interviewed to gather data on the adoption process and on their experiences with receiving services from an OT. Each interview was conducted either with one or both parents present. Only one interview was conducted with each family.

Discussion: While families often have quality experiences working with an OT and observe improvements in their children, some families do not receive quality services. This is due to lack of communication …

A Feasibility Study On Using Smartphones To Conduct Short-Version Verbal Autopsies In Rural China, Jing Zhang, Rohina Joshi, Jixin Sun, Samantha R. Rosenthal, Miao Tong, Cong Li, Rasika Rampatige, Megan Mooney, Alan Lopez, Lijing L. Yan

Health & Wellness Department Faculty Publications and Research

No abstract provided.

Negative Experiences On Facebook And Depressive Symptoms Among Young Adults, Samantha R. Rosenthal, Stephen L. Buka, Brandon D.L. Marshall, Kate B. Carey, Melissa A. Clark

Health & Wellness Department Faculty Publications and Research

No abstract provided.

Response To Commentary On Disparities In Infant Mortality Due To Congenital Anomalies On Guam, Jonathan K. Noel, Sara Namazi, Robert L. Haddock

Health & Wellness Department Faculty Publications and Research

No abstract provided.

Dietary Transition And Obesity In Selected Arabic-Speaking Countries: A Review Of The Current Evidence, Basil H. Aboul-Enein, J. Bernstein, A. C. Neary

Health & Wellness Department Faculty Publications and Research

Escalating obesity rates have become a significant public health problem in the Middle East and North Africa [‎MENA]‎ region and have been associated with shifts towards a westernized diet. This integrative review aimed to examine the current dietary trends and transitions and their association with obesity in Arabic-speaking countries of the MENA region. Relevant databases were searched for studies in MENA countries between 1998 and 2014 that investigated obesity trends and changes in dietary patterns at the regional level in all age groups. A total of 39 articles fulfilled the inclusion criteria. All the articles noted that obesity was increasingly …

Rapamycin Attenuates Cardiac Fibrosis In Experimental Uremic Cardiomyopathy By Reducing Marinobufagenin Levels And Inhibiting Downstream Pro-Fibrotic Signaling, Steven T. Haller Phd, Yanling Yan Phd, Christopher A. Drummond Phd, Joe Xie Md, Jiang Tian Phd, David J. Kennedy Phd, Victoria Y. Shilova Phd, Zijian Xie Phd, Jiang Liu Phd, Christopher J. Cooper Md, Deepak Malhotra Md, Phd, Joseph I. Shapiro Md, Olga V. Fedorova Phd, Alexei Y. Bagrov Md, Phd

Pharmaceutical Science and Research

Background: Experimental uremic cardiomyopathy causes cardiac fibrosis and is causally related to the increased circulating levels of the cardiotonic steroid, marinobufagenin (MBG), which signals through Na/K‐ATPase. Rapamycin is an inhibitor of the serine/threonine kinase mammalian target of rapamycin (mTOR) implicated in the progression of many different forms of renal disease. Given that Na/K‐ATPase signaling is known to stimulate the mTOR system, we speculated that the ameliorative effects of rapamycin might influence this pathway.

Methods and Results: Biosynthesis of MBG by cultured human JEG‐3 cells is initiated by CYP27A1, which is also a target for rapamycin. It was demonstrated that 1 …

Addressing Unhealthy Alcohol Use In Maine: Provider And Practice Attitudes Towards Integrating Alcohol Screening And Brief Intervention Within Rural Primary Care Practices, Mary Lindsey Smith Phd, Jennifer Pratt Aa, Rachel M. Gallo Mph, Katie Rosingana Ba, J Keller, Mark Richards Bs

Substance Use Research & Evaluation

No abstract provided.

Conceptualizing Cognitive-Behavioral Therapy As A Supportive-Educative Nursing System For Patients With Insomnia, Christine Kurtz, Nola Schmidt

Nursing and Health Professions Faculty Publications

Difficulty initiating and maintaining sleep is one of the most common health complaints of the general population. Approximately 35-50% of people experience occasional insomnia symptoms (Walsh et al., 2011) while 12-20% have insomnia disorder (Morin, et al., 2011; Roth et al., 2011). An effective treatment is cognitive behavioral therapy for insomnia (CBT-I; Schutte-Rodin, Broch, Buysse, Dorsey, & Sateia, 2008), a nonpharmacological, evidence-based intervention aimed at changing sleep behaviors. The purpose of this paper is to frame CBT-I as a nursing intervention for insomnia within the context of Orem’s self-care deficit nursing theory (Orem, 2001). Orem’s theory provides a framework from …

An Occupation Based Practice Educational Program Model Implementing Online Learning, Kristina K. Elam

Occupational Therapy Doctorate Capstone Projects

Background: Due to numerous changes in reimbursement, healthcare delivery and the field of occupational therapy in recent years, the health care arena is now driven by efforts to improve the quality and cost effectiveness of interventions. Therapists, specifically, are challenged by multiple factors, particularly cost-containment, that influences their ability to deliver occupational therapy services. However, in an attempt to promote best practice, occupational therapists must incorporate occupation-based interventions into daily treatment in all practice settings. Occupation-based activities are defined as activities that allow clients to engage in valued occupations in their own context (Rogers, 2007).

Purpose: This program development model …

Non-Hdl-C Or Apolipoprotein-B Versus Ldl-C Screening For Evaluation And Treatment Of Atherosclerotic Cardiovascular Disease, Grant Coauette

Physician Assistant Scholarly Project Posters

• Lowering low-density lipoprotein cholesterol (LDL-C) concentration in the population has been a goal of researchers and clinicians to prevent atherosclerotic cardiovascular disease (ASCVD).

• Controversy surrounds using [LDL-C] as the primary lipid biomarker to evaluate the risk of cardiovascular events. An article search dating back to 2005 of PubMed and The Cochran Library was conducted.

• The purpose of this investigation was to determine if LDL-C should be the primary lipid biomarker used to determine ASCVD treatment and prevention. This investigation researched other lipid biomarkers and targets to determine clinical relevance and if the level of those markers more …

Screening For Cardiovascular Disease In Children, Jesse Fladmark

Physician Assistant Scholarly Project Posters

Introduction: Cardiovascular disease is one of the leading causes of death in the world with significant burden on the health care system.

Review of Literature: The focus of this paper is to look at previous studies, mostly systematic reviews and metaanalysis, in search of various clinical screening methods in the pediatric population for determining cardiovascular disease risk. Waist to height ratio can be used to screen children for cardiovascular disease with a specificity of 96% when using 0.55 as the cut-off point. An increase in waist circumference along with increased BMI places a child at a much higher risk of …

Does Normalizing Gut Microbiota Decrease Exacerbation In Ibd, Franchesca Cook

Physician Assistant Scholarly Project Posters

Inflammatory bowel disease (IBD) including Crohn’s Disease (CD) and Ulcerative Colitis (UC) has become a more common diagnosis. The number of screenings for IBD has increased, drawing more attention to finding the cause. Researchers are finding that a change in diet, increased stress levels, and overuse of antibiotics may contribute to IBD by changing the gut microbiota (Skrautvol et al., 2011; Bernstein, 2010). Prebiotics and probiotics, an individualized anti-inflammatory diet, and lifestyle modification to decrease stress are all currently undergoing evaluation to discover a possible role in the reversal of IBD insult to the normal flora of the gut. This …

Nrf2 Pathway And The Reduction Of Oxidative Stress, Stephanie Jacobs Uselman

Physician Assistant Scholarly Project Posters

Oxidative stress has been linked to cellular damage initiating disease processes such as cardiovascular disease, diabetes, and cancer. The Nuclear factor erythroid-derived 2(Nrf2) pathway (Figure 1) aids in age-related cellular decline. The purpose of this study was to define the relationship between Protandim, its activation of the Nrf2 pathway, and decline in oxidative stress and cellular damage. The literature review included journal articles obtained from PubMed, Google scholar, and Cochrane review within the past 5-10 years, and contained both animal and human studies. The methods used in the animal studies included ANOVA, the standardized t-test, and the Neuman-Keuls post-test. P<0.05 was considered statistically significant. The human study included healthy participants, both male and female, age 29-78 with or without a specific medical diagnosis. Statistical analysis was based on the standardized t-test with a value of p<0.05 considered statistically significant. Liu et al. (2009) conducted a study investigating Protandim’s ability to suppress cancer tumor formation. Tumor incidence declined by 33% and multiplicity of skin tumors by 57% with p = 0.003. Superoxide dismutase increased 35%, catalase 58%, and manganese superoxide dismutase 21%. In 2013, Reuland et al. conducted a study to determine if Protandim could activate the Nrf2 pathway and induce antioxidant enzymes, thereby protecting cardiomyocytes from apoptosis. Results indicated that treated cardiomyocytes showed increased levels of Nrf2 nuclear accumulation, activation of endogenous antioxidant enzymes, and protection against cell targeted oxidative stress (p<0.05). Quereshi et al. (2010) completed a study to delineate if Protandim decreased oxidative stress through the Nrf2 pathway. After six months of supplementation, TBARS decreased by 48% (p=.006), and plasma osteopontin decreased by 57% (p=.018). In 2005, Nelson et al. conducted a study to determine if Protandim decreased cellular damage. After 30 days of supplementation, TBARS declined by 40% (p =0.0001), at 120 days, TBARS declined by 40-54% (p =0.002), and superoxide dismutase and catalase increased by 30% and 54% respectively. The results from studies indicate that Protandim’s activation of the Nrf2 pathway increased endogenous antioxidant availability, resulting in decreased oxidative stress and age related cellular damage.

Predictors Of Prolonged Recovery From Concussion, Patrick W. Riley

Physician Assistant Scholarly Project Posters

• Sport-related concussion has been thrust to the forefront of medicine in recent years.

• A high degree of variability in clinical presentation and length of recovery has made management of this condition difficult.

• This review examines whether pre-existing risk factors or sign and symptom based variables exist to reliably predict a patient’s likelihood to experience a protracted recovery from concussion.

• The review of literature revealed heterogeneous results.

• This is due, in part, to the variability in the definition of prolonged recovery, ranging from seven to 90 days. Despite this variability, several factors emerged as having useful …

Helmet Therapy Vs. Conservative Therapy For The Treatment Of Positional Skull Deformations, Whitney Thompson

Physician Assistant Scholarly Project Posters

• Plagiocephaly and brachycephaly are skull deformations that occur in nearly half of all infants. These deformities are present at birth or can develop shortly after birth due to head positioning while lying supine. Depending on the severity of the deformity, infants may develop negative long-term developmental outcomes. There are generally two ways to treat such patients; repositioning or with use of orthotics (helmet therapy).

• A study of systematic reviews and cohort studies was completed to determine if orthotics (helmet) therapy is significantly more effective than repositioning therapy.

• The study indicated that infants diagnosed with moderate to severe …

A Multimodal Approach To Preventing And Treating Alzheimer’S Disease, Jason B. Smith

Physician Assistant Scholarly Project Posters

As of 2015 over 47 million people worldwide are diagnosed with Alzheimer’s disease (AD). The incidence of AD increases with age, and affects males and females equally. Current pharmacologic treatment includes two classes of drugs. The purpose of this study was to determine if a multimodal approach (i.e. diet, exercise, cognitive stimulation) towards the prevention and treatment of AD would be more beneficial than pharmacologic therapy alone. Research methods included reviewing peer reviewed journal articles published within the past five years obtained from PubMed, Dynamed, Cochrane, CINAHL, and Clinical Key. Ehret and Chamberlin (2015) found donepezil (Aricept) increased MMSE scores …

A Review Of Barrett's Esophagus, Suzanne M. Zayan

Physician Assistant Scholarly Project Posters

Barrett’s Esophagus is a premalignant condition that predisposes patients to the development of esophageal adenocarcinoma.

•Esophageal adenocarcinoma dramatically rising over several decades; survival rates of less than 17% in a five year period.

•Management and treatment continues to evolve: use of radio-frequency ablation effective to treat low grade dysplasia

•Studies of risk factors and treatment options explored:

Efficacy and durability of endoscopic radiofrequency ablation for treatment of low grade dysplasia as option for metaplasia eradication

–Gastrointestinal pathologist expert reviews ensure identification of dysplasia prior to treatment
–Appropriate endoscopic surveillance intervals
–Gastroenterology guidelines for screening and surveillance for long term management …

Monitoring Prevalence, Treatment, And Control Of Metabolic Conditions In New York City Adults Using 2013 Primary Care Electronic Health Records: A Surveillance Validation Study, Lorna E. Thorpe, Katharine H. Mcveigh, Sharon Perlman, Pui Y. Chan, Katherine Bartley, Lauren Schreibstein, Jesica Rodriguez-Lopez, Remle Newton-Dame

Publications and Research

Introduction: Electronic health records (EHRs) can potentially extend chronic disease surveillance, but few EHR-based initiatives tracking population-based metrics have been validated for accuracy. We designed a new EHR-based population health surveillance system for New York City (NYC) known as NYC Macroscope. This report is the third in a 3-part series describing the development and validation of that system. The first report describes governance and technical infrastructure underlying the NYC Macroscope. The second report describes validation methods and presents validation results for estimates of obesity, smoking, depression and influenza vaccination. In this third paper we present validation findings for metabolic indicators …

The Anatomy Of Nursing Interruptions: Who-What-When-Where, Pratik J. Parikh, Nicole Craker, Robert A. Myers, Jessy M. Eid, Priti Parikh, Kathy Zink, Mary C. Mccarthy

Department of Surgery Faculty Publications

Although interruptions experienced by nurses during intensive care have been indicated to affect patient safety, not much is known regarding the complex situations that drive interruptions to eventually aid in intervention design and implementation.