Medicine and Health Sciences Commons^™

Patient Self-Management: Impact Of Racism-Related Vigilance In The Management Of Hypertension In African-Americans, Rackelle N. Wilkinson-Alston

Writing Across the Curriculum

It is important to understand the role that discrimination plays in health disparities. This paper will discuss racism-related vigilance, and its role in health outcomes in hypertensive African-Americans (AAs). This paper will also attempt to provide insight on how the absence of a culturally competent health care system may predispose AAs to developing stress-induced hypertension due to racism-related vigilance. This paper will explore how community partnership programs may be beneficial interventions for building resilience and promoting positive health behaviors among hypertensive AAs in the face of discrimination-related vigilance.

The Efficacy Of A House Call Provider Service, Lynne M. Jacobson

Regis University Student Publications (comprehensive collection)

Problem: Many individuals who are disabled, homebound from chronic disease or are of advanced age have difficulty seeking medical services from an outpatient medical provider. Unnecessary or preventable hospital readmissions/ER visits from congestive heart failure (CHF) and/or chronic obstructive pulmonary disease (COPD) exacerbations are costly and these individuals would benefit from a house call program. The PICO format is as follows: P) Elderly and adult population with COPD and/or CHF. I) Adult and elderly population with COPD and/or CHF receiving house call visits by a nurse practitioner. C) Adult and elderly population with COPD and/or CHF receiving medical care at …

Postpartum Hemorrhage (Pph) Simulation Project, Carolyn Bottone-Post

Regis University Student Publications (comprehensive collection)

Postpartum Hemorrhage (PPH) is a problem of global significance; accounting for 25 percent of maternal deaths, it is a leading cause of maternal mortality, often occurring in healthy women devoid of significant risk factors. Because of its relative infrequency, student nurses may miss opportunities to practice critical PPH skills while in a supervised learning environment. Simulation offers students an arena to practice low-frequency, high-stakes events like PPH, in an environment where no harm results from missteps. This DNP Capstone Project investigated the effect of simulation on knowledge, confidence, and clinical judgment of 33 third semester traditionally enrolled baccalaureate nursing students. …

Fall Reduction Among Elderly Residents In Skilled Nursing Facility, Obinna U. Ogundu

Regis University Student Publications (comprehensive collection)

Executive Summary

Fall reduction among Elderly residents in skilled nursing facility

Problem

Falls among elderly or older adults is a serious issue in skilled nursing facilities. According to the Centers for Disease Control and Prevention (2012), about 1800 residents living in nursing homes die annually from falls and fall-related injuries. Those who survive sustain injuries that might cause permanent disability. Some of the facilities use bed alarms as a preventive measure. Despite the use of these bed alarms, the fall rates in these skilled facilities still remains high. The problem statement describing this capstone project is: In (P) nursing staff …

Online Journal Club To Improve Perception Of Interprofessional Collaboration, Russelyn Connor

Regis University Student Publications (comprehensive collection)

Problem

Rural community mental health centers (CMHC) can be spread across many counties with various locations and programs. Physical isolation and professional diversity often create a perception among staff of poor interprofessional collaboration (IPC). A strong need exists in such settings to use up-to-date internet technology to manage collaboration, as mandated by the Institute of Medicine and the American Association of Colleges of Nursing.

The Capstone practice question is to discover if, for staff from all sites of a mental health center who volunteer to participate, does the creation of an online asynchronous monthly journal club lead to improvement of …

Can Empowered Nurses Decrease Catheter Associated Urinary Tract Infection (Cauti) Rates?, Judith Peters

Regis University Student Publications (comprehensive collection)

Nurses lack knowledge about the use and importance of a nurse-driven urinary catheter removal protocol, an evidence-based tool empowering them to remove urinary catheters that are no longer needed or are inappropriate based on set criteria, without calling a physician. (Health Care Infection Control Practice Advisory Committee (HIPAC), 2009) Despite this autonomy, catheter-associated urinary tract infections (CAUTI) are one of the leading hospital-acquired infections in many institutions (Centers for Disease Control and Prevention [CDC], 2015).
A quasi-experimental pre post intervention in a medical-surgical telemetry floor of an acute hospital in North Carolina showed a statistically significant increase in knowledge among …

Impact Of Educational Intervention On Nurses’ Breastfeeding Self-Efficacy, Sarah Washburn

Regis University Student Publications (comprehensive collection)

Executive Summary
Nurses “play a vital role in preparing, educating, encouraging, and supporting women to breastfeed and are instrumental in facilitating initiation and continuation of breastfeeding” (AWHONN, 2015, p. 146). However, most nurses are not adequately prepared in their education to assist mothers with breastfeeding (USBC, 2010; USHHS, 2011). For this reason, an evidencebased practice (EBP) project in which an educational intervention (breastfeeding class) was completed. A pre-test/post-test format assessed the effect of a one hour breastfeeding class on nurses’ self-efficacy with breastfeeding. The purpose of the project was to increase breastfeeding self-efficacy and knowledge in nurses at VVMC and …

Nursing Staff Optimizing Elder Care, Kathy Chapman

Regis University Student Publications (comprehensive collection)

Older adults, 65 years and older, make up more than 50% of the acute care patient population at a Southwest Michigan critical access hospital. This DNP capstone project was implemented for nursing staff members in a small rural hospital to assist with improving knowledge and perceptions of caring for older adults. Realized outcomes from this educational initiative were not meant to create new information but instead to focus on clinical issues and apply best practice for the purpose of determining evidence based solutions. The project’s design implemented to assess outcomes was a quantitative, descriptive, quasi-experimental, non-randomized approach. The plan included …

A Multiple Sclerosis Education Module To Promote Patient Activation And Efficacy, Anna C. Parton

Regis University Student Publications (comprehensive collection)

Executive Summary
A Multiple Sclerosis (MS) Education Module to Promote Patient Activation and Efficacy
Problem
It is estimated that over 572,000 people in the United States have MS, with approximately 200 new cases being diagnosed each week (National Multiple Sclerosis Society, n.d.). In order to increase self-care, reduce the level of impairment, and ultimately, cost to the healthcare system, the consistent use of a targeted educational intervention should be implemented. The problem statement describing the capstone project was: Will the implementation of a structured educational program enhance the knowledge of MS patients and their caregivers regarding the disease process of …

Evaluation Of A Temporary, Immersive Learning Community Based On Worldschooling, Aimee Ferraro

Walden Faculty and Staff Publications

Learning communities are a proven method for engaging groups of people who share common goals for personal growth and knowledge acquisition (Gabelnick, MacGregor, Matthews, & Smith, 1990; Taylor, Moore, MacGregor, & Lindblad, 2003). However, little is known about the usefulness of this approach in the context of alternative education. This article describes the evaluation of a temporary, immersive learning community for self-directed teen learners, Project World School (PWS), which was based on a new, pedagogical approach to learning called worldschooling. Findings indicate that regardless of demographic characteristics and personal interests, PWS attendees experienced learning and progress in three main areas: …

Mathematical Modeling Of Blood Coagulation, Joana L. Perdomo

HMC Senior Theses

Blood coagulation is a series of biochemical reactions that take place to form a blood clot. Abnormalities in coagulation, such as under-clotting or over- clotting, can lead to significant blood loss, cardiac arrest, damage to vital organs, or even death. Thus, understanding quantitatively how blood coagulation works is important in informing clinical decisions about treating deficiencies and disorders. Quantifying blood coagulation is possible through mathematical modeling. This review presents different mathematical models that have been developed in the past 30 years to describe the biochemistry, biophysics, and clinical applications of blood coagulation research. This review includes the strengths and limitations …

Research Ethics Training Of Trainers: Developing Capacity Of Bolivian Health Science And Civil Society Leaders, Annette Aalborg, Sarah Sullivan, Jacqueline Cortes, Armando Basagoitia, Daniel Illanes, Matthew Green

Research and research ethics (RE) capacity is a key element for addressing health priorities of low- and middle-income countries (LMICs). With support from a NIH/FIC Research Ethics Education and Curriculum Development grant, a RE Training of Trainers (TOT) was implemented in Bolivia. The Steering Committee, including representatives from four Bolivian universities and PAHO, developed the RE TOT that included face-to-face, online and practicum components. Twenty trainees including faculty, researchers and community leaders participated. Pre/Posttest results demonstrated significant increases in overall RE knowledge (13.1% improvement, p-value < 0.0001). An evaluation demonstrated participants valued participatory learning strategies and the flexibility of the online component. TOT participants during the practicum component delivered RE workshops to their university and civil society communities in four regions (n= 3,700 people). The goals of the grant were accomplished through the development of a Steering Committee and implementation of the TOT course. Next steps include the design and implementation of a master’s level research ethics education program in Bolivia.

Anatomy And Neurobiology Of Pain, Ruth Werner, Geoffrey M. Bove

Biomedical Sciences Faculty Publications

This chapter examines some of the basic human anatomy and neurobiology related to the perception of pain. In this context we will discuss how the nervous, endocrine, and musculoskeletal/fascial systems all contribute to our experience of this important sensation. We will look at some of the pathologic changes that occur when short-term pain becomes a long-term problem, and how stress can exacerbate pain perception. Finally, we will discuss how manual therapies may access peripheral nervous system structures in order to address some of the factors that can contribute to chronic pain patterns.

The Herbal Cabinet, David J. Mokler, Amber Rigdon, Samantha Schildroth

Biomedical Sciences Faculty Projects

Description of a historical Eli Lilly herb identification collection belonging to University of New England professor David Mokler, including herb scientific names, common names, ranges, and uses. Each herb bottle is pictured, its label information is reproduced, and each herb’s historical and current uses are briefly described.

Sudden Appearance Of Indurated Erythematous Plaques On A Man's Face, Adam Carter, Karthikeyan Viswanathan, Kenneth Shulman

NYMC Student Publications

Rosacea fulminans (RF), previously known as pyoderma faciale, is a rare presentation of rosacea mostly seen in young women. RF is seen very rarely in men. We present below a case of a fifty-year-old male who presented with RF and was successfully treated with a combination of corticosteroids and isotretinoin.

Sustainable Cost Models For Mhealth At Scale: Modeling Program Data From M4rh Tanzania, Emily R. Mangone, Smisha Agarwal, Kelly L'Engle, Christine Lasway, Trinity Zan, Hajo Van Beijma, Jennifer Orkis, Robert Karam

Nursing and Health Professions Faculty Research and Publications

BACKGROUND: There is increasing evidence that mobile phone health interventions ("mHealth") can improve health behaviors and outcomes and are critically important in low-resource, low-access settings. However, the majority of mHealth programs in developing countries fail to reach scale. One reason may be the challenge of developing financially sustainable programs. The goal of this paper is to explore strategies for mHealth program sustainability and develop cost-recovery models for program implementers using 2014 operational program data from Mobile for Reproductive Health (m4RH), a national text-message (SMS) based health communication service in Tanzania.

METHODS: We delineated 2014 m4RH program costs and considered three …

Cultural Incongruence In Nursing Education, Chenit Ong-Flaherty

Nursing and Health Professions Faculty Research and Publications

No abstract provided.

Sit-To-Stand Symmetry In Individuals With Hip Pathology, Natash Bui, Andrew Carlson, Caitie Hepner, Ashlyn Logan, Travis Munnell, Bret Reordan, Andrew J. Meszaros

Student-Faculty Research - College of Physical Therapy

Hip fractures occur approximately in 300K individuals aged 65+ annually post-fall

53.3% will sustain another fall; Mortality rate > 25%

The sit-to-stand (STS) task is impacted by hip fractures.

vGRF asymmetry with STS post-hip fracture (Houck et al.)

Hip fracture side < non-fractured side

Asymmetry not fully explained by LE strength in hip fracture nor CVA

Clinical And Lab Based Measures Of Physical Status Following Rehabilitation For Ankle Fractures, Jeffrey Houck

Student-Faculty Research - College of Physical Therapy

Ankle fractures are one of the most common injuries of the lower extremity. A recent study shows that rapid functional gains over the first 6 months after an ankle fracture are common, but there are little to no gains 18-24 months into the recovery cycle (Beckenkamp, 2014). When looking at how well patients recovered after surgery, patients are categorized as having good recovery yet are still unable to return to their previous level of sport (Hong, 2013). This brings up the issue of whether there are performance based tests that would be appropriate for ankle fracture patients to determine return …

The Influence Of Age At Menarche And Hamstrings Fatigue On Knee Biomechanics, Stephanie Eileen Field

Browse all Theses and Dissertations

Anterior cruciate ligament (ACL) injury is 4-8 times more likely to occur in females than in males and is associated with significant morbidity. The mechanism underlying the gender disparity in non-contact ACL injuries is likely multifactorial, and may be influenced by a variety of risk factors. This study examines the influence of age at menarche and neuromuscular fatigue of the hamstrings muscles on knee biomechanics. Twelve female athletes performed drop vertical jump (DVJ) tasks before and after a fatiguing protocol utilizing a glute-ham bench. Knee kinematics and kinetics were recorded during the contact phase of the DVJ. The results of …

The Association Between Secondhand Smoke Exposure And Metabolic Syndrome In Children With Elevated Bmi, Alexandra Lawson

Master of Public Health Program Student Publications

Background & Purpose: The childhood obesity epidemic is associated with increased metabolic syndrome (MetS) and cardiovascular morbidity. The purpose of this study was to determine whether secondhand tobacco smoke exposure (SHSe) is associated with MetS in children with elevated body mass index (BMI).

Method: A retrospective chart review was conducted on children aged six to 11 years with elevated BMI seen in a pediatric lipid clinic from 2008-2014. Data included age, sex, race, BMI, and five MetS criteria. MetS was defined as BMI ≥85th percentile and ≥two of the following: systolic or diastolic blood pressure ≥90th percentile, HDL/dL, triglycerides >150 …

Donut Hole Fall 2016, Medicare Donations & Design Committee

Donut Hole Newsletter

No abstract provided.

Cancer Research: Current Trends And Future Directions, Elsevier

Public Reports

This report was developed with Elsevier’s Research Intelligence products and services; research performance data comes from the Scopus database, which is approaching 1 million peer-reviewed publications and scientific proceedings on cancer research produced in the past decade. It assesses the extent of cancer related research.

R.N. To B.S.N. Curriculum, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Doctor Of Philosophy In Health Science Curriculum, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Medical Professionalism And Enculturation Of The Millennial Physician: Meeting Of The Minds, Steven R. Lindheim, Parvaneh K. Nouri, Kelly A. Rabah, Jerome L. Yaklic

Obstetrics and Gynecology Faculty Publications

The conceptualization of medicine as a profession that was held to ethical and practical standards was first formalized through the writings of 18^th century British physician-ethicists Gregory and Percival. This was in response to the lack of standardization in both training and practice that existed within medicine at the time. Percival’s Medical Ethics subsequently served as reference for the first Code of Medical Ethics issued by the American Medical Association (AMA) in 1847. Today, it is universally accepted that an important aspect of becoming a physician is the learning and implementing of high standards of medical professionalism into practice. …

2016 Annual Report, Center For Applied Research On Substance Use And Health Disparities

Center for Applied Research on Substance Use and Health Disparities Annual Reports

No abstract provided.

Identification Of The Effects Of Diabetes Mellitus On The Brain, Tryphina A. Mikhail

Honors Undergraduate Theses

As more studies accumulate on the impact of diabetes mellitus on the central nervous system, they resound with the same conclusion - diabetes has a detrimental effect on cognition regardless of the presence of comorbidities. Less consistent however, are the specific mental processes wherein these declines are noticeable, and the structural changes that accompany these reductions in mental capacity. From global atrophy to changes in the volume of gray and white matter, to conflicting results regarding the effects of hypo- and hyperglycemic states on the development of the hippocampus, the studies display a variety of results. The goal of this …

Does Aristotelian Logic Describe Human Reasoning? Valid Syllogisms And Canonical Models, Miguel López-Astorga

Khazar Journal of Humanities and Social Sciences

In the case of quantified propositions, the mental models theory distinguishes between canonical and noncanonical models. While people identify the canonical models in an immediate, rapid, and easy way, the noncanonical models cannot be detected without reflection and cognitive effort. In this paper, I try to show that all of the valid syllogisms in Aristotelian logic can be considered to be correct by resorting only to the canonical models of their sentences. In this way, I argue that this means that Aristotelian logic can be a useful criterion to explain, describe, and even predict people’s conclusions from quantified assertions.

Acquisition Of Spatial Adjectives In The Case Of A Four- Year-Old Child Knowing Azerbaijani Turkish, English And Farsi: A Case Study Of Multilingualism, Mostafa Shahiditabar

Khazar Journal of Humanities and Social Sciences

This study aims at investigating the acquisition of spatial adjectives in a four-year-old multilingual child speaking Azerbaijani Turkish, English and Farsi. The subject of the current study has been exposed to the mentioned languages from birth. The opposite game is played for the elicitation of the adjectives. The results show that the child's answers are not the same in the three languages. For instance, he could produce kiçik for low in Azerbaijani Turkish but he could not produce the same adjective in English nor Farsi. Furthermore, the results of the current research do not completely agree with Clark (Clark, 1972)'s …