Medicine and Health Sciences Commons^™

Why Be Moral? Moral Identity Motivation And Age, Tobias Krettenauer, Rosemary Victor

Psychology Faculty Publications

Moral identity research up to date has largely failed to provide evidence for developmental trends in moral identity presumably because of restrictions in the age range of studies and the use of moral identity measures that are insensitive to age-related change. The present study investigated moral identity motivation across a broad age range (14-65 years, N = 252, M = 33.48 years) using a modified version of the Good-Self Assessment Interview (Arnold, 1993). Individuals' moral identity motivation was coded and categorized as external, internal or relationship-oriented. It was found that with age external moral identity motivation decreased, whereas internal moral …

Virginia Dental Journal (Vol. 94, No. 1, 2017)

Virginia Dental Journal

No abstract provided.

Virginia Dental Journal (Vol. 94, No. 3, 2017)

Virginia Dental Journal

No abstract provided.

Visualizing The Diffusion Of Digital Mammography In New York State, Francis P. Boscoe, Xiuling Zhang

Epidemiology & Biostatistics Faculty Scholarship

Digital mammography saw rapid adoption during the first decade of the 2000s. According to data maintained by the Food and Drug Administration, which regulates mammography machines, fewer than 1 percent of the machines in 2001 were digital. By 2014, this figure had risen to 94%. We were interested in identifying the times and locations where the technology was introduced within the state of New York as a way of illustrating the uneven introduction of this technology. While the diffusion of medical innovation has been well-studied, there have not been many instances where maps or geographic information science methods have been …

Postpartum Depression And Acculturation Among U.S. Immigrant Women Of Arabic Descent, Dalia Alhasanat

Wayne State University Dissertations

Purpose and Background/Significance: Postpartum depression (PPD) affects 12-20% of U.S. mothers. The PPD rates for women of Arabic descent are even higher (up to 37%). Higher acculturative stress and acculturation and lack of social support have been related to higher risk for PPD symptoms among immigrant women. No published research has investigated the relationship between acculturative stress, social support, and/ or acculturation and PPD symptoms among U.S. immigrant women of Arabic descent. Therefore, the purpose of this dissertation research was to examine the impact of acculturative stress, social support, and acculturation on PPD symptoms among these women. The specific aims …

Preparing To Parent: Mindfulness In Expectant Parents Exposed To Adversity, Laurel Marie Hicks

Wayne State University Dissertations

Expectant parents who have been exposed to psychosocial risk encounter deleterious psychological (Ashley et al., 2016), and physiological (V. H. Pereira, Campos, & Sousa, 2017) effects. This not only affects the parent-to-be, but also may affect the developing fetus (E. P. Davis et al., 2011) and is linked to poorer infant development (Lefmann & Combs-Orme, 2014). However, not all risk-exposed individuals experience this, many are resilient and still thrive in the face of adversity. Understanding potential risk and resiliency factors in expectant parents is advantageous, so tailored interventions can be devised to improve outcomes. One potential resiliency factor, mindfulness, is …

Sleep Disturbance And The Immunological Acute Phase Response In Hospitalized Post-Operative Adults., Jean Dorothy Humphries

Wayne State University Dissertations

Abstract

Sleep Disturbance and the Immunological Acute Phase Response

in Postoperative Hospitalized Adults

Abstract

The purpose of this study was to examine the subjective and objective (actigraphy) sleep patterns, the immunological acute phase response of IL1-β and TNF-α, and the physiological stress response of cortisol and systolic blood pressure in post-operative abdominal surgical patients. Nineteen subjects, 10 men and 9 women, mean age 45.63 years (SD = 11.44) were enrolled between April 2015 and March 2016. All subjects were elective major invasive abdominal surgery patients. Laparoscopic surgery occurred in 10 patients and incisional surgery occurred in 9 patients. This descriptive …

Clinical Applications Of Advanced Rotational Radiation Therapy, Adrian Nalichowski

Wayne State University Dissertations

Purpose: With a fast adoption of emerging technologies, it is critical to fully test and understand its limits and capabilities. In this work we investigate new graphic processing unit (GPU) based treatment planning algorithm and its applications in helical tomotherapy dose delivery. We explore the limits of the system by applying it to challenging clinical cases of total marrow irradiation (TMI) and stereotactic radiosurgery (SRS). We also analyze the feasibility of alternative fractionation schemes for total body irradiation (TBI) and TMI based on reported historical data on lung dose and interstitial pneumonitis (IP) incidence rates.

Methods and Materials: An anthropomorphic …

Anti-Cancer Effects Of Tocotrienols In Nsclc, Lichchavi Raj Raj

Wayne State University Dissertations

Lung cancer is one of the leading causes of death among cancers, with non-small cell lung cancer (NSCLC) accounting for 80-85% of all lung cancers and a five-year survival rate of 5 % at stage IIIB. Delta-tocotrienol (δT) including other tocotrienol isomers has been shown to exhibit anti-tumor activity via inhibition of different signaling pathways in tumors including NSCLC. Previously we reported that δT reduced cell invasion via inhibition of the Notch-1 and NF-κb pathway.

Matrix metallopeptidase 9 (MMP9) dependent cell migration and invasion are key processes in cancer metastasis. Hence, its suppression is a promising strategy for cancer therapeutics. …

Change In Processing Speed And Its Associations With Cerebral White Matter Microstructure, Muzamil Arshad

Wayne State University Dissertations

The decline of cognition with age is one of the most feared aspects of aging, while the slowing of responses, or reduced processing speed, is one of the most reliable aspects of aging. Slowing of processing has been hypothesized to affect other domains of cognition as well. Despite the well-known slowing-age relationship and central position processing speed plays in theories of cognitive aging the neurobiological mechanisms which underpin slowing is unclear. If we could identify the biology associated with processing speed we could then attempt to develop interventions to mitigate the effects of age on those variables. In turn we …

Neuropharmacological Investigation Of Stress And Nicotine Self-Administration Among Current Cigarette Smokers, Eric Woodcock

Wayne State University Dissertations

ABSTRACT

NEUROPHARMACOLOGICAL INVESTIGATION OF STRESS AND NICOTINE SELF-ADMINISTRATION AMONG CURRENT CIGARETTE SMOKERS

by

ERIC ANDREW WOODCOCK

August 2017

Advisor: Dr. Mark K. Greenwald

Major: Neuroscience (Translational)

Degree: Doctor of Philosophy

Nicotine use, especially cigarette smoking, is a significant public health problem. Existing pharmacotherapies attenuate nicotine craving and withdrawal symptoms. However, the majority of patients relapse within the first year of treatment. Treatment studies indicate a commonly cited precipitant to smoking relapse is stress. Pharmacotherapies do not attenuate, and may exacerbate, the effects of acute stress. Experimental studies (preclinical and clinical) indicate that acute stress potentiates drug-seeking behavior across drugs of …

The Influence On Morbidity And Mortality When Blood Products Are Transfused Using Conventional Coagulation Tests Versus Teg Or Rotem In Trauma Patients Perioperatively, Teresa Diana Kelley

Theses, Dissertations and Capstones

Abstract: Coagulopathy in trauma patients occurs due to tissue injury, hemodilution (dilution of hematocrit and clotting factors), infusion of hypo-coagulable blood products (e.g., packed red blood cells), acidosis, hypothermia, continued blood loss, and depletion of clotting factors. The onset of coagulopathy begins with the initial tissue injury and evolves rapidly. Many factors need consideration when determining resuscitative treatment for the trauma victim. These factors include the amount of time for extraction from the field, transport time to a trauma center, associated weather, and treatment provided in route. This study compared two clinical laboratory pathways (Conventional Coagulation test and Rotational Thromboelastometry …

Balance Score Card In Health Care Organization, Vani Pathuri, Huanyu Wang

Theses, Dissertations and Capstones

Balance Score Card is a strategic planning and management system and it helps in observing organizational business activities. This approach has improved the organizational performances. It has four perspectives of vision and strategy listed as financial, internal business, learning and growth, and customer perspective. A semi structured interview has been taken with Tanya Morton, who is ‎an Assistant Director of Nursing at Cabell Huntington hospital. Hospital graphs have shown that the utilization of BSC with Nurse Department have become more satisfied during the eight years, and the remaining three departments also showed satisfactory report with BSC.

Career Paths, Barriers, And Professional Experiences: A Comparison Study Of Physical Therapy Program Directors In The United States, Tamara Nancy Gravano

Theses, Dissertations and Capstones

The entry-level degree for physical therapists today is a professional doctoral degree. It is similar to a medical degree program where the expected outcome of its graduates is clinical practice, and there is no formal training in academic teaching or administration. The purpose of this study was to determine the leadership characteristics, styles, and behaviors of accredited Doctor of Physical Therapy (DPT) program directors (PD) and to gain a better understanding of their preparation and path to program leadership. The survey instrument was sent electronically to all program directors of accredited DPT programs in the United States (N=233) and the …

A Comprehensive Summary Of Services And Resources Provided By Librarians In Support Of Coda Accredited Predoctoral (Dds/Dmd) Dental Education Programs In The United States And Canada, Irene M. Lubker, Elizabeth Stellrecht, Richard Mcgowan, Nena Schvaneveldt, Susan Arnold, Elisa Cortez, Rebecca Davis, Michael Kronenfield, Nicole Theis-Mahon

VCU Libraries Faculty and Staff Presentations

Objective

The objective of this study is to provide a summary of library services and resources that support dental education and research. This summary will demonstrate trends in dental librarianship as well as services and resources that can be adopted to serve the needs of dental related education programs. To date, there has not been a comprehensive summary of these services.

Methods

An environmental scan was carried out to take inventory of services that dental librarians (1) provide. The study population consisted of librarians who work in dental libraries or college / university libraries that serve dental programs. The librarians …

The Rise Of Anxiety Among The College Age Population, Kaleigh Landberg

Student Research Posters

Anxiety among college students is a common occurrence today. This study has researched how students are dealing with this mental health issue as well as looked into many different variables that were incorporated such as gender differences, treatment options, potential triggers and coping mechanisms.

Gender Differences In Drinking Habits Among College Students, Margaret Anne Demayo

Student Research Posters

Binge drinking is a common problem found among college students. According to the Centers for Disease Control and Prevention (CDC), one in six U.S. adults binge drink about four times a month, consuming about eight drinks per binge." Over time, binge drinking in college can cause negative factors for students such as, poor academics and health problems.

The purpose of my study is to evaluate how stress factors such as environment and peer relationships affect drinking habits in male and female college students. Students experience stress factors such as environment (e.g. housing), peer relationships (e.g. peer pressure, relationships), school (e.g. …

Environmental Influence On Hypertension In San Francisco, California, Corinna Louise Venturina Villar

Student Research Posters

Hypertension, or high blood pressure, occurs when there is long-term force of force of blood against one’s artery walls. When uncontrolled, hypertension may increase the risk of heart attack and stroke. More than 1 in 3 adults live with 1 or more types of cardiovascular disease in the United States alone- with stroke being the fifth leading cause of death. The purpose of my study is to evaluate the environmental influence on hypertension by comparing various factors in cities with high prevalence rates of heart disease to those with lower rates of heart disease. Conducting an environmental scan will serve …

Review: Epidemiological Evidence Of Groundwater Contribution To Global Enteric Disease, 1948–2015, Heather Murphy, Morgan Prioleau, Mark Borchardt, Paul Hynds

Articles

Globally, approximately 2.2 billion people rely on groundwater for daily consumption. It is widely accepted that groundwater is more pristine than surface water but while this assumption is frequently the case, groundwater is not ubiquitously free of contaminants; accordingly, this presumption can result in an unfounded and potentially hazardous sense of security among owners, operators and users. The current paper presents a review of published literature providing epidemiological evidence of the contribution of groundwater to global human enteric infection. An emphasis is placed on enteric pathogens transmitted via the faecal-oral route, and specifically those associated with acute gastrointestinal illness (AGI). …

Open Access Continuing Education Occupational Therapy Resources For Rural Communities, Amber L. Daly, Emily E. Germolus

Occupational Therapy Capstones

Occupational therapists working in rural areas face a number of barriers when trying to access continuing education courses, which are required to maintain licensure. Some of the largest barriers these practitioners face include: time, cost of the courses, and ease of access. Continuing education often requires travelling, time out of one’s day, and a fee ranging from $25-$300 (North Dakota Occupational Therapy Association [NDOTA], 2016; Continuing education, 2013). The purpose of this scholarly project is to address continuing education requirement-related needs and education access for occupational therapists working in rural areas. Following the completion of a comprehensive literature review and …

Burnout Or Depression: Both Individual And Social Issue, Renzo Bianchi, Irvin Sam Schonfeld, Éric Laurent

Publications and Research

In view of the profound problems attached to the construct of burnout, we recommended in our that occupational health specialists focus on (job-related) depression rather than burnout to help workers more effectively. The phenomena of interest (burnout or depression) should not be confused with the perspectives (individual or social) adopted to elucidate those phenomena. Both burnout and depression are best explained through the interaction of social or external conditions with individual or internal dispositions.

Feasibility Of A Relaxation Guided Imagery Intervention To Reduce Maternal Stress In The Nicu, Lois C. Howland, Nancy Jallo, Cynthia D. Connelly, Rita H. Pickler

School of Nursing Publications

Objective: To test the feasibility of a relaxation guided imagery (RGI) intervention for mothers of hospitalized preterm infants and to explore the biobehavioral effects of RGI on their distress, responsiveness, and physiological stress.

Design: Single sample, pretest-posttest design.

Setting: A large Level III NICU in Southern California.

Participants: Twenty mothers of hospitalized preterm infants (24-32 weeks gestational age).

Methods: Correlational analyses of RGI use with self-reported measures of distress (perceived stress, state anxiety, and depression symptoms), awakening salivary cortisol level, and salivary cortisol awakening response collected from mothers at baseline and after 8 weeks of an RGI intervention.

Results: Nineteen …

Factors Distinguishing Positive Deviance Among Low-Income African American Women: A Qualitative Study On Infant Feeding, Cecilia E. Barbosa, Saba W. Masho, Kellie E. Carlyle, Maghboeba Mosavel

School of Nursing Publications

Background: Positive deviant individuals practice beneficial behaviors in spite of having qualities characterizing them as high risk for unhealthy behaviors.

Objective: This study aimed to identify and understand factors distinguishing low-income African American women who breastfeed the longest (positive deviants) from those who breastfeed for a shorter duration or do not breastfeed.

Methods: Seven mini-focus groups on infant-feeding attitudes and experiences were conducted with 25 low-income African American women, grouped by infant-feeding practice. Positive deviants, who had breastfed for 4 months or more, were compared with formula-feeding participants who had only formula fed their babies and short-term breastfeeding participants who …

P1: Adjacent-Letter Flanking Bigrams Affect Lexical Decision Performance, Nicole M. Russo, Lea G. Araya

Undergraduate Research Posters 2017

In a lexical decision task in which target strings were flanked by pairs of bigrams, Grainger, Mathot, and Vitu (Acta Psychologica, 2014) found, for words, better performance when flanking bigrams contained target-string letters (e.g., BI BIRD RD; RD BIRD BI; IB BIRD DR; DR BIRD IB) than when they did not (e.g., CE BIRD NT); better performance when flanking bigrams contained letters ordered as in the target (e.g., BI BIRD RD; RD BIRD BI) than switched (e.g., IB BIRD DR; DR BIRD IB); and that only letter order within bigrams—not bigram order relative to the respective target—affected performance. Palinski (CSU …

Biomedical Informatics Seminar Series (Biomiss) 2016 - 2017, Libbye A. Morris

Biomedical Informatics Seminar Series (BioMISS)

No abstract provided.

Low Serum Sodium Levels At Hospital Admission: Outcomes Among 2.3 Million Hospitalized Patients, Saleem M. Al Mawed, Vernon Shane Pankratz, Shiraz Mishra, Mark Unruh

Hospital Medicine

Background: Hyponatremia is the most common electrolyte disorder among hospitalized patients. Controversies still exist over the relationship between hyponatremia and outcomes of hospitalized patients. Methods: To analyze the association of low serum sodium levels at hospital admission with in-hospital mortality and patient disposition and to compare the distribution of the risk of death associated with hyponatremia across the lifespan of hospitalized patients, we conducted an observational study of 2.3 million patients using data extracted from the Cerner Health Facts database between 2000 and 2014. Logistic regression models were used in the analyses. Results: 14.4% of hospitalized patients had serum sodium …

Children's Mercy Hospital Annual Report 2016, Children's Mercy Hospital

Children's Mercy Annual Reports

Annual report for The Children's Mercy Hospital in Kansas City MO, a pediatric medical center.

Nitrous Oxide: Revival Of An Antiquated Pain Modality Helps To Empower Women, April Shuneson

All Electronic Theses and Dissertations

Background: Options for pharmacological pain management in labor are limited. The use of nitrous oxide during labor and gynecological procedures is supported by the American College of Nurse-Midwives (2016); they group suggested that different forms of coping with labor and pain should be made available for women. Purpose: The purpose of this critical review of the literature is to examine the factors contributing to availability, efficacy, safety, and patient outcomes of nitrous oxide when used during labor and gynecological procedures. Results: Twenty-four articles were selected for review and were appraised using the John Hopkins Research Evidence Appraisal Tool (Dearholt & …

For All Children Everywhere: Community Benefit Report 2016, Children's Mercy Hospital

Community Benefits

Fiscal year report on the community benefit provided by Children's Mercy Kansas City to the communities in the Kansas City region.

2016 Community Benefit Summary, Children's Mercy Hospital

Community Benefits

Infographic of the community benefit provided by Children's Mercy Kansas City