Medicine and Health Sciences Commons^™

The Use Of Hands-On Educational Pedagogy In A Standardized Science Curriculum, Sarah Alam

Honors Undergraduate Theses

Introduction

The purpose of this project is to implement an innovative, and engaging knowledge transfer pedagogy for 5th grade science students. This project utilized Stealth Learning, a learning pedagogy developed by Dr. James Rosser.^{99,100,109,110} The program featured applied learning to develop skill sets in general and drone aviation, as well as minimally invasive surgery techniques. This was facilitated through the use of computers, table simulators, and drones.

Methodology

This project took standardized subject matter from the Florida Comprehensive Assessment Test (FCAT) and converted it into content featuring the Stealth approach. The section that was converted was the "Practice of …

The Role Of Breastfeeding In Mother-To-Child Transmission Of Hiv/Aids: A Comparative Case Study Of Three Countries, Anjali Cherukuri

Honors Undergraduate Theses

The HIV pandemic has affected millions of people around the world both medically and socially, since there is a stigma associated with this disease. Common methods of transmission include sexual intercourse and sharing needles, but there are other lesser known methods through which people can contract this disease. One such way is mother-to-child transmission (MTCT), in which a mother could transmit the virus to her child either during pregnancy, childbirth, or through breastfeeding. This paper focuses on the role of breastfeeding in the transmission of HIV from mother to child. Many studies have investigated how breastfeeding results in the transmission …

Risk Of Medication Errors In The Home: An Integrative Literature Review, Maria M. Crescenzi

Honors Undergraduate Theses

Regardless of the setting, medication errors are of great concern when associated with an individual’s health outcomes, along with the increased costs to society, healthcare institutions, and providers. Current research focuses on medication error data primarily in acute and extended care facilities. However, there is a paucity of research examining the causes of medication errors that occur post hospital discharge when individuals transition to the home. The purpose of this integrative literature review is to examine risk factors for medication errors outside of these settings, specifically in the home. A systematic literature search was conducted using multiple databases for relevant …

Interventions To Reduce The Effects Of Nicu Noise In Preterm Neonates, Rebecca L. Manske

Honors Undergraduate Theses

Exposure to excessive noise during a neonates stay in the neonatal intensive care unit (NICU) can create both immediate and long term health problems such as, hearing loss, neurological deficits, and sleep pattern disturbances. The use of earmuffs or earplugs to decrease the neonate’s exposure to noise can create a more stable environment to facilitate improved growth and development. The purpose of this research was to examine the use of earmuffs or earplugs to reduce the impact of noise on neonates. A systematic review of literature was conducted using online databases including CINAHL, ERIC, Ebsco Host, Medline, and PsychINFO. The …

Nurse Perceived Barriers To Effective Nurse-Client Communication, Sara J. Brandenburg

Honors Undergraduate Theses

Successful client care depends on effective nurse-client communication. It is essential in meeting clients' needs, providing quality care, and maximizing positive client outcomes. The intent of this thesis was to explore nurse perceived barriers to effective nurse-client communication. A literature review was conducted and nine articles were identified as addressing nurse perceived barriers to communication. Four major barriers were identified: nurse comfort and knowledge, environment, time, and culture and language. Research on interventions to address nurses' perceptions of barriers to effective nurse-client communication may provide a better understanding of communication barriers and address issues created by ineffective communication with clients.

The Use Of Herbal Supplements On Minimizing The Clinical Manifestations Of Alzheimer's Disease, Delayna L. Donohue

Honors Undergraduate Theses

Alzheimer’s disease (AD) affects over 5 million individuals in the United States annually. By the year 2050, the number of individuals living with AD is projected to triple (Latest Alzheimer’s Facts and Figures, 2016). Although there is no cure for AD, there are many prescriptive pharmacologic agents used to help manage the clinical manifestations of the disease. Complementary and alternative medicines (CAM) and herbal supplements are also used in the treatment of AD, however indications for their use and effectiveness during the progression of AD have not been examined. The purpose of this study was to examine the use of …

Nurse Practitioner Student Knowledge And Attitudes Towards Skin Cancer Assessments, Ryan Woodmansee

Honors Undergraduate Theses

Background: Skin cancer is the most commonly diagnosed cancer each year in the United States. With skin cancer and the demand for nurse practitioners (NPs) in primary care both on the rise, an accurate assessment of how well NP students are being prepared to perform skin cancer assessments is needed. Patient outcomes are directly linked to early detection and treatment which is essential for all types of skin cancer, especially melanoma. Nurse Practitioners need to be able to recognize the early stages of malignancy versus benign skin lesions and perform accurate skin examinations. The ability to assess practitioners’ knowledge while …

Exploring The Relationship Between Symptom Management And Distress In Pediatric Oncology Nurses, Amanda M. Schultz

Honors Undergraduate Theses

Pediatric oncology is known to be a stressful work environment due to the difficult aspects regarding patient care. This known stress related to work and caring for pediatric oncology patients can negatively impact nurses, patients, and families. The purpose of this study is to examine: relationships between patient symptom management and nurse distress; strategies used by nurses to manage symptoms in pediatric patients with cancer; nurse perceptions of the effectiveness of non-pharmacologic or nursing interventions; and nurse distress related to managing symptoms in pediatric patients with cancer. Registered nurses (N=13) at a local children’s hospital participated in an online survey. …

Oral Hygiene Practices In Non-Ventilated Intensive Care Unit Patients, Kimberly P. Emery

Honors Undergraduate Theses

Introduction: Oral hygiene is a significant aspect of nursing care. Endocarditis, stroke, lung cancer, and hypertension have been associated with poor oral hygiene. Research exploring oral care practices for mechanically ventilated patients is well documented. In contrast, oral hygiene for the non-mechanically ventilated acute care population remains underestimated. The purpose of this study was to establish a baseline of the type, frequency, and consistency of oral hygiene being performed on non-mechanically ventilated ICU patients and explore how the oral care provided was documented.

Methodology: A literature search was conducted and reported as a literature review. The databases CINAHL Plus with …

Implementation Of An Advance Care Planning Discussion For Patients With Chronic Kidney Disease, Chelsea Hinders

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Clinical practice guidelines (CPGs) support the need for providers to engage patients in a discussion of goals and priorities regarding end-of-life care through the use of advance care planning (ACP) (Agency for Healthcare Research and Quality [AHRQ], 2014). However, current data demonstrated a lack of implementation specific to patients with chronic kidney disease (CKD). A five question standardized tool developed from current guidelines served as the discussion guide for this intervention. Despite the great need for this project, patients who were eligible for the intervention were not willing to be active participants in an ACP discussion. The clinical significance, most …

Reach Out And Read Program: Incorporating Early Literacy Promotion Into Practice, Melanie Miller

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Purpose: The purpose of this project was to increase the number of days per week parents read to their children ages six months to five years in order to increase literacy, brain and language development, and improve parent-child relationships and health outcomes.
Review of Literature: Between birth and age five, 90% of a child’s brain development occurs (Theriot et al., 2003). The Reach Out and Read© program is an evidence-based program incorporating books into well-child visits by primary care providers ages 6 months to 5 years (Reach Out and Read©, 2014). After being introduced to literacy programs, frequency of shared …

Intimate Partner Violence And Women's Cancer Quality Of Life, Ann L. Coker, Diane R. Follingstad, Lisandra S. Garcia, Heather M. Bush

CRVAW Faculty Journal Articles

Purpose

Because intimate partner violence (IPV) may disproportionately impact women’s quality of life (QOL) when undergoing cancer treatment, women experiencing IPV were hypothesized to have (a) more symptoms of depression or stress and (b) lower QOL as measured with the Functional Assessment of Cancer Therapy (FACT-B) and Functional Assessment of Chronic Illness Therapy—Spiritual Well-being (FACIT-SP) Scales relative to those never experiencing IPV.

Methods

Women, aged 18–79, who were included in one of two state cancer registries from 2009 to 2015 with a recent incident, primary, invasive biopsy-confirmed cancer diagnosis were recruited and asked to complete a phone interview, within 12 …

Disparities In Stage-Appropriate Therapy For Resectable Non-Small Cell Lung Cancer In Kentucky, Jeremiah T. Martin

Theses and Dissertations--Clinical Research Design

Lung cancer (NSCLC) is the leading cause of cancer related mortality. Lung cancer screening aims to detect treatable cancers, however survival advantage will only be seen with early and appropriate stage-directed therapy. This study aims to understand recent rates of therapy for early-stage lung cancer in Kentucky, and to explore potential sources of disparities in treatment and outcomes. A Kentucky Cancer Registry query was performed of all NSCLC cases treated in the state from 2005-2014. Of 39,763 lung cancer patients, 10,622 were clinically operable. Of these, overall 40% did not receive surgery, while 16% did not receive any stage-appropriate local …

The Advancement Of Voice Therapy And The Contribution Of Vocal Function Exercises, Sydney Barnett

Lewis Honors College Capstone Collection

The human voice can transmit multiple streams of information about a person including physical, emotional, and social state. Voice disorders can interfere with social relationships, work productivity, and ultimately, impair an individual’s image. Speech-language pathologists have developed several approaches to voice therapy over the past several decades. Vocal function exercises (VFE) are physiological in nature and aim to restore the balance between the three subsystems of vocal production: respiration, phonation, and resonance. With advancing technology and more sophisticated experiments, researchers have shown positive outcomes with VFE regimens in the normal voice population, superior voice population, and disordered voice population. Data …

Dealing With Pre-Exposure Prophylaxis-Associated Condom Migration: Changing The Paradigm For Men Who Have Sex With Men, Richard A. Crosby

Health, Behavior & Society Faculty Publications

The behavioural aspects of pre-exposure prophylaxis (PrEP) are challenging, particularly the issue of condom migration. Three vital questions are: (1) at the population-level, will condom migration lead to increases in non-viral sexually transmissible infections?; (2) how can clinic-based counselling best promote the dual use of condoms and PrEP?; and (3) in future PrEP trials, what are the ‘best practices’ that should be used to avoid type 1 and type 2 errors that arise without accounting for condom use behaviours? This communication piece addresses each question and suggests the risk of a ‘PrEP only’ focus to widening health disparities.

A History Of The Long-Term Care Ombudsman Program In America: A Changing Aging Population, Caitlin Dorris

Oswald Research and Creativity Competition

No abstract provided.

Mental Health Treatment Seeking Patterns And Preferences Of Appalachian Women With Depression, Claire Snell-Rood, Emily Hauenstein, Carl G. Leukefeld, Frances Feltner, Amber Marcum, Nancy E. Schoenberg

Behavioral Science Faculty Publications

This qualitative study explored social-cultural factors that shape treatment seeking behaviors among depressed rural, low-income women in Appalachia—a region with high rates of depression and a shortage of mental health services. Recent research shows that increasingly rural women are receiving some form of treatment and identifying their symptoms as depression. Using purposive sampling, investigators recruited 28 depressed low-income women living in Appalachian Kentucky and conducted semistructured interviews on participants’ perceptions of depression and treatment seeking. Even in this sample of women with diverse treatment behaviors (half reported current treatment), participants expressed ambivalence about treatment and its potential to promote recovery. …

Dancing Through Life: Dance As Physical Therapy To Prevent Falls, Salon Gegel

Honors Projects

The basis of this project was to create a series of dance-based exercise activities to be used as part of an exercise class for elderly people who are classified as fall risks. The idea was to approach exercise through a medium that was convenient and versatile for the class leader, while being comfortable and fun for participants. The activities were developed and presented over the course of the six-week P.L.A.C.E. Program, held at the Montessori School of Bowling Green. Participants met four times to take part in a guided exercise class, and enjoy other activities. At these sessions, participants were …

Evaluation Of The Value Of Fiber In Distillers Grains Plus Solubles On Performance Of Finishing Cattle, Jordan E. Burhoop, Liesel J. Schneider, Curtis J. Bittner Bittner, F. Henry Hilscher, Jim C. Macdonald, Rodney A. Moxley, David R. Smith, Galen E. Erickson

Nebraska Beef Cattle Reports

A finishing study was conducted to determine the value of the fiber in distillers grains plus solubles on cattle performance. Five treatments were evaluated: a corn control diet, 20 or 40% modified distillers grains plus solubles, plus two diets containing corn germ meal and corn bran balanced to equal the fiber content of the two modified distillers grains plus solubles diets. Th ere was a significant improvement in ADG and F:G for cattle fed modified distillers grains plus solubles compared to control. Cattle fed the corn germ meal and bran diets had increased DMI, slightly lower ADG, and poorer F:G …

The Effect Of Supplementing Mannan Oligosaccharide Or Finely Ground Fiber, During The Summer On Body Temperature, Performance, And Blood Metabolites Of Finishing Steers, Bradley M. Boyd, Terry L. Mader, Curtis J. Bittner Bittner, Henry Hilscher, Gene Wijffels, John B. Gaughan, Megan Sullivan, Judy Cawdell- Smith, Galen E. Erickson

Nebraska Beef Cattle Reports

Crossbred beef steers (12 pens, n=96) were used to determine the effect of adding Agrimos or 5% ground (1 in.) wheat straw compared to a control on body temperature, panting score and performance. Th ere were no differences in final BW, ADG, and DMI among treatments. Feed conversion was increased for cattle fed 5% additional ground straw when compared to control and Agrimos. Hot carcass weight, dressing %, LM area, and marbling score were not different among treatments. Cattle fed the control had greater 12th rib fat depth and USDA yield grade than cattle fed straw or Agrimos. Both average …

Effect Of Salt Reduction On The Quality And Shelf Life Characteristics Of Deli-Style Roast Beef, Chad G. Bower, Regan E. Stanley, Samodha Fernando Fernando, Gary A. Sullivan

Nebraska Beef Cattle Reports

Concerns with excessive sodium intake have led to increased pressure on meat processors to reduce added salt in meat products. Quality characteristics and microbial growth were evaluated on deli- style roast beef slices formulated to contain varying concentrations of added salt. Salt concentration had no effect on microbial community composition, however increasing salt slowed microbial growth over time. Increasing salt increased cooking yield and decreased water activity. Salt reduction negatively impacts the texture, yield, and shelf life of deli- style roast beef, however salt concentrations within this range do not significantly alter spoilage flora community composition.

Effect Of Crude Glycerin Concentration On Growing Steer Performance In Forage Diets, Robert G. Bondurant, Galen E. Erickson, Terry J. Klopfenstein Klopfenstein, James C. Macdonald

Nebraska Beef Cattle Reports

The effect of increasing crude glycerin concentration was evaluated in a 91- d growing trial utilizing 60 steers. Crude glycerin was included at 0, 4, 8, and 12% of dietary DM in diets consisting of 50% wheat straw; 22.9- 37.0% wet corn bran, and 8.0- 10.1% soybean meal. Crude glycerin replaced wet corn bran and soybean meal was added to maintain dietary CP. Steer ending BW was not different among treatments. Th ere was a quadratic increase in DMI from 0 to 8% crude glycerin and subsequent decrease at 12%. Th ere was no difference in ADG or feed efficiency …

Development Of Terminal And Maternal Economic Selection Indices In Beefmaster Cattle, Kathleen P. Ochsner, Michael D. Macneil, Ronald M. Lewis, Matthew L. Spangler

Nebraska Beef Cattle Reports

Two economic selection indices were developed for Beefmaster cattle, one for a terminal objective and one for a maternal objective. The terminal index was developed assuming bulls would be mated to mature cows with all resulting progeny harvested. The maternal index was developed assuming bulls would be mated to a combination of heifers and mature cows, with resulting progeny retained as replacements or sold at weaning. Relative economic values for the terminal objective traits hot carcass weight, marbling score, ribeye area, 12th- rib fat and feed intake were 91.29, 17.01, 8.38,- 7.07 and- 29.66, respectively. Relative economic values for the …

Organic Acids And Applications Used For Reduction Of E. Coli On Beef Shoulder Clods Used For Ground Beef, Kelly A. Mccarty, Gary A. Sullivan, Dennis E. Burson Burson

Nebraska Beef Cattle Reports

Small processors normally grind beef shoulder clods for ground beef that have not been previously tested for shiga toxin-producing E. coli. Three antimicrobial solutions were applied using three application methods to beef sub-primals to evaluate the effectiveness of reducing E. coli and the effects on quality attributes. Antimicrobials effectively reduced Rifampicin resistant E. coli. However, none of the treatments changed color attributes or total plate counts compared to a control. These results suggest that an appropriate antimicrobial solution and application method can be selected for use by small meat processors without affecting quality attributes.

The Influence Of Diet And Oxidation On Calcium Retention Of The Mitochondria In Fresh Beef, Emery K. Kunze, Nicolas J. Herrera, Katherine I. Domenech-Perez Perez, Michael D. Chao, Chris R. Calkins

Nebraska Beef Cattle Reports

Feeding dried distillers grains (DG) may influence calcium flux postmortem by disrupting the stability of the sarcoplasmic reticulum (SR) membrane, thus leading to a higher post- rigor calcium leakage, resulting in greater activation of calpains and improved tenderness. Mitochondria provide the opportunity to study calcium flux in a controlled, tightly defined environment as a model system for the SR. Cattle were finished on diets containing either 0% DG or 50% DG. Feeding DG increased proportions of PUFA in the SR and mitochondrial membrane. Oxidized mitochondria retained less calcium than non- oxidized mitochondria. Mitochondria from cattle finished on corn tended to …

Comparison Of Diets Collected From Esophageally Fistulated Cows To Forage Quality Estimated From Fecal Analysis, Bethany M. Johnston, Jay D. Jenkins, Jacqueline A. Musgrave Musgrave, L. A. Stalker, Mitchell B. Stephenson

Nebraska Beef Cattle Reports

Differences in forage quality (crude protein and energy) were analyzed between esophageally fistulated diets, analysis of fecal samples with Nutrition Balance Analyzer (NUTBAL) analysis, and analysis of handclipped forage samples. On upland range sites, hand- clipped samples provided forage quality estimates that were closer to esophageally fistulated diets than samples analyzed with the NUTBAL analysis. Aft er one year of data collection, it appears that there may be some inconstancies with the NUTBAL analysis for estimates on rangeland forage quality in the Nebraska Sandhills. More data is needed to verify these results; however, making management supplementations decisions solely on the …

Summer Cocktail Forage Research In The Panhandle Of Nebraska, Karla H. Jenkins, Cody Creech, Robert Higgins Higgins, Josh Buttle

Nebraska Beef Cattle Reports

Four annual forage mixtures containing brown mid- rib sorghum sudangrass or German foxtail millet, cowpeas or soybeans, and forage collards were compared to the sorghum sudangrass or millet as monocultures in the Nebraska High Plains on dryland acres to determine the tonnage, crude protein, and digestibility available for beef cattle. Th e forage mixtures and the millet resulted in greater crude protein than the sorghum sudangrass. Total digestible nutrients of the mixers were similar. Sorghum sudangrass resulted in the most tonnage. These forage options could have been hayed or windrow grazed in the fall and would have likely resulted in …

Impact Of Inoculum Source For In Vitro And In Situ Digestion Procedures Performed On Corn Residue And Grass Samples, Hannah C. Hamilton, Jana L. Harding, Jim C. Macdonald Donald, Terry J. Klopfenstein

Nebraska Beef Cattle Reports

A study was conducted to assess the effects of inoculum source at time of incubation on neutral detergent fiber digestibility, dry matter digestibility, and organic matter digestibility of corn residue samples. Digestibility of neutral detergent fiber was greater for both grass and corn residue when inoculum source came from steers consuming a high corn residue diet. Digestibility of dry matter and organic matter were not different between grass and corn residue. It is not necessary to maintain two sets of donors for in vitro or in situ procedures involving corn residue. However, donor diet affects neutral detergent fiber digestibility estimates …

Evaluation Of Plant- Waxes To Estimate Forage Intake In Grazing Cattle, Hannah C. Hamilton, Jerry D. Volesky, Robert M. Lewis Lewis

Nebraska Beef Cattle Reports

Although key to the efficiency of a cattle operation, feed intake is challenging to evaluate in a grazing setting. However, even within forage- based systems, plant- wax markers may be used to predict dietary choices and feed intake. Plant- waxes are a complex mixture of lipids found on the surface of plants. When sufficiently unique among plants, the composition of diets can be determined from the pattern of these compounds in the forages ingested. These markers were used to delineate the parts of the corn plant and, separately, 8 western rangeland grasses and legumes. Using plant waxes, the components of …

Evaluating The Impacts Of Field Peas In Growing And Finishing Diets On Performance And Carcass Characteristics, Hannah L. Greenwell, Karla Jenkins, Jim C. Macdonald Donald, Matt K. Luebbe

Nebraska Beef Cattle Reports

The impact of field peas as a grazing supplement and a component of finishing diets on performance and carcass characteristics was evaluated over two years. During grazing, cattle supplemented with field peas had a greater ending body weight and average daily gain than cattle that received no supplement. However, cattle supplemented with corn had greater average daily gain than both peas and control cattle. Overall, those cattle not supplemented during grazing compensated 53% and 88% when compared to those cattle supplemented corn and peas, respectively. Inclusion of field peas in grower supplement or finishing diets may be advantageous if appropriately …