Medicine and Health Sciences Commons^™

Impact Of Simultaneous Exposure To Arboviruses On Infection And Transmission By Aedes Aegypti Mosquitoes, Claudia Rückert, James Weger-Lucarelli, Selene M. Garcia-Luna, Michael C. Young, Alex D. Byas, Reyes A. Murrieta, Joseph R. Fauver, Gregory D. Ebel

Journal Articles: Epidemiology

The recent emergence of both chikungunya and Zika viruses in the Americas has significantly expanded their distribution and has thus increased the possibility that individuals may become infected by more than one Aedes aegypti-borne virus at a time. Recent clinical data support an increase in the frequency of coinfection in human patients, raising the likelihood that mosquitoes could be exposed to multiple arboviruses during one feeding episode. The impact of coinfection on the ability of relevant vector species to transmit any of these viruses (that is, their vector competence) has not been determined. Thus, we here expose Ae. aegypti mosquitoes …

We Like Fried Things: Negotiating Health, Taste And Tradition Among Spanish Caribbean Communities In New York City, Melissa Fuster

Publications and Research

The study was conducted to understand fried-food (FF) consumption among Hispanic Caribbean (HC) communities in New York City. Data were collected through qualitative interviews with 23 adults self-identified as Cuban, Dominican, or Puerto Rican. Most informants considered FFs an important part of their traditional diet. Potential explanations included taste, cost, convenience, and the emotive values attached to FF. FF consumption was contextualized in local foodscapes. Results include strategies to diminish FF consumption and differences across HC groups and migratory generations. The relevance for future nutrition interventions addressing health disparities in this community is discussed

Frequently Endorsed Cognitive And Physical Activities Among Community-Dwelling Older Adults, Valdiva G. Da Silva, Tangeria R. Adams, Joshua Fogel, Mindy J. Katz, Krystal E. Mendez, Laura A. Rabin

Publications and Research

Background Despite the established benefits of cognitive and physical activity, a paucity of research examines the specific activities older adults favor, particularly those meeting the nationally recommended minimum duration of > 30 minutes per session.

Material/Methods 260 non-demented, community-dwelling participants aged 70 and above self-reported the duration of their participation in 26 cognitive and physical activities during a typical week. Overall activity engagement was investigated by sex and educational level.

Results The most endorsed physical activities were walking, stretching/yoga and gardening, while the most endorsed cognitive activities were reading magazines/newspapers, reading books, and doing crosswords. Walking (p = .048), swimming (p …

Associations Between Modifiable Health-Risk Behaviors And Personality Types, Jon C. Schommer, Paul D. Tieger, Anthony W. Olson, Lawrence M. Brown

Pharmacy Faculty Articles and Research

Objectives: The first objective for this study was to explore if characteristics of personality type (using the Preferred Communication Style Questionnaire) are associated with the following modifiable health-risk behaviors: smoking, exercise, alcohol consumption, nutrition, sleep, depression-related stress, anxiety-related stress, healthcare professional usage, and self-discipline. The second objective for this study was to explore if characteristics of personality type are associated with (1) the quality of patient-physician relationships, (2) patient-physician communication, and (3) preferred method for receiving information.

Methods: Data were collected from 10,500 adult individuals residing in the United States via an on-line, self-administered survey coordinated by Qualtrics …

A Guide To The California Immunization Registry And Its Use To Enhance The Delivery Of Immunization Services, Albert Bach, Jeffery A. Goad, Steven P. Nickell

Pharmacy Faculty Articles and Research

Pharmacists in California are assuming a greater role as independent providers of immunizations for children and adults under Senate Bill 493 (SB 493). One of the requirements for pharmacists as independent providers of immunizations in California is that they must report their administered doses to the California immunization registry system (CAIR). The National Vaccine Advisory Committee Standards for Immunization Practice also supports this practice by recommending that all immunizing providers report vaccinations to their local and state immunization information systems (IIS). This document presents background and specific features of CAIR; best practice recommendations for the use of IIS lookup, forecasting, …

Evaluating Adherence To The Sepsis Bundle And The Effectiveness Of Best Practice Alerts, Kate M. Burnett

DNP Projects

PURPOSE: To evaluate the adherence to the CMS sepsis recommendations and sepsis bundle used by the study health system before and after the implementation of Best Practice Alerts (BPAs) and assessing the effect of these alerts on patient outcomes.

METHODS: The study was a single-center, process evaluation through a retrospective chart review within a southwest healthcare system. The sample consisted of 73 patients for the pre-implementation period (May 1, 2016-September 7, 2016) and 75 patients for the post-implementation period (September 8, 2016-April 30, 2017).

RESULTS: No major differences were found between the two groups with regard to patient age, ethnicity, …

Evaluation Of Move Early Mobility Screening Protocol In Non-Surgical Mechanically Ventilated Patients In The Intensive Care Unit, Lauren Johnson

DNP Projects

Objective: To evaluate the effectiveness of a previously implemented, nurse driven early mobility screening protocol, called “MOVE”, during its first 6 months of use.

Methods: A retrospective electronic medical record review was conducted (n=100) at Norton Audubon Hospital in Louisville, KY. Eligible electronic medical records were randomly selected and audited for the following variables: age, sex, ethnicity, admission diagnosis, comorbidities, ventilator days, invasive catheters, utilization of vasoactive or inotropic medications, restraint use, continuous sedation medications, Richmond Agitation Sedation Score (RASS), Confusion Assessment Method for the ICU (CAM-ICU), nurse adherence to charting of MOVE enrollment eligibility, physical …

The Effect Of A Patient And Provider Education Program On Antibiotic Overuse In Respiratory Tract Infections In A Rural Primary Care Population, Erin Chiswell

DNP Projects

Objective: In the “walk-in” portion of the Jessamine Medical and Diagnostic Center (JMC) primary care (PC) practice in Jessamine County, Kentucky, a combination patient and provider education program was implemented to assess its effects on antibiotic prescribing in respiratory tract infections (RTIs). The goal was to conduct an evaluation of the patient and provider education program at JMC, by specifically examining changes in immediate antibiotic prescribing in RTI (i.e., prescription given during visit to start taking immediately) one-year after implementation of the education program (March 1, 2015- February 28, 2016).

Methods: Utilizing a quasi-experimental pretest-posttest design, a retrospective electronic medical …

Why Can't They Settle? The Psychology Of Relational Disputes, Harry L. Munsinger, Donald R. Philbin Jr.

Cardozo Journal of Conflict Resolution

Business partners, spouses, and employees all make deals. Whether this means surgeons forming a partnership, spouses dividing child care responsibilities, or prospective workers negotiating terms of employment, everyone negotiates deals. Many of those deals will change by friendly amendment, modified course of dealing, or amicable termination. Some will result in disputes of varying intensity. Our focus is on disputes that not only generate litigation, but lead to the predictably irrational negotiations that resolve most litigated disputes. In other words, we explore what happens when people move from the romance phase of in-group behavior, where they assume the best of others, …

การผ่าตัดปลูกถ่ายเส้นผม, พูนพิศมัย สุวะโจ, พรเทพ พึ่งรัศมี, รัชต์ธร ปัญจประทีป, สหทัศ เหตานุรักษ์

Chulalongkorn Medical Journal

ปัญหาผมร่วง (hair fall) ผมบาง (thinning of hair or hair loss) พบได้บ่อยทั้งในผู้หญิงและผู้ชายส่วนใหญ่เป็น androgenetic alopecia (AGA) ซึ่งเกิดจากพันธุกรรมและฮอร์โมนแอนโดรเจนโดยมีการศึกษาในประเทศไทยพบว่าความชุกของภาวะผมบาง (permanent hair loss) เพิ่มขึ้นตามอายุโดยชายที่อายุ 50 ปี พบได้ร้อยละ 34 และพบได้ร้อยละ 67.7 เมื่ออายุ 80 ปี สาเหตุอื่นของภาวะผมร่วง (hair fall) ได้แก่ โรคผิวหนัง อุบัติเหตุ และรอยแผลเป็น ภาวะผมร่วง ผมบางนี้แม้มีผลกระทบต่อสุขภาพทางกายน้อยแต่มีผลมากต่อจิตใจ ทำให้เกิดความเครียด ขาดความมั่นใจ และมีปัญหาต่อการเข้าสังคม การรักษาในปัจจุบันมีทั้งการใช้ยา หวีเลเซอร์ รวมไปถึงการปลูกถ่ายเส้นผมซึ่งการผ่าตัดปลูกถ่ายเส้นผมนี้เป็นส่วนเพิ่มเติมจากศัลยกรรมตกแต่งดั้งเดิม โดยมีพัฒนาการอย่างต่อเนื่องและซับซ้อน เทคโนโลยีการปลูกถ่ายเส้นผมในยุคใหม่ทำให้เกิดผลลัพธ์ที่ดี เป็นธรรมชาติยั่งยืน และมีความปลอดภัยสูง การพัฒนาที่เกิดขึ้นเกิดจากความเข้าใจต่อลักษณะทางชีวภาพและสรีรวิทยาของเส้นผมที่ดีขึ้น ประกอบกับวิธีการผ่าตัดที่ทันสมัย กุญแจสำคัญที่นำไปสู่ความสำเร็จของการปลูกถ่ายเส้นผม ได้แก่ การเลือก graft ที่เหมาะสม ตำแหน่งที่ปลูกถ่าย ความหนาแน่นที่เลือกใช้ และการเลือก donor พัฒนาการขั้นต่อไปในอนาคตมีพื้นฐานอยู่บนการผ่าตัดที่ไร้รอยแผลและการรักษาในระดับเซลล์.

Thyroid Ultrasound: State Of The Art Part 1 - Thyroid Ultrasound Reporting And Diffuse Thyroid Diseases, Manjiri Dighe, Richard Barr, Jörg Bojunga, Vito Cantisani, Maria Cristina Chammas, David Cosgrove, Xin-Wu Cui, Yi Dong, Franziska Fenner, Maija Radzina, Sudhir Vinayak, Jun-Mei Xu, Christoph F. Dietrich

Imaging & Diagnostic Radiology, East Africa

Accurate differentiation of focal thyroid nodules (FTL) and thyroid abnormalities is pivotal for proper diagnostic and therapeutic work-up. In these two part articles, the role of ultrasound techniques in the characterization of FTL and evaluation of diffuse thyroid diseases is described to expand on the recently published World Federation in Ultrasound and Medicine (WFUMB) thyroid elastography guidelines and review how this guideline fits into a complete thyroid ultrasound exam.

Pathophysiology Of Hiatal Hernia, Courtney Adams

Nursing Student Class Projects (Formerly MSN)

Hiatal hernia is a common disorder affecting almost half of the population. Gastroesophageal reflux is the main symptom of hiatal hernia. Being diagnosed with hiatal hernia has caused me to grow in the understanding of this condition, not only to help better educate myself but to educate others.

To Evaluate The Function Of The Oxytocin Receptor In The Context Of Ovarian Cancer Cell Microenvironment To Determine If Oxytocin Can Induce An Anti-Inflammatory Response, Benjamin I. Schachner

Honors Undergraduate Theses

The treatment of most cancers can still be considered inadequate despite the steady progress being made. A prime example of this issue is with epithelial ovarian cancers; this disease presents a significant issue, with a 5-year survival rate of 46% and a survival rate of 28% in patients that develop metastatic disease. Since ovarian cancer has such a high mortality rate, effective treatment modalities are necessary to prolong the quality of life after diagnosis. Psychosocial stress is related to the progression, proliferation, and migration in cancer patients, but the mechanisms of this relationship are not fully understood. The present in …

Screen Time And Sleep Condition Among Selected College Students, Angela Lynn Sargent

All Graduate Theses, Dissertations, and Other Capstone Projects

College students underestimate the value of adequate sleep. The purpose of this research was to measure the relationship between students’ sleep condition and screen time usage one hour prior to bed. The participants in this study were undergraduate students, from ages 18 to 25 years of age, enrolled in spring semester 2017 at a Midwestern University. A 15-item paper survey was distributed to participants for this research (55.7% female; 42.8% male). This research found that sampled undergraduate students’ amount of sleep each night ranged from 4 to 10 hours and averaged 6.9 hours of adequate sleep each night. This finding …

Complementary And Alternative Medicine: Current Mind-Body Practices And Perceptions Of Undergraduate Students, Julia Ann Marie Putz

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this study was to evaluate the practices and perceptions undergraduate students have of complementary and alternative medicine. This study also analyzed the purpose in which students use complementary and alternative medicine. A survey was distributed to 450 students attending undergraduate classes at a large Midwestern university. The survey was developed using A Complementary Alternative Medicine Questionnaire for Young Adults by Patterson and Arthur (2009). This survey consisted of 48 questions addressing demographic information, uses of complementary and alternative medicine, mind-body practices and beliefs of complementary and alternative medicine. There was a total of 307 responses; however,14 were …

The Effect Of Clinician Competence And Religiosity On The Trainee Clinician’S Ability To Identify Problematic Sexual Behavior, Cody Butcher

All Graduate Theses, Dissertations, and Other Capstone Projects

Models in psychology do not consider the concept of sex addiction the same way as other substance or behavior addictions. For example, sex addiction, which is not a DSM-5 disorder, is often assigned as a label to clients based off of high frequency of sexual behavior. Despite sex addiction not being a diagnosable disorder, sex addiction therapists are conducting treatment with people who identify as sex addicts. Due to this lack of a definition, previous research has found that clinicians may identify sex addiction in clients based on their own preconceived worldviews of what types of sexual behaviors or frequencies …

Use Of Personalized Patient Heart Diagrams At The Bedside To Improve Quality Of Care, Melissa D. Elliott

Posters

Title: Use of personalized patient heart diagrams at the bedside to improve quality of care

Background/Introduction: With congenital heart disease no two hearts are exactly the same. Even with the same lesion, the anatomy of the heart can be completely different. In response to a bedside nursing idea following a cardiac arrest, advanced practice nurses (APN) initiated a program to provide personalized cardiac anatomy diagrams at the bedside of every patient on the cardiology service.

Methods: When a cardiac patient is admitted to cardiology floor, the nurse will check the patients chart for an anatomy picture, then will place …

Pre-Implementation Of A Fontan Post-Operative Clinical Pathway: Summary Of 2016 Pdsa Cycles, Sarah M. Lagergren, Bryan Beaven, Suma Goudar, Megan Jensen

Posters

Background/Introduction: Post-operative hospitalization for the Fontan procedure tends to have an extended hospital length of stay (LOS). From 2013-2014, the average LOS at Children’s Mercy for the Fontan procedure is 14 days, whereas the U.S. national reported average is 11 days. Post-operative management of this patient population is often caregiver dependent. It has been theorized that developing a more standardized post-operative management regimen tailored specifically toward the unique physiology of Fontan patients may be able to improve outcomes and decrease LOS.

Methods: A review of literature was performed and revealed three pediatric institutions have published their post-operative Fontan care guidelines. …

Therapeutic Plasma Exchange (Tpe) Performed In Tandem With Crrt And/Or Ecmo: Experience Of One Pediatric Center, Lejla Music Aplenc, Cindy George, Kimberly Marriott

Posters

SUMMARY

The most common indications for starting tandem procedures were ASFA Category III indications, followed by un-categorized indications.

Similar to other reports in literature, hypocalcemia and hypotension were the most common complications. Transfusion reactions were rare, despite the use of large volumes of plasma.

Tandem procedures in critically ill pediatric patients require close monitoring and excellent communication between staff members.

An Expanded Role For Nurses In Laboratory Utilization, Marilyn S. Hamilton, Rangaraj Selvarangan, Michele Fix, Lynn E. Shriver

Posters

Introduction: The majority of laboratory testing errors occur in the pre-analytical stage, including specimen collection. Children provide special challenges including small blood volumes, small veins, and an inability to cooperate. We describe collaboration between laboratorians and nursing staff to improve specimen collection and the reliability of test results.

Methods: We identified three areas for improvement: 1) Volume of blood for culture, 2) Urine collection, and 3) Appropriate blood collection through a line. Base line data was established. Guidelines for specimen collection were updated. Nurse members of the Laboratory Utilization Committee developed educational tools.

Results: Nursing education was effective at improving …

Global Health Experience In Swaziland, Anik Patel

Posters

Describes a global health learning experience at the Baylor Center of Excellence in Swaziland, where diagnosis and treatment of HIV/AIDS and TB, along with maternal health, women's health, and adolescent care are provided.

Post-Traumatic Stress Disorder Associated With Natural And Human-Made Disasters In The World Mental Health Surveys, Evelyn J. Bromet, Lukoye Atwoli, Norito Kawakami, Fernando Navarro-Mateu, P Piotrowski, A J. King, Sergio Aguilar-Gaxiola, Jordi Alonso, Brentan Bunting, Koen Demyttenaere

Internal Medicine, East Africa

Background: Research on post-traumatic stress disorder (PTSD) following natural and human-made disasters has been undertaken for more than three decades. Although PTSD prevalence estimates vary widely, most are in the 20–40% range in disaster-focused studies but considerably lower (3–5%) in the few general population epidemiological surveys that evaluated disaster-related PTSD as part of a broader clinical assessment. The World Mental Health (WMH) Surveys provide an opportunity to examine disaster-related PTSD in representative general population surveys across a much wider range of sites than in previous studies.

Method: Although disaster-related PTSD was evaluated in 18 WMH surveys, only six in high-income …

Journal Of The Arkansas Academy Of Science- Volume 71 2017, Academy Editors

Journal of the Arkansas Academy of Science

No abstract provided.

Anatomical Distribution Of Clinostomum Metacercariae In The Tissues Of Pond-Raised Channel Catfish (Ictaluris Puctatus), J. Singleton, James J. Daly Sr., K. Wagner

Journal of the Arkansas Academy of Science

No abstract provided.

Universal Coverage In Developing Countries: A Summative Evaluation Of Maternal Policies In Ghana And Burkina Faso, Kiswendsida Aida Sawadogo

College of Graduate Studies: Theses & Dissertations

The Word Health Organization (WHO) has declared health to be a fundamental human right, yet more than 400 million people around the world do not have access to essential health services. Millions of Africans are unable to access or afford needed services without sustaining economic hardship. Sub-Saharan Africa is behind the rest of the world on coverage of essential health services such as planning, immunization, and sanitation and continues to grapple with higher rates of child mortality, maternal death, and communicable diseases. Despite bearing 25 percent of the world’s disease burden, the region only retains 3 percent of its doctors. …

Why Is Education Important In Ems?, Adriana Goad

A with Honors Projects

In EMS, education is vital. As prehospital healthcare providers, we must constantly be educating ourselves on the advances and changes that are made within our protocols and by research. Frequent renewal deadlines for the licenses we hold are put in place so that we remain competent in our skills and are up to date to the most current of standards. There is another factor to our professional need for education, and that is community education. By educating those around us, we can be a means of prevention. While EMS is our career and passion, we want nothing more than to …

Validity And Reliability Of The Balance Tracking System™ During Static Stance, Cody L. Grotewold

College of Graduate Studies: Theses & Dissertations

Introduction: The Balance Tracking System™ (BTrackS™) is a balance board designed to quickly analyze postural control through center of pressure (COP) analysis.

Purpose: Examine concurrent validity and test-retest reliability of the BTrackS™ during static stance.

Methods: A convenience sample of 51 healthy collegiate students between 18 - 25 years old (21.8 ± 3.1 years) completed four, 20 second (s) trials of feet together static stance during both eyes open and closed trials. Data was simultaneously collected on the BTrackS™ and a laboratory force plate to establish concurrent validity. A second testing session was administered 48 - 72 …

Prevalence And Clinical Characteristics Of Teeth Extracted With A Diagnosis Of Cracked Tooth: A Retrospective Study, Riley B. Sturgill

Theses and Dissertations

The body of knowledge that exists regarding cracked teeth is limited. The purpose of this study was to determine the prevalence of cracks among extracted teeth. This retrospective longitudinal cohort study included patients of the Virginia Commonwealth University School of Dentistry that underwent extraction procedures over a 6 year period. The sample consisted of 20,408 patients and 40,870 teeth. Statistical analysis software was used to identify diagnoses of a crack, fracture, or split tooth prior to extraction of the tooth by analyzing the Electronic Health Record (EHR) (axiUm™, Version 6.03.03.1035, Exan Corporation, Vancouver, BC, Canada). There were 3,228 teeth …

The Impact Of Objective Quality Ratings On Patient Selection Of Community Pharmacies: A Discrete Choice Experiment And Latent Class Analysis, Julie A. Patterson

Theses and Dissertations

Background: Pharmacy-related performance measures have gained significant attention in the transition to value-based healthcare. Pharmacy-level quality measures, including those developed by the Pharmacy Quality Alliance, are not yet publicly accessible. However, the publication of report cards for individual pharmacies has been discussed as a way to help direct patients towards high-quality pharmacies. This study aimed to measure the relative strength of patient preferences for community pharmacy attributes, including pharmacy quality. Additionally, this study aimed to identify and describe community pharmacy market segments based on patient preferences for pharmacy attributes.

Methods: This study elicited patient preferences for community pharmacy attributes …

Smoking Behavior In Arab Americans: Acculturation And Health Beliefs, Roula Ghadban

Theses and Dissertations

Background: Arab Americans, a growing population in the U.S., tend to have high rates of smoking and low rates of smoking cessation. Arab Americans and their families are at a high risk for poor health outcomes related to smoking.

Objective: The purpose of this study is to better understand the smoking behaviors of Arabs in the U.S., using the two publishable manuscripts format. The first manuscript is a systematic review of the literature exploring the smoking behavior, prevalence and use among Arab Americans and examining studies addressing the effect of acculturation on this behavior. The second manuscript is a cross-sectional …