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2017-2018 Nursing Undergraduate Student Handbook, Morehead State University. Nursing Department.

Nursing Department Publications Archive

2017-2018 Undergraduate Student Handbook of the Department of Nursing at Morehead State University.

Identifying Family Resource And Youth Services Employees Preparedness For Job Responsibilities And Service Offerings In Kentucky, Melissa Slone, Frances J. Feltner, Sydney P. Thompson

Center of Excellence in Rural Health Workforce Reports

Family Resource and Youth Services Center (FRYSC) coordinators help at-risk students and their families obtain access to the necessary resources to overcome obstacles that affect their ability to learn. Although mandated to provide certain services, each FRYSC coordinator is also able to identify the unique needs of their student population and tailor some services specifically to the children and families in their school community. The current study looks at the educational levels, experience on the job and feelings of preparedness for their positions. Additionally, FRYSC coordinators were asked to provide insight as to which factors influence their job success.

Factors Influencing Preference For Surgical Choice Among Women With Early Stage Breast Cancer, Susan G. Yackzan

Theses and Dissertations--Nursing

Breast cancer is the most common cancer among women in the United States with over 60% of cases diagnosed as early stage disease. For those women without prohibiting clinical or cosmetic concerns, a choice between breast-conserving surgery and mastectomy can be made. Either choice confers equivalent survival. The decision-making process also involves consideration of recurrence risk as well as management of the unaffected, contralateral breast for both future surveillance and risk reduction. In recent years, increasing rates of mastectomy with contralateral prophylactic mastectomy have been reported among women with unilateral, early stage breast cancer. If eligible for a choice among …

Is High Folic Acid Intake A Risk Factor For Autism?—A Review, Darrell Wiens, M. Catherine Desoto

Faculty Work

Folate is required for metabolic processes and neural development. Insuring its adequate levels for pregnant women through supplementation of grain-based foods with synthetic folic acid (FA) in order to prevent neural tube defects has been an ongoing public health initiative. However, because women are advised to take multivitamins containing FA before and throughout pregnancy, the supplementation together with natural dietary folates has led to a demographic with high and rising serum levels of unmetabolized FA. This raises concerns about the detrimental effects of high serum synthetic FA, including a rise in risk for autism spectrum disorder (ASD). Some recent studies …

Lymphoma Therapy And Adverse Events: Nursing Strategies For Thinking Critically And Acting Decisively, Amy Goodrich, Nina Wagner-Johnston, Dana Delibovi

Faculty Scholarship

BACKGROUND: Multiple treatment options, combined with disease heterogeneity, have created nursing challenges in the management of adverse events (AEs) during antilymphoma therapy. Testing has revealed that less than half of participating nurses correctly graded peripheral neuropathy and neutropenia related to antilymphoma regimens.

OBJECTIVES: This article identifies nursing challenges in the management of AEs associated with therapy for lymphomas and describes how strategies in critical thinking can help meet those challenges.

METHODS: A comprehensive literature search in oncology nursing, nursing education, and critical thinking was conducted; participant responses to pre- and post-tests at nursing education programs were evaluated; and a roundtable …

Performance Profiles Of Collegiate And Master’S Swimmers: A Validation Study, Lyle E. Robelot Mr.

Faculty Publications

The purpose of this proposal is to link the gold standard power test on land (Wingate test) to an in-water power test. There is a lack of information on power in the water and would be beneficial in tracking swimmers progress throughout a season and between seasons. Power curves of individuals on the Wingate test will be compared to those of In-water tests to see weather this water test is valid. The experiment will follow IRB rules and regulation and the staff will adhere to the safety conditions set forth by the IRB.

The Process Of Reclaiming Tribal Sovereignty Through Healthcare Autonomy, Karolina A. Serhan

Honors Theses

This honors thesis explores the complex interplay between health status, healthcare, and tribal sovereignty among native communities in the United States. These relationships are explored through analyzing the paradoxical and condescending nature of the Federal Trust Responsibility in relation to government-organized healthcare programs for natives. In establishing this relationship, the thesis goes on to illustrate how native communities have effectively fought to regain sovereignty through reclaiming autonomy of their healthcare systems through the use of the 1975 Indian Self-Determination and Education Assistance Act. The impact of tribal-led healthcare systems is further explored through an in-depth case study conducted regarding the …

Implantation Du Cadenassage Des Équipements Mobiles Dans Le Secteur Municipal : Étude Exploratoire, Damien Burlet-Vienney, Yuvin Chinniah, Barthélemy Aucourt

Rapports de recherche scientifique

Au Québec, selon l’article 188.2 du Règlement sur la santé et la sécurité du travail (RSST), une procédure de cadenassage, ou à défaut « toute autre méthode qui assure une sécurité équivalente » doit être appliquée lors des interventions hors production dans une zone dangereuse d’une machine. On entend par « interventions hors production » toutes les opérations s’apparentant à celles mentionnées dans l’article 188.2 du RSST. Le but de telles méthodes de travail est de maîtriser les énergies dangereuses associées à l’équipement afin d’éviter toute libération d’énergie intempestive, et donc toutes blessures subséquentes. Les obligations des établissements au …

Robotique Collaborative : Évaluation Des Fonctions De Sécurité Et Retour D’Expérience Des Travailleurs, Utilisateurs Et Intégrateurs Au Québec, Sabrina Jocelyn, Damien Burlet-Vienney, Laurent Giraud, Adel Sghaier

Rapports de recherche scientifique

Depuis 2010, l’industrie utilise un nouveau genre de robot capable d’interagir avec les travailleurs en production ou simplement de partager le même espace de travail. On les appelle « robots collaboratifs » ou cobots. Le cobot se distingue des robots conventionnels par l’interaction entre la machine et le travailleur; il accompagne ce dernier, l’assiste ou l’aide à réaliser des tâches. Toutefois, ce changement technologique fait apparaître de nouveaux risques surtout en production : risques de collisions (puisque l’humain peut être en contact avec le cobot), risques de troubles musculosquelettiques (TMS) (même si le cobot est conçu pour les éviter, il …

Évaluation Des Risques Liés À La Sst : Les Critères De Conception D’Un Outil Pour Les Superviseurs De Stage Du « Parcours De Formation Axée Sur L’Emploi », Marie Laberge, Aurélie Tondoux, Fanny Camiré Tremblay

Rapports de recherche scientifique

Au Québec, les statistiques de la Commission des normes, de l’équité, de la santé et de la sécurité du travail (CNESST) indiquent que les déclarations des lésions professionnelles par les jeunes travailleurs ont beaucoup diminué dans la dernière décennie. Certains jeunes demeurent cependant plus vulnérables aux lésions professionnelles, dont ceux qui éprouvent des difficultés d’apprentissage ou d’adaptation. Ces jeunes occupent plus souvent des métiers manuels, ont peu d’expérience et ils peuvent avoir des difficultés particulières de compréhension qui pourraient les fragiliser lors de l’apprentissage d’un métier. Le ministère de l’Éducation et de l’Enseignement supérieur (MEES) a mis sur pied …

Évaluation De La Biomasse Mycologique Sur Les Surfaces Des Réseaux Aérauliques Des Systèmes De Ventilation, Geneviève Marchand, Nancy Lacombe, Carole Pépin, Marie-Jeanne Biyeyeme Mve Bi, Carol-Anne Villeneuve, Marie Gardette, Jacques Lavoie, Maximilien Debia, Yves Cloutier

Rapports de recherche scientifique

Les systèmes de chauffage, de ventilation et de climatisation de l’air (CVCA) permettent le maintien d’une bonne qualité de l’air dans différents types d’édifices. Toutefois, lorsque ces systèmes ne sont pas bien entretenus, ils peuvent devenir des sources d’émission de polluants dans l’air ambiant. Actuellement, les critères de déclenchement du nettoyage des conduits de ventilation sont souvent basés sur les dépôts de poussières. Or, une évaluation de la biomasse mycologique des poussières devrait faire partie des critères d’entretien puisque l’importance d’un dépôt de poussières n’est aucunement indicatrice de la charge microbienne qu’il contient. Afin de tenir …

Évaluation Des Bioaérosols Et Des Composés Gazeux Émis Lors Des Compostages De Résidus Agroalimentaires Et Résidentiels, Geneviève Marchand, Laetitia Bonifait, Marc Veillette, Carole Pépin, Yves Beaudet, Éric Légaré, Jacques Lavoie, Caroline Duchaine, Yves Bernard, Yves Cloutier

Rapports de recherche scientifique

Au cours des dernières années, la conscientisation écologique des populations a stimulé de façon importante l’intérêt qu’elles portent à la protection de l’environnement. Des comportements favorisant le développement durable et permettant la préservation à long terme de l’environnement comme le compostage sont maintenant répandus. De par sa nature, le compostage nécessite l’action des microorganismes. À chaque phase de compostage correspondent des populations de microorganismes caractéristiques et, par conséquent, des émissions de bioaérosols qui leur sont propres. Plusieurs gaz peuvent également être présents dans l’air ambiant lors des activités de compostage. Les travailleurs de ces milieux peuvent donc être …

Mesure De L'Exposition Du Technicien Ambulancier Paramédical Aux Facteurs De Risque De Troubles Musculosquelettiques, Philippe Corbeil, André Plamondon, Angelo Tremblay, Jérôme Prairie, Dominique Larouche, Sandrine Hegg-Deloye

Rapports de recherche scientifique

Le technicien ambulancier paramédical (TAP) a comme fonction principale de prodiguer les soins préhospitaliers d’urgence tout en assurant, de façon sécuritaire, le transport du bénéficiaire vers un centre hospitalier. Fondamentalement, son objectif est de réduire au minimum la mortalité et la morbidité des bénéficiaires en minimisant le temps de réponse. De nombreuses études à travers le monde, incluant le Québec, montrent que les TAP ont un taux plus élevé de lésions professionnelles et prennent leur retraite plus tôt que les autres travailleurs de la population y compris ceux du système de santé. Plusieurs TAP quittent leur emploi pour un autre …

The Effects Of Religious And Body-Related Affirmations On Disordered Eating Attitudes And Body Dissatisfaction, Cassandra A. Vogt

Masters Theses

The relationship between disordered eating, body dissatisfaction, and religion is complex. Previous research demonstrated that religious body affirmations are beneficial in reducing body dissatisfaction among undergraduate females. Because previous research used affirmations which were simultaneously religious in nature and related to the body, it is difficult to determine if the religiousness of the affirmation is the beneficial characteristic. The current study investigated which type of affirmation had the strongest effect on disordered eating attitudes and body dissatisfaction. More specifically, the five experimental conditions included: religious body affirmations, religious non-body affirmations, non-religious body affirmations, non-religious non-body affirmations, and neutral control statements. …

The Financial Burdens Associated With Managing Pku Dietary Needs As An Adult, Melissa C. Bernzen

Masters Theses

This study was designed to identify the financial burdens associated with purchasing medical foods and the impact this has on the dietary management of adults with PKU. PKU is a genetic disorder in which the body cannot metabolize the amino acid, phenylalanine, which occurs in all foods with protein. Dietary treatment of foods low in protein along with medical supplementation is required for the treatment of PKU. If PKU is left untreated this can lead to severe neurological damage. Medical guidelines indicate that dietary treatment is needed for the duration of one's life, but the medical foods needed are expensive …

Helicopter Parenting Of College Students, Lindsey R. Pautler

Masters Theses

Popular media often features stories about 'helicopter parenting' and asserts that this style is detrimental to youngsters (c.f., Fingerman, Cheng, Wesselmann, Zarit, Furstenberg, & Birditt, 2012; LeMoyne & Buchanan, 2011). However, few studies have examined the phenomenon empirically (Fingerman et al., 2012), particularly in a college population. The few existing studies of 'helicopter parenting' have evaluated different facets of this parenting style (e.g., intrusive parenting, inappropriate contact with school personnel), which makes comparing research results difficult. This paper discusses the literature on 'helicopter parenting' and discusses the initial steps in the development of a new comprehensive assessment of 'helicopter parenting' …

Investigation Of Sandwich Generation Caregiver Perceptions And Factors Of Caregiving Strain, Samantha Marie Young

Masters Theses

The Sandwich Generation caregiver is responsible for caring for their children and parents simultaneously (Miller, 1981). In this study, stressors, burdens, and strains were analyzed in relation to caregiver demographics and the following variables: caregiving relationship quality, caregiving roles, communication, and resources (time and finances). The purpose of this study is to investigate the factors that contribute to perceived strains in Sandwich Generation caregivers. The Sandwich Generation Caregiver Survey was distributed through social media (Facebook, Instagram, Twitter, and LinkedIn), email, listservs, and word of mouth through a nonprobability snowball approach (Creswell, 2012). The researcher used frequency counts, percentages, and mean …

Evaluation Of Volumetric Change Of Periapical Lesions After Apicoectomy As A Measure Of Postsurgical Healing Utilizing Cone Beam Computed Tomography, Eshwar Arasu

Theses and Dissertations

The aim of this study was to evaluate whether volumetric changes in persistent periapical lesions can be detected in follow-ups six months to five years after apicoectomy using cone-beam computed tomography. Patients with a previous treatment history of apicoectomy and for whom a pre-surgical CBCT scan was taken between November 2010 and December 2015 were invited to participate in the study. A post-surgical CBCT image of the treated tooth was obtained at the recall visit. Volumetric and linear measurements of periapical lesions on initial and postoperative CBCT images were performed using DiThreshGUI software and two calibrated examiners—a board-certified endodontist and …

Orthodontists' And Parents' Perspective Of Occlusion In Varying Anterior-Posterior Positions: A Comparative Study, David H. Lindsey

Theses and Dissertations

Objective: The purpose was to compare orthodontists’ and parents’ perception of orthodontic treatment outcomes in the anterior-posterior (AP) dimension. Assessment of treatment time and compliance were also investigated.

Material and Methods: Parallel surveys for orthodontists (n=1000) and parents (n=750) displayed occlusions from 3 mm Class III (Cl III:3) to 3 mm Class II. Participants rated occlusal relationships on a 100 mm VAS from least to most acceptable (0-100).

Results: 233 orthodontists (23%) and 243 parents (32%) responded. Orthodontists (mean=93.9, 25.9) and parents (mean=80.7, 40.9) rated Class I (Cl I) occlusion most and Cl III:3 least acceptable. No significant difference was …

Thyroid Hormone As A Method Of Reducing Damage To Donor Hearts After Circulatory Arrest, William P. Adams

Theses and Dissertations

There is a chronic lack of donor hearts to meet the need for heart transplant both in the US and worldwide. Further, the use of available hearts is limited by the short period between collection and implantation during which the heart can be safely preserved ex vivo. Using mid-thermic Langendorff machine perfusion, we have been able to preserve the metabolic function of a healthy heart for up to 8 hours, twice the limit for current static cold storage. We have also been able to preserve the metabolic function of a damaged DCD Heart collected 30 minutes after cardiac arrest …

A Comparison Of Moderate Oral Sedation Drug Regimens For Pediatric Dental Treatment: A Pilot Study, Ojas A. Parikh

Theses and Dissertations

Purpose: Compare moderate oral sedation of pediatric patients using Hydroxyzine and Meperidine with either Diazepam or Midazolam in management of pediatric dental patients.

Methods: Randomized, double-blind, crossover pilot study of patients 3 to 7 years of age requiring two sedation visits. Frankl and Houpt behavior scores recorded at injection time, initiation of treatment and 100% oxygen at end of treatment. Postoperative phone call surveys conducted within eight hours and within 24 hours of discharge. Wilcoxon Signed-Rank tests, Fisher’s Exact Chi-squared test and 0.10 significance level.

Results: 25 subjects completed 35 sedations. Eight participants completed both treatments and demonstrated significantly higher …

Evaluation Of The Regional Drug Deposition Of Nasal Delivery Devices Using In Vitro Realistic Nasal Models, Mandana Azimi

Theses and Dissertations

The overall objectives of this research project were i) to develop and evaluate methods of characterizing nasal spray products using realistic nasal airway models as more clinically relevant in vitro tools and ii) to develop and evaluate a novel high-efficiency antibiotic nanoparticle dry powder formulation and delivery device. Two physically realistic nasal airway models were used to assess the effects of patient-use experimental conditions, nasal airway geometry and formulation / device properties on the delivery efficiency of nasal spray products. There was a large variability in drug delivery to the middle passages ranging from 17 – 57 % and 47 …

Orientia Tsutsugamushi Secretes Two Ankyrin Repeat-Containing Effectors Via A Type 1 Secretion System To Inhibit Host Nf-Κb Function, Sean M. Evans

Theses and Dissertations

Scrub typhus is a potentially fatal infection that threatens one billion persons in the Asia-Pacific region and is caused by the obligate intracellular bacterium, Orientia tsutsugamushi. How this organism facilitates its intracellular survival and pathogenesis is poorly understood. Intracellular bacterial pathogens utilize the Type 1 (T1SS) or Type 4 secretion system (T4SS) to translocate ankyrin repeat-containing proteins (Anks) into the host cell to modulate host cell processes. The O. tsutsugamushi genome encodes one of the largest known bacterial Ank libraries as well as Type 1 and Type 4 secretion systems (T1SS and T4SS), which are expressed during infection. In …

Adding Ferrous Sulphate To Hydrogen Peroxide Tooth Bleaching Gels Reduced The Required Bleaching Time, Thunnithie Thitichoatariyakun

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objective To investigate the effect of adding ferrous sulphate (FeSO4) as a chemical activator to hydrogen peroxide tooth bleaching gels on color change and treatment time. Methods One hundred and twenty extracted human upper premolars, hue A or B, were selected. One enamel-dentin specimen was prepared from each tooth. The specimens were divided into twelve groups (n=10), based on bleaching product, FeSO4 and treatment time. Three in-office bleaching products were used in this study: Opalescence® Boost TM, PolaOffice® and ZOOM!® Whitespeed TM. Each product was used per its specific protocol: 1: untreated control (C), 2: FeSO4 added, using the product's …

Development Of A High Throughput (Ht) Raman Spectroscopy Method For Rapid Screening Of Liquid Blood Plasma From Prostate Cancer Patients, Dinesh Medipally, Adrian Maguire, Jane Bryant, John Armstrong, Mary Dunne, Marie Finn, Fiona Lyng, Aidan Meade

Articles

Extensive research has been undertaken on the examination of tissue biopsies using vibrational spectroscopic techniques. However, fewer studies have focused on less invasive and commonly acquired blood samples. Recent studies have shown the ability of Raman and Fourier transform infrared (FTIR) spectroscopy to discriminate between non-cancer controls and cancer cases using blood serum or plasma. Even though many studies have proposed Raman spectroscopy as a potential diagnostic tool in various cancers, the Raman spectroscopic technique has not been introduced as a routine clinical technology. This is due to multiple drawbacks with the application of the technique, including sample preparation, the …

Cigarette Smoking And Cardio-Renal Events In Patients With Atherosclerotic Renal Artery Stenosis., Christopher A Drummond, Pamela S Brewster, Wencan He, Kaili Ren, Yanmei Xie, Katherine Tuttle, Steven T Haller, Kenneth Jamerson, Lance D Dworkin, Donald E Cutlip, Timothy P Murphy, Ralph B D'Agostino, William L Henrich, Jiang Tian, Joseph I Shapiro, Christopher J Cooper

Articles, Abstracts, and Reports

Cigarette smoking causes cardiovascular disease and is associated with poor kidney function in individuals with diabetes mellitus and primary kidney diseases. However, the association of smoking on patients with atherosclerotic renal artery stenosis has not been studied. The current study utilized data from the Cardiovascular Outcomes in Renal Atherosclerotic Lesions (CORAL, NCT00081731) clinical trial to evaluate the effects of smoking on the risk of cardio-renal events and kidney function in this population. Baseline data showed that smokers (n = 277 out of 931) were significantly younger at enrollment than non-smokers (63.3±9.1 years vs 72.4±7.8 years; p

Role Of Epigenetic Modification And Immunomodulation In A Murine Prostate Cancer Model, Jay E. Sulek, Samuel P. Robinson, Albert A. Petrossian, Shaoqing Zhou, Ekaterine Goliadze, Masoud H. Manjili, Amir Toor, Georgi Guruli

Surgery Publications

INTRODUCTION. Decreased expression of highly immunogenic cancer-testis antigens (CTA) might help tumor to achieve low immunogenicity, escape immune surveillance and grow unimpeded. Our aim was to evaluate CTA expression in tumor and normal tissues and to investigate possible means of improving the immune response in a murine prostate cancer (CaP) model by using the combination of epigenetic modifier 5-azacitidine (5-AzaC) and immunomodulator lenalidomide. No study to date has examined the effect of this combination on the prostate cancer or its impact on antigen-presenting cells (APC).

MATERIALS AND METHODS. Gene microarrays were performed to compare expression of several CTA in murine …

Operative And Nonoperative Management Of Blunt Liver Injuries, Jill Peysha, Paula Ferrada

Surgery Publications

Purpose of Review

The purpose of this review is to discuss the indications for operative and nonoperative management in patients with blunt liver injuries.

Recent Findings

Over the past several years, research has begun to show that nonoperative management in blunt liver injuries is feasible and has favorable outcomes over immediate operations in patients who are hemodynamically stable. This includes high-grade injuries who were previously taken to the operating room, in the absence of peritoneal signs or instability, for washout and packing. This trend in management is likely multifactorial and includes improved quality of critical care medicine, advances in imaging …

History Of The Innovation Of Damage Control For Management Of Trauma Patients: 1902-2016, Derek J. Roberts, Chad G. Ball, David V. Feliciano, Ernest E. Moore, Rao R. Ivatury, Charles E. Lucas, Timothy C. Fabian, David A. Zygun, Andrew W. Kirkpatrick, Henry T. Stelfox

Surgery Publications

Objective: To review the history of the innovation of damage control (DC) for management of trauma patients.

Background: DC is an important development in trauma care that provides a valuable case study in surgical innovation.

Methods: We searched bibliographic databases (1950-2015), conference abstracts (2009-2013), Web sites, textbooks, and bibliographies for articles relating to trauma DC. The innovation of DC was then classified according to the Innovation, Development, Exploration, Assessment, and Long-term study model of surgical innovation.

Results: The "innovation'' of DC originated from the use of therapeutic liver packing, a practice that had previously been abandoned after World War II …

A Meta-Analysis Of Resuscitative Endovascular Balloon Occlusion Of The Aorta (Reboa) Or Open Aortic Cross-Clamping By Resuscitative Thoracotomy In Non-Compressible Torso Hemorrhage Patients, Ramiro Manzano Nunez, Maria Paula Naranjo, Esteban Foianini, Paula Ferrada, Erika Rincon, Herney Andrés García-Perdomo, Paola Burbano, Juan Pablo Herrera, Alberto F. García, Carlos A. Ordoñez

Surgery Publications

Background

The objective of this systematic review and meta-analysis was to determine the effect of REBOA, compared to resuscitative thoracotomy, on mortality and among non-compressible torso hemorrhage trauma patients.

Methods

Relevant articles were identified by a literature search in MEDLINE and EMBASE. We included studies involving trauma patients suffering non-compressible torso hemorrhage. Studies were eligible if they evaluated REBOA and compared it to resuscitative thoracotomy. Two investigators independently assessed articles for inclusion and exclusion criteria and selected studies for final analysis. We conducted meta-analysis using random effect models.

Results

We included three studies in our systematic review. These studies included …