Medicine and Health Sciences Commons^™

The Effect Of Routine Adult Phq-2 Depression Screen And Scheduled Follow-Up Protocol In The Primary Care Setting, Alex F. Bikowski

Evidence-Based Practice Project Reports

Healthy People has projected depression to be the primary cause of disability by 2020; therefore routine depression screening has been prioritized as a national healthcare initiative. The purpose of this Evidence-Based Practice (EBP) project is to demonstrate that routine implementation of the 2-item Patient Health Questionnaire (PHQ-2) depression screener, along with a scheduled follow-up protocol for adults in the primary care setting, can improve current mental health practices regarding the identification of depression by clinicians. The evidence supports use of the PHQ-2 for routine adult depression screening, as long as a scheduled follow-up protocol is available for positive screens. This …

Improving Nursing Attitudes Toward Suicide Prevention In The Emergency Department: The Implementation Of An Adolescent Suicide Risk Screening Tool, Julie A. Simpson

Evidence-Based Practice Project Reports

The Center for Disease Control ranked suicide as the second leading cause of death for American adolescents (2015). This crisis of adolescent suicide warrants evaluation and improvement of current suicide prevention practices. The Emergency Department (ED) offers 24-hour services and may be the only organized healthcare for utilized by some individuals. Nurses are the front-line provider of care in the ED and this role offers opportunity to identify an adolescent with increased suicide risk. The purpose of this EBP project is to evaluate nursing attitudes toward suicide prevention by implementing the best practice screening tool for adolescent suicide risk assessment. …

Discovery And Fine-Mapping Of Adiposity Loci Using High Density Imputation Of Genome-Wide Association Studies In Individuals Of African Ancestry: African Ancestry Anthropometry Genetics Consortium, Maggie C. Y. Ng, Mariaelisa Graff, Yingchang Lu, Anne E. Justice, Poorva Mudgal, Ching-Ti Liu, Kristin Young, Lisa R. Yanek, Mary F. Feitosa, Mary K. Wojczynski, Kristin Rand, Jennifer A. Brody, Brian E. Cade, Latchezar Dimitrov, Qing Duan, Xiuqing Guo, Leslie A. Lange, Michael A. Nalls, Hayrettin Okut, Salman M. Tajuddin, Bamidele O. Tayo, Sailaja Vedantam, Jonathan P. Bradfield, Guanjie Chen, Wei-Min Chen, Alessandra Chesi, Marguerite R. Irvin, Badri Padhukasahasram, Jennifer A. Smith, Wei Zheng, Donna K. Arnett

Epidemiology and Environmental Health Faculty Publications

Genome-wide association studies (GWAS) have identified > 300 loci associated with measures of adiposity including body mass index (BMI) and waist-to-hip ratio (adjusted for BMI, WHR_adjBMI), but few have been identified through screening of the African ancestry genomes. We performed large scale meta-analyses and replications in up to 52,895 individuals for BMI and up to 23,095 individuals for WHR_adjBMI from the African Ancestry Anthropometry Genetics Consortium (AAAGC) using 1000 Genomes phase 1 imputed GWAS to improve coverage of both common and low frequency variants in the low linkage disequilibrium African ancestry genomes. In the sex-combined analyses, we identified …

Improving Lgbt Cultural Competence In Senior Nursing Students, Hallie Orgel

Evidence-Based Practice Project Reports

LGBT (lesbian, gay, bisexual, transgender) health care is considered a national priority by The Institute of Medicine (IOM, 2011) and HealthyPeople 2020 (2013). The shortage of LGBT culturally competent health care providers is a top contributor to the oppression and discrimination affecting LGBT health (2013). The purpose of the evidence-based practice (EBP) project was to improve the cultural competence of nursing students by improving their knowledge, attitudes, and skills in working with the LBGT population. A multi-method intervention was provided to seniors in a baccalaureate program. The project took place at a private Midwestern university and utilized a pretest/post-test design. …

Social Workers’ Salaries Vs. Educational Student Debt Burden: A Losing Battle, Michael Wadham

Celebration of Undergraduate & Graduate Research, Scholarship, and Creative Activities Materials

College tuitions rise at disparate rates with starting salaries and inflation, causing student debt to weigh on social work graduates. Data was collected from 701 social workers in an NASW - Ohio Chapter survey to investigate this disparity and its consequences. The purpose of this study was to analyze the qualitative data set, 174 written comments, for themes and perceptions. The following themes, echoed in current research on the topics of social work salary and student debt burden, were identified: unmanageable debt and financial burden, varying lengths of time and repayment methods, social workers feeling undervalued and underpaid, loan forgiveness …

Hyperucriceamia And Increased Risk For Cardiovasuclar Disease, Sierra Devries

Nursing Capstones

No abstract provided.

Legalization Of Gay Marriage And Its Impact On Military Stereotypes Of Homosexuals, Jasmine Moore

Celebration of Undergraduate & Graduate Research, Scholarship, and Creative Activities Materials

Homosexuality has become a popular research topic in a variety of professional fields, and over the last decade has become a priority for the military. Since the implementation of the law repealing Don't Ask Don't Tell (DADT) researchers have questioned what effects repealing this law has had on the military as a whole. Particular attention has been spent on studying the attitudes and stereotypes about homosexuals after DADT was repealed. However, there is a lack of research examining how marriage equality affects society's stereotypes about homosexuals serving in the United States military.

It was hypothesized that participants that have personal …

Wright State University's Celebration Of Research, Scholarship And Creative Activities Book Of Abstracts From Friday, April 21, 2017, Wright State University

Celebration of Undergraduate & Graduate Research, Scholarship, and Creative Activities Materials

The student abstract booklet is a compilation of abstracts from students' oral and poster presentations at Wright State University's Annual Celebration of Research, Scholarship and Creative Activities on April 21, 2017.

Treating Chronic Post Herpetic Neuralgia Using Topical Superconcentrated Capsaicin, Jaree Naqvi, Scott Seider, Jason Miller, Cole Budinsky, Amol Soin

Celebration of Undergraduate & Graduate Research, Scholarship, and Creative Activities Materials

Post Herpetic Neuralgia (PHN) is a painful condition that occurs after reactivation of the dormant Herpes Zoster Virus.Typically PHN presents with a unilateral rash affecting a single dermatome which is accompanied by burning, irritation, and hypersensitivity for >3 months.Current treatment includes anticonvulsants, tricyclic antidepressants, narcotic/nonnarcotic painkillers, and topical lidocaine.

We propose the utilization of a superconcentrated transdermal patch of capsaicin called Qutenza 8%, which is 300 times more potent than current OTC capsaicin. The treatment protocol using Qutenza to treat refractory PHN proposes a novel approach to the treatment of this condition.

Capsaicin is commonly known as the active chemical …

Khealth Bariatrics: A Multisensory Approach To Monitoring Patient’S Postsurgical Behavior, Revathy Venkataramanan, Utkarshani Jaimini, Amit Sheth, Joon K. Shim, Priti Parikh, Dene S. Berman

Celebration of Undergraduate & Graduate Research, Scholarship, and Creative Activities Materials

The rate of obesity is on the rise reaching epidemic proportions. According to American Society for Metabolic and Bariatric Surgery (ASMBS), 500 million people all over the world are obese. The data from Centers for Disease Control and Prevention(CDC) shows that more than 36% of adults in the United States have obesity. According to World Health Organization (WHO), 65% of the world’s population lives in countries where the occurrence of death due to overweight and obesity is higher than being underweight. It is well established that weight loss surgery can play a significant role in reducing, or even eliminating medical …

Measuring Gender-Based Violence Attitude On Twitter, Goonmeet Bajaj, Tanvi Banerjee, Amir Hossein Yazdavar, Valerie L. Shalin, Amit Sheth

Celebration of Undergraduate & Graduate Research, Scholarship, and Creative Activities Materials

This study examines social media to analyze communication patterns, specifically in the Gender-Based Violence domain. It explores the pragmatic content of tweets to categorize them into one of the following groups: Belief, Fact Reporting, or Other to determine the tweeting practices prevalent in this domain.

A Quality Improvement Program In A Safety Net Clinic Serving Vulnerable Populations, Kaitlin J. Hendriksma

Doctoral Projects

The Patient Protection and Affordable Care Act of 2010 resulted in major changes to healthcare infrastructure in the United States, with two main areas of concentration: healthcare financing and population health management. Quality improvement programs focus on improving healthcare quality for populations with conscious efforts to decrease healthcareassociated expenditures. Quality improvement interventions can include patient-reported outcomes, clinical decision support systems, and clinical dashboards. The purpose of the Doctor of Nursing Practice project was to formally implement a quality improvement program for chronic disease management in a safety net clinic serving vulnerable populations. The Donabedian model served as the conceptual model …

The Effects Of A Hpv Educational Intervention Aimed At Collegiate Males On Knowledge, Vaccine Intention, And Uptake, Mary A. Knudtson

Evidence-Based Practice Project Reports

Human Papillomavirus (HPV) is the most common sexually transmitted infection (STI) in the United States (US). In 2013, approximately 6% of 19 to 26-year-old males had received at least one dose of the HPV vaccine (Richman, Maddy, Torres, & Goldberg, 2016). Currently there is no known cure for HPV, however a prophylactic vaccination provides an efficacious method for protection against HPV related diseases. The purpose of the evidence-based project was to provide a HPV educational intervention to collegiate males and examine the effects of HPV knowledge, intention to vaccinate, and receipt of vaccination. The Health Belief Model was selected to …

Legal Mapping Analysis Of State Telehealth Reimbursement Policies, Kate E. Trout, Sankeerth Rampa, Fernando A. Wilson, Jim P. Stimpson

Publications and Research

Background: There exists rapid growth and inconsistency in the telehealth policy environment, which makes it difficult to quantitatively evaluate the impact of telehealth reimbursement and other policies without the availability of a legal mapping database. Introduction: We describe the creation of a legal mapping database of state-level policies related to telehealth reimbursement of healthcare services. Trends and characteristics of these policies are presented.

Materials and Methods: Information provided by the Center for Connected Health Policy was used to identify state-wide laws and regulations regarding telehealth reimbursement. Other information was retrieved using: (1) LexisNexis database, (2) Westlaw database, and (3) retrieval …

Effects Of Therapeutic Music On Pain In Spinal Surgery Recovery, Michael Poulsen

Evidence-Based Practice Project Reports

Pain is one of the most common experienced symptoms reported by more than 80% of postoperative patients. Approximately 77-98% of postoperative patients report pain following their procedure with 40- 80% having moderate to severe pain. Pain is shown to elevate stress levels manifesting in increased heart rates, blood pressures, and oxygen demand. Inadequate pain control can develop into surgical complications causing surgical failure, blood clots, pneumonia, and chronic pain. Complimentary and alternative medicine such as music can be used in combination with opioid medication help improve pain control leading to successful surgical outcomes. The purpose of this evidence-based practice project …

Influencing College Influenza Vaccination Through A Multi-Component Campaign, Heather Strickler

Evidence-Based Practice Project Reports

Multiple influenza strains exist and college aged students are the most affected population from the H1N1 strain. The H1N1 influenza pandemic had high attack rates reported on campuses from 25% to 73% (Benjamin et. al., 2016; Uddin et. al., 2009). Only 8% to 40% of college students are vaccinated against influenza despite a target goal of 50% set by the American Healthy Campus 2020 (Benjamin et. al., 2016; Poehling, et. al., 2012). The purpose of this evidence based project was after implementing a multi-component influenza vaccination campaign to determine changes in intent to receive the vaccine among college students. To …

Recurrence Of Shingles In The Older Adult Population, Leeann Yang

Nursing Capstones

No abstract provided.

Potassium Chloride As A Salt Substitute In Bread, Andrea Noud

Honors Theses

Bread is a staple product in the diet of most consumers in America. It is also one of the ”Salty Six”; the top six processed foods containing the most sodium chloride (NaCl) or table salt. Dietary reference intake (DRI) guidelines are established by The Food and Nutrition Board of the Institute of Medicine. Per these values, children ages 9-13 should consume no more than 2.2 g/day of sodium, and men and women ages 14-70 and older should consume no more than 2.3 g/day.Yet the average intake of sodium in America is much higher than the DRI: 3.4 g/day. One potential …

Colorectal Cancer In Nonagenarians: Treatment Decisions And Outcomes., Daniel Sarmiento Garzon, Daniel Meikle Md, Martin Alvarez Md, Mark Wiseman Md, John S. Park Md

Department of Surgery

No abstract provided.

Urban Versus Rural Differences In Insurance Coverage And Impact On Employment Among Families Caring For A Child With Cerebral Palsy, Braydon Schaible, Gavin T. Colquitt, Li Li, Manuela C. Caciula, Noelle G. Moreau

Health Sciences & Kinesiology: Faculty Publications

Background: The purpose of this study was to examine urban vs. rural differences on the relationship between family contextual variables and adequacy of insurance coverage and impact on employment for among families with a child with Cerebral Palsy from a nationally representative sample.

Methods: A retrospective, observational study was carried out using data from the National Survey of Children with Special Healthcare Needs.

Results: A total of 744 participants reported as having a child with a diagnosis of Cerebral Palsy and were included in the sample. Logistic regression analyses, adjusting for urban and rural setting revealed different predictors of adequacy …

College Of Public Health News, Georgia Southern University

College of Public Health: News & Publications

• Georgia Southern Collaborates on Examination of Vigilance in Decision-Making among Dementia Family Caregivers
• Georgia Southern Examines Data,Staff, and Money

Epidemiology News, Georgia Southern University

Biostatistics, Epidemiology & Environmental Health Sciences: News & Publications (2011-2018)

• Georgia Southern Collaborates on Examination of Vigilance in Decision-Making among Dementia Family Caregivers

Health Policy & Management News, Georgia Southern University

Health Policy & Community Health: News & Publications (2011-2018)

• Georgia Southern Collaborates on Examination of Vigilance in Decision-Making among Dementia Family Caregivers
• Georgia Southern Examines Data, Staff, and Money

Opossum Apobec1 Is A Dna Mutator With Retrovirus And Retroelement Restriction Activity, Terumasa Ikeda, Mayuko Shimoda, Diako Ebrahimi, John L. Vandeberg, Reuben S. Harris, Atsushi Koito, Kazuhiko Maeda

School of Medicine Publications

APOBEC3s (A3s) are single-stranded DNA cytosine deaminases that provide innate immune defences against retroviruses and mobile elements. A3s are specific to eutherian mammals because no direct homologs exist at the syntenic genomic locus in metatherian (marsupial) or prototherian (monotreme) mammals. However, the A3s in these species have the likely evolutionary precursors, the antibody gene deaminase AID and the RNA/DNA editing enzyme APOBEC1 (A1). Here, we used cell culture-based assays to determine whether opossum A1 restricts the infectivity of retroviruses including human immunodeficiency virus type 1 (HIV-1) and the mobility of LTR/non-LTR retrotransposons. Opossum A1 partially inhibited HIV-1, as well as …

The Effects Of Continuous Insulin Pump Therapy On Glycemic Control In Pregnant Type 1 Diabetics, Kimberly Kelsey

Scholarly and Creative Works Conference (2015 - 2021)

Type 1 Diabetes Mellitus accounts for approximately 5% of the diabetic population (CDC, 2015). Numerous complications must be avoided when a diabetic is insulin dependent. Women who are diabetic who are planning to conceive a family have special considerations. Little research has been focused into how to best manage Type 1 diabetics during pregnancy. Since Type 1 diabetes is predominantly diagnosed between birth and 30 years of age, many Type 1 diabetics have potential to become pregnant without knowing how to best manage their diabetes. Poor glycemic control in diabetics has been related to miscarriages, stillbirths, malformations, and macrosomia (Lapolla, …

High School Student Concussion Recovery Program: Teacher Involvement In Student Academic Transitions To Classroom And To Sports, Brittany Diego

Scholarly and Creative Works Conference (2015 - 2021)

Many symptoms of concussions can greatly interfere with the cognitive abilities and skills students use in school. Although students may have similar symptoms, they experience concussions differently. Students returning to the classroom from a concussion often have different needs and abilities.

Research shows that a formal, individualized protocol to treat suspected concussions, both academically and physically, is vital to the successful recovery of each student. Much research is available on concussions for professional athletes, specifically related to recovery and returning to their sport. However, there is little research about high school students regarding concussions. Concussion recovery programs for high school …

The Phenomenon Of Teacher Burnout: Mitigating Its Influence On New Teachers, Kaila Sanford

Scholarly and Creative Works Conference (2015 - 2021)

Burnout is a psychological condition with physical, emotional, and mental dimensions. Burnout often includes feelings of exhaustion, long-term fatigue, negative self-concept, despair or hopelessness, frustration, and a lack of productivity at work.

Teacher burnout is a well-known and researched field. It has been documented in the literature that teachers experience high levels of stress and emotional exhaustion, which leads to high levels of burnout and professional attrition. This study examined the incidence of burnout in new elementary school teachers and makes recommendations for changes to organizational structure that may reduce professional burnout.

For the purpose of this study five new …

Beyond Skin Deep: The Traumatic Effects Of Dermatomyositis, Alexander Lorenzo Perez Herrera

Scholarly and Creative Works Conference (2015 - 2021)

Dermatomyositis is a rare autoimmune disease that affects a very small percentage of the population, close to 10 cases per million, according to the National Organization of Rare Disorders (NORD). The amount of men that are diagnosed with this disease are even smaller. However, hardly anyone knows what Dermatomyositis is, let alone what its side effects are. The purpose of this research paper is to exploit the severity of Dermatomyositis for those who are unaware of its existence, characteristics and significance within the health community. In doing so, I hope to create awareness throughout society by also telling my father’s …

Psycheducational Manual For Families Of People With Schizophrenia, Shiva Fatemifiroozabadi

Scholarly and Creative Works Conference (2015 - 2021)

Although schizophrenia is a relatively rare mental dysfunction, it causes significant discomforts for the patients and their family. As this mental illness usually starts at the young ages and lingers virtually forever, it affects almost every aspect of patients and their family’s life. Schizophrenia deteriorates the individual’s ability to normally interact with others in multiple settings be it family, workplace, and society.

Moreover, the negative and mainly false perceptions towards this illness among the general public intensifies the problems of schizophrenic patients and their families. This prejudice, combined with the inherent problems of the illness, forms a recipe for disaster …

Relationship Between Physical Activity And Risk Of Falls In Elderly Of West Marin, Chelsey White, Crystal Hunter, Fasha Ruys-Solorzano, Nancy Hunt, Shay Mozzetti, Nima Tso, Nicholas Ward, Tony Guevara, Kayla Kinsman, Dolma Tso, Sadaf Sardar, Halina Truong

Scholarly and Creative Works Conference (2015 - 2021)

Background: Fall injury is a leading cause of death and disability among older adults (Alamgir, 2012). Fall injury may result in fractures, infection and fear of movement. By reinforcing engagement in muscles used during balance and walking, seniors may avoid unnecessary falls within their homes and the community.

Setting/Target Population: West Marin is the largest rural area of Marin County, California and includes seven unincorporated communities. A large percentage of the elderly population who reside in West Marin live alone--thus suffering from isolation. Within the rural, isolated communities of West Marin, the rate of falls among the elderly …