Medicine and Health Sciences Commons^™

Reduced Cost And Decreased Length Of Stay Associated With Acute Ischemic Stroke Care Provided By Nurse Practitioners: A Single Primary Stroke Center Experience, Leah Roering Np, Michelle Peterson Np, Muhammad Shah Miran Md, Melissa Freese, Kenneth Shea Md, M Fareed K. Suri Md

Nursing Posters

Nurse practitioner (NP) have a wider role in modern stroke centers providing quality evidence based care to patients with both in and outpatient settings for acute ischemic stroke (AIS) and transient ischemic attack (TIA) patients. We studies the outcome measures, length of stay (LOS) and cost before and after implementation of nurse practitioners as the primary medical provider in a community based stroke center.

Quality Leadership Academy: Cauti Reduction Project, Melissa Fradette

Nursing Posters

Plan:

In the fiscal years of 2014 and 2015, 31 out of 66 (47%) catheter-associated urinary tract infections (CAUTIs) were acquired in patients with neurological diagnoses. This led to increased costs, decreased reimbursement, and hospital-acquired condition penalties. A thorough review of CAUTIs revealed 15 of the 31 (48%) were attributed to insertion practices; infections were acquired within 6 days of urinary catheter insertion. Eleven of the 15 (73%) were inserted in the operating room (OR).

A Call For Gender-Inclusive Global Health Strategies, Michael J. Rovito, Brandon Leonard, Ramon Llamas, James E. Leone, Walker Talton, Ana Fadich, Peter Baker

Movement Arts, Health Promotion and Leisure Studies Faculty Publications

The WHO's "Global Strategy for Women's, Children's, and Adolescents' Health 2016-2030" (GS-WCAH 2016-2030) is a comprehensive plan developed to improve the lives of women, children, and adolescents. Due to the success in the creation, ratification, and advocacy of the GS-WCAH 2016-2030, the clear health outcome disparities between males and females, and the general absence of male health from existing policies and sponsored programs, it is time now to develop a global strategy specifically drafted to improve the lives of men and boys. The following commentary provides three points for why a male-oriented program, like the GS-WCAH 2016-2030, should be created: …

The Examination Of Slo-Pitch Hitting Movement Coordination, Tong-Ching Tom Wu, Pierre Gervais, Pierre Baudin, Marcel Bouffard

Movement Arts, Health Promotion and Leisure Studies Faculty Publications

This study developed an interdisciplinary approach by utilizing the principles of ecological task analysis and movement coordination from areas of motor leaning and biomechanics to examine the skill of slo-pitch softball hitting. The purpose of this study was to examine the influence of a task constraint, stride technique, and an environmental constraint, pitched ball location, on the participants’ movement patterns. Ten elite male softball players participated in the study and a two-way ANOVA of 2 locations of pitch (inside and outside) x 3 strides (open, parallel and closed) repeated measure study was conducted. The results showed that participants demonstrated different …

Validating The Health Literacy Promotion Practices Assessment Instrument, Allison P. Squires, H. Shonna Yin, Simon A. Jones, Sherry A. Greenberg, Ronnie J. Moore, Tara A. Cortes

Touro College of Pharmacy (New York) Publications and Research

Background: How health care professionals address health literacy as part of the provider-client relationship is important for prevention and promoting self-management and symptom management. Research usually focuses on patients’ health literacy and fails to examine provider practices, thus leaving a gap in the literature and patient outcomes analyses. Objective: The study tested the reliability and validity of a series of questions developed to evaluate health care provider health literacy promotion practices on an interprofessional sample. Methods: This exploratory cross-sectional study took place between 2013 and 2015. Participants included graduate level health professions students from nursing, midwifery, medicine, pharmacy, and social …

Treatment-Emergent Hypomania Possibly Associated With Over-The-Counter Supplements, William Olsufka, Mary-Ann Abraham

Touro College of Pharmacy (New York) Publications and Research

The use of complementary and alternative medicine (CAM) is gaining popularity in the Western world. Among the general public, CAM is often perceived to be associated with less stigma, fewer adverse effects, and may be more affordable. A number of patients utilize CAM for the treatment of depression; however, as there is limited scientific evidence, the safety profile of these supplements are largely unknown. In this case, a 42-year-old man developed hypomania approximately 1 week after S-adenosylmethionine (SAMe) and 5-hydroxytryptophan (5-HTP) therapy was initiated for depression. The combination of SAMe and 5-HTP can potentially induce hypomanic episodes.

Healthnet News V.32:No.1 Jan-Feb 2017, Wendy Urciuoli

Articles - Patient Care

In this issue: Electronic tattoos, workplace noise, family health histories, and more

Objective And Subjective Evaluation Of Anew Lidar-Based Speed Prediction And Advisory Display, Jorg Onno Entzinger, Tomoko Iijima, Tsuneharu Uemura, Jun Matsumoto, Naoki Matayoshi, Shinji Suzuki

International Symposium on Aviation Psychology - 2017

We evaluate a newly developed symbology that provides the pilot predicted and advisory airspeed information. This information is not only based on the current state of the aircraft, but also takes into account the wind field ahead of the aircraft measured by an onboard LIDAR system. Airline pilots flew landing approaches in wind shear scenarios that demanded careful consideration of whether to land on go-aroundin JAXA's full flight simulator. We obtained both subjective evaluations and objective data including flight performance, eye recoder data, electrocardiogram (ECG), electroencephalogram (EEG), and performance on a simple visual secondary task. The pilots considered all newly …

Flight Experience And Mental Representations Of Space, Mikayla Keller, Jennifer E. Sutton

International Symposium on Aviation Psychology - 2017

Spatial skills are critical for flight safety. The current study investigatedwhetherincreased flight experience as a pilotwas associated with improved spatial skills, and in particular, theability to form a mental representation of a novel virtual environment.Pilotscompleted small-scalespatial ability tasks, travelled alongfour routes in a virtual environment, and then completed two tests that assessed memory for the locations of landmarks in the environment. Pilots with more flight experience did not have more accurate mental representations of the environment than individuals with less flight experience. Increasedflyingexperience was, however, linked to better performance on a perspective-taking test. Perspective taking has been proposed as central …

Investigating Facial Electromyography As An Indicator Of Cognitive Workload, Jonathan Mead, Matt Middendorf, Christina Gruenwald, Chelsey Credlebaugh, Scott Galster

International Symposium on Aviation Psychology - 2017

Facial electromyography (fEMG) is an electromyographic measurement technique that has primarily been used as a tool for measuring affect, but previous experiments suggest that it also has the potential to help quantify cognitiveworkload. In the current study, two task-irrelevant facial muscles, corrugator supercilli and lateral frontalis, were monitored in real-time to determine whether they were sensitive to workload changes in a remotely piloted aircraft (RPA) task environment. Real-time signal processing techniques were applied to derive the median amplitude and zero-crossing rate from windowed fEMG data. Statistical analysis of these features determined that both muscles were sensitive to variations in specific …

Advancement In Pedagogical Foundations: Developing Language Proficiency For Student Success, Stacey L. Mcintire, Juan R. Merkt, Jacqueline R. Luedtke, Timothy B. Holt, Brent D. Bowen, Hunter Watson

International Symposium on Aviation Psychology - 2017

Interruptions in flight training and a corresponding increase in costs appear to be prevalent among universities with aviation training programs. Students in these programs have to manage both demanding academics and flight training. Additionally, international students, for whom English is not their primary language, have the added disadvantage of learning complex aviation concepts in English. In order to maximize retention in collegiate flight programs, an experimental aviation English course has been designed to helpfrontload aviation vocabulary and take a proactive approach to teaching language skills that are essential in flight training. This as a case study model includes the learning …

Aviation English Intelligibility, Julia Trippe, Eric Pederson

International Symposium on Aviation Psychology - 2017

Aviation English (AE) is the “primary dialect” of international aviation. Demonstrably, AE and Conversational English (CE) are distinct varieties of English. Pastresearch shows that AE is spoken more rapidly, with less inflectional variation and differentrhythm than CE. Differences are strong enough that AE and CEmaynot be mutually intelligible. However, flight students are not trained in AE production and perception prior to flight training.This study examines the intelligibility relationship between AE and CE by comparing native English speaking non-pilots andnative English speaking pilots responding to actual air traffic controller transmissions. A difference between these groups was predicted, given theircomparative AE familiarity. …

How Effective Is The Diabetes Prevention Program At Preventing Diabetes? A Survey Of Ymca’S Diabetes Prevention Program Participants Five Years Post-Completion, Rachael A. Mainord

Master of Public Health Program Student Publications

Objective: In people with prediabetes, a mere 5% weight loss can cut the risk of developing type 2 diabetes in half. In 2011, the YMCA of Greater Dayton launched the YMCA’s Diabetes Prevention Program (YMCA’s DPP) to reduce the prevalence of diabetes in Dayton, Ohio. In 2016, health data for the 2011 YMCA’s DPP prediabetic cohort, including 2016 diabetes status, were evaluated.

Methods: Using de-identified YMCA of Greater Dayton data, analysis was performed on 2011 program (N=90) and 2016 survey results (N=21). The incidence of program 5% weight loss (“success”) was determined and variables associated with success were identified. Survey …

Meeting Physical Activity Guidelines And Health Outcomes In The Elderly: Are Racial Differences Important?, R. Michael Johnson

Master of Public Health Program Student Publications

Physical activity guidelines for health improvement were recommended by the Centers for Disease Control and Prevention (CDC) in 2008. Today, data on individuals’ adherence to the CDC guidelines are collected as part of its Behavioral Risk Factor Surveillance System (BFRSS) survey. While racial disparities in health outcomes are well documented, analyses of the BRFSS data have the potential to shed light on whether there are racial differences in the relationship between physical activity and health outcomes.

The 2015 (BRFSS) dataset contained responses from 441,456 individuals, including 42,516 over the age of 65 who had complete data on the variables that …

Multiple Blood-Brain Barrier Transport Mechanisms Limit Bumetanide Accumulation, And Therapeutic Potential, In The Mammalian Brain, Kerstin Römermann, Maren Fedrowitz, Philip Hampel, Edith Kaczmarek, Kathrin Töllner, Thomas Erker, Douglas H. Sweet, Wolfgang Löscher

Pharmacology and Toxicology Publications

There is accumulating evidence that bumetanide, which has been used over decades as a potent loop diuretic, also exerts effects on brain disorders, including autism, neonatal seizures, and epilepsy, which are not related to its effects on the kidney but rather mediated by inhibition of the neuronal Na-K-C1 cotransporter isoform NKCC1. However, following systemic administration, brain levels of bumetanide are typically below those needed to inhibit NKCC1, which critically limits its clinical use for treating brain disorders. Recently, active efflux transport at the blood-brain barrier (BBB) has been suggested as a process involved in the low brain:plasma ratio of bumetanide, …

Creating Integrated Strategies For Increasing Access To Healthy Affordable Food In Urban Communities: A Case Study Of Intersecting Food Initiatives, Michele Silver, Afia Bediako, Tracey Capers, Aysu Kirac, Nicholas Freudenberg

Publications and Research

In New York and other cities, substantial evidence documents that community food environments interact with inequitable allocation of power, wealth and services to shape the distribution of diet-related diseases and food insecurity. This case study shows how one Central Brooklyn community organization, Bedford Stuyvesant Restoration Corporation, has launched multiple coordinated food initiatives in order to reduce the burden of food-related health problems and boost community development. The report used standard case study methods to document the implementation of the New York City Food and Fitness Partnership in Central Brooklyn. The case study shows how two distinct strands of activities, a …

Wrist-Worn Physical Activity Trackers Progressively Underestimate Steps With Increasing Walking Speeds, T. Sears, E. Alvalos, S. Lawson, I. Mcalister, C. Eschbach, J. Bunn

Physical Therapy

No abstract provided.

Physiological And Emotional Influence On Heart Rate Recovery After Submaximal Exercise, J. Bunn, J. Manor, E. Wells, B. Catanzarito, B. Kincer, C. Eschbach

Physical Therapy

No abstract provided.

The Effect Of Current Low Back Pain On Volitional Preemptive Abdominal Activation During A Loaded Forward Reach Activity, V. R. Nagar, T. L. Hooper, G. S. Dedrick, J. M. Brismee, M. K. Mcgalliard, P. S. Sizer

Physical Therapy

No abstract provided.

Decreased Edhf-Mediated Relaxation Is A Major Mechanism In Endothelial Dysfunction In Resistance Arteries In Aged Mice On Prolonged High- Fat Sucrose Diet, S. M. Dunn, R. H. Hilgers, K. C. Das

Pharmaceutical Sciences

No abstract provided.

Functional Selective D2 Ligands For The Treatment Of Schizophrenia, X. Chen, G. Gumina

Pharmaceutical Sciences

No abstract provided.

Component Analysis Of The Readiness For Interprofessional Learning Scale (Ripls) In A Graduate And Professional Educational Context, W. D. Rich, D. R. Tillman, M. L. Adams

Public Health

No abstract provided.

Knowledge Level And Perceptions Of Pharmacists And Prescribers Regarding Boxed Warnings, M. Adams, V. Clinard, W. D. Rich

Public Health

No abstract provided.

Component Analysis Of The Readiness For Interprofessional Learning Scale (Ripls) In A Graduate And Professional Educational Context, W. Rich, D. R. Tillman, M. Adams

Public Health

No abstract provided.

The Effect Of Dimple Error On The Horizontal Launch Angle And Side Spin Of The Golf Ball During Putting, Ashley K. Richardson, Andrew C.S. Mitchell, Gerwyn Hughes

Kinesiology (Formerly Exercise and Sport Science)

This study aimed to examine the effect of the impact point on the golf ball on the horizontal launch angle and side spin during putting with a mechanical putting arm and human participants. Putts of 3.2 m were completed with a mechanical putting arm (four putter-ball combinations, total of 160 trials). The centre of the dimple pattern (centroid) was located and the following variables were measured; distance and angle of the impact point from the centroid and surface area of the impact zone. Multiple regression analysis was conducted to identify whether impact variables had significant associations with ball roll variables; …

Obstacles To Preventing Obesity In Children Aged 2 To 5 Years: Latino Mothers’ And Fathers’ Experiences And Perceptions Of Their Urban Environments, Carlos Penilla, Jeanne M. Tschann, Emma V. Sanchez-Vaznaugh, Elena Flores, Emily J. Ozer

School of Education Faculty Research

Background

The prevalence of obesity among Latino children is alarmingly high, when compared to non-Latino White children. Low-income Latino parents living in urban areas, even if they are well-educated, face obstacles that shape familial health behaviors. This study used qualitative methods to explore parents’ experiences in providing meals and opportunities to play to their children aged 2 to 5 years. In contrast to most prior studies, this study examined perceptions of familial behaviors among both mothers and fathers.

Methods

An ecological framework for exploring the associations of parental feeding behaviors and children’s weight informed this study. An interview guide was …

Cognitive And Neural Consequences Of Memory Suppression In Major Depressive Disorder, M. D. Sacchet, Benjamin Levy, J. P. Hamilton, A. Maksimovskiy, P. T. Hertel, J. Joormann, Michael C. Anderson, A. D. Wagner, I. H. Gotlib

Psychology

Negative biases in cognition have been documented consistently in major depressive disorder (MDD), including difficulties in the ability to control the processing of negative material. Although negative information-processing biases have been studied using both behavioral and neuroimaging paradigms, relatively little research has been conducted examining the difficulties of depressed persons with inhibiting the retrieval of negative information from long-term memory. In this study, we used the think/no-think paradigm and functional magnetic resonance imaging to assess the cognitive and neural consequences of memory suppression in individuals diagnosed with depression and in healthy controls. The participants showed typical behavioral forgetting effects, but …

Mid-Atlantic Ethics Committee Newsletter, Winter 2017

Mid-Atlantic Ethics Committee Newsletter

No abstract provided.

Lead Poisoning In Scott County: Seeking Advice From Their “Sister City", Caitlin Slone, Palisha Ranjit, Elizabeth Farwell, Rachel Haecherl, Christine Golaszewski

2016-2017: Scott County, Iowa and the Scott County Health Department

No abstract provided.

Marshalltown - Marshall County, Iowa, Emily Anderson, Emma Nordmeyer, Kaitlyn Cline, Moira Dunn, Olivia Mayer, Teresa Ramont

2016-2017: Scott County, Iowa and the Scott County Health Department

No abstract provided.