Medicine and Health Sciences Commons^™

Developing And Implementing A Multisource Feedback Tool To Assess Competencies Of Emergency Medicine Residents In The United States., J. Lamantia, L. M. Yarris, K. Sunga, M. Weizberg, D. Hart, G. Farina, E. Rodriguez, R. Lucas, Z. Mahmooth, J. Lockyear, +1 Additional Author

Journal Articles

Objectives: Multisource feedback (MSF) has potential value in learner assessment, but has not been broadly implemented nor studied in emergency medicine (EM). This study aimed to adapt existing MSF instruments for emergency department implementation, measure feasibility, and collect initial validity evidence to support score interpretation for learner assessment. Methods: Residents from eight U.S. EM residency programs completed a self-assessment and were assessed by eight physicians, eight nonphysician colleagues, and 25 patients using unique instruments. Instruments included a five-point rating scale to assess interpersonal and communication skills, professionalism, systems-based practice, practice-based learning and improvement, and patient care. MSF feasibility was measured …

Neurovascular Unit Dysfunction And Blood-Brain Barrier Hyperpermeability Contribute To Schizophrenia Neurobiology: A Theoretical Integration Of Clinical And Experimental Evidence, S. Najjar, S. Pahlajani, V. De Sanctis, J. N.H. Stern, A. Najjar, D. Chong

Journal Articles

No abstract provided.

Using Objective Structured Teaching Encounters (Ostes) To Prepare Chief Residents To Be Emotionally Intelligent Leaders, S. A. Cerrone, P. Adelman, S. Akbar, A. C. Yacht, A. Fornari

Journal Articles

No abstract provided.

Microtubule-Targeting Agents Can Sensitize Cancer Cells To Ionizing Radiation By An Interphase-Based Mechanism, D. Markowitz, G. Ha, R. Ruggieri, M. Symons

Journal Articles

No abstract provided.

Repurposing Mebendazole As A Replacement For Vincristine For The Treatment Of Brain Tumors, M. De Witt, A. Gamble, D. Hanson, D. Markowitz, C. Powell, S. Al Dimassi, M. Atlas, J. Boockvar, R. Ruggieri, M. Symons

Journal Articles

No abstract provided.

Characterization, Regulation, And Targeting Of Erythroid Progenitors In Normal And Disordered Human Erythropoiesis, B. M. Dulmovits, J. Hom, A. Narla, N. Mohandas, L. Blanc

Journal Articles

No abstract provided.

Unraveling Macrophage Heterogeneity In Erythroblastic Islands, K. G. Seu, J. Papoin, R. Fessler, J. Hom, G. Huang, N. Mohandas, L. Blanc, T. A. Kalfa

Journal Articles

No abstract provided.

Levodopa-Induced Abnormal Involuntary Movements Correlate With Altered Permeability Of The Blood-Brain-Barrier In The Basal Ganglia, R. P. Lerner, V. Francardo, K. Fujita, Z. Bimpisidis, V. A. Jourdain, C. C. Tang, S. L. Dewey, T. Chaly, M. A. Cenci, D. Eidelberg

Journal Articles

© 2017 The Author(s). Chronic levodopa treatment leads to the appearance of dyskinesia in the majority of Parkinson's disease patients. Neurovascular dysregulation in putaminal and pallidal regions is thought to be an underlying feature of this complication of treatment. We used microPET to study unilaterally lesioned 6-hydroxydopamine rats that developed levodopa-induced abnormal involuntary movements (AIMs) after three weeks of drug treatment. Animals were scanned with [15O]-labeled water and [18F]-fluorodeoxyglucose, to map regional cerebral blood flow and glucose metabolism, and with [11C]-isoaminobutyric acid (AIB), to assess blood-brain-barrier (BBB) permeability, following separate injections of levodopa or saline. Multitracer scan data were acquired …

Nicotinic Acetylcholine Receptor-Mediated Protection Of The Rat Heart Exposed To Ischemia Reperfusion, S. A. Mavropoulos, N. S. Khan, A. C. J. Levy, B. T. Faliks, C. P. Sison, V. A. Pavlov, Y. Zhang, K. Ojamaa

Journal Articles

No abstract provided.

Conventional Early Infant Diagnosis In Lesotho From Specimen Collection To Results Usage To Manage Patients: Where Are The Bottlenecks?, Appolinaire Tiam, Michelle M Gill, Heather J Hoffman, Anthony Isavwa, Mafusi Mokone, Matokelo Foso, Jeffrey T Safrit, Lynne M Mofenson, Thorkild Tylleskär, Laura Guay

Epidemiology Faculty Publications

INTRODUCTION: Early infant diagnosis is an important step in identifying children infected with HIV during the perinatal period or in utero. Multiple factors contribute to delayed antiretroviral treatment initiation for HIV-infected children, including delays in the early infant HIV diagnosis cascade.

METHODS: We conducted a retrospective study to evaluate early infant diagnosis turnaround times in Lesotho. Trained staff reviewed records of HIV-exposed infants (aged-6-8 weeks) who received an HIV test during 2011. Study sites were drawn from Highlands, Foothills and Lowlands regions of Lesotho. Central laboratory database data were linked to facility and laboratory register information. Turnaround time geometric means …

Social Media And Sexual Behavior Among Adolescents: Is There A Link?, Megan Landry, Monique M. Turner, Amita N. Vyas, Susan Wood

Prevention and Community Health Faculty Publications

Background: Adolescent sexual risk taking and its consequences remain a global public health concern. Empirical evidence on the impact that social media has on sexual health behaviors among youth is sparse.

Objective: The study aimed to examine the relationship between social media and the change in sexual risk over time and whether parental monitoring moderates this relationship.

Methods: This study comprised a sample of 555 Latino youth aged 13-19 years from Maryland, United States completing baseline and follow-up surveys. Mixed-effects linear regression was used to examine the relationship between social media and the change in sexual risk over time and …

Peritoneal Mesothelioma In A Young Woman: Case Report Of Radiopathologic Findings And Review Of The Literature, Amy L Ellenbogen, Stephanie Barak, Esma A. Akin

Radiology Faculty Publications

Peritoneal mesothelioma is a rare diagnosis most often seen in middle-aged men and exceedingly rarely in individuals in their teens and twenties. Diagnosis is often delayed secondary to nonspecific presenting symptoms and a misconception that there must be a history of asbestos exposure to garner such a diagnosis. Here, we present the case of a 21 year-old female with a histologically confirmed diagnosis of peritoneal mesothelioma and review the key radiologic and histologic findings of this rare diagnosis.

Hiv-Care Access Among People With Incarceration Experience In St. Petersburg, Russia, Monica S. Ruiz, Robert Heimer, Olga Levina, N. Badosova, V. Rassokhin, A. Belyakov, N. Belyakov

Prevention and Community Health Faculty Publications

Background: Little is known about the clinical care experiences of HIV-infected persons in St. Petersburg who have experience with incarceration. To address this question, we conducted a capture-recapture study to identify individuals who had been diagnosed with HIV infection while incarcerated and who subsequently presented for medical care in St. Petersburg, Russia following release from prison.

Methods: We matched 292 HIV-positive prisoners tested by the prison system in 2010 to the medical records at the St. Petersburg AIDS Center in the following 4 years.

Results: The data analysis shows that as many as half of HIV+ prisoners fail to seek …

Addictions Content Published In Counseling Journals: A 10-Year Content Analysis To Inform Research And Practice, Edward Wahesh, S. Elizabeth Likis-Werle, Regina R. Moro

Counselor Education Faculty Publications and Presentations

This content analysis includes 210 articles that focused on addictions topics published between January 2005 and December 2014 in the journals of the National Board for Certified Counselors (NBCC), Chi Sigma Iota (CSI), the American Counseling Association (ACA), and ACA member divisions. Results include the types of addictions content and behaviors studied as well as the populations and data analytic techniques used in the addictions research articles. Whereas most articles discussed addictions counseling techniques, addictions issues among non-clinical populations, and professional practice issues, fewer articles addressed clients in treatment, utilized clinical populations, or analyzed intervention outcomes. Implications for addictive behaviors …

Life History Of Ladonna Bannach, Otr/L, Kelsey Raymond, Shelby Wassink

Oral History Posters

The purpose of the project is to gather information about the history and evolution of occupational therapy (OT) practice in North Dakota and Wyoming through life histories of individuals who have been influential in developing OT in these two states. This study is intended to provide current and future generations of occupational therapists a view of the history and how occupational therapy practice has evolved from its inception to current practice. A life history approach was utilized to allow the focus to be on the participant’s involvement in the evolution of occupational therapy practice. The Kawa model was used as …

A Life History Of Jane Loscheider, Otr/L, Atp, Clt, Ndt, Sydney Person, Brooke Westrich

Oral History Posters

The purpose of this qualitative study was to gather information on individuals whom have contributed in expanding occupational therapy around the states of North Dakota, and Wyoming. The interview contained questions which helped to understand our individuals journey, and the contributions made to influence occupational therapy (OT) around the state of North Dakota. This project was completed through background research and a semi structured interview. The interview was audio recorded and then transcribed verbatim. Codes were then selected from what emerged from the data. The codes then were sorted into categories, themes, and a final assertion. The participant was selected …

Mosquitoes Transmit Unique West Nile Virus Populations During Each Feeding Episode, Nathan D. Grubaugh, Joseph R. Fauver, Claudia Rückert, James Weger-Lucarelli, Selene Garcia-Luna, Reyes A. Murrieta, Alex Gendernalik, Darci R. Smith, Doug E. Brackney, Gregory D. Ebel

Journal Articles: Epidemiology

Arthropod-borne viruses (arboviruses), such as Zika virus, chikungunya virus, and West Nile virus (WNV), pose continuous threats to emerge and cause large epidemics. Often, these events are associated with novel virus variants optimized for local transmission that first arise as minorities within a host. Thus, the conditions that regulate the frequency of intrahost variants are important determinants of emergence. Here, we describe the dynamics of WNV genetic diversity during its transmission cycle. By temporally sampling saliva from individual mosquitoes, we demonstrate that virus populations expectorated by mosquitoes are highly diverse and unique to each feeding episode. After transmission to birds, …

College Of Health Care Sciences Master Of Health Science Online Program 2017, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

The Perceptions Of Nsaid Use Among One Midwestern Diii Athletic Department, Robert E. Braun Dr., Kaylee Cialella, Shelley Payne Dr., William V. Harper, Joan Rocks Dr.

Health and Sport Sciences Faculty Scholarship

NSAIDs are commonly used among athletes for a variety of reasons. The purpose of this research is to gain insight on Division III athletes’view and opinions of NSAIDs. A survey was developed incorporating the Theory of Planned Behavior and distributed to all winter and spring athletic teams of one Midwestern Dill University. By utilizing the Theory of Planned Behavior, this study found attitude toward behavior as the strongest predictor of behavioral intention (p < .001), while both Perceived Behavioral control (p < .001) and Intention (p < .001) were statistically significant predictors of behavior. Another finding from the study was that athletes perceived less than 25% of their teammates as taking NSAIDs. Displaying the importance of an athlete s own personal values and opinions of NSAID use was the strongest predictor of intentions. Further assessment should include more athletes to get a better representation of the athletic department.

The Pathophysiology Of Sepsis: Early Recognition And Intervention In The Healthcare Setting, John Walsh

Nursing Student Class Projects (Formerly MSN)

Sepsis can affect anyone including the immunocompromised and those at both ends of the age spectrum. The implications for nursing care with an understanding of sepsis is paramount in providing optimal patient outcomes and reducing mortality. Advanced practice nurses should be familiar with the signs and symptoms of sepsis throughout its continuum and possess an understanding of its underlying pathophysiology. In the realm of anesthesia, the ability of the nurse anesthetist to recognize and competently manage the septic patient is imperative in promoting the best possible patient outcomes.

Clostridium Difficile, Ryan Osborn

Nursing Student Class Projects (Formerly MSN)

Clostridium Difficile infection (CDI) is an antibiotic resistant bacterium that is widely recognized and currently noted to be the "most common and costly healthcare associated infection in the United States" (Abt, McKenney & Pamer, 2016). The topic of CDI is important to discuss, as this infection can attack all patient populations especially those following antibiotic treatment. A disruption in a person's intestinal microbiota is known to place them at higher risk for CDI (Abt, McKenney & Pamer, 2016). Becoming infected with this bacterium leads to symptoms of diarrhea, bloating, belly pain, and occasionally fevers. The growing prevalence, antibiotic resistance associated …

Gastroesophageal Reflux Disease (Gerd), Kaitlyn Newkirk

Nursing Student Class Projects (Formerly MSN)

Gastroesophageal reflux disease is a commonly diagnosed disease process, affecting nearly 20% of the population. GERD can greatly hinder one’s quality of life. “Routine” surgical procedures can become potentially life threatening to those affected by this disease. Gastroesophageal reflux disease can lead to Barrett’s esophagus, and esophageal malignancy. The advance practice nurse is responsible for accurately diagnosing a patient with GERD to avoid these potentially fatal consequences. The APN must recognize and acknowledge risk factors for GERD, assisting the patient in altering modifiable risk factors. Treatment options must be individualized to each patient and may include solely medical management or …

Ards Pathophysiology, Lisa K. Bowman

Nursing Student Class Projects (Formerly MSN)

Acute respiratory distress syndrome (ARDS) is a condition that involves severe injury to the lung and was first identified during the Vietnam War. Continual research has been performed which has led to multiple treatment modalities. Some treatment modalities are viewed as controversial which proves that more research regarding ARDS needs completed in order to improve patient outcomes. Further education and investment in bedside interventions will continue to improve the clinical treatment and survival rates of affected patients.

Congestive Heart Failure (Chf), Kari Vance

Nursing Student Class Projects (Formerly MSN)

Heart failure affects almost six million Americans and is the leading cause of hospitalizations for patients older than 65 years, requiring more hospitalization than any type of cancer. Heart failure affects roughly two percent of the American population, and continues to be the most rapidly growing cardiac disease in the country (Parikh & Kadowitz, 2013). As stated, since this topic is of growing concern, and as our population ages, healthcare will continue to experience more patients experiencing heart failure as a condition. As clinicians manage patients with this condition, they will also have to consider the numerous other health factors …

Malignant Hyperthermia, Daniel Talbot

Nursing Student Class Projects (Formerly MSN)

Malignant Hyperthermia overview, signs and symptoms, pathophysiology, treatment, and implications for nursing care.

The Pathophysiology Of Acute Ischemic Stroke, Rahel Mitiku

Nursing Student Class Projects (Formerly MSN)

Abstract

This poster discusses the pathophysiology of Acute Ischemic Stroke (AIS) and the importance of timely intervention to minimize irreversible tissue damage. Ischemic stroke is characterized by the obstruction within a blood vessel supplying blood to the brain. The general population is not well informed as to the warning signs or symptoms of stroke, leading to substantial delays in emergency medical services. Recognizing the signs and symptoms of acute ischemic stroke in timely fashion is very important because the treatment window is very narrow. This author worked as a nurse at Interventional Radiology (IR); observing patients with AIS undergoing clot …

The Pathophysiological Process Of Sepsis, Stefane Adams

Nursing Student Class Projects (Formerly MSN)

Sepsis is a medical emergency and can be a life-threatening illness that results as a complication from a severe infection, which occurs when chemicals that have been released into the bloodstream by the body’s defense system work to fight off an infection (Mayo Clinic, 2016). Sepsis is one of the leading causes of deaths in patients in the hospital setting worldwide, becoming more common than breast and bowel cancer combined (Nursing Times, 2014). Sepsis can affect anyone; however it is more common in the elderly or in individuals with weaker immune systems. Health care providers (HCPs) must fully understand this …

Eosinophilic Esophagitis, Jacqueline Hill

Nursing Student Class Projects (Formerly MSN)

Eosinophilic esophagitis is newer autoimmune disease recognized by healthcare providers. This poster will include information on the pathophysiology of the disease process, treatment, nursing considerations, sign and symptoms, and diagnostic criteria. Patients with eosinophilic esophagitis are often misdiagnosed for years before treatment is started. This poster is to spread awareness of the disease process.

Hiv/Aids, Rachel Muir

Nursing Student Class Projects (Formerly MSN)

Human Immunodeficiency Virus (HIV) is a disease in which the virus attacks and depletes the CD4+ T cells leading to a weakened immune system in which a pMersin can no longer fight pathogens. This weakening of the person's immune system makes them more susceptible to opportunistic infections and malignancies (Coffin & Swanstrom, 2017). In the initial acute HIV infection period the person usually does not show symptoms but is highly infectious which can allow for transmission unknowingly (Center for Disease Control and PrevenBon, 2017). HIV can eventually progress to AIDS without treatment. Admission to the hospital can expose this person …

Health Literacy: Improving Patient Comprehension Of Dialysis Treatment Using A Low-Literacy Consent Form, Ava Cavanagh, Julie Moffitt

All Nursing Boot Camp Posters

No abstract provided.