Medicine and Health Sciences Commons^™

Registered Nurses’ Attitudes Towards Complementary And Alternative Medicine In Patients’ Healing, Chidozie Ibe

Nursing Theses and Capstone Projects

With the ever-growing popularity of complementary and alternative medicine (CAM) in the United States, patients may be using some of these therapies at home or may benefit from their use to help them heal from their symptoms and diseases. Registered nurses are in a great position to be able to assess patients for their use of CAM and provide necessary education. A review of literature found that nurses generally lacked adequate knowledge about CAM therapies. The purpose of this thesis study was to assess registered nurses’ attitudes towards CAM in regards to its role in patients’ healing, as attitudes often …

Nurse Manager Job Satisfaction And Retention, Ivy Renee Morton

Nursing Theses and Capstone Projects

The purpose of this study was to explore job satisfaction and retention of front line nurse managers. Retention of nurses in the workplace is a primary focus of health care systems. Helen Erickson, Evelyn Tomlin, and Mary Ann Swain’s Theory of Modeling and Role Modeling served as the theoretical framework for this study. The literature shows that there is prevalence of nurse manager job satisfaction and retention. A quantitative study was performed using 6-point Likert scale and the participants’ demographics to determine the level of job satisfaction, recommendation for nurse leadership as a career, and retention. Descriptive statistics were used …

Economic Models For Sustainable Interprofessional Education, Patricia A. Carney, David T. Bearden, Molly L. Osborne, Martha Driessnack, Curt C. Stilp, Judith Gedney Baggs, Jared P. Austin, Kristi Tonning, Jennifer Boyd

Faculty Publications - College of Medical Science

Limited information exists on funding models for interprofessional education (IPE) course delivery, even though potential savings from IPE could be gained in healthcare delivery efficiencies and patient safety. Unanticipated economic barriers to implementing an IPE curriculum across programs and schools in University settings can stymie or even end movement toward collaboration and sustainable culture change. Clarity among stakeholders, including institutional leadership, faculty, and students, is necessary to avoid confusion about IPE tuition costs and funds flow, given that IPE involves multiple schools and programs sharing space, time, faculty, and tuition dollars. In this paper, we consider three funding models for …

Cardiorespiratory Fitness And Mortality In Healthy Men And Women, Mary T. Imboden, Matthew P. Harber, Mitchell H. Whaley, W. Holmes Finch, Derron L. Bishop, Leonard A. Kaminsky

Faculty Publications - Department of Kinesiology

Background

There is a well-established inverse relationship between cardiorespiratory fitness (CRF) and mortality. However, this relationship has almost exclusively been studied using estimated CRF.

Objectives

This study aimed to assess the association of directly measured CRF, obtained using cardiopulmonary exercise (CPX) testing with all-cause, cardiovascular disease (CVD), and cancer mortality in apparently healthy men and women.

Methods

Participants included 4,137 self-referred apparently healthy adults (2,326 men, 1,811 women; mean age: 42.8 ± 12.2 years) who underwent CPX testing to determine baseline CRF. Participants were followed for 24.2 ± 11.7 years (1.1 to 49.3 years) for mortality. Cox-proportional hazard models were …

Peak Ventilation Reference Standards From Exercise Testing: From The Friend Registry, Leonard A. Kaminsky, Matthew P. Harber, Mary T. Imboden, Ross Arena, Jonathan Myers

Faculty Publications - Department of Kinesiology

Purpose: Cardiopulmonary exercise testing (CPX) provides valuable clinical information, including peak ventilation (V˙Epeak), which has been shown to have diagnostic and prognostic value in the assessment of patients with underlying pulmonary disease. This report provides reference standards for V˙Epeak derived from CPX on treadmills in apparently healthy individuals.

Methods: Nine laboratories in the United States experienced in CPX administration with established quality control procedures contributed to the Fitness Registry and the Importance of Exercise National Database from 2014 to 2017. Data from 5232 maximal exercise tests from men and women without cardiovascular or pulmonary disease were used to create percentiles …

Cardiorespiratory Fitness Measured From Cardiopulmonary Exercise Testing For Mortality Risk Prediction In Apparently Healthy Men And Women, Mary T. Imboden, Matthew P. Harber, W H. Finch, Derron L. Bishop, Mitchell H. Whaley, Leonard A. Kaminsky

Faculty Publications - Department of Kinesiology

Over the past three decades numerous studies have illustrated the inverse relationship between cardiorespiratory fitness (CRF) and mortality. However, this relationship has almost exclusively been studied using estimated CRF (CRFe), with known error of ± 3 to 7 ml/kg/min, with no studies assessing this association using directly measured CRF in both men and women that were apparently healthy at baseline testing.

The Impact Of Discharge Teaching On Copd Readmissions, Anita Lane Thurman

Nursing Theses and Capstone Projects

The purpose of this evidenced-based project was to answer the question: Does using a formalized discharge list identifying key educational topics regarding the patient’s disease process decrease readmission risk for COPD patients? This study used all COPD patients admitted over a two-week period who consented to receiving one-on-one detailed COPD education (n=33). Participants were provided education utilizing a COPD educational tool that addressed topics pertaining to the transition from the hospital back home, inhaler techniques and use, common questions to ask the provider before being discharged, smoking cessation, and identifying the warning signs of an exacerbation were among the few …

Improving Therapeutic Relationships Among Psychiatric Nursing Staff And Adolescent Patients, Carla Kay Cozart

Nursing Theses and Capstone Projects

This Doctor of Nursing Practice Project examined the effect of an evidence-based staff development education program on the attitudes and knowledge levels of nursing staff regarding the mentally ill adolescent patient population, for which they provide treatment and supervision. A convenience sample of 61 nursing staff members participated in the Improving Therapeutic Relationships among Psychiatric Nursing Staff and Patients project, with 74% of the available sample completing all project surveys. Descriptive statistics were used to compare the scores for the responses of participants to the Community Attitudes toward Mentally Ill (CAMI) pre and post-surveys. Concepts scored by this survey included: …

Developing Clinical Judgment Through The Implementation Of Information And Communication Technology, Such As The Electronic Healthcare Record (Ehr), Sherri Carter

Nursing Theses and Capstone Projects

Graduate nurses are expected to enter a technology-rich workforce with an understanding of the electronic health record (EHR) and how it is used to guide patient care. Limited access to EHRs in clinical settings may result in students entering professional practice with limited ability to understand the full potential of the EHR. Over a seven-week term, students enrolled in the Patient-Centered Care I course, during the 2018 Spring I term, participated in high-fidelity simulation and seminar activities that included an educational electronic healthcare record (EEHR). These activities were integrated into the course to guide students when making clinical decisions regarding …

Emergency Registered Nurses’ Perceptions Of Workplace Violence, Margarite Elsey

Nursing Theses and Capstone Projects

Workplace violence (WPV) is a significant issue in today’s healthcare field, especially for nurses in the emergency department. WPV is defined by action of verbal abuse, threats, disruptive behavior, harassment, intimidation and/or physical abuse, or assault (Stene, Larson, Levy, & Dohlman, 2015). Emergency Department (ED) registered nurses (RNs) are in a prime position to experience WPV due to the nature and purpose of the emergency room. To address effectively the problem of WPV against RNs in the ED, it is crucial first to understand how nurses in this setting perceive WPV from patients and/or visitors. In a Level I Trauma …

Simulation Outside The Silo: Allied Health Interprofessional Education Day To Improve Patient Outcomes, Eva Huneycutt Whitley

Nursing Theses and Capstone Projects

Since 2003, the World Health Organization (WHO) has identified working in interdisciplinary teams as a critical factor in providing patient-centered care. Simulationenhanced interprofessional education (Sim-IPE) has shown improved knowledge, skills, attitudes, and behaviors of teamwork required to improve patient outcomes. The purpose of this project was to determine whether a simulation-based interprofessional education day would improve these factors in senior allied health students in a small community college. The NLN Jeffries Simulation Theory was used as a theoretical framework for this project. The project administrator used the Interprofessional Socialization and Valuing Scale (ISVS) 9A pre-test to examine beliefs, behaviors, and …

Quality Improvement Of The Extended Antibiotic Infusion Administration Process, Patricia Averre

Nursing Theses and Capstone Projects

Dynamic issues associated with infection create unprecedented demands for quality healthcare improvements and modifications. Researchers found extended antibiotic infusions to be an effective treatment option with significant clinical benefits to patients and astounding cost savings. This scholarly project identified the emergence of several clinical issues threatening to undermine the intended patient responses to extended antibiotic infusion therapy in one large hospital system. Problem: Unrecognized infusion delays and short infusion durations created the need for an educational pilot initiative to improve the administration process of piperacillin/tazobactam on one nursing unit. Intervention: Nurses on the pilot unit received instruction regarding the pharmacodynamics …

The Role Of Antibiotic Therapy In The Treatment Of Small Bowel Bacterial Overgrowth In Pediatric Patients With Short Bowel Syndrome, Christina Heinzman

Doctor of Nursing Practice Program Projects

Short bowel syndrome is the congenital or surgical alteration of the small bowel resulting in a shorter than normal length of small bowel. This condition affects approximately 20,000 people in the Unites States and is diagnosed in 3-5 times per 100,000 live births annually. Patients with short bowel syndrome are at risk for the development of small bowel bacterial overgrowth, a serious consequence caused by overgrowth of bacteria in the small bowel resulting in symptoms of abdominal pain, abdominal distention, feeding intolerance, malabsorption, weight loss and increased risk of metabolic acidosis. Clinical studies assessing the role of antibiotic therapy in …

Statewide Cross-Sectional Survey Of Emergency Departments’ Adoption And Implementation Of The Ohio Opioid Prescribing Guidelines And Opioid Prescribing Practices, Jonathan Penm, Neil J. Mackinnon, Rebecca Mashni, Michael S. Lyons, Edmond A. Hooker, Erin L. Winstanley, Steve Carlton-Ford, Chloe Connelly, Erica Tolle, Jill Boone, Kathleen Koechlin, Jolene Defiore-Hyrmer

Faculty & Staff Scholarship

study objective: To evaluate the implementation of the Ohio Emergency and Acute Care Facility Opioids and Other Controlled Substances Prescribing Guidelines and their perceived impact on local policies and practice.

Methods: The study design was a cross-sectional survey of emergency department (ED) medical directors, or appropriate person identified by the hospital, perception of the impact of the Ohio ED Opioid Prescribing Guidelines on their departments practice. All hospitals with an ED in Ohio were contacted throughout October and November 2016. Distribution followed Dillman’s Tailored Design Method, augmented with telephone recruitment. Hospital chief executive officers were contacted when necessary to encourage …

Management Of Tipped And Impacted Mandibular Second Molars, Jung-Chun Yeh, Chien-Wei Chao, Yu-Tin Wu, Chih-Chen Chou, Chia-Tze Kao

Taiwanese Journal of Orthodontics

Congenitally missing of maxillary lateral incisor is one of the most common agenesis anomalies. The purpose of this review was to present the orthodontic treatment of choice for a malocclusion with missing maxillary lateral incisors. Treatment plans consi

A Cold-Inducible Rna-Binding Protein (Cirp)-Derived Peptide Attenuates Inflammation And Organ Injury In Septic Mice, F. Zhang, M. Brenner, W. Yang, P. Wang

Journal Articles

No abstract provided.

Correction: First Results On Survival From A Large Phase 3 Clinical Trial Of An Autologous Dendritic Cell Vaccine In Newly Diagnosed Glioblastoma [J Transl Med., 16, (2018) (142)] Doi: 10.1186/S12967-018-1507-6, L. M. Liau, K. Ashkan, D. D. Tran, J. L. Campian, J. E. Trusheim, C. S. Cobbs, J. A. Heth, M. Salacz, M. Schulder, M. L. Bosch, +10 Additional Authors

Journal Articles

© 2018 The Author(s). Following publication of the original article [1], the authors reported an error in the spelling of one of the author names. In this Correction the incorrect and correct author names are indicated and the author name has been updated in the original publication. The authors also reported an error in the Methods section of the original article. In this Correction the incorrect and correct versions of the affected sentence are indicated. The original article has not been updated with regards to the error in the Methods section.

From Bouveret's Syndrome To Gallstone Ileus: The Journey Of A Migrating Stone!, F. G. Haddad, W. Mansour, J. Mansour, L. Deeb

Journal Articles

Bouveret's syndrome, first described in 1896, is an unusual cause of gastric outlet obstruction secondary to large gallstone impaction in the proximal duodenum after migration through a cholecystoduodenal fistula. Stone migration has been previously described after endoscopic or surgical fragmentation. However, this is the first reported case, in our knowledge, where the stone migrated after oral contrast administration a few days after the onset of symptoms, causing a distal gallstone ileus.

Hereditary Diffuse Gastric Cancer: One Family's Story, H. M. Zylberberg, K. Sultan, S. Rubin

Journal Articles

No abstract provided.

Idiopathic Pancreatitis As A Rare Gastrointestinal Manifestation Of Myotonic Muscular Dystrophy., N. Kello

Journal Articles

Myotonic muscular dystrophy (DM) is a multi-system disorder affecting skeletal muscles as well as smooth and cardiac muscles. Patients with DM experience disturbances in gastrointestinal motility; however, pancreatobiliary manifestations have rarely been described. We report the case of a 58-year-old male with MD who presented with a sudden onset of vomiting and abdominal pain. Laboratory and radiological findings were consistent with acute pancreatitis. No identifiable cause of pancreatitis could be identified despite an extensive workup. Sphincter of Oddi dysfunction (SOD) was felt to be the most likely cause of our patient's acute pancreatitis. SOD leading to acute pancreatitis results from …

Synchronous Presence Of Egfr, Alk Driver Mutations Along With Pd L1 Overexpression In A Resected Early Stage Non-Small Cell Lung Cancer: A Case Report And Review Of Literature., N. Thumallapally, S. Parylo, A. Vennepureddy, U. Ibrahim, A. Sokoloff

Journal Articles

Treatment of lung cancer has been revolutionized with development of drugs that target key driver mutations and immune checkpoints. Until recently, it was believed that these driver mutations are mutually exclusive. However, few reports have emerged citing the presence of both mutations either synchronously or metachronously. We describe a case report of lung adenocarcinoma harboring two driver mutations in the same tumor cells as well as exhibiting high PDL1 expression. We further discuss the possible association of these driver mutations with PDL1 expression.

Targeting Dec-205(-)Dcir2(+) Dendritic Cells Promotes Immunological Tolerance In Proteolipid Protein-Induced Experimental Autoimmune Encephalomyelitis, I. Tabansky, D. B. Keskin, D. Watts, C. Petzold, M. Funaro, W. Sands, P. Wright, S. Najjar, B. Diamond, J. N. H. Stern, +4 Additional Authors

Journal Articles

No abstract provided.

The Role Of Genetics In Advancing Precision Medicine For Alzheimer's Disease-A Narrative Review., Y. Freudenberg-Hua, W. Li, P. Davies

Journal Articles

Alzheimer's disease (AD) is the most common type of dementia, which has a substantial genetic component. AD affects predominantly older people. Accordingly, the prevalence of dementia has been rising as the population ages. To date, there are no effective interventions that can cure or halt the progression of AD. The only available treatments are the management of certain symptoms and consequences of dementia. The current state-of-the-art medical care for AD comprises three simple principles: prevent the preventable, achieve early diagnosis, and manage the manageable symptoms. This review provides a summary of the current state of knowledge of risk factors for …

Farnesylation Of The Transducin G Protein Gamma Subunit Is A Prerequisite For Its Ciliary Targeting In Rod Photoreceptors, Celine Brooks, Joseph Murphy, Marycharmain Belcastro, Daniel Heller, Saravanan Kolandaivelu, Oleg Kisselev, Maxim Sokolov

Faculty & Staff Scholarship

Primary cilia are microtubule-based organelles, which protrude from the plasma membrane and receive a wide range of extracellular signals. Various cilia use G protein-coupled receptors (GPCRs) for the detection of these signals. For instance, vertebrate rod photoreceptors use their cilia (also called outer segments) as antennae detecting photons by GPCR rhodopsin. Rhodopsin recognizes incoming light and activates its G protein, transducin, which is composed of three subunits α, β, and γ. Similar to all G protein γ subunits, the transducin Gγ1 subunit undergoes C-terminal prenylation resulting in the addition of an isoprenoid farnesyl; however, the significance of this posttranslational modification …

Advancing Global Health Outcomes Through International Collaboration & Education, Olivia Catolico, Leandra Wallace, Jane Anyango, Kati Bell

Nursing | Faculty Conference Presentations

Study abroad opportunities for students are readily integrated into higher education. Curricular challenges exist for professional programs regulated by state & national accrediting bodies. However, mission driven values at the broader institutional level facilitate implementation of these learning opportunities.

Institutional learning outcomes at Dominican University foster intercultural understanding. Global education outcomes of Dominican University further delineate levels of intercultural competencies to be achieved through coursework and service. The Dominican Department of Nursing seeks to prepare nurses who are competent, culturally sensitive, & ethically grounded within a global community.

The Bwindi School of Nursing mission seeks to improve the health of …

Health Professions Division 2018-2019 Catalog, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Use Of An Optical Scanning Device To Monitor The Progress Of Noninvasive Treatments For Chest Wall Deformity: A Pilot Study, Robert E. Kelly Jr., Robert J. Obermeyer, Ann Kuhn, Frazier W. Frantz, Mohammad F. Obeid, Nahom Kidane, Frederic D. Mckenzie

Computational Modeling & Simulation Engineering Faculty Publications

Background: The nonsurgical treatment of chest wall deformity by a vacuum bell or external brace is gradual, with correction taking place over months. Monitoring the progress of nonsurgical treatment of chest wall deformity has relied on the ancient methods of measuring the depth of the excavatum and the protrusion of the carinatum. Patients, who are often adolescent, may become discouraged and abandon treatment. Methods: Optical scanning was utilized before and after the intervention to assess the effectiveness of treatment. The device measured the change in chest shape at each visit. In this pilot study, patients were included if they were …

Sex Disparities In St-Elevation Myocardial Infarction Care And Outcomes: A Global Systematic Metaanalysis, Ido Haimi

Yale Medicine Thesis Digital Library

Background: Cardiovascular disease is the leading cause of death worldwide. Outcomes of patients with ST-segment–elevation myocardial infarction (STEMI) have improved through widespread implementation of systems-of-care, yet sex disparities continue to be reported. A comprehensive, global study of sex disparities in contemporary STEMI care and outcomes has not been undertaken.

Objective: To examine whether sex differences in STEMI management and mortality outcomes persist worldwide and by geographic region.

Methods: A systematic PubMed literature search was performed using search terms “sex” or “gender” and “STEMI” for studies in English from 2000 to present reporting sex-based STEMI mortality. Articles with primary data on …

Resistance Training Volume Load With And Without Exercise Displacement, William Guy Hornsby, Jeremy A. Gentles, Paul Comfort, Timothy J. Suchomel

Faculty & Staff Scholarship

Monitoring the resistance training volume load (VL) (sets × reps × load) is essential to managing resistance training and the recovery–adaptation process. Subjects: Eight trained weightlifters, seven of which were at national level, participated in the study. Methods: VL was measured both with (VLwD) and without (VL) the inclusion of barbell displacement, across twenty weeks of training, in order to allow for comparisons to be made of these VL calculating methods. This consisted of recording the load, repetition count, and barbell displacement for every set executed. Comparisons were made between VL and VLwD for individual blocks of training, select training …

Clinical Perspectives On Incorporating Cardiorespiratory Fitness In Clinical Practice, Mary T. Imboden, Lynn A. Witty, Mitchell H. Whaley, Matthew P. Harber, Bradley S. Fleenor, Leonard A. Kaminsky

Faculty Publications - Department of Kinesiology

Cardiorespiratory fitness (CRF) has been documented as a strong, independent predictor of non-communicable disease and mortality in both clinical and apparently healthy populations. This well-established relationship has impelled organizations, including the American Heart Association, to release scientific statements highlighting the importance of accurate quantification of CRF. Current knowledge of the relationship between CRF and mortality is predominantly based on estimated CRF obtained from varying indirect methods. Cardiopulmonary exercise testing (CPX), the gold standard method of CRF measurement, provides a more accurate and reliable quantification of CRF compared to estimated methods. This review provides support for the diagnostic and prognostic use …