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Donut Hole Summer 2018, Medicare Donations & Design Committee

Donut Hole Newsletter

No abstract provided.

An Exploration Of Factors That Contribute To The High Attrition Rate Of African American Nursing Students, Shanell Hill

ETD Archive

Although African Americans represent the largest minority group, studies show they have the lowest success rates in nursing programs. According to the AACN (2013), “African American nursing students have the lowest graduation rate when compared to other minority groups.” The lack of minorities providing care negatively effects healthcare outcomes and accessibility. In order to increase the number of practicing African Americans nurses, it is essential to gain an understanding of the circumstances that lead to successes and failures. The purpose of this qualitative, phenomenological research study is to provide insight into the positive and negative experiences of African American nursing …

Normative Data For The Poreh Naming Test, Grace Ozinga

ETD Archive

The present study describes the development of a novel confrontational naming test for the assessment of word finding and language abilities, and also serves as a tool for the assessment of effort. The test is comprised of two portions. The first portion consists of 40 colored drawings of day to day objects and is aimed at assessing verbal abilities, particularly word finding deficits. The second portion also involves the presentation of 40 colored drawings, each drawing comprised of the original object that was previously presented and two distractors, objects that were not previously presented. The present study aims to evaluate …

Investigating The Electrophysiology Of Long-Term Priming In Spoken Word Recognition, Erin K. Bell

ETD Archive

When participants are listening to the same words spoken by different talkers, two types of priming are possible: repetition priming and talker-specific priming. Repetition priming refers to the exposure of a stimulus improving responses to a subsequent exposure. Talker-specific priming refers to the exposure of words spoken by same talkers improving responses relative to those same words spoken by different talkers. There are conflicting theories regarding whether talker-specific priming should be observed. Abstract representational theories suggest that episodic details (e.g., talker identity) are not stored in the mental lexicon, while episodic theories of the lexicon posit that lexical representations include …

The Moderating Role Of Emotion Regulation In The Relationship Between Stress And Inflammatory Bowel Disease Severity Among Diagnosed Individuals, Sarah M. Ghose

ETD Archive

This study examined whether both perceived and objectively rated chronic stress are contributing external factors to altered Inflammatory Bowel Disease (IBD) disease severity among diagnosed individuals. This study further examined whether emotion regulation (ER) acts as an ameliorative factor within this relationship. Of additional interest to this investigation was whether objectively rated stress (acquired via the UCLA Life Stress Interview) provided a unique contribution to this relationship. Recent investigations suggest that higher levels of perceived stress may result in increased IBD severity. Further, ER deficits may be associated with increased IBD disease activity in response to both chronic and perceived …

The Usefulness Of The Poreh Nonverbal Memory Test For The Assessment Of Response Bias, Marina Barboza

ETD Archive

In the field of neuropsychology, there is a need for reliable measures that assess for both memory and effort (response bias). A sample of college students were instructed to feign memory deficits. They were administered two well established measures of response bias, the Test of Memory Malingering (TOMM) and the Reliable Digits Span (RDS), as well as the Poreh Nonverbal Memory Test (PNMT). The study shows that all of the three measures were able to identify students who were coached to demonstrate memory deficits. A more detailed analysis showed that the TOMM and the PNMT produced higher sensitivity and specificity …

Drughelp.Care – A Web Application For The Discovery Of Drug Addiction Treatment Facilities, Sachin Hiriyanna

ETD Archive

One of the current and biggest problems in the system of emergency care for the drug overdose epidemic, is the failure of information delivery on nearby treatment facilities. Even though some initiatives on the internet tried to solve this issue, they either failed in delivering the information or in providing ease of usability. This thesis research aims to develop a web application which, 1. Delivers a highly accurate, easy-to-understand and targeted information in a timely manner for drug abusers and their well-wishers. 2. Provides an eco-system for the treatment facilities with an easy-to-use backend to constantly update their complex information …

A Mixed-Method Examination Of Patient Perceptions Of Ideal Physician Behavior And Overall Quality Of Care, Megan Rouse

Honors Program Theses

The present study examined three dimensions of physician characteristics and behaviors (knowledge, communication, and compassion) to better understand how patients perceive physicians and overall quality of care. This mixed-methods approach utilized both close- and open-ended survey questions to assess participants’ relationship with their physicians. In addition, participants wrote stories to describe best and worst experiences with physicians. Giving participants the opportunity to write stories in their own words allowed for a more nuanced understanding of the complexity of patients’ experiences, physician characteristics, and perceptions of overall quality of care. Results indicated that patients perceive physicians who are good communicators as …

El Salvador: Zika Virus, Annalia Fowler

Global Public Health

One of the current issues in El Salvador at the moment is the outbreak of Zika virus and the lack of understanding where it came from. Zika virus affects the population in many different ways. One of the most important ways that it affects the population is that it causes birth defects such as microcephaly and fetal death. In a country that already has a declining birth rate this could soon have grave effects on the population. As of right now El Salvador is working on an educational approach to stop the spread of the disease, as there is no …

Greece: Infection, Joshua Teets

Global Public Health

Greece is a country that has shaped the western world’s architecture, societies, and governments. They also seem to have some of the greatest internal issues of developed countries in the world with the recent refugee crisis stemming from the Middle East. Greece, a country which already experiences many financial issues, is left with a huge lack of resources and staff to accommodate even their own population. With the lack of health resources and nurses, many short-cuts have led to an unprecedented amount of infection related deaths from the country that created Western Civilization. This brief discusses the causes of these …

Rwanda: Hiv/Aids, Alissa Anderson

Global Public Health

Rwanda is a small country in Africa. Rwanda has had many conflicts within its borders with wars, genocide, and disease. One of Rwanda’s current threats is HIV/AIDS. This disease is spreading through its population, and making it easier for other diseases; such as hepatitis and tuberculosis, to spread as well. Rwanda is a country that is putting into effect many efforts to decrease its HIV/AIDS population by means of education, campaigns, and treatments regarding the disease. In this article, I use peer reviewed and reliable articles to show the past and current issues that Rwanda has to face with the …

Venezuela Public Health Issue, Luke Vargas

Global Public Health

While every country around the world faces a form of public health issues, the issues that the country of Venezuela faces are different. Their public health problem is not a disease that can be solved by science, or a cure. It’s a problem that can only be solved by the people within the county itself. The country of Venezuela now lacks the proper medical supplies needed to help cure diseases and normal vaccinations, and the only ones to blame is their government. Because their government has now refused to pay their debts to the surrounding countries they have now lost …

Microcephaly, Christianne E. Albers

Global Issues in Public Health

Microcephaly is a noncommunicable condition causing the head of an infant to be smaller than what is typical. Microcephaly can cause delays in developmental milestones and/or can cause other conditions such as epilepsy, cerebral palsy, learning disabilities, hearing loss and vision problems. Microcephaly is found more frequently in certain populations of the world than others, specifically those with an increased number of cases with Zika virus. Women need to take preventative measures to ensure their unborn child is safe from the Zika virus. The Zika virus is not the only way microcephaly can occur. Many other causes like exposure to …

Cuba: Coronary Heart Disease, Michaela Loizzi

Global Public Health

Cuba has a strong health care system with universal health care for their citizens over 40 years old. Despite the strong health care system Cuba lacks the resources necessary to treat coronary heart disease, the leading cause of death in the country. The country’s whole population is affected by coronary heart disease however the most affected is the lower class due unaffordable treatment. The primary causes of coronary heart disease includes their daily lifestyle such as, physical inactivity, diet, and excessive smoking. It is important to note that the major factors in Cuba leading to coronary heart disease are all …

Roles Of Anti-Inflammatory Drugs And Systemic Inflammation In Neurovascular Coupling On Rodent, Jinsung Dho, Jiwon Ha, Hye Jin Park, Minah Suh

Summer Research

It is widely known that increased level of neuronal activity stimulates an inflammatory response in the brain and periphery tissue. A coordinated activity of the NVU cells such as microglia and astrocytes is necessary to regulate local inflammation in brain tissue. Recently, there is growing evidence that the NVU to be affected by the loss of Blood-brain barrier (BBB) integrity and permeability in neurodegenerative diseases (e.g. AD and ALS) as a result from the long-term effects of neuroinflammation1 . In other words, any signaling used to elicit NVC during inflammation must pass through the BBB. Also, current findings have shown …

Structural Parameters Of Mnd Measured By X-Ray Diffraction, Daniel J. Kuiper, Paul Harper

Summer Research

In our lungs, there are lipids and lung proteins that work together to allow us to breathe. The proteins are known to encourage non-lamellar phases in lipids, but the function of this property for letting us to breathe is not well understood. The aim of my research was to qualify the behavior of the lipid MNd without any lung protein to allow for a comparison between the effects when formed naturally and when formed with lung protein to give a better understanding of what the protein is doing. Below is a diagram of an MNd molecule. In the presence of …

The Impact Of Neonatal Pain And Reduced Maternal Care On Brain And Behavioral Development, Sean Michael Mooney-Leber

Wayne State University Dissertations

In the neonatal intensive care unit (NICU) preterm infants are exposed to a multitude of stressors, which include both neonatal pain and reduced maternal care. Clinical and preclinical research has demonstrated that exposure to neonatal pain and reduced maternal care has a profound negative impact on brain and behavioral development. Currently, the biological mechanism by which both of these stressors impacts brain and behavioral outcomes remains widely unknown. To uncover a potential biological mechanism, the current dissertation project utilized a preclinical model of repetitive needle pokes and developed a novel model of reduced maternal care through tea-ball encapsulation. Briefly, rat …

Kilovoltage Intensity Modulated Radiotherapy, Brian Loughery

Wayne State University Dissertations

Contrast enhanced kilovoltage radiotherapy could be a significant improvement over the standard of care in glioblastoma multiforme, but its potential benefit has been hindered by fears of insufficient dose falloff, high skin and skull dose, contrast delivery concerns, and high cost. This dissertation aims to address the validity of these fears.

Contrast delivery concerns are examined by assuming that sufficient dose can be safely delivered to the tumor. Iodine, gadolinium, and gold nanoparticle biological effect and delivery research is examined and the ideal contrast delivery methods are reported. Dose falloff and skull dose are then investigated through treatment planning and …

Data-Driven Modeling For Decision Support Systems And Treatment Management In Personalized Healthcare, Milad Zafar Nezhad

Wayne State University Dissertations

Massive amount of electronic medical records (EMRs) accumulating from patients and populations motivates clinicians and data scientists to collaborate for the advanced analytics to create knowledge that is essential to address the extensive personalized insights needed for patients, clinicians, providers, scientists, and health policy makers. Learning from large and complicated data is using extensively in marketing and commercial enterprises to generate personalized recommendations. Recently the medical research community focuses to take the benefits of big data analytic approaches and moves to personalized (precision) medicine. So, it is a significant period in healthcare and medicine for transferring to a new paradigm. …

A Study Inquiry Of The Impact Of The Mother-Daughter Relationship With Teen Pregnancy, Klarissa Zeno

Undergraduate Research Posters 2018

The relationship a teenage girl and her mother hold is vital in the outcome and the decisions the teen makes. This relationship is influenced by many different things including communication patterns the mother and teen have. The aim of this study is to look at the way the two communicate throughout the teen years of the daughter to see if there is an association with whether or not the teen becomes pregnant. Teen pregnancy has been an obstacle many girls have had to face during their adolescent years. This is due to the numerous teenagers that are sexually active during …

Learning To Do In Vivo Neural Responses In Mice, Timothy Mogan, Justin Wobser, Riley Raulhammer, Tyler Erker

Undergraduate Research Posters 2018

Timothy Mogan, Tyler Erker, Riley Faulhammer and Justin Wobser were the target students for this stereotaxic neurosurgery and electrophysiology lab experience. They are Pre-Nursing, Pre-Neuroscience (Pyschology) or Pre-Med majors. This richly educational and hands-on investigation significantly enhanced their confidence and experience in RODENT HANDLING, ANESTHESIA, ELECTROPHSYIOLOGY, PERFUSION, BRAIN REMOVAL and GENERAL LAB SKILLS. An animal use protocol was created for the project under the guidance of the Mentors and the students followed it competently. Students completed CITI online animal research training and animal handling training was provided by Lou Turchyn, DVM. Animals for the research were generously donated by Dr. …

Development Of A Controlled Harness System To Increase Flexibility In Balance Testing And Training, Kimmie Berkovich, Emily Meisterheim

Undergraduate Research Posters 2018

Falling can be a life-threatening event, especially for older adults. Clinicians use balance training to reduce fall incidents in at-risk individuals. There are various forms of balance training, and they often employ a harness system to prevent patient injury. Current harness systems are capable of supporting a percentage of an individual’s body weight and catching people in the midst of falling, and some may even perform both of these functions. However, injury can still be incurred from using a harness, particularly among the frail elderly. This lab has developed a new, controlled harness system that will be able to perform …

Reading-Related Phonological Processing Interventions For Individuals Who Use Augmentative And Alternative Communication (Aac): A Systematic Review Of The Research, Christina K. Grecol, Emily A. Sternad, Vonesa Demiri, Nina G. Pukys, Amy Roth, Katherine Kasunick, Kaili Smith

Undergraduate Research Posters 2018

The purpose of this investigation was to conduct a systematic review to determine the effectiveness of reading-related phonological processing interventions designed to meet the needs of individuals with complex communication needs (CCN) who require augmentative and alternative communication (AAC). An extensive review of the literature published from 1980 to June of 2018 that included intervention on readingrelated phonological processing skills including phonological awareness (e.g., rhyming, segmentation, blending), letter-sound correspondences, and single-word decoding was conducted using a variety of electronic and table of contents searches. A total of 22 intervention studies (24 experiments) involving 93 individuals met criteria for inclusion and …

Strategies To Combat Opioid Use In Rural Communities, John A. Gale Ms

Mental Health / Substance Use Disorders

Webinar presentation discussing

• Opioid use across rural settings
• Drivers of rural opioid use
• Burden of opioid use in rural communities
• Evidence-based prevention, treatment, and recovery strategies to address rural opioid use

50 Ways To Save Your Heart, David S. Schade, R. Philip Eaton

Faculty Book Display Case

If you want to place a winning bet, bet that heart disease will kill you. Yes, you. Why? Because heart disease kills more people in the U.S. than any other disease, including cancer. We want to reverse that bet and save your life. How? You need to read this book and follow its simple recommendations. Many people have already jumped on the bandwagon and defied the probability of dying from heart disease. This book gives you the easy tools to do just that. Prevention costs practically nothing and you don’t have to give up anything. You only have to eat …

Mucosal Antibody Responses To Vaccines Targeting Siv Protease Cleavage Sites Or Fulllength Gag And Env Proteins In Mauritian Cynomolgus Macaques, Hongzhao Li, Yan Hai, So-Yon Lim, Nikki Toledo, Jose Crecente-Campo, Dane Schalk, Lin Li, Robert W. Omange, Tamara G. Dacoba, Lewis R. Liu, Mohammad Abul Kashem, Yanmin Wan, Binhua Liang, Qingsheng Li, Eva Rakasz, Nancy Schultz-Darken, Maria J. Alonso, Francis A. Plummer, James B. Whitney, Ma Luo

Nebraska Center for Virology: Faculty Publications

HIV mutates rapidly and infects CD4⁺ T cells, especially when they are activated. A vaccine targeting conserved, essential viral elements while limiting CD4⁺ T cell activation could be effective. Learning from natural immunity observed in a group of highly HIV-1 exposed seronegative Kenyan female sex workers, we are testing a novel candidate HIV vaccine targeting the 12 viral protease cleavage sites (PCSs) (the PCS vaccine), in comparison with a vaccine targeting full-length Gag and Env (the Gag/Env vaccine) in a Mauritian cynomolgus macaque/SIV model. In this study we evaluated these vaccines for induction of mucosal antibodies to SIV …

Pediatric Normothermia During Surgery, Shayna Marie Fleming

All Electronic Theses and Dissertations

Abstract: Background: The World Health Organization estimated the number of surgical procedures for 2012 to be 312.9 million around the world (Weiser et al., 2016). Children may be at an elevated risk of hypothermia in the perioperative environment due to their size and inconsistent use of nursing interventions. Maintaining normothermia during surgery is vital, but practices between organizations and even nursing staff can affect hypothermia rates. Research has found that even mild hypothermia can increase the incidence of surgical site infections, the need for oxygen, adverse cardiac events, blood loss, changes in medication absorption, and impaired wound healing (Rosenberger, Politano, …

Children's Mercy Annual Report 2018, Children's Mercy Hospital

Children's Mercy Annual Reports

Annual report for The Children's Mercy Hospital in Kansas City MO, a pediatric medical center.

Equity & Diversity Report 2017, Children's Mercy Hospital

Equity & Diversity Annual Reports

A report on equity and diversity at Children's Mercy Hospitals & Clinics, in the care it provides, the people it serves, and in its workforce. Specifically discusses the Equity & Diversity Council, The Office of Equity and Diversity, Community Engagement, Care Delivery and Supportive Mechanisms, Patient-Provider Communication, Workforce Diversity and Inclusion, Leadership, Research, Public Accountability and Quality Improvement, and Education and Training.

2017 Community Benefit Summary, Children's Mercy Hospital

Community Benefits

Infographic of the community benefit provided by Children's Mercy Kansas City