Medicine and Health Sciences Commons^™

A Phenomenological Research Study On The Treatment Experience Of Opioid Addicts: Exploring The Intrapersonal And Interpersonal Conflicts That Opioid Addicts Face During The Treatment Process, Nicole Marie Ouzounian

Department of Conflict Resolution Studies Theses and Dissertations

Opioid addiction is a physical, mental, and social issue. The insidious habits and behaviors acquired while living an addictive lifestyle are more powerful than human comprehension, and the training required to release these strongholds are extreme to say the least. Capturing the lived experiences of this process is needed to increase understanding of the development that leads to transformation from active addict to addict in recovery. This phenomenological research study on the treatment experience of opioid addicts used a qualitative approach to gain understanding of this phenomenon. For this study, 15 research participants were selected. Their ages ranged from 21 …

Healthcare Cost Savings Through Telemedicine Use At Correctional State Facilities, Sydney Davis, Paulius Mui, Tamara Broadnax, David Collins, Vimal Mishra

Graduate Research Posters

Telemedicine offers both soft and hard return on investment, including cost savings avoidance and convenience of access to care. Incarcerated individuals represent a patient population that uniquely benefit from receiving care via telemedicine. They lack access to subspecialty care as prison facilities are located outside of urban areas, which is compounded by security risks, risk to individuals around inmates, and transportation cost to tertiary care facilities. To attend a brief in-office medical visit, an inmate requires hours of administrative support and logistical coordination, including appointment scheduling, transport arrangement and related fuel expense, and guard accompaniment - all at a financial …

An Optimized Solid-Phase Reduction And Capture Strategy For The Study Of Reversibly-Oxidized Cysteines And Its Application To Metal Toxicity, John Andrew Hitron

Theses and Dissertations--Toxicology and Cancer Biology

The reversible oxidation of cysteine by reactive oxygen species (ROS) is both a mechanism for cellular protein signaling as well as a cause of cellular injury and death through the generation of oxidative stress. The study of cysteine oxidation is complicated by the methodology currently available to isolate and enrich oxidized-cysteine containing proteins. We sought to simplify this process by reducing the time needed to process samples and reducing sample loss and contamination risk.

We accomplished this by eliminating precipitation steps needed for the protocol by (a) introducing an in-solution NEM-quenching step prior to reduction and (b) replacing soluble dithiothreitol …

Incorporating Standardized Simulation Into The Clinical Academy, A Transition Into Practice (Tip) Program, Rachelle Reid

Books, Presentations, Posters, Etc.

Session Objectives:

• Describe evidence-based justification for incorporating simulation into Transition into Practice (TIP) programs
• Evaluate current simulation curriculum design and standardization process and compare with elements utilized by Providence St. Joseph Health
• Develop an outline for Transition into Practice simulation facilitator education and development

Integrative Review Of Mindfulness-Based Stress Reduction In Caregivers Of Cancer Patients, Trisha Saul

Books, Presentations, Posters, Etc.

No abstract provided.

Deep Convolutional Neural Networks Enable Discrimination Of Heterogeneous Digital Pathology Images, Pegah Khosravi, Ehsan Kazemi, Marcin Imielinski, Olivier Elemento, Iman Hajirasouliha

Publications and Research

Pathological evaluation of tumor tissue is pivotal for diagnosis in cancer patients and automated image analysis approaches have great potential to increase precision of diagnosis and help reduce human error.

In this study, we utilize several computational methods based on convolutional neural networks (CNN) and build a stand-alone pipeline to effectively classify different histopathology images across different types of cancer.

In particular, we demonstrate the utility of our pipeline to discriminate between two subtypes of lung cancer, four biomarkers of bladder cancer, and five biomarkers of breast cancer. In addition, we apply our pipeline to discriminate among four immunohistochemistry …

Mental Health - Family, Najma Motan

A with Honors Projects

Through research and interviews with mental health professionals at local facilities, this student seeks to discover the current state family therapy practice.

Altered Nutritional Function: Nutritional Support In The Pediatric Population, Gretchen Clavey

A with Honors Projects

This slide show introduces tube feeding to meet nutritional requirements for children with special needs.

Radial And Longitudinal Motion Of The Arterial Wall: Their Relation To Pulsatile Pressure And Flow In The Artery, Dan Wang, Linda Vahala, Zhili Hao

Mechanical & Aerospace Engineering Faculty Publications

The aim of this paper is to analyze the radial and longitudinal motion of the arterial wall in the context of pulsatile pressure and flow, and to understand their physiological implications for the cardiovascular system. A reexamination of the well-established one-dimensional governing equations for axial blood flow in the artery and the constitutive equation for the radial dilation of the arterial wall shows that two waves—a pulsatile pressure wave in the artery and a radial displacement wave in the arterial wall—propagate simultaneously along the arterial tree with the same propagation velocity, explaining why this velocity combines the physical properties and …

Oral Aversion And Your Child's Dental Health Brochure And Handout, Gretchen Clavey

A with Honors Projects

For this A with Honors project, the student created a a caregiver brochure and a healthcare provider fact sheet to address dental healthcare concerns for children with oral aversion issues.

Midtrimester Transvaginal Ultrasound Cervical Length In Diamniotic Twin Pregnancies According To Chorionicity, Amanda Roman, Gabriele Saccone, Carolynn M. Dude, Danielle A. Peress, Giuseppe Maria Maruotti, Andrew Ward, Hannah Anastasio, Lorraine Dugoff, Pasquale Martinelli, Vincenzo Berghella

Department of Obstetrics and Gynecology Posters

Objective

To compare the mean and additional midtrimester TVCL screening cut offs in monochorionic diamniotic (MC/DA) twins and dichorionic diamniotic (DC/DA) twins and to assess the relationship between the TVCL values and spontaneous preterm birth (SPTB).

Twin Pregnancies And Incidence Of Spontaneous Preterm Delivery Stratified By Chorionicity, Amanda Roman, Gabriele Saccone, Yury Cruz, Giuseppe Maruotti, Mohamed Satti, Pasquale Martinelli, Vincenzo Berghella

Department of Obstetrics and Gynecology Posters

Objective: To identify the incidence of spontaneous preterm birth (SPTB) and indications for delivery in women with twin pregnancy stratified by chorionicity (monochorionic diamniotic and dichorionic diamniotic pregnancy).

Study Design: Multicenter retrospective cohort of all consecutive twin gestations from 2010 to 2017. They were stratified by chorionicity monochorionic diamniotic and dichorionic diamniotic pregnancy: Primary outcome was SPTB < 37 weeks. Secondary outcome was SPTB at <34, 32, and <28 weeks, gestational age at delivery and indications for delivery: maternal and fetal. Analysis: t-test, Fisher’s exact test and multivariable logistic regression.

Results: 510 women with twin pregnancies were identified. 158 (30.9%) were monochorionic diamniotic pregnancies, and 352 (69.0%) were dichorionic pregnancies. The gestational age at delivery was significantly shorter in the monochorionic compared to the dichorionic group of about 2 weeks (MD -2.20 weeks, …

Impact Of New “Triple I” Classification On The Incidence Of Clinical Chorioamnionitis And Antibiotic Use In Neonates, Amanda Roman, Yury Cruz, Amy J. Sloane, David Carola, Dorothy Mcelewee, Vincenzo Berghella, Zubair H. Aghai

Department of Obstetrics and Gynecology Posters

Objective

To evaluate the impact of the new classification “Triple I” on the incidence of chorioamnionitis during labor, need of antibiotics and diagnosis of neonatal sepsis.

Maternal Activity Level In Patients With Preterm Premature Rupture Of Membranes: A Prospective Observational Cohort Study, Amanda Roman, Nathan Watters, Denise Moses, Jenny Reisner, Andrea French, Alexis Gimovsky, Caroline Pessel, Burton Rochelson, Neil Seligman, Vincenzo Berghella

Department of Obstetrics and Gynecology Posters

Objective: To evaluate the level of maternal physical activity effect on the perinatal outcomes of women with preterm premature rupture of membranes (PPROM)

Study Design: This is a pilot, prospective, observational multicenter cohort study. We approached patients admitted between 23 0/7 weeks to 32 0/7 weeks gestation with confirmed PPROM between January of 2014 and June of 2017 All patients received corticosteroids and latency antibiotics. Enrollment was done on third day of admission. Delivery occurred at 34 weeks per protocol via induction of labor or cesarean section as obstetrically indicated; or sooner if chorioamnionitis was diagnosed or spontaneous preterm labor …

Predictors Of Preterm Birth After Physical Exam Indicated Cerclage In Singleton Pregnancies, Amanda Roman, Gabriele Saccone, Sarah Pachtman, Yury Cruz, Burt Rochelson, Adiel Fleischer, Pasquale Martinelli, Vincenzo Berghella

Department of Obstetrics and Gynecology Posters

Objective

To evaluate the predictors of preterm birth <32 weeks in women that underwent physical exam indicated cerclage (PEIC) in singleton pregnancy.

A Review And Selective Analysis Of 3d Display Technologies For Anatomical Education, Matthew Hackett

Electronic Theses and Dissertations

The study of anatomy is complex and difficult for students in both graduate and undergraduate education. Researchers have attempted to improve anatomical education with the inclusion of three-dimensional visualization, with the prevailing finding that 3D is beneficial to students. However, there is limited research on the relative efficacy of different 3D modalities, including monoscopic, stereoscopic, and autostereoscopic displays. This study analyzes educational performance, confidence, cognitive load, visual-spatial ability, and technology acceptance in participants using autostereoscopic 3D visualization (holograms), monoscopic 3D visualization (3DPDFs), and a control visualization (2D printed images). Participants were randomized into three treatment groups: holograms (n=60), 3DPDFs (n=60), …

Novel Extra-Thoracic Vats Minimally Invasive Technique For Management Of Multiple Rib Fractures., Natalie N Merchant, Osita Onugha

Articles, Abstracts, and Reports

We report an elderly patient with chronic obstructive pulmonary disease (COPD), Alzheimer's disease and early dementia who presented with multiple displaced rib fractures of left ribs 4 through 9 with flail segments of ribs 4 through 8 and an associated traumatic pneumatocele from rib puncture of the left upper lobe. The decision to treat this patient operatively was based on the presence of flail chest, the patient's age, baseline co-morbidities and limited physiological reserve. Surgical rib fixation is traditionally performed with a thoracotomy incision and open exposure for extra-thoracic rib fixation, however, this patient underwent chest wall stabilization using an …

Aggressive Diuresis And Severity-Adjusted Length Of Hospital Stay In Acute Congestive Heart Failure Patients, Muhammad U. Butt

Theses and Dissertations--Clinical Research Design

To see if aggressive diuresis in first twenty four hours is associated with a comparable number of total days in the hospital as compared to non-aggressive diuresis. In this retrospective cohort study, we compared the length of hospital stay of consecutive patients admitted in one year based on their diuresis during the first twenty-four hours of hospitalization: aggressive diuresis (group 1) i.e. > 2400mL versus non-aggressive diuresis (group 2) i.e. ≤ 2400mL urine output. Patients were excluded if in cardiogenic shock, had creatinine level above 3 mg/dL on admission, or on dialysis. A total of 194 patients were enrolled (29 in …

Uterine Corpus Malignancies In Appalachia Kentucky: Incidence, Survival And Related Health Disparities, Marian Symmes Johnson

Theses and Dissertations--Clinical Research Design

Uterine cancer is the nation’s most common gynecologic malignancy but is understudied in the geographically and socioeconomically diverse state of Kentucky (KY). This study assessed the frequency, distribution, and survival of uterine corpus malignancies in KY, and specifically the differences between Appalachia (AP) and non-Appalachia (NAP).

This study utilizes SEER and Kentucky Cancer Registries to study uterine corpus malignancy between January 1, 2000 and December 31, 2014. The analysis looks at incidence between diagnoses in AP and NAP. Evaluation criteria includes: tumor histology (Type I, Type II, sarcoma, and mixed uterine malignancy), age, race, smoking status, stage at diagnosis, insurance …

Modeling Geographic Factors And Assessing Their Accuracy In Identifying Health Disparities In Fayette County, Ian Jones

Lewis Honors College Capstone Collection

The purpose of this capstone is to conduct a review of existing literature to determine the effects of a variety of geographic variables on health and wellness. The student will use their findings to create a visual aid to displaying these geographic factors and their distributions within Fayette County. Furthermore, the student will analyze the intersection of these variables to predict potential pockets of discrepancy within Fayette County. Based on this analysis, the student will propose possible interventions with a basis in current literature. This project will provide the student with the opportunity to conduct a study of existing literature, …

Health Promotion In Elementary School Students, Madelyn J. Miles

Lewis Honors College Capstone Collection

The following project was created to address the rising epidemic of childhood obesity. Childhood obesity is caused by many factors such as genetics, metabolism, community and neighborhood design, diet, exercise, and short sleep duration (Center for Disease Control: Childhood Obesity Facts). Social determinants of health, systems of oppression, and stigma can all influence the obesity epidemic. These include but are not limited to social status, location, culture, age, sexuality, ethnicity, and race. These identities can influence affordability and access to healthcare and further contribute to the obesity epidemic. It is important to understand these issues as a future provider. A …

University Of Kentucky Rural Physician Leadership Program: A Programmatic Review, Paula K. Arnett, Terry D. Stratton, Anthony D. Weaver, Carol L. Elam

Health Management and Policy Faculty Publications

This article describes the characteristics and results of the Rural Physician Leadership Program (RPLP) at the University of Kentucky College of Medicine. RPLP is a successful example of a regional medical campus designed to train physicians at a regional medical campus to serve rural areas through local partnerships.

Stevens–Johnson Syndrome/Toxic Epidermal Necrolysis Associated With Zonisamide, Karina L. Vivar, Kimberly Mancl, Lucia Seminario-Vidal

Dermatology & Cutaneous Surgery Faculty Publications

No abstract provided.

2018 Peter Morgane Student Research Fellowship Recipients, University Of New England College Of Osteopathic Medicine

Peter Morgane Research Fellowships

2018 recipients of the University of New England College of Osteopathic Medicine's Peter Morgane Research Fellowship.

Senior Nursing Students' Knowledge, Attitudes, And Perceived Competency About Older Adults, Deborah Denise Brabham

Student Theses, Dissertations and Capstones

Background: Nurses entering the workforce may have limited education in gerontological nursing. Therefore, many nurses are unprepared to provide quality care to older adults. An unprepared nursing workforce could negatively influence older adults’ health outcomes and care experience. Purpose: To determine differences in senior nursing students’ knowledge, attitudes, and perceived competency about older adults based on enrollment in a bachelor of science in nursing degree (BSN), associate’s degree nursing (ADN), and practical nursing (PN) program that offers geriatric content in curricula. Theoretical Framework: Bandura’s social cognitive theory, triadic reciprocal determinism model provided the theoretical framework. Methods: A non-experimental, descriptive survey …

Impact Of Ramaekers Immune Primer On Finishing Beef Cattle Performance And Liver Abscess Rate, Hannah C. Wilson, F. Henry Hilscher, Bradley M. Boyd Boyd, Jim C. Macdonald, Galen E. Erickson

Nebraska Beef Cattle Reports

A feedlot study was conducted comparing a natural feed additive (Ramaekers Immune Primer) to Tylan or nothing on receiving and finishing performance. There were no differences for final BW, ADG, F:G, HCW, marbling, LM area, or fat thickness due to treatment. Liver abscess incidence and severity were reduced in steers fed Tylan, no differences were noted between Ramaekers Immune Primer and no additive. There was no difference in number of cattle treated for respiratory illness. Steers on the Ramaekers Immune Primer treatment had lower feed intake during the receiving period but had similar ADG and numerically better F:G at day …

Effect Of Backgrounding System On Performance And Profitability Of Yearling Beef Steers, Cody A. Welchons, Robby G. Bondurant, F. Henry Hilscher Hilscher, Andrea K. Watson, Galen E. Erickson, Jim C. Macdonald

Nebraska Beef Cattle Reports

Five summer management strategies were compared following grazing corn residue through winter. Cattle were assigned to be 1) summer finished, 2) graze bromegrass, 3) graze bromegrass and fed distillers grains at 0.6% of BW, 4) backgrounded in a drylot pen to gain 1.70 lb/d, or 5) backgrounded in a drylot pen to gain 2.35 lb/d. Results differed by year, however, in general as backgrounding ADG increased, days required on feed to reach an equal fat endpoint decreased. In year 1, ADG of cattle grazing bromegrass was less than cattle backgrounded in pens. There was no difference in finishing ADG for …

Effect Of Continuous Or Rotational Grazing On Growing Steer Performance And Land Production, Cody A. Welchons, Robby G. Bondurant, F. Henry Hilscher Hilscher, Terry J. Klopfenstein, Andrea K. Watson, Jim C. Macdonald

Nebraska Beef Cattle Reports

Individual animal performance and animal production per acre were evaluated for steers grazing smooth bromegrass over 2 consecutive years. Treatments consisted of steers continuously grazing smooth bromegrass and initially stocked at either 4.0 animal unit months (AUM)/ac (HI) or 2.8 AUM/ac (LO) or steers rotationally grazing smooth bromegrass and initially stocked at 4.0 AUM/ac (ROT). Average calculated stocking rate for the LO, HI, and ROT treatments was greater than initial stocking rates due to the use of put and take animals. In vitro organic matter digestibility and crude protein of rotationally grazed pastures was relatively constant as the grazing season …

Effects Of Movement And Activity Behavior In A Pasture System Compared To Time, Jace R. Stott, Mitchell B. Stephenson, Kathryn J. Hanford Hanford

Nebraska Beef Cattle Reports

During the summer of 2016 seventeen cows were fitted with Global Positioning System (GPS) tracking collars to evaluate activity characteristics of cattle on rangelands. Data collected included daily distance traveled, average distance from water, daily time spent at water, daily area covered, and percent of day spent active (traveling or grazing). These variables were analyzed weekly to assess changes in behavior as time within pastures increased during three time periods of the growing season. Based on data collected from mid-May to mid-September, cattle showed little changes throughout the grazing season as to levels of activity through different periods of a …

Statistics Used In The Nebraska Beef Report And Their Purpose

Nebraska Beef Cattle Reports

The purpose of beef cattle and beef product research at UNL is to provide reference information that represents the various populations (cows, calves, heifers, feeders, carcasses, retail products, etc) of beef production. Obviously, the researcher cannot apply treatments to every member of a population; therefore he/ she must sample the population. The use of statistics allows the researcher and readers of the Nebraska Beef report the opportunity to evaluate separation of random (chance) occurrences and real biological effects of a treatment. Following is a brief description of the major statistics used in the beef report. For a more detailed description …