Medicine and Health Sciences Commons^™

Faculty To Faculty Incivility In Iowa Nursing Education Programs, Candace Chihak

Dissertations and Theses @ UNI

Uncivil work relationships are common in several professions, including nursing. Experiences of incivility within nursing education have been well described in the relationships between students, students to faculty, and faculty to students, however, there is less empirical evidence on the presence of incivility between nursing faculty. Purpose: The purpose of this paper is to identify the perception of incivility in faculty-to-faculty relationships in nursing education. Additionally, this paper will look for relationships between nurse educators and their intentions to stay within higher education. Methods: Nursing faculty from one Midwest state were surveyed utilizing the Workplace Incivility Civility Survey (WICS). Additionally, …

Psychological Readiness Of Athletes To Return To Play Following Injury, Alyssa C. Monahan

College of Graduate Studies: Theses & Dissertations

Background: Returning an injured athlete to sport before they are both physically and psychologically ready can lead to increased psychological concerns. Traditionally, return to play decisions are based on physical outcomes and it is rare if an athlete is held back from returning to sport if he or she is not psychologically ready to return. Therefore, athletes may be returning to play before they are psychologically ready. Purpose: The purpose of the present study is to investigate the psychological readiness of the athlete to return to play following injury, and the degree to which psychological readiness was considered by the …

Association Between Local Health Departments’ Engagement In Phab Accreditation And Budget Cuts Prevention, Ghadeer M. Albashir

College of Graduate Studies: Theses & Dissertations

Objectives: The primary purpose of this study is to examine whether engagement in Public Health Accreditation Board (PHAB) accreditation process and its requirements are associated with budget cuts prevention for local health departments (LHDs). Methods: For this study, we performed multinomial logistic regression using the 2016 National Profile of Local Health Departments Survey conducted by the National Association of County and City Health Officials. Results: While budget did not change for a majority of LHDs in comparison with previous year (48.6%), there were 28.7% that reported budget increase, and almost a quarter of LHDs had reduced budget (23%). The multinomial …

Outcome Of Traumatic Brain Injury In Children By Using Rotterdam Score On Computed Tomography, Anwarul Haque, Zehra Dhanani, Amin Ali, Basit Salam, Qalab Abbas, Gohar Javed, Humaira Jurair

Department of Paediatrics and Child Health

Background: The Rotterdam Score (RS) on CT head is a new evolving clinical tool as a predictor of mortality in Traumatic Brain Injury (TBI). The objective of this study is to assess the outcome of children with TBI admitted in paediatric intensive care unit (PICU) of a tertiary-care, university hospital by using RS.
Methods: This was a prospective observational study conducted on children (age: 1mo -16yr) with TBI admitted in PICU of Aga Khan University Hospital from 2013 to 2016. RS on CT was calculated by a radiologist. All patients were managed according to according to Paediatric Brain Trauma Foundation …

Hemimegalencephaly: Seizure Outcome In An Infant After Hemispherectomy, Prem Chand, Pooja Manglani, Qalab Abbas

Department of Paediatrics and Child Health

Isolated hemimegalencephaly (iHME) is a rare form of congenital malformation of cortical development characterized by enlargement of all or part of one cerebral hemisphere. It typically presents with intractable seizures, developmental delay, contralateral hemiparesis, and hemianopia. We report a case of an 18-month-old girl who presented first with focal seizures at tenth day of life, with no other physical or behavioral abnormality. Initial EEG showed excessive sharp EEG transients more over the right hemisphere; repeated EEG showed spikes, polyspikes, sharps, and slow wave discharges predominately over the right hemisphere. MRI of the brain showed asymmetric enlargement of the right cerebral …

What’S Coming For Health Science And Policy In 2018? Global Experts Look Ahead In Their Field, Soumya Swaminathan, Robin S. Room, Louise C. Ivers, Graham Hillis, Rebecca F. Grais, Zulfiqar Ahmed Bhutta, Peter Byass

Department of Paediatrics and Child Health

No abstract provided.

Caregiver Selection Of Treatments For Their Child With Autism, Amy Kurowski-Burt

Graduate Theses, Dissertations, and Problem Reports (ETD)

This project was completed to understand what treatments caregivers are selecting for their child with autism and why treatments were selected and discontinued. Caregivers of children with autism participated in a mixed methods study. An online survey was completed (N=127) to identify treatments used for their child. Interviews were completed (n=14) to understand why treatments were selected and discontinued. Selection of medical, dietary, therapeutic, complimentary/ alternative medicine, community-based, behavioral, and educational treatments were mostly influenced by recommendations of others. Caregivers reported discontinuing because relationships and professionalism were lacking between provider and family. Providers must consider all the variables that influence …

The Microvascular And Systemic Effects Of Titanium Dioxide Nanoparticle Exposure: A Physiological Perspective, Alaeddin Bashir Abukabda

Graduate Theses, Dissertations, and Problem Reports (ETD)

Titanium dioxide nanoparticles (nano-TiO₂) are one of the most widely used engineered nanomaterials (ENM). Their ubiquitous inclusion warrants a more thorough understanding of their toxicity, particularly in sensitive populations such as pregnant women and the developing fetus.

The aim of the first study was to determine the most sensitive segments of the vasculature to pulmonary ENM exposure. Macrovascular function was investigated in the thoracic aorta, common femoral artery and 3^rd order mesenteric arterioles using wire myography. Microvascular function was assessed in 4^th and 5^th order mesenteric arterioles via pressure myography. Nano-TiO₂ exposure induced impairments …

Role Of Hepcidin In The Diagnosis Of Sepsis And Septic Shock In Children, Osman Yeşi̇lbaş, Esra Şevketoğlu, Burcu Bursal Duramaz, Hasan Serdar Kihtir, Asuman Gedi̇kbaşi, Mey Tali̇p Petmezci̇, Canan Baydemi̇r

Turkish Journal of Medical Sciences

Background/aim: The purpose of this study is to compare the diagnostic value of hepcidin level with the white blood cell (WBC), C-reactive protein (CRP), procalcitonin (PCT), and interleukin-6 (IL-6) levels in pediatric sepsis and septic shock. Materials and methods: A cohort of 89 individuals were divided into four groups: a healthy control group (HCG, n = 28), pediatric intensive care unit control group (PICUCG, n = 17), sepsis group (SG, n = 23), and septic shock group (SSG, n = 21). WBC, CRP, PCT, IL-6, and hepcidin levels were studied in the PICUCG, SG, and SSG, while hepcidin and IL-6 …

Investigation Of The Effect Of Ss-Lactam Antibiotics And Serum On Growth And Gene Expression In Escherichiacoli Strain Jj1886, Eli̇f Bozçal Dağdevi̇ren

Turkish Journal of Medical Sciences

Background/aim: ß-Lactamase-producing Escherichia coli strain JJ1886 is an epidemic clone with high virulence properties. Because this strain can survive in the bloodstream, we aimed here to understand how ß-lactam antibiotics and human serum affect the growth and gene expression of this bacterium. Materials and methods: We report the time-dependent growth effect of normal human serum and heat-inactivated serum, together with ß-lactam antibiotics (including cefotaxime, ceftazidime, and carbenicillin), for E. coli strain JJ1886. Relative gene expression of ß-lactamase-related genes (encoding the ß-lactamase regulator, CTX-M-15, and peptidoglycan glycosyltransferase) and serum survival- associated genes (encoding lipoprotein NlpI, murein lipoprotein, lipopolysaccharide core heptose (I) …

Factors Associated With Prolonged Length Of Stay For Elective Hepatobiliary And Neurosurgery Patients: A Retrospective Medical Record Review, Siu Yin Lee, Soo-Hoon Lee, Jenny H.H. Tan, Howard S.L. Foo, Phillip H. Phan, Alfred W.C. Kow, Sein Lwin, Penelope M.Y. Seah, Siti Zubaidah Mordiffi

Management Faculty Publications

Background: Patients with prolonged length of hospital stay (LOS) not only increase their risks of nosocomial infections but also deny other patients access to inpatient care. Hepatobiliary (HPB) malignancies have some of highest incidences in East and Southeast Asia and the management of patients undergoing HPB surgeries have yet to be standardized. With improved neurosurgery techniques for intracranial aneurysms and tumors, neurosurgeries (NS) can be expected to increase. Elective surgeries account for far more operations than emergencies surgeries. Thus, with potentially increased numbers of elective HPB and NS, this study seeks to explore perioperative factors associated with prolonged LOS for …

Non-Invasive Mitochondrial Modulation With Near-Infrared Light Reduces Brain Injury After Stroke, Christos Dionisos Strubakos

Wayne State University Dissertations

Acute ischemic stroke is a debilitating disease that causes significant brain injury.

While rapid restoration of blood flow is critical to salvage the ischemic brain, reperfusion

of tissue can further drive brain damage by inducing generation of mitochondrial reactive

oxygen species (Chouchani et al., 2014a). Recent studies by our group found that noninvasive

mitochondrial modulation (NIMM) with near-infrared (NIR) light can limit the

production of reactive oxygen species following global brain ischemia (T. H. Sanderson

et al., 2018). NIR interacts with the rate limiting step of the mitochondrial electron

transport chain (ETC), cytochrome c oxidase (COX), and modulates mitochondrial

respiration. …

The Impact Of Machine Learning Algorithms On Benchmarking Process In Healthcare Service Delivery, Egbe-Etu Emmanuel Etu

Wayne State University Theses

Currently, organizations have adopted and implemented a variety of innovative quality management philosophies, approaches, and techniques to stay competitive in an ever-changing global economy. Benchmarking is one of such techniques deployed by organizations to stay competitive. The motivation for this research stems from a real-world problem being faced by hospitals in the healthcare industry who have amassed a ton of data and want to embark on benchmarking project to assess the performance of the emergency departments due to challenges faced with poor management of operations which has led to high patient boarding rates, high patient wait-times, poor quality service, low …

Common Diagnoses Among Refugee Populations: Linked Results With Statewide Hospital Discharge Database, Kerui Xu, Shinobu Watanabe-Galloway, Ming Qu, Brandon Grimm, Jungyoon Kim

Journal Articles: Epidemiology

BACKGROUND: According to the U.S. State Department's Refugee Processing Center and the U.S. Census Bureau, in the fiscal year 2016, among all states in the United States, Nebraska resettled the highest number of refugees per capita.

OBJECTIVES: The objectives of this study were to determine the most common reasons for refugees utilizing hospital services in Nebraska between January 2011 and September 2015, and to examine whether refugee patients had increased risks for adverse health conditions compared to non-refugee patients.

METHODS: Statewide linkage was performed between Nebraska Medicaid Program's immigration data, and 2011-2015 Nebraska hospital discharge data inpatient and outpatient files. …

Evaluation Of A Cognitive Training Program For Older Adults With Mild To Moderate Cognitive Decline, Kelly Bergstrom

All Graduate Theses, Dissertations, and Other Capstone Projects

Older adults often experience varying levels of cognitive decline. Several interventions intended to help slow the effects of cognitive decline have been studied, including cognitive training. Cognitive training involves engaging individuals, typically in a group setting, in exercises that target specific cognitive domains, such as attention, perceptual speed, memory, language, and executive functioning. Literature on cognitive training provides mixed support for its efficacy. The purpose of the current study was to determine whether a manualized, in-person cognitive training program for individuals with mild to moderate cognitive decline would lead to an improvement in cognitive performance. The program targeted six cognitive …

Does Animal Assisted Therapy (Aat) Positively Increase Socialization Skills In Children Diagnosed With Autism Spectrum Disorder (Asd) Compared To No Interaction With Animals?, Tracey Smith

PCOM Physician Assistant Studies Student Scholarship

Objective- The objective of this selective EBM review is to determine whether or not “Animal Assisted Therapy (AAT) positively increases socialization skills in children diagnosed with Autism Spectrum Disorder (ASD) compared to no interaction with animals?”

Study Design- Systematic review of three randomized controlled trials (RCTs) published in English language peer reviewed journals between 2015 and 2016.

Data sources- One single blinded RCT and two double blinded RCTs were found through PubMed.

Outcome(s) Measured- All three studies measured change in social communication in children with ASD using a Social Responsiveness Scale, Pedagogical Analysis and Curriculum Test, and Vineland Adaptive Behavior …

Is Horse Antithymocyte Globulin (Atg) Plus Cyclosporine (Csa) The Most Effective Firstline Therapy For Patients With Bone Marrow Failure Disorders?, Samantha Alexis Miller

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective Evidence Based Medicine review is to determine whether or not Horse Antithymocyte Globulin (ATG) plus Cyclosporine (CsA) is the most effective first-line therapy for patients with bone marrow failure disorders.

STUDY DESIGN: Review of two randomized control trials (RCTs) and one single-center retrospective study, which were published between 2010 and 2013. All studies were published in the English language.

DATA SOURCES: Two randomized control trials and one single-center retrospective study published in peer-reviewed journals, which were found using PubMed.

OUTCOMES MEASURED: Each of the three trials measured the patient-oriented outcome of overall survival. Shin …

Is Dupilumab A Safe And Effective Treatment For Patients With Moderate-To-Severe Atopic Dermatitis?, Alanna M. Viken

PCOM Physician Assistant Studies Student Scholarship

Objective: The objective of this selective EBM review is to determine whether or not dupilumab is a safe and effective treatment for patients with moderate-to-severe atopic dermatitis

Study Design: Review of three randomized, double blind, placebo control trials between 2014- 2016.

Data Sources: Three randomized, double blind, placebo controlled trials were found via EBSCOHost and PubMed.

Outcomes Measured: In all three randomized controlled trials, outcomes measured includes the IGA score. Moderate-to-severe atopic dermatitis is a 3 or 4 on the IGA scale, respectively, while the goal was to get patients to a 0-1 on the IGA scale (indicating clear or …

Does Pre-Operative Exercise Improve Quality Of Life, Compared To Patient Education Alone, In Patients With Hip Osteoarthritis (Oa) While Awaiting Total Hip Arthroplasty (Tha)?, Laura Ann Mccann

PCOM Physician Assistant Studies Student Scholarship

Objective: The objective of this selective EBM review is to determine whether or not pre-operative exercise improves quality of life, compared to patient education alone, in patients with hip osteoarthritis (OA) while awaiting total hip arthroplasty (THA).

Study Design: Systematic review of three randomized controlled trials (RCTs) published in peer-reviewed journals between 2015 and 2016, all in the English language.

Data Sources: Three randomized controlled trials were found using PubMed.

Outcomes Measured: The change in ADL (activities of daily living), recreational function, and pain were measured in all trials using self-reported patient questionnaires (WOMAC) and a variety of physical activities …

Edward Jenner’S 1798 Report Of Challenge Experiments Demonstrating The Protective Effects Of Cowpox Against Smallpox, Alfredo Morabia

Publications and Research

No abstract provided.

Ada Commends Passage Of Opioid Legislation, American Dental Association

News Releases

This collection includes standard news releases, information kits and other documents distributed for publicity, information, announcements of events, etc. as issued from the ADA. Items included in this collection are archival and any costs, links, contact information, or other figures may be out of date. Please contact the ADA to verify information.

Ada Commends Efforts To Update Surgeon General's Report, American Dental Association

News Releases

This collection includes standard news releases, information kits and other documents distributed for publicity, information, announcements of events, etc. as issued from the ADA. Items included in this collection are archival and any costs, links, contact information, or other figures may be out of date. Please contact the ADA to verify information.

American Dental Association And Cvs Pharmacy® Collaborate To Expand Oral Health Education, American Dental Association

News Releases

This collection includes standard news releases, information kits and other documents distributed for publicity, information, announcements of events, etc. as issued from the ADA. Items included in this collection are archival and any costs, links, contact information, or other figures may be out of date. Please contact the ADA to verify information.

Senate Bill Increases Health Care Options Through Marketplace Competition, American Dental Association

News Releases

This collection includes standard news releases, information kits and other documents distributed for publicity, information, announcements of events, etc. as issued from the ADA. Items included in this collection are archival and any costs, links, contact information, or other figures may be out of date. Please contact the ADA to verify information.

2018 Transactions, American Dental Association

ADA Transactions

This item is part of the Transactions of the ADA, a serial publication of the annual activities of the ADA House of Delegates (HOD)/Board of Trustees (BOT). It is from the Transactions section, one of three subtitles that make up the full publication. Generally, the ADA Transactions are published in multiple volumes throughout the year. Pages from the Annual Reports and the Transactions are numbered consecutively (e.g. Annual Reports volume ends pg. 500 and Transactions volume starts at pg. 501). NOTE: All three subtitles are collectively known as the Transactions of the ADA or, alternatively, the ADA Transactions. Transactions refers …

2018 Annual Reports And Resolutions, American Dental Association

ADA Transactions

This item is part of the Annual Reports and Resolutions subtitle of the ADA Transactions, a serial publication of the annual activities of the ADA House of Delegates (HOD)/Board of Trustees (BOT) made up of three separate subtitles: Annual Reports and Resolutions, Supplements, and Transactions. Generally, the ADA Transactions are published in multiple volumes throughout the year. Older versions include reports from all departments as subsections, while more recent versions include only those of councils, commissions, and committees.

2018 Supplement Vol. 1, American Dental Association

ADA Transactions

This item is part of the Supplements subtitle of The ADA Transactions, a serial publication of the annual activities of the ADA House of Delegates (HOD)/Board of Trustees (BOT) made up of three separate subtitles: Annual Reports and Resolutions, Supplements, and the Transactions. Generally, The ADA Transactions are published in multiple volumes throughout the year. The Supplements function like an appendix and are, in more recent editions, numbered separately with page numbers determined by HOD reference committee assignation. Items are described variously as "Supplement #", "Volume #", etc. throughout the series but have been labeled here as Vol. # for …

2018 Supplement Vol. 2, American Dental Association

ADA Transactions

This item is part of the Supplements subtitle of The ADA Transactions, a serial publication of the annual activities of the ADA House of Delegates (HOD)/Board of Trustees (BOT) made up of three separate subtitles: Annual Reports and Resolutions, Supplements, and the Transactions. Generally, The ADA Transactions are published in multiple volumes throughout the year. The Supplements function like an appendix and are, in more recent editions, numbered separately with page numbers determined by HOD reference committee assignation. Items are described variously as "Supplement #", "Volume #", etc. throughout the series but have been labeled here as Vol. # for …

Explaining Homegrown Western Jihadists: The Importance Of Western Foreign Policy, Clark R. Mccauley

Psychology Faculty Research and Scholarship

In both the United States and Europe, explanations of homegrown radicalization emphasize the power of Salafi-jihadist ideology and Muslim experiences of discrimination and socioeconomic deprivation in Western countries. Polls of U.S. and European Muslims, and case histories of jihadist plots for attacks in the United States, indicate that another source of homegrown radicalization is Western foreign policy, especially Western interventions in predominantly Muslim countries. Poll results support a two-factor model in which seeing the war on terrorism as a war on Islam is predicted by both perceived discrimination and grievance related to Western foreign policy. Consistent with this model, UK …

Outcomes In Deep Inferior Epigastric Perforator Flap And Implant-Based Reconstruction: Does Age Really Matter?, Lauren V. Kuykendall, Angie Zhang, Bugra Tugertimur, Sara Bijan, Corin Agoris, Ambuj Kumar, Deniz Dayicioglu

Surgery Faculty Publications

Despite the growing elderly population, there is limited research specific to this demographic concerning breast reconstruction (BR). Lack of evidence-based BR recommendations in older populations may contribute to misconceptions and subsequent underutilization of BR, especially autologous BR. Patients who received either deep inferior epigastric perforator (DIEP) flap BR or tissue expander/implant (TE/I) BR by a single surgeon between July 2011 and July 2015 were surveyed postoperatively by using the psychometrically validated BREAST-Q questionnaire to determine patient satisfaction. Patients were categorized into younger and older cohorts based on median age (55 years) and further stratified based on the type of reconstruction. …