Medicine and Health Sciences Commons^™

Examining The Relationships Between Ethnicity, Palliative Care And Readmissions In The Heart Failure Population, Deanna Johnston

Dissertations

Specific Aim: The aim of this dissertation is to analyze the relationships between ethnicity, palliative care consultation and readmissions in the heart failure population at a community hospital that serves a large diverse population.

Background: Hospitals struggle with preventing readmissions. There are many interventions that can be implemented to help prevent readmissions, and Palliative Care (PC) is one of those interventions. PC has many benefits including symptom management, improved communication through the healthcare continuum, understanding of illness and treatment options, and can be provided in conjunction with curative treatments. Heart failure is one of the most common readmission diagnoses. …

The Association Of Kangaroo Mother Care, Energy Conservation, And Bonding In Preterm Neonates, Dorothy Forde

Dissertations

Purpose:To examine the association of kangaroo mother care (KMC) on energy utilization and bonding as evidenced by reduced biochemical markers of adenosine triphosphate (ATP) degradation, hypoxanthine (Hx), xanthine (Xa), and uric acid (UA), and (allantoin), a measure of oxidative stress in preterm infants 24-36 weeks gestation. A secondary objective was to compare specific physiological parameters using bedside monitoring and perfusion and oxygenation of the gut using near-infrared spectroscopy (NIRS) during 1 hour of KMC compared to incubator care.

Study design: A randomized controlled trial (RCT) examining the effects of 1-hour of KMC or 1-hour incubator care on urinary markers …

In Place: May 25, 2018, Place

PLACE Historical Documents

In PLACE is a newsletter designed to keep the Linfield College community apprised of information related to PLACE activities, as well as ways to bring the program into classes. Included in this issue:

• Spotlight On: PLACE's Upcoming Theme, Revolutions
• Announcing: PLACE Fellows, 2018-2019
• Last Week in PLACE

Risk Perceptions Of Cellphone Use While Driving: Results From A Delphi Survey, Motao Zhu, Toni M. Rudisill, Kimberly J. Rauscher, Danielle M. Davidov, Jing Feng

Clinical and Translational Science Institute

Cellphone use while driving has been recognized as a growing and important public health issue by the World Health Organization and U.S. Center for Disease Control and Prevention. Surveys typically collect data on overall texting while driving, but do not differentiate between various forms of cellphone use. This study sought to improve the survey indicators when monitoring cellphone use among young drivers. Experts and young drivers were recruited to propose behavioral indicators (cellphone use while driving behaviors) and consequential indicators (safety consequences of cellphone use while driving) in 2016. Subsequently, experts and young drivers selected the top indicators using the …

A Standardized Hand-Off Tool For Undergraduate Nursing Students, Abigail Sutton, Stacie Hunsaker

Journal of Undergraduate Research

In establishing patient safety, communication is one of the most important components to consider. In order to coordinate a patient’s care properly, the multiple and diverse healthcare providers must operate smoothly as a team through well-constructed communication techniques. TeamSTEPPS is a government designed program to educated healthcare professionals on how to work and communicate effectively as a team. The program initiators included specific tools to be used to perform hand-offs. Hand-offs is when a healthcare professional transfers crucial information requiring a patient’s care with another healthcare professional. This is an extremely important process because it can cause devastating results if …

Food Insecurity Among Byu Students, Kielee Wiser, Neil Peterson

Journal of Undergraduate Research

The purpose of this project was to assess food insecurity among college students attending Brigham Young University (BYU). Food insecurity is the lack of consistent access to food, which has become an increasing problem among college students throughout the United States. The lack of food can contribute to poor performance in school, health complications, and homelessness.

It Runs In The Family: Determining The Most Important Characteristics In Family Health Histories, Lauren Bretzing, Gaye Ray

Journal of Undergraduate Research

Family health history (FHH) is a significant risk factor for many diseases and can help determine which patients need further genetic testing, lifestyle changes, and preventative screenings at earlier ages. Though recognized as an important step in controlling and preventing disease, FHH is often underutilized in health care settings. In a busy clinic setting, many clinicians may only have a couple minutes to discuss FHH with their patient, or may choose to forego it entirely. Apart from being time intensive and inaccurate, the FHH tools available are often seen as too complex. Additionally, a lack of uniformity in the collection, …

Effect Of Formal Simulation Training On Perceptions Of Students, Joni Lybbert, Stacie Hunsaker

Journal of Undergraduate Research

High-fidelity simulation refers to the use of computerized manikins to simulate real-life situations. High-fidelity simulation is now a crucial part of nursing programs everywhere helping students gain necessary critical-thinking skills. The College of Nursing (CON) at Brigham Young University (BYU) includes simulation in their curriculum to assist students in developing decision-making skills in a modified clinical setting. However, more than the possession of simulation technology, the interaction between students and the simulation facilitator helps to achieve these aims.

Parents Of Children With Special Healthcare Needs: Relationships With Healthcare Providers, Janet Jackson, Dr. Janelle Macintosh

Journal of Undergraduate Research

The purpose of this project was to explore the significance and influence of relationships between healthcare providers (HCP) and parents of children with special healthcare needs (CSHCN) regarding healthcare plans.

In exploring previous research conducted in this area, we found many examples of the stress related to raising CSHCN, including physical, mental, and social stress. Much of this stress involved caregivers feeling unsupported, isolated, and misunderstood. For this reason, we chose to conduct focus groups to gather data and provide connections for these caregivers that would help them feel less stressed.

Research previously conducted in this area lacked an emphasis, …

Palliative Care Services Perception Study, Klinton Metcalf, Katreena Collette-Merril, Phd, Rn, Kevin Mcewan

Journal of Undergraduate Research

Patients with chronic illnesses are often plagued with multiple side effects and secondary diagnoses that significantly limit everyday function. Managing these side effects along with the patient’s illness often requires a multidisciplinary approach to providing optimal care. Palliative Care is a growing field of medicine that delivers quality symptom management for patients with complex illnesses and symptoms. Although relatively new, evidence shows that Palliative Care interventions not only decrease the severity of side effects during the treatment process, but also improve the quality of life and feelings of well-being for the patient, and even extend length of survival. Palliative Care …

Substance-Induced Anxiety Disorder After One Dose Of 3,4-Methylenedioxymethamphetamine: A Case Report., Kaeley Kaplan, Fiona Kurtz, Kelly Serafini

Articles, Abstracts, and Reports

BACKGROUND: In this report, we describe a case of a patient with substance-induced anxiety disorder occurring after a single dose of 3,4-methylenedioxymethamphetamine. Furthermore, we describe the use and efficacy of the Primary Care Behavioral Health model, a collaborative approach to integrative primary mental health care, in evaluating and treating this rare mental health disorder.

CASE PRESENTATION: Three days following ingestion of one dose of 3,4-methylenedioxymethamphetamine, a 35-year-old Hispanic man with no significant prior mental health history and no history of prior 3,4-methylenedioxymethamphetamine use presented to our hospital with severe, acute anxiety and panic symptoms. He was initially treated with a …

Provider Insight On Surmounting Specialty Practice Challenges To Improve Tdap Immunization Rates Among Pregnant Women, Arpita Mehrotra, Allison Kennedy Fisher, Jennifer Mullen, Leslie Rodriguez, Angela J. Jiles, Alison P. Albert, Laura A. Randall, Paula M. Frew

Environmental & Global Health Faculty Research

Background Pertussis, or “whooping cough,” is an acute, contagious pulmonary disease that, despite being vaccine-preventable, has become an increasingly widespread problem in the United States. As a result, the Advisory Committee on Immunization Practices and American College of Obstetricians and Gynecologists updated recommendations stating clinicians should give a Tdap dose during every pregnancy, preferably at 27–36 weeks. Despite this recommendation, reported Tdap vaccine receipt rates during pregnancy vary from 16–61%, and previous studies have shown that clinician recommendation and vaccine administration are strongly associated with vaccine uptake among pregnant women. Methods Our aim was to inform new strategies to increase …

Can Pokémon Go “Protect The World From Devastation”?, Hannah Schmidtlein, Dr. Neil Peterson

Journal of Undergraduate Research

The purposes of this project were to assess how Pokémon Go impacts physical activity levels in players and whether it produces short- or long-term health benefits. This project was an observational study. Subjects were required to meet three requirements to be eligible: (1) they started playing Pokémon Go when it launched in July 2016, (2) they currently use a device such as a FitBit or Apple Watch to track physical activity, and (3) they began wearing the activity tracker at least one week prior to beginning to play Pokémon Go. Once subjects were determined to be eligible, they filled out …

Organizational Learning On Hospital Units: Instrument Development Cognitive Interviews And Content Validity Stages, Hannah Hoyt, Dr. Bret Lyman

Journal of Undergraduate Research

Approximately 400,000 deaths occur each year due to preventable errors in hospitals.¹ Organizational learning² is the process through which organizations progress toward achieving their desired outcomes. Hospital units can use principles of organizational learning to reduce errors and achieve excellent performance outcomes.³ Unit managers have limited evidence-based resources to guide their organization’s development toward achieving desired outcomes. The purpose of this project was to develop two reliable survey instruments to measure the presence of certain contextual factors (environment) and mechanisms (actions) that are conducive to organizational learning on hospital units. These contextual factors and mechanisms emerged from …

Parental Experiences Of Raising A Child With Type 1 Diabetes To Adulthood, Claire Christiansen, Sn, Donna Freeborn, Aprn, Phd

Journal of Undergraduate Research

The purpose of this research was to better understand parental experiences of raising a child with type 1 diabetes mellitus (T1DM) to adulthood in order to help parents and educators better understand how to facilitate child(ren) with T1DM in transitioning into adulthood and managing diabetes independently. T1DM is commonly diagnosed when someone is younger than 18. This life-changing diagnosis not only affects the child, but the whole family unit. Although there is research involving parents who are currently raising T1DM children, there is very little research involving parents whose children with T1DM are now adults. As parents reflect on their …

Law Enforcement Trauma Informed Response Training In Adult Sexual Assault Cases, Chelsie Lawter, Julie Valentine

Journal of Undergraduate Research

Sexual assault (SA) is one of the most common crimes in the state, affecting one in three Utah women (Mitchell & Peterson, 2008). Despite this, shockingly low numbers of Utah SA victims see their cases progress to prosecution; for example, in Salt Lake County from 2003-2011, only 6% of SA cases were successfully prosecuted (Valentine, Shaw, Lark & Campbell, 2016). These numbers reflect an urgent need in Utah to identify barriers to prosecution and take steps to eliminate those barriers. Police officers, as first responders when victims seek to report an incidence of SA, have an important role in determining …

Utah Immunization Module, Erin Marshall, Lacey Eden

Journal of Undergraduate Research

Herd immunity requires that 95% of a population is immunized in order to be effective. In Utah, only 75.2% of children have received all of the recommended vaccinations by age two1. Herd immunity is of great importance to a population because it protects those who cannot be immunized (such as newborns and those with chronic illnesses). These individuals are offered some protection because when the majority of a population is immunized, the disease has little opportunity to spread within the community2. In Utah, the number of individuals that choose not to immunize themselves or their children is constantly increasing. Those …

Improving Healthcare Through Interdisciplinary Education, Johnathan Jacobs, Katreena Collette-Merril, Phd, Rn

Journal of Undergraduate Research

The culture of education prepares healthcare professionals in silos, then expects them to work collaboratively upon graduation. Medical errors, resulting from communication issues, are considered a leading cause of patient death. Interdisciplinary education of future professionals may prevent communication issues and reduce patient deaths. Interprofessional education (IPE) of undergraduates may improve communication of future professionals educated in universities without medical schools. The purpose of this project is to evaluate the effect of interprofessional education (IPE) on undergraduate students’ attitudes of interprofessional work, perceptions of working together, and ratings of teamwork.

Metabolic Syndrome Screening Among Inpatient Psychiatric Patients, Susan Magorno

Doctor of Nursing Practice Final Manuscripts

Background: More than 50% of patients with severe mental illness carry undiagnosed Metabolic Syndrome (MetS) comorbidities of hypertension, hyperlipidemia, or diabetes. These patients are three times more likely to die of cardiovascular-related causes; however, this population is not routinely assessed for MetS and frequently lack appropriate treatment.

Objective: The objective is to implement a screening tool designed to identify risk for MetS and trigger appropriate treatment.

Design: The screening tool triggers the provider to address positive criteria through interventions such as further evaluation, medical and/or diabetes educator consultation.

Results: Although overall rates of screening improved significantly, follow-up interventions were …

Increasing Follow-Up In College Students With Latent Tuberculosis Infection, Emily Middleton, Dnp, Aprn, Ccrn, Kathy James, Dnsc, Aprn, Faan, Kimberly Woodruff, Md, Mph

Doctor of Nursing Practice Final Manuscripts

Around 13 million people in the United States have latent tuberculosis infection (LTBI) with a 5-10% chance of developing active tuberculosis (TB) in their lifetime if not treated (Center for Disease Control, 2015). At a University Student Health Center (SHC), there is a matriculation requirement for TB testing for students that screen as high risk. Many students have these testing requirements performed at outside clinics, including foreign clinics, and follow-up regarding education about LTBI and treatment recommendations was often missing. The purpose of this evidence-based practice (EBP) project was to increase follow-up, education, and treatment options after diagnosis of LTBI. …

The Genetic Basis Of Hyaline Fibromatosis Syndrome In Patients From A Consanguineous Background: A Case Series., Leila Youssefian, Hassan Vahidnezhad, Andrew Touati, Vahid Ziaee, Amir Hossein Saeidian, Sara Pajouhanfar, Sirous Zeinali, Jouni Uitto

Department of Dermatology and Cutaneous Biology Faculty Papers

BACKGROUND: Hyaline fibromatosis syndrome (HFS) is a rare heritable multi-systemic disorder with significant dermatologic manifestations. It is caused by mutations in ANTXR2, which encodes a transmembrane receptor involved in collagen VI regulation in the extracellular matrix. Over 40 mutations in the ANTXR2 gene have been associated with cases of HFS. Variable severity of the disorder in different patients has been proposed to be related to the specific mutations in these patients and their location within the gene.

CASE PRESENTATION: In this report, we describe four cases of HFS from consanguineous backgrounds. Genetic analysis identified a novel homozygous frameshift deletion c.969del …

Navigating Medicaid And Managed Care Organizations Of Iowa, Charlotte Engle

Celebration of Learning

Policies regarding Medicaid and managed care organizations (MCOs) have been changing rapidly with the current political climate. Because of these frequent changes being made to policies, a lack of knowledge regarding benefits of MCOs and Medicaid that is prevalent among the clients of the Integrated Health Home (IHH) program of Family Resources, Inc. in Davenport, Iowa. A Iowa Managed Health Insurance (IMHI) resource guide was developed using the health literate care model to introduce and explain the benefits of the MCOs and Medicaid plans of the families of the individuals enrolled in the IHH program and give clients the resources …

Spatial Epidemiology Of Summer Trauma In Scott County, Ia: Use Of Gis To Identify Trauma Incidence In Urban And Rural Areas, Matthew Koch

Celebration of Learning

Traumatic injury is a blanket term referring to acute physical injuries which pose an immediate threat to life and limb, requiring urgent medical care. Unintentional injuries are the fifth-leading cause of death, and fatal injuries cost the American economy over $84 billion annually in lost work and medical costs. Scott County, IA, is a unique environment for trauma research because it served by a single trauma center and features within its 458 square miles distinct urban and rural populations. Patient data from the trauma registry, including age, race, and mechanism of injury (MOI) was combined with the corresponding spatial data …

30-Day Oral Acetaminophen Tolerance In Adult Horses, Sarah E. Foreman

Celebration of Learning

There are no controlled studies of acetaminophen toxicity in horses. The objective was to test the hypotheses that oral acetaminophen administered at a dosage 25% higher than that sometimes used in horses would result in measurable hepatic toxicity as seen in humans and other species. Six healthy adult horses were administered 25 mg/kg acetaminophen powder in corn syrup twice daily for 30 days. Three other horses served as negative controls receiving only corn syrup. Jugular venous blood samples were obtained on days 7 and 1 before treatment; on treatment days 1, 2, 5, 8, 12, 15, 19, 22, 26 and …

The Santa Clara, 2018-05-24, Santa Clara University

The Santa Clara

No abstract provided.

Polypharmacy Among Patients With Diabetes: A Cross-Sectional Retrospective Study In A Tertiary Hospital In Saudi Arabia, Monira Alwhaibi, Bander Balkhi, Tariq M. Alhawassi, Hadeel Alkofide, Nouf Alduhaim, Rawan Alabdulali, Hadeel Drweesh, Usha Sambamoorthi

Clinical and Translational Science Institute

Abstract Patients with diabetes are at high risk for polypharmacy (ie, use of multiple medications) for treatment of diabetes, associated comorbidities and other coexisting conditions. This study aims to estimate the prevalence of polypharmacy and factors associated with polypharmacy among adult patients with diabetes. Methods A cross-sectional retrospective observational study of adults with diabetes, who visited the outpatient clinic of a tertiary teaching hospital in Saudi Arabia, was conducted. Data were extracted from the Electronic Health Record database for a period of 12 months (January– December 2016). Polypharmacy was defined as the cumulative use of five or more medications. Polypharmacy …

Multi-Institutional Report On Toxicities Of Concurrent Nivolumab And Radiation Therapy, Neha P. Amin, Maliha Zainib, Sean M. Parker, Manuj Agarwal, Malcolm D. Mattes

Clinical and Translational Science Institute

Purpose: Radiation therapy (RT) and nivolumab are standard therapies for a wide range of advanced and metastatic cancers, yet little is known about the toxicity profile of their combined treatment. The rate of grade ≥3 toxicities from nivolumab monotherapy and radiation-only palliative treatments has been reported at 10% to 18% and 0% to 26%, respectively. We reviewed our experience to assess the acute toxicity profile of concurrent RT-nivolumab. Methods and materials: A retrospective review of all consecutive patients from January 2015 to May 2017 who received concurrent RT-nivolumab was conducted at 4 separate centers. Concurrent RT-nivolumab was defined as RT …

Using An Educational Session To Improve The Knowledge, Confidence, And Beliefs About Psychopharmacology For Behavioral Health Clinicians, Sharon Bennett

Doctor of Nursing Practice Projects

Background: Psychiatric illness is unpredictable, has spasmodic tendencies, and represents one of the most reported types of disabilities in the United States. Behavioral health clinicians are front line respondents and considered a major ally to providers by supporting medication management recommendations and referring new patients for medication management. Basic evidence-based psychopharmacology improves behavioral health clinicians’ knowledge, however, is inadequate in curricula, and many undergraduate and graduate programs lack one dedicated psychopharmacology class. This abbreviated knowledge contributes to inadequate referrals for treatment and poor confidence in supporting the practitioners’ medication recommendations.

Method: This project examined behavioral health clinicians’ knowledge, confidence, and …

Disease-Linked Connexin26 S17f Promotes Volar Skin Abnormalities And Mild Wound Healing Defects In Mice (Vol. 8, E2845, 2017), Eric R. Press, Katanya C. Alaga, Kevin Barr, Qing Shao, Felicitas Bosen, Klaus Willecke, Dale W. Laird

Anatomy and Cell Biology Publications

No abstract provided.

Maternal Betaine Supplementation Affects Fetal Growth And Lipid Metabolism Of Highfat Fed Mice In A Temporal-Specific Manner, Yaelle Joselit, Khatia Nanobashvili, Chauntelle Jack-Roberts, Esther Greenwald, Olga V. Malysheva, Marie A. Caudill, Anjana Saxena, Xinyin Jang

Publications and Research

Background/objectives: Maternal obesity increases the risk of gestational diabetes mellitus (GDM), which results in fetal overgrowth and long-lasting metabolic dysfunctioning in the offspring. Previous studies show that maternal choline supplementation normalizes fetal growth and adiposity of progeny from obese mice. This study examines whether supplementation of betaine, a choline derivative, has positive effects on fetal metabolic outcomes in mouse progeny exposed to maternal obesity and GDM.

Methods: C57BL/6J mice were fed either a high-fat (HF) diet or a control (normal-fat, NF) diet and received either 1% betaine (BS) or control untreated (BC) drinking water 4–6 weeks before timed-mating and throughout …