Medicine and Health Sciences Commons^™

More Than Just A Trim In The Workforce: The Barriers Of Inconsistent Occupational Licensing In The United States, Ethan A. Schow

Brigham Young University Prelaw Review

In the United States today, inconsistent occupational licensing requirements create barriers for professionals crossing state lines. In order to deal with this multistate problem without resorting to federal oversight, the states should consider forming an interstate compact to oversee and make recommendations for licensing requirement standardization and uniformity. This compact could oversee licensing for many professions. Multistate coordination has been successful before in other areas such as taxation of multistate businesses. Standardizing occupational licensing requirements would make initial licensure and subsequent relocation easier for professionals, and it would provide consumers with uniform quality of services and uniform protection of their …

The Sophistical Tongue Map, Rebecca Filler

Emerging Writers

Finalist in the Academic Category of the 2018 Emerging Writers Contest. This essay examines the evolution of the "tongue map."

Physiologically Based Pharmacokinetic Modeling Of Nanoceria Systemic Distribution In Rats Suggests Dose- And Route-Dependent Biokinetics, Ulrika Carlander, Tshepo Paulsen Moto, Anteneh Assefa Desalegn, Robert A. Yokel, Gunnar Johanson

Pharmaceutical Sciences Faculty Publications

Background: Cerium dioxide nanoparticles (nanoceria) are increasingly being used in a variety of products as catalysts, coatings, and polishing agents. Furthermore, their antioxidant properties make nanoceria potential candidates for biomedical applications. To predict and avoid toxicity, information about their biokinetics is essential. A useful tool to explore such associations between exposure and internal target dose is physiologically based pharmacokinetic (PBPK) modeling. The aim of this study was to test the appropriateness of our previously published PBPK model developed for intravenous (IV) administration when applied to various sizes of nanoceria and to exposure routes relevant for humans.

Methods: Experimental biokinetic data …

Development Of A ‘Smart’ Resistance Exercise Band To Assess Strength, Emily V. Wechsler, John A. Batsis, David F. Kotz, Ryan J. Halter

Wetterhahn Science Symposium Posters 2018

No abstract provided.

Human Gucy2c-Targeted Chimeric Antigen Receptor (Car)-Expressing T Cells Eliminate Colorectal Cancer Metastases., Michael S. Magee, Tara S. Abraham, Trevor R. Baybutt, John C. Flickinger, Natalie A. Ridge, Glen P Marszalowicz, Priyanka Prajapati, Adam R. Hersperger, Scott A. Waldman, Adam E. Snook

Department of Pharmacology and Experimental Therapeutics Faculty Papers

One major hurdle to the success of adoptive T-cell therapy is the identification of antigens that permit effective targeting of tumors in the absence of toxicities to essential organs. Previous work has demonstrated that T cells engineered to express chimeric antigen receptors (CAR-T cells) targeting the murine homolog of the colorectal cancer antigen GUCY2C treat established colorectal cancer metastases, without toxicity to the normal GUCY2C-expressing intestinal epithelium, reflecting structural compartmentalization of endogenous GUCY2C to apical membranes comprising the intestinal lumen. Here, we examined the utility of a human-specific, GUCY2C-directed single-chain variable fragment as the basis for a CAR construct targeting …

Determining The Role Of Point-Of-Care Hemoglobin Testing In The Resuscitation Of Acutely Hemorrhaging Patients, Eugene P. Warnick, Alexis R. Peedin, Md

Department of Pathology Honors Program Student Research Symposium

Point-of-care hemoglobin (Hb) testing has not been evaluated in the resuscitation of acutely hemorrhaging patients to guide transfusion therapy. This study assessed the correlation of Hb values determined by point-of-care (EPOC) and traditional laboratory (CBC) methods in patients undergoing massive transfusion. All patients transfused per the massive transfusion protocol (MTP) between February 2013 and October 2017 were identified. The EPOC result was most often within 1 g/dL of the CBC result when EPOC resulted in a Hb between 7-10 g/dL and when drawn within 15 minutes of the CBC specimen. In patients on MTP with an EPOC Hb between 7-10 …

Metastatic Lobular Breast Carcinoma In A Meningioma: A Case Study, Sara Chapin, Msii, Lawrence C. Kenyon, Md, Phd

Department of Pathology Honors Program Student Research Symposium

Hormonal relationships between breast carcinoma and meningioma have long been reported in the literature. This association may be related to the widespread expression of progesterone receptors in meningiomas. Indeed, meningiomas are more common in women and may demonstrate increased growth during pregnancy. Women have an increased risk of meningioma following breast carcinoma diagnosis and vice versa. However, much more uncommon is a tumor to tumor metastases of breast carcinoma into a meningioma. We report a case of a 56 year old female with a past medical history of breast cancer, found to have a right sphenoorbital meningioma with metastatic lobular …

Multivitamin Usage And Anemia In College Students, Jordan Balletto

Senior Honors Projects

Multivitamin usage has been shown to be significantly prevalent in the United States amongst adult populations. Recent data suggests that women are more likely than men to regularly consume a multivitamin, and that physically active individuals are more likely to take a multivitamin than those who live sedentary lifestyles. However, there are important, documented behavioral tendencies exhibited by college students that set them apart from the general adult population in terms of dietary intake. College students often partake in poor eating habits such as regularly skipping meals, eating out frequently, eating at fast food restaurants, and snacking on processed foods. …

Pharmacist-Patient Communication Techniques, Kanya Shah

Senior Honors Projects

Objective: To examine available literature on patient-provider communication directed specifically to pharmacists and create a succinct guide of communication techniques.

Methods: Two systematic searches were conducted on PubMed, EMBASE, APhA Library, Access Pharmacy, Communication Abstracts (EBSCO), and ComDisDome (Proquest). The first search quantified the literature available relating to communication techniques for non-pharmacist healthcare providers, such as physicians and nurses. The second search examined the information available on communication techniques directed to pharmacists and pharmacy practice. After conducting these general searches, the results were narrowed to clinical trials and review articles. Since the focus of this project was patient …

Leadership Development In The Nursing Student, Jessica Shaw

Senior Honors Projects

I am your typical type A honors nursing student. In several of my clinical courses, I received constructive criticism regarding my performance. The common theme throughout each rotation was leadership, or the lack thereof. I was itching to do something to break the trend. In our syllabi under expected course outcomes it said things like, “integrate principles of leadership,” and, “assume a leadership role.” To me, this was far too vague and there had never been a mention in the syllabi or the classroom of how leadership is defined or what it should look like in the nursing field. My …

Habit Formation And Deconstruciton: A Study In Behavioral Psychology, Mary Sims

Emerging Writers

Second-place winner in the Short Essay category of the 2018 Emerging Writers Contest. The essay examines the writer's application of behavioral psychology theory to her own habits.

New Dentist News (May 2018), Ada Committee On The New Dentist

New Dentist News

New Dentist News offers timely information on scientific, social, educational, political and economic developments affecting new dentists. This collection is historical and items may not reflect current standards. For up-to-date information contact the ADA. The New Dentist News was alternately titled ADA Lifeline, 1997-June 2001.

Promoting Mental Health Awareness At Uri, Megan Kurose

Senior Honors Projects

Honors Project Abstract: Megan Kurose (Marketing)

Promoting Mental Health Awareness at URI

Sponsor: Sara Murphy (Thanatology)

In 2012, The National Alliance on Mental Illness (NAMI) published a survey report on mental health entitled “College Students Speak”. The survey included in the report was web-based, and received 765 responses from individuals diagnosed with a mental health conditions who are currently or were enrolled in college within the past five years. Responses were collected from August 2011 to November 2011. According to the report, 57% of survey respondents did not request mental health accommodations from their school. The consequences of not receiving …

Priorities: A Film Investigation Into The Quality Of Hiv Education In Ri Public High Schools, Ellis Iacono

Senior Honors Projects

HIV infection in Rhode Island is trending in a positive, downward direction as the state continues to emphasize testing and prevention. The Miriam Hospital’s HIV/AIDS Immunology Center is a well-established caregiving facility, providing medical and social support to more than 1,500 Rhode Islanders annually. Despite this progress, there are educational gaps between school districts and an apparent lack of emphasis on HIV education in some RI public high schools. I created a documentary film to better understand the state’s health education standards and how they are presented in curricula. In doing so, I conducted a series of short, on-camera interviews …

Potent Immune Modulation By Medi6383, An Engineered Human Ox40 Ligand Igg4p Fc Fusion Protein., Michael D Oberst, Catherine Augé, Chad Morris, Stacy Kentner, Kathy Mulgrew, Kelly Mcglinchey, James Hair, Shino Hanabuchi, Qun Du, Melissa Damschroder, Hui Feng, Steven Eck, Nicholas Buss, Lolke De Haan, Andrew J Pierce, Haesun Park, Andrew Sylwester, Michael K Axthelm, Louis Picker, Nicholas P Morris, Andrew D Weinberg, Scott A Hammond

Articles, Abstracts, and Reports

Ligation of OX40 (CD134, TNFRSF4) on activated T cells by its natural ligand (OX40L, CD252, TNFSF4) enhances cellular survival, proliferation, and effector functions such as cytokine release and cellular cytotoxicity. We engineered a recombinant human OX40L IgG4P Fc fusion protein termed MEDI6383 that assembles into a hexameric structure and exerts potent agonist activity following engagement of OX40. MEDI6383 displayed solution-phase agonist activity that was enhanced when the fusion protein was clustered by Fc gamma receptors (FcγRs) on the surface of adjacent cells. The resulting costimulation of OX40 on T cells induced NFκB promoter activity in OX40-expressing T cells and induced …

A Comparison Of Health Literacy Measurement Tools For A Sample Of College Students, Oyenike Ilaka

Public Health Undergraduate Program

PURPOSE: Different measurement tools can be used to measure the health literacy of college students, and each measure different aspects of health literacy. The purpose of this thesis is to understand how health literacy assessments vary. Identifying strengths and weaknesses of the different tools may lead to improved studies of the predictors and outcomes of health literacy in college students. METHOD: The data were collected from college students attending a public university in the Northeast region of the United States. A total of 249 participants were recruited by class survey administration and flyer recruitments. With the exception of the Single …

School Nurses' Knowledge And Perceived Role In Mental Health Issues, Kayla Bakker

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Background:

There are 74.5 million children in the United States, 17.1 million currently or have previously dealt with a mental disorder (Children’s Mental Health, 2015). Unfortunately, the negative stigma associated with mental health often causes those affected to not seek treatment. School nurses are on the front line of public health problems and deliver safe, effective evidence-based practice to their communities. To rebuild our broken mental health system, community nurses need to build upon school mental health services and encourage more in-school programs (Stephan, Weist, Kataoka, Adelsheim, & Mills, 2007). School nurses must be included in the discussion when …

Improving Physical Fitness In Elementary School Students, Caroline Fortson

The Eleanor Mann School of Nursing Undergraduate Honors Theses

With childhood obesity rates rising across the country, promoting physical fitness is more important than ever. Today’s children are developing increasingly sedentary behavior. The average American elementary age child spends their day at school and the classroom is a source of the progressively sedentary behavior. Compounding the problem, schools are reducing the time allotted for physical education and recess, which means more time is spent sitting at a desk in the classroom. A rising number of children are reporting feelings of stress and anxiety, which may be alleviated by a physical activity such as yoga. Yoga may be an efficient …

Emergency Preparedness Among College Students At The University Of Arkansas, Mary Gadberry

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Students at the University of Arkansas could be susceptible to multiple forms of disaster including severe winter weather, earthquakes, tornadoes, lightning, floods, toxin release, radiological release from nuclear power plant, infectious diseases, food contamination, fires, active shooters, and bomb threats (Federal Emergency Management Agency [FEMA], 2013). The unpredictability of natural disasters, coupled with the increase in targeted school violence, served as the impetus for various federal initiatives intended to protect university populations (FEMA, 2003). The purpose of this study was to determine the emergency preparedness levels of college students at the University of Arkansas. Only 50% of students were concerned …

Judgments Of Intelligence And Likability For Young Adult Female Speakers Of American English: The Influence Of Vocal Fry And The Surrounding Acoustic-Prosodic Context, Michelle Parker

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

Objective: There is little consensus about how the use of the voice quality feature, vocal fry, in the speech of college-aged American women influences listener judgements of the speaker. This study investigates how vocal fry influences the judgement of speaker intelligence and likeability in this population, while taking into account the surrounding acoustic-prosodic context, specifically speech rate and voice pitch.

Method: Speech samples were obtained from eight American English speaking females who presented with different combinations of voice pitch (low or high), speech rate (slow or fast), and vocal fry (presence or absence). Listener judgements from 463 adults (262 males; …

A Review Of Open Access To Evidence Based Medicine For Athletic Trainers, Emily F. Teson

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

The most useful form of educating new and current athletic trainers is through evidence-based practice (EBP). Concussions are one of the most frequent injuries in sports and are seen at every setting of athletic training. Concussion research is essential for athletic trainers to make informed and educated decisions on the most current diagnosis, treatments, and return to play protocols for concussion injuries.

Purpose: The purpose of this narrative review was to analyze the amount of peer-reviewed research on current concussion articles that is freely accessible to athletic trainers in settings without university affiliations or budgets for journal subscriptions.

Methods: Two …

Sexual Orientation And Gender Identification Data Collection: Attitudes, Beliefs, And Perceived Barriers Among Inpatient Registered Nurses And Medical Providers On Progressive Care Units, Ryan J. Harris

Doctor of Nursing Practice Scholarly Projects

As the United States healthcare system continues to evolve and more Americans receive health insurance coverage, trends in diseases and care delivery to meet these trends are expected to shift. As this evolution takes place the ability to track trends to address the anticipated needs will need to develop at a faster pace. One such area is how healthcare providers engage the Lesbian, Gay, Bisexual, Transgender (LGBT) community and how these interactions can improve care, perceived healthcare quality, and address health disparities. Currently most electronic health record (EHR) programs do not have the ability to track the sexual orientation or …

Oncolog, Volume 63, Number 05-06, May - June 2018, Joe Munch, Sunita Patterson, Bryan Tutt

OncoLog MD Anderson's Report to Physicians (All issues) Archives

• Breast Cancer Treatment without Surgery: New approach may let certain breast cancer patients who respond to systemic therapy forgo surgery
• INBRIEF: Targeted Drug BLU-667 Shows Promise against Solid Tumors with RET Alterations
• Diet May Improve Gut Microbiome in Colorectal Cancer Survivors: Trial tests whether adding beans to diet affects markers of cancer risk, metabolic health
• TRK Inhibition Shows Activity in Solid Tumors: Early results of clinical trials for adult, pediatric patients with NTRK gene fusions show promise
• HOUSE CALL: Preparing for Natural Disasters-People with cancer or other chronic illnesses should take extra precautions

Noise Levels In The Neonatal Intensive Care Unit: A Systematic Review, Esther Cohn

Dissertations, Theses, and Capstone Projects

Advisor: Carol A. Silverman, Ph.D., M.P.H.

Objective: The purpose of this systematic review is to investigate noise levels in the Neonatal Intensive Care Unit (NICU) in order to see if they are in compliance with the American Academy of Pediatrics (AAP) proposed standards. This investigation also aims to compare noise levels among various NICU conditions in order to best hospital conditions for noise reduction.

Methods: A comprehensive search of the literature utilizing various peer-reviewed databases through the City University of New York (CUNY) Graduate Center Library was conducted to identify relevant studies on noise levels in the NICUs. Articles that …

Speech Perception In Mandarin- And Cantonese-Speaking Children With Cochlear Implants: A Systematic Review, Sum Yee Fong

Dissertations, Theses, and Capstone Projects

Background: Current cochlear implants are limited in their ability to convey pitch and tone information. Poor representation of pitch and tone information in cochlear implants hinders lexical tone perception for cochlear-implant users who speak tonal languages such as Mandarin and Cantonese. As the demand for cochlear implants in China is increasing, it is necessary to understand the speech perception abilities of Mandarin and Cantonese-speaking cochlear-implant users and the factors that contribute to improved speech perception for these users.

Objective: The purpose of this investigation is to perform a systematic review on the speech perception abilities in children with cochlear implants …

Development Of Realistic Stimuli For The Evaluation Of Listening Effort Using Auditory Evoked Potentials, Christie Hoo Yee Leung

Dissertations, Theses, and Capstone Projects

Purpose – Listeners often report difficulty perceiving speech in background noise, such as when listening in a restaurant. A common complaint of difficulty perceiving speech in noisy restaurants leads to the development of the present study, where audio recordings of connected discourse mixed with restaurant noise at different signal-to-noise ratios were made to determine the effect of restaurant noise on listening effort. Listening effort has previously been examined with psychophysiological measures, a dual-task paradigm, and qualitative measures using a variety of auditory stimuli ranging from simple tonal stimuli to complex speech stimuli, such as consonant-vowel syllables, words, and full sentences, …

Dancing, Mindfulness, And Our Emotions: Embracing The Mind, Body, And Sole, Alisha M. Collins

Dissertations, Theses, and Capstone Projects

This capstone project examines dance, as an intervention and mindfulness practice that assists with managing our emotions. There is a need for dance therapy in social institutions such as, healthcare facilities, schools, and community centers. Dance therapy has the potential to reduce negative emotions, create mindfulness, improve self-expression, and promote a healthy well-being. I am proposing that dance therapy is applied as a regular practice in social institutions to develop mindfulness and promote emotional stability.

In this study, I argue that dance therapy can contribute to our well-being long term. In addition to this written thesis, a visual component of …

Assessing The Ordinality Of Response Bias With Item Response Models: A Case Study Using The Phq-9, Venessa N. Singhroy

Dissertations, Theses, and Capstone Projects

Improper scale usage in psychological and clinical assessment is an important problem. If respondents do not use the scales in a consistent manner, the reliability of a composite is likely to be attenuated. This is particularly problematic when particular items are singled out for special treatment or when subscales are of interest, not just a total score. This study used both non-parametric and parametric item response theory (IRT) methods to gain further insight into the validity of the PHQ-9, a dual purpose instrument that assesses the severity of depressive symptoms using nine Likert-scale items and allows the investigator to establish …

Effect Of The Diverse Standardized Patient Simulation (Dsps) Cultural Competence Education Strategy On Nursing Students’ Transcultural Self-Efficacy Perceptions, Eda Ozkara San

Dissertations, Theses, and Capstone Projects

Nursing students find it challenging to provide culture-specific care for patients representing diversity in ethnicity, race, language, socioeconomic status, religion, gender, sexual orientation, immigration history, and lifestyle and frequently lack confidence in their knowledge, skills, and abilities. Simulation has become a useful strategy for teaching nursing students assessment skills, technical skills, teamwork, delegation, self-efficacy, and professional communication. An alarming gap exists within the literature concerning innovative teaching and learning strategies that are carefully designed, implemented, and evaluated and follow a conceptual model, guidelines, and standards to enhance cultural competence development of diverse student groups, who must work with patients from …

Culture Care Needs Of Puerto Rican Women Receiving Hiv Care From Nurse Practitioners In New York City, Michele Crespo-Fierro

Dissertations, Theses, and Capstone Projects

The purpose of this mini-ethnonursing research study was to discover, describe, and interpret culture care values, beliefs, expressions, practices and needs of Puerto Rican women receiving HIV care from nurse practitioners (NPs) and other providers in New York City. The emic, or insider, perspective of Puerto Rican women living with HIV was the focus of this study and Leininger’s Culture Care Theory (CCT) provided the theoretical framework. Various enablers of the CCT, including Leininger’s Sunrise Enabler to Discover Culture Care, guided the design andimplementation of the study. Six key and twelve general informantswere interviewed and data from the interviews were …