Medicine and Health Sciences Commons^™

Health Policy & Management News, Georgia Southern University

Health Policy & Community Health: News & Publications (2011-2018)

• Georgia Southern Examines Water Quality and Perception of Risk

Job Termination Survey: Faith Community Nursing, Deborah Ziebarth

International Journal of Faith Community Nursing

Research regarding community-based nurse voluntary and involuntary termination rates are limited and outdated. This study explores faith community nursing termination using a survey. Survey questions pertaining to why the termination occurred, supportive resources used during termination, and post termination behaviors are addressed. The first three reasons for termination were due to site leadership change, not a strategic priority of the hospital or faith community leadership, and organization restructuring or elimination of the program. The fourth through seventh reasons for termination were financial in nature. They were: not a financial priority to hospital or health care organization, not a financial priority …

Colorectal Cancer Screening Education In Faith-Based Communities, Lindsay B. Medley 4811635, Lynette Smith, Marie Blankenship

International Journal of Faith Community Nursing

The principal intent for colorectal cancer screening is early detection and primary prevention of colorectal cancer. In spite of these intentions, there is a reluctance of the general population to participate in screening. Colorectal cancer is preventable. However, screening non-adherence contributes to both cancer mortality and incidence rates and results in expensive, unnecessary health care costs. A faith-based community nurse-driven educational session, using an American Cancer Society PowerPoint, was developed to address barriers of screening non-adherence. The educational session was offered to adults who participate in multiple faith-based organizations. The session provided education regarding colorectal cancer and colorectal cancer screening …

Exploring Standardized Nursing Languages: Moving Toward A Faith Community Nursing Intervention, Deborah J. Ziebarth

International Journal of Faith Community Nursing

There are many benefits when a specialty is able to translate nursing interventions into a standardized language. One of the benefits is that nurses from different specialties, geographic areas, or countries are able to understand terminologies and concepts. The aim of this paper is to examine three standardized nursing languages and their use in describing faith community nursing through an integrative literature review.

General descriptions, recognitions, populations, translations, reliability/validation/utility, and components of the Omaha System, the Nursing Intervention Classification, and the International Classification for Nursing Practice were presented. The author did not find literature to support the use of one …

Fcni News & Notes April 2018, Beverly Siegrist

International Journal of Faith Community Nursing

No abstract provided.

The Effect Of Non-Dominant Shoulder Exercises On Non-Dominant And Dominant Shoulder Range Of Motion In Collegiate Volleyball Player, Jeanna Becker, Renee Maneman, Savannah Tinklenberg

Celebration of Research

Context: Janda’s Upper-Crossed Syndrome (UCS) is characterized by alternating patterns of tightness and weakness, which is indicative of muscle imbalances and movement dysfunction usually seen in unilateral athletes. These muscle imbalances can cause abnormal movement patterns and sometimes manifest as pain. Anecdotal evidence seen in the athletic training clinic also supported the use of non-dominant side movement patterns to improve dominant side functioning and decrease pain. Objective: Based on the UCS, application of non-dominant shoulder exercises may decrease muscle imbalances and movement dysfunction. We hypothesized that there would be an increase in internal rotation of the dominant shoulder demonstrating increased …

Drawing Coagulation Studies From Heparinized Central Lines, Alex Stidmon, Bailey Swart, Carissa Holt, Megan Adams, Sarah Allen

Celebration of Research

A literature review was conducted between the months of September and December 2017 to determine whether using heparinized central lines to draw coagulation studies is best evidence based practice. The purpose was to research the efficacy of using a heparinized central line to draw coagulation studies. This research is for the Abben Cancer Center affiliated with Spencer Hospital in Spencer, Iowa. Ten articles focusing on patients with heparinized lines or discard volume were reviewed. Results showed that heparin primarily has an effect on Activated Partial Thromboplastin Time (aPTT). It was found that using heparinized central lines to draw blood studies …

Poster Viewing Session, Various Presenters

ANS Research Symposium

Posters will be presented by students and faculty members from academic units within the College of Applied and Natural Sciences

The Santa Clara, 2018-04-12, Santa Clara University

The Santa Clara

No abstract provided.

Medical Decision-Making In Paediatrics: Infancy To Adolescence, Kevin W. Coughlin

Paediatrics Publications

Medical decision-making in the paediatric population is complicated by the wide variation in physical and psychological development that occurs as children progress from infancy to adolescence. Parents and legal guardians are the de facto decision-makers in early infancy, but thereafter, the roles of parents/ legal guardians and paediatric patients become ever more complex. Health care providers (HCPs), while not decision-makers per se, have a significant role in medical decision-making throughout childhood. This statement outlines the ethical principles of medical decision-making for HCPs involved in caring for paediatric patients. This revision focuses on individual decision-making in the context of the patient–provider …

Predictive Value For Cardiovascular Events Of Common Carotid Intima Media Thickness And Its Rate Of Change In Individuals At High Cardiovascular Risk - Results From The Prog-Imt Collaboration, Matthias W Lorenz, Lu Gao, Kathrin Ziegelbauer, Giuseppe Danilo Norata, Jean Philippe Empana, Irene Schmidtmann, Hung-Ju Lin, Stela Mclachlan, Lena Bokemark, Kimmo Ronkainen, Mauro Amato, Ulf Schminke, Sathanur R Srinivasan, Lars Lind, Shuhei Okazaki, Coen D A Stehouwer, Peter Willeit, Joseph F Polak, Helmuth Steinmetz, Dirk Sander, Holger Poppert, Moise Desvarieux, M Arfan Ikram, Stein Harald Johnsen, Daniel Staub, Cesare R Sirtori, Bernhard Iglseder, Oscar Beloqui, Gunnar Engström, Alfonso Friera, Francesco Rozza, Wuxiang Xie, Grace Parraga, Liliana Grigore, Matthieu Plichart, Stefan Blankenberg, Ta-Chen Su, Caroline Schmidt, Tomi-Pekka Tuomainen, Fabrizio Veglia, Henry Völzke, Giel Nijpels, Johann Willeit, Ralph L Sacco, Oscar H Franco, Heiko Uthoff, Bo Hedblad, Carmen Suarez, Raffaele Izzo, Dong Zhao, Thapat Wannarong, Alberico Catapano, Pierre Ducimetiere, Christine Espinola-Klein, Kuo-Liong Chien, Jackie F Price, Göran Bergström, Jussi Kauhanen, Elena Tremoli, Marcus Dörr, Gerald Berenson, Kazuo Kitagawa, Jacqueline M Dekker, Stefan Kiechl, Matthias Sitzer, Horst Bickel, Tatjana Rundek, Albert Hofman, Ellisiv B Mathiesen, Samuela Castelnuovo, Manuel F Landecho, Maria Rosvall, Rafael Gabriel, Nicola De Luca, Jing Liu, Damiano Baldassarre, Maryam Kavousi, Eric De Groot, Michiel L Bots, David N Yanez, Simon G Thompson

Medical Biophysics Publications

AIMS: Carotid intima media thickness (CIMT) predicts cardiovascular (CVD) events, but the predictive value of CIMT change is debated. We assessed the relation between CIMT change and events in individuals at high cardiovascular risk.

METHODS AND RESULTS: From 31 cohorts with two CIMT scans (total n = 89070) on average 3.6 years apart and clinical follow-up, subcohorts were drawn: (A) individuals with at least 3 cardiovascular risk factors without previous CVD events, (B) individuals with carotid plaques without previous CVD events, and (C) individuals with previous CVD events. Cox regression models were fit to estimate the hazard ratio (HR) of …

Bilateral Carotid Artery Stenosis Causes Unexpected Early Changes In Brain Extracellular Matrix And Blood-Brain Barrier Integrity In Mice, Jill M. Roberts, Michael E. Maniskas, Gregory J. Bix

Neuroscience Faculty Publications

Bilateral carotid artery stenosis (BCAS) is one experimental model of vascular dementia thought to preferentially impact brain white matter. Indeed, few studies report hippocampal and cortical pathology prior to 30 days post-stenosis; though it is unclear whether those studies examined regions outside the white matter. Since changes in the blood-brain barrier (BBB) permeability precede more overt brain pathology in various diseases, we hypothesized that changes within the BBB and/or BBB-associated extracellular matrix (ECM) could occur earlier after BCAS in the hippocampus, cortex and striatum and be a precursor of longer term pathology. Here, C57Bl/6 mice underwent BCAS or sham surgeries …

Rational Reasoning On Ractopamine: Kentucky Regulators Reach Appropriate Responses To Inconsequential Trace-Level Environmental Substance Identifications, Theodore F. Shults, Kimberly Brewer, Jake Machin, Eric Hamelback, Thomas Tobin

Maxwell H. Gluck Equine Research Center Faculty Publications

No abstract provided.

Supporting A Spectrum Of Users: Serving Individuals On The Autism Spectrum, Rachel Combs

Library Presentations

No abstract provided.

Développement D’Un Système De Mesures Et D’Un Protocole De Mesures Permettant De Quantifier L’Exposition Physique Des Manutentionnaires, André Plamondon, Xavier Robert-Lachaîne, Christian Larue, Hakim Mecheri, Denys Denis, Alain Delisle, Philippe Corbeil

Rapports de recherche scientifique

L’objectif principal de ce projet était de combiner différents senseurs et instruments pour expérimenter, en laboratoire et sur le terrain, un système de mesures permettant d’estimer quantitativement l’exposition physique des manutentionnaires. Ce type de système pourrait éventuellement servir à évaluer objectivement l’efficacité d’approches de prévention. Un second objectif consistait à mettre au point une stratégie d’échantillonnage pour optimiser la mesure de l’exposition physique de manutentionnaires sur le terrain. Des auteurs ont fréquemment souligné des lacunes dans la manière d’échantillonner les données ce qui a peut-être contribué à affaiblir les études portant sur les relations entre l’exposition physique …

Nanoparticle Penetration Of Respirator Masks At Construction Sites, Jefferson W. Doehling

Honors College Theses

This experimental investigation studies the effectiveness of N95 respirators at blocking particles between 11.5 and 154 nm in diameter during 4 different construction activities. It is well known that large amounts of dust and debris are generated during construction activities. New research has found that significantly more nanoparticles are generated during construction activities than previously thought. Consequently, the N95 respirators commonly worn to protect against these particles are only rated to block 95% particles larger than 0.3 microns in size. In this investigation, two respirator models were tested, a NIOSH TC-84A-0007 pleated N95 respirator and a NIOSH 42CFR84 foldable N95 …

Implementation Of Standardized Heart Failure Educational And Documentation Processes Within An Outpatient Heart And Vascular Clinic, Mallory Myslenski

Doctoral Projects

Heart failure is a prevalent, high-risk condition associated with high mortality and frequent hospitalizations. Heart failure is characterized by acute exacerbations of signs and symptoms, and affects almost six million Americans leading to one of the most costly illnesses in the United States. Management of heart failure is complex and individualized relying on appropriate education, self-care management, medications, and adequate follow-up to succeed in treatment. Many organizations have initiated evidence-based heart failure management or educational programs that provide easy-to-learn education on diagnosis, medication, and self-care behaviors. Research has shown that these programs help patients to better manage their symptoms at …

Development Of A Positron-Emitting Surrogate Microsphere For Image-Based Dosimetry In Yttrium-90 Radioembolization Therapy, Gregory D. Chambers

Nuclear Engineering ETDs

Radioembolization of liver tumors using yttrium-90 (Y-90) labeled microspheres is a proven method of treatment. The primary decay mode of Y-90 is beta-minus decay. The electrons produced during decay deliver a cytotoxic radiation dose in a localized volume. The radiation dose is sufficient to kill tumor cells yet spare the normal liver. The Y-90 microspheres are delivered via a catheter that has been placed in an artery that supplies blood to the tumor. Microspheres are injected and the blood distributes the microspheres. The current practice involves two separate procedures. The first procedure is an assessment of the vasculature of the …

Influenza Vaccine Effectiveness In The Elderly, Sheryl Rudolf

Nursing Capstones

No abstract provided.

Understanding Patient Uncertainty As A Driver Of Emergency Department Utilization: A Concept Mapping Approach, Angela Gerolamo, Phd, Rn, Shannon Doyle, Mph, Rhea E. Powell, Md, Mph, Amanda M.B. Doty, Ms, Marianna Lanoue, Phd, Kristin L. Rising, Md, Mshp

Department of Emergency Medicine Posters

Background and Purpose

• Most previous research regarding factors associated with increased risk of emergency department (ED) use has been done via retrospective review of medical records rather than obtaining patients’ perspectives.
• Recent research identified patient uncertainty related to symptoms as a primary motivator for seeking ED care, and ongoing uncertainty at the time of ED discharge as an unmet need (Rising et al. 2015; Rising, Hudgins, Reigle, Hollander, & Carr 2016).
• While providers have limited ability to influence many factors identified by retrospective medical record review (e.g. financial concerns), patient uncertainty can be addressed by providers directly. To do so …

So Not Mothers: Responsibility For Surrogate Orphans, Jennifer Parks, Timothy F. Murphy

Philosophy: Faculty Publications and Other Works

The law ordinarily recognizes the woman who gives birth as the mother of a child, but in certain jurisdictions, it will recognize the commissioning couple as the legal parents of a child born to a commercial surrogate. Some commissioning parents have, however, effectively abandoned the children they commission, and in such cases commercial surrogates may find themselves facing unexpected maternal responsibility for children they had fully intended to give up. Any assumption that commercial surrogates ought to assume maternal responsibility for abandoned children runs contrary to the moral suppositions that typically govern contract surrogacy, in particular assumptions that gestational carriers …

Meeting Report: ‘How Do I Incorporate Research Into My Family Practice?’: Reflections On Experiences Of And Solutions For Young Family Doctors, Kenneth Yakubu, Maria C. Colon-Gonzalez, Kyle Hoedebecke, Vasiliki Gkarmiri, Nagwa N. Hegazy, Olugbemi O. Popoola

School of Medicine Publications

Background: Family doctors (FDs) focus on biopsychosocial components of health during consultations. However, much of the evidence employed by these doctors is produced by researchers who are not routinely involved in family practice. Family doctors competent in both clinical practice and research are essential to addressing this gap. With the growing recognition of family medicine as the specialty of choice for many young doctors, there is a scarcity of literature that describes their experiences in combining research and daily family practice.

Aim: Members from Young Doctor Movements (YDMs) under the auspices of the World Organisation of Family Doctors (WONCA) …

Film Screening: What Doesn't Kill Me, Leeann Bartolini

Community Engagement Theme

No abstract provided.

Implementation Of A Scripted Education On Comfort Goals To Improve Patient Perception Of Pain Control, Vicki F. Mclean

Doctoral Dissertations and Scholarly Projects

Pain management is the culmination of physician, nurse, and patient expectations. Successful pain management is impacted by the patient’s perception and expectation of the provided interventions, as well as the perception of the care provider of the patient’s pain. Pain assessment tools have been utilized for decades and still pain control is rated as inadequate. Providing scripted education to the patient on the purpose and utilization of these tools impacts the patient’s perception of pain management. This project implemented the evidence-based practice intervention of education to improve the relationship of comfort goals to pain management. Nurses’ knowledge of pain management …

Proceedings - Wright State University Boonshoft School Of Medicine Tenth Annual Medical Student Research Symposium, Office Of Research Affairs, Boonshoft School Of Medicine

Medical Student Research Symposium Proceedings

The student abstract booklet is a compilation of abstracts from students' oral and poster presentations at Wright State University's Tenth Annual Boonshoft School of Medicine Medical Student Research Symposium held on April 11, 2018.

Assessing Physical Limitations And Fear Of Injury In Dii Female Track And Field Athletes, Josette Nelson

Honors Capstones

The primary purpose of this research project was to identify physical limitations or asymmetries in regular body movement using the Functional Movement Screening (FMS) system on the Bemidji State University female track athletes. A secondary purpose was to examine if fear of injury influences FMS overall scores. The FMS has been frequently used in the exercise and medical communities. The primary intent of this project was to identify how the FMS can be used to recognize deficiencies, in prior physical training methods. The FMS test examines, strength, range of motion and flexibility asymmetry. The intended purpose of this screening is …

Macrophage-Derived Il-1Β/Nf-Κb Signaling Mediates Parenteral Nutrition-Associated Cholestasis., Karim C El Kasmi, Padade M Vue, Aimee L Anderson, Michael W Devereaux, Swati Ghosh, Natarajan Balasubramaniyan, Sophie A Fillon, Carola Dahrenmoeller, Ayed Allawzi, Crystal Woods, Sarah Mckenna, Clyde J Wright, Linda Johnson, Angelo D'Alessandro, Julie A Reisz, Eva Nozik-Grayck, Frederick J Suchy, Ronald J Sokol

Articles, Abstracts, and Reports

In infants intolerant of enteral feeding because of intestinal disease, parenteral nutrition may be associated with cholestasis, which can progress to end-stage liver disease. Here we show the function of hepatic macrophages and phytosterols in parenteral nutrition-associated cholestasis (PNAC) pathogenesis using a mouse model that recapitulates the human pathophysiology and combines intestinal injury with parenteral nutrition. We combine genetic, molecular, and pharmacological approaches to identify an essential function of hepatic macrophages and IL-1β in PNAC. Pharmacological antagonism of IL-1 signaling or genetic deficiency in CCR2, caspase-1 and caspase-11, or IL-1 receptor (which binds both IL-1α and IL-1β) prevents PNAC in …

Comparative Outcomes Between The First And Second Operated Shoulders In Bilateral Shoulder Arthroplasty., Derek D Berglund, Jennifer Kurowicki, Jacob J Triplet, Samuel Rosas, Molly Moor, Brandon Horn, Jonathan C Levy

Surgery Articles

INTRODUCTION: Studies that report outcomes after staged bilateral shoulder arthroplasty (BSA) are limited. This study compared the overall improvement between the first and second operated shoulders after BSA.

METHODS: Preoperative and postoperative motion and patient-reported outcomes for function, pain, and general health were assessed for patients who underwent BSA with a 2-year follow-up. Ultimate outcomes and the efficacy of treatment were compared between the first and second operated shoulders.

RESULTS: Seventy-three patients met the inclusion criteria (mean follow-up, 51.4 months). There were no notable differences between the first and second operated shoulders for all preoperative and postoperative variables except for …

Regulation Of Nociceptive Glutamatergic Signaling By Presynaptic Kv3.4 Channels In The Rat Spinal Dorsal Horn., Tanziyah Muqeem, Biswarup Ghosh, Vitor Pinto, Angelo C. Lepore, Manuel Covarrubias

Farber Institute for Neuroscience Faculty Papers

Presynaptic voltage-gated K⁺ (Kv) channels in dorsal root ganglion (DRG) neurons are thought to regulate nociceptive synaptic transmission in the spinal dorsal horn. However, the Kv channel subtypes responsible for this critical role have not been identified. The Kv3.4 channel is particularly important because it is robustly expressed in DRG nociceptors, where it regulates action potential (AP) duration. Furthermore, Kv3.4 dysfunction is implicated in the pathophysiology of neuropathic pain in multiple pain models. We hypothesized that, through their ability to modulate AP repolarization, Kv3.4 channels in DRG nociceptors help to regulate nociceptive synaptic transmission. To test this hypothesis, we …

Inter-Professional Education: A Literature Analysis And Description Of Pacer Study At Western Michigan University, Kari Scholten

Honors Theses

Inter-professional education is a topic that is widely gaining popularity throughout the healthcare field. Because inter-professional practice in the hospital and beyond has proven its value time and time again, universities must take it upon themselves to train their healthcare students to work efficiently and communicate effectively with other disciplines in the healthcare field. Through a thorough literature review, it was demonstrated that inter-professional education studies and simulations that were performed in a range of settings have had positive effects on a variety of factors, including communication, quality of care given, and perceptions of professional roles. A study performed at …