The Comparison Of The Surface Roughness And Surface Morphology Of Sintered And Chairside Polished Monolithic Zirconia Implant Crown, Wasan Vatanasak, Kamolporn Wattanasirmkit

Chulalongkorn University Dental Journal

Background: Low temperature degradation, also known as ageing, is the major challenge we cannot avoid in zirconia restorations. Changes in temperature, pressure, mechanical force and moisture are few of the factors which contribute to ageing which eventually leads to failure of zirconia restorations. Objectives: To compare the phase transformation, surface roughness and grain morphology as indications of low temperature degradation that might occur in translucent monolithic zirconia after try in procedure which finished the restoration by chairside polishing or annealing technique. Materials and methods: A total of 10 single implant crowns would be milled from the one Vita HT (VITA-Zahnfabrik, …

The Lli Chronicle Volume 10 Issue 1, Nova Southeastern University

Lifelong Learning Institute Newsletters

No abstract provided.

Empowering Individuals In The Community: Let Your Wishes Be Known Through Advance Healthcare Planning, Elizabeth Range Parnell

Nursing Theses and Capstone Projects

Advance healthcare planning in the community is a responsibility that requires informed decision-making, time, and individualized attention. Advance healthcare planning in the community should be an organized process of communication that is intended to assist, engage, and support individuals, their families, and friends in understanding, reflecting upon, and discussing the loved one’s goals, values, and preferences for their future health care needs. The growing older adult population in the United States has increased age-related morbidities, and life-limiting chronic illnesses that increase the demand for quality, yet cost-effective end of life care. When a loved one is sick and unable to …

Mental Health Concerns In African American Churches: Pastoral Preparedness In Counseling, Melody Samuel

Nursing Theses and Capstone Projects

African Americans rely heavily upon their pastors for more than spiritual guidance. Pastors are known as gatekeepers in the African American community serving as a resource to address a multitude of issues for their congregant from personal issues such as finances and marital issues, grief and bereavement, to physical and mental health issues. The aim of this study was to examine pastoral preparedness for counseling of mental health concerns in the African American church. To better understand the demand of mental health counseling for their congregants and assess the pastor’s perception of educational and training needs, 35 pastors and/or associate …

Teaching Adult Learners Knowledge About Care Transition (Talk-Act): A Quality Improvement Project To Promote Nursing Communication, Tammy D. Trivette

Nursing Theses and Capstone Projects

There is a growing incentive to recognize a way of improving the hospital discharge process to empower patients to succeed in care transition. Nurses play a crucial role in the prevention of hospital readmission by focusing on high-quality discharge instructions (Hesselink et al., 2014). When a patient is successful in self-care the improvement to the discharge process reduces unnecessary hospital readmissions (Roberts, Moore, & Jack, 2017). This doctoral project aimed to provide insight into a growing hospital discharge problem, the underlying causes, and an overview of results from a change in processes. Both communication and patient comprehension play significant roles …

Understanding The Autism Spectrum Disorder Population: An Opportunity To Improve Patient Care, Jean A. Timmons

Nursing Theses and Capstone Projects

There is a documented need for caring education regarding patients with autism spectrum disorder (ASD) for nursing students and nursing staff. The autism spectrum population is increasing, one in 59 children in the United States as reported by the CDC’s Autism and Developmental Disabilities Monitoring (ADDM) Network (as cited in Baio et al., 2018). Nurses are expected to provide appropriate care, showing respect and understanding at all times to both the client and family. Through lack of knowledge and misunderstanding the ASD population has not been given this care. Based on Watson’s Theory of Caring, an educational ASD caring program …

Changing Cna Perceptions Of Substance Use Disorders, Frank Alagna

Nursing Theses and Capstone Projects

Healthcare workers have perceptions of the patients they care for on a day to day basis. These perceptions may have negative impacts on patient care and therapeutic relationships. Substance use disorder (SUD) patients present a unique challenge due to factors related to the disease process. Certified nursing assistants (CNAs) spend a significant amount of time working with this patient population in the acute care setting. An educational intervention was prepared and presented to newly hired CNAs in a rural regional hospital in the southeastern United States to change perceptions of (SUD). Components of the educational intervention included a 30 minute …

The Evaluation Of Video Teaching On Preoperative Anxiety In The Outpatient Pediatric Surgical Patient, Jennifer Glenn

Nursing Theses and Capstone Projects

Preoperative anxiety is common among pediatric surgical patients. Numerous studies have evaluated measures to reduce preoperative anxiety in both adult and pediatric patients; however, limited research exists on the impact of preoperative video teaching in pediatric outpatient surgical patients. Purpose: The purpose of this study was to evaluate the effect of preoperative video teaching on preoperative anxiety in pediatric patients age seven to 14 undergoing outpatient surgery.

Design and Methods: The study operated as a two group, post-test comparison study, in which a convenience sample of 60 patients were randomized to either the control (30 patients) or study (30 patients) …

Investigating Compassion Fatigue In Medical-Surgical Nurses, Tammy Darlene Shepherd

Nursing Theses and Capstone Projects

Medical-surgical nurses are consumed by providing care to patients and families and often forget to care for themselves. Compassion fatigue can lead to lack of caring for one’s self in the nurse’s life. The purpose of this thesis was to examine the existence of compassion fatigue among medical-surgical nurses and determine the correlation between the range of years of nursing experience and range of age in years. A review of the literature has identified that nurses should practice self-care to combat compassion fatigue. The theoretical framework was based on Jean Watson’s Theory of Transpersonal Caring. The Professional Quality of Life …

Perceived Effects Of Faith Community Nursing On Quality Of Life And Overall Health, Vicie Renee Rutherford

Nursing Theses and Capstone Projects

Faith Community Nursing (FCN) is a nursing practice specialty that focuses on the intentional care of the spirit, the promotion of an integrative model of health, and the prevention and minimization of illness. The FCN nursing specialty is believed to be an effective specialty to reverse the trend for declining health by aiding in the improvement of quality of life (QoL) and overall health for increasing numbers of people with multiple health problems; however, minimal research data and literature was available to substantiate the claim. This MSN thesis explored the relationship between FCN ministries and QoL and health by conducting …

Nurse Manager Leadership Styles, Tristy Morrison

Nursing Theses and Capstone Projects

Strong leadership skills are crucial to establish, grow, and sustain a healthy work environment in healthcare. Transformational leadership behaviors drive nursing teams to achieve higher levels of engagement, increased nursing satisfaction, increased retention rates, and higher commitment levels to the organization. The purpose of this research was to assess the transformational leadership characteristics among assistant nurse managers, managers, and directors, in a southeastern hospital in the United States. The Multifactor Leadership Questionnaire (MLQ-5X) was administered to evaluate the leadership characteristics. A convenience sample of 14 nurse leaders rated themselves as more transformational than the norm with an average score of …

Staff Nurses’ Perception Of Standardized Bedside Shift Report And Safety Assessment, Lara Scarborough

Nursing Theses and Capstone Projects

This study was conducted to explore a group of Medical-Surgical staff nurses’ perception of a unit-based procedure change, which included implementation of a standardized bedside shift report with a comprehensive safety assessment. The goal was to gain insight from the staff nurses via a qualitative survey to provide data for nurse leaders to examine common perception themes associated with implementation of bedside shift report with a standardized safety assessment. Themes derived from data analysis indicated that nurses perceived bedside shift report to increase patient safety but felt that some nurses were not willingly participating in bedside shift report. Staff nurses …

Cultivating Confidence: Creating A Flipped Classroom Environment, Hallie H. Barnett

Nursing Theses and Capstone Projects

The purpose of this pilot study was to examine if the application of the flipped classroom teaching method versus traditional lecture in new hire hospital nursing orientation played a role in practicing nurses’ self-confidence to competently practice at the patient’s bedside. By exploring two different teaching methods in orientation, a correlation would be determined to recognize self-confidence levels with the nurse’s ability to use policy, procedure, and equipment when responding to a medical emergency in a new facility. The research study was conducted using a convenience sample at a community hospital during nursing orientation which occurred consistently twice per month. …

Improving Nurses’ Confidence In Early Identification Of Sepsis, Kristi Brawley

Nursing Theses and Capstone Projects

Sepsis is the body’s extreme response to infection, which is a life-threatening medical emergency and must be treated promptly. Emergency Department (ED) registered nurses are at the frontlines of patient treatment, requiring them to be educated on the most recent guidelines and protocols when it comes to early sepsis identification. This study implemented educational sessions on early identification and initiation of treatment in sepsis for the ED nurse population to improve their overall confidence in identifying potentially septic patients. It was found that the education sessions increased the nursing staff who participated overall confidence in early identification of sepsis patients.

Prevention And Alleviation Of Patient Emotional Harm, Yolanda Neal

Nursing Theses and Capstone Projects

The healthcare encounter is a setting in which a patient experience or customer service concern can occur. Patients who experience disrespect in this encounter may be less likely to use health care services that improve health outcomes. Emotional harm has been defined as, “something that affects a patient’s dignity by the failure to demonstrate adequate respect for the patient as a person. Emotional harm leaves the patient feeling violated, damages the patient-provider relationship and erodes trust”, (Sokol-Hessner, 2015, p. 551). Kaplan (2015) suggested that emotional harms experienced by patients can erode trust and damage patient-provider relationships. Such injuries can be …

Perceived Confidence Levels Of Nc School Nurses With Emergency Preparedness, Gina Mace Greene

Nursing Theses and Capstone Projects

School nurses have a critical role in a school setting during an emergency. In many situations, they are the first and only health responders on the scene. School nurses must be confident in their knowledge and skills to implement in many different types of emergencies. This study presents the results of the perceived competence levels of NC School Nurses with emergency preparedness. An anonymous survey showed results that more school nurses are more confident with medical emergencies and least confident with pandemic and bioterrorism related emergencies. Some types of emergencies may only pose a low threat of incidence in a …

What Works In Rural Interprofessional Practice And Education? A Study Of Student Reflections, Curt Stilp, Candyce Reynolds

Faculty Publications - College of Medical Science

Background: Team-based care has been proposed as a way to utilize rural healthcare resources wisely. Thus, the need to educate healthcare profession students in the fundamentals of rural team-based practice has increased in recent years. Thisstudy sought to examine student reflections of a rural interprofessional practice and education (IPE) program in an effort to learn how students described their experience and what they valued.

Methods and findings: Student reflection journals from a formal rural IPE program were examined for themes related to post-experience values, attitudes, and beliefs. In general, the time spent in rural IPE led to understanding what it …

The Influence Of Change In Cardiorespiratory Fitness With Short-Term Exercise Training On Mortality Risk From The Ball State Adult Fitness Longitudinal Lifestyle Study, Mary T. Imboden, Matthew P. Harber, Mitchell H. Whaley, W. Holmes Finch, Derron A. Bishop, Bradley S. Fleenor

Faculty Publications - Department of Kinesiology

Objective

To assess the influence of changes in cardiorespiratory fitness (CRF) after exercise training on mortality risk in a cohort of self-referred, apparently healthy adults.

Patients and Methods

A total of 683 participants (404 men, 279 women; mean age: 42.7±11.0 y) underwent two maximal cardiopulmonary exercise tests (CPX) between March 20, 1970, and December 11, 2012, to assess CRF at baseline (CPX1) and post-exercise training (CPX2). Participants were followed for an average of 29.8±10.7 years after their CPX2. Cox proportional hazards models were performed to determine the relationship of CRF change with mortality, with change in CRF as a continuous …

Teaching Nursing Students To Communicate With Older Adults, Lena Moffitt Mceachern

Nursing Theses and Capstone Projects

Student nurses have difficulty communicating effectively with older adults. Nurses willing to work with this age groups are in high demand due to the growing population. Lack of knowledge and preconceived ideas deter students from a willingness to work in geriatrics. Improving communication skills by increasing knowledge and decreasing bias in the clinical setting will benefit students and the community. The focus of this project was to discover if instruction, practice through role playing, and completion of a simulation with standardized patients prepare students for communicating effectively with older adults and increase the desire to work with this population. The …

Basic Organizational Skills And Structure For New Nurses: The Boss Method. Using Simulation To Teach Management And Organizational Skills, Kathy W. Locklear

Nursing Theses and Capstone Projects

The Bachelor of Science in Nursing (BSN) program had a deficiency in teaching graduating senior nursing students in the areas of managing and organizing care for an assigned group of patients. By the last semester of the senior year, most of the senior nursing students had no exposure to caring for more than one patient during clinical rotations. In 2017, the senior nursing students’ performance in Team Nursing and Focused Care experiences, which occur during the last semester of the graduating year, demonstrated a lack of ability to care for more than one patient at a time. In 2018, there …

Modeling Of Excitatory Amino Acid Transporters And Clearance Of Synaptic Cleft On Millisecond Time Scale, Denis M. Shchepakin, Leonid Kalachev, Michael Kavanaugh

Biomedical and Pharmaceutical Sciences Faculty Publications

Excitatory Amino Acid Transporters (EAATs) operate over wide time scales in the brain. They maintain low ambient concentrations of the primary excitatory amino acid neurotransmitter glutamate, but they also seem to play a significant role in clearing glutamate from the synaptic cleft in the millisecond time-scale process of chemical communication that occurs between neurons. The detailed kinetic mechanisms underlying glutamate uptake and clearance remain incompletely understood. In this work we used a combination of methods to model EAAT kinetics and gain insight into the impact of transport on glutamate dynamics in a general sense. We derive reliable estimates of the …

Integrated Transcriptomics, Metabolomics, And Lipidomics Profiling In Rat Lung, Blood, And Serum For Assessment Of Laser Printer-Emitted Nanoparticle Inhalation Exposure-Induced Disease Risks, Nancy Lan Guo, Tuang Yeow Poh, Sandra Pirela, Mariana T. Farcas, Sanjay H. Chotirmall, Wai Kin Tham, Sunil S. Adav, Qing Ye, Yongyue Wei, Sipeng Shen, David C. Christiani, Kee Woei Ng, Treye Thomas, Yong Qian, Philip Demokritou

Faculty & Staff Scholarship

settings Open AccessArticle

Integrated Transcriptomics, Metabolomics, and Lipidomics Profiling in Rat Lung, Blood, and Serum for Assessment of Laser Printer-Emitted Nanoparticle Inhalation Exposure-Induced Disease Risks

by Nancy Lan Guo 1,*,Tuang Yeow Poh 2,Sandra Pirela 3,Mariana T. Farcas 4,Sanjay H. Chotirmall 2,Wai Kin Tham 5,Sunil S. Adav 5,Qing Ye 1,Yongyue Wei 6,Sipeng Shen 2,David C. Christiani 2,Kee Woei Ng 3,7,8,Treye Thomas 9,Yong Qian 4 andPhilip Demokritou 3 1 West Virginia University Cancer Institute/School of Public Health, West Virginia University, Morgantown, WV 26506, USA 2 Lee Kong Chian …

Allopathic Medicine 2019, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Reimagining Medical Education In The Age Of Ai, Steven A. Wartman, C. Donald Combs

Computational Modeling & Simulation Engineering Faculty Publications

Available medical knowledge exceeds the organizing capacity of the human mind, yet medical education remains based on information acquisition and application. Complicating this information overload crisis among learners is the fact that physicians' skill sets now must include collaborating with and managing artificial intelligence (AI) applications that aggregate big data, generate diagnostic and treatment recommendations, and assign confidence ratings to those recommendations. Thus, an overhaul of medical school curricula is due and should focus on knowledge management (rather than information acquisition), effective use of AI, improved communication, and empathy cultivation.

Emerging Roles Of Virtual Patients In The Age Of Ai, C. Donald Combs, P. Ford Combs

Computational Modeling & Simulation Engineering Faculty Publications

Today's web-enabled and virtual approach to medical education is different from the 20th century's Flexner-dominated approach. Now, lectures get less emphasis and more emphasis is placed on learning via early clinical exposure, standardized patients, and other simulations. This article reviews literature on virtual patients (VPs) and their underlying virtual reality technology, examines VPs' potential through the example of psychiatric intake teaching, and identifies promises and perils posed by VP use in medical education.

Short-Run Health Consequences Of Retirement And Pension Benefits: Evidence From China, Plamen Nikolov, Alan Adelman

Justice & Well-Being Studies Faculty Scholarship

This paper examines the impact of the New Rural Pension Scheme (NRPS) in China. Exploiting the staggered implementation of an NRPS policy expansion that began in 2009, we used a difference-in-difference approach to study the effects of the introduction of pension benefits on the health status, health behaviors, and healthcare utilization of rural Chinese adults age 60 and above. The results point to three main conclusions. First, in addition to improvements in self-reported health, older adults with access to the pension program experienced significant improvements in several important measures of health, including mobility, self-care, usual activities, and vision. Second, regarding …

Painting-On Topical Fluoride Gel Markedly Reduces The Fluoride Gel Amount Compared With Tray Application, Kamonwan Sriwongchai, Wacharaporn Tasachan, Kasekarn Kasevayuth, Chutima Trairatvorakul

Chulalongkorn University Dental Journal

Background/objectives: Professional topical fluoride (F) gel application has been used to prevent dental caries with a concern about safety in young children. The aim of this study is to evaluate a paint-on technique using a No. 8 paint brush for applying professional topical F gel as an alternative method in children at a safer, lower dose compared with a tray. Materials and Methods: Twenty-one healthy children (12-15-year-old) participated in this clinical crossover study. The amounts of F gel used were 0.4 ml in the paint-on or 5.0 ml in the tray. Saliva and interproximal fluid were collected before, and immediately, …

Identification Of Extracellular Dna-Binding Proteins In The Biofilm Matrix., Jeffrey S. Kavanaugh, Caralyn E. Flack, Jessica Lister, Erica B. Ricker, Carolyn B. Ibberson, Christian Jenul, Derek E. Moormeier, Elizabeth A. Delmain, Kenneth W. Bayles, Alexander R. Horswill

Journal Articles: Pathology and Microbiology

We developed a new approach that couples Southwestern blotting and mass spectrometry to discover proteins that bind extracellular DNA (eDNA) in bacterial biofilms. Using Staphylococcus aureus as a model pathogen, we identified proteins with known DNA-binding activity and uncovered a series of lipoproteins with previously unrecognized DNA-binding activity. We demonstrated that expression of these lipoproteins results in an eDNA-dependent biofilm enhancement. Additionally, we found that while deletion of lipoproteins had a minimal impact on biofilm accumulation, these lipoprotein mutations increased biofilm porosity, suggesting that lipoproteins and their associated interactions contribute to biofilm structure. For one of the lipoproteins, SaeP, we …

A Systematic Review Of The Relationships Among Psychosocial Factors And Coping In Adults With Type 2 Diabetes Mellitus, Melissa A. Mccoy, Laurie A. Theeke

Faculty & Staff Scholarship

Type 2 diabetes mellitus contributes to poor health outcomes including mortality, yet there is a gap in the literature when seeking to understand the influence of psychosocial factors on coping in this population. The paper presents a systematic review of quantitative studies that examined relationships among psychosocial determinants and coping in adults with type 2 diabetes. This review is the second layer of knowledge discovery for the concept, “Taking on a life-altering change is a rhythmical journey of experiencing ups and downs on the way to acceptance.” The life-altering change was determined to be a diagnosis of type 2 diabetes, …

Activity Monitoring In Professional Soccer Goalkeepers During Training And Match Play, Victor Moreno-Pérez, Shane Malone, Lluís Sala-Pérez, Manuel Lapuente-Sagarra, Miguel Angel Campos-Vazquez, Juan Del Coso

Articles

The purpose of the present study was to quantify the external load of professional soccer goalkeepers. Twenty professional goalkeepers participated in the study. Data were classified according to the number of days before or after the match day (MD) as follows: MD-4, MD-3, MD-2, MD-1 for the sessions before the match, and MD+1 for the session after the match. The total running distance covered (TD), the high metabolic load (HMLD), the number of high metabolic load efforts (HMLE) were progressively reduced from MD-4 to MD-1 but the values of these variables were always inferior to MD (ES: -3.79 to −1.11). …