Medicine and Health Sciences Commons^™

Implementation Of A Transcultural Nursing Education Program To Improve Nurses' Cultural Competence, Ann Marie Elizabeth Edwards

Walden Dissertations and Doctoral Studies

The exponential growth of culturally diverse populations in the United States has led to a multicultural patient population while the nursing workforce remains predominantly White. At the project site, managers identified that staff nurses struggled to deliver culturally competent care. The purpose of this project was to improve the cultural competence of registered nurses (RNs) through a transcultural nursing education program. Leininger's transcultural nursing theory guided the project. Sources of evidence used to develop a face-to-face educational program included peer-reviewed journals, credible websites, and the Inventory for Assessing the Process of Cultural Competence Among Healthcare Professionals-R tool. Aggregate pretest and …

Bovine Cellular And Innate Immune Response To Hemostatic Polysaccharides, Brian Kobylkevich

Electronic Theses and Dissertations

Chronic wounds are longstanding dermal wounds that do not heal in a normal amount of time and can commonly last for over a year. These wounds plague humans and farm animals alike. Wounds are characterized by chronic inflammation and are often painful, difficult to heal, have a high recurrence rate, and are potentially debilitating. Long term wounds that do not fully heal are distressing for both humans and animals, but understandably more resources have been directed towards humans. Some treatment options for humans may be suitable for adaptation into the field of animal care. Chronic lesions such as bovine digital …

Impact Of The Prophecy Job Fit Predictor On New Graduate Nurse Satisfaction, Joi Alesha Johnson

Walden Dissertations and Doctoral Studies

Research has shown that job satisfaction influences retention of nurses, and policies focused on nursing satisfaction are more beneficial for retaining new nurses than adjusting work hours and wages. The prophecy job fit predictor is a quality improvement initiative designed to identify where a nurse should be assigned based on behavior, clinical capabilities, and personality assessment. The practice-focused question for this project focused on whether satisfaction rates of recently graduated registered nurses were influenced by their unit placement. The conceptual frameworks that guided this project were the plan, do, study, and act method and Herzberg's 2-factor theory. Data were obtained …

Localized Transdermal Delivery Of Chemopreventive Agents To The Breast, Abdulsalam Alqahtani

Electronic Theses and Dissertations

Breast cancer is the second leading cause of cancer death in women. About 1 in 8 women will develop breast cancer in their lifetime. The current systemic approaches are associated with significant side effects including some life-threatening toxicity, leading to poor patient compliance. To overcome this limitation, localized transdermal drug delivery system was investigated in the current study. In addition, majority of breast cancers originate from the ducts and lobules in the breast. Therefore, localized transdermal drug delivery system can maximize drug concentration in the breast and minimize systemic adverse effects, resulting in a potential approach for preventing and/or treating …

Fabrication Of Topical Film Forming Polymeric Solution For Pain Management, Maha Hani Alkurdi

Electronic Theses and Dissertations

FFS were developed by varying the type and content of the film forming polymer. The resulting formulations were evaluated according to favorable film characteristics in vitro and ex vivo drug release profiles. Eudragit E100 was identified as a suitable release matrix for ketoprofen. In the case of diclofenac Na; however the ex vivo permeation study results failed to show a characteristic release profile for either the test formulation or the marketed formulation VOLTAREN® Gel. Nevertheless the presented work provided a rationalized way for the development and evaluation of FFS and investigated their potential as delivery systems for ketoprofen and diclofenac …

Data Note: Social Security Administration Data Show A Record Low Level Of Pass Usage Among Ssi Recipients, Daria Domin, Jaimie Ciulla Timmons, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

The Social Security Administration (SSA) offers a set of work incentives for Supplemental Security income (SSI) beneficiaries. Work incentive employment supports help SSI recipients go to work by minimizing the risk of losing their SSI or Medicaid benefits (Social Security Administration, 2018). One such incentive, the Plan to Achieve Self-Support (PASS), allows approved individuals to set aside earned or unearned income and resources to achieve an employment goal. The money or resources set aside are excluded from SSI income and resource tests and can be used to pay for goods or services needed to reach the goal, such as education, …

Service Provider Promising Practice - Penn-Mar Human Services: Creating Their “2020 Strategic Plan”, Esther Kamau, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

At the beginning of the transformation process, Penn-Mar recognized the importance of robust strategic planning to understand what the organization needed to do differently to transform. Therefore, Penn-Mar created the 2020 Strategic Plan, a 5-year plan to help focus the organization, and to strategize about how to achieve their objectives. The 2020 Strategic Plan outlines Penn-Mar’s goal to close its sheltered workshop, with a set of action steps for achievement. The plan set a specific date for closure, as Penn-Mar staff argued that without it, the transformation process would “linger forever.” Penn-Mar established a task force to support the development …

Service Provider Promising Practice - The Arc Of Westchester: Creative Partnership With Mercy College, Jaimie Ciulla Timmons, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

The Arc of Westchester benefits from an agency culture that values innovative partnerships. In fact, an agency leader explained that the organization “will work with anybody who is willing to sit and talk.” This collaborative spirit led to a creative endeavor with Mercy College, a four-year school offering degrees in Business, Education, Liberal Arts, Health and Natural Sciences, and Social and Behavioral Sciences. Within Health and Natural Sciences are departments such as nursing, speech therapy, occupational therapy, physical therapy, and nutrition. The Arc of Westchester partnered with these departments to form a mutually beneficial relationship, creating opportunities for both college …

Service Provider Promising Practice - Arc Of Westchester: Annual Employer Appreciation Breakfast, Jaimie Ciulla Timmons, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

The Arc of Westchester was established in in New York State in 1949 as a day school for children with developmental disabilities. It has since grown to over 800 hundred employees serving over 2000 individuals throughout Westchester county supporting children, teens, and adults with intellectual and developmental disabilities. The organization’s vision is a world where the population that they serve enjoy fulfilled lives and an inspired future while the mission focuses on strengthening families and encouraging personal choices, abilities and interests. The programs focus on the individual, helping them discover their interests, develop their talents and prepare for meaningful careers. …

Service Provider Promising Practice - Atwork!: Creating A Robust Investment In Staff Professional Development, Esther Kamau, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

At the beginning of their transformation process, AtWork! did not have a training structure in place. Recognizing that job development required a different skill set for their staff, AtWork! made a commitment to invest in training, which they saw as “a key ingredient” to successful transformation. Investing in the development of staff skills and competencies to support the transformation process is essential. Without that investment, as one agency leader put it, “every provider is going to continue to spin their wheels with people in, people out, retraining, all those type of things.” Consequently, AtWork! invested in training its staff through …

Service Provider Promising Practice - Work Inc.: Developing A Community Liaison Program To Address Holistic Needs, Esther Kamau, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

Leadership at Work Inc., a provider in the Boston area, thought about the holistic approach to providing individual supports even before their agency’s transformation began. Work Inc. designed its community liaisons program to have three components: volunteerism, with the intention of identifying employment opportunities and contributing to the community; recreation, “because everyone wants to have fun”; and instruction, with a focus on skill-building and identifying interests and talents. In designing and implementing the program, Work Inc. staff considered each person’s interests, and turned former workshop staff into “community liaisons.”

Concerns Of Female Adolescents About Menarche And First Sexual Intercourse: Mixed Methods Analysis Of Social Media Questions, Nikkie Saldivar Hodgson, Elad Yom-Tov, William F. Strong, Priscilla L. Flores, Giselle N. Ricoy

Communication Faculty Publications

Background: Adolescents use social media for information on medical and social aspects of maturation.

Objective: The aim of this study was to investigate the concerns and information needs of adolescents regarding menarche and first sexual intercourse.

Methods: Questions about menarche or first sexual intercourse were obtained from Yahoo Answers, a community-based social media question-and-answer website. A total of 1226 questions were analyzed. We focused on 123 question pairs made by users who asked questions on both topics and reported their ages at each. Quantitative and qualitative analyses were performed on these question pairs.

Results: Qualitative analysis identified uncertainty as a …

Special Collection On Electroporation-Based Therapies: A Selection Of Papers From The Second World Congress On Electroporation, Richard Heller, Rafael V. Davalos

Bioelectrics Publications

No abstract provided.

A Bitter Pill To Swallow? Patterns Of Critical Consciousness And Socioemotional And Academic Well-Being In Early Adolescence, Erin B. Godfrey, Esther Burson, Tess M. Yanisch, Diane Hughes, Niobe Way

Psychology: Faculty Publications

No abstract provided.

In-Situ Gel Of Cyclosporine A – Loaded Solid Lipid Nanoparticles For Topical Occular Delivery For Dry Eye Disease, Samir Shyambabu Senapati

Electronic Theses and Dissertations

Cyclosporine (CSA) is a highly potent immunosuppressant drug and has been used to treat rheumatoid arthritis, psoriasis, organ rejection post-transplant, and chronic dry eye disease. The objective of this investigation was to increase the CSA residence time on the ocular surface using solid lipid nanoparticles (SLNs) and its in-situ gel formulation (CSA-SLN-IG), for treatment of dry eye disease. CSA loaded SLNs (CSA-SLN) were prepared with the homogenization method, using Precirol ® ATO 5 as a solid lipid and Tween® 80 and Poloxamer 188 as surfactants. Prepared SLNs were optimized based on particle size, zeta potential (ZP), PDI, assay and stability. …

Prefrontal-Accumbens Opioid Plasticity: Implications For Relapse And Dependence, Matthew C. Hearing

Biomedical Sciences Faculty Research and Publications

In addiction, an individual’s ability to inhibit drug seeking and drug taking is thought to reflect a pathological strengthening of drug-seeking behaviors or impairments in the capacity to control maladaptive behavior. These processes are not mutually exclusive and reflect drug-induced modifications within prefrontal cortical and nucleus accumbens circuits, however unlike psychostimulants such as cocaine, far less is known about the temporal, anatomical, and cellular dynamics of these changes. We discuss what is known regarding opioid-induced adaptations in intrinsic membrane physiology and pre-/postsynaptic neurotransmission in principle pyramidal and medium spiny neurons in the medial prefrontal cortex and nucleus accumbens from electrophysiological …

How College Students Discuss Their Relationships, John R. Domenico

Honors Theses and Capstones

It is a statistically significant fact that individuals who identify as homosexual are more likely to experience intimate partner violence (IPV.) Despite this, statistically, it is less likely for those who identify as homosexual to report IPV to healthcare clinicians or to law enforcement. “How College Students Discuss their Relationships” examines the implications of intimate partner violence in college students who identify as homosexual and the repercussions IPV may have on discussions with healthcare clinicians. By performing semi-structured interviews with individuals who identify as homosexual on the UNH campus, mental health outcomes of emotional intimate partner violence in …

Mental Toughness As A Predictor For Pre-Season Depression And Anxiety Symptoms, And Changes Over The Course Of An Athletic Season, Colleen J. Bohannan

College of Graduate Studies: Theses & Dissertations

Background: Mental toughness (MT) has been considered necessary for individuals to be successful in the athletic setting. A connection has been theorized between MT and mental health. Purpose: ­­­­­­­­­­­­­­­­­­­­­­The purpose was to investigate if MT could be utilized as a predictor of the presence of depression and/or anxiety symptoms. This study also explored if MT, and depression/anxiety symptoms change over the course of a competitive season. Methods: 43 individuals (19.42 ± 1.26 years) participating in a fall team sport from the same Division I University participated in the study. Data was captured during pre-season, high stakes, and end of season, …

Pain, Severity, And Attentional Capacity Following Acute Musculoskeletal Injury, Rebekah F. Roessler

College of Graduate Studies: Theses & Dissertations

Background: As recreational activities grow in popularity, there is a concurrent rise in musculoskeletal injury. Injury severity is determined through clinical evaluation and defined by a grading scale. Pain is included in the definition of each injury grade, despite the lack of any conclusive evidence relating injury severity and the associated pain. Additionally, previous studies report impairments in cognitive performance due to chronic and acute pain. The aim of this study is to determine the relationship between the perceived pain intensity and the clinically diagnosed severity of an acute musculoskeletal injury, and to determine if attentional capacity is influenced by …

Physiological Profile Of Rural Structural Firefighters In Southeast Georgia, Emily Langford

College of Graduate Studies: Theses & Dissertations

Many occupational tasks associated with firefighting require a great deal of cardiovascular and muscular demands. However, it is often noted that firefighters throughout the country are not meeting the fitness levels required of the profession. As a result, the proportion of on-duty injury and cardiac death is greater than the general population or similar service professions. Purpose: The purpose of this study was to provide an extensive physiological profile of rural firefighters in southeast Georgia. Methods: Forty firefighters from one department in southeast Georgia underwent a comprehensive health screening, measuring anthropometrics (i.e., height, weight, waist and hip circumference), body …

Food Insecurity Among College Students At A Historically Black College & University: Prevalence, Social Support & Coping Skills, And Academic Outcomes, Rebecca L. Larson

College of Graduate Studies: Theses & Dissertations

Introduction: College students experience food insecurity (FI) at higher rates than the U.S. adult population. Food insecurity among college students is frequently associated with several sociodemographic factors; limited social support and coping skills; poor mental and physical health; and poor academic outcomes. The purpose of this study was to determine the prevalence of FI among students at Fort Valley State University (FVSU), a Historically Black College & University, factors associated with FI, the impact of FI on academic outcomes, and the influence of social support and coping skills on the relationship between FI and academic outcomes.

Methods: A stratified random …

Examining Factors Associated With Minority Turnover Intention In State And Local Public Health Organizations: The Relationship Among Diversity Climate, Career Growth Perception, Job & Organizational Satisfaction And Turnover Intention., Ashley Kennedy Mitchell

College of Graduate Studies: Theses & Dissertations

Research shows that a diverse workforce can increase workplace satisfaction, organizational performance, and retention (Konrad, 2006; Choi, 2013; McKay et al., 2007). There is a need to understand governmental public health workforce turnover to ensure the retention of public health minority workers, the capitalization on diversity benefits, and the services needed to provide for a more diverse population. This study aimed to assess the impact of the workforce environment, particularly employee perceptions of the diversity climate, individual career growth, and job and organizational satisfaction, on minority state and local health worker turnover intention. Data were analyzed from the 2017 The …

Incidentally Found Metastatic Prostatic Carcinoma In A Therapeutic Orchiectomy Specimen, Zeeshan Uddin, Muhammad Bilal, Mohammad Ayaz Khan

Department of Pathology and Laboratory Medicine

Metastatic tumour involving the testis is a rare event. Incidental discovery of metastatic cancer in a therapeutic orchiectomy is even rarer. We report a case of metastatic adenocarcinoma prostate found incidentally in one of the bilateral therapeutic orchiectomy specimens. The patient was a 55-year-old man presenting with back ache and generalized body aches. Clinical examination showed malignant feel of prostate. Bone scan revealed metastatic disease and a serum PSA level of >100 ng/ml. Clinical diagnosis of carcinoma prostate was established and subsequent bilateral orchiectomy for hormonal deprivation was performed. On gross examination of left testis, there was a small 0.7 …

Most Cancers Are Caused By Bad Luck Mutations: Scientific Explanation?, Shahid Pervez

Department of Pathology and Laboratory Medicine

No abstract provided.

The Perception Of Management Support For Patient Safety After The Implementation Of A System Change, Janice M. Smith

Graduate Theses, Dissertations, and Problem Reports (ETD)

Problem Statement Leadership scores on the AHRQ Hospital Patient Safety Culture Survey at a 268 bed teaching, acute care, nonprofit, non-governmental hospital in the South Atlantic Region of the United states have been decreasing for the past seven years. In those years there has been no plan to improve the scores. Safety scores published for this facility on public websites are mediocre or poor.

Theoretical Framework The Plan-Do-Study-Act (PDSA) conceptual model for rapid cycle improvement served as a foundation for the project. The model supported the project well with a plan, do (test the plan), study (analyze the results), act …

Evaluating The Impact Of An Intervention To Promote Empathy For Patients With Substance Use Disorder In A Rural Emergency Department, Theresa Poling

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background

Negative attitudes of health professionals towards patients with SUD are common and contribute to suboptimal health care for this marginalized group of patients (Van-Boekel, Brouwers, Van-Weeghel & Garretson, 2013).

Objectives

Promoting empathy in the Emergency Department (ED) has the potential to increase nursing staff’s awareness of their attitudes and perceptions toward patients with SUD, thereby decreasing the stigma associated with addiction and improving patient care and patient outcomes. The rationale for implementing this project was to evaluate a tool to promote empathy. This tool was developed by the student researcher based on a literature search and analysis.

Design

This …

An Educational Intervention For Skin Cancer Prevention With Hospital Staff: A Pilot Project For System Change, Amy Fran Bruce

Graduate Theses, Dissertations, and Problem Reports (ETD)

PURPOSE: The purpose of this project was to design, implement, and evaluate an educational intervention provided to health care professionals using the Sun Smart U Curriculum created by the Skin Cancer Foundation (2017).

METHODS: Using a pretest-posttest design with a convenience sample (N=40), this intervention targeted the health professionals and staff from a residential/acute care facility caring for pre-adolescent, adolescent, and adult populations. Aims of this project included: (1) the staff’s baseline level of knowledge regarding sun protective behaviors using the Sun Smart U Curriculum, (2) the staff’s level of knowledge regarding sun protective behaviors post educational intervention …

Development Of Improved Acellular Pertussis Vaccines Through Inclusion Of The Rtx Antigen Or Induction Of Mucosal Immunity, Dylan Tyler Boehm

Graduate Theses, Dissertations, and Problem Reports (ETD)

Pertussis is a human respiratory disease, primarily caused by the Gram-negative pathogen Bordetella pertussis. The infection is most severe and can be life-threatening in young children and infants where it manifests as a series of paroxysmal coughs. The disease is more commonly known as whooping cough, due to the whoop omitted during a massive inspiratory effort to bring air back into the lungs. Pertussis is a toxin-mediated disease that persists due to an early release of toxins that allow that bacteria to evade the cells of the innate immune response. The inhibition of the host response continues as toxin activity …

Role Of Sox9 In Cancer Stem Cell Regulation In Lung Cancer Chemoresistance And Particle-Induced Carcinogenesis, Maria Voronkova

Graduate Theses, Dissertations, and Problem Reports (ETD)

Lung cancer is a leading cause of cancer-related death worldwide. Every year it claims more lives than other common malignancies, breast, prostate, and colorectal cancers, combined. And despite recent improvements in disease diagnostics and treatment, drug resistance and tumor relapse remain major contributors to low patient survival. Both issues have been largely attributed to the existence of cancer stem-like cells (CSCs) or tumor initiating cells (TICs). CSCs are a small cell population within heterogeneous tumors that is inherently resistant to apoptosis, chemo- and radiation therapy. Thus, it is critical to elucidate CSC-specific signaling pathways and identify early biomarkers for therapeutic …

The Effect Of Bovine Galectin-1, A Conceptus Secretory Protein, On The Endometrial Transcriptome, Lindsay Faye Grose

Graduate Theses, Dissertations, and Problem Reports (ETD)

Early embryonic loss in cattle is detrimental to reproduction thus, the profitability of both the beef and dairy industries. Therefore, an important aspect of study is to find techniques that beef or dairy producers could use to decrease early embryonic loss Galectin-1, the protein that was investigated in this research is important in modulating the maternal immune system in rodent and human early pregnancies by promoting fetomaternal immune tolerance. The role of galectin-1 within the reproductive tissues has not been thoroughly investigated in cattle. Galectin-1 is located in the caruncular and intercaruncular regions of the bovine endometrium, specifically the maternal …