Medicine and Health Sciences Commons^™

Strengthening Cross River State Schools Of Nursing And Midwifery By Updating Their Training Curricula, Procedure Manuals And Student Handbooks, Ekechi Okereke, Godwin Unumeri, Aisha Jibril

Reproductive Health

Many of Nigeria’s Nursing and Midwifery schools and colleges encounter challenges that include outdated training curricula, which can lead, in some cases, to loss of accreditation. In Cross River state, in 2014 only one health training institution was accredited—provisionally. Five other institutions had lost their accreditations from the Nursing and Midwifery Council of Nigeria (NMCN) which stipulates minimum standards of compliance for accreditation. An assessment team led by the Director of Nursing of Calabar’s Ministry of Health visited the Cross River schools to determine the best ways of addressing the gaps in the accreditation team’s report. Through the HRH project …

Tracing Change In Female Genital Mutilation/Cutting: Shifting Norms And Practices Among Communities In Narok And Kisii Counties, Kenya—Brief, Dennis Matanda, Chantalle Okondo, Caroline W. Kabiru, Bettina Shell-Duncan

Reproductive Health

This policy brief summarizes key findings from a study that examined whether there are shifts in norms and practices related to FGM/C among communities in Narok (predominantly inhabited by Maasai) and Kisii (predominantly inhabited by Abagusii) counties in Kenya. Although Kisii and Narok are FGM/C hotspots, practicing communities in these counties are reassessing norms and traditions in light of the current social and legal climate. These changes may provide a useful starting point for intervention programs that seek to create dialogue and critical reflection on the practice of FGM/C in an effort to accelerate its abandonment. Programmatic recommendations include: engaging …

Using Demographic And Health Surveys In The Campaign To End Fgm/C: A Kenyan Example, Dennis Matanda, Caroline W. Kabiru

Reproductive Health

In order to design effective interventions to end female genital mutilation/cutting (FGM/C), we need to map where FGM/C is practiced and what factors influence it. Data from the Demographic and Health Surveys (DHS), nationally representative surveys conducted in low- and middle-income countries every five years, give us the opportunity to explore how FGM/C is influenced by both individual and community-level factors. Where FGM/C prevalence is not uniform, various research and analysis techniques can be used to improve estimates and draw further information from DHS data. This brief shares insights from two studies carried out in Kenya using DHS data collected …

Reference Guide For Data Collection: Qualitative Social Network Interviews, Bettina Shell-Duncan, Amadou Moreau, Sarah Smith, Holly B. Shakya

Reproductive Health

The purpose of this document is to guide researchers who plan to use qualitative social network methods drawing on our experiences implementing a qualitative study entitled, “The End of Female Genital Mutilation/Cutting in Senegal: Tracing Social Networks, Investigating the Role of Gender and Intergenerational Influence.” Qualitative fieldwork was carried out in two contrasting settings in Senegal: 1) a region with a low prevalence of female genital mutilation/cutting (FGM/C) characterized by ethnic heterogeneity, and 2) a region with a high prevalence of FGM/C characterized by relative ethnic homogeneity. The goal of this research was to investigate the ways in which social …

Strengthening In-Service Training And Continuing Education (Ist/Ce) For Frontline Health Workers For Bauchi And Cross River States, Ekechi Okereke, Godwin Unumeri, Ibrahim Suleiman, Aisha Jibril

Reproductive Health

This brief details Council efforts to develop effective, and costed, in-service training and continuing education modules for frontline health workers in Bauchi and Cross River states in Nigeria. This project was funded by WHO to aid the training and development of Nigeria's public health worker sector.

Population Council's Support For Nigeria's Third National Human Resources For Health Conference And Efforts To Institutionalize Hrh Conferences In Nigeria, Ekechi Okereke, Godwin Unumeri, Ibrahim Suleiman, Aisha Jibril

Reproductive Health

This project brief describes the Population Council's partnership efforts with public health stakeholders in Nigeria to plan and host a third national conference for provision of necessary and relevant information on critical health issues to health staff and stakeholders throughout Nigeria.

The Healing Power Of Live Music, Brianna Casey

Phase 1

Music has long been recognized for its ability to promote healing and wellbeing in patients across the entire spectrum of healthcare settings. Thanks to recent research into its therapeutic effects, music is now widely accepted as an established part of a holistic healthcare regime. However, more work needs to be done in defining the aspects inherent to music that make it such an effective agent of healing. Notably, little research has been done on whether live musical performance is more effective than recorded music in bringing about therapeutic benefits. The current project sought to explore the differential perceptions of and …

Burnt: A Narrative Exploration Of Burnout In Medicine, Aaron Chambers

Phase 1

Burnout has become a central social issue within the culture of medicine. Estimates project that more than half of all physicians experience burnout in a given year. This results in lower job satisfaction among physicians as well as diminished patient outcomes. The topic’s literature suggests that burnout susceptibility is multifactorial, but includes extrinsic (debt, variable schedule, hierarchical workplace, EMR) as well as intrinsic (uncertainty, breaking difficult news, secondary trauma) contributors. To better understand this complicated topic, this project sought to synthesize competing factors within a narrative that explores the good and bad of contemporary medicine. The narrative is informed by …

A Social Dance Intervention To Nourish Sustainable Quality Of Life Outlook In Geriatric Oncology Patients, Luis Alberto Aguilar Montalva

Phase 1

Importance: Social support is a major determinant of health for geriatric oncology patients. Nevertheless, no DMT program utilizes community building as an explicit focus of intervention.

Objective: To design a DMT that fosters a therapeutic approach which relies as much on the interpersonal relationships as on the intrapersonal journey. Design, setting, participants: 12 weeks observational trial of participants, from TJUH geriatric oncology patient population, as they progressed through two series of social dance workshops. The first series of six workshops happened on a weekly basis, with participants filling out a FACT-G survey pre and post involvement. The second series of …

“Who Am I Now?”: A Musical And Creative Case Study/Time Capsule, Alexander M. Olson

Phase 1

Background

Medical school is an immense undertaking, emotionally, intellectually, and physically. I heard it said that “medicine is the frontline seat to human condition, without the tools to process that...it becomes traumatic”. I entered this phase of my life with interests and passion outside of my professional aspirations, and I have found it a struggle to devote to them the energy and time that they deserve. I have chosen a project in the humanities track, focused on creating a musical time capsule of creative work.

Objective

To create a chronological record of my evolving musical tastes and influences that I …

The Sentiment, Alexander Thomas

Phase 1

The Sentiment is a work of prose poetry that crystallizes my understanding of fluid identity and the interrelation of all existences. It synthesizes my personal experiences with the words and actions of the many teachers who came before me, and serves as an existential reminder of the unique and universal nature of all things. This is a perception that has only grown through the writing of the work, and one which deeply affects my relationships with others. It is, in large part, my motivation for becoming a doctor. I see each suffering as my suffering, and each joy as my …

Medice, Cura Te Ipsum (Physician, Heal Thyself): A Documentary Film Exploring How The Passions Of Medical Students Will Make Them Better And Healthier Physicians, Ryan Emhoff

Phase 1

It is a well documented, yet largely ignored fact that physicians, residents and medical students are experiencing a pandemic of depression, burnout, dissatisfaction, and suicide. The principal cause may be the institution of medicine, which is slow to change, abusive, and dismissive of these complaints. While interventions are necessary at all levels of training, medical students may be the most in need as their mental health is the poorest of these groups.

Emotion-focused coping activities focus on alleviating stress. The humanities can function as emotion-focused coping activities, and exposure to them in medical education has been correlated with higher empathy …

Clinical Application Of Genome And Exome Sequencing As A Diagnostic Tool For Pediatric Patients: A Scoping Review Of The Literature, Hadley Stevens Smith, J Michael Swint, Seema R Lalani, Jose-Miguel Yamal, Marcia C De Oliveira Otto, Stephan Castellanos, Amy Taylor, Brendan H Lee, Heidi V Russell

Library Staff Publications

PURPOSE: Availability of clinical genomic sequencing (CGS) has generated questions about the value of genome and exome sequencing as a diagnostic tool. Analysis of reported CGS application can inform uptake and direct further research. This scoping literature review aims to synthesize evidence on the clinical and economic impact of CGS.

METHODS: PubMed, Embase, and Cochrane were searched for peer-reviewed articles published between 2009 and 2017 on diagnostic CGS for infant and pediatric patients. Articles were classified according to sample size and whether economic evaluation was a primary research objective. Data on patient characteristics, clinical setting, and outcomes were extracted and …

Friends, Relatives, Sanity, And Health: The Costs Of Politics, Kevin Smith, Matthew V. Hibbing, John R. Hibbing

Department of Political Science: Faculty Publications

Political scientists have long known that political involvement exacts costs but they have typically defined these costs in relatively narrow, largely economic terms. Though anecdotal evidence suggests that the costs of politics may in fact extend beyond economics to frayed personal relationships, compromised emotional stability, and even physical problems, no systematic evidence on these broader costs exists. We construct and validate batteries of survey items that delineate the physical, social, and emotional costs of political engagement and administer these items to a demographically representative sample of U.S. adults. The results suggest that a large number of Americans believe their physical …

Risk Mitigation For Travelers: Managing Endemic And Emerging Threats, Shannon M. Wood, David Brett-Major

Journal Articles: Epidemiology

International travel continues to increase in numbers and complexity. Despite the availability of pretravel health advice, travelers remain at risk for exposure to common organisms as well as emerging pathogens. With low rates of travel clinic utilization, it is important for the general practitioner to remain aware of the importance of travel health, risk factors unique to individual patients, and evolving threats. This review highlights important considerations when evaluating ill travelers, incorporating emerging infectious threats.

Exploring How Nurse Practitioners Implement Leadership And Research, Mary Ryder, Elisabeth Jacob, Joyce Hendricks

ECU Posters

The original concept of the Nurse practitioner role was to expand nursing practice in order to provide high quality, accessible healthcare to patients. This placed NPs at the crux of changes to healthcare delivery. Implementing these changes requires leadership. Research demonstrates the effects of these changes to healthcare delivery and contributes healthcare knowledge from the nursing profession.

A Survey Of Leadership And Research Activities Of Nurse Practitioners, Mary Ryder, Elisabeth Jacob, Joyce Hendricks

ECU Posters

Nurse practitioners (NP) provide improved access to quality healthcare for identified patient populations. NPs are identified as the ideal conduit to transform healthcare delivery internationally. Trandforming healthcare requires the application of leadership and research skills. The literature to date has limited information on NPs as leaders or researchers in the nursing profession.

Leadership And Research Activities Of Nurse Practitioners: Ireland And Australia, Mary Ryder, Elisabeth Jacob, Joyce Hendricks

ECU Posters

Nurse practitioners (NP) are identified as the ideal conduit to transform healthcare delivery internationally. Healthcare transformation requires the application of leadership and research skills. The literature to date has limited information on NPs as leaders or researchers in the nursing profession.

Effects Of Urea And Distillers Inclusion In Finishing Diets On Steer Performance And Carcass Characteristics, Bradley M. Boyd, James C. Macdonald, Matthew K. Luebbe, Galen E. Erickson

Nebraska Beef Cattle Reports

An experiment was conducted to evaluate the effect of supplemental urea in dry rolled corn based finishing diets containing low inclusions of distillers grains. Treatments were set up in a 3 × 3 factorial arrangement. The first factor was wet distillers inclusion at either 10, 15, or 20% of diet DM. The second factor was urea inclusion at either 0, 0.5, or 1.0% of diet dry matter. Increasing inclusion of distillers linearly improved feed conversion and linearly reduced dry matter intake. An interaction for feed efficiency was observed where there was no effect of added urea when 10% or 20% …

Evaluation Of The Energy Value And Nutrient Digestibility Of Distillers Grains That Have Undergone A Fiber Separation Process In Finishing Diets, Shelby A. Garland, Melissa L. Jolly-Breithaupt, Hannah C. Hamilton Hamilton, Galen E. Erickson, James C. Macdonald, Ryan A. Mass

Nebraska Beef Cattle Reports

A digestion study was conducted to determine the effects of feeding a new, high protein distillers grains and corn bran plus solubles on nutrient digestibility. Treatments included a corn-based control, high protein distillers at both 20% and 40%, corn bran plus solubles, traditional wet distillers grains and traditional dry distillers grains all at 40% of diet DM. Feeding high protein distillers grains or corn bran plus solubles resulted in decreased digestibility compared to corn or traditional wet and dry distillers grains, but increased energy intake. Traditional wet and dry distillers grains also resulted in decreased digestibilities while energy intake was …

Evaluation Of An Algal Biomass As An Ingredient In Cattle Feed, Mitchell M. Norman, Zachary E. Carlson, F. Henry Hilscher Hilscher, Andrea K. Watson, Galen E. Erickson, Bruce W. Brodersen, J. Dustin Loy, Jonathan W. Wilson

Nebraska Beef Cattle Reports

A study was conducted evaluating the effects of feeding condensed algal residue solubles (CARS; available in 2019 in Blair, NE area) to finishing cattle for 100 days. Four levels of CARS were evaluated with 5 steers and 5 heifers individually fed per level of inclusion. The diets consisted of 70% dry rolled corn with CARS displacing corn at 0, 2.5, 5, and 7.5% of dry matter. Increasing CARS inclusion resulted in a linear decrease in intake, a quadratic increase in daily gain, and a linear decrease in feed:gain. Calculations showed a linear increase in dietary net energy as …

Evaluation Of Reimplant Window With Revalor-200 ® On Steer Performance And Carcass Characteristics, Caitlin A. Ohnoutka, Brad M. Boyd, F. Henry Hilscher Hilscher, Brandon L. Nuttelman, Grant I. Crawford, Jim C. Macdonald, Galen E. Erickson

Nebraska Beef Cattle Reports

A feedlot study utilizing 800 crossbred steers (initial BW = 727 ± 55 lb) compared 5 different terminal implant (Revalor-200) times (160, 120, 100, 80, or 40 d prior to harvest) for steers fed 180 days on performance and carcass characteristics. All steers were implanted with Revalor-IS as an initial implant at trial initiation. Carcass-adjusted final BW, ADG, and F:G responded quadratically, with cattle implanted 80 to 120 d prior to harvest being the greatest. However, there was less than a 2% difference in performance between 120 and 80 days on terminal implant. Hot carcass weight responded quadratically, with no …

Effects Of Backgrounding And Feedlot System Strategies On May-Born Steer Performance, Alicia C. Lansford, Jacki A. Musgrave, T. L. Meyer, Rick N. Funston

Nebraska Beef Cattle Reports

May-born steers were backgrounded to achieve either a high or low rate of gain. The high rate of gain was achieved by offering steers meadow hay ad libitum and 4 lb/d of a 33% CP (DM) supplement, while the low rate of gain consisted of steers grazing meadow and offered 1 lb/d of the same supplement. After backgrounding, one-half of the steers from each group entered the feedlot in May as short-yearlings, while the remainder grazed upland range until entering the feedlot as long-yearlings in mid-September. Hot carcass weight was greater for steers backgrounded to achieve a high rate of …

The Role Of Sex Hormones On Monocarboxylate Transporter Expression In Tissues Related To Drug Disposition, Jieyun Cao

University of the Pacific Theses and Dissertations

Proton- and sodium-dependent monocarboxylate transporters (MCTs (SLC16A) and SMCTs (SLC5A)) transport monocarboxylates such as ketone bodies, lactate and pyruvate, as well as drugs such as gamma-hydroxybutyric acid. CD147 acts as an ancillary protein for MCT1 and MCT4, and is involved in membrane trafficking. Previously, it has been shown that MCT expression changes under different sex hormone conditions in skeletal muscle and Sertoli cells. However, it is unknown if MCTs, SMCTs or CD147 demonstrate sex differences in tissues where they play an important role in drug disposition. Monocarboxylate transporter substrates GHB and valproic acid have demonstrated sex differences in pharmacokinetic profiles. …

I3: Isomerization Of Isomer Ions, Krisztián Gabor Torma

University of the Pacific Theses and Dissertations

Photoelectron Photoion Coincidence (PEPICO) spectroscopy is a robust tool for elucidating complex unimolecular dissociation mechanisms and for determining thermochemical and kinetic data of gas-phase ion dissociations with high accuracy. In this work, the dissociative photoionization of two sets of isomeric systems were analyzed with PEPICO: 1) C7H7+ ions of toluene (Tol) and 1,3,5-cycloheptatriene (CHT), and 2) two butyl alcohol isomers, 1-butanol and isobutanol. Threshold dissociative photoionization data on these four molecules of interest were collected on the imaging PEPICO apparatus at the VUV beamline of the Swiss Light Source. Data analysis was aided by ab initio calculations and Rice-Ramsperger-Kassel-Marcus (RRKM) …

Ultrastructural Studies Of Acrosomal Formation In The Testis Of Male Greater Cane Rat (Thryonomys Swinderianus), A. O. Adebayo, A. K. Akinloye, Amadi O. Ihunwo, V. O. Taiwo, B. O. Oke

Brain and Mind Institute

Purpose:

In furthering the understanding of the process of spermatogenesis in the greater cane rat, this study describes the ultrastructural spermiogenic transformation and acrosomal formation in the testes of this hystricomorphic rodent that is currently undergoing domestication in parts of West Africa.

Materials and Methods:

Testicular samples were obtained from ten sexually mature cane rats that were perfused-fixed using Karnovsky's fixative (phosphate buffered 2% paraformaldehyde – 2.5% glutaraldehyde fixative at pH 7.4). The samples were processed for ultrastructural analysis and examined under the transmission electron microscope.

Results:

The testes of the cane rat showed uniqueness in its cellular associations and …

Auditory And Somatosensory Pre-Pulse Inhibition In Mice, Anna Louthan

Dissertations, 2014-2019

Both hearing and somatosensation are sensory responses to vibrations, and here we show a way to investigate such mechanoreceptive psychophysics alone and in combination. Pre-pulse inhibition (PPI) is a well-known, unconditioned, and reflexive technique for measuring sensory thresholds with a wide variety of stimuli and laboratory animals. In this paper, we explore interactions between auditory and somatosensory PPI in normal mice. Fifteen C57/BL6J mice were tested three times each. Ages varied between one and six months. Testing followed published procedures from our lab and others, except the pre-pulses were auditory, somatosensory (vibration of the test chamber), or both. The auditory …

Investigating The Effect Of Sodium Benzoate On Immune Cells And Microbial Populations In The Small Intestine Of Murine Species., Shelby Pedigo

Senior Honors Projects, 2010-2019

Dietary ingredients can influence the mucosal surface morphology and mucosal immunity of the gastrointestinal tract. Additional health concerns and behavioral changes have been attributed to the consumption of foods containing preservatives and additives. Sodium benzoate (SB) is a commonly used bacteriostatic in food and beverages. This study investigates the effects of SB on the gut bacteria and mucosal health in the gastrointestinal tract of laboratory mice. The extent of lymphocytic infiltration in intestinal villi and granular density of Paneth cells in the ileum were used as evaluators of mucosal immunity. Adult C57BL/6 mice were randomly assigned to two …

Metacognition And Motivation In Anatomy And Physiology Students, Kevin Finn, Sarah Benes, Kathleen Fitzpatrick, Christina Hardway

Health Sciences Faculty Publications

The purpose of this study was to use a grounded theory, qualitative approach to gain a deeper understanding of students’ self-regulated learning processes in a required first-year gateway Anatomy and Physiology (A&P) course that is critical for success in health care-related academic programs and professions. At the end of a two-semester sequence in A&P, students were recruited to participate in individual 30-minute semi-structured interviews based on questions related to their metacognitive beliefs and behaviors. Investigators reviewed verbatim transcripts from 25 primarily first-year students and identified four major themes: 1) career orientation, 2) relevance of Anatomy and Physiology, 3) success as …

Health & Nutritional Sciences Free Communication Day: Spring 2019 Plan B Abstracts, Viola Davies, Jonathan Shaeffer, Amy Hommes, Zachary Fehringer, Andrew Cheney, Alli Delay, Alyssa Finke, Kaitlin Reece, Jacob Elfmann, Maggan Froseth, Kala Nurnberg, Keith Thompson, David Andersen, Samantha Kratovil, Makenna Meier, Lezlie Pommer, Amanda Nack

Health and Nutritional Sciences Graduate Students Plan B Capstone Projects

This document contains Plan B abstracts presented by graduate students at the Health and Nutritional Sciences Free Communication Day, held on April 30th 2019.

Abstract titles include:

• Effect of supervised aquatic therapy and supervised land-based therapy on chronic low back pain.
• The College Football Recruiting Process and Ways to Improve It
• The Effects of Probiotics on Depression and Anxiety
• Arthroscopic Partial Meniscectomy versus Physical Therapy: Best Intervention to Improve Outcomes in Patients with Meniscal Tears?
• Does the inclusion of mental health education programs have an effect on the help seeking behavior of collegiate student-athletes?
• Establishing a Sustainable Nutrition Education Program …