Medicine and Health Sciences Commons^™

Evidence-Based Practice Self-Study Education Program For Staff Nurses On Genomics, Nancy L. Norman-Marzella

Walden Dissertations and Doctoral Studies

Nurses routinely obtain genomic data when collecting family health histories. However, they report low confidence in their knowledge and understanding of genomics and the genetically engineered medications prescribed for their patients. The purpose of this project was the development and implementation of an evidence-based online education program about genetics and genomics to increase the nurses' understanding and ability to provide competent care for their patients receiving treatments based on the science of genomics. Knowles's principles of adult learning theory guided the development and delivery of the online education project to 12 medical-surgical registered nurses employed in a hospital in the …

Addressing Human Papillomavirus Vaccination In Primary Care Pediatrics, Natasha Marie Subramaniam

Walden Dissertations and Doctoral Studies

Human papillomavirus (HPV) is the most common sexually transmitted disease in the United States. Despite most common transmission, HPV immunization in adolescents remains below target rates of 80% as outlined by Healthy People 2020 Objectives. Nearly all individuals will contract HPV during their lifetime. The purpose of this project was to educate providers on successfully promoting HPV immunization in adolescents utilizing evidence-based methods. The health belief model (HBM) was the theoretical underpinning utilized to teach providers on discussions about 9vHPV immunization with parents of adolescents. The practice focused question explored whether an education program using concepts from the HBM would …

Improving Retention Strategies For Experienced Nurses, Kimberly M. Hollis

Walden Dissertations and Doctoral Studies

Experienced nurses depart the workforce in significant numbers; therefore, it is critical to understand how those departures affect patient care and safety. The focus of this systematic review included appraisal of recent research to provide an understanding of strategies used in acute care settings to retain experienced nurses. Guided by Benner's model of skill acquisition, the purpose of this systematic review was to identify factors that influence the decision of nurses with experience to leave or remain working in acute care work settings. The 19 articles selected for this review were limited to those pertaining to experienced registered nurses who …

Papanicolaou Test Status Among Inner-City Adolescent Girls In Accra, Ghana, Collins Kwesi Asamoa-Afriyie

Walden Dissertations and Doctoral Studies

Cervical cancer is an emerging public health problem in developing countries. Globally, it is the 3rd most common malignancy in women after breast and colorectal cancers and 4th most frequent cancer in women, with an estimated 570,000 new cases and 311,000 deaths in 2018. Cervical cancer screening in the developed countries is credited with the reductions in cervical cancer morbidity and mortality during the last 50 years. However, nearly 90% of cervical cancer deaths occur in less developed countries. Ghana has a cervical cancer rate of 26.4%. Further, it is the highest cancer incidence faced among women 25 to 44 …

Public Education/Public Health Perspectives On Collaboration-Influence On High School Completion, Claudette Virginia Campbell

Walden Dissertations and Doctoral Studies

The research problem focused on the use of collaboration by managers, supervisors, consultants, and professional staff in a department of public education and health to address disparities in on-time high school completion rates. The purpose of the study was to examine the perspectives of individuals in these public sectors on the use of collaboration as a means to improve on-time high school completion rates for African American and Hispanic students. The theoretical foundation and conceptual framework for the study were John Rawls's theory of justice and Amartya Sen's capability approach. The key research question involved how individuals in the public …

Health Care Determinants Of Cervical Cancer Screening In Harare Zimbabwe, Dominic Chifamba

Walden Dissertations and Doctoral Studies

Cervical cancer is the second leading cause of cancer deaths among women of all age groups in Zimbabwe, and mortality and incidence continue to increase. The purpose of this quantitative cross-sectional study was to assess the factors that influence the utilization of cervical cancer screening services by Zimbabwean women living in Harare, Zimbabwe. Because personal beliefs influence screening, this study was guided by the health belief model (HBM). A total of 394 women whose ages ranged from 18 to 65 years were recruited from a health care facility in Harare. A 40-item closed-ended questionnaire was used to assess participants' knowledge, …

Strategies Hospital Administrators Utilize To Optimize Patient Services, Vicente Njoku

Walden Dissertations and Doctoral Studies

Hospital administrators face challenges that arise from environmental factors or psychosocial factors, and lack resources to deliver valuable medical services to stakeholders, including patients and employees. A multicase study served to explore experiences and gain a broader perspective of hospital administrators' use of strategies to optimize patient services. Ten hospital administrators from acute care hospitals in Nevada and California were purposefully selected from the population of hospital managers with a minimum of 2 years of documented experience in successfully implementing management strategies to improve patient services. The conceptual framework was Drucker's management theory. Data were collected from semistructured interviews with …

Predictors Of Rapid Repeat Pregnancy In Zimbabwe, Thenjiwe Sisimayi

Walden Dissertations and Doctoral Studies

Rapid repeat pregnancy (RRP) is associated with adverse maternal and infant outcomes and a range of undesirable social and economic challenges for the mother, her baby, and society. Although the consequences of RRP are well known, Zimbabwe—a country with some of the poorest maternal health indicators—has not investigated or made efforts to directly address this problem. This is confirmed by the lack of targeted programs to curb RRP, the unavailability of documented evidence regarding RRP significant risk factors, and the lack of understanding of the extent of RRP in the country. Using social cognitive theory as the theoretical framework, an …

Breast Cancer Screening Knowledge And Beliefs Of Nigerian Women Living In The United States, Enobong Clement Utin

Walden Dissertations and Doctoral Studies

Breast cancer is one of the leading causes of death and disability globally. Although mammogram has been identified as a significant breast screening tool in the United States, researchers have indicated that African-born women in the United States are diagnosed with advanced stages of breast cancer because of underutilization of mammogram from diverse reasons. The purpose of this quantitative study was to determine the association of demographic factors, breast cancer knowledge, health beliefs, and the utilization of mammogram among Nigerian women, 40 years and older in the United States (N=200). The study was guided by the health belief model and …

Adherence To Art Among Hiv Infected Female Sex Workers In Nigeria, Abass Babatunde Yusuf

Walden Dissertations and Doctoral Studies

A lack of adherence to antiretroviral therapy (ART) increases the risk of onward human immunodeficiency virus (HIV) transmission and mortality. The purpose of this cross-sectional study based on Andersen's conceptual framework was to test the associations between age, marital status, job/occupational status, education, membership in a peer support group, community, and facility ARV drug refill and alcohol and substance use, and adherence to ART among female sex workers (FSWs) who are 15 years and older in Rivers and Cross Rivers states Nigeria. Data were abstracted from existing program data collected between January 2015 and December 2017 by Heartland Alliance International, …

Missoula Prescription Produce Program: Lessons Learned 2015-2017, Harley Fredriksen

Graduate Student Theses, Dissertations, & Professional Papers

The Missoula Fruit and Vegetable Prescription Produce program (MFVPP) started in 2015 as a partnership between Garden City Harvest (a Missoula, MT food-security non-profit) and the Providence Endocrinology Center (a local health clinic focused on diabetes care). MVFPP allows physicians, physician assistants, and dieticians to prescribe fresh produce to their patients. Patients must be of low income and suffer from chronic disease. The purpose of this paper is to evaluate the effectiveness of the MFVPP to lead to improved biometric measurements for patients. This paper also discusses the program’s limitations and complications and aims to chart a path forward for …

Understanding The Intersection Of Cannabis And Physical Activity, Lukas E. Coppen

Cal Poly Humboldt theses and projects

Cannabis use has been gaining wider social acceptance, and with increased legalization cannabis users are talking more openly about how and why they consume cannabis. Moreover, professional and non-professional athletes are openly discussing their cannabis use in training. There is a distinct lack of cannabis research in humans, particularly as it relates to physical activity (PA). PURPOSE: To understand how and why people use cannabis with PA as well as categorizing the preferred mode of PA users engage in. METHODS: Subjects (n = 101; with ages ranging from 18-55 years old) participated in an anonymous online survey if they reported …

January 2019, Swosu Bulldog Wellness Committee

SWOSU BULLDOG WELLNESS

Making Your Resolutions Really Work

New Year’s resolutions are slightly out of favor — airily dismissed as a waste of time, given their high failure rate. But there remains something compelling about the onset of a brand new year for reflecting on changes that would improve your life. To provide advice on ways to make resolutions that will actually come to fruition,

Total Energy Intake And Self-Selected Macronutrient Distribution During Wildland Fire Suppression, Alexander N. Marks, Joseph A. Sol, Joseph W. Domitrovich, Molly R. West, Brent C. Ruby

Graduate Student Theses, Dissertations, & Professional Papers

Introduction: Wildland firefighters (WLFF) work long hours in extreme environments resulting in high daily total energy expenditure (TEE). Increasing work shift eating episodes and/or providing rations that promote convenient feeding has shown augmented self-selected work output, as has regular carbohydrate (CHO) consumption. It remains unclear how current WLFF feeding strategies compare to more frequent nutrient delivery. Our study’s aim was to determine WLFFs’ self-selected field total energy intake (TEI), composition, and patterns feeding during wildland fire suppression shifts.

Methods: 86 WLFF (16 female, 70 male; 27.5 ± 6.4 yr) deployed to fire incidents across the United States throughout the 2018 …

Effect Of Potato-Based And Prepackaged Sports Supplement Products On Muscle Glycogen Recovery And Exercise Performance In Trained Males And Females, Shannon Kelly Flynn

Graduate Student Theses, Dissertations, & Professional Papers

Purpose

Research has elucidated the impact of post exercise carbohydrate nutrition and environmental conditions on muscle glycogen re-synthesis. However, research has minimally considered the implications of glycogen recovery in females and has focused on commercial sport nutrition products. The purpose of this study was to determine the effects of varied mixed macronutrient feedings on glycogen recovery and subsequent exercise performance in both sexes.

Methods

8 males and 8 females participated in a crossover study. Subjects completed a 90-minute cycling glycogen depletion trial then rested for 4 hours. Two carbohydrate feedings (1.6 g . kg-1) of either sport supplements or potato-based …

The Revolution Will Be Open-Source: How 3d Bioprinting Can Change 3d Cell Culture, Robert D. Bruno, John Reid, Patrick C. Sachs

School of Medical Diagnostics & Translational Sciences Publications

(First paragraph) The development of three-dimensional culture scaffolds represents a revolutionary step forward for in vitro culture systems. Various synthetic and naturally occurring substrates have been developed that support 3D growth of cells. In most fields, including mammary gland biology and tumorigenesis, the two most common substrates used are the basement membrane rich extracellur matrix (ECM) isolated from EngelbrethHolm-Swarm (EHS) mouse sarcomas (e.g. Matrigel) and collagen extracted from rat-tails. The processes of 3D culture in these two substrates has remained unchanged for nearly half a century: cells are either mixed with unpolymerized matrix to disperse them randomly throughout the substrate …

Health Related Quality Of Life And Coping Strategies Of Children With Type 1 Diabetes Mellitus Attending A Tertiary Care Setting, Vineetha Vijaykumar Ms, Sreeja S. A Ms

Manipal Journal of Nursing and Health Sciences

Introduction: Diabetes mellitus (DM) is a syndrome that results in abnormally high blood sugar levels and is due to the combined effect of hereditary and environment. There is a global increase of type 1diabetes at a proportion of 3% annually in children and adolescents and frightening 5% increase annually among pre-school children. The highest incidences were found in the 10 to 14 years (Swift, 2007). Objectives: The objectives were to determine the health related quality of life (HRQOL) and coping strategies of children with type 1 DM, to find the association between HRQOL with selected demographic variables and to identify …

Social Determinants Of Adolescent Girls’ Dietary Pattern In Suburban Areas In Chennai: A Qualitative Approach, Ponnambily Jobin Ms

Manipal Journal of Nursing and Health Sciences

Background: The idea of adolescent well-being is getting importance all around the world and thus there is a lack of national investigations to survey the factors on the dietary pattern of young girls in suburban regions. Aim: The objective of the study is to explore the social determinants of adolescent girls’ dietary pattern in suburban areas of Chennai. Design: The phenomenological design was used to explore the social determinants of adolescent girl’s nutritional intake. The study population consisted of adolescent girls, who were in the age group of 15-18 years in suburban areas of Chennai. The tool had two sections: …

Self-Reported Practice Of Ergonomics And Musculoskeletal Problems Among Computer Users Of Selected Offices At Mangaluru, Preethi Fernandes Ms, Shwetha Rashmi Ms, Bimalu Benny Ms, Chinchu S. Peter Ms

Manipal Journal of Nursing and Health Sciences

Introduction: The extent of computer use in the offices has greatly increased over the recent decades, resulting in the risk of several health problems among computer users. Symptoms like pain, numbness, tingling, etc. occur in various body parts due to the improper practice of computer ergonomics. Methodology: The descriptive survey approach had been used in view of accomplishing the main objective of the study. The tool consists of baseline pro forma along with rating scale to assess the self-reported practice of ergonomics and rating scale to assess musculoskeletal problems. The subjects consisted of 100 office workers who used the computer …

Knowledge And Practice Among Housekeeping Staff On Methods Of Bio-Medical Waste (Bmw) Management, Nanda Kumar Paniyadi Mr, Asha P. Shetty Dr, Alice Minj Ms, Edavathra Jennie Varghese Ms

Manipal Journal of Nursing and Health Sciences

Waste is any substance that is not useful. Bio-medical waste (BMW) is any kind of waste containing infectious material. Inappropriate and inadequate handling of health care waste has serious public health issues and significant influence on environment. Objective: Objective of the study is to find out the relation between knowledge and practice regarding the method of BMW disposal. Methodology: A descriptive study design with non-probability convenient sampling technique was used to collect the data from 65 housekeeping staff of AIIMS, Bhubaneswar after obtaining administrative approval from the authorities. Structured knowledge questionnaire on BMW disposal and observational checklist for the practice …

A New Approach For Scoring In Objective Structured Clinical Examination, Jomon C. U Mr, Roseminu Varghese Ms

Manipal Journal of Nursing and Health Sciences

The Objective Structured Clinical Examination (OSCE) is a useful multi-use assessment tool which may be used to evaluate health care providers of various disciplines in a clinical setting. It appraises proficiency, through direct observation based on objective or unbiased testing. It is accurate, objective and consistent letting uniform testing of clinical skills among an extensive range of students. OSCE software, developed at Manipal College of Nursing (MCON), a constituent unit of Manipal Academy of Higher Education (MAHE) is a windows-based platform which is integrated with student’s information system and is designed to access only through the intranet of MAHE. It …

An Explorative Study On Factors Affecting Nursing Student’S Academic Failure, Seema S. Chavan Ms, Jeni Jose Ms, Jovita D'Souza Ms, Ashly Anna Mathews

Manipal Journal of Nursing and Health Sciences

Introduction: Academic failure among nursing students has become a phenomenon of interest, as it does not limit itself to only financial consequences, but also compromises the nurse’s availability in the health care sector in the future. Quality of education becomes important as nurses admit and graduate every year in various universities. Objectives: The objectives of the study were to assess factors affecting academic failure among nursing students and to find the association between factors affecting nursing student’s academic failure and selected demographic variables. Methods: A descriptive explorative design was used for the study among 100 nursing students studying in the …

Knowledge Of Nurses Working In Maternity Units Before And After The Implementation Of Structured Teaching Program On Obstetrical Emergencies In Selected Hospitals, Guntur District, Andhra Pradesh, Geetha Dhanasiri Ms, Vasundhara R Ms

Manipal Journal of Nursing and Health Sciences

Introduction: The experience of pregnancy is individualistic and an important experience for a woman. The process of child birth is viewed as a rebirth of the woman, because of the very fact that the period of pregnancy, child birth and puerperium, which show a very normal course till that time, may suddenly turn in to life threatening situations called obstetrical emergencies. These conditions endanger the life of both the mother and the baby. Hence, it is the bound duty of all the obstetrical care providers to give due concentration in identifying the emergency conditions and safe guarding the life of …

Interventions To Reduce Urinary Tract Infections Among Hospitalized Children: A Systematic Review, Edlin Glane Mathias Ms, Judith A. Noronha Dr

Manipal Journal of Nursing and Health Sciences

Background: Among the bacterial infections, urinary tract infection (UTI) is commonly diagnosed among the children. Although there is a variety of research on diagnosis and treatment of UTI, still the clinician faces many challenges in day-to-day care of the children. Studies have reported that the incidence of UTI is highest among the first year of life and decreases in the later life. The appropriate interventions to diagnose and manage the UTIs are important to reduce them among children. Purpose: The purpose of this systematic review is to identify the interventions to reduce UTIs among hospitalized children. Data sources: The electronic …

Awareness On Gestational Diabetes Mellitus (Gdm) And Compliance To Management Among Pregnant Women- A Narrative Review, Meena Konsam Ms, Sushmitha Ramona Karkada Dr, Laveena Anitha Barboza Ms

Manipal Journal of Nursing and Health Sciences

Being one of the subtypes of Diabetes Mellitus (DM), Gestational Diabetes Mellitus (GDM) is one of the transient conditions which is suffered commonly by pregnant women and affects both maternal and neonatal health. Timely awareness and prompt compliance will translate in adapting healthy life style practices, prevention of complications and early diagnosis of the burden in later years. The present paper is reviewed to assess the awareness regarding GDM and compliance to management among pregnant women with GDM

Social Health And A Healthy Social Life Based On Wisdom And Intellectuality, Alireza Atarodi, Meisam Dastani, Ahmadreza Atarodi

Library Philosophy and Practice (e-journal)

Introduction:

Human kinds are social animals, and are pleased living together pleasantly and positively in mental and physical forms. Without positive living and to live in challenges and clashes is bad and catastrophic, but what’s the way out? One of the way that seems not so costly, with no war and seems that can direct and put the world in peace or in a good running order will be wisdom and intellectuality transfused by many scientific centers and the wise men, then we intended to survey the social health and a healthy social life based on wisdom and intellectual …

Need Of Professional Development And Ict Skills For Medical Library Professionals In Gujarat, S. D. Parmar Dr., Shishirkumar H. Mandalia Dr.

Library Philosophy and Practice (e-journal)

Professional development is the process where professionals stay up-to-date information, skills, and abilities which required working effectively in their profession. It is assumed that professionals have to maintain professional competency, involve in professional development and skill enhancement activities. The library professionals are catering library services to its users with growing demand of users; there are not enough studies are conducted about the need for professional development and ICT skills for medical library professionals in Gujarat. It is very much important to evaluate the needs of professional development and skills enhancement programme in medical educational institutions. The cross-sectional study was conducted …

Health Information Literacy In Everyday Life: A Study Of Pregnant Women’S In Ekiti State, Nigeria., Mayowa Akomolafe, Rosaline Oluremi Opeke Phd

Library Philosophy and Practice (e-journal)

Pregnancy is a sensitive period in a woman’s life that exposes her and her unborn child to lot of risks which may affect her health. These risks are as a result of altered physiological function of the body that affects the biochemistry and anatomy of the woman’s body, which eventually affects their Quality of Life. Pregnant women need health information literacy to search for health information to manage their health to compliment the ones provided during antenatal. Information needs of pregnant women are not often met during antenatal clinic. Studies have shown inadequate communication by health care professionals during antenatal …

A Geographic Study Of Lung And Bronchus Cancer Rates In Kentucky, Gabriel Njoh Dikong

Walden Dissertations and Doctoral Studies

The average age-adjusted incidence and mortality rates of lung and bronchus cancer is 55% and 56% higher in Kentucky than the national averages in the United States, respectively. Populations with low income and educational attainment, and those who live close to the mining regions across Kentucky are more affected by the high prevalence and resulting mortality rates of lung and bronchus cancer. This study was conducted because of the high incidence of lung and bronchus cancer and resulting mortality rates in the state of Kentucky that may not be caused solely by social and demographic factors. The theoretical foundation for …

Exploring The Mechanisms Of Racial Disparity In Infant Mortality: A Grounded Theory Approach, Barry Chukwugekwu Eneh

Walden Dissertations and Doctoral Studies

Infant mortality (IM) is a critical health-disparity problem in the United States. Of the 23000 infants who die each year, the highest number occurs among African Americans. Previous studies implicated a mix of health determinants and risk factors, but no study has explored the mechanisms by which IM predictably persists among African Americans. This study uncovers the complex network of risk factors that underlies racial death disparities in infants. Two theoretical lenses chosen for this study were social systems theory (SST) and critical race theory (CRT). SST explains human behavior as an intersection of interrelated systems. CRT interrogates inherent social …