Medicine and Health Sciences Commons^™

Oregon Region Standard Stroke Neurological Assessment Utilizing Aacn Synergy Model, Natalie Swearingen, Kailey Cox, Diane Clark

Articles, Abstracts, and Reports

No abstract provided.

Meeting Overview: Interferon Lambda - Disease Impact And Therapeutic Potential, Thomas R. O'Brien, Howard A. Young, Raymond P. Donnelly, Ludmila Prokunina-Olsson

United States Public Health Resources

A meeting entitled, "Interferon Lambda: Disease Impact and Translational Potential," was held on the campus of the National Institutes of Health in Bethesda, Maryland, on October 25-26, 2018. To our knowledge, this was the first meeting that focused exclusively on interferon lambda (IFN-λ). The meeting's purpose was to enhance interdisciplinary communication and promote new collaborations. The gathering brought together an international group of scientists from a wide range of disciplines. Sessions included: IFN-λ Biology, Therapy and Genetic Variation; IFN-λ and Hepatitis C Virus Infection; IFN-λ in Other Infections; and IFN-λ - Hepatic Fibrosis and Cancer. The next meeting on IFN-λ …

Perceptions Of Higher Education In Nonmetropolitan Nebraska: Research Report 19‐4, Rebecca Vogt, Cheryl A. Burkhart-Kriesel, Randolph L. Cantrell, Bradley Lubben, L. J. Mcelravy, Timothy Meyer, Jason L. Weigle

Rural Futures Institute: Publications

Some recent national polls have shown a decline in confidence in higher education. The cited reasons for this decline are concerns about affordability, access and the political culture on campuses. Given these national trends, how do rural Nebraskans view the impacts of their education? Do they view higher education as important for individuals and the economy? Have these views changed over the past four years? What types of higher education institutions have their households attended? This paper provides a detailed analysis of these questions. This report details 1,776 responses to the 2019 Nebraska Rural Poll, the 24th annual effort to …

Mortality Assessment Of Paclitaxel-Coated Balloons: Patient-Level Meta-Analysis Of The Illumenate Clinical Program At 3 Years., William A Gray, Michael R Jaff, Sahil A Parikh, Gary M Ansel, Marianne Brodmann, Prakash Krishnan, Mahmood K Razavi, Frank Vermassen, Thomas Zeller, Roseann White, Kenneth Ouriel, Mark A Adelman, Sean P Lyden

Articles, Abstracts, and Reports

BACKGROUND: A recent summary-level meta-analysis comprising randomized, controlled trials (RCTs) of femoropopliteal paclitaxel-coated balloon and stent intervention identified excess late mortality in the paclitaxel-treated patients.

METHODS: We evaluated the safety of the Stellarex drug-coated balloon (DCB) for femoropopliteal artery disease with an independently performed meta-analysis of patient-level data from all patients in the Stellarex femoropopliteal clinical program. To compare mortality after DCB or uncoated percutaneous transluminal angioplasty (PTA), we aggregated data from 2 RCTs comprising 419 patients treated with DCB and 170 patients treated with PTA. In an additional analysis, data were aggregated from 6 poolable Stellarex DCB studies (2 …

Development And Implementation Of An Evidence-Based Process For Scarce Resource Allocation, Richard K. Ogden Jr., Daniel L. Millspaugh, Brian O'Neal

Posters

Background: Intravenous immune globulin (IVIG) is a plasma-derived product from pooled donors. It has six FDA approved indications. It is also considered standard of care for a few other conditions in specific populations. Additionally, there is growing non-evidence-based use. Due to a global shortage, IVIG has become increasing difficult to obtain.

. . . .

Conclusions: Development, implementation, and promotion of adherence to an evidence-based criterion allowed our scarce IVIG supply to be sustained. Further refinement of the criteria for use is ongoing, as is an evaluation of IVIG utilization by indication, pre- and post-implementation. This process can be applied …

Nurses Alumni Association Bulletin, Fall 2019, Susan Albrecht Curcio

Nursing Alumni Bulletins

2019–2020 Meeting Dates Calendar

2020 Annual Luncheon and Meeting Notice

Officers for 2019–2020

President’s Message

Treasurer’s Report

Resume of Minutes

Office News

Committee Reports

• Social
• Relief Trust Fund
• Central Pennsylvania Satellite Group
• Scholarship
• By-Laws
• Nominating
• Bulletin

Jefferson Office of Alumni Relations

Annual Giving

In Honor of and in Memory of

Janet C. Hindson Award

• Janet C. Hindson Award Winner

Pearls of Wisdom

The History of the Jefferson Cap

A Nurses’ Cape Finds a Home

Happy Birthday – to Be 80 or More

Flower Thank You Notes

Annual Luncheon

• Photos
• Annual Luncheon Comments
• 1970 – 50th Anniversary Class List

In Memoriam …

Vocal Hygiene For Musical Theatre Performers, Anne M. Koziara, Dr. Ron Scherer

Honors Projects

There have been numerous “do’s - and - don’t’s” vocal hygiene pamphlets made for voice users, however, a guide for vocal hygiene for musical theatre performers is not typically included in these pamphlets. Musical theatre performers differ from other professional voice users, because in addition to singing, they also have the taxing responsibilities of acting and dancing. As a result, many musical theatre performers have questions and often seem confused about what proper vocal hygiene should be for them. The goal of this honors project was to create an advisory brochure on vocal hygiene specifically for musical theatre performers. This …

The Effect Of Omega-3 Fatty Acids On Recovery From Traumatic Brain Injury, Sarah Wampler

Honors Projects

Past research has been conducted on rats and mice to determine behavioral and physiological effects of omega-3 fatty acids on recovery from traumatic brain injury (TBI). These studies found that omega-3s can be helpful for recovery from TBI, however, the results did not carry over to human clinical trials. This paper aimed to compare and analyze the results of these studies through meta-analysis to help explain why omega-3 fatty acids were not as effective for human recovery from head injury. A systematic literature search was completed to obtain all studies that looked at this effect. Some of the articles acquired …

Molecular Characterization Of Multidrug-Resistance In Gram-Negative Bacteria From The Peshawar Teaching Hospital, Pakistan, A. Masseron, L. Poirel, B. Jamil Ali, M. A. Syed, P. Nordmann

Section of Pulmonary & Critical Care

Extended-spectrum β-lactamases, carbapenemases, 16S rRNA methylases conferring pan-drug aminoglycoside resistance and colistin resistance were investigated among Gram-negative bacteria recovered from clinical samples (infections) from 200 individuals hospitalized at the Khyber Teaching Hospital of Peshawar, north Pakistan, from December 2017 to March 2018. Out of 65 isolates recovered, 19% were carbapenem resistant and 16% carried a bla NDM-1 gene, confirming the widespread distribution of NDM producers in this country. The association of the NDM carbapenem-resistance determinant, together with the extended-spectrum β-lactamase CTX-M-15 and 16S rRNA methylases, was frequent, explaining the multidrug-resistance pattern observed. All isolates remained susceptible to colistin.

Chronic Kidney Disease From Non-Traditional Causes Throughout Central America, Abigail K. Watson

Senior Theses

Throughout many Central American countries, incidence of chronic kidney disease (CKD) has been on the rise. The disease mainly affects agricultural workers and differs from typical CKD. Patients in these countries often do not have preexisting conditions such as diabetes or hypertension known to be traditional causes of CKD. They also experience increased damage to the kidney tubules, rather than the glomeruli generally more heavily impacted. There has been speculation regarding the causes of CKDnT (chronic kidney disease of nontraditional causes), but no consensus has been reached. Two major hypotheses to explain the high prevalence among Central American sugarcane workers …

Jefferson Digital Commons Quarterly Report: July-September 2019, Kelsey Duinkerken, Msi, James Copeland, Libt, Larissa Gordon, Mslis, Med, Ma

Jefferson Digital Commons Reports

This quarterly report includes:

• Articles
• Conferences
• From the Archives
• Grand Rounds and Lectures
• Journals and Newsletters
• Master of Population Health Capstone Presentations
• Master of Public Health Capstone Presentations
• Posters
• What People are Saying About the Jefferson Digital Commons

Hospitalization-Associated Change In Gait Speed And Risk Of Functional Limitations For Older Adults, Wei Duan-Porter, Tien N. Vo, Kristen Ullman, Lisa Langsetmo, Elsa S. Strotmeyer, Brent C. Taylor, Adam J. Santanasto, Peggy M. Cawthon, Anne B. Newman, Eleanor M. Simonsick, Teresa M. Waters, Kristine E. Ensrud

Health Management and Policy Faculty Publications

BACKGROUND: Hospitalization-associated functional decline is a common problem for older adults, but it is unclear how hospitalizations affect physical performance measures such as gait speed. We sought to determine hospitalization-associated change in gait speed and likelihood of new limitations in mobility and activities of daily living (ADLs).

METHODS: We used longitudinal data over 5 years from the Health, Aging and Body Composition Study, a prospective cohort of black and white community-dwelling men and women, aged 70-79 years, who had no limitations in mobility (difficulty walking 1/4 mile or climbing 10 steps) or ADLs (transferring, bathing, dressing, and eating) at baseline. …

Contact Point Autumn 2019, Arthur A. Dugoni School Of Dentistry

Contact Point

No abstract provided.

Developing A Taxonomy Of Ladder Climbing Techniques, Charles Holland

Graduate Theses & Non-Theses

The research found on ladder safety indicated broad recognition of the hazards of using ladders, especially in the construction industries. OSHA regulations, as well as general guidance on ladder safety point to training workers on ladder usage techniques as being one of the most useful means of reducing risk of falling. However, no studies could be found directly investigating different techniques for ascending and descending ladders. In order to study and compare techniques, this project was initiated to establish a taxonomy of techniques for climbing and descending ladders Six patterns were hypothesized. A secondary purpose was to compare the patterns …

Long-Term Safety And Efficacy Of Subcutaneous Pasireotide In Patients With Cushing's Disease: Interim Results From A Long-Term Real-World Evidence Study., Luca Manetti, Timo Deutschbein, Jochen Schopohl, Kevin C J Yuen, Michael Roughton, Ulrike Kriemler-Krahn, Libuse Tauchmanova, Ricardo Maamari, Carla Giordano

Articles, Abstracts, and Reports

PURPOSE: Clinical trials have demonstrated the favorable efficacy/safety profile of pasireotide in patients with Cushing's disease (CD). We report interim long-term results of an ongoing real-world evidence study of subcutaneous pasireotide in patients with CD.

METHODS: Adults with CD receiving pasireotide, initiated before (prior-use) or at study entry (new-use), were monitored for ≤ 3 years during a multicenter observational study ( http://clinicaltrials.gov identifier NCT02310269). Primary objective was to assess long-term safety of pasireotide alone or with other CD therapies.

RESULTS: At the time of this interim analysis, 127 patients had received pasireotide (new-use, n = 31; prior-use, n = 96). …

Healthy Way: Wellness In All Youth, Melissa Slone, Frances J. Feltner

Center of Excellence in Rural Health Presentations

Healthy WAY encourages student led teams to work collectively on an identified problem, by reviewing local data, trends, and research to develop a strategic plan of action with key stakeholders in their schools and communities.

Community organizations can partner to invest in initiatives like Healthy WAY to restore hope and resilience in our youth. Tips to ensure success include: Organizational support, a staff mentor dedicated to the project for the entire period, partners in the school systems and venues for the students to share their outcomes.

Synthesis Of Bis(Imino)Pyridine Iron(Ii) Complexes And Development Of Bis(Imino)Pyridine Iron(Ii) Catalyzed Carbene Transfer Reactions, Ban Wang

Masters Theses & Specialist Projects

Metal catalysis of symmetric and asymmetric carbene transfer reactions has been widely applied in natural product synthesis and material science over years. Metal carbene can be easily generated from the extrusion of nitrogen under the catalysis of metal complexes to further undergo various organic reactions, O/N/C-H insertions, cycloadditions, and ylide formations. Currently, the dominant effective catalysts for carbene reactions are built with expensive precious metal, for example, rhodium, ruthenium, palladium, gold. Notably, the effective reactivity and enantioselectivity of the dirhodium(II) catalysts are researched and established over the decades. However, the use of precious metal catalysts is the major source of …

The Kentucky Cabinet For Health And Family Services’ Response To The Hepatitis A Virus Outbreak In Kentucky: An Idea Model Analysis, Rachel Leigh Cato

Masters Theses & Specialist Projects

The hepatitis A crisis in Kentucky is unprecedented compared to other states. With thousands of hospitalizations and over 60 deaths in the state of Kentucky alone, there is a need to evaluate the government’s response to the hepatitis A virus (HAV) epidemic. Therefore, the instructional risk communication messages that are being conveyed by the Kentucky Cabinet for Health and Family Services (KCHFS) are instrumental in the education and action plans of Kentuckians who are at risk of contracting HAV.

This study utilizes the IDEA Model Thematic Analysis Codebook as a guide to analyze the KCHFS’ risk communication regarding the hepatitis …

Kujdesi Infermieror Ndaj Fëmijëve Me Diabet Melit Tipi 1, Durim Nuzi

Theses and Dissertations

Sistemi endokrin është rregullatori i rëndësishëm i organizmit tonë. Organet që përbëjnë sistemin endokrin janë: hipotalamusi, hipofiza, gjëndrat pireale, gjëndrrat tireoide, gjëndrat paratireoide, gjëndrrat mbiveshkore, timusi, pankreasi, testikujt dhe ovaret. Pankreasi është një gjëndërr në abdomen, që lëshon një tretës, lëngun pankreatik, në zorrën dymbëdhjetëgishtore duodenum përmes duktit pankreatik. Pankreasi është një gjëndërr mjaft e rëndësishme e organizmit të njeriut, e cila prodhon insulinën dhe glukagonin, dy enzima të rëndësishme që ruajnë nivelet e duhura të glukozës në gjak. Në mungesë të insulinës, kemi rritjen e nivelit të glukozës në gjak dhe zhvillimin e diabetit.

Diabeti melit është përcaktuar nga …

Roli I Infermierit Në Kujdesin E Pacientëve Me Diabet Melit Tipi 2, Albina Krasniqi

Theses and Dissertations

Diabeti është një sëmundje e perhapur në të gjithë botën dhe shifrat flasin në rritje të vazhdueshme të njerezve të prekur nga kjo sëmundje. Gjithnjë e më shumë është në rritje numri i faktoreve të rinjë të rrezikut për diabetin, faktorët madhor të rrezikut për këtë sëmundje kronike mbeten faktor tradicional si: mosha, dhjamosja, inaktiviteti fizikë, faktoret diabetic, historia familjare për diabet dhe prania e faktorëve të tjerë kardiometabolik të rriskut. [1]. Qëllimi i këtij punimi është të përshkruaj trajtimin dhe kujdesin infermieror tek pacientet me DM si dhe edukimi për sëmundjen. Në këtë punim hulumtohen të dhëna për moshën, …

Treguesit E Pasqyrës Së Gjakut Tek Personat Me Diabet, Elmedina Shasivari

Theses and Dissertations

Hyrje - Diabeti (diabetes mellitus) është një sëmundje kronike, degjenerative e shkaktuar nga mungesa e insulinës për shkak të trupit të paaftë për të prodhuar insulinë në nivele normale, apo për shkak rë rezistencës së insulinës, një gjendje në të cilën qelizat e trupit rezistues ndaj insulinës përpiqen për rregullimin e niveleve të sheqerit në gjak. Insulina është një hormon i prodhuar nga pankreasi për të metabolizuar glukozën, një formë e sheqerit që është një nga burimet kryesore të furnizimit të qelizave me energji. Nëse diabeti është shkaktuar nga rezistenca e insulinës ose mungesa e insulinës, rezultati përfundimtar në të …

Ushqyeshmëria Dhe Aktivitetet Fizike Te Të Rinjtë, Hazbije Hasani

Theses and Dissertations

Ky punim shqyrton gjendjen ushqyese të të rinjeve si dhe shprehin e aktivitetit fizik. Ushqyeshmëria është një proces nëpërmjet të cilit merren dhe përdoren nga organizmi elementet kryesore të ushqimit. Aktiviteti fizik përcaktohet si qdo lëvizje trupore e prodhuar nga muskujt skeletor që kërkon shpenzim të energjisë. Qëllimi i punimit është të vlerësojë raportin ndërmjet ushqyeshmërisë dhe aktivitetit fizik, si dhe rëndësinë që të rinjët i kushtojnë këtyre dy aspekteve në përditshmëri. Metodologjia: Qasja në këtë punim ishte kuantitativ. Grumbullimi i të dhënave është përmes pyetsorëve të strukturuar me 14 pyetje të mbyllura ku qytetaret kanë pasur mundësi të zgjedhin …

Kujdesi Infermieror Ndaj Të Sëmurëve Me Tuberkuloz, Herolinda Laçaj

Theses and Dissertations

Tuberkulozi paraqet infeksion me bacilin e tuberkulozit mycobacterium tuberkulosis.Kjo sëmundje në terminologjinë anglosaksone njihet shkurt si TB është sëmundje infektive bakteriale e cila përhapet tutje në gjithë organizmin e njeriut përmes nyjeve limfatike dhe qarkullimit të gjakut.Kjo sëmundje zakonisht prek mushkëritë dhe gjithnjë kur e dëgjojmë fjalën tbc ose si thamë TB menjëherë mendojmë në sëmundje të mushkërive. Për qëllim të hulumtimit kemi pas analizimin e parametrave epidemiologjik të tuberkulozit në Kosovë dhe ebvaluimin e kujdesit infermieror ndaj kësaj sëmundje ngjitëse, trendin dhe incidencën e saj në vitet 2014 dhe 2015. Për material kemi grumbulluar të dhënat nga IKSHPK si …

Kujdesi Infermieror Tek Pacientet Me Hipertension, Resmi Berisha

Theses and Dissertations

Hartimi i kësaj teme është bërë në Kolegjin UBT, Fakulteti i Infermieris, në bashkpunim me spitalin regjional “Prim. Dr. Daut Mustafa” në Prizren.

Mentori i temës: Prof. Ass. Dr.Sejran Abdushi .

Përmes këtij punimi është bërë vlerësimi i karakteristikave epidemiologjike (moshës, gjinisë, vendbanimit, muajve më të frekuentuar të vitit) te pacientët hipertensiv në repartin e Internos në Spitalin Rajonal të Prizrenit.Rezultatet e fituara tregojnë se gjinia më e prekur me HTA është gjinia femrore me grupmoshën mbi 65 vjeç. Qyteti ishte vendbanimi me numrin më të lartë të rasteve me HTA që mund ti referohet qasjes më të lehtë të …

Eritocitet Dhe Leuokocitet, Roli Dhe Rëndësia E Tyre, Raneem Hijazi

Theses and Dissertations

Gjaku është lëng biologjik i cili përbëhet prej qelizave të kuqe, të bardha, plazmës, trombociteve, dhe indeve. Është i rëndësishëm për gjallesat sikurse janë njeriu dhe shtazët, për shkak të rolit të rëndesishëm në transportimin e (ushqimit dhe oksigenit) vitaminave, mbeturinave, hormonave, etj. për të gjitha indet dhe qelizat e ndryshme. Temperatura e gjakut eshte 37 °C masa e gjakut ne purt mcpep me am3. Gjatë punimit të temës kemi marrë informacione nga literatura ndërkombëtare si dhe të dhënat nga loboratori mjekësor. Gjaku përbën 8% të masës trupore. Për shembull, nëse masa e një personi është 60 kg, 4.8 kg …

Kujdesi Infermieror Tek Të Sëmuret Me Kancer, Suela Isufi

Theses and Dissertations

Praktika infermierore te kanceret përfshin të gjitha grupmoshat dhe fushat e infermierisë, ndërsa ofrohet në një sërë ambientesh të kujdesit shëndetësor, duke përfshirë shtëpinë, komunitetin, institucionet e kujdesit akut dhe qendrat e rehabilitimit. Gjatë kujdesit infermieror ndaj pacientit duhet të kemi parasysh në radhë të parë anën e tij psikologjike, Kur ai kupton se ka sëmundjen e kancerit ndjehet i traumatizuar, ndjehet sikur i ka ardhur fundi, prandaj dhe mbështetja infermierore rëndësi të madhe në këtë fazë te jetës së tyre. Për objektiv të këtij projekti kemi pasur hulumtimin e njohurive të infermierëve mbi sëmundjet kancerogjene dhe përvojat e tyre …

Program Evaluation Intensive: Practical Training In Selecting Measures And Data Collection Methods To Obtain Useful Outcome Data, Robyn Shepherdson, Jennifer Funderburk, Nadiya Sunderji, Nadiya Sunderji, Jodi Polaha

ETSU Faculty Works

Do you need help determining appropriate measures and feasible data collection methods for program evaluations within integrated primary care? In this 3-hour preconference workshop, leaders from CFHA’s Research & Evaluation Committee and Families, Systems, & Health journal will provide practical training in conducting rigorous program evaluations. This workshop will help you identify appropriate measures to answer your key questions as well as data collection methods that balance quality and feasibility. This workshop is designed for those who are planning, conducting, or revising a program evaluation, as attendees will apply the material to their own personal projects within interactive small groups.

Evaluation Of Intervention Aimed At Reducing Alteplase Returns Without Compromising Clinical Care In Acute Ischemic Stroke, Natalie Swearingen, Jillian Myers, Alyx Lesko, Lindsay Lucas, Elizabeth Baraban

Articles, Abstracts, and Reports

No abstract provided.

Mining’S Impact On Environmental And Human Health: A Case Study Of Ramba County’S Gold Mine, Vivika Fernes

Independent Study Project (ISP) Collection

This research project aims to gain a greater understanding of the health implications that Ramba County’s goldmine has on miners, their families, and the environment. While this study observes the community-at-large, inclusive of visiting miners and extended family members of workers, it will focus on women who engage in artisanal and small-scale gold mining (ASGM). Millions of people in the developing word depend on ASGM for their livelihood, evident in this case study in Ramba County. However, while gold is associated with wealth, there is great irony in the fact that those working within the mining industry are being exploited …

A Comparative Study On Mental Health Knowledge Based On Socioeconomic Status In Kisumu Kenya 2019, Mashoud Kaba

Independent Study Project (ISP) Collection

Studies show that people who live in rural Kenya have more positive attitudes toward mental illnesses than people in urban areas. They also had more mental health knowledge. One of the differentiating factors between the two environments is the socioeconomic status of those who live in each area. People in rural areas tend to be of lower socioeconomic status, while those living in urban areas tend to be of a higher socioeconomic status. I wanted to see if the previous findings would be observed if we were looking at people in the same area (strictly urban or rural) with the …