Medicine and Health Sciences Commons^™

Improving Patient Education On Spinal Anesthesia: An Assessment Of A Patient Educational Program, Nicholas Raburn

Doctor of Nursing Practice Projects

Abstract

Spinal Anesthesia (SA) is a common type of anesthesia that is frequently used for surgeries of the lower abdomen, lower extremities, and perineal area. Spinal anesthesia offers fewer side effects and risks than General Anesthesia (GA). Patients usually recover their senses much faster with SA (MedlinePlus, 2017). Some patients often refuse SA due to fears and misconceptions. These misconceptions are related to a lack of education and resources available to patients. It is crucial that anesthesia providers learn to adequately educate patients preoperatively on the use of SA. Anesthesia providers in a community hospital in southern Illinois educated patients …

Rationale, Design, And Baseline Characteristics Of Walkit Arizona: A Factorial Randomized Trial Testing Adaptive Goals And Financial Reinforcement To Increase Walking Across Higher And Lower Walkable Neighborhoods, Marc A. Adams, Jane Hurley, Christine Phillips, Michael Todd, Siddhartha Angadi, Vincent Berardi, Melbourne F. Hovell, Steven Hooker

Psychology Faculty Articles and Research

Little change over the decades has been seen in adults meeting moderate-to-vigorous physical activity (MVPA) guidelines. Numerous individual-level interventions to increase MVPA have been designed, mostly static interventions without consideration for neighborhood context. Recent technologies make adaptive interventions for MVPA feasible. Unlike static interventions, adaptive intervention components (e.g., goal setting) adjust frequently to an individual's performance. Such technologies also allow for more precise delivery of “smaller, sooner incentives” that may result in greater MVPA than “larger, later incentives”. Combined, these factors could enhance MVPA adoption. Additionally, a central tenet of ecological models is that MVPA is sensitive to neighborhood environment …

Trauma Analysis From Rapid Staircase Descension, Srinanti Bhattacharya

CURCE Annual Undergraduate Conference

This experiment was designed after the release of the Netflix show called the “The Staircase.” A true documentary, a woman’s fall down the staircase results in her death, but the investigators question whether it was an accident or murder. The woman’s husband was initially accused of murder, but after a lengthy trial and the review of additional evidence, it was ruled an accident. In the autopsy results, there was evidence of blunt force trauma (Figure 1) inconsistent with an accidental fall. Therefore this research asks what is the difference in trauma from an accidental fall versus a intentional, assisted descent?

Opioid Withdrawal Post Incarceration, Samantha Spampinato

CURCE Annual Undergraduate Conference

This literature review attempts to provide a more complete understanding of the increasing opioid concern and its detrimental effects from withdrawal in incarcerated individuals. Opioid-related fatal overdoses will significantly decrease with the implementation of opioid treatment in jails and prisons nationwide. The incarcerated populations that are typically affected by Opioid Use Disorder (OUD) include about 8.5% of Hispanics and Whites, and about 7.4% of Blacks. One solution involves Medication-Assisted Treatment (MAT) with the use of opioid agonists, such as methadone and buprenorphine-naloxone. These medications offer a slow release of dopamine and can reduce the patient’s opioid withdrawal effects. However, fewer …

Determination Of Intersex Humans In Human Remains, Audria Payne

CURCE Annual Undergraduate Conference

Currently, there isn’t much research on whether forensic anthropologists include the identification of intersex humans in human remains. Forensic anthropologists tend to have varied training that is related to identifying skeletal remains, but there isn’t much research about how to identify intersex humans after death or whether they have come across intersex in skeletal remains at all, besides those they have classified as ambiguous. In this paper, I will be researching various skeletal remains to see if the current identification methods of identifying sex are accurate in identifying intersex. I will also research ambiguous and undetermined remains to see if …

Effects Of Macrophages With Dying Heart Cells, Shannon Alexander

CURCE Annual Undergraduate Conference

Cardiovascular disease involves degraded or dying cells, caused from myocardial infarction, commonly known as a heart attack. When cardiomyocytes, or heart muscle cells, do not receive a high supply of nutrients and oxygenated blood, proper heart functioning is affected, resulting in MI. One cause of this is atherosclerosis. This is a disease when the arterial lumen becomes narrowed due to plaque build-up. Plaque forms when fat, cholesterol, protein, calcium, and white blood cell deposits gradually build up in the inner artery walls, which progressively impedes the arterial blood flow supply, eventually causing organ cell death. The lipids, and most especially …

The Simultaneous Detection And Classification Of Mass And Calcification Leading To Breast Cancer In Mammograms, Scott Gozdzialski, Alex Stern, Ireti Fasere, Daniel W. Engels

SMU Data Science Review

In this paper, we present a novel method for detecting and classifying breast cancer calcification and masses in a single step. The detection and classification steps of calcifications and masses identifiable with a mammogram image are typically performed independently even though their simultaneous solution may lead to a more efficient approach. Our novel method utilizes a Convolutional Neural Network (CNN) to classify the calcifications and masses of different cropped images of a mammogram. We utilize a sliding window detector to break apart full mammogram images into sub-images, and identify and classify the observable objects in the sub-images. We receive multiple …

Tissue-Engineered Grafts: The Future Of Anterior Cruciate Ligament Reconstructive Surgery, Amber Braxton

BIO 410 Spring 2019 Research Papers

Anterior cruciate ligament (ACL) ruptures are common injuries, specifically for young athletes, and in order to repair this injury, the patients must undergo ACL reconstructive surgery. This surgery commissions the use of autografts and allografts in order rebuild the torn ligament. Traditional autografts are the patellar tendon autograft, which is the most common, and the hamstring autograft. These grafts are made by transplanting tissue from the patellar tendon or the hamstring to the ruptured ACL. Allografts are another type of graft that involves transplanting tissue from a donor cadaver to the patient. Traditional autografts and allografts have been used for …

Centeringpregnancy® Increases The Likelihood Of Postpartum Visit And Contraceptive Use, Rei Yamada, Abigail Wolf

Department of Obstetrics and Gynecology Posters

AIMS

• Examine contraceptive use among patients in our CenteringPregnancy® program
• Measure postpartum visit attendance among the CenteringPregnancy® patients

Yeast Mitochondrial Protein Pet111p Binds Directly To Two Distinct Targets In Cox2 Mrna, Suggesting A Mechanism Of Translational Activation, Julia L Jones, Katharina B Hofmann, Andrew T Cowan, Dmitry Temiakov, Patrick Cramer, Michael Anikin

Rowan-Virtua School of Osteopathic Medicine Departmental Research

The genes in mitochondrial DNA code for essential subunits of the respiratory chain complexes. In yeast, expression of mitochondrial genes is controlled by a group of gene-specific translational activators encoded in the nucleus. These factors appear to be part of a regulatory system that enables concerted expression of the necessary genes from both nuclear and mitochondrial genomes to produce functional respiratory complexes. Many of the translational activators are believed to act on the 5'-untranslated regions of target mRNAs, but the molecular mechanisms involved in this regulation remain obscure. In this study, we used a combination of in vivo and in …

Visual And Verbal Serial List Learning In Patients With Statistically-Determined Mild Cognitive Impairment., Victor Wasserman, Sheina Emrani, Emily F Matusz, David Miller, Kelly Davis Garrett, Katherine A Gifford, Timothy J Hohman, Angela L Jefferson, Rhoda Au, Rod Swenson, David J Libon, Consortium For Clinical And Epidemiological Neuropsychological Data Analysis (Cenda).

Rowan-Virtua School of Osteopathic Medicine Departmental Research

Background and Objective: Prior research with patients with mild cognitive impairment (MCI) suggests that visual versus verbal episodic memory test performance may be more sensitive to emergent illness. However, little research has examined visual versus verbal episodic memory performance as related to MCI subtypes.

Research Design and Methods: Patients were diagnosed with non-MCI, amnestic MCI (aMCI), and combined mixed/dysexecutive MCI (mixed/dys MCI). Visual and verbal episodic memory were assessed with the Brief Visuospatial Memory Test-Revised (BVMT-R) and the 12-word Philadelphia (repeatable) Verbal Learning Test (P[r]VLT), respectively.

Results: BVMT-R and P(r)VLT scores yielded similar between-group patterns of performance. Non-MCI patients scored …

Mental Sensorium, Brittany Adkins

Bachelor of Architecture Theses - 5th Year

According to ADAA, nearly one-half of those diagnosed with depression are also diagnosed with an anxiety disorder. Anxiety disorders are highly treatable but only 36.9% are receiving any kind of treatment. Anxiety disorders develop based on a set of factors including genetics, brain chemistry, personality, and life events. Many do not realize but our environment, especially the built environment we inhabit every day can have a positive or negative effect on our mental well-being. Architecture should not just focus on the physical needs of their inhabitants but the mental health needs as well.

The built environment has a considerable impact …

Exercise Prevents Obesity-Induced Cognitive Decline And White Matter Damage In Mice., Leah C. Graham, Weronika Grabowska, Yoona Chun, Shannon L Risacher, Vivek M. Philip, Andrew J Saykin, Alzheimer's Disease Neuroimaging Initiative, Stacey J Sukoff Rizzo, Gareth R Howell

Faculty Research 2019

Obesity in the western world has reached epidemic proportions, and yet the long-term effects on brain health are not well understood. To address this, we performed transcriptional profiling of brain regions from a mouse model of western diet (WD)-induced obesity. Both the cortex and hippocampus from C57BL/6J (B6) mice fed either a WD or a control diet from 2 months of age to 12 months of age (equivalent to midlife in a human population) were profiled. Gene set enrichment analyses predicted that genes involved in myelin generation, inflammation, and cerebrovascular health were differentially expressed in brains from WD-fed compared to …

Community-Based Healthcare | Interlace Of Biophilic Design In Outpatient Facilities, Joshua Robinson

Bachelor of Architecture Theses - 5th Year

This thesis questions how architects can redesign typical healthcare typology in response to the medical and sociological needs of the community while integrating the measures of wellness and biophilic design. By redefining architectural programs within a wellness clinic, this can allow the facility to prioritize the communities needs through non-medical determinants. The research will look at both the social and medical needs of a community, along with the Seven Standards of Wellness as defined by the Well Building Standard and The Fourteen Patterns of Biophilic Design as defined by the Terrapin Bright Green, to develop a connection between the facility …

Comparison Of Methods Used To Estimate The Global Burden Of Disease Related To Undernutrition And Suboptimal Breastfeeding, Alexander C. Mclain, Edward A. Frongillo Jr., Sonja Y. Hess, Ellen G. Piwoz

Faculty Publications

The Global Burden of Disease study (GBD) is an ambitious effort to estimate the disease burden attributable to various risk factors. The results from the GBD are used around the world to monitor the UN established Sustainable Development Goals, set health policies and research strategies, among others. The GBD along with other studies, such as those from the Maternal Child Epidemiology Estimation Group and the Lancet Breastfeeding Series Group, produce estimates of the nutrition-related global burden of disease that exhibit considerable differences. These differences are difficult to reconcile due to the estimation methods, which in recent years have substantially increased …

Effect Of An Intervention To Improve Smoking Cessation Treatment In A Federally Qualified Healthcare Clinic, Shirley Camp

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

Abstract

Significant progress has been made in the reduction of tobacco use in the United States, but the smoking prevalence among the socially and economically disadvantaged populations (i.e. individuals who are homeless, uninsured, LGBT, and living with HIV) is significantly higher than the general population (CDC, 2018b). As a result, these vulnerable populations carry a disproportionate burden of tobacco-related mortality and morbidity (CDC, 2018b). There is a cost-effective and evidence-based treatment for tobacco use dependence (Fiore et al, 2008), but the delivery by primary care providers to this population is inconsistent (Tyman, Bonevski, Paul, & Bryant, 2014). This study focused …

Differences In Current Hookah And Cigarette Smoking Status Attitudes And Beliefs At A Florida University: A Discriminant Analysis, Gail Castañeda, Tracey E. Barnett, Sergio Romero, Mi Jung Lee, Jann Macinnes

Florida Public Health Review

Rising college hookah use, in the absence of cigarettes, suggests attitudinal differences among both forms of tobacco consumption. This study examines which smoking attitudes/beliefs are most distinguishing across current non-smokers, cigarette smokers, hookah smokers, and dual (cigarette and hookah-only) smokers at a Florida university. Self- administered questionnaire data from 373 university students were categorized into four groups based on self-reported 30-day smoking status. Discriminant analysis was used to examine maximal differences between groups across perceived peer acceptability of cigarette smoking, peer acceptability of hookah smoking, hookah smoking harmfulness, and attitude toward peer hookah smoking. Descriptive analyses indicated an overall awareness …

Changes In Hiv Related Risk Behaviors: A Comparative Analysis Of Florida’S 2013 And 2016 Behavioral Risk Factor Surveillance System Survey., Daniel Diyaolu

Florida Public Health Review

Background: Identifying changes in HIV related risk factors is essential to reducing HIV rates in Florida. This study examines if changes occurred in HIV risk factors between 2013 and 2016. Methods: The study utilized secondary data from the Behavioral Risk Factor Surveillance System from 2013 and 2016. A logistic regression analysis was conducted to examine the changes between the years regarding health care coverage and routine HIV testing. Additionally, a separate analysis was performed for the 2016 dataset analyzing if HIV risk behaviors varied by gender, race, age, insurance coverage and HIV testing.

Results: The findings of this study suggest …

One Amino Acid Change Of Angiotensin Ii Diminishes Its Effects On Abdominal Aortic Aneurysm, Ya Wang, Yinchuan Xu, Congqing Wu, Hongguang Xia, Yingchao Wang, Jinliang Nan, Jinghai Chen, Hong Yu, Wei Zhu, Peng Shi, Alan Daugherty, Hong S. Lu, Jian'an Wang

Saha Cardiovascular Research Center Faculty Publications

Angiotensin (Ang) A is formed by the decarboxylation of the N terminal residue of AngII. The present study determined whether this one amino acid change impacted effects of AngII on abdominal aortic aneurysm (AAA) formation in mice. Computational analyses implicated that AngA had comparable binding affinity to both AngII type 1 and 2 receptors as AngII. To compare effects of these two octapeptides in vivo, male low-density lipoprotein receptor (Ldlr) or apolipoprotein E (Apoe) deficient mice were infused with either AngII or AngA (1 μg/kg/min) for 4 weeks. While AngII infusion induced AAA consistently in …

Framework For Algorithmically Optimizing Longitudinal Health Outcomes: Examples In Cancer Radiotherapy And Occupational Radiation Protection, Lydia Joyce Wilson

LSU Doctoral Dissertations

Background: Advancements in the treatment of non-infectious disease have enabled survival rates to steadily increase in recent decades (e.g., diabetes, heart disease, and cancer). Epidemiological studies have revealed that the treatments for these diseases can have life-threatening and/or life–altering effects. Thus, realizing the full beneficial potential of advanced treatments necessitates new tools to algorithmically consider all major components of the health outcome, including benefit and detriment. The goal of this dissertation was to develop a framework for improving projected health outcomes following planned radiation exposures in consideration of all beneficial and detrimental, early and late, and fatal and non-fatal …

A Lifestyle Modification Program For Adult Patients With Coronary Artery Disease, Amanda M. Yarbrough

Evidence-Based Practice Project Reports

As a leading cause of death worldwide, coronary artery disease affects people of all races and ethnicities. The foundation for the prevention of secondary fatal cardiac events, such as stroke or myocardial infarction, is lifestyle modification to effectively lower cholesterol levels. Lifestyle change impacts diet, physical activity, smoking habits, vital sign measures, and stress management. The purpose of this evidence-based practice project was to reduce implement a lifestyle intervention to lower LDL-C levels and promote healthier lifestyles. This practice change was developed utilizing Stetler’s Research Utilization model to promote evidence-based practice changes in the clinical setting. Nola Pender’s Health Promotion …

Enhancing Iana Member Communication & Engagement, Bart Bowers

Doctor of Nursing Practice Projects

The National Provider Identifier (NPI) Registry data identifies CRNAs as the sole providers of anesthesia for 29% of counties in the state of Illinois (“Illinois CRNA Map,” n.d.). These CRNAs, therefore, should play an important role in advocating for access to high quality care. While IANA is a vigorous advocate with regards to patient access to high quality, affordable health care (Bickel, 2017), the long-term patient advocacy capabilities of IANA are at risk due to a declining trend in membership numbers (Farina et al., 2016; Flores, 2014; “Keeping Pace,” n.d.; Yohn, 2016). Traditional forms of communication utilized by IANA, such …

Improving Perioperative Pain Management: Development Of An Adult Lidocaine Infusion Protocol, Kelsey Wallace

Doctor of Nursing Practice Projects

Abstract

Postoperative pain is a challenge in healthcare, with more than 50% of patients reporting inadequate pain control (Zengin, Saracoglu, Eti, Umuroglu, & Gogus, 2015). Inadequately controlled pain can negatively impact a patient’s quality of life, recovery, and cause postsurgical complications (Chou et al., 2016). Aims for acute pain management focus on reducing the incidence and severity of pain in order to improve patient function, minimize side effects, and prevent further complications (Gordon et al, 2016). Implementing a multimodal approach to pain control that includes a lidocaine bolus followed by continuous infusion has resulted in reduced opioid consumption, fewer adverse …

Update Of Blood Transfusion Protocols At A Regional Hospital In Rural Illinois, Kendra Tracy

Doctor of Nursing Practice Projects

The chief nursing officer (CNO) at a small regional hospital in rural Illinois requested an update to their blood transfusion policy and protocol based on current evidence-based information. These documents were updated with current information on safe assembly and delivery, identification of transfusion reactions, and appropriate responses to these reactions. In collaboration with the CNO and Quality Improvement Committee (QIC), drafts of a new policy and protocol and a Blood Transfusion Skills Checklist were developed. These documents were presented at a hospital-wide Skills Lab Day to registered nurses employed at the facility. A Likert Scale evaluation survey was presented to …

Treating Acute Bronchitis In Primary Care, Haylie Patterson, Stacy Wieland

Doctor of Nursing Practice Projects

There has been a significant rise in inappropriate antibiotic prescribing in the United States with at least 30 percent of antibiotics prescribed deemed unnecessary (Fiore, Fettic, Wright, & Ferrara, 2017). Overprescribing antibiotics for viral illnesses such as acute bronchitis leads to antimicrobial resistance. Based on current treatment guidelines, most upper respiratory infections do not respond to antibiotics but rather require supportive measures. Antibiotic prescribing trends for a Midwestern rural clinic were obtained through a retrospective and prospective chart review. Patients were frequently receiving antibiotics for acute bronchitis. To approach the problem a quality improvement (QI) evidence-based project was proposed. A …

Asymmetric Crying Facies Syndrome, Kai-Yu Ho Pt, Phd, Jing Nong Liang Pt, Phd

Physical Therapy Faculty Research

A female infant, born vaginally at 40 weeks of gestation with a birthweight of 3260 g had an Apgar score of 10 at 1 and 5 minutes. She presented with an asymmetric facial expression when crying, with the right side of her mouth deviating inferior-laterally (Figure, A and Video[available at www.jpeds.com]). At rest, her facial expression was symmetric and a thinner left lower lip was noted (Figure, B). A pediatricneurologist noted intact motor, reflex, and cranial nerve functions, and she was diagnosed with asymmetric crying facies, likely because of hypoplasia of the left depressor angularis oris muscle. Asymmetric crying facies …

Yeast Mitochondrial Protein Pet111p Binds Directly To Two Distinct Targets In Cox2 Mrna, Suggesting A Mechanism Of Translational Activation, Julia L Jones, Katharina B. Hofmann, Andrew T. Cowan, Dmitry Temiakov, Patrick Cramer, Michael Anikin

Department of Biochemistry and Molecular Biology Faculty Papers

The genes in mitochondrial DNA code for essential subunits of the respiratory chain complexes. In yeast, expression of mitochondrial genes is controlled by a group of gene-specific translational activators encoded in the nucleus. These factors appear to be part of a regulatory system that enables concerted expression of the necessary genes from both nuclear and mitochondrial genomes to produce functional respiratory complexes. Many of the translational activators are believed to act on the 5'-untranslated regions of target mRNAs, but the molecular mechanisms involved in this regulation remain obscure. In this study, we used a combination of in vivo and in …

‘Let’S Talk About Huntington’S Disease’: 2019 Hd Awareness Month Kicks Off, Kenneth P. Serbin

At Risk for Huntington's Disease

No abstract provided.

School Of Nursing News, Georgia Southern University

Nursing: News & Publications (2013-2023)

• 50 Savannah area high school students representing seven different schools in the Medical Explorers program were provided the opportunity to experience a day in the life of a nurse.

The Effects Of A Yoga Intervention On Reactive Balance In Older Adults, Haley M. Hayes

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

Research into successful aging has shown that the ability to control balance is a key part of maintaining an independent lifestyle. Given the increased proportion of older adults in society, the development of effective strategies to promote successful aging are critical. One promising form of activity that could effectively sustain and/or improve balance in addition to other health markers is yoga. Although studies have been done showing yoga's benefits on mobility, mood and cognition the vast majority of these studies lack scientific rigor. The main purpose of this thesis project was to examine the efficacy of a 6-week yoga intervention …