Medicine and Health Sciences Commons^™

Session I Nursing Presentation 1: Development Of An Obstetric Rapid Response Team In A Rural Labor And Delivery Hospital Unit, Nina Williams

Life of the Scholar Multidisciplinary Conference

Objective: The purpose of this quality improvement project is to implement a best practice obstetric rapid response team (OB-RRT) and conduct in-situ drills of this team. The expected outcome is improved response times, self-confidence of OB-RRT team members, communication, and outcomes for obstetrical emergencies.

Design: The methodology for this project is a post-test descriptive design. There will be an educational session followed by drills to evaluate the effectiveness of the education.

Setting/Local Problem: Rural Level III Labor and Delivery Unit is part of a Level III Trauma Center campus hospital system in Southeastern North Carolina.

Participants: Obstetric Labor and Delivery …

Session I Nursing Presentation 2: Enhancing Care For Patients With Diabetes Mellitus Through A Nursing Focused Intervention, Tamula Bennett

Life of the Scholar Multidisciplinary Conference

Patient Aligned Care Teams (PACTs) within the Veteran's Affairs system are required to manage national performance measures, specifically related to patients with Ambulatory Care Sensitive Conditions (ACSCs). This project focuses on the prevention and progression of renal complications for patients with diabetes by performing urine microalbumin assessments in alignment with the National Kidney Foundation's (NKF) evidence-based practice algorithm. Anticipated findings are increased microalbumin patient orders, timely completion of specimen collection, and follow up collaboration with PACTs lead medical provider, resulting in improved quality of life for patients with diabetes.

Session I Nursing Presentation 4: Milked: Messaging To Increase Lactation Knowledge, Exclusivity, And Duration, Colette Waddill

Life of the Scholar Multidisciplinary Conference

Abstract

It is well documented in the literature that breastfeeding provides a myriad of health benefits for mothers and infants across the lifespan. However, rates of exclusive breastfeeding and breastfeeding duration have remained relatively stagnant nationwide. Breastfeeding rates are particularly low for women enrolled in the Women, Infants, and Children (WIC) nutrition program. Breastfeeding intent and breastfeeding self-efficacy are maternal factors that have been shown to increase breastfeeding rates. The objective of this quality improvement initiative was to increase intent to breastfeed and enhance breastfeeding self-efficacy by implementing a text-messaging intervention for women in the WIC breastfeeding peer-counseling program to …

Session I Nursing Presentation 2: The Role Of Long-Term Acute Care Hospitals (Ltachs) In Improving Outcomes For Patients With Necrotizing Pancreatitis, Ijeoma Enweana

Life of the Scholar Multidisciplinary Conference

Acute pancreatitis results in approximately 300,000 hospital admissions in the United States each year, at a cost of approximately $2.2 billion. Necrotizing pancreatitis, the more severe form, is defined as necrosis of the pancreatic parenchyma with or without necrosis of the peripancreatic tissues. There has been an increase in readmission rates for this patient population, especially with necrotizing pancreatitis. It occurs as a complication in 20%–30% of patients with acute pancreatitis and historically has been associated with high rates of morbidity (34%–95%) and mortality. Mortality and readmission within the first two weeks after surgery and discharge to home with Home …

Systems Thinking In The Healthcare Professions: A Guide For Educators And Clinicians, Margaret M. Plack, Pt, Dpt, Edd, Ellen F. Goldman, Edd, Mba,, Andrea Richards Scott, Edd, Mba, Shelley B. Brundage, Phd, Ccc-Slp

Guides

No abstract provided.

False Advertising: A Look At Crisis Pregnancy Centers, Morgan Gale

Honors Projects

A crisis pregnancy center (CPC) is an anti-abortion organization that “counsels” pregnant individuals while pretending to be pro-choice, often giving out false or misleading medical information and discouraging sex outside of marriage. These centers are usually affiliated with evangelical Christian groups and outnumber actual abortion clinics: it is estimated by pro-life groups that over 2,500 CPCs currently operate across the United States.

This project aims to make the anti-abortion bias of CPCs more visible to BGSU students by presenting research in a format that is easy to read. The project also investigates the practices of Her Choice (The BG Pregnancy …

Pediatric Erythromelalgia Treated With Epidural Ropivacaine Infusion, Caroline E. Lee, Kelly Paulk, Kristen Garvie, Elizabeth Grieshaber, Jeffrey Carter, Brian Ball

School of Medicine Faculty Publications

No abstract provided.

Relationship Between Subject Pronoun And Verb Finite Marking In Aae-Speaking Children, Emily C. Sossaman

LSU Master's Theses

Children learning General American English (GAE) show a relationship between their case marking of subject pronouns and their marking of finite verbs, and this relationship has been found for children with specific language impairment (SLI) and typically developing controls (TD). The relationship between children’s case marking of subject pronouns and finite verb marking has not been examined in children who speak dialects of English that differ from GAE. The purpose of the current study was to examine this relationship in children learning African American English (AAE) as this dialect differs from GAE. The data came from an archival dataset of …

Use Of Video-Models To Teach Language Stimulation Techniques, Jason Killian

LSU Master's Theses

The current study was designed to assess the feasibility of creating videos depicting Enhanced Milieu Teaching (EMT) support strategies and presenting them to graduate students in a communication sciences and disorders program, and whether differences in accuracy existed between first- and second-year graduate students. EMT support strategies were chosen due to the previous successes found within the literature. Twelve videos were presented to ten graduate students. Each participant response was analyzed for accuracy and overall responses were compiled to create overall video clarity.

Results showed that the Communication Temptation EMT support strategy videos achieved the highest levels of clarity, while …

Arterial Distribution Of The Human Aorta: An Examination Of The Evolutionary, Developmental, And Physiological Bases Of Asymmetry., Brandon Oddo, Cooker Storm

Seaver College Research And Scholarly Achievement Symposium

The study of anatomy contends that “form follows function”; a disciplinary theme purporting that anatomical structures (i.e., cells, tissues, and organs) have a shape that serves its proper function. With this in mind, it is unclear why human arterial distribution off the aortic arch is asymmetrical, while the corresponding venous anatomy is symmetrical. We investigated the evolutionary, developmental, and physiological bases for the asymmetry of aortic arch branches in humans. First, we investigated the cardiovascular anatomy of ancestral species to determine if, and at what level, anatomical divergence (from aortic symmetry to asymmetry) occurs. Second, we examined the formation of …

Identification Of A Functional Non-Coding Variant In The Gaba, Megan K Mulligan, Timothy Abreo, Sarah M Neuner, Cory Parks, Christine E Watkins, M Trevor Houseal, Thomas M Shapaker, Michael Hook, Haiyan Tan, Xusheng Wang, Jesse Ingels, Junmin Peng, Lu Lu, Catherine Kaczorowski, Camron D Bryant, Gregg E Homanics, Robert W Williams

Faculty Research 2019

GABA type-A (GABA-A) receptors containing the α2 subunit (GABRA2) are expressed in most brain regions and are critical in modulating inhibitory synaptic function. Genetic variation at the GABRA2 locus has been implicated in epilepsy, affective and psychiatric disorders, alcoholism and drug abuse. Gabra2 expression varies as a function of genotype and is modulated by sequence variants in several brain structures and populations, including F2 crosses originating from C57BL/6J (B6J) and the BXD recombinant inbred family derived from B6J and DBA/2J. Here we demonstrate a global reduction of GABRA2 brain protein and mRNA in the B6J strain relative to other inbred …

Increasing Flu Vaccine Awareness And Use In College Students: A Multidisciplinary Approach, Stacey Knight-Davis, Nikki Hillier, Lauri Deruiter-Willems, Amanda Harvey, Kathleen Phillips

Faculty Research and Creative Activity

Among college students, flu vaccination rates are abysmal. The unique barriers students face are numerous. This effort explores the value of a multidisciplinary approach to increasing flu vaccination. To improve vaccine rates, several departments have teamed up for a multidisciplinary approach to flu education and prevention. Plans for the entire semester are in place to highlight the importance flu prevention. Events include vaccination clinics, a library exhibit, talks, movie screenings, student work, themed menu items at the student café, and a competition. Vaccination rates will be assessed at the end of the fall semester and reported. We expect using a …

Dna Double Strand Breaks: To Repair, Or Not To Repair, Susiyan Jiang

NYMC Student Theses and Dissertations

DNA damages that cause double-strand breaks (DSBs) to the chromosome are most harmful. Subsequent choices have critical consequences for cell fate. Without repair, cells will face certain death. Low-fidelity repair will introduce mutations that could transform the cells, leading to carcinogenesis.

How cells make the decision is not well-understood. A single DSB can lead to apoptosis for some cells, whereas others can repair up to 25 DSBs and survive. It has been postulated that decision to repair DSBs is a stochastic process.

In the nucleus, DSBs elicit a cascade of signaling events that require the recognition, protection, processing, and subsequent …

Robust Mouse Tracking In Complex Environments Using Neural Networks., Brian Q Geuther, Sean P Deats, Kai J Fox, Stephen A Murray, Robert E Braun, Jacqueline K White, Elissa J Chesler, Cathleen Lutz, Vivek Kumar

Faculty Research 2019

The ability to track animals accurately is critical for behavioral experiments. For video-based assays, this is often accomplished by manipulating environmental conditions to increase contrast between the animal and the background in order to achieve proper foreground/background detection (segmentation). Modifying environmental conditions for experimental scalability opposes ethological relevance. The biobehavioral research community needs methods to monitor behaviors over long periods of time, under dynamic environmental conditions, and in animals that are genetically and behaviorally heterogeneous. To address this need, we applied a state-of-the-art neural network-based tracker for single mice. We compare three different neural network architectures across visually diverse mice …

Nutrition And Environmental Pollution Extension Curriculum Improved Diet-Related Behaviors And Environmental Health Literacy, Dawn Brewer, Hannah Bellamy, Anna Hoover, Annie Koempel, Lisa Gaetke

Dietetics and Human Nutrition Faculty Publications

Kentucky experiences some of the nation’s worst health outcomes related to obesity, diabetes, high blood pressure, and other age-related chronic diseases linked with oxidative stress and inflammation, which in turn are associated with poor diet, lack of physical activity, and exposure to certain environmental pollutants. In the Commonwealth, deteriorating infrastructure, inappropriate waste disposal, and potential occupational injury related to mining, agriculture, and other regionally important industries exacerbate the need for residents to have basic knowledge of potential environmental health threats. Unfortunately, community-level understanding of the complex connections between environmental exposures and health is limited, with many Kentuckians unaware that the …

Tobacco Smoking And Dementia In A Kentucky Cohort: A Competing Risk Analysis, Erin L. Abner, Peter T. Nelson, Gregory A. Jicha, Gregory E. Cooper, David W. Fardo, Frederick A. Schmitt, Richard J. Kryscio

Epidemiology and Environmental Health Faculty Publications

Tobacco smoking was examined as a risk for dementia and neuropathological burden in 531 initially cognitively normal older adults followed longitudinally at the University of Kentucky’s Alzheimer’s Disease Center. The cohort was followed for an average of 11.5 years; 111 (20.9%) participants were diagnosed with dementia, while 242 (45.6%) died without dementia. At baseline, 49 (9.2%) participants reported current smoking (median pack-years = 47.3) and 231 (43.5%) former smoking (median pack-years = 24.5). The hazard ratio (HR) for dementia for former smokers versus never smokers based on the Cox model was 1.64 (95% CI: 1.09, 2.46), while the HR for …

04-02-19 Hsc Committee Meeting Agenda, Hsc Committee

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.

Prediktor Kegagalan Menyusui Ekslusif: Studi Di Puskesmas Buaran Kabupaten Pekalongan Jawa Tengah Indonesia, Isyti'aroh Isyti'aroh, Siti Rofiqoh, Nurul Aktifah

Jurnal Keperawatan Indonesia

Predictors for Exclusive Breastfeeding Failure: Study at Buaran Community Health Center Pekalongan Regency, Central Java, Indonesia. The failure of exclusive breastfeeding (EBF) is still a phenomenon in the community. In 2015 Pekalongan Regency had exclusive breastfeeding coverage of 30.3%. It indicates that most mothers failed to give exclusive breastfeeding. This study aimed to determine the factors that related to exclusive breastfeeding (EBF)failure. This descriptive cross sectional study was carried out among 151 mother in the Buaran Health Centre Pekalongan Regency, selected using cluster random sampling method. The research instrument was questionnaires from the research of Isyti'aroh, Setyowati and Afifah (2013). …

Hubungan Tingkat Pengetahuan Dan Diabetes Self-Management Dengan Tingkat Stres Pasien Diabetes Melitus Yang Menjalani Diet, Kusnanto Kusnanto, Putri Mei Sundari, Candra Panji Asmoro, Hidayat Arifin

Jurnal Keperawatan Indonesia

The correlation between knowledge level and diabetes self-management towards stress level of patients DM with diet. Knowledge is very important in developing diabetes self-management to prevent the risk of long-term complications with a strict diet. The purpose of this study was to determine the relationship between knowledge and diabetes self-management with stress levels of people with diabetes mellitus who went on a diet. This study uses a cross-sectional design. The total samples obtained were106 respondents with multistage sampling, inclusion criteria included patients with DM years, did not use insulin injection, DM patients were still married and lived with their families. …

Kepuasan Pasien Terhadap Penerapan Keselamatan Pasien Di Rumah Sakit, Widiasari Widiasari, Hanny Handiyani, Enie Novieastari

Jurnal Keperawatan Indonesia

Patient Satisfaction Against Patient Safety Application at Hospital. The level of patient satisfaction with nursing services in Indonesia is mostly unsatisfied. The cause of patient dissatisfaction is due to misidentification, miscommunication, medication errors, and inappropriate risk management of falls. This study aimed to identify the relationship between the application of patient safety and patient satisfaction at Hospital X. The study design used a cross-sectional approach by distributing questionnaires to 143 patients. Sampling using cluster random sampling by determining the number of samples that meet the inclusion criteria, then given a questionnaire until the number of samples is met, and conduct …

An Insight Into Maternal Death Caused By Postpartum Hemorrhage In Western Timor, Indonesia, Kristiani Desmina Tauho, Ferry Fredy Karwur

Jurnal Keperawatan Indonesia

Maternal deaths in Timor Island, East Nusa Tenggara Province, are one of the contributors to the overall maternal mortality rate (MMR) of Indonesia. The MMR of Western Timor Island was150/100,000 live births in 2015. The aim of this qualitative study was to explore the perceived causes of maternal death due to postpartum hemorrhage. Data were obtained from family members, traditional birth attendants, and Posyandu cadres, as well as health providers. Using the retrospective method, this study traced six out of nine postpartum hemorrhage cases in the four sub districts with the highest maternal deathrate in 2010. The research findings showed …

Dampak Frekuensi Pernapasan Predialisis Terhadap Kram Otot Intradialisis Di Rsud Panembahan Senopati Bantul, Cornelia D Y Nakeda, Mohamad Judha

Jurnal Keperawatan Indonesia

Effect of Predialysis Respiration Rate on Intradialysis Muscle Cramps at Regional Hospital Panembahan Senopati Bantul. Hemodialysis process often causes painful impact such as muscle cramps during intradialysis. The objective of this research was to identify the increased between respiratory rate and intradialysis muscle cramps. The method of this research was analytical survey method. This research is descriptif quantitative with cross sectional design. This research conducted in hemodialysis unit in Panembahan Senopati General Hospital in Bantul. The subjects of the research taken using accidental sampling. The total research subjects were 91 respondents. The researchers measured the relationship between predialysis respiratory rate …

Distraction Techniques: Telling Stories To Decrease Pain For Preschool Children During Infusion, Lina Dewi Anggraeni, Widiyanti Widiyanti

Jurnal Keperawatan Indonesia

Hospital procedures, such as infusions, are often associated with pain. Preschool-aged children who are hospitalized for infusions will often exhibit a strong fearful response because their concept of body integrity has not fully developed. One way to reduce the fear of infusion pain is by using stories as a distraction technique. The purpose of this study was to identify differences in the scale of pain between members of an intervention group, to which the distraction technique was applied, and a control group, to which it was not applied. The study used quasi-experimental methods, with intervention and control groups. The study …

Suppression Of Hmgb1 Released In The Glioblastoma Tumor Microenvironment Reduces Tumoral Edema., Bangxing Hong, Kamaldeen Muili, Chelsea Bolyard, Luke Russell, Tae Jin Lee, Yeshavanth Banasavadi-Siddegowda, Ji Young Yoo, Yuanqing Yan, Leomar Y Ballester, Kurt H Bockhorst, Balveen Kaur

Oncology Articles

HMGB1 is a ubiquitously expressed intracellular protein that binds DNA and transcription factors and regulates chromosomal structure and function. Under conditions of cell death or stress, it is actively or passively released by cells into the extracellular environment, where it functions as damage-associated molecular pattern (DAMP) that orchestrates pro-inflammatory cytokine release and inflammation. Our results demonstrate that HMGB1 is secreted in the tumor microenvironment after oncolytic HSV (oHSV) infection in vitro and in vivo. The impact of secreted HMGB1 on tumor growth and response to oncolytic viral therapy was evaluated by using HMGB1-blocking antibodies in vitro and in mice …

Eeg Findings In Infants With Neonatal Abstinence Syndrome Presenting With Clinical Seizures, Murali Reddy Palla, Gulam Q. Khan, Zahra M. Haghighat, Henrietta S. Bada

Pediatrics Faculty Publications

Neonatal abstinence syndrome (NAS) refers to a constellation of signs occurring in newborn infants who were exposed to opioids or opiates in utero. These manifestations include poor feeding, gastrointestinal disorders, abnormal sleep patterns, and neurological signs such as jitteriness, tremors, and seizures (1, 2). Myoclonus, jitteriness, and tremors often may be interpreted as seizures and therefore treated as epileptic seizures.

Objective: To determine whether seizure like activity observed in infants with NAS correlate with electroencephalogram (EEG) findings.

Design/ Method: We reviewed the standard EEG or video electroencephalogram (VEEG) of infants with NAS who were admitted because of seizure-like clinical …

Program Perencanaan Pulang Dapat Meningkatkan Pengetahuan Dan Keterampilan Ibu Yang Melahirkan Bayi Prematur Merawat Bayinya, Erna Julianti, Yeni Rustina, Defi Efendi

Jurnal Keperawatan Indonesia

Discharge Planning Improving Knowledge and Skill Mother Who Birth Premature to Take Care Baby. Premature babies have a greater risk for health problems. Therefore, they need an intensive care since they are in the hospital until they go home. The purpose of this research was to find out the influence of education program for the knowledge and skills of the mothers on caring for their premature babies during discharge planning. This research was a quasi-experimental study with pre and post-test design without control groups. The sample of this research was 35 mothers who gave birth to premature babies and their …

04-02-19 Hsc Committee Revised Notice, Hsc Committee

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.

Current Patient Perspectives Of Vulvovaginal Candidiasis: Incidence, Symptoms, Management And Post-Treatment Outcomes., Junko Yano, Jack D. Sobel, Paul Nyirjesy, Ryan Sobel, Valerie L. Williams, Qingzhao Yu, Mairi C. Noverr, Paul L. Fidel

Department of Obstetrics and Gynecology Faculty Papers

BACKGROUND: Vulvovaginal candidiasis (VVC) is a common infection affecting women worldwide. Reports of patterns/risk factors/trends for episodic/recurrent VVC (RVVC) are largely outdated. The purpose of this study was to obtain current patient perspectives of several aspects of VVC/RVVC.

METHODS: Business cards containing on-line survey information were distributed to healthy volunteers and patients seeking standard, elective, or referral gynecologic care in university-affiliated Obstetrics/Gynecology clinics. The internet-based questionnaire was completed by 284 non-pregnant women (78% Caucasian, 14% African American, 8% Asian).

RESULTS: The majority of the participants (78%) indicated a history of VVC with 34% defined as having RVVC. The most common …

Where Are We Now? Practice-Level Utilization Of Nurse Practitioners In Comparison With State-Level Regulations, Jana Zwilling, Kathryn Fiandt

Posters and Presentations: College of Nursing

Background. Full practice authority for NPs is optimal for high-quality, cost-effective healthcare. However, a complete picture of utilization after states have adopted full practice authority needs to be determined. Objective. To review the evidence regarding practice-level utilization (PLU) of Nurse Practitioners (NP) PLU in comparison to state-level regulations (SLR). Data Sources. Studies published in English and based on US populations were identified through PubMed, CINAHL, and SCOPUS (January 1, 1989 - December 31, 2018), and bibliographies of retrieved articles. Of the 419 articles identified with these limits, 19 (5%) met all inclusion and exclusion criteria. Conclusions. Four categories …

Latihan Pernapasan Diafragma Meningkatkan Arus Puncak Ekspirasi (Ape) Dan Menurunkan Frekuensi Kekambuhan Pasien Asma, Dian Kartikasari, Ikhlas Muhammad Jenie, Yanuar Primanda

Jurnal Keperawatan Indonesia

Effect of Diaphragmatic Breathing Exercises on Peak Expiratory Flow Rate(PEFR) Enhancement and The Mild-Moderate Asthma Patients’ Relapse Frequency Reduction. One of the management of asthma is diaphragmatic breathing exercises that could improve lung function of asthma patients. The objective of the study was to examine the effect of diaphragmatic breathing exercises on Peak Expiratory Flow Rate (PEFR) and decreased frequency of mild-moderate asthma relapse on the patients. True experiment method pretest-posttest with control group was applied in this study with involved 28 random research subject. Subjects were divided into intervention groups and control groups through randomization of 14 people for …