Medicine and Health Sciences Commons^™

Dallas, Tx: The Staggering Wealth Gap, Macy Golman

School of Professional Studies

In the summer of 2019, I had the privilege of serving as an AmeriCorps member with an organization called Equal Heart. One of Equal Heart’s main initiatives was to provide meals to children in underserved populations, to make sure that without school in session, these children would still be receiving food. Unfortunately, in many instances, without these meals, many of the children we served would likely not know when they would be eating their next fulfilling meal. There were certain pockets of Dallas that we would travel to everyday, places that were fifteen minutes maximum from my house, but places …

Ohiohealth Employer Services, John Groeber

Masters Theses/Capstone Projects

Employer Services is one of the many divisions within OhioHealth. The division’s focus is to improve the health and wellness of different employers. This includes onsite clinics, health screenings, flu shots, fitness and nutrition programming, and tobacco cessation programs. OhioHealth offers biometric screenings to employers to determine how healthy employees are. The number of risk factors an employee determines their health insurance. OhioHealth’s 2 largest companies are Nationwide Children’s Hospital and OhioHealthy. Part of these biometric screenings includes screening for tobacco. These cotinine results are stored in a physical book that they bring to different biometric events. The majority of …

Covid 19 On 21 Apr 2020: Behind The Numbers, Vivian Mcalister

Data and Test Instruments

When President Mike Hoare asked me to write a piece for this issue on the COVID-19 pandemic, I objected saying that I was not an expert. On reflection, I realize that we have all become experts on the pandemic, not only from living through it, but also from the information constantly being given to us. I offered to write about my struggles trying to understand the numbers that are presented daily, in ever enlarging red dots. It is no surprise to conclude that these numbers mislead us in many ways. This article does aim not reduce our fascination with the …

Neonatal Health Outcomes And Access To Care, Riki Desjarlais

Nursing | Senior Theses

This paper will review existing research regarding the importance of prenatal healthcare. The research included covers the barriers existing to pregnant mothers and the consequences these barriers pose for mothers and babies with prenatal care that is unobtainable or undesired. This paper will also review current interventions that have provided under-served mothers with the resources they need to better ensure a healthy pregnancy and delivery. Research analyzing mother’s attitudes and beliefs regarding prenatal care will be addressed in addition to how these beliefs may attribute to the health outcomes of their babies. Finally, this paper will include my own research …

Late Referrals Of Pediatric Patients With Elevated Blood Pressure, Guido Filler, Laura Torres-Canchala

Paediatrics Publications

Editorial Commentary

Comparative Analysis Of American Heart Association And European Society Of Hypertension Ambulatory Blood Pressure Thresholds For Diagnosing Hypertension In Children., Ajaya Sharma, Luis Altamirano-Diaz, Michael Grattan, Guido Filler, Ajay P Sharma

Paediatrics Publications

Introduction: The influence of using 24-hour ambulatory blood pressure (ABP) thresholds recommended by the American Heart Association (AHA) (24-hour mean ABP >95th percentile and ABP load >25%) or the European Society of Hypertension (ESH) (mean 24-hour ABP >95th percentile or >130/80 mm Hg if mean ABP 95th percentile exceeds 130/80 mm Hg) on the diagnosis of pediatric hypertension has been understudied.

Methods: In a cross-sectional, retrospective study of 159 children from a tertiary care outpatient clinic, we classified office blood pressure (OBP) as normotension or hypertension based on the OBP thresholds recommended by the American Academy of Pediatrics (AAP) and …

Seizure Freedom Improves Health-Related Quality Of Life After Epilepsy Surgery In Children., Puneet Jain, Mary Lou Smith, Kathy Speechley, Mark Ferro, Mary Connolly, Rajesh Ramachandrannair, Salah Almubarak, Andrea Andrade, Elysa Widjaja

Paediatrics Publications

AIM: To determine whether epilepsy surgery improved health-related quality of life (HRQoL) and whether seizure freedom after surgery mediated the improvement in HRQoL.

METHOD: This multicenter cohort study compared HRQoL after epilepsy surgery to pharmacological management in children with drug-resistant epilepsy (DRE). HRQoL was measured using the Quality of Life in Childhood Epilepsy (QOLCE) questionnaire at baseline and 1-year follow-up. The mediator between treatment type and HRQoL was seizure freedom.

RESULTS: Two hundred and thirty-seven patients were recruited (surgery group: n=147 [92 males, 45 females]; pharmacological group: n=90 [53 males, 37 females]). Mean age at seizure onset was 6 years …

Standards Of Care For Children In Emergency Departments: Executive Summary., Rodrick K Lim, Baljit Cheema, Catherine Cartman, Ffion Davies, Marianne Gausche-Hill, Felix Hay

Paediatrics Publications

No abstract provided.

Age At Migration And The Risk Of Psychotic Disorders: A Systematic Review And Meta-Analysis., Kelly K. Anderson, Jordan Edwards

Epidemiology and Biostatistics Publications

OBJECTIVE: To conduct a systematic review and meta-analysis of the existing evidence on the association between age at migration and the risk of psychotic disorders.

METHODS: Observational studies were eligible for inclusion if they presented data on the association between age at migration and the risk of psychotic disorders among first-generation migrant groups. We used two random effects meta-analyses to pool effect estimates for each stratum of age at migration relative to (i) a native-born reference category and (ii) the youngest age stratum (0 to 2 years).

RESULTS: Ten studies met inclusion criteria, and five were included in the meta-analysis. …

A Systematic Review Of Occupational Therapy Interventions In The Transition From Homelessness, Roxanne Isard Ms., Carrie Anne Marshall, Leonie Boland, Lee Ann Westover, Sharon A. Gutman

Occupational Therapy Publications

Background: Although systematic and scoping reviews have identified a range of interventions for persons experiencing homelessness, no known reviews have captured the range and quality of intervention studies aimed at supporting a transition from homelessness. Objectives: To capture the range and quality of occupational therapy intervention studies aimed at supporting a transition to housing following homelessness. Method: Using Joanna Briggs Institute (JBI) guidelines, we conducted a systematic review including a critical appraisal and narrative synthesis of experimental studies. Results: Eleven studies were included. Critical appraisal scores ranged from 33.3 to 88.9 of a possible score of 100 (Mdn = 62.5; …

Delays In Hospital Admissions In Patients With Fractures Across 18 Low-Income And Middle-Income Countries (Inormus): A Prospective Observational Study, Panthea Pouramin, Chuan Silvia Li, Jason W. Busse, Sheila Sprague, P. J. Devereaux, Jagnoor Jagnoor, Rebecca Ivers, Mohit Bhandari, Gordon Guyatt, Brad Petrisor, Lehana Thabane, Respicious L. Boniface, Bruce Browner, Fernando De La Huerta, Rebecca Q. Ivers, Theodore Miclau, Paul Moroz, Andrew Pollak, Gerard Slobogean, Parag Sancheti, Emil Schemitsch, Junlin Zhou, Paula Mckay, Raman Mundi, Nathan O'Hara, Diane Heels-Ansdell, Lisa Buckingham, Nicole Simunovic, Robyn Norton, Jing Zhang, Maoyi Tian, Soumyadeep Bhaumik, Samina Parveen

Bone and Joint Institute

© 2020 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Background: The Lancet Commission on Global Surgery established the Three Delays framework, categorising delays in accessing timely surgical care into delays in seeking care (First Delay), reaching care (Second Delay), and receiving care (Third Delay). Globally, knowledge gaps regarding delays for fracture care, and the lack of large prospective studies informed the rationale for our international observational study. We investigated delays in hospital admission as a surrogate for accessing timely fracture care and explored factors associated with delayed hospital admission. …

Heterogeneous Baroreflex Control Of Sympathetic Action Potential Subpopulations In Humans, Stephen A. Klassen, M. Erin Moir, Charlotte W. Usselman, J. Kevin Shoemaker

Bone and Joint Institute

© 2020 The Authors. The Journal of Physiology © 2020 The Physiological Society Key points: Emission patterns in muscle sympathetic nerve activity stem from differently sized action potential (AP) subpopulations that express varying discharge probabilities. The mechanisms governing these firing behaviours are unclear. This study investigated the hypothesis that the arterial baroreflex exerts varying control over the different AP subpopulations. During baseline, medium APs expressed the greatest baroreflex slopes, while small and large APs exhibited weaker slopes. On going from baseline to lower body negative pressure (LBNP; simulated orthostatic stress), baroreflex slopes for some clusters of medium APs expressed the …

Development And Usability Testing Of A Web-Based And Therapist-Assisted Coping Skills Program For Managing Psychosocial Problems In Individuals With Hand And Upper Limb Injuries: Mixed Methods Study, Folarin Omoniyi Babatunde, Joy Macdermid, Ruby Grewal, Luciana Macedo, Mike Szekeres

Bone and Joint Institute

© 2020 Folarin Omoniyi Babatunde, Joy MacDermid, Ruby Grewal, Luciana Macedo, Mike Szekeres. Background: Ineffective coping has been linked to prolonged pain, distress, anxiety, and depression after a hand and upper limb injury. Evidence shows that interventions based on cognitive behavioral therapy (CBT) may be effective in improving treatment outcomes, but traditional psychological interventions are resource intensive and unrealistic in busy hand therapy practices. Developing web-based, evidence-based psychological interventions specifically for hand therapy may be feasible in clinical practice and at home with reduced training and travel costs. Hand Therapy Online Coping Skills (HOCOS) is a program developed to supplement …

Repetita Iuvant: Repetition Facilitates Online Planning Of Sequential Movements, Giacomo Ariani, Young Han Kwon, Jörn Diedrichsen

Brain and Mind Institute Researchers' Publications

Copyright © 2020 the American Physiological Society. Beyond being essential for long-term motor-skill development, movement repetition has immediate benefits on performance, increasing speed and accuracy of a second execution. While repetition effects have been reported for single reaching movements, it has yet to be determined whether they also occur for movement sequences, and what aspects of sequence production are improved. We addressed these questions in two behavioral experiments using a discrete sequence production (DSP) task in which human volunteers had to perform short sequences of finger movements. In experiment 1, we presented participants with randomly varying sequences and manipulated 1) …

2020-05-01 Daily Unm Global Health Covid-19 Briefing, Christophe G. Lambert, Shawn Stoicu, Ingrid Hendrix, Lori D. Sloane, Anastasiya Nestsiarovich, Praveen Kumar, Nicolas Lauve, Melissa Cossé, Jenny Situ, Jennifer Thompson, Ariel Hurwitz, Alexandra Yingling, Cristian Bologa, Tudor I. Oprea, George Uhl, Gregory Mertz, Kristine Tollestrup, Orrin Myers, Douglas J. Perkins

HSC Covid 19 Briefings

Executive Summary:

Relaxing emergency orders. UNMH remdesivir patient. NM case update. Gallup lockdown. Aid for arts. Nursing facility boost. More NM layoffs. Public relief programs. Insurance call center. Capturing COVID-19 stories. More NYT NM praise. Belief enhances compliance. Italy cardiac arrests. Non-COVID vaccine backlog. Africa investments. US airlines require facemasks. Pandemic timeline prediction. Convalescent plasma. Viral shedding. Laboratory information systems. Internet searches. Practice guidelines for: skull surgery, cardiac electrophysiology, blood purification, electroconvulsive therapy, quantitative CT. Testing methods review. FDA authorizes remdesivir. Stillbenoid analogs. Favipiravir. HCQ reanalysis. Hypercoagulation and antithrombotic. ChAdOx1 MERS and animal immunity. New drug trials. Enterocytes infections. Cardiovascular …

Implementing A Practice Strategy In Primary Care Using An Assessment Tool To Screen For Depression, Donna Snow

Doctoral Projects

Increased efforts are being made to move individuals with co-morbid medical and psychiatric diagnoses toward integrated care. Lack of consistent screening in primary care has caused missed opportunities to identify depression during a routine healthcare provider visit. This project sought to implement a practice strategy in primary care using an assessment tool to screen for depression. Interviews were used to ask patients to answer two questions related to the frequency of depressed mood in the last two weeks. The project was seeking to show by screening patients in primary care for depression, the number of referrals to behavioral health would …

Improving Medication Adherence In African American Adult Females With Hypertension, Donald Welch

Doctoral Projects

The World Health Organization (WHO) reported that adherence among patients with chronic diseases averages nearly 50% in developed countries (Lam & Fresco, 2015). Medication non-adherence is recognized as a significant public health issue that leads to poor health outcomes and added healthcare costs. Multiple African American adult females with hypertension have a high prevalence of non-adhering to their treatment plan. Numerous factors lead to poor medication adherence, including socioeconomic factors, therapy-related factors, patients-related factors, condition-related factors, and health system/healthcare team-related factors (Lam & Fresco, 2015). Medication adherence can lead to a decreased risk of adverse outcomes such as stroke and …

Assessment Of Intrapartum Nurses' Beliefs Related To Birth Practices, Janice Scaggs

Doctoral Projects

Intrapartum nurses’ beliefs influence nursing behavior and nursing interventions during labor and birth. Assessing these beliefs in a regional hospital in the Southeastern United States was the focus of the doctoral project. Before the project, there was no objective data that assessed individual nurse’s beliefs and birth practices in the labor and delivery unit, or among the nursing staff as a whole. A knowledge gap existed in understanding if the nursing culture valued, promoted, and supported intended vaginal birth. Nursing leadership recognized that the overall cesarean birth rate and primary cesarean birth rate in the hospital were similar to State …

Covid-19 Journal | Joy Akles, Joy Akles

COVID-19 Student Journal Project

No abstract provided.

Covid-19 Journal | Anonymous, Anonymous

COVID-19 Student Journal Project

No abstract provided.

Covid-19 Journal | Bonae Barrs, Bonae Barrs

COVID-19 Student Journal Project

No abstract provided.

Covid-19 Journal | Cayla Boswell, Cayla Boswell

COVID-19 Student Journal Project

No abstract provided.

Covid-19 Journal | Chloe Brasher, Chloe Brasher

COVID-19 Student Journal Project

No abstract provided.

Covid-19 Journal | Corrin Cadle, Corrin Cadle

COVID-19 Student Journal Project

No abstract provided.

Covid-19 Journal | Miya Christopher, Miya Christopher

COVID-19 Student Journal Project

No abstract provided.

Covid-19 Journal | Sydney Dilbeck, Sydney Dilbeck

COVID-19 Student Journal Project

No abstract provided.

Covid-19 Journal | Maycie Eubank, Maycie Eubank

COVID-19 Student Journal Project

No abstract provided.

Covid-19 Journal | Madison Fortney, Madison Fortney

COVID-19 Student Journal Project

No abstract provided.

Covid-19 Journal | D.J. Foster, D.J. Foster

COVID-19 Student Journal Project

No abstract provided.

Covid-19 Journal | Logan Irwin, Logan Irwin

COVID-19 Student Journal Project

No abstract provided.