Medicine and Health Sciences Commons^™

Exploring The Concurrent Validity Of The Indoor Mobility Pre-Driving Screen (Imps): A Comparison Of The Imps And Ef-Car Motion Driving Simulator, Nicholas T. Bolen, Kayla Collins, Mary P. Shotwell, Kaitlyn Cremer

Spring 2020 Virtual OTD Capstone Symposium

The purpose of this study was to evaluate the concurrent validity of the Indoor Mobility Pre-driving Screen (IMPS) in relation to assessments on the EF-Car Motion Driving Simulator. Data was gathered from a convenience sample of 36 participants ages 18 and older who possessed an active driver’s license. To answer the primary research question, is there a correlation between scores on the IMPS and the EF-Car Motion Driving Simulator, statistical analyses were performed in the form of Pearson r correlations. Results of these statistical tests showed scores on the IMPS correlate with some scores on the driving simulator. While some …

Investigating The Role Of Rap1a In Medial Arterial Vascular Calcification, Amelia Grace Haydel

Honors Theses

Cardiovascular disease is the leading cause of death in the United States with one of the major contributors being vascular calcification, characterized by the deposition of calcium-phosphate hydroxyapatite. Once thought to be a passive process due to aging, medial vascular calcification is becoming better understood as a tightly regulated, cellmediated process. Vascular smooth muscle cells (VSMCs) within the medial arterial layer respond to inflammation, oxidative stress, and changes in pyrophosphate levels, which induce differentiation into osteoblast-like cells. Fibroblasts within the adventitial layer (AFBs) also alter their function in response to vascular calcification signaling, although this is largely understudied. The AGE/RAGE …

Enhancing Engagement In Older Adults With Alzheimer's Disease At A Reminiscencce Therapy Adult Day Center, Kendra C. Gillio

Student Capstone Papers

Alzheimer’s disease is a degenerative form of dementia, which can impair an individual’s executive functioning, orientation, and memory; ultimately leading to mood and behavior changes (Alzate, 2018). Alzheimer’s disease is the most common form of dementia, affecting approximately 60% to 70% of the older adult population aged 65 and older (Santos da Silva, de Oliveira Alves, Barros Leite Slagueiro & Bezerra Barbosa, 2018). Currently, the number of individuals with dementia is estimated at approximately 50 million people worldwide and is expected to climb to 152 million people by the year 2050 (Rathbone, et. al, 2019). Damage to the brain develops …

Evaluation Of A Text Messaging Intervention For Breastfeeding Women Experiencing Breast And Nipple Symptoms, Rose Lisi

Honors Scholar Theses

Background: Nipple and breast pain while breastfeeding is a common reason why women stop breastfeeding earlier than they would have liked to. Texting is effective as a long-term intervention to support breastfeeding.

Objectives: To examine the effect of texting to support mothers to manage their breast and nipple symptoms and pain.

Method: A secondary analysis of a pilot randomized controlled trial testing the effectiveness of a breastfeeding self-management (BSM) intervention using texting to provide strategies for mothers to manage their breast and nipple pain. A three-group comparison, the intervention group with “barriers” and “non-barrier”, and the control group, was conducted …

Efficacy Of Quality Improvement And Patient Safety Workshops For Students: A Pilot Study, Kevin P Shah, Shreya Goyal, Vignesh Ramachandran, Jaden R Kohn, Jonathan A Go, Zachary Wiley, Anoosha Moturu, Meera K Namireddy, Anjali Kumar, Ryan C Jacobs, Matthew Stampfl, Jesal R Shah, Justin Fu, Weijie V Lin, Brandon Ho, Grace Wey, Sophie Y Lin, Andrew C Caruso, Lindsey Jordan Gay, Diana E Stewart, Sara Andrabi

Faculty, Staff and Students Publications

BACKGROUND: While the Association of American Medical Colleges encourages medical schools to incorporate quality improvement and patient safety (QI/PS) into their curriculum, medical students continue to have limited QI/PS exposure. To prepare medical students for careers that involve QI/PS, the Institute for Healthcare Improvement chapter at an allopathic medical school and school of allied health professions initiated self-directed learning by offering student-led workshops to equip learners with skills to improve the quality and safety of healthcare processes.

METHODS: In this prospective cohort study, workshops were hosted for medical students between 2015 and 2018 on five QI/PS topics: Process Mapping, Root-Cause …

Environmental Factors' Effects On Eastern Gray Squirrel (Sciurus Carolinensis) Infant Populations And Health, Jenny Mcfarland

Undergraduate Honors Thesis Projects

Ecosystem factors, both biotic and abiotic, impact all animal species. Temperature, rainfall, daylight, windspeed, mast production, competition and predation are integral to the ecosystem and thus affect the survival and overall wellbeing of the population. Eastern gray squirrel (Sciurus carolinensis) infant intakes at Ohio Wildlife Center followed a pattern of more infants in the fall than in the spring, differing from the usual observation that more infants are born in the spring. Ecosystem factors were compared to monthly and annual intakes to see what influenced intake date, admittance condition and survivability rate of the Eastern gray squirrel infants. The results …

Temporal Pain Pattern Sequencing In The Older Adult After Joint Replacement Surgery, Jennifer B. Withall

Theses & Dissertations

Background

Large joint replacement surgery, including hip and knee arthroplasties, are two of the most common surgical procedures that American adults aged 65 years and older undergo annually. While postoperative pain is expected, if it is not properly managed, it can have deleterious effects on postoperative recovery, including an increased length of stay, increased risk for postoperative complications, and decreased patient satisfaction.

Problem

Postoperative pain is primarily managed pharmacologically, typically with opioid pain medications are administered as needed (i.e., pro re nata [PRN]). Patients request pain-relieving medications when they are experiencing escalating pain, which can be challenging to maintain comfort …

The Urban/Rural Divide In Access To Medication-Assisted Treatment For Opioid Use Disorder In Utah, Debasree Dasgupta, Erin Fanning Madden, Sandra H. Sulzer, Timothy Light, Michelle Chapoose, Suzanne Prevedel

All Current Publications

Death by drug poisoning is the leading cause of death due to injury in the state of Utah (UDOH, 2014). From 2013-2015, Utah ranked seventh in the nation for drug overdose deaths, the majority of which were opioid-related (CDC, 2018a). In 2017, the age-adjusted mortality rate from drug overdose in Utah was 15.5 per 100,000, putting the state above the national average of 14.9 per 100,000 (CDC, 2018b). Opioid overdose death rates in most of rural Utah far exceeds rates across the urban counties of the state. The higher rates of deaths in rural Utah is indeed concerning. Evidence indicates …

Artificial Intelligence In Healthcare, Sushil Pandey

Student Academic Conference

Because of Covid-19, we could do virtual SAC, these are the slides that I used in the virtual SAC.

Antiviral Prophylaxis May Not Provide Benefit In Patients With Posner-Schlossman Syndrome, Patrick Lee

Clinical Research in Practice: The Journal of Team Hippocrates

A critical appraisal and clinical application of Chee SP, Jap A. Cytomegalovirus anterior uveitis: outcome of treatment. Br J Ophthalmol. 2010 Dec;94(12):1648-52. https://doi.org/10.1136/bjo.2009.167767 for a patient on antiviral prophylaxis for recurrent episodes of Posner-Schlossman Syndrome.

Covid-19, Colleagues, Confusion, And Conversations, Nathanael R. Sanchez M.D., Katherine S. Lee , M.D., Karen Weaver M.D.

Clinical Research in Practice: The Journal of Team Hippocrates

During the COVID-19 pandemic, doctors in a community hospital reflect on their decision-making regarding treatment options for COVID-19. Whether to use hydroxychloroquine is the treatment discussed in most detail.

When Rationing Becomes Part Of Clinical Decision-Making, Christopher A. Hopper, Mitra Bahaee

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical practice-based reflection on Noack DP, Newton G. Compared to maximal current management standards, oscillating positive expiratory pressure devices have not been shown to improve clinically relevant outcomes in COPD patients with acute exacerbation. Clin. Res. Prac. 2017;3(2):eP1516. doi: 10.22237/crp/149886732.

Clinical Decision Science Suggests Different Research Questions Need To Be Asked Related To Informed Consent, John K. Geddes

Clinical Research in Practice: The Journal of Team Hippocrates

The author examines the literature relating to informed consent for early cardiac catheterization to treat Non-ST-segment elevation acute coronary syndrome, and considers whether Clinical Decision Science might provide new directions for applying the clinical research literature.

Valbenazine Has A Small But Meaningful Benefit For Tardive Dyskinesia, Joseph Friedli, Ryan Quick, Reem Sobh, Samantha Cowing

Clinical Research in Practice: The Journal of Team Hippocrates

A critical appraisal and clinical application of

Hauser RA, Factor SA, Marder SR, et al. KINECT 3: A Phase 3 Randomized, Double-Blind, Placebo-Controlled Trial of Valbenazine for Tardive Dyskinesia. Am J Psychiatry. 2017;174(5):476-484. https://doi.org/10.1176/appi.ajp.2017.16091037

and

Factor SA, Remington G, Comella CL, et al. The Effects of Valbenazine in Participants with Tardive Dyskinesia: Results of the 1-Year KINECT 3 Extension Study. J Clin Psychiatry. 2017;78(9):1344-1350. https://doi.org/10.4088/JCP.17m11777

exploring the efficacy of a newer therapy for tardive dyskinesia, and describing recommendations for a patient with acute medical problems and longstanding tardive dyskinesia.

Clinical Decision Science Emphasizes Unique Social Context In A Way That Evidence-Based Medicine Does Not, Karen Weaver Md, Michelle Diebold Md, Zeinab Rizk Md, Ghada Mustapha Md, Wafa Algahmi Md, Aaron Rivkin Md, Nicholus Yee Md, James Peter Meza

Clinical Research in Practice: The Journal of Team Hippocrates

INTRODUCTION: The ideal of evidence-based medicine includes the integration of clinical experience and patient values with research evidence. We introduce clinical decision science, a new framework that includes patient social context to demonstrate this integration, which has been absent from evidence-based medicine sources. METHODS: This is an observational study comparing published articles within the domains of clinical decision science and evidence-based medicine. In a standardized manner, investigators identified and counted instances of social interaction within the publications. RESULTS: Publications of Clinical Decision Science had a higher number of markers of social interaction per paper and greater proportion of papers that …

From The Editor: Defining The Scholarship Of Clinical Decision Science, James Peter Meza

Clinical Research in Practice: The Journal of Team Hippocrates

The Editor refines the focus of the journal to a new area of scholarship, Clinical Decision Science, exploring how the complex interacting aspects of clinical care are described, understood, shared, and explained in the context of the doctor-patient relationship.

Fact Or Myth: The Flu Can Be Caused By The Flu Vaccine, Arleigh Wood

Virtual 2020 Spring Student Showcase for Research and Creative Inquiry

To many, the flu vaccine seems like a threat to an otherwise healthy individual. People often get the flu after receiving the flu shot, which does not promote confidence in the general public. These and other reasonings have created a myth that the flu vaccine can cause the flu. Understanding how the vaccination is created and how it interacts with the immune system helps to realize why the flu vaccine cannot cause the virus. For the vaccine to work, adaptive immunity must be activated by the introduction of the viral particles in a safe manner. An effective immune response from …

Traditional Chinese Medicine And Its Role In Women’S Health, Ezekiel Smith

Senior Honors Theses

This paper is a literature review of traditional Chinese medicine and its role in women’s health. A search was performed and a group of 208 articles were initially found using the Liberty Summons search engine. Out of those 208 articles, only 16 were included based on various criteria. The articles were then read and analyzed and compiled into two main themes: maternal health and an “other” category. The findings resulted in strong evidence for some herbal treatments and acupuncture in a select few areas, with inconclusive evidence for other acupuncture treatments and a mixed review of the traditional “Doing a …

Adults With I/Dd And Secondary Gastrointestinal Conditions: An Analysis Of Healthcare Utilization Patterns And Clinical Characteristics, And Implications For Patient-Centered Delivery Innovations, Kerry Watson, Kenneth Knapp, Tricia Patrick

Annual SHSP Student Research and Scholarship Day

The objective of this research was to create healthcare transformation policies for adults with intellectual and developmental disabilities (I/DD) who also present with secondary gastrointestinal (GI) conditions. Key perspectives and analyses used to achieve this research aim were the patient-centered medical home for GI patients (DGBI-PCMH), the biopsychosocial model, and population segmentation.

How Can We Change Gut Microbiota For Healthy Lives?, Elizaveta Shmakova

Scientific Communication News

No abstract provided.

Ladder Safety: A Taxonomy Of Limb-Movement Patterns For Three Points Of Control, Roger C. Jensen

Safety Health & Industrial Hygiene

Traditional guidance on ladder safety emphasizes training workers on the use of three points of contact. More recent guidance is to train workers to use three points of control. What is lacking is empirical information about what limb-movement patterns effectively support the use of three points of control. This project was conducted to establish a taxonomy of possible limb-movement patterns and a means for comparing relative safety. Prior to the experiment, a taxonomy of six possible limb-movement patterns was established. A sample of 20 undergraduate students performed four tasks each without any instructions on limb-movement pattern. The tasks were ascending …

Occupational Therapy In Veterans Treatment Court, Lauren T. Rodriguez, Kayla Collins, Mary Shotwell, Suny Faradj-Bakht

Spring 2020 Virtual OTD Capstone Symposium

Veterans may face difficulty transitioning back into a civilian lifestyle. Their difficulties may be attributed to PTSD, TBI, sexual trauma, anxiety, depression, unemployment, and more. Due to these obstacles, veterans may commit crimes that place them in the Veterans Treatment Court (VTC). It was noted in October of 2018 that there were possible gaps in service for our veterans. The purpose of this project was to create an occupational therapy-based curriculum that will reduce the recidivism rate in St. Johns County VTC. The OT-based manual is intended to replace negative habits, roles, and routines with positive ones in order to …

Ua3/10/2 Covid-19 Update, Wku President's Office - Caboni

WKU Administration Documents

Email from WKU president Timothy Caboni to faculty & staff regarding Covid-19 pandemic.

2020-04-22_Michiganoverview_Covidbedppe, Michigan Department Of Health & Human Services

Michigan COVID-19 Hospital Data

The webpage was obtained from Michigan's Coronavirus Cumulative Data page, under the link Data About Places. Data is self-reported by hospitals daily to the EM Resource System per MDHHS Director Robert Gordon's Emergency Order.

Contains the tables Statewide Available Bed Tracking for COVID-19, COVID-19 Metrics, Statewide Available PPE Tracking for COVID-19 (Statewide Available PPE and Bed Tracking), as well as the table Reports of Congregate Setting Respiratory Outbreaks in 2020 by County.

Ua94/6/1 My Story: Wku Softball's Morgan Mcelroy, Morgan Mcelroy

Student/Alumni Personal Papers

My Story is a series of first-person feature articles written by WKU student-athletes. The student-athletes will be telling their own stories in their own words. This article written by softball senior Morgan McElroy, whose career came to a sudden end last month between the team’s midweek game and weekend series in Texas.

Ladder Safety: A Taxonomy Of Limb-Movement Patterns For Three Points Of Control, Roger C. Jensen, Charles Holland

Safety Health & Industrial Hygiene

Traditional guidance on ladder safety emphasizes training workers on the use of three points of contact. More recent guidance is to train workers to use three points of control. What is lacking is empirical information about what limb-movement patterns eectively support the use of three points of control. This project was conducted to establish a taxonomy of possible limb-movement patterns and a means for comparing relative safety. Prior to the experiment, a taxonomy of six possible limb-movement patterns was established. A sample of 20 undergraduate students performed four tasks each without any instructions on limb-movement pattern. The tasks were ascending …

The Health Benefits Of Visual Art Activities In The Geriatric Population, Melody Au-Yeung, Abraham Avila, Jason Bandong, Hy Ia, Naureen Imam, Kayla Wilcox

San Marcos, Spring 2020

Purpose: The purpose of this poster presentation is to assess the efficacy of visual art therapy on the physical and mental health of the geriatric population.

Description: The potential impact of art therapy on cognition and dementia is a growing field of research in the rehabilitative world. Some researchers have found support for certain mediums, such as ceramic painting, while others have explored multimodal treatment programs that integrate art into physical activities. Combining physical activity with an arts and crafts program could posit a significant impact on ADL function and quality of life in older adults. As a …

The Effectiveness Of Lsvt-Big And Pwr! Programs On A Patient With Parkinson’S Disease: A Case Report, Naureen Imam, Jennifer Dannenbring

San Marcos, Spring 2020

Background: The prevalence of Parkinson’s Disease (PD) drives the search for effective interventions. While LSVT-BIG and high-intensity training improve gait speed and balance deficits, only limited research exists on the impact of the Parkinson's Wellness Recovery (PWR!) program on PD symptoms. Thus, LSVT-BIG and PWR! should be explored in tandem as standardized treatment for patients with PD.

Purpose: The primary purpose of this case report is to determine the effects of LSVT-BIG and PWR! programs on gait impairments, balance deficits, and participation restrictions in a patient with PD.

Case Description: A 74-year old male with PD attended PT …

2020-04-22 Daily Unm Global Health Covid-19 Briefing, Christophe G. Lambert, Shawn Stoicu, Ingrid Hendrix, Lori D. Sloane, Anastasiya Nestsiarovich, Praveen Kumar, Nicolas Lauve, Hannah Groves, Kathryn Foos, Emma Wolinsky, Ariel Hurwitz, Alexandra Yingling, Elly Munde, Evans Raballah, Cristian Bologa, Jens Langsjoen, Gregory Mertz, Kristine Tollestrup, Orrin Myers, Douglas J. Perkins

HSC Covid 19 Briefings

Executive Summary:

NM Governor update. NM case update. 20 million tests/day. 2nd COVID wave? Contact tracing civil liberties. Missouri sues China. National parks reopening. Malaysia mass transmission. South Africa deploys 70k troops. COVID impact measurement. N95 H2O2 decontamination. COVID hit US earlier. Homeless shelter prevalence. Hong Kong interventions. Pediatric severity meta-analysis. Italian prediction model. Chinese re-emergence travelers. Pet cats positive. CDC: food delivery. Telehealth transformations. Sustaining distancing. Testing infographic. Policy simulation. CDC homeless testing. Pre-surgery testing. Korean lab guidelines. Anesthetic machine daily checks. ADHD management. Oncology department reorganization. REMS vs. MEWS. Saliva vs. nasopharyngeal collection. Automated immunoassays. RT-LAMP detection. Clinical …

Nursing Practice And The Prevention Of Catheter Associated Urinary Tract Infections, Laura Sherburne

Nursing Masters Papers

There are numerous healthcare associated infections (HAIs) that individuals can acquire while receiving care in an acute healthcare facility. Catheter associated urinary tract infections (CAUTIs) are HAIs that may cause increased lengths of stay, hospital costs, and mortality for patients. CAUTIs may be preventable through evidence-based nursing interventions and care. Using CINAHL, PubMed, and ProQuest, an evidence-based practice inquiry was conducted on the prevention of CAUTIs. Ten articles were chosen based on the relevance to the clinical question and quality of research. The articles were English language, peer-reviewed, and published within the last ten years. The levels of evidence ranged …