Concordance Between Health Administrative Data And Survey-Derived Diagnoses For Mood And Anxiety Disorders, J. Edwards, A. Thind, S. Stranges, M. Chiu, Kelly K. Anderson

Epidemiology and Biostatistics Publications

Objective: To assess whether estimates of survey structured interview diagnoses of mood and anxiety disorders were concordant with diagnoses of these disorders obtained from health administrative data.

Methods: All Ontario respondents to the 2012 Canadian Community Health Survey-Mental Health (CCHS-MH) were linked to health administrative databases at ICES (formerly known as the Institute for Clinical Evaluative Sciences). Survey structured interview diagnoses were compared with health administrative data diagnoses obtained using a standardized algorithm. We used modified Poisson regression analyses to assess whether socio-demographic factors were associated with concordance between the two measures.

Results: Of the 4157 Ontarians included in our …

Gsk3787-Loaded Poly(Ester Amide) Particles For Intra-Articular Drug Delivery, Ian J. Villamagna, Danielle M. Mcrae, Aneta Borecki, Xueli Mei, François Lagugné-Labarthet, Frank Beier, Elizabeth R. Gillies

Bone and Joint Institute

© 2020 by the authors. Osteoarthritis (OA) is a debilitating joint disorder affecting more than 240 million people. There is no disease modifying therapeutic, and drugs that are used to alleviate OA symptoms result in side effects. Recent research indicates that inhibition of peroxisome proliferator-activated receptor ffi (PPARffi) in cartilage may attenuate the development or progression of OA. PPARffi antagonists such as GSK3787 exist, but would benefit from delivery to joints to avoid side effects. Described here is the loading of GSK3787 into poly(ester amide) (PEA) particles. The particles contained 8 wt. % drug and had mean diameters of about …

Appraisal Of Clinical Practice Guideline: Clinical Practice Guidelines For Pain Management In Acute Musculoskeletal Injury, Armaghan Dabbagh, Joy C. Macdermid

Bone and Joint Institute

No abstract provided.

Sensory Inflow Manipulation Induces Learning-Like Phenomena In Motor Behavior, Samuele Contemori, Cristina V. Dieni, Jacqueline A. Sullivan, Aldo Ferraresi, Chiara Occhigrossi, Francesco Calabrese, Vito E. Pettorossi, Andrea Biscarini, Roberto Panichi

Brain and Mind Institute Researchers' Publications

© 2020, Springer-Verlag GmbH Germany, part of Springer Nature. Purpose: Perceptual and goal-directed behaviors may be improved by repetitive sensory stimulations without practice-based training. Focal muscle vibration (f-MV) modulating the spatiotemporal properties of proprioceptive inflow is well-suited to investigate the effectiveness of sensory stimulation in influencing motor outcomes. Thus, in this study, we verified whether optimized f-MV stimulation patterns might affect motor control of upper limb movements. Methods: To answer this question, we vibrated the slightly tonically contracted anterior deltoid (AD), posterior deltoid (PD), and pectoralis major muscles in different combinations in forty healthy subjects at a frequency of 100 …

Crisaborole And Quality Of Life In Patients With Mild To Moderate Atopic Dermatitis: A Public Health Approach, Alejandra Puerta, Elizabeth Drugge Phd, Mph, Ellen Loh Bspharm, Mba, Phd

Annual SHSP Student Research and Scholarship Day

We conducted a literature review to explore the effect of Crisaborole on patient QoL associated with mild to moderate atopic dermatitis.

Pilot Project: Developing A Standardized Evidence-Based Education Process For Nurses To Enhance New Medication Eduction Of Hospitalized Patients With Heart Failure, Michele Ann Crotteau

Doctor of Nursing Practice Projects

Problem Description: Research has shown that health information is difficult for the average adult to understand while clear communication helps patients feel involved and increases adherence to treatment. The Joint Commission recommends Health Literacy (HL) assessment and the use of the Teach Back Method (TBM). Medication errors that occur between the RN and elderly patient are preventable when the RN communicates effectively about the patient’s medications. A paucity of research exists evaluating TBM for nurse-patient communications. This Quality Improvement (QI) Pilot Project (PP) took place over 3-months, aimed to improve new medication education to elderly patients with Heart Failure (HF). …

Computational Approach To Correcting Joint Instability In Patients With Recurrent Patellar Dislocation, Oliver Alvarez, Robert N. Steensen, Paul J. Rullkoetter, Clare K. Fitzpatrick

Mechanical and Biomedical Engineering Faculty Publications and Presentations

Patellar dislocation is a debilitating injury common in active adolescents and young adults. Conservative treatment after initial dislocation is often recommended, but almost half of these patients continue to suffer from recurrent dislocation. The objective of this study was to compare preoperative patellofemoral joint stability with stability after a series of simulated procedures, including restorative surgery to correct to pre-injury state, generic tibial tubercle osteotomy, patient-specific reconstructive surgery to correct anatomic abnormality, less invasive patient-specific surgery, and equivalent healthy controls. Three-dimensional, subject-specific finite element models of the patellofemoral joint were developed for 28 patients with recurrent patellar dislocation. A …

Group 17 Ipe Pain Conference With Une Students Of The Colleges Of Pharmacy, Physical Therapy, Social Work, And Osteopathic Medicine, Beatrice Byrne, Michael Cornea, Rebeccah Durant, Abigail Gomo, Madison Lostra, Vanessa Macoy, Fanie Wabwende

CECE Spring Poster Session 2020

Research poster describing the following:

Chronic pain is a serious health problem that continues to grow in prevalence. A study based on the 2008 Medical Expenditure Panel Survey indicated that chronic pain affects about 100 million adults in the United States, with an estimated annual cost that ranges from $560 to $635 billion. Current medical education on pain management is extremely limited, which in part leads to insufficient pain care by post-graduate health care providers. The program “Supervised Student Chronic Pain Clinic” is designed to help train health professional students to improve their abilities and provide them with experience in …

The Impact Of Interprofessional Simulation On Future Healthcare Professionals, Trevor Branch, Kristyn Gordon, Jennifer Hammond, Stephanie Hardy, Jordan Sanders, Hope Turner

CECE Spring Poster Session 2020

Research poster describing investigation of the question: Do simulated interprofessional client encounters impact the likelihood and confidence of future healthcare professionals to work interprofessionally in practice?

The Treatment Of Parkinson’S Disease In Relation To Multiple Therapies And The Future, Micah L. Smith

Selected Honors Theses

Parkinson’s disease has become a growing issue worldwide and has yet to be presented with a cure. Various treatment methods have been introduced that include physical exercise, genetic therapy, pharmacological treatment, and/or alternative methods. An extended literature review was conducted evaluating numerous articles and focus was given to an ongoing research project in an effort to present current information. As a result, various routes of effective treatment have been evaluated for treating Parkinson’s diseases by observing if symptoms or the progression/prevention of the disease is hindered/reduced. Thus, a summary is given concerning what methods are effective in treating the disease. …

Case Report: Effects Of Therapeutic Exercise On A Patient With Metastatic Osteosarcoma And Pathological Fracture, Jessica Phung, Sarah Mathew

San Marcos, Spring 2020

Purpose: The purpose of this case report is to demonstrate how conditioning exercise for patients with active metastatic neoplasms can improve quality of life (QoL) after a pathological fracture of lumbar vertebrae. Spinal metastasis, in this case from breast cancer, is primarily asymptomatic, and therefore, difficult to detect during early stages. Detection and diagnosis usually occur after initial manifestation of a pathological fracture leading to debilitating effects. Complications with metastatic bone cancer and surgical contraindications may bring patients into outpatient physical therapy to address the pathological fractures and QoL for patients.

Case Description & Methods: The patient is a 44-year …

Study Of Satisfaction Of Inpatient Discharge Based On Nurses’ Perceptions, Hong Lin

Dissertations and Theses

Patient satisfaction plays an important role in providing quality health care, and discharge satisfaction is part of overall patient satisfaction since it reveals how patients feel about their stay. In this paper, we evaluated inpatient discharge satisfaction based on nurses’ perceptions. An anonymous survey was used to evaluate how satisfied the patients were when being discharged from the acute care hospital with survey questions answered by nurses who work on medical-surgical floors. Data was collected from the questionnaires and analyzed using Excel.

Towards Wide Implementation Of Dance Therapy In Mental Health, Pin-Wen Chou

Dissertations and Theses

In recent years, Dance Movement Therapy (DMT) has been increasingly mentioned in the field of mental health counseling. Despite the progress of DMT in terms of studies showing its efficiency for various forms of mental health conditions such as depression and trauma, the implementation of DMT amongst mental health therapists is still not as widespread as other forms of therapies such as verbal and art therapies. In this project, we aim to determine the underlying causes of its low implementation by surveying a set of populations, specifically mental health patients, mental health therapists that do not specialize in dance/movement therapy, …

2020-04-01 A Message From Chancellor Roth, Paul B. Roth

HSC Messages from the Chancellor

No abstract provided.

Predictors Of New-Onset Atrial Fibrillation In Geriatric Trauma Patients, Catherine A. Marco, Jennifer Lynde, Blake Nelson, Joshua Madden, Adam Schaefer, Claire Hardman, Mary Mccarthy

Emergency Medicine Faculty Publications

Geriatric patients (age >65) comprise a growing segment of the trauma population. New-onset atrial fibrillation may occur after injury, complicating clinical management and resulting in significant morbidity and mortality. This study was undertaken to identify clinical and demographic factors associated with new-onset atrial fibrillation among geriatric trauma patients . Methods: In this case control study, eligible participants included admitted trauma patients age 65 and older who developed new-onset atrial fibrillation during the hospitalization. Controls were admitted trauma patients who were matched for age and injury severity score, who did not develop atrial fibrillation. We evaluated the associations between new-onset atrial …

The Effects Of Music On Anxious Autistic Patients, C. Homan, Emily M. Buening

Lake Campus Research Symposium Abstracts and Posters

High levels of stress and low self-esteem are common in autistic individuals, especially with young adults. Various techniques have been done to help these levels even including musical interventions. Not many people know the effects music therapy has on a patient with autism. However, music can decrease the effects of anxiety and heighten self-esteem. Music therapy gives autistic patients the ability to learn how to control outbursts through music. Music therapy can allow a patient with severe autism the ability to share their emotions, and allow them to gain self-worth.

Modeling Heart Failure Predictive Mortality In Skilled Nursing Facilities, Stephen Charles Biondi

Dissertations (1934 -)

Problem: Approximately 25% of skilled nursing facility (SNF) patients are diagnosed with heart failure (HF). The heart failure mortality trajectory is non-linear and there are no useable mortality models from clinical records for use by healthcare providers in the SNF setting. A mortality risk model for patients with HF is important so that palliative care interventions may be offered to improve patients’ quality of life during the end stages of dying. Assessment items captured routinely by the SNF Resident Assessment Instrument –Minimum Data Set 3.0 (RAI-MDS) instrument may be useful in identifying those patients whose declining condition warrants discussion of …

Summary Of The Evidence On The Safety, Efficacy, And Effectiveness Of Human Papillomavirus Vaccines, Alessandro Villa Dds, Phd, Lauren L. Patton Dds, Anna R. Guiliano Phd, Cameron G. Estrich Mph, Sarah C. Pahlke Msc, Kelly O'Brien, Ruth D. Lipman Phd, Marcelo Wb Araujo Dds, Phd, Ms

Individual Scholarship

Background: This objective of this umbrella review was to summarize the evidence on safety, efficacy, and effectiveness of human papillomavirus (HPV) vaccines in the general population.

Methods: The authors conducted a literature search and selected systematic reviews if they were published from January 2006 through November 2018, included randomized controlled trials or observational studies, related to the general population, and evaluated HPV vaccine-related clinical outcomes. The authors independently and in duplicate screened literature, extracted data, and appraised reviews using AMSTAR 2, a critical appraisal tool for systematic reviews.

Results: The authors selected 30 systematic reviews that included male and female …

Perceptions And Determinants Of Partnership Trust In The Context Of Community-Based Participatory Research, Arelis Moore De Peralta, Julie Smithwick, Myriam E. Torres

Publications

Trust is difficult to conceptualize and define because of its diverse applications in different disciplines. Historic mistrust between vulnerable communities and researchers based on past adverse experiences can negatively affect the ability to collaborate and conduct effective research with such populations. Community Based-Participatory Research (CBPR) is a collaborative approach to research that can reduce historic mistrust and health disparities among minority populations. Although how trust development occurs in CBPR partnerships has been explored, there is a need to determine how to move from one stage to the next in fostering and maintaining that trust. The present study contributes to this …

Public Health Research Day 2020, George Washington University

GW Research Days 2016 - 2020

No abstract provided.

The Gw School Of Medicine And Health Sciences Medical Student Research Day, George Washington University

GW Research Days 2016 - 2020

No abstract provided.

Physical Therapy With Adjunct Therapies In Patients With Chronic Pain And Disability Post-Motor Vehicle Accidents, Lakshmi Subramanian

Dissertations and Theses

This project is a thorough literature review of studies concerning physical therapy interventions in conjunction with adjunct treatments for patients post-motor vehicle accidents focused on the therapy’s efficacy as related to functional outcome measures. Physical therapy is frequently treatment of choice for patients after minor motor vehicle accidents. However, most patients seek concomitant therapies like acupuncture, chiropractic, epidural steroid injection, and psychological counselling. This paper seeks to gather data on the efficacy of different treatment modalities when used in conjunction with each other. Often patients are traumatised or develop anxiety about driving requiring counselling and therapy. The vast majority of …

Chronic Migraine: Role Of Cgrp Antagonists And Botox, Gabriella Hassan

Dissertations and Theses

Chronic migraine (CM) is characterized by the International Headache Society classification (ICHD-3) as headache that occurs for greater than or equal to 15 days a month, lasting 4 or more hours. For chronic migraine patients, the goal with prophylactic treatment is to prevent future attacks and reduce the migraine frequency and severity. OnabotulinumtoxinA is the most universally accepted medication for the treatment of chronic migraine; and if successful, reduces migraine frequency up to 50%. The goal of CGRP (Calcitonin-gene-related peptide) antagonists is to reduce the frequency of chronic migraines by targeting the CGRP protein that is elevated during a migraine …

Perception Of Healthcare Providers On Mirror Therapy For Stroke, Dhwani Kamlesh Doshi

Dissertations and Theses

Stroke is a very important health problem faced worldwide with high mortality and incidence. The majority of stroke survivors suffer temporary or permanent disabilities of which hemiparesis is one of the most common. Hemiparesis makes it difficult for patients to perform their activities of daily living and often they have declining quality of life. Mirror therapy (MT) is a an inexpensive, easy and safe intervention which has been proven to be very effective to improve the motor function in hemiparetic stroke. Despite this, it is not often employed. Hence, the purpose of this study was to explore the awareness and …

Digital Dentistry- The Future Of Oral Health, Vidhi Shah

Dissertations and Theses

Background and objective: In the digital world, dentistry appears to be at least a decade behind in adopting the latest technologies in comparison to consumer electronics, biomedical engineering and aeronautics. However, recently, dental professionals have experienced the evolution of the dental profession as technological growth. Digital dentistry is the future of dentistry, and it will be essential to adopt and integrate technology into practice to improve the quality of care. The new generation of digital dentistry opens the exploration of innovations and advancement in technologies which will dramatically impact and improve all of dentistry. The objective of this paper is …

Implementation Of Doll Therapy For Agitated Residents With Dementia, Jechell Lary-Waller

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

Abstract

The aim of this evidence-based practice (EBP) intervention project was to decrease agitated behaviors in residents with dementia as well as educate the staff on the proper implementation of doll therapy. The facility used was a local skilled nursing and rehabilitation center that offers short-term and long-term care processes to residents with dementia. A sample of residents with dementia (N = 8) and staff caring for the residents (N = 14) participated in the project. Residents and staff were evaluated before the EBP project and four weeks after the education program on introduction to EBP. Despite the …

Analysis Of The Geographical Distribution Of Primary Care Physicians In Nebraska, Chanhyun Park

Community and Regional Planning Program: Theses

Many articles point out that there is a disparity between rural and urban areas in healthcare service. The disparity is derived from the locational choices of physicians which are influenced by diverse factors such as backgrounds where they grew up or type of facility at which they worked. This study examines physician movements which vary depending on the types of physician and facility in Nebraska. The research dataset are annual practicing records of all primary care physicians and business information of the facilities in Nebraska from 1998 to 2019. The study result shows that there is little difference in physicians’ …

Urinary Epidermal Growth Factor As A Marker Of Disease Progression In Children With Nephrotic Syndrome., Debbie S Gipson, Howard Trachtman, Anne Waldo, Keisha L Gibson, Sean Eddy, Katherine M Dell, Tarak Srivastava, Kevin V Lemley, Larry A Greenbaum, Sangeeta Hingorani, Kevin E Meyers, Frederick J Kaskel, Kimberly J Reidy, Christine B Sethna, Cheryl L Tran, Chia-Shi Wang, Katherine Tuttle, Gia Oh, Alicia M Neu, Elizabeth Brown, Jen-Jar Lin, Jennifer Lai Yee, Therese M Roth, Jonathan P Troost, Brenda W Gillespie, Matthew G Sampson, Matthias Kretzler, Wenjun Ju

Articles, Abstracts, and Reports

Introduction: Childhood-onset nephrotic syndrome has a variable clinical course. Improved predictive markers of long-term outcomes in children with nephrotic syndrome are needed. This study tests the association between baseline urinary epidermal growth factor (uEGF) excretion and longitudinal kidney function in children with nephrotic syndrome.

Methods: The study evaluated 191 participants younger than 18 years enrolled in the Nephrotic Syndrome Study Network, including 118 with their first clinically indicated kidney biopsy (68 minimal change disease; 50 focal segmental glomerulosclerosis) and 73 with incident nephrotic syndrome without a biopsy. uEGF was measured at baseline for all participants and normalized by the urine …

Identifying Indicators Of Compassion Fatigue: Bridging The Gap From Professional To Familial Caregivers, Adam Luther

MOT Student Capstones

Compassion fatigue has been defined as feelings of anger, inefficacy, apathy, and depression, resulting from a caregiver's inability to cope with devastating stress (Day, 2015). Historically this topic has been explored in the realm of professions such as nurses, nursing assistants, social workers, and doctors but little research has been performed on the prevalence and effects of compassion fatigue within familial caregivers. As aging in place and deinstitutionalizing elderly adults becomes more common, the risk for compassion fatigue within familial caregivers increases. Unfortunately, the lack of research is indicative of a lack of action to address this potential health risk. …

Reducing Work-Related Musculoskeletal Injuries Among Nursing Staff Within A Skilled Nursing Facility, Beth M. Brady

MOT Student Capstones

Among health care workers, nurses have one of the highest rates of work-related musculoskeletal injuries (Bureau of Labor Statistics [BLS], 2018). Studies have identified patient handling in the form of routine bedside care, lifting, repositioning, bedside procedures, and manual transfers to be high-risk tasks associated with this increased incidence (Facility Guidelines Institute, 2010). Evidence supports occupational therapy's role in promoting health through the implementation of programs that support safe engagement in work occupations including injury prevention, ergonomics, and work rehabilitation (Bade & Eckert, 2008). As the population of the U.S. healthcare workforce ages, occupational therapy's distinct role in helping health …