Medicine and Health Sciences Commons^™

A Public Health Perspective On Gen X Contamination In Drinking Water, Allison Stevens

Honors Capstone Enhancement Presentations

No abstract provided.

Epi-Pens: Honors Capstone Enhancement, Chelsey Boecker

Honors Capstone Enhancement Presentations

No abstract provided.

A Literature Review Examining The Effects Of Bilingualism In Individuals Who Stutter, Cheyenne Hofmann

Honors College Theses

This thesis will analyze the current research involving the impact of bilingualism in individuals who stutter through a literature review. There is currently no known etiology of stuttering, however, there are multiple theories regarding the onset of stutter. This thesis will explore the Cerebral Dominance theory of stuttering and its applicability to neuroimaging and bilingualism. Furthermore, this thesis will determine the presence and extent of the impact of bilingualism on people who stutter. The cultural, gender, language and neurological influences on stuttering for those who are bilingual will also be examined. Through this analysis, the positive and negative impact of …

A Review Of The Integration Of Media Usage And Online Therapy Methods As An Alternative To Standard Therapy Settings, Bowman Mccullough

Student Works

The following literature review measures the efficacy of media usage from the standpoint of mental health specialists wanting to administer therapy to married couples or individuals living remotely. Given the current pandemic of coronavirus in the current moment of societal development (April 2020), the need for remote services to be evaluated based from past research on the topic has never been greater, or more opportune than now. Are online or teletherapies as effective as traditional face-to-face settings in America today? With rising demand for mental health professionals in our technology-saturated society, the need to perform new evaluations on the topic …

Covid-19 Vaccination Clinical Trials Should Consider Multiple Doses Of Bcg, Bassam M. Ayoub

Pharmacy

Vaccine repositioning is a hot research topic as an alternative to the traditional vaccine approach, which is a costly and time-consuming process due to the availability of previous safety and toxicology data. Multiple-dose BCG vaccine repurposing for COVID-19 will be an uprising breakthrough of vaccine discovery with safer outcomes. BCG induces cross-protection that might not be related to the target disease as innate immune cells, including monocytes and natural killer cells, contribute to this immune protection as known as “trained immunity” (Covián et al. 2019). BCG had multifaceted protection against TB, leprosy, and heterogeneous pathogens (Yamazaki-Nakashimada et al. 2020). Moreover, …

A Diagnostic Assessment Of The Health System’S Response To Female Genital Mutilation/Cutting Management And Prevention In Kenya, Samuel Kimani, Chantalle Okondo

Reproductive Health

Female genital mutilation/cutting (FGM/C) is a cultural practice associated with health consequences and rights violations. In Kenya, health sector–led FGM/C-related interventions are anchored in the legal and policy instruments and guidelines adapted from global/regional frameworks, as well as interventional tools approved by the World Health Organization. Despite the existence of the instruments, guidelines, and tools that should direct a robust health system response to FGM/C, the practice persists and quality of care of services for women and girls with FGM/C-related complications has not been ascertained. Evidence on whether the health sector implements relevant FGM/C-related legal and policy frameworks to address …

Evidence Review And Analysis Of Provider Behavior Change Opportunities, Emily Zimmerman, Vivien Caetano, Rachel Banay, Jana Smith

Reproductive Health

This paper reviews the evidence on the promise of behavioral economics to improve health outcomes through service provider interventions in five critical health areas. This analysis utilizes the limited existing evidence to suggest where and how behavioral economics interventions may be most effective and where further research may contribute most.

Strengthening Social And Behavior Change Monitoring And Evaluation For Family Planning In Francophone West Africa, Leanne Dougherty, Martha Silva, Kathryn Spielman

Reproductive Health

This report summarizes findings from a mapping of family planning investments, technical approaches and indicators, identifies indicator gaps, and makes recommendations to governments, donors, researchers and implementers to improve social and behavior change activity measurement in Francophone West Africa.

Learning Lean To Lead, Krystle Irene Guenther

Doctoral Projects

This project sought to see if training frontline nurses and physicians together in Lean methodology improved collaboration between the two disciplines while giving them the tools they need to lead change at the bedside and in their practice. A quasi-experimental pre- and post-intervention methodology was used. The intervention was six, four-hour in-person modules on performance improvement (PI). Respondents completed two surveys, the performance improvement instrument and the Professional Practice Environment Assessment Scale (PPEAS). Surveys were paired for analysis. There was a statistically significant median increase in participants confidence for all questions on the PI instrument post-intervention. Results for the PPEAS …

The Mental Health Experience Among Parents Of Children With Autism, Thao Tran

Doctoral Projects

Parents of children diagnosed with autism spectrum disorder (ASD) face challenges, stress, and mental health issues than parents of children without autism. Mental health experience of parents in underserved communities are not adequately studied. This qualitative study used a phenomenological approach to understand the mental health experience of eight parent caregivers residing in San Joaquin Valley, California. All parents reported the journey was stressful but not all parents described the point when they received the diagnosis as being more stressful than before and after the ASD diagnosis. Parents’ responses to the semi-structured interview that assesses for the degree of ambiguous …

Evaluating The Experience Of Patient And Provider Satisfaction In Participation In A Hybrid Virtual Perinatal Care Model In A Private Practice Setting, Gretchen Ann Delong Nelson

Doctoral Projects

Improving access to health care in general and to appropriate prenatal care specifically are two leading health indicators (LHI) as designated by Healthy People 2020 (U.S Department of Health and Human Services, 2010). The California Department of Public Health (CDPH) also prioritizes minimizing health disparities that prevent women from entering into prenatal health care (CDPH, 2019). In Fresno county, transportation to specialty care such as perinatal care has been identified as a barrier (CDPH, 2017). The American College of Obstetricians and Gynecologists (ACOG) and The American Academy of Pediatricians (AAP) have identified a standard of fourteen to sixteen visits for …

Rural Drug Addiction Research Center, Paige Debrie

UCARE: Research Products

Our objective over the course of the summer and the school year was to help develop a new branch of the REACH Lab called Rural Drug Addiction Research center. This branch consisted mainly with the usage of drugs across the midwest. It wasn't until 2018 that the drug crisis hit the midwest increasing by 48% bringing attention to rural drug use. We were here to help translate those findings into something the more general public would understand as well as help with spreading awareness to the community.

Effects Of Prolactin On Ventricular Myocyte Shortening And Calcium Transport In The Streptozotocin-Induced Diabetic Rat, Frank C. Howarth, Gunnar Norstedt, Oleksiy I. Boldyriev, Muhammad A. Qureshi, Ozaz Mohamed, Khatija Parekh, Balaji Venkataraman, Sandeep Subramanya, Anatoliy Shmygol, Lina T. Al Kury

All Works

© 2020 Cardiology; Cell biology; Endocrinology; Molecular Biology; Pathophysiology; Pharmacology; Physiology; prolactin; Diabetes mellitus; heart; Ventricular myocytes; Contraction; Calcium

Extracorporeal Membrane Oxygenation As A Bridge To Chimeric Antigen Receptor T-Cell Therapy For Severe Refractory Sepsis In The Setting Of Relapsed Refractory Pediatric Acute Lymphoblastic Leukemia: A Case Report., Alyssa Stoner, Jenna Miller, Terrie Flatt, Jessica S. Wallisch

Manuscripts, Articles, Book Chapters and Other Papers

Pediatric oncology patients with sepsis are at higher risk of morbidity and mortality compared with pediatric patients without malignancy. Historically, patients with relapsed and/or refractory disease were not considered candidates for aggressive life support strategies including extracorporeal membrane oxygenation support.

Case Summary: We report a 4-year-old female with relapsed refractory pre-B cell acute lymphoblastic leukemia preparing for chimeric antigen receptor T cell therapy with tisagenlecleucel who was admitted with fever and neutropenia. She progressed to refractory septic shock secondary to

Conclusion: The ability to provide chimeric antigen receptor T-cell therapy at designated institutions can augment extracorporeal membrane oxygenation candidacy discussions …

A Drug Diversion Resource For Crna Supervisors, Steven D. Ydstie

Nursing Capstones

Substance abuse disorder among Certified Registered Nurse Anesthetists (CRNAs) poses risks to both the provider and the patients they care for. Associated with this disorder is the problem of drug diversion. The specialty of anesthesia is recognized as having an elevated risk for the development of substance abuse. Although there are multiple studies addressing substance abuse amongst anesthesiologists, there are few similar studies specific to CRNAs. The purpose of this DNP project was to ascertain the level of Self-Efficacy CRNA supervisors have when intervening with one of their direct reports found to have been diverting scheduled narcotics. Knowledge level regarding …

Improvement In Heart Failure Management Through Implementation Of An Interdisciplinary Algorithm To Reduce 30 Day Hospital Re-Admission, Lindsey Whiting

Nursing Capstones

Heart failure (HF) is a progressive disease in which the heart is unable to pump enough blood to support the body’s vital functions. Recent projections estimate that by the year 2030 the number of HF patients will increase by 46%, resulting in an increased financial strain on the health care system. In response to increasing health care costs the Hospital Re-Admission Reduction Program (HRRP) was implemented. The goal of the HRRP is to improve the quality of patient care by linking defined parameters of quality of patient care to the payment/reimbursement of health care providers and hospitals. A rural northern …

Effect Of Provider Education On Urinary Incontinence Knowledge And Assessment, Kendra L. Roloff

Nursing Capstones

Nearly 50% of women in the United States will experience urinary incontinence at some point during their lives. Urinary incontinence impacts multiple aspects of a woman’s life, yet remains underdiagnosed by primary care providers. The purpose of this project is to implement education and reminders for primary care providers, in order to improve urinary incontinence knowledge and assessment of women 18 years of age or older. The project was carried out in a primary care clinic with primary care providers serving as the participants.

A quasi-experimental one-group pretest-posttest design was utilized. Data from a five question pre- and posttest were …

Maximizing Mental Health With Early Detection In The Outpatient Setting: Provider Education On Suicide Screening, Elizabeth A. Doddato

Nursing Capstones

Background: Despite advancements in research, increased efforts to identify “best practices” for suicide prevention, and the subsequent development of evidence-based interventions, suicide trends continue to rise at epidemic proportions. Objective: The project’s purpose is to highlight the significance and benefit of utilizing and implementing evidence-based research interventions into the primary investigator’s outpatient psychiatric organization. Goal: The project’s goal is to determine if provider-specific education on suicide screening enhanced the provider’s comfort level, knowledge-base, and otherwise positively impacted their plan for future implementation of such tools that would ultimately assist in the early detection of at-risk patients. Methods: The project used …

Scoliosis And Its Treatment In Adults, Hilary Skalski

Student Scholars Day Posters

Scoliosis is a greater than ten-degree curve in the spine in the coronal plane. There are many types of scoliosis, with the most common being adolescent idiopathic. The most common type in adults is degenerative scoliosis, caused by the wear and tear of the spine. In adults, treatment options are selected based on symptoms caused by the curvature. Treatments include lifestyle changes, medications, physical therapy and surgery. Two common surgical treatments are a laminectomy for decompression or a spinal fusion. The dissection of a 92-year-old male cadaver revealed scoliosis of lumbar vertebrae one through five (L1-5). A post-mortem laminectomy then …

Safe Sleep, Jenna Czart

Student Scholars Day Posters

Many parents and healthcare providers are either unsure of safe sleep practices or fail to implement them. This presentation will display safe sleep guidelines that are recommended by the American Academy of Pediatrics.

A Discourse On The Gendered State Of Healthcare, Sarah Battiston, Anna Lehouiller

Student Scholars Day Posters

Let’s get real, gender expectations still permeate societal roles, and healthcare isn’t immune. The Role Congruity Theory explains the issues that arise when the societal roles prescribed to an individual do not align with the cultural stereotypes of the individuals chosen occupation. This theory gives us insight to the masculine characteristics expected of physicians and feminine characteristics expected of registered nurses, and what occurs when there is a “lack of fit” between gender stereotypes and stereotypes these occupations. This paper strives to begin a discourse of the issues regarding gendered stereotypes of these two careers, how these can lead to …

Recruitment Strategies For Cognitively Impaired Older Adults In Assisted Living Communities, Paige Greer, Elizabeth Hill, Katelyn Ware

Student Scholars Day Posters

It is well documented that recruiting persons with dementia for research in long term care settings is challenging (Lam, et. al. 2018). The purpose of this study is to explore recruitment techniques suggested by the National Institute on Aging (2018), including the use of brochures, community contact introductions (CCI), presentations, event tables, 1:1 interactions and activity events. We examined the success of each method of recruitment in two recruitment waves based on the number recruited in relation to the number of hours spent on that recruitment method. Of the 119 people that were screened, 47% were enrolled in the study. …

Exploration Of The Effectiveness Of Naprotechnology In Women’S Healthcare, Cecilia Cerven

Student Scholars Day Posters

Many women today struggle with abnormal menstrual cycles and the painful symptoms of reproductive disorders. The standard approach to treatment of irregular menses, PCOS, endometriosis, hormonal abnormalities, PMS, and other conditions is the prescription of a pill for symptom management. A relatively new and innovative method to fertility care is drawing the attention of healthcare providers and prospective clients alike, which offers an alternative approach. NaProTechnology, or Natural Procreative Technology, works with Fertility Awareness-Based Methods (FABMs) to detect and treat various reproductive disorders. This project will assist in bridging the gaps in education and overall awareness of treatment options available …

Erk1/2 Do Not Phosphorylate Proteins In Mitochondria And Myofilaments, Tanner Napierala

Student Scholars Day Posters

Heart disease continues to be the most prevalent health issue in the United States. Previous studies have demonstrated the cardio-protective benefit of an increase in extracellular signal regulated kinase 1 and 2 (ERK1/2) activity in mice. In this study, genetically modified mice with knockouts of both the DUSP6 and DUSP8 genes (DKO) were used to study whether increased ERK1/2 phosphorylation in DKO mice changes the expression of these death-related proteins. We found out the increase in ERK1/2 phosphorylation mainly stayed in cytoplasm and the expression levels of BCl-2 and Bax were not altered. We also investigated whether myofilament proteins could …

The Role Of Erk 1/2 Proteins In Diabetic Cardiomyopathy, Megan Coble

Student Scholars Day Posters

Diabetes is characterized by inadequate utilization of glucose due to a lack of insulin. Cardiomyopathy is defined as chronic disease of the heart muscle. A correlation between diabetes and the onset of cardiomyopathy has been suggested though a complete understanding of this relationship remains to be determined. Induction of diabetes within mice via the injection of streptozotocin will allow for thorough investigation of this correlation. Enhancement of the proteins ERK 1/2, via the deletion of genes DUSP 6/8, has been shown to be a protective agent against various heart pathologies. By inducing diabetes within both wild type and DUSP 6/8 …

The Impact Of Study Abroad On Cultural Competence, Megan Minix

Student Scholars Day Posters

No abstract provided.

The Significance Of Transient Elastography In The Prevention And Early Detection For Individuals With Nonalcoholic Fatty Liver Disease (Nafld), Emmalee Peck

Student Scholars Day Posters

Early detection and intervention are key to reverse Nonalcoholic Fatty Liver Disease (NAFLD). Newer imaging modalities such as the transient elastography (FibroScan) is a method in which healthcare providers can detect fibrosis and cirrhosis, as measured by the amount of liver stiffness, in individuals with NAFLD. The purpose of this review was to synthesize the literature comparing transient elastography to invasive and noninvasive diagnostic techniques for the detection of liver fibrosis in people with NAFLD. Thirty articles met the inclusion criteria and were included in this review. Overall, transient elastography was found to be a sufficient tool in conjunction and …

Evaluation Of Wayfinding Design Of Senior Residential Communities, Hannah Rojas

Student Scholars Day Posters

Wayfinding is defined as the ability of an individual to find their way in an environment. Long term care (LTC) communities are very difficult for wayfinding, especially for persons with cognitive impairment. There is very little scientific evidence for design elements to assist individuals with wayfinding. In this study we created a tool based on the literature to evaluate the quality of LTC communities for wayfinding design. For this study, the tool was piloted to review the wayfinding design of seven LTC communities. Descriptive statistics were used to determine the highest and lowest scored areas. A table of mean and …

The Healing Power Of Music, Kathleen Szczesny

Student Scholars Day Posters

The value of holistic and individualized care in honoring a patient’s story and promoting their quality of life is of the highest importance when providing nursing care. Nursing is more than just a profession, it is an art that is consistently changing and adapting, requiring critical and creative thinking to deliver high quality, safe care that is evidenced-based. Nurses must continuously seek innovative ways to enrich lives and enhance the healing process through interventions strongly supported by research. The purpose of this project was to explore music as an alternative form of medicine that can be utilized as a therapeutic …

The Effect Of Frenectomy Procedure On Breastfeeding Self-Efficacy, Mary Chenge

Student Scholars Day Posters

Structural restrictions from tongue-tie are associated with altered sucking and decreased self-efficacy in breastfeeding mothers. Frenectomy is a procedure to correct tongue-tie by detaching the frenulum. There is a need to review the evidence regarding the effect of tongue-tie release on maternal breastfeeding self-efficacy. This review aims to examine the effect of frenectomy on a mother's confidence in breastfeeding using the BSES-SF tool. Database searches were conducted in PubMed and CINAHL. Keywords: "Frenectomy" AND "Breastfeeding self-efficacy." Exclusion criteria: non-English studies. Evidence suggests that frenectomy is associated with improvement in breastfeeding self-efficacy and nipple pain in the short-term. The BSES-SF tool …