Medicine and Health Sciences Commons^™

Surveying Tuberculosis Screening Practices Of South Carolina Hospital Employees, Tamara T. Carree

Theses and Dissertations

BACKGROUND: Every year tuberculosis (TB) causes over 10 millions of people globally and in recent years has caused over 9,000 cases annually in the United States. TB can be transmitted in hospital settings, and South Carolina hospitals, like hospitals elsewhere in the country maintain a responsibility to test their employees for this disease. Nosocomial infections of active TB among patients and healthcare workers can be burdensome on hospital resources. Testing healthcare workers and implementing prevention strategies are examples of administrative controls provided in the 2005 guidelines by the Centers for Disease Control and Prevention (CDC). Implementation of administrative controls are …

Magnet Recognition (Mr) And Hospital Quality Outcomes In The U.S.A– Analysis Based On 2017 Hospital Data, Abdulmalik Alhammad

Theses and Dissertations

The American Nurse Credentialing Center (ANCC) introduced Magnet Recognition (MR) in the U.S.A in 1994. Magnet Recognition was adopted based on the findings of a comprehensive study (conducted in 1983) that tried to identify factors explaining high rates of nurses’ retention in 41 hospitals in the U.S.A.

The objective is to compare MHs with the hospitals not recognized as “Magnet” (non-MHs) in terms of important outcomes of the health system and to examine whether the MHs themselves vary significantly in terms of the outcomes.

All the general specialty of MHs (367 hospitals) and their matched of non-MHs (380 hospitals) in …

Quality Of Life Of Children With Spinal Muscular Atrophy: Parents’ Perspectives In Light Of New Treatments, Analyssa R. Tallas

Theses and Dissertations

Purpose: To directly compare parents’ perspectives of the quality of life of their children with Spinal Muscular Atrophy (SMA) who received supportive care, nusinersen (Spinraza®), onasemnogene abeparvovec-xioi (Zolgensma®), or both nusinersen and onasemnogene abeparvovec-xioi. Methods: The parents of children with SMA were recruited to complete anonymous online surveys. All surveys included qualitative questions about quality of life. Surveys regarding children in the 1-12-month and 13-24-month age groups included the Pediatric Quality of Life Infant Scales assessment. Surveys regarding children in the 2-4-year age group included the Pediatric Quality of Life Inventory 4.0 Generic Core Scales and the Pediatric Quality of …

Circulating Calcium, Phosphorus, And Parathyroid Hormone And Aggressive Prostate Cancer In The North Carolina-Louisiana Prostate Cancer Project, Brittany Crawford

Theses and Dissertations

Prostate cancer is the most commonly diagnosed cancer among men in the United States. Despite improvements in screening, diagnostic methods, and treatment, African-American men have an increased risk of total and aggressive prostate cancer. In recent years, a growing body of evidence linking biomarkers of calcium and parathyroid hormone (PTH) to prostate cancer development has emerged. Circulating calcium, phosphorus, and PTH are homeostatically related. Prior studies linking prostate cancer and circulating calcium and PTH have produced inconclusive results, and no studies have examined the association between serum phosphorus and prostate cancer. The present study examined the relationship between circulating calcium, …

Influences On Parents’ Food Shopping For Children’S Consumption In South Carolina, Nazratun Nayeem Monalisa

Theses and Dissertations

Background: The diets of children in the United States typically do not meet dietary guidelines. Energy-dense nutrient-poor (EDNP) foods dominate children’s diets, contributing excessive energy, sugar, sodium, and fat intake. Home is the major source of children’s energy intake. Parents oversee household food purchases including foods for children.

Objectives: This research aimed to 1) identify parents’ food and beverage purchases for their household and for 6-11-year old children; 2) understand how parents made food purchase decisions by adjudicating among different values; 3) understand children’s food choice construction, strategies to influence parents for desired items, and extent of children’s influence.

Methods: …

If You’Re Hapi And You Know It Clap Your Hands!, Zaida Alba Bsn, Rn, Jennifer Mazzanti Ad, Rn, Norbert Kaminski Rn, Jay Almodovar Rn, Nicole Youngcourt Bsn, Rn

Patient Care Services / Nursing

No abstract provided.

Screening Of Acute Stress Disorder (Asd), Katie Bergan Adn, Rn, Eva Marte Adn, Rn, Ashley Young Adn, Rn

Patient Care Services / Nursing

No abstract provided.

Epic’S “Brain”, Julian Caiazzo Bsn, Rn, Gina Gobo Bsn, Rn, Angelica Hartzell Bsn, Rn

Patient Care Services / Nursing

No abstract provided.

Additional Newborn Weight Implementation, Nicole Nicholas Bsn, Rn, Honi Trauger Bsn, Rn, Kimberly Ward Bsn, Rn

Patient Care Services / Nursing

No abstract provided.

Prevention Of Skin Breakdown In The Ed, Amanda Tokarick Bsn, Rn, Jenna Ritter Bsn, Rn, Donielle Tucker Bsn, Rn, Harry Sexton Rn, Jessica Sauer Rn

Patient Care Services / Nursing

No abstract provided.

Making Change In Medical Errors In The Emergency Department, Devon Green Bsn, Rn, Soo Jin Han Bsn, Rn, Kaitlyn Kilroy Bsn, Rn, Danielle Michlovsky Bsn, Rn, Amy Min Bsn, Rn

Patient Care Services / Nursing

No abstract provided.

Is Bed Alarm Activated?, Roosevelt Totaye Rn, Doris Amo-Mensah Rn, Yan Yang Rn, Bonnie Emmett Rn

Patient Care Services / Nursing

No abstract provided.

Reduce The Rate Of Lab Errors, John Labiak Bsn, Rn, Lauren Gabryluk Bsn, Rn, Mallory Phelps Bsn, Rn

Patient Care Services / Nursing

No abstract provided.

The Sound Of Music: Correlates Of Harmonious Relationships In Stepfamilies, Emily R. Monnik

Selected Honors Theses

Family structure has always been an integral part of the nurturing of children and adolescents. In the past fifty years, the number of stepfamilies formed after remarriage superseded the number of stepfamilies following the death of a parent. These new stepfamilies contribute to a more challenging adjustment for children and adolescents as they figure out the role the new stepparent plays in their life, in addition to the non-residential biological parent. This study surveyed undergraduate students at a private university in the United States using a positive and negative interaction questionnaire and family harmony measure. The researcher attempted to find …

Drug Deprescription-Withdrawal Risk, Prevention, And Treatment, Madison K Bangert, Gabriel M Aisenberg

Faculty, Staff and Student Publications

In most cases, a sudden interruption of most medications has no major consequences. There are well-recognized therapies that, when withheld, can either lead to the reappearance of the symptoms they were controlling or to signs or symptoms of withdrawal. In this article, we present a table including medications that when interrupted can produce withdrawal syndromes, the signs and symptoms of the withdrawal syndrome, the time to onset and resolution of the syndrome, information regarding alternative delivery options for the drug/s when the oral route is not possible, as well as prevention and therapy.

Does Race Impact Functional Outcomes In Patients Undergoing Robotic Partial Nephrectomy?, Ugo G Falagario, Alberto Martini, John Pfail, Patrick-Julien Treacy, Kennedy E Okhawere, Bheesham D Dayal, John P Sfakianos, Ronney Abaza, Daniel D Eun, Akshay Bhandari, James R Porter, Ashok K Hemal, Ketan K Badani

Surgery Articles

BACKGROUND: The role of race on functional outcomes after robotic partial nephrectomy (RPN) is still a matter of debate. We aimed to evaluate the clinical and pathologic characteristics of African American (AA) and Caucasian patients who underwent RPN and analyzed the association between race and functional outcomes.

METHODS: Data was obtained from a multi-institutional database of patients who underwent RPN in 6 institutions in the USA. We identified 999 patients with complete clinical data. Sixty-three patients (6.3%) were AA, and each patient was matched (1:3) to Caucasian patients by age at surgery, gender, Charlson Comorbidity Index (CCI) and renal score. …

The Epidemiology And Burden Of Cardiometabolic Risk Factors In A Young Emirati Population, Fatima Abobakr Hussein Mezhal

Dissertations

The United Arab Emirates (UAE) has experienced rapid economic growth that was paralleled by a drastic rise in non-communicable diseases (NCDs); primarily cardiovascular diseases (CVDs), which account for 40% of mortality in UAE. CVDs have complex etiology, interplay, and accumulation of many risk factors. Understanding the clustering and interrelationships between common risk factors like obesity, deglycation, dyslipidemia, hypertension and central obesity, and the associations with social and lifestyle determinants are warranted. The study aimed to estimate the burden of cardiometabolic risk factors (CRFs), their interrelationship, and their associations with other social and lifestyle determinants in a young Emirati population. Data …

Pitfalls In Quantitative Myocardial Pet Perfusion I: Myocardial Partial Volume Correction, K Lance Gould, Linh Bui, Danai Kitkungvan, Tinsu Pan, Amanda E Roby, Tung T Nguyen, Nils P Johnson

Faculty, Staff and Student Publications

BACKGROUND: PET quantitative myocardial perfusion requires correction for partial volume loss due to one-dimensional LV wall thickness smaller than scanner resolution.

METHODS: We aimed to assess accuracy of risk stratification for death, MI, or revascularization after PET using partial volume corrections derived from two-dimensional ACR and three-dimensional NEMA phantoms for 3987 diagnostic rest-stress perfusion PETs and 187 MACE events. NEMA, ACR, and Tree phantoms were imaged with Rb-82 or F-18 for size-dependent partial volume loss. Perfusion and Coronary Flow Capacity were recalculated using different ACR- and NEMA-derived partial volume corrections compared by Kolmogorov-Smirnov statistics to standard perfusion metrics with established …

The Covid-19 Challenge: An Update From Singapore, Richard Raymond Smith

Research Collection Lee Kong Chian School Of Business

While Singapore was the location of the film Crazy Rich Asians, a more current view of the city-state might be better described as Crazy Vigilant Singaporeans! The COVID-19 pandemic has changed our world, yet the preparation, rapid response, and overall vigilance of the universities and the government in Singapore is worth noting. In fact, the World Health Organization has stated that Singapore is the “Gold Standard” for managing a pandemic. From the view of a business school in Singapore, the challenge can be viewed in phases.

Teaming Together To Care For Our Deaf Patients: Insights From The Deaf Health Clinic, Kate Panzer, Junghyun Park, Leslie Pertz, Michael M. Mckee

JADARA

Deaf patients often struggle with accessing culturally competent care. Poor communication and inaccessible health information negatively impact Deaf individuals, resulting in poorer health outcomes and inappropriate health care use. To address this problem, the Family Medicine Department established the Deaf Health Clinic in 2015 through the efforts of healthcare providers fluent in American Sign Language. After that, the clinic faced several management issues, and implemented strategies to address them. The paper discusses lessons learned and suggests potential and tested solutions to reduce gaps in health care for Deaf individuals.

The Geographic Disparities In Transportation-Related Physical Activity In The United States: An Analysis Of The 2017 Nhts Data, Hongwei Dong

Mineta Transportation Institute

Research on the relationship between urbanicity and physical activity yielded mixed results despite many studies consistently showing that residents tended to undertake more transportation-related physical activity in a more urban environment. This study analyzed the 2017 NHTS data to examine the geographic disparities in physical activity, particularly transportation-related physical activity in the United States. Our analysis suggests the relationship between urbanicity and physical activity demonstrates a flat U-shape in graphed data. Residents are more physically active when they live in the areas from the two ends of the urbanization spectrum: inner cities and inner suburbs of large metropolitan areas and …

Effect Of Creatinine Point-Of-Care Testing On Turnaround Time For Computed Tomography Exams With Intravenous Contrast, Shannon Haltom

Electronic Theses and Dissertations

Abstract

Emergency departments often have a stigma of long wait times. They face multiple challenges related to the flow of patient care due to the variety of factors that affect care and treatment. In order to support patient-centered care, the purpose of this project was to determine if point-of-care testing of creatinine decreases turnaround time for computed tomography exams with intravenous contrast in the emergency department. A mixed methodology of consecutive sampling and retrospective data collection was used. In all, 128 ratio data elements were reviewed, including a retrospective review of 64 charts from September 2018 and a consecutive sample …

Helping The Singapore Arts Sector Survive The Covid-19 Crisis, Su Fern Hoe

Research Collection School of Social Sciences

From online art classes to livestreaming performances and collective singing to cheer frontline healthcare workers, people across the globe are turning to the arts for much-needed connection and comfort amid the Covid-19 crisis.

A Toolkit To Deal With Negative Reactions In The Covid-19 Crisis, David Chan

Research Collection School of Social Sciences

Understanding our own and others’ biases helps us respond better to difficult situations. Adopt what I call the 3Rs approach - refrain, reflect and resolve, to deal with negative events and manage our negative gut emotions and reactions.

Paediatric Respiratory Isolation: A Challenge For A Secondary Care Hospital! A Service Innovation Project, Nadia Mohammad, Shireen Mohammad, Arjumand Sohaila, Syed Mohammad Yousuf, Adnan Khan, Rahila Meghani, Kashif Sajwani, Khalil Ahmad, Ali Faisal Saleem Dr, Pawan Vash

Department of Paediatrics and Child Health

Objective: The aim of this project was to broaden the secondary care hospital's scope of services and provide safe, effective and quality care for the patient presenting with measles.
Methods: Six Sigma DMAIC [define measure, analyze, improve, and control (DMAIC)] methodology was used in this quality improvement project. The quality project was started in October 2015 using a Gantt chart quality tool.
Results: The paediatric team with the support of administration of the hospital has established isolation rooms and devised a policy for the care and management of patient with airborne infection to avoid cross transmission. During six months period …

Story Of Lyari, Rabab Batool

Department of Paediatrics and Child Health

No abstract provided.

Evidence Of The Covid-19 Virus Targeting The Cns: Tissue Distribution, Host-Virus Interaction, And Proposed Neurotropic Mechanisms, Abdul Mannan Baig, Areeba Khaleeq, Usman Ali, Hira Syeda

Department of Biological & Biomedical Sciences

The recent outbreak of coronavirus infectious disease 2019 (COVID-19) has gripped the world with apprehension and has evoked a scare of epic proportion regarding its potential to spread and infect humans worldwide. As we are in the midst of an ongoing pandemic of COVID-19, scientists are struggling to understand how it resembles and differs from the severe acute respiratory syndrome coronavirus (SARS-CoV) at the genomic and transcriptomic level. In a short time following the outbreak, it has been shown that, similar to SARS-CoV, COVID-19 virus exploits the angiotensin-converting enzyme 2 (ACE2) receptor to gain entry inside the cells. This finding …

Shu Altop News, Vol. 1, Dr. Susan L. Davis, Rn & Richard J. Henley College Of Nursing, Susan M. Denisco, Kerry A. Milner

News, Magazines and Reports

Updates from the Davis & Henley College of Nursing Sacred Heart University Alternatives to Opioids for Pain Grant.

Alternatives to Opioids for Pain (ALTOP) is a HRSA funded project to help combat the opioid epidemic in Connecticut. Through the creation and support of academic clinical practice partnerships at two federally qualified health centers, family nurse practitioner students are gaining clinical training and experience in the appropriate use of opioids and alternative pain modalities, in primary care settings. This project directly benefits the medically underserved areas in Bridgeport.

Personal Beliefs About The Effectiveness Of A Primary Seat Belt Law In Virginia Versus North Carolina, Rochelle A. Rushlow

Psychology Theses & Dissertations

Seat belt law strength (primary versus secondary) affects the ability of law enforcement to enforce consistent seat belt use, especially in secondary seat belt law states. Certain demographics correlate with seat belt law effectiveness beliefs and overall seat belt use. The current study used an overall omnibus model to determine the strength of the relationship among demographics and beliefs in the effectiveness of primary seat belt laws. A survey was deployed to Mechanical Turk (MTurk) users who were Virginia or North Carolina residents, held a valid United States driver’s license, and were at least 18 years old. Three hundred twenty-four …

Exosomes In Transmission And Blocking Of Arthropod-Borne Flaviviral Infection And Pathogenesis, Wenshuo Zhou

Biomedical Sciences Theses & Dissertations

Vector-borne diseases (VBDs) are human illnesses that are transmitted by vectors such as ticks, mosquitoes, and fleas. These arthropods transmit infectious pathogens such as viruses, protozoa, and bacteria, to humans during their blood-feeding. According to the estimation of the WHO, billions of people are affected by VBDs worldwide, and about 700,000 deaths are reported annually. Currently, very few reliable VBDs control approaches and vaccines available to treat various VBDs. Additionally, approaches to control arthropod’ proliferation and migration are difficult to develop. Furthermore, molecular determinants and mechanisms for the transmission are poorly understood. This work describes two studies identifying the novel …