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Undergraduate Clinic Manual, Communication Disorders & Sciences

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Updated 2020.

What's The Flap About Coronavirus?, V. Ramana Dhara

Journal of Health Ethics

This is a haiku about the vectors, modes of transmission and spread of SARS, MERS, and SARS-CoV-2

The George Floyd Of Healthcare, Sheila P. Davis, Phd, Fnp-C, Faan, Lsm-Bc, Gary Davis, Md

Journal of Health Ethics

Authors explore the infamous murder of an unarmed black man, George Floyd, and juxtaposition it to systemic racial practices in healthcare as documented by the Institute of Medicine Report: Unequal Treatment. The current COVID-19 pandemic is presented as a situation which has the potential to ignite unresolved discriminatory healthcare practices. Proposed are policies which could possibly mitigate this phenomenon.

Tuskegee Syphilis Study Not America's Only Medical Scandal: Chester M. Southam, Md, Henrietta Lacks, And The Sloan-Kettering Research Scandal, Leonard F. Vernon

Journal of Health Ethics

The words “human medical experimentation” conjure up visions of Nazi medicine, which has come to exemplify the worst evils in the history of humankind. Places like Auschwitz and Dachau, where human life was cheap and test subjects plentiful were used as laboratories.

In 2010 the US government apologized to Guatemala for allowing U.S. doctors to infect Guatemalan prisoners and mental patients with syphilis 65 years earlier, while acknowledging dozens of similar experiments in the United States. These included studies that often involved making healthy people sick. such as in the Tuskegee syphilis study.

These experiments were often life threatening and …

Summer 2020 Ethical Issues, Dr. Sheila P. Davis

Journal of Health Ethics

Summer 2020 Ethical Issues in the Online Journal of Health Ethics

Patient Advocacy: A Tool For Resolving Ethical Issues For Patients That Use The Emergency Department For Chronic Care Management, Lawanda Baskin

Journal of Health Ethics

The current state of scientific knowledge on using the emergency department (ED) for chronic care management indicates that using the ED for chronic care management creates health disparities and burdens healthcare systems. Ethical concerns also arise because patients use the ED for chronic care management. This article discusses health literacy, self-care behaviors, and social support and the presence of patient suffering, nonmaleficence, and beneficence in patients who seek care for chronic care management in the ED. Patient advocacy as a tool to lessen these ethical issues is further discussed. Eighty-six participants were used in a cross-sectional correlational predictive study. Findings …

Ethical Guidelines For The Treatment Of Patients With Suspected Or Confirmed Novel Coronavirus Disease (Covid-19), Peter A. Depergola Ii

Journal of Health Ethics

This white paper provides basic ethical guidelines for treating patients with suspected or confirmed coronavirus disease (COVID-19). It responds to the need from healthcare organizations to address the moral considerations inherent to caring for this patient population, particularly in the context of scarce resource allocation, the imposition of limits to individual freedoms, and de facto social distancing. These guidelines are not narrowly prescriptive, but recognize the need of decision makers to transform this guidance into specific decisions. Ethical decision making assumes that such judgments will be based on current scientific knowledge, that effectiveness of interventions is carefully assessed, and that …

Mental Health Resources & Healthcare Professional Students, Matthew A. Knealing

Physician Assistant Scholarly Project Posters

The reasoning for this review of literature is to determine if implementing mental health resources in graduate healthcare programs decreases the rate of depression and suicidal ideations. In this review of literature, five databases were searched. They included: PubMed, PsycInfo, CINAHL Complete, Clinical Key, and the Cochrane Library from September 15 to January 3, 2020. Due to the topic being dynamic and receiving more acknowledgment in recent years, articles reviewed were restricted to the last six years within the United States. Works chosen were peer reviewed, which included meta analysis, cross sectional, systemic reviews, longitudinal and, survey method studies. Sources …

Review Of Anticoagulation Therapy In Unprovoked Pulmonary Embolism, Christopher D. Klucas

Physician Assistant Scholarly Project Posters

The purpose of this research was to identify the best course of action in response to a diagnosis of unprovoked pulmonary embolism.

•The evidence demonstrates non-inferiority status of new direct oral anticoagulants (DOAC) when indirectly compared to conventional warfarin therapy.

•Aspirin was also found effective in mitigating the risk of recurrence, but to a lesser extent than both DOAC agents and warfarin.

•DOACs are reasonable alternatives to conventional therapy. Attention to individual comorbidities may allow providers to find advantage with one therapy over another.

• The research, thus far, has not been able to identify a universally safe and an …

The Safety, Accuracy, And Cost-Effectiveness Of Confirmatory Penicillin Allergy Testing In The Outpatient Setting As A Means Of Reducing Patient Morbidity And Mortality, Mitchell Mimbach

Physician Assistant Scholarly Project Posters

The purpose of this review is to investigate the prevalence of documented penicillin (PCN) allergies in health care and any negative outcomes associated with being labeled as such. Additional topics researched included the safety and accuracy of PCN allergy testing, the cost-effectiveness of PCN allergy testing versus using non-PCN related antibiotics, and barriers to confirmatory PCN allergy testing implementation. A complete review of the aforementioned topics included meta-analysis’, systematic reviews, cohorts, clinical trials, and cross-sectional studies from the last five years. Databases utilized for this research included PubMed, Cochrane Review, Embase, Dynamed Plus, and ClinicalKey. Sources that were excluded from …

Perceptions Of Workload And Job Impact As Predictors Of Child Welfare Worker Health Status, Austin G. Griffiths, David Royse, Chris Flaherty, Crystal Collins-Camargo

Social Work Faculty Publications

Turnover in the child welfare workforce remains a problem with detrimental consequences. While a robust body of literature has explored the influence of job factors on employee retention, and the presence of secondary traumatic stress and other related experiences in this population, little is known about the impact of such factors on the physical health of the practitioner. This manuscript is a first step in documenting the relationship between worker characteristics, perceptions of their job, and their self-reported health status. Utilizing the Child Welfare Employee Feedback Scale (CWEFS), a Binary Logistic Regression model identified Workload and Job Impact as significant …

A Phenomenological Study Of The Experiences Of Military Families, Who Have Children With Disabilities And Maladaptive Behavior, With School-Based Mental Health Personnel, Londi J. Segler

Electronic Theses and Dissertations

This qualitative study used a phenomenological approach to capture the lived experiences of military families who have children with disabilities and maladaptive behavior to note risk and protective factors that might impede the mental health development of that population of student. Through interviews with at-home-caregivers, I explored their experiences with public school staff, outside mental health services, and school psychologists. Study findings revealed that participants felt they were going to battle with school staff who were not willing to incorporate culturally responsive practices when working with their children. School staff who implemented regular bi-directional communication were more likely to gain …

The Colored Pill: A History Film Performance Exposing Race Based Medicines, Wanda Lakota

Electronic Theses and Dissertations

Of the 32 pharmaceuticals approved by the FDA in 2005, one medicine stood out. That medicine, BiDil®, was a heart failure medication that set a precedent for being the first approved race based drug for African Americans. Though BiDil®, was the first race specific medicine, racialized bodies have been used all throughout history to advance medical knowledge. The framework for race, history, and racialized drugs was so multi-tiered; it could not be conceptualized from a single perspective. For this reason, this study examines racialized medicine through performance, history, and discourse analysis.

The focus of this work aimed …

The Experiences Of Ncaa Student-Athletes With An Eating Disorder Or Disordered Eating, Rachel E. Taylor

Electronic Theses and Dissertations

The purpose of this study was to explore the experiences of student-athletes who had an eating disorder or disordered eating (ED/DE) while competing for the National Collegiate Athletic Association (NCAA). Integrating criticism and connoisseurship and critical evocative portraiture, four post-collegiate women who participated in cross country and track, who were either clinically diagnosed with an ED/DE or who self-diagnosed, participated in two interviews to describe their experiences with and the impact of ED/DE on their athletic pursuits, academic pursuits, as well as their relationships with coaches, teammates, and family. The analysis of these interviews showed the complexity of this topic. …

Human Genetics, Psychotropic Drugs, And Acts Of Violence, Selma Jolanda Eikelenboom-Schieveld

Electronic Theses and Dissertations

From the start of the use of psychoactive prescription medications in the 1950s, physicians reported paradoxical adverse reactions, ranging from newly developing depressions to an increase in existing mood disorders, and extremely violent and bizarre acts of suicide and homicide. In this research, it is hypothesized that the pharmacological properties of the prescribed drugs or the interaction between the drugs and the enzymes that are primarily responsible for their metabolism (cytochrome P450s) could cause these reactions. Given that acts of violence could be medication-induced, the role of the rate of drug metabolism is discussed. Genetic testing of certain CYP450s could …

Reliability Of Methods To Evaluate Sensitivity Caused By In-Office Bleaching Procedures, Ahmed Abuzinadah

Student Theses, Dissertations and Capstones

Objective: To evaluate and compare the reliability of different methods to measure sensitivity caused by in-office bleaching procedures.

Methodology: A convenience sample of 34 patients from the dental clinics at Nova Southeastern University participated in the study upon IRB approval, signing consent forms and complying the inclusion/exclusion criteria. All procedures were provided by the same operator (Dr. Abuzinadah) according to the manufacturer’s instructions using Opalescence® Boost® PF 40% (Ultradent, South Jordan, UT). No additional treatments were provided for desensitization. A visual analogue scale (VAS) was used to assess the level of sensitivity during the procedure, 1-hour, 24-hours, 48-hours, 1-week and …

Essential Notes On Pathophysiology For Advanced Practice Nurses, Alex Sargsyan

Open Educational Resources

This text is a compilation of lecture notes from pathophysiology courses I have taught over the last ten years. The goal of the text is to equip future advanced practice nurses with knowledge of pathophysiology for common diseases and disorders they may encounter in the primary care setting.

Effectiveness Of Physical Therapy Interventions In The Treatment Of Urinary Incontinence In Older Women: A Systematic Review, Ariana Gagliardi, Lauren Paretti, Kayla Stephani, Stephanie Oliverio

Student Research Poster Presentations 2020

Background: Urinary incontinence (UI) is a prevalent condition among older adults. While age and gender are risk factors, UI is not a natural part of female aging. By not seeking proper care, these individuals may be hindering their independence, opportunities to receive effective treatment, and their overall quality of life. Research shows a wide variety of physical therapy (PT) treatment options are available for UI.

Purpose: The purpose of this systematic review was to examine the effectiveness of various conservative PT interventions in treating stress, urge, and mixed UI in older women.

Methods: Two searches of the literature were performed …

The Role Of Behavioral Inhibition For Conversational Speech And Language Characteristics Of Preschool-Age Children Who Stutter, Victoria Tumanova, Carly Woods, Rachel Razza

Communication Sciences and Disorders - All Scholarship

No abstract provided.

Using Simulation To Improve Skills, Confidence, And Satisfaction Related To Diabetes Education, Greshin M. Markwell

Doctor of Nursing Practice Projects

Diabetes mellitus is the seventh leading cause of death in the U.S. and affects 30.3 million people (Centers for Disease Control and Prevention [CDC], 2019). Research suggests that patients often have a limited knowledge and insight into self-management of diabetes mellitus (DM). Acceptance of the disease, insufficient knowledge, and noncompliance are the examples of key factors that affect the progress of the disease. Nurses play a key role in the delivery of diabetes education which can improve compliance. Simulation can be used to improve the nursing skill sets for diabetes education. The purpose of this project was to implement evidence-based …

Minimizing Antipsychotic Medication Side Effects In Adults Diagnosed With Mental Illness Through Psychoeducation: An Evidence-Based Approach, Sarah A. Yao

Doctor of Nursing Practice Projects

Adherence to antipsychotic medication has demonstrated significant impact in decreasing symptom exacerbation among patients diagnosed with mental illness. Antipsychotic medications have several benefits including the management of psychotic and mood disorders; however, they could cause unwanted medication side effects with metabolic and cardiovascular risks. This issue is one of the commonly linked side effects resulting in nonadherence among mentally ill patients. The purpose of this project was to implement a psychoeducational intervention using the SIMPLE program to address metabolic and cardiovascular risks associated with antipsychotic medications among adult patients diagnosed with mental illness. A sample size of sixteen adult patients …

Occupational Therapy: The Supports And Barriers To Practice, Tammy Lane

Occupational Therapy Doctorate Capstone Projects

Background: The United States population is aging due to advances in healthcare and the aging of the “baby boomers generation” and the rate of aging is set to be the next public health challenge (Quarterman, 2017). Purpose: To address the unique nature of providing skilled therapy services in rural communities. To gain insight into the recruitment and retention of occupational therapists to rural communities. Theoretical Framework: The Model of Human Occupation (MOHO) (Kielhofner,2008) theory explains how occupations motivate participants in their environments supported by habits and roles in which they engage. Methods: Quantitative design using a descriptive method research approach …

Ace: A Recipe For Occupational Competence, Brittany J. Miller

Occupational Therapy Doctorate Capstone Projects

Adverse childhood experiences are increasing in society and the lack of knowledge surrounding the condition from the adults who frequently interact with them is concerning. This concern lays the foundation for the development of a targeted approach to pediatric intervention by occupational therapists. The problem this capstone project addresses is expanding the understanding of how adverse childhood experiences mirror other common conditions as well as the need for more competent and confident occupational therapists in identifying and treating children with adverse childhood experiences.

Lincoln County Community Paramedicine Data Collection Initiative [Infographic], Evelyn Ali Bs, Katie Rosingana Ba, Karen Pearson Mlis, Ma

Substance Use Research & Evaluation

No abstract provided.

Project Support You: Addressing The Opioid Epidemic Through Community Collaboration And Education. Tri-County Mental Health [Infographic], Mary Lindsey Smith Phd, Evelyn Ali Bs, Rachel M. Gallo Mph, Tyler Egeland Ba

Substance Use Research & Evaluation

No abstract provided.

An Exploration Of Financial Management Programming For Residents In One Homeless Shelter: A Qualitative Institutional Case Study, Amy M. Heiser

Occupational Therapy Doctorate Capstone Projects

Introduction: Homelessness affects the economy, societies, and individuals’ physical, mental, and emotional well-being. Occupational therapy is a holistic profession that works with all populations across the lifespan. Financial management is a life skill that many Americans struggle with. Evidence on financial management skill development within homeless shelters and occupational therapy is sparse. Occupational justice is a theoretical framework that supports the right for residents in a homeless shelter to have direct interventions toward skill development, such as education in financial management. Methods: This institutional case study explored a homeless shelter to gain knowledge of real-life program phenomena, with focus on …

The Value Driven Pharmacist: Basics Of Access, Cost, And Quality 2nd Edition, Carriann Smith, Annette Mcfarland, Chad Knoderer, Joseph Jordan, Trish Devine, Jessica Wilhoite

Butler University Books

No abstract provided.

Integrative Qtl Analysis Of Gene Expression And Chromatin Accessibility Identifies Multi-Tissue Patterns Of Genetic Regulation., Gregory R Keele, Bryan C Quach, Jennifer W Israel, Grace A Chappell, Lauren Lewis, Alexias Safi, Jeremy M Simon, Paul Cotney, Gregory E Crawford, William Valdar, Ivan Rusyn, Terrence S Furey

Faculty Research 2020

Gene transcription profiles across tissues are largely defined by the activity of regulatory elements, most of which correspond to regions of accessible chromatin. Regulatory element activity is in turn modulated by genetic variation, resulting in variable transcription rates across individuals. The interplay of these factors, however, is poorly understood. Here we characterize expression and chromatin state dynamics across three tissues-liver, lung, and kidney-in 47 strains of the Collaborative Cross (CC) mouse population, examining the regulation of these dynamics by expression quantitative trait loci (eQTL) and chromatin QTL (cQTL). QTL whose allelic effects were consistent across tissues were detected for 1,101 …

The Effect Of Proton Pump Inhibitors On Normal Gastrointestinal Flora Leading To Weight Change, Emi L. Binstock

Physician Assistant Scholarly Project Posters

The goal of this literature review was to determine what effects proton pump inhibitors (PPIs) have on the normal gastrointestinal (GI) flora and how that may lead to weight loss or weight gain. A literature search was performed using the database PubMed. Only articles from the last ten years (2009-2019) were included in this review. Keywords used in the search are listed below. After exclusion criteria was applied, 30 articles were relevant and used in this review. Five themes were identified in the literature review. An investigation of normal GI flora associated with weight loss and weight gain identified a …

Efficacy Of Bariatric Surgery Compared To Non-Surgical Treatments For Morbid Obesity, Erica Donovan

Physician Assistant Scholarly Project Posters

The purpose of this research is to show the efficacy of Roux-en-Y gastric bypass and sleeve gastrectomy as compared to traditional diet and exercise models. Finding ways to combat morbid obesity has resulted in invasive surgical techniques because traditional diets and exercise work infrequently and often fail. Systematic reviews, metaanalysis, randomized controlled trials and retrospective studies were found using the data base of CINAHL, SportsDiscus, PsycInfo, Embase, and PubMed. All of the studies were published no later than 2014 and used human adult subjects ages 19-65. The studies reviewed show that bariatric surgery is a safe and effective obesity treatment …