Medicine and Health Sciences Commons^™

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 …

Comparison Of Buprenorphine-Naloxone And Buprenorphine Monotherapy In Opioid Dependent Pregnant Women, Ellie Gillund

Physician Assistant Scholarly Project Posters

•The purpose of this literature review is to compare the use of buprenorphine-naloxone combination therapy to buprenorphine monotherapy as medication assisted therapy (MAT) for opioid dependent pregnant women.

•Outcomes compared in this study include maternal and neonatal safety, neonatal abstinence syndrome, and peripartum pain management.

•This review included electronic search databases: PubMed, Clinical Key, and Cochrane Library from September 1, 2019 to March 1, 2020. The search included randomized control trials, systematic reviews, and meta-analysis. Sources excluded included those published >25 years ago, those with poor study design, and those with primary focus on methadone.

•Current research shows evidence to …

Surgical Innovations For Gerd: Comparing Outcomes Of Magnetic Sphincter Augmentation And Nissen Fundoplication, Steffani N. Johnston Mack

Physician Assistant Scholarly Project Posters

Gastroesophageal reflux disease (GERD) is a common chronic upper gastrointestinal disease with both objective and subjective components. While most cases of GERD are uncomplicated and can be managed with oral medication, refractory cases require surgical intervention. The purpose of this study is to compare the efficacy of GERD’s gold standard surgical technique, the Nissen fundoplication, with a new surgical technique, magnetic sphincter augmentation.

Antibiotic Efficacy In Lower Back Pain, Alexander M. Lee

Physician Assistant Scholarly Project Posters

Chronic lower back pain affects approximately eight percent of the American population, yet no treatment has been agreed upon universally. Studies suggest that between 20-30 percent of lower back pain cases are caused by a low-virulence bacterial infection of an intervertebral disc. • This scholarly project investigated: In patients with chronic lower back pain and Modic changes after disc herniation, what is the effect of antibiotic therapy on reducing pain symptoms compared to placebo. • The literature review used the following electronic databases: ClinicalKey, Cochrane Library, Embase, and PubMed. Keywords and mesh terms refined searches to the most recent and …

An Analysis Of The Incidence And Severity Of Drug-Drug Interactions Between Prescribed Pharmaceuticals And Cannabinoids, Jennifer Mcrae

Physician Assistant Scholarly Project Posters

Identify the incidence and severity of drug-drug interactions between commonly prescribed medications and cannabinoids • Medications that are substrates for CYP2C19, CYP2C9 and CYP1A2 are at the greatest risk of interaction with concomitant use of phytocannabinoids or synthetic cannabinoids • Caution is recommended with medications metabolized via UGT or CES1, however information is currently limited and further research is necessary • Lack of universal standards for laboratory testing of cannabinoid products call into question the legitimacy of reported results in currently reported research as the contents of many cannabinoid products are inaccurately labeled

Analysis Of Tech-Based And Telemental Health Approaches Within The Adolescent And Young Adult Populations Of Rural America, Audrey K. Smeenk

Physician Assistant Scholarly Project Posters

The incidences of depression and anxiety among adolescent and young adult populations are intensifying, and resources remain limited for the management of these diseases within rural America.

• Evaluation on different interventions was completed to assess ease of access, efficacy, and patient adherence with the hope to decrease incidence of disease and increase availability of resources to rural areas.

• Based on the current completed research, there is a predominance of evidence that has shown moderate statistical data and promising outcomes from tech-based mobile applications and telemental health. Statistical evidence supports that technological based interventions are a potential treatment option …

Hyperbaric Oxygen Therapy For The Treatment Of Traumatic Brain Injuries, Jordan A. Wiedmann

Physician Assistant Scholarly Project Posters

This research and systematic literature review evaluates the safety and efficacy of Hyperbaric oxygen therapy (HBOT) to improve treatment outcomes in traumatic brain injuries (TBIs). This review included the search of PubMed, Cochrane Review, Clinical Key, and DynaMed. The search included randomized control trials, systematic reviews, and meta-analyses published in the last 20 years.

• Several studies show evidence to support the use of HBOT in TBIs, however the majority of research suggests overall insufficient evidence on the topic. Several studies also address the concern for safety and side effects, as individuals are exposed to increased pressures for long lengths …

Early Intervention: Addressing Opioid Use Disorder With Emergency Department Initiated Buprenorphine Therapy, Dustin Voss

Physician Assistant Scholarly Project Posters

An evaluation of opioid use disorder (OUD) as defined by the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) diagnostic criteria.

• The use of buprenorphine in the process of induction, its efficacy for the management of OUD, and barriers to its initiation.

• Outcomes of the initiation of office-based buprenorphine treatment are compared to emergency departmentinitiated buprenorphine treatment for the management of OUD.

• Results revealed that buprenorphine is effective in treating OUD when appropriate induction and maintenance doses are implemented. However, there continue to be barriers in prescribing that have limited access to the medication.

• Office-based buprenorphine …

"Pliable And Easily Shaped": History, Harms, And Regulations Of Plastic In The United States, Krista Decima Smithers

Online Theses and Dissertations

The majority of plastic exists in a linear economy, wherein a product is developed with raw materials, used, and then discarded. Because there are many applications for plastic in today’s society unparalleled by alternative materials, removing all or most plastic use from daily life in the United States is unrealistic. Nevertheless, eliminating single-use plastics and improving recycling are reasonably attainable goals.

This thesis offers a detailed discussion of the origins of plastic, including its discovery, initial applications, and growth in the United States. Against this backdrop, this thesis then examines how various nonhuman animal species and ecosystems have been negatively …

Relationship Between Formative Test Results And Final Exam Performance In First Year Medical School Course, Grace Owens

Scholarship in Medicine - All Papers

Objective: The purpose of the study was to evaluate whether formative testing from iRAT and MCQ data was predictive of final exam scores for the Staying Alive course at WSU BSOM. Methods: Data was collected from two consecutive classes of first-year medical students (n=234). Data included students’ formative quiz scores (iRAT), formative exam scores (MCQ), final exam scores (NBME), race, and gender. Three regression models were created to analyze the relationship between formative and final scores. Results: The average iRAT score was not a significant predictor of NBME score. 53-56% of the variability in NBME score was attributed to iRAT, …

Ancient Wisdom And Future Medicine: A Defense Of The Science Of Ayurveda, Michael Eatmon

Master of Liberal Studies Theses

A growing number of people turn to Ayurveda as a complement or an alternative to conventional Western medicine. What are they turning to—a genuine medical science or a patent pseudoscience? This paper claims that modern Ayurvedic medicine is a genuine science with a promising future.

2020 Children's Story Cards, Tsos

TSOS Interview Gallery

Arif: "I like being in school again."

Norina: "We laugh a lot but I also worry."

Nooda: "I came on a boat. It was a big boat!"

Madina: "I just want to live in a safe place..."

Shurangez: "Sometimes we didn't feel safe at school."

Alex: "I'm from Nigeria. Coming to Italy was very difficult-very, very difficult, a real struggle."

Danial: "I want to be a useful person and follow my dreams."

Firoz: "I am 13 years old and I am worried about my family."

Ali: "Ali lived in Afghanistan. One day while walking to school a bomb exploded near …

Dual Substance Use Of Electronic Cigarettes And Alcohol, Tanner J. Wetzel, Todd A. Wyatt

Journal Articles: Environmental, Agricultural & Occupational Health

Electronic cigarettes (ECs) are a modern nicotine delivery system that rapidly grew in widespread use, particularly in younger populations. Given the long history of the comorbidity of alcohol and nicotine use, the rising prevalence of ECs raises the question as to their role in the consumption of alcohol. Of the numerous models of ECs available, JUUL is the most popular. This narrative review aims to determine current trends in literature regarding the relationship between EC and alcohol dual use, as well as hypothesize potential pathogenic tissue damage and summarize areas for future study, including second-hand vapor exposure and calling for …

College Of Health Professions Newsletter Spring-Summer 2020, College Of Health Professions

College of Health Professions Newsletters & Magazines

Contents include: Dean's Welcome --Alumni, Student and Faculty Contributions during Covid-19 --CMD Faculty Share Experience --Faculty Highlights --Student Highlights --CHP Awards --Virtual Commencement Events.

Investigation Of Physiochemical Properties And Biocompatibility Of Amourphos Calcium Polyphosphate Hydrogel Doped With Antibiotics And Injectable Polymeric Dicalcium Phosphate Dihydrate Bone Cement, Yasaman Chehreghanianzabi

Wayne State University Dissertations

Amorphous calcium polyphosphate (ACPP) is an inorganic polymer ceramic. Here we use a simple method of preparing ACPP hydrogel in the presence of excess volume of water. Essentially, water availability to polyphosphate chains accelerates water molecule ingress and microstructural transformation of ACPP hydrogels. Antibiotic delivery capacity of ACPP hydrogel increases by the specific mixing and molding method, where the VCM has higher antibiotic encapsulation efficiency with the small burst release for the compressed discs. In part of this study, we investigate impact of ACPP hydrogel replacement by monomeric calcium phosphate on the quality of final product (dicalcium phosphate dihydrates (DCPD) …

The Philippine Journal Of Veterinary Medicine Volume 57, No. 1

Philippine Journal of Veterinary Medicine

Contents:

Original Articles

Research Notes

Case Report

Optometry Compensation Study: Narrowing Down The Unexplained Gender Wage Gap In Optometry, Rachel Simpson, Breanna Scott, Kate Hamm, Jackquelyn Tyra, Heather Jackson, Marie Fermil, Leslie Kinder, Carl Bassi

College of Optometry Faculty Works

No abstract provided.

Is The Helmholtz–Kohlrausch Effect More Robust In Women?, Brian Foutch, Carl Bassi

College of Optometry Faculty Works

No abstract provided.

Presumed Consent And Priority Allocation Systems For Organ Donation Legislation In The United States: Making The Moral Case, Anna K. Shapiro, Peter A. Depergola Ii

Journal of Health Ethics

In recent decades, developed nations, such as the United States, have seen the gap between the demand and the supply of transplantable organs widen, despite national campaigns intended to promote donor registration. This organ shortage crisis has deprived thousands of a basic quality of life and has caused a substantial increase in the cost of alternative medical care such as dialysis. In an attempt to address the shortage, some countries have instituted explicit “opt-out” and “priority allocation” policies that operate under the principle of presumed consent and offer higher priority on transplantation lists to registered donors. This paper seeks to …

Allocation Of Resources And Health Professionals’ Burden During The Covid-19 Pandemic: Reflections On Advanced Directives, Informed Consent And Social Perception In Mexico, Karen Herrera-Ferrá, Leonardo Souza-García, Antonio Muñoz-Torres

Journal of Health Ethics

One of the main problems in the COVID-19 pandemic is the insufficient availability of resources. This deficiency has resulted in emotional and moral burdens of health professionals. Decisions are having to be made as to who will live and who will die. Moreover, given the global impact of this pandemic, negative impacts are heightened in low and middle-income countries such as Mexico.

Authors focus on two issues related to, but not exclusive, to the Mexican healthcare system in an attempt to partially address scarce resources and health professionals’ burden. First, is the empowerment of patients’ autonomy through the incorporation of …

Evaluating The Impact Of Malaria Education On Student Missionaries, Julie Mckinney

DNP Research Projects

Malaria has been studied for years, and yet remains one of the most significant vector-borne diseases that travelers encounter in malaria-endemic regions (CDC, 2019). Education is noted to be critical in disease prevention, management, and eradication. Student missionaries are at high risk for infection and can have a global influence that is improved through education. A pilot study was conducted on eleven students with a pre-test and post-test design after a malaria education webinar. The purpose of this pilot study was to assess the baseline level of education in student missionaries, as well as to assess the effect of malaria …

A Look At Gene Control: Tracking The Ccnd1 Gene, Bryan Anders

Mahurin Honors College Capstone Experience/Thesis Projects

Cancer occurs when the cell does not properly control its own cell cycle. It then replicates in an out of control fashion leading to the death of various organs and then the demise of the organism as a whole. As it seems to have always been a problem for cell-based life, certain safeguards against cancer have been evolved over time. One such method comes in the form of prevention via cyclin proteins, which are encoded from cyclin genes. The gene that is the focus of this research is the CCND1, or cyclin D1, gene that controls the progression through various …

A Hard Row To Hoe: Suicide Among Kentucky Farmers, Olivia Eiler

Mahurin Honors College Capstone Experience/Thesis Projects

According to the Centers for Disease Control and Prevention, male farmers die by suicide at nearly twice the rate of the general population. My research focuses on understanding the factors contributing to this trend and identifying potential solutions, with a specific focus on the Commonwealth of Kentucky. I have collected qualitative data through video interviews with political leaders, scholars, and youth who are active in the agriculture community. These individuals have identified several key stressors, including stigma, a lack of healthcare providers in rural areas, financial insecurity, a lack of appreciation from the public, and uncertainty due to decisions made …

Qualitative Case Review Of A Male With Down Syndrome, Mary Josephine Hoyer

Mahurin Honors College Capstone Experience/Thesis Projects

Down syndrome is the most common chromosomal condition in the United States. In the United States, about one of every 700 babies is diagnosed with Down syndrome. The purpose of this study was to assess pre-existing data on a 13-year-old male with a diagnosis of Down syndrome to contribute to research on this chromosomal abnormality. The individual received speech and language related services at Western Kentucky University beginning in 2007. Through analysis of previously collected data, the researcher created a qualitative case review that identified the progress of an individual with Down syndrome and emphasized what attributed to his progress. …

Thirty-Day Unplanned Readmission And Its Effect On 90-Day Mortality In Hepatocellular Carcinoma Patients Undergoing Partial Hepatectomy, Yongyue Qi, Tricia Levan, Gleb Haynatzki, Chandrakanth Are, Evi A. Farazi

Journal Articles: Epidemiology

Background: Despite advances of surgical techniques, hepatectomy continues to be potentially dangerous and is associated with postoperative mortality, morbidity and readmission. The objective of this study was to determine the effect of 30-day unplanned readmission on ‘conditional’ 90-day mortality among hepatocellular carcinoma (HCC) patients who underwent partial hepatectomy.

Methods: National Cancer Database (NCDB) was queried from 2004 to 2012 for patients with hepatocellular carcinoma (HCC) who underwent partial hepatectomy. Thirty-day unplanned readmission rate, and associated risk factors, was determined for 7,696 patients. The association between 30-day unplanned readmission and conditional 90-day mortality was further addressed.

Results: The 30-day unplanned readmission …

Reflection And Application Of Acue Course For Effective Teaching Practices, Diane Mejia

Q2S Enhancing Pedagogy

Q2S Reflection on the benefit and practical application of The Association of College and University Educator (ACUE) for Effective Teaching Practices course. Reflection includes results after utilizing these principles while teaching a Nursing Pediatric Clinical Lab. Specifically, this paper includes course design for learning outcome revision, assessments aligned with cognitive level, teaching methods corresponding to learning outcomes, and reflection on student response and refinement.

Writing Intensive Assignment In Dietetics, Dorothy Chen-Maynard

Q2S Enhancing Pedagogy

Development of a review manuscript as writing intensive assignment in an advanced nutrition course.

Effective Teaching Techniques To Engage Students: Acue Course Reflection, Rerhime Uku

Q2S Enhancing Pedagogy

The Association of Colleges and University Educators (ACUE) course in Effective Teaching Practices, was offered by the Teaching Resource Center (TRC) at California State University, San Bernardino. The course consisted of 25 modules designed to enhance teaching techniques for both face to face and online instruction. Every ACUE on-line learning module provided clarification on some common challenges and misconceptions associated with teaching techniques designed to connect with students. Scenarios that required faculty to observe and analyze video(s) depicting developing practice, facilitated a discussion of peer pedagogical approach to teaching in similar situations. Summary discussions prompted individual faculty to reflect on …

Perceptions Of Collaboration With A Doctor Of Clinical Laboratory Science, Leah Jane Ames

Graduate Research Theses & Dissertations

Every person in America seeks medical care at some point, trusting and relying on highly educated healthcare professionals and sophisticated technology to solve their medical problem. The majority of clinicians rely on laboratory testing to provide insight into a patient’s illness. Unfortunately, the appropriate laboratory tests are not always ordered correctly during a patient’s initial visit. A study that examined 15 years of inappropriate test utilization indicates that, on average, 20.6% of lab tests were ordered when they weren’t needed and 44.8% of lab tests that were needed were not ordered. This is considered a medical error that can lead …

A National Study Of Patient Safety Culture And Event Reporting – An Individual-Level Analysis Stratified By Staff Group And Work Area And A Hospital-Level Trend Analysis, Sara R. Samuel

Graduate Research Theses & Dissertations

Background: This study examined the association between patient safety culture and adverse event reporting in hospitals across the United States. Despite the known benefits of reporting, underreporting remains a pervasive problem. This study’s aims were to examine the associations between cultural dimensions and reporting, in terms of staff group, work area, and 2-year trends across hospitals.

Methods: This was a secondary analysis of national data from the 2018 Agency for Healthcare Research and Quality (AHRQ) Hospital Survey on Patient Safety Culture (HSOPSC), which included 630 hospitals and 382,834 respondents. Logistic regression, generalized linear mixed model, and multiple linear regression analyses …