Medicine and Health Sciences Commons^™

Healthy Acadia Mehaf Addiction Care Program. Year Three Summary, Mary Lindsey Smith Phd, Katie Rosingana Ba, Evelyn Ali Bs, Rachel M. Gallo Mph, Tyler Egeland Ba

Substance Use Research & Evaluation

No abstract provided.

Multi-Morbidities Are Not A Driving Factor For An Increase Of Copd-Related 30-Day Readmission Risk, Shuo-Yu Lin, Hong Xue, Yangyang Deng, Askar Chukmaitov

Health Policy Publications

Background and Objective: Chronic obstructive pulmonary disease (COPD) is the third leading cause of death in the United States. COPD is expensive to treat, whereas the quality of care is difficult to evaluate due to the high prevalence of multi-morbidity among COPD patients. In the US, the Hospital Readmissions Reduction Program (HRRP) was initiated by the Centers for Medicare and Medicaid Services to penalize hospitals for excessive 30-day readmission rates for six diseases, including COPD. This study examines the difference in 30-day readmission risk between COPD patients with and without comorbidities.
Methods: In this retrospective cohort study, we used Cox …

Trajectories In Muscular Strength And Physical Function Among Men With And Without Prostate Cancer In The Health Aging And Body Composition Study, Alexander R. Lucas, Rhonda L. Bitting, Jason Fanning, Scott Isom, W. Jack Rejeski, Heidi D. Klepin, Stephen B. Kritchevsky

Health Policy Publications

Objectives

To examine and compare changes in strength and physical function from pre- to post-diagnosis among men with prostate cancer (PC, [cases]) and matched non-cancer controls identified from the Health, Aging and Body Composition (Health ABC) study.

Materials and methods

We conducted a longitudinal analysis of 2 strength and 3 physical function-based measures among both cases and controls, identified from a large cohort of community living older adults enrolled in the Health ABC study. We plotted trajectories for each measure and compared cases vs. controls from the point of diagnosis onwards using mixed-effects regression models. For cases only, we examined …

A Case Of Thoracic Spondylosis Deformans And Multilevel Instrumented Spinal Fusion In An 84-Year-Old Male., Amy H Amabile, J Raymond Shea, Vishal Desai, Lisa T Hoglund, Jamie N Elcock, Anthony Lombardo, Matthew C Schiffino

Department of Physical Therapy Faculty Papers

Spondylosis deformans is a type of spinal claw osteophytosis which can be found on the anterolateral vertebral bodies of any region, and which consists of protrusions of intervertebral disc tissue covered by a bony shell. We report here a case of thoracic spondylosis deformans and multilevel instrumented fusion found during routine dissection of a cadaver. Theories of the etiology of this condition are reviewed in general, and with respect to this specific case and the potential interaction of the presenting comorbidities. The clinical implications of these osteophytes, including musculoskeletal and visceral sequelae, are also discussed.

Addition Of Olive Oil To Diet Of Rats With Mild Pre-Gestational Diabetes Impacts Offspring Β-Cell Development, Daniel Hardy, Edith Arany

Data and Test Instruments

No abstract provided.

Endothelial Injury And Glycocalyx Degradation In Critically Ill Coronavirus Disease 2019 Patients: Implications For Microvascular Platelet Aggregation, Douglas Fraser

Data and Test Instruments

No abstract provided.

Inflammation Profiling Of Critically Ill Coronavirus Disease 2019 Patients, Douglas Fraser

Data and Test Instruments

No abstract provided.

Novel Outcome Biomarkers Identified With Targeted Proteomic Analyses Of Plasma From Critically Ill Coronavirus Disease 2019 Patients, Douglas Fraser

Data and Test Instruments

No abstract provided.

Perinatal Protein Restriction With Postnatal Catch-Up Growth Leads To Elevated P66shc And Mitochondrial Dysfunction In The Adult Rat Liver, Daniel Hardy, Shelby Oke

Data and Test Instruments

No abstract provided.

Mass Casualty Exercises: A Guide Book For Mass Casualty Training, Rich Hilsden, Shane Smith, Vivian Mcalister

Data and Test Instruments

No abstract provided.

Anderson Ruffin Abbott (1837 - 1913), Vivian Mcalister, Catherine Slaney

Data and Test Instruments

No abstract provided.

Composite Outcomes For Clinical Trials In Critical Care: The Devil Is In The Detail, Saptharishi Lalgudi Ganesan, Narayanan Parameswaran

Data and Test Instruments

No abstract provided.

An Examination Of Clinical Uptake Factors For Remote Hearing Aid Support: A Concept Mapping Study With Audiologists, Danielle Glista, Robin O’Hagan, Sheila Moodie, Susan Scollie

Communication Sciences and Disorders Publications

© 2020 The Authors. Published by Informa UK Limited, trading as Taylor & Francis Group on behalf of British Society of Audiology, International Society of Audiology, and Nordic Audiological Society. Objective: To develop a conceptual framework around the factors that influence audiologists in the clinical uptake of remote follow-up hearing aid support services. Design: A purposive sample of 42 audiologists, stratified according to client-focus of either paediatric or adult, were recruited from professional associations in Ontario, Canada, as members of the six-step, participatory-based concept mapping process. Analyses included multidimensional scaling and hierarchical cluster analysis. Results: Six main themes emerged from …

Evaluation Of Hearing Aid Manufacturers' Software-Derived Fittings To Dsl V5.0 Pediatric Targets, Paula Folkeard, Marlene Bagatto, Susan Scollie

Communication Sciences and Disorders Publications

Background Hearing aid prescriptive methods are a commonly recommended component of evidence-based preferred practice guidelines and are often implemented in the hearing aid programming software. Previous studies evaluating hearing aid manufacturers' software-derived fittings to prescriptions have shown significant deviations from targets. However, few such studies examined the accuracy of softwarederived fittings for the Desired Sensation Level (DSL) v5.0 prescription. Purpose The purpose of this study was to evaluate the accuracy of software-derived fittings to the DSL v5.0 prescription, across a range of hearing aid brands, audiograms, and test levels. Research Design This study is a prospective chart review with simulated …

Postnatal Catch-Up Growth Leads To Higher P66shc And Mitochondrial Dysfunction., Shelby Oke, Gurjeev Sohi, Daniel Barry Hardy

Physiology and Pharmacology Publications

Epidemiological data suggest an inverse relationship between birth weight and long-term metabolic deficits, which is exacerbated by postnatal catch-up growth. We have previously demonstrated that rat offspring subject to maternal protein restriction (MPR) followed by catch-up growth exhibit impaired hepatic function and ER stress. Given that mitochondrial dysfunction is associated with various metabolic pathologies, we hypothesized that altered expression of p66Shc, a gatekeeper of oxidative stress and mitochondrial function, contributes to the hepatic defects observed in MPR offspring. To test this hypothesis, pregnant Wistar rats were fed a control (20% protein) diet or an isocaloric low protein (8%; LP) diet …

Quantification Of Joint Blood Flow By Dynamic Contrast-Enhanced Near-Infrared Spectroscopy: Application To Monitoring Disease Activity In A Rat Model Of Rheumatoid Arthritis, Seva Ioussoufovitch, Laura B. Morrison, Lise Desjardins, Jennifer A. Hadway, Keith St Lawrence, Ting Yim Lee, Frank Beier, Mamadou Diop

Physiology and Pharmacology Publications

No abstract provided.

Functional Electrical Stimulation Plus Visual Feedback Balance Training For Standing Balance Performance Among Individuals With Incomplete Spinal Cord Injury: A Case Series, David J Houston, Jae W Lee, Janelle Unger, Kei Masani, Kristin E Musselman

Physical Therapy Publications

Individuals with an incomplete spinal cord injury (iSCI) are highly susceptible to falls during walking or standing. Our objective was to evaluate a therapeutic tool for standing balance that combined functional electrical stimulation, applied bilaterally to the plantarflexors and dorsiflexors, with visual feedback balance training (FES+VFBT). Five adults with iSCI completed 12 FES+VFBT sessions over 4 weeks. During the training sessions, participants completed each of the four balance exercises twice. Visual feedback of the center-of-pressure (COP) location was provided as participants completed the balance exercises and received FES to assist with performance of the exercises. A closed-loop FES system was …

Ua10/1 Vitality Report, Wku Suzanne Vitale Clinical Education Complex

WKU Administration Documents

Newsletter created by and about the Suzanne Vitale Clinical Education Complex.

• Moore, Mary. From the Director's Desk
• Mudd, Aaron. WKU Breaks Ground on Residential Program for Adults on Autism Spectrum - LifeWorks
• Swietek, Molly. Fellowship Continues at WKU Public Broadcasting
• Kersting, Frank. What is CEC's Value to WKU?
• Whittinghill, Cindi. A Caregiver's Perspective - Renshaw Early Childhood Center
• Sales, Shannon. Financial Education Added for Familes
• Sales, Shannon. Family Fun Day 2020 Date Released
• Schaeffer, Beth. RECC Students Say Hello in Many Languages
• Collins, Peyton. Circle of Support Students Thrive
• Sales, Shannon. Special Needs Expo Offers Families Hope
• Hudson, Caroline. Literacy …

Improving Workplace Incivility By Educating Frontline Nurse Leaders: The Charge Nurse, Temika Ford

Doctor of Nursing Practice Projects

The term workplace incivility is often replaced interchangeably with workplace bullying, horizontal/lateral violence, psychosocial harassment, intimidating behavior, and/or aggression (micro/macro). Workplace incivility in nursing has lasting effects on the profession through worsening the nursing shortage, contributing to low morale, negative working environments, safety issues for staff and patients, stress-related health problems, absenteeism, and decreased quality of patient care. Incivility can be from a variety of sources including: Nurse managers, clinical team leads, unit coordinators, physicians, patients, and other healthcare professionals. Buy-in by nursing executive leadership and evidence-based education for nurses is mandatory to address organizational incivility.

The purpose of this …

Implementing Safeplan: A Communication Template For Emergency Nurses Caring For Psychiatric Patients, Michele Leigh Rudisill

Doctor of Nursing Practice Projects

This DNP Project explored the impact of introducing a communication template for emergency department (ED) nurses to use during handoff when caring for psychiatric patients. This need was identified as ED nurses are now caring for psychiatric patients for longer periods of time in the ED setting, sometimes weeks to months, due to limited inpatient mental health resources and resources in the community. ED nurses’ perceptions were surveyed and the need for a standardized, yet flexible communication template was identified. The literature was reviewed, and no such template was identified specific to ED nurses caring for the psychiatric patient population. …

Assessment Of Intensive Care Family Satisfaction, Jami Burnette

Doctor of Nursing Practice Projects

There continues to be an unknown factor in knowing true patient and family satisfaction within the intensive care unit (ICU) setting. Current literature reveals surveys used to measure patient satisfaction do not pertain to the ICU setting. Patients often do not remember the ICU stay due to critical illness and are unable to actively participate with care. Families act as surrogates, are included in patient care, and collaborate with nursing and medical teams to help make care decisions. Families are integral in the patient care process and are vital members of the health care team. Even though families are included …

Donut Hole Fall 2020, Medicare Donations & Design Committee

Donut Hole Newsletter

No abstract provided.

Optimal Nutrition In Pregnancy, Monica G. Daugherty

All Electronic Theses and Dissertations

This review provides valuable evidence for nurse-midwives about the major role that nutrition plays in the well being of the mother-infant dyad. Nutrition affects the pregnancy, maternal outcomes, and neonatal outcomes. Education about nutrition provided by nurse-midwives can help shape women’s experiences in a positive manner, safeguarding their pregnancy, their future, and their children’s future.

Doctor Recommendations Are Related To Patient Interest And Use Of Behavioral Treatment For Chronic Pain And Addiction, Lisa M. Mcandrew, Alexandria Brunkow, Margeaux Cannon, Fiona S. Graff, Jessica L. Martin, Leslie R.M. Hausmann

Educational & Counseling Psychology Faculty Scholarship

The opioid crisis has highlighted the importance of improving patients’ access to behavioral treatments for chronic pain and addiction. What is not known is if patients are interested in receiving these treatments. In this cross-sectional study, over 1000 participants with chronic pain were surveyed using an anonymous online questionnaire on Amazon Mechanical Turk (Mturk) to investigate participants’ use of and interest in pharmacological and behavioral treatments for chronic pain and addiction. Participants also indicated whether their doctor had recommended these treatments. The majority of participants reported using medication for their pain (83.19%) and that their doctor recommended medication (85.05%), whereas …

Successful Mentorship In Perioperative Surgical Services Can Happen! Developing The M.A.P.P. (Mentorship Amongst Peers Program), Natalie Sorensen, Diane Hanson-Johnson

VCU Health Nursing

Description of Team: Multidisciplinary team consisting of Nurse Educators, Registered Nurses, Certified Surgical Technologist, Administrative Staff, and a Health Care Partner. This team came together with a common goal of improving morale, breaking out of silos, and ultimately increasing retention throughout Perioperative Surgical Services.

Preparation and Planning: Research was performed previously on retention by Clinical IV Registered Nurse as part of her Master’s in Nursing program thesis. She presented the research to department leaders as a method to improve satisfaction and in turn, increase retention. In April 2018 a mentoring planning workshop was held with team members from each unit …

Deleting A Sacred Cow From The Emr: Removing Gastric Residual Volume Assessments, Christoph Lecznar

VCU Health Nursing

Purpose: The purpose of this Evidence-based practice (EBP) project was to implement current guidelines related to gastric residual volume (GRV) assessments for monitoring of feeding intolerance.

Background: Metabolic support of patients is critical for the survival of critical illness and optimal recovery. Enteral nutrition is the preferred method of delivery, but its success is dependent upon the bedside clinician₂. Current clinical practice guidelines do not support the practice of monitoring GRVs however₂; greater than 98% of critical care nurses utilize GRV monitoring to assess for feeding intolerance₁. In our urban Academic Level I Trauma …

The Role Of Feedback In Leader Identity Development: An Examination Of The Impact Of The Deficits-Based Versus Strengths-Based Feedback, Thiraput Pitichat

CGU Theses & Dissertations

The aim of this dissertation is to investigate the relationship between feedback and leader identity, particularly the impact of deficits-based versus strengths-based feedback. This dissertation consists of two empirical studies: 1) a cross-sectional, online experiment (N = 280) and 2) a cross-sectional, field experiment (N = 177). I examined the impact of feedback on leader identity through the mechanisms of cognitive controlled processing and effort. I found that receiving leadership feedback was important in shaping leader identity. Specifically, feedback that focused on leadership strengths increased new leaders’ positive emotions, which positively influenced their leader identity. However, feedback that highlighted leadership …

An Innovative Editing Service For Medical Students, Lisa Price

Libraries Scholarship

Background: The Library serves students, staff and faculty of the Rowan University School of Osteopathic Medicine and related Graduate School of Biomedical Sciences. Students face the daunting yet crucial tasks of preparing Personal Statements for residency, scholarship and other applications. Students and residents are also encouraged to seek publication opportunities. We recognized a need for proofreading and editing assistance, and one of our librarians had the background and experience to provide such a service.

Description: We developed a flyer announcing available services and distributed it within the library, at student and residency orientations, committee meetings and other appropriate campus events. …

Girls' And Parent's Satisfaction With A Summer Virtual H.E.A.L.T.H Camp, Joan Nakakande, Adejoke Ayoola

Summer Research

Health promotion among all populations— including children and adolescents— is one of the national preventive strategies recommended by the Robert Wood Johnson Foundation (RWJF). Some of the most serious precursors to health problems affecting the population of the United States are obesity, depression, and unintended pregnancy. The health consequences of these mostly preventable conditions will hinder individuals, families, and communities from long and healthy lives now and for generations to come. The fifth annual virtual Health Education and Leadership Training for a Hopeful Future (HEALTH) Camp was conducted over Zoom from June 15 to 23. The camp was designed to …

Cardiorespiratory Fitness, Balance And Walking Improvements In An Adolescent With Cerebral Palsy (Gmfcs Ii) And Autism After Motor-Assisted Elliptical Training, Guilherme Manna Cesar, Thad W. Buster, Judith M. Burnfield

Department of Mechanical and Materials Engineering: Faculty Publications

Purpose: To quantify the impact of motor-assisted elliptical (ICARE) training on cardiorespiratory fitness, balance and walking function of an adolescent with walking limitations due to cerebral palsy.

Materials and methods: A thirteen-year-old boy with hemiplegic cerebral palsy (Gross Motor Function Classification System II) and autism participated. Peak oxygen consumption (peak VO₂, primary outcome measure), oxygen cost of walking, Pediatric Balance Scale (PBS), modified Timed Up and Go (mTUG), 2-Minute Walk Test (2MWT), and gait characteristics (speed, cadence, step length, single support time) were assessed prior to and after completion of 24 sessions of moderate- to vigorous- intensity ICARE …