Medicine and Health Sciences Commons^™

Carotid Endarterectomy Versus Carotid Stenting In The Prevention Of Stroke In Asymptomatic Carotid Artery Disease, Alison N. Stover

Capstone Showcase

Stroke is the leading cause of disability and second most common cause of death worldwide. Ischemic stroke accounts for 80% of all strokes, and are the result of the blood supply to the brain being interrupted abruptly. Atheroembolism, or a cholesterol embolism, is a major contributor to ischemic strokes. Due to this fact, treatment of carotid artery stenosis has been aimed at preventing atheroembolization by controlling plaque buildup in arteries before they have the chance to break off and cause harm. In an attempt to prevent future stroke (O) in adult patients with asymptomatic carotid artery disease (P), will performing …

The Effectiveness Of Nurse-Led Interventions To Prevent Childhood And Adolescent Overweight And Obesity: A Systematic Review Of Randomised Trials, Lisa Whitehead, Istvan (Ishti) Kabdebo, Melissa Dunham, Robyn Quinn, Jennifer Hummelshoj, Cobie George, Elizabeth Denney-Wilson

Research outputs 2014 to 2021

Background:

Obesity among children and adolescents continues to rise worldwide. Despite the efforts of the healthcare workforce, limited high-quality evidence has been put forward demonstrating effective childhood obesity interventions. The role of nurses as primary actors in childhood obesity prevention has also been underresearched given the size of the workforce and their growing involvement in chronic disease prevention.

Aim:

To examine the effectiveness of nurse-led interventions to prevent childhood and adolescent overweight and obesity.

Design:

A systematic review of randomised trials.

Data sources:

Medline, CINAHL, EMBASE, Cochrane (CENTRAL), ProQuest Central and SCOPUS were searched from inception to March 2020.

Review …

The Primary Care Provider’S Role In Screening And Intervening In The Human Trafficking Of Adolescents: A Systematic Literature Review, Brittany Schmid

All Graduate Theses, Dissertations, and Other Capstone Projects

Human trafficking (HT) is a growing concern within the United States (U.S.) and internationally. With the alarming number of HT victims presenting for medical care, primary care providers (PCPs) are in a unique and privileged position to encounter HT victims within the healthcare system. Adolescents, in particular, are vulnerable to HT because of minimal life experiences, inadequate social support, and limited coping mechanisms (Ertl et al., 2020). Failure to recognize and intervene in cases involving HT victims who are minors is detrimental to the individual’s health, wellbeing, and safety. With the assistance of education and training, community resources, guideline adoption, …

The Critical Need For A Culturally Sensitive Suicide Risk Assessment Instrument For American Indian And Alaska Native Youth, Courtney E. Shaw

All Graduate Theses, Dissertations, and Other Capstone Projects

Objective: This systematic literature review was conducted to better understand why there has been a significant increase in America Indian/Alaska Native (AI/AN) youth suicides in tribes across the United States today. The intent of this review is to understand key issues surrounding the increasing numbers of AI/AN youth with suicide ideation, plans, and attempt in order to be able to answer the following clinical question: Is there a valid and reliable culturally sensitive assessment tool designed to recognize at-risk AI/AN youth presenting for primary care? If not, what are key aspects to consider for developing an instrument that could …

The Impact Of A Plant-Based Diet On The Prevention And Management Of Type 2 Diabetes Mellitus, Megan E. Ziola

All Graduate Theses, Dissertations, and Other Capstone Projects

Background: In the United States, type 2 diabetes is on the rise. Through lifestyle modifications, adults can prevent, delay, or help manage diabetes. Consuming a plant-based diet means limiting or eliminating animal products while focusing on fruits, vegetables, and whole grains. This dietary habit may be beneficial when it comes to diabetes prevention and treatment.

Objectives: A literature review was conducted to determine the effects of a plant-based diet on the prevention and treatment of type 2 diabetes in adults.

Methods: The search process was limited to 2010-2020. The databases including Academic Search Premier, CINAHL, Cochrane Database of Systematic Reviews, …

Effectiveness Of Diet/Exercise In Prevention Of Gestational Diabetes Mellitus And Associated Cesarean Section Delivery, Jonathyn Marx

Physician Assistant Scholarly Project Posters

Gestational diabetes mellitus (GDM) is becoming a more common diagnosis during pregnancy. GDM is defined as glucose intolerance diagnosed during pregnancy. Women diagnosed with GDM during pregnancy are at an increased risk for emergent or planned cesarean section delivery and the development of overt diabetes mellitus post pregnancy. Complications related to GDM include eclampsia, macrosomia, shoulder dystocia, stillbirth, and cesarean section delivery. Initial treatment consists of diet and exercise and if glucose can not be controlled then pharmacotherapy is introduced. A literature review was performed utilizing scientific databases, mesh terms, and keywords to gather statistically relevant research to analyze the …

The Intra-And Inter-Rater Reliability Of A Hip Rotation Range-Of-Motion Measurement Using A Smartphone Application In Academy Football (Soccer) Players, Paul Spork, James O’Brien, Morris Sepoetro, Maximilian Plachel, Thomas Stöggl

Research outputs 2014 to 2021

The clinical assessment of hip rotation range-of-motion (ROM) is important for managing hip and groin injuries in footballers. Previously published reliability studies on hip ROM have employed protocols that are difficult to replicate under everyday clinical conditions. This single trial, intra-and inter-rater reliability study included 41 male academy football (soccer) players, aged 14–15 years, from one European football academy. Passive hip internal rotation (IR) and external rotation (ER) ROM were measured in supine with hip and knee flexed to 90◦ . The ROM was determined using a smartphone application, with the smartphone attached to the lower leg. The tests were …

Synopsis Of An Integrated Guidance For Enhancing The Care Of Familial Hypercholesterolaemia: An Australian Perspective, Gerald F. Watts, David R. Sullivan, David L. Hare, Karam M. Kostner, Ari E. Horton, Damon A. Bell, Tom Brett, Ronald J. Trent, Nicola K. Poplawski, Andrew C. Martin, Shubha Srinivasan, Robert N. Justo, Clara K. Chow, Jing Pang, Zanfina Ademi, Justin J. Ardill, Wendy Barnett, Timothy R. Bates, Lawrence J. Beilin, Warrick Bishop, J. Andrew Black, Alex Brown, John R. Burnett, Christina A. Bursill, Alison Colley, Peter M. Clifton, Elif I. Ekinci, Gemma A. Figtree, Brett H. Forge, Jacquie Garton-Smith, Dorothy F. Graham, Ian Hamilton-Craig, Christian R. Hamilton-Craig, Clare Heal, Charlotte M. Hespe, Amanda J. Hooper, Laurence G. Howes, Jodie Ingles, Edward D. Janus, Nadarajah Kangaharan, Anthony C. Keech, Andrew B. Kirke, Leonard Kritharides, Campbell V. Kyle, Paul Lacaze, Stephen C. H. Li, Stjepana Maticevic, Brendan M. Mcquillan, Sam Mirzaee, Trevor A. Mori, Allison C. Morton, David M. Colquhoun, Joanna C. Moullin, Paul J. Nestel, Kristen J. Nowak, Richard C. O'Brien, Nicholas Pachter, Michael M. Page, Peter J. Psaltis, Jan Radford, Nicola J. Reid, Elizabeth N. Robertson, Jacqueline D. M. Ryan, Mitchell N. Sarkies, Carl J. Schultz, Russell S. Scott, Christopher Semsarian, Leon A. Simons, Catherine Spinks, Andrew M. Tonkin, Frank Van Bockxmeer, Kathryn E. Waddell-Smith, Natalie C. Ward, Harvey D. White, Andrew M. Wilson, Ingrid Winship, Ann Marie Woodward, Stephen J. Nicholls, Peter Brett, Luke Elias, Wynand Malan, John Irvin, Kirsten Lambert, Annette Pedrotti, Fh Australasia Network Consensus Working Group

Research outputs 2014 to 2021

Introduction Familial hypercholesterolaemia (FH) is a common, heritable and preventable cause of premature coronary artery disease, with significant potential for positive impact on public health and healthcare savings. New clinical practice recommendations are presented in an abridged guidance to assist practitioners in enhancing the care of all patients with FH. Main recommendations Core recommendations are made on the detection, diagnosis, assessment and management of adults, children and adolescents with FH. There is a key role for general practitioners (GPs) working in collaboration with specialists with expertise in lipidology. Advice is given on genetic and cholesterol testing and risk notification of …

Implementing An Intimate Partner Violence Screening At A Connecticut Family Medicine Practice, Nikkole Turgeon

Family Medicine Clerkship Student Projects

Intimate partner violence (IPV) is a significant public health problem throughout the United States. The aim of this project was to implement a validated IPV screening form into the work flow of the Newtown Primary Care office and increase awareness about IPV throughout the office. The Hits, Insults, Threatens, Screams (HITS) screening form was implemented and resources from local domestic violence agencies were obtained for the office. A system was set up for patients who screen positive to be referred to the in-house therapist and to local domestic violence agencies. Future steps could include further training and education for the …

Wound Care In The Homeless Population- Chcb And Safe Harbor Clinic, Niveditha Badrinarayanan

Family Medicine Clerkship Student Projects

Most of the clinician interactions in the homeless community has prioritized acute needs over chronic complaints like wounds. An inherent distrust of the healthcare system is also common in the homeless community due to lack of access to care, transportation, insurance, et. This project is aimed at encouraging preventative care in the homeless community with respect to wound care to reduce their concerns about unaddressed complaints and also decrease the burden on the providers during their healthcare visits.

Increasing Fall Awareness Through Nursing Staff Education, Evelyn Ahiante Dennis

Walden Dissertations and Doctoral Studies

Patient falls are a significant healthcare concern, with the highest risk being among older adults aged 65 and older. A lack of nursing knowledge can contribute to patient falls. This DNP project was conducted in the medical-surgical trauma unit of a 137-bed local rehabilitation center in Northern Georgia. The intention of the project was to understand if a nursing staff education program would increase knowledge regarding falls prevention. Kurt Lewin’s change theory provided the framework for the project. The project participants were nine medical surgical nurses. Using the analysis, design, development, implementation (ADDIE) model, a falls prevention education program was …

A Behavioral Healthcare Approach To At-Risk Youth Substance Prevention Program Development, Debra Mcintyre

Walden Dissertations and Doctoral Studies

Providing quality services that meet the needs of clients is key to organizational sustainability for behavioral health organizations. Strategic development of substance prevention programs for at-risk youth will play an important role in capacity building. The focus of this study was to identify the need for developing a targeted and effective substance abuse prevention program to support at-risk youth who have trauma experiences before they begin misusing substances to cope with their challenges. The Baldrige excellence framework was used to guide this descriptive case study of a behavioral health organization in the Northeastern region of the United States. The data …

Demographic Characteristics And Response Preparedness Of Employed Adults To Ebola Virus Disease In Monrovia, Liberia, Beth Ann Sexton

Walden Dissertations and Doctoral Studies

AbstractEbola virus disease (EVD) is a deadly disease with no known cure and it caused an outbreak from 2014-2016 in Western Africa. Liberia had the highest morbidity and mortality; its capital city, Monrovia, was the focus of this study. The purpose of this research was to explore the association between sociodemographic and socioeconomic factors (gender, religion, age, occupation, education, and ward) and the use of preventative hygiene measures and understanding of EVD among working Monrovian adults. This population was chosen because 97% of the Monrovian population is employed, and thus serves as a good source for future public health campaigns. …

Perceived Addictiveness Of Marijuana, Tobacco And Alcohol Use In Vermont Youth And Young Adults: Associations Between Addiction Perceptions, Sociodemographics, And Substance Use, Julia C. West

Graduate College Dissertations and Theses

Dual and poly-tobacco and substance use are increasingly prevalent in youth and young adults. Current substance use prevention media efforts target addiction perceptions in young people; however, little is known about the perceived addictiveness of multiple substances among young people. The goal of the current study is to examine youth and young adults perceive addictiveness across several substances and the associations between addiction perceptions and substance use. Data were collected in Spring and Summer 2019 (Waves 1 and 2) as part of PACE Vermont, an online cohort study of Vermonters aged 12–25. Latent class analyses grouped participants by responses to …

Essentials Of A New Clinical Practice Guidance On Familial Hypercholesterolaemia For Physicians, Gerald F. Watts, David R. Sullivan, David L. Hare, Karam M. Kostner, Ari E. Horton, Damon A. Bell, Tom Brett, Ronald J. Trent, Nicola K. Poplawski, Andrew Martin, Shubha Srinivasan, Robert N. Justo, Clara K. Chow, Jing Pang

Medical Papers and Journal Articles

Familial hypercholesterolaemia (FH) is a common, heritable and preventable cause of premature coronary artery disease. New clinical practice recommendations are presented to assist practitioners in enhancing the care of all patients with FH. Core recommendations are made on the detection, diagnosis, assessment and management of adults, children and adolescents with FH. Management is under-pinned by the precepts of risk stratification, adherence to healthy lifestyles, treatment of non-cholesterol risk factors and appropriate use of low-density lipoprotein (LDL)-cholesterol-lowering therapies including statins, ezetimibe and proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors. The recommendations need to be utilised using judicious clinical judgement and shared …

Thinking Ethically About Hiv Pre-Exposure Prophylaxis: Retention In Care And Sexually Transmitted Infection Testing In A Southeastern United States Local Health Department In The Time Of Covid-19, Ellie Purdy

Electronic Theses and Dissertations

Local Health Departments (LHDs) are critical providers of Human Immunodeficiency Virus (HIV) and sexually transmitted infection (STI) prevention efforts. HIV Pre-Exposure Prophylaxis (PrEP) is an evolving public health initiative and practitioners should consider PrEP interventions in context of ethical decision-making and a broad STI prevention strategy as global incidence of bacterial STIs remains high and those at-risk for HIV are generally at-risk for other STIs. An evaluation of the Thinking Ethically framework and LHD PrEP services was performed to fill a gap in the literature and support program decision-making. A retrospective review of PrEP user medical records from a LHD …