Medicine and Health Sciences Commons^™

A Spectrum Of Chest Radiographic Patterns In Covid Patients., Devta Viswam

Kasturba Medical College, Mangalore Theses and Dissertations

No abstract provided.

2021-04-25_Michiganoverview_Covidsymptoms, Michigan Department Of Health & Human Services

Michigan COVID-19 Syndromic Surveillance System Data

The Syndromic Surveillance System Data report was obtained from Michigan's COVID-19 dashboard, from under the link "​Coronavirus Symptoms": https://www.michigan.gov/coronavirus. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated daily.

Syndromic Surveillance System data is obtained from approximately 183 facilities participating in syndromic surveillance (132 Emergency Departments (ED), 51 Urgent Cares) across the State of Michigan. The reporting is based on individuals who present at EDs and may not be representative of the overall population. The coronavirus-like symptoms query searches visit free-text (chief complaint, triage notes, and clinical impression) for fever or …

Yoga For Traumatic Stress: An Occupation, Morgan Farris

Department of Occupational Therapy Entry-Level Capstone Projects

Physicians in the medical field are beginning to dive deeper into the effects of trauma experienced by individuals of all ages. The effects of trauma can mask itself in a plethora of undesirable or debilitating behaviors. The word, trauma, can now be heard in relation to military veterans, throughout courtrooms and in hospitals, and even in classrooms of even the youngest of populations. Trauma can result from a single distressing event, to years of abuse, neglect, or stressful events. Undoubtedly, any traumatic event can have an impact on a person’s ability to function and cope with daily life. Whether the …

Doctoral Capstone Experience With A Neurological Population, Courtney E. Groce

Department of Occupational Therapy Entry-Level Capstone Projects

Through the completion of a doctoral capstone experience, an entry-level occupational therapy doctoral student is able to further develop advanced skills. The doctoral capstone experience is during the student’s last semester in the program and is 16 weeks long. The doctoral capstone experience consists of both a culminating project and the experience itself. The capstone project is “comprised of a literature review, needs assessment, goals/objectives, and an evaluation plan based on specific focus areas” (ACOTE, 2020). The Nova Southeastern University Entry-Level Doctor of Occupational Therapy Doctoral Capstone Manual states that “the goal of the doctoral capstone project and experience is …

With Proof-Hd In The Lead, The Huntington’S Disease Drug Pipeline Is Still 'Full Of Hope' (Coping With Disappointing Clinical Trial Results – Part Ii), Kenneth P. Serbin

At Risk for Huntington's Disease

No abstract provided.

Characteristics And Outcomes Of Bacteremic Pneumococcal Pneumonia Of Patients With And Without Hiv Infection In Argentina, Alejandra González

The University of Louisville Journal of Respiratory Infections

Streptococcus pneumoniae is the main causative agent of pneumonia, with a 10 to 25 percent rate of isolation in blood cultures. Controversies exist regarding the prognostic impact of a history of human immunodeficiency virus (HIV) infection on community-acquired pneumonia.

The aim of our work was to analyze and compare the clinical presentation, radiological findings and progression of pneumococcal pneumonia in patients infected with and not infected with HIV. We retrospectively analyzed adult patients with positive blood cultures for Streptococcus pneumoniae and clinical and radiological findings compatible with pneumonia in the period between January 2012 and May 2017. Age, sex, comorbidities, …

Integrating The Concept Of Trauma Into An Undergraduate Nursing Curriculum, Jacey Walker

DNP Projects

Adverse childhood experiences, or ACEs, are early childhood traumas such as abuse, neglect or household dysfunction that can cause chronic physical and mental health problems across the lifespan. Approximately 61% of the adults in the United States have experienced ACEs. The prevalence of ACEs among nurses is at least comparable to population prevalence, and rates may be higher in subpopulations of individuals who work in helping professions. The stressful and highly interpersonal nature of nursing work may exacerbate and compound the health impacts of a nurse’s underlying ACEs, affecting not only the nurse’s health, but also his or her work …

Dnp Final Report: Cultivating A Culture Of Civility In A Baccalaureate Nursing Program: A Doctor Of Nursing Practice Evidencebased Practice Project, Monica Sowell

DNP Final Reports

Incivility is a well-known issue in nursing, negatively impacting every aspect of the profession. In response to high incivility levels within a baccalaureate nursing program in central Texas, an incivility education module was created for use in adult medical-surgical courses. The module incorporated online preparatory learning followed by active classroom learning, roleplay practice, and faculty modeling to teach students to define, identify, and respond to incivility using evidence-based cognitive-behavioral strategies. Data was collected pre-education implementation and at three post-education time points to evaluate student self-efficacy changes in recognizing and responding to incivility. The COVID-19 pandemic necessitated changing the education delivery …

Measuring And Leveraging Motives And Values In Dietary Interventions, Sarah J. Eustis, Gabrielle Turner-Mcgrievy, Swann A. Adams, James R. Hébert Scd

Faculty Publications

Why measure and leverage food motives and values? Every failure and every success in dietary change can be connected to motivation. Therefore, this research question naturally arises: How can food motives and values be measured and leveraged to improve diet outcomes from the individual to populations? There are four ways that food motives and values (FMVs) can assist researchers and health professionals. First, FMVs can help to create a personalized approach to dietary change. Second, FMVs can inform content for dietary interventions. Third, these FMV measures can be used in data analysis to elucidate differences in adherence and outcomes among …

Music Therapy For Treatment Of Bpsd, Heather Cunningham

MSN Capstone Projects

Alzheimer's disease can cause a decline in cognitive and physical abilities, however, behavioral and psychological issues can occur as well. With the many ways to alleviate behavioral and psychological symptoms in dementia (BPSD), music therapy shows to be an effective, low-cost, feasible, and safe option for patients. Music therapy can reduce BPSD and equips caregivers with a non-pharmalogical way to provide their loved ones with comfort.

Earplugs For Intensive Care Unit Delirium Prevention: Impact Of An Evidence-Based Intervention On Patient Outcomes, Morgan P. Click

MSN Capstone Projects

Delirium is characterized by the abrupt onset of significant confusion that may cause the patient to become agitated, aggressive, unable to focus, and sometimes hallucinate. Intensive care unit (ICU) delirium is a large area of focus for current research to help understand the causes, preventative measures, and potential treatments. This problem isn’t only faced in the hospital setting, but can affect patients long after discharge. The PICOT question guiding this benchmark project stated: In adult ICU patients (P), how does the use of earplugs (I) compared to the use of no earplugs (C) affect the patient’s future risk of ICU …

Effects Of Alternate Pain Therapies With Scheduled Pain Meds, Ebubechukwu F. Ojukwu

MSN Capstone Projects

Despite the high possibility of saving lives and improving general welfare, surgery can also lead to potential harm, including acute and long-term pain. Postoperative pain control is an essential step of the surgical care plan and is critical in improving the patient’s outcome. Pain can be treated in several ways, but in the health care system the primary method used is through medication. The aim of this project is to use literature to explore the following picot question: In post-surgical patients (P) how the implementation of alternative pain control methods (I) paired with narcotics/opioids (C) compared to only using medications …

Workplace Violence Interventions: A Benchmark Project, Madison Orwosky

MSN Capstone Projects

Workplace violence incidence rates are increasing in the medical field. The staff in the emergency department (ED) is especially prone to these workplace violence events due to patients arriving in such unpredictable states. Alarmingly, most medical staff members report experiencing some type of workplace violence, whether that is verbal, physical, or sexual violence. The former director of the Parkland ED sent out a survey to the ED staff regarding workplace violence. Out of 145 participants that completed this survey, 121 participants reported that they had personally experienced a workplace violence event. This survey data illuminates that a change is warranted …

Telemedicine In Schizophrenia, Stacy H. Williams

MSN Capstone Projects

Schizophrenia is a chronic neurological brain disorder that affects approximately 2.6 million adults in the United States alone. This condition affects twenty million people worldwide according to the World Health Organization. “Patients with schizophrenia often die at a considerably younger age than the rest of the population,” (Wallace, 2017). The treatment of this condition is complex because of the array of different symptoms and presented behaviors. Treatment consists of targeting the symptoms. This is done with medication and psychotherapeutics treatments. ‘Despite continued therapeutic advances, the life expectancy of patients with schizophrenia is reduced by approximately 10-25 years compared to that …

Efficacy Of Advanced Prehospital Communication In Acute Ischemic Stroke Treatment, Dylan Horinek

MSN Capstone Projects

Ischemic stroke outcomes are directly affected by time to treatment. This intervention demonstrates promise in decreasing time to treatment by optimizing pres-hospital communication, basically giving a report to providers and registration information before the patient arrives at the facility. The use of an advanced digital application has demonstrated in multiple studies significant difference in time to treatment in ischemic stroke, and ultimately leads to improved patient outcomes, increased staff satisfaction, and increased facility revenue.

Aromatherapy Essential Oil Usage In Managing Chemotherapy Side Effects: A Benchmark Study, Ariana C. Smith

MSN Capstone Projects

This capstone project details the usage of essential oil aromatherapy in managing the common side effects of chemotherapy in the outpatient setting. Patients often report that these side effects to to burdensome and place significant effects on one's quality of life. Through this project, viewers will learn about four common oils, including ginger oil, lavender oil, peppermint oil, and orange oil in managing the side effects of chemotherapy.

Video Education On Fever To Empower And Educate Caregivers, Amanda April Thiel

MSN Capstone Projects

Nursing research and evidence-based practice are an essential part of the nursing profession. This paper includes discussion of the evidence to support an evidence-based benchmark project using a video to educate caregivers on how to care for a child experiencing a fever and an overview of the proposed project process. Fever has been shown to cause parental anxiety, and caregivers tend to seek medical help due to lack of education on how to care for a child with a fever (Bertille et al., 2018; Gunduz et al., 2016). The following PICOT question is the foundation of the proposed benchmark project: …

Protocol For Conducting Procedural Skills Training With Simulators: A Critical Proposal, Gleyvis Coro-Montanet, Julia Sánchez-Ituarte, Ana De La Hoz-Calvo, María Jesús Pardo-Monedero

Higher Learning Research Communications

Task trainer simulators are often used in medical programs for bachelor’s degree students when teaching procedural skills. They provide the opportunity to practice dangerous maneuvers that students are not ready to perform on real patients yet. The rise of technology has vastly expanded the availability of these devices for use in teaching. To develop a protocol that would account for the complexities of psychomotor learning, based on student progress, and improve training quality, we designed a protocol for the bachelor’s degree program in dentistry. We justify the key elements of the proposal and explain the full working protocol.

2021-04-24_Michiganoverview_Covidstats, Michigan Department Of Health & Human Services

Cumulative Michigan COVID-19 Data

The COVID Overview page was obtained from Michigan's main COVID-19 page: https:/www.michigan.gov/coronavirus/0,9753,7-406-98163-520743--,00.html.

The State of Michigan is working around the clock to test and treat COVID-19 patients. Below is the most recent data healthcare experts across the state have compiled. It is updated Monday - Saturday.
This report is provisional and subject to change. City of Detroit and Wayne County are reported separately. MDHHS began tracking probable cases April 5, 2020. FCI indicates federal correctional institute. MDOC indicates Michigan Department of Corrections. Diagnostic tests, including nucleic acid amplification/real-time polymerase chain reaction (NAAT/RT-PCR) and rapid virus antigen detection point of …

2021-04-24_Michiganoverview_Covidsymptoms, Michigan Department Of Health & Human Services

Michigan COVID-19 Syndromic Surveillance System Data

The Syndromic Surveillance System Data report was obtained from Michigan's COVID-19 dashboard, from under the link "​Coronavirus Symptoms": https://www.michigan.gov/coronavirus. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated daily.

Syndromic Surveillance System data is obtained from approximately 183 facilities participating in syndromic surveillance (132 Emergency Departments (ED), 51 Urgent Cares) across the State of Michigan. The reporting is based on individuals who present at EDs and may not be representative of the overall population. The coronavirus-like symptoms query searches visit free-text (chief complaint, triage notes, and clinical impression) for fever or …

Nicotinamide Provides Neuroprotection In Glaucoma By Protecting Against Mitochondrial And Metabolic Dysfunction., James R Tribble, Amin Otmani, Shanshan Sun, Sevannah A Ellis, Gloria Cimaglia, Rupali Vohra, Melissa Jöe, Emma Lardner, Abinaya P Venkataraman, Alberto Domínguez-Vicent, Eirini Kokkali, Seungsoo Rho, Gauti Jóhannesson, Robert W. Burgess, Peter G Fuerst, Rune Brautaset, Miriam Kolko, James E Morgan, Jonathan G Crowston, Marcela Votruba, Pete A Williams

Faculty Research 2021

Nicotinamide adenine dinucleotide (NAD) is a REDOX cofactor and metabolite essential for neuronal survival. Glaucoma is a common neurodegenerative disease in which neuronal levels of NAD decline. We assess the effects of nicotinamide (a precursor to NAD) on retinal ganglion cells (the affected neuron in glaucoma) in normal physiological conditions and across a range of glaucoma relevant insults including mitochondrial stress and axon degenerative insults. We demonstrate retinal ganglion cell somal, axonal, and dendritic neuroprotection by nicotinamide in rodent models which represent isolated ocular hypertensive, axon degenerative, and mitochondrial degenerative insults. We performed metabolomics enriched for small molecular weight metabolites …

Final Culminating Project: Program Development, Erin Helms

Department of Occupational Therapy Entry-Level Capstone Projects

This 16-week capstone project was completed at Parker Place, a children’s health, and wellness center, with a focus on program development and advocacy with additional work related to leadership and administration. The overall goal of the capstone project was to determine the benefit of using an occupation-based approach to enhance health outcomes for the patients at Parker Place. The capstone student provided education about the role of occupational therapy in a non-traditional setting, created a program to help patients acquire sustainable healthy habits, developed a workshop for families struggling to maintain a healthy lifestyle, and provided resources about picky eating …

The Effects Of Combining Relaxation Strategies With Cognitive Behavioral Therapy For Insomnia On Sleep, In Service Members With A History Of Mild Traumatic Brain Injury, Tamatha A. Gallegos

MOT Student Capstones

Objective: To determine if combining Cognitive Behavioral Therapy for Insomnia with Relaxation Strategies is effective on sleep disorders in military members after sustaining a traumatic brain injury or concussion(s). Methods: 17 Needs Assessment Surveys were distributed, 13 pre-surveys, 13 post-surveys, and an electronic educational session was created and distributed. The educational session was created after conducting extensive research on evidence-based practices. Methods of Analysis incorporated quantitative data to be gathered from the surveys to identify recurring themes or patterns. Participants were identified as Occupational Therapists or Occupational Therapy Assistants. Results: The Needs Assessment revealed very few occupational therapy professionals used …

2021-04-24_Michigandaily_Covidmap, Michigan Department Of Health & Human Services

Daily Michigan COVID-19 Update

The "WHERE WE STAND WITH COVID-19" map was obtained from Michigan's main COVID-19 page: https://www.michigan.gov/coronavirus. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated daily at 3p.m., Monday - Saturday.

The State of Michigan is working around the clock to test and treat COVID-19 patients. Below is the most recent data healthcare experts across the state have compiled.

The image contained a map, indicating total cases by county, and also provides statistics on Total Confirmed Cases, Total COVID-19 Deaths, Daily Confirmed Cases, and Daily COVID-19 Deaths. There …

Characterizing Subtypes And Neural Correlates Of Receptive Aprosodia In Acute Right Hemisphere Stroke, Shannon M. Sheppard, Erin L. Meier, Alexandra Zezinka Durfee, Alex Walker, Jennifer Shea, Argye E. Hillis

Communication Sciences and Disorders Faculty Articles and Research

Introduction: Speakers naturally produce prosodic variations depending on their emotional state. Receptive prosody has several processing stages. We aimed to conduct lesion-symptom mapping to determine whether damage (core infarct or hypoperfusion) to specific brain areas was associated with receptive aprosodia or with impairment at different processing stages in individuals with acute right hemisphere stroke. We also aimed to determine whether different subtypes of receptive aprosodia exist that are characterized by distinctive behavioral performance patterns.

Methods: Twenty patients with receptive aprosodia following right hemisphere ischemic stroke were enrolled within five days of stroke; clinical imaging was acquired. Participants completed …

Empowering Nurse Practitioners To Make Health Policy Change: A Guide To Successful Passage Of Legislation In Utah, Heather Merrill, Lacey Eden, Karlen Beth Luthy

Student Works

Introduction: There is growing political apathy among nurses. This trend must be reversed to make meaningful change in healthcare. In 2017, the authors championed a bill, House Bill 308 Substitution 2 (HB 308 Sub 2), which passed in the Utah Legislature.

Guide: This health policy paper details the process of enacting HB 308 Substitution 2 to guide Nurse Practitioners in enacting legislation. The steps detailed to enact legislation are based on the acronym CHANGE which stands for collecting data, hinge, associations, negotiate, gather, and expect to be the expert. Basics of the legislature are also explained such as timing, the …

Essure: The Iud Story We Should Have Seen Coming, Jessica Mahoney

Health Studies Capstones

Female sterilization is the second most common contraceptive method used by women in the U.S.. Historically, the procedure was done via laparoscopic surgery. However, in 2002, Bayer’s new female contraceptive device called Essure was approved by the FDA, allowing hysteroscopic sterilization. The Essure device is essentially a small metal coil that is inserted into each fallopian tube with the intention of causing swelling and scarring that closes off the tubes. The device was attractive for many women and physicians because the procedure could be performed in a doctor’s office rather than an operating room. As of 2015, 750,000 women had …

Tuberculosis And Poor Health Among Migrant And Seasonal Farmworkers In The United States, Lucy Cummins

Health Studies Capstones

The following paper will explore the prevalence of TB among migrant and seasonal farmworkers in the United States, and the systemic forces that contribute to that prevalence. Cyclical of poverty, dangerous working conditions, and barriers to healthcare overall have all led to increased risk of TB infection for farmworkers and their families. Moreover, structural violence traps these farmworkers in conditions of increased risk that have a major impact on their general health. Thus, the issue of TB is not a single issue, but one that relates to a range of social, economic, and political factors. Improving TB outcomes for farmworkers …

Implementation Of The Deterioration Index: A Benchmark Study, Danielle E. D'Aquisto

MSN Capstone Projects

With Intensive Care Unit (ICU) and Emergency Department (ED) beds extremely limited during this pandemic, it is time to implement an automated early warning scoring index to assist nurses in identifying clinical deterioration prior to the patient becoming clinically unstable. The goal of using this risk score is early identification of clinical deterioration, with early intervention, and thereby decreasing cardiac arrests outside of the ICU and decreasing unplanned ICU admissions. There are multiple early warning scoring tools, but they all serve one purpose, to calculate a score based upon nursing and physician assessments, lab values, and medical history that will …

Structure Sparsity Of The Spot Optimization In Proton Arc Therapy, Lewei Zhao

Conference Presentation Abstracts

Radiation therapy is one of the main cancer treatments that uses radiation to kill cancer cells. Proton therapy, or proton radiotherapy, is a type of particle therapy that uses a beam of protons to irradiate tumor volume. Beaumont proton therapy center research group invented the first robust and delivery-efficient spot-scanning proton arc (SPArc) therapy in 2016. Based on our beam modeling platform, we have found that the spot switching time (SSWT) is proportional to spot numbers. We aim to develop a direct mathematical optimization method to reduce the spot numbers for SPArc based on an independent optimization method to reduce …