Medicine and Health Sciences Commons^™

Post Operative Handoff Tool Benchmark Project, Savannah E. Vinson

MSN Capstone Projects

According to a sentinel event statement issued by The Joint Commission in 2017, inadequate hand-off communication is responsible for many adverse-events, including sentinel events in healthcare. A study released in 2016 estimated that communication failures in U.S. hospitals and medical practices were responsible at least in part for 30 percent of all malpractice claims, resulting in 1,744 deaths and $1.7 billion in malpractice costs over five years(The Joint Commission [TJC], 2017). Successful handoff communication has the potential to substantially improve patient safety when leadership displays their commitment to successful handoff, when handoff is standardized and done face-to-face between healthcare providers, …

Administrative Interventions To Increase New Graduate Nurse Retention, Adam Ruff

MSN Capstone Projects

Topic: Administrative Interventions to Increase New Graduate Nurse Retention

PICOT Question: In acute care units (P), how do employee engagement interventions from nursing administration (I) compared to no employee engagement interventions (C) affect new nurse turnover (O) within 3 months of hire (T)?

Rationale: New nurse retention and turnover is arguably the most significant factor affecting health administrators on a regular basis. This issue becomes even more pertinent as it is estimated that up to 40% of the nursing workforce is expected to retire within the next decade with new nurses becoming the best option to replace them. Administrative nursing …

Covid-19 Newsletter (Vol. 68), Center For Disaster Medicine, New York Medical College

COVID-19 Newsletter

No abstract provided.

Is Biventricular Vascular Coupling A Better Indicator Of Ventriculo-Ventricular Interaction In Congenital Heart Disease?, Emily L. Yang, Shelby Kutty, Brian D. Soriano, Sathish Mallenahalli, Mark R. Ferguson, Mark B. Lewin, Sujatha Buddhe

Journal Articles: Pediatrics

BACKGROUND: Ventriculo-ventricular interactions are known to exist, though not well quantified. We hypothesised that the ventricular-vascular coupling ratio assessed by cardiovascular MRI would provide insight into this relationship. We also sought to compare MRI-derived ventricular-vascular coupling ratio to echocardiography and patient outcomes.

METHODS: Children with cardiac disease and biventricular physiology were included. Sanz's and Bullet methods were used to calculate ventricular-vascular coupling ratio by MRI and echocardiography, respectively. Subgroup analysis was performed for right and left heart diseases. Univariate and multivariate regressions were performed to determine associations with outcomes.

RESULTS: A total of 55 patients (age 14.3 ± 2.5 years) …

The Many Faces Of Solitary Fibrous Tumor; Diversity Of Histological Features, Differential Diagnosis And Role Of Molecular Studies And Surrogate Markers In Avoiding Misdiagnosis And Predicting The Behavior, Muhammad Usman Tariq, Nasir Ud Din, Jamshid Abdul Ghafar, Yong-Koo Park

Department of Pathology and Laboratory Medicine

Background: Solitary Fibrous Tumor (SFT) is a distinct soft tissue neoplasm associated with NAB2-STAT6 gene fusion. It can involve a number of anatomic sites and exhibits a wide spectrum of histological features.
Main body: Apart from diversity in morphological features seen even in conventional SFT, two histologic variants (fat-forming and giant cell-rich) are also recognized. In addition, a malignant form and dedifferentiation are well recognized. Owing to diverse histological features and involvement of diverse anatomic locations, SFT can mimic other soft tissue neoplasms of different lineages including schwannoma, spindle cell lipoma, dermatofibrosarcoma protuberans, liposarcoma, gastrointestinal stromal tumor (GIST), malignant peripheral …

Not-So-Low-Hanging Fruit: Journey From Identifying Hcv To Proving It Pathogen Of Hepatitis C, Xiaofei Fan, Cheng Zhou

Bulletin of Chinese Academy of Sciences (Chinese Version)

The Nobel Prize in Physiology or Medicine 2020 was awarded jointly to Harvey J. Alter, Michael Houghton, and Charles M. Rice for their contributions in the discovery of hepatitis C virus (HCV). However, eight years lapsed between Houghton hunting down the virus in 1989 and Rice proving HCV alone could cause hepatitis in 1997. How did this seemingly low-hanging fruit turn out to take so long? We reviewed literature to piece together studies during those years, and determined contributions by different groups (Rice's group included). Through a close look into its performance at two milestones (determining the 3'-terminal sequence of …

Decade-Long Nationwide Trends And Disparities In Use Of Comfort Care Interventions For Patients With Ischemic Stroke, Kristie M Chu, Erica M Jones, Jennifer R Meeks, Alan P Pan, Kathryn L Agarwal, George E Taffet, Farhaan S Vahidy

Faculty, Staff and Students Publications

Background Stroke remains one of the leading causes of disability and death in the United States. We characterized 10-year nationwide trends in use of comfort care interventions (CCIs) among patients with ischemic stroke, particularly pertaining to acute thrombolytic therapy with intravenous tissue-type plasminogen activator and endovascular thrombectomy, and describe in-hospital outcomes and costs. Methods and Results We analyzed the National Inpatient Sample from 2006 to 2015 and identified adult patients with ischemic stroke with or without thrombolytic therapy and CCIs using validated

Women’S Self-Efficacy Before And After Hiring A Personal Trainer At The Bowling Green State University Student Recreation Center, Audrey Schweers

Honors Projects

Exercise is important to maintaining a healthy weight and decreasing the risk of health-related diseases. Self-efficacy is a psychological concept that, when increased, can help a person to overcome a particular situation. In exercise, a person with high self-efficacy is able to better adhere to a program. It is a goal of The American Council on Exercise (ACE) to educate their personal trainers on ways to increase their clients' self-efficacy. This study was conducted to determine if women who have hired a personal trainer at the Bowling Green State University (BGSU) Student Recreation Center (SRC) in the past five years …

A Descriptive Correlational Study Of Factors Reported To Negatively Impact Memory In Women Who Have Received Treatment For Breast Cancer In Relation To Covid-19, Heather Reens

Theses & Dissertations

Introduction

Cognitive impairments associated with cancer and cancer treatment are side effects that have and continue to elude the oncology world. Cognitive impairments related to chemotherapy are also known as “chemo-brain” or “chemo-fog” and encompasses deficits in cognitive domains that include memory, verbal fluency, attention, and concentration, and one’s ability to recall information. Patients who experience cognitive impairments during and after cancer treatments, chemotherapy in particular, are often afflicted with impaired executive functioning, problems with memory and recall, loss of control and decreased sense of self, increased stress and depression, role conflicts when returning to work, and impaired quality of …

Current Milestones Assessment Practices, Needs, And Challenges Of Program Directors: A Collective Case Study In A Pediatric Hospital Setting., Kadriye O. Lewis, Susan B. Hathaway, Denise Bratcher, Douglas Blowey, Jane F. Knapp

Manuscripts, Articles, Book Chapters and Other Papers

Introduction Accreditation Council for Graduate Medical Education's (ACGME's) Milestones assessment requirement has placed new demands on Program Directors (PDs), especially those with limited knowledge of assessment and evaluation activities. There is a lack of clarity on how Program Director (PDs)/Associate PDs (APDs) are effectively implementing milestones assessment and evaluation practices in the Graduate Medical Education programs. The purpose of this study was to investigate current assessment practices, needs, and challenges of PDs in implementing milestones assessment within their residency and fellowship programs in a pediatric hospital setting. Methods This study used a collective case study approach to obtain information from …

Coupling Articulatory Placement Strategies With Phonemic Awareness Instruction To Support Emergent Literacy Skills In Preschool Children: A Collaborative Approach, Robyn Becker, Lesley Sylvan

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Purpose: The merits of collaboration between teachers and speech-language pathologists have been extensively highlighted in literature on multitiered educational frameworks. Studies also illustrate the link between articulation, phonemic awareness, and, ultimately, reading skills. This article describes the impact of an intervention targeting articulation and phonemic awareness provided collaboratively to preschool children to enhance emergent literacy skills with the long-term goal of preventing later reading difficulties.

Method: This pilot study involved a bidirectional collaboration between a speech-language pathologist and a teacher by providing articulatory placement strategies to link accurate speech production with early phonemic awareness activities in the context of a …

Assessment Of Knowledge, Attitude, Perception Of Pharmacy Students Towards Telepharmacy, Komal Patel

Applied Research Projects

Telemedicine is one of the fastest growing area in health care technology and COVID-19 pandemic has changed the way of practicing Telemedicine. Telepharmacy is a part of telemedicine where pharmacy use this technology to provide patient care services. Success of any technology depends on users’ willingness to learn and attitude towards technology. Early assessment of students’ attitude during pharmacy school is important to know in order to assess how receptive students are to accept Telepharmacy in their work setting currently or in future. That will also help to determine success of Telepharmacy implementation. This study will focus on assessing knowledge, …

“Not So ‘Sweet’” – Case Of Sweet Syndrome In Patient With Mds With Excessive Blasts, Janet Digber-Williams Md, Neysa Perez Crespo Md, Taylor Jarvill Ms, Leia Derosato Do, Kirsten S. Bellucci Md, Daniel Zinn Md

Department of Pediatrics

No abstract provided.

Ewing Sarcoma Of The 9th Rib Subsequent To Pediatric Leukemia: A Case Series, Julia Vandenheuvel Md, Leighton Elliott Md, Daniel Zinn Md, Michal Miller Md, Jacob Troutman Do

Department of Pediatrics

No abstract provided.

A Decade Of Induction Chemotherapy Practices At A Small Children’S Cancer Center, Julia Vandenheuvel Md, Felipe Bautista Otanez Md

Department of Pediatrics

No abstract provided.

The Ot Well-Being Summit 2021, Deanna Waggy Otr

Journal of Transformative Touch

The OT Well-Being Summit empowers occupational therapists and other holistic practitioners around the globe to have confidence with holistic health and wellness skills for their therapy practice. The OT Well-Being Summit brings together 11 occupational therapists who share holistic health and wellness strategies and tools that you can use in your integrative medicine practice today with the confidence (and evidence) to use them. The OT Well-Being Summit is an online self-paced course with 12 hours of information and insights to give you the confidence to move forward in areas related to holistic health, wellness, and prevention. https://tinyurl.com/t9cc6afp

2021-04-19_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 …

2021-04-19_Michiganoverview_Covidcounts, Michigan Department Of Health & Human Services

Michigan COVID-19 Confirmed Cases by Date of Onset Data

Data was downloaded as an Excel spreadsheet which appeared in the Public Use Datasets section under the Cumulative Data link of Michigan's Coronavirus webpage, under the url https://www.michigan.gov/coronavirus/0,9753,7-406-98163_98173---,00.html.

Cases are aggregated by the date of onset of COVID-19 symptoms, if known, otherwise by laboratory specimen date if known, otherwise by case referral date. Deaths are aggregated by the date of death if known, otherwise by the last date of a change to the case status.

2021-04-19_Michiganoverview_Covidschooloutbreak, Michigan Department Of Health & Human Services

Michigan COVID-19 Outbreak Reports

The School Outbreak Data page was obtained from Michigan's COVID-19 data page: https://www.michigan.gov/coronavirus/0,9753,7-406-98163_98173_102480---,00.html.

This report is created by the Michigan Department of Health & Human Services from data self-reported by local health departments. Data is updated every week.

In accordance with the Council of State and Territorial Epidemiologists’ outbreak definition, schools that have been found by their local health department to have two (2) or more COVID-19 cases who may have shared exposure at the school grounds and are not from the same household (with the exception of dorms and off-campus housing) are included. If your child’s school is …

2021-04-19_Michiganoverview_Covidbedppe, Michigan Department Of Health & Human Services

Michigan COVID-19 Hospital Data

Contains the tables Statewide Hospital Capacity Report for COVID-19, COVID-19 Metrics, Statewide Hospital Available PPE Tracking for COVID-19, as well as the tables PPE Days On Hand and Patient Census.

Perceptions Of Infusion Pump Alarms Among Experienced Nurses Versus Novice Nurses, Priyanka Panta

Merge

In nursing, infusion pumps are used daily to provide critical medications, fluids, and nutrition to patients. The alarm signals on these pumps can alert nurses to potential issues with the infusion, but some of these alarms are not clinically significant. In this study, the student researcher determined whether there was a statistically significant difference in the perceptions of infusion pump alarms among experienced and novice nurses. The student researcher hypothesized the novice nurses would have a higher perception of infusion pump alarms. The student researcher had the education department at a rural hospital in the southeastern United States distribute an …

Compliance In Fall Prevention In Dementia Vs Non-Dementia Nursing Home Units, Garima Shrestha

Merge

The student nurse researcher performed a research study to determine if there was a difference in the compliance of fall prevention interventions between dementia and non-dementia nursing home units. The student nurse researcher hypothesized the dementia nursing home units would be more compliant with fall prevention interventions than the non-dementia nursing home units. In contrast, the null hypothesis stated there would be no statistically significant difference in the compliance of fall prevention interventions between the dementia and the non-dementia nursing home units. The Fall Prevention Intervention Checklist was used to assess environmental fall hazards in occupied resident rooms. Of the …

2021-04-19_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 …

2021-04-19_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 …

Occupational Therapy And Animal Assisted Interventions: Professionalizing The Field, Annie Hudson

OTD Capstone Projects

This poster represents a capstone experience focusing on occupational therapy and the inclusion of animal assisted interventions (AAI). Working with Pet Partners, two organizational publications were created in hopes of professionalizing the field while also allowing the use of AAI to be a simpler and smoother process. Domain mapping was completed to explore the education and resources available to professionals seeking to use AAI in practice. A wide range of qualitative interviews were completed in order to best represent the professional's perspective.

Hispanic Acculturation: Associations With Family Planning Behaviors And Attitudes, Rachel Chamberlain, Mary Fatehi, Joshua Fogel, Jacob Kulyn

Publications and Research

Introduction. The purpose of this study was to investigate the association of Hispanic acculturation in the U.S. with family planning behaviors and attitudes.

Methods. Surveys of 225 Hispanic women were collected that used acculturation measures of number of years lived in the U.S. and the Short Acculturation Scale for Hispanics (SASH), along with questions about family planning behaviors, including birth control use, sterilization, and abortion.

Results. SASH-Language statistically differed (p = 0.03) where those with ‘yes birth control’ had significantly lower English acculturation (M = 6.10, SD = 1.77) than those with ‘no birth control’ (M = 7.00, SD = …

The Acoustic Effect Of Masks On Speech And Singing, Anna Birkemeier

Honors Projects

Objectives / Introduction:

Mask-wearing has become commonplace for the public during the SARS-CoV-2 (COVID-19) pandemic. This has caused communication difficulties such as muffled speech, causing a lowered speech intelligibility and worse audibility. The purpose of this study was to determine the acoustic filtering effects of various masks.

Methods / Study Design:

The acoustic effects of a surgical mask, a Singer’s Mask, and an N95 mask were obtained. A single subject spoke (and repeated) the vowels /a,i,u/ and the consonants /s, ∫/, and sang the vowels on G4 and C5 with and without the masks, respectively. Spectra of the vowels and …

Animated Videos: The Covid-19 Pandemic, Bailey Alspach

Honors Projects

This project is a resource created to provide information about the Covid-19 pandemic. This pandemic was caused by the SARS-CoV-2 virus (AJMC Staff, 2021). The first reported cases began to appear in December 2019, and the World Health Organization (WHO) declared COVID-19 a pandemic on March 11th, 2020. This pandemic is still active with new cases reported everyday as of April 2021 (AJMC Staff, 2021). This resource consists of four videos ranging from around two and a half to eight minutes long. All videos were created in an animated fashion and were uploaded to YouTube. The first video focuses on …

Assessing The Patient-Perceived Monetary Value Of Patient-Reported Outcome Improvement For Patients With Chronic Knee Conditions, Sarah B. Floyd, Alicia Oostdyk, Melanie Cozad, John M. Brooks, Paul Siffri, Brian Burnikel

Journal of Patient-Centered Research and Reviews

Purpose: The high cost of orthopaedic care has attracted criticism in the current value-based health care environment. The objective of this work was to assess the properties of a willingness to pay (WTP)-based approach to estimate the monetary value that patients place on health improvements in chronic knee conditions following orthopaedic treatment.

Methods: A sample of patients with a chronic knee condition were surveyed between January and May of 2018 at a large orthopaedic practice. Each patient provided their WTP for restoration to ideal knee health and completed the Single Assessment Numerical Evaluation (SANE) to describe their baseline knee state. …

Preprocedure Covid-19 Testing In Early Phase Of Pandemic, Renuka Jain, Bradley Kruger, Robert Citronberg, Stacie Kroboth, Ana Cristina Perez Moreno, Bijoy K. Khandheria

Journal of Patient-Centered Research and Reviews

The COVID-19 pandemic led to a nationwide shutdown of elective medical procedures. Upon resumption of services, preprocedure nasopharyngeal swab testing for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was introduced for all patients requiring surgical or other aerosol-generating procedures. We investigated preprocedure COVID-19 testing in one of the largest U.S. health systems. Patients included in this retrospective, observational study were asymptomatic and scheduled for a procedure or surgery. All patients underwent a nasopharyngeal swab test for SARS-CoV-2 performed 24–72 hours prior to a planned procedure. Clinical demographics, type of procedure, test results, and subsequent procedure status were evaluated. Of 38,608 …