Medicine and Health Sciences Commons^™

The Effects Of Teacher Education On Children With Sensory Feeding Difficulties, Heather Eager

MOT Student Capstones

Background: 3 According to recent studies, there is strong evidence to support the effectiveness for education over feeding therapy interventions and its link to promoting carryover within a client's environments. However, there is limited literature concerning the effects that teacher education over sensory feeding can provide to the pediatric population. This Capstone project was developed to provide evidence-based support for teacher education over this therapeutic concept and the positive outcomes it can have on student's goal progression. Furthermore, when a student's occupational performance is being negatively impacted by feeding aversions and behaviors, he/she is unable to successfully engage in meaningful …

Aquatic Therapy For Subacute Stroke Patients, Meaghan Buchanan

MOT Student Capstones

Stroke is one of the leading causes of disability in the U.S. affecting patients physically and psychologically. A stroke can lead to significant functional deficits, depending on the location of the stroke, and level of rehabilitation. Currently, no rehabilitation protocol exists for stroke patients and often patients reach a plateau during treatment, without reaching their full potential, and with continued deficits that affect functional mobility. Interventions provided in an aquatic environment can promote continued therapeutic outcomes, not possible with land-based therapy. The purpose of this paper is to showcase aquatic therapy as a viable therapeutic intervention and to provide a …

Implementation Of Mental Imagery Training For Upper Extremity Recovery Post-Stroke, Jenna Curcio

MOT Student Capstones

Mental imagery is a powerful tool in upper extremity stroke recovery when used in conjunction with traditional rehabilitative therapies. ft is the process of cognitively visualizing fluid and functional movements of the affected upper extremity during everyday tasks. Substantial research has been conducted regarding the efficacy of this intervention with supported outcome measurement data. Mental imagery training is beneficial because it can be done with minimal set up and completed outside of therapy hours. Neuroplasticity is used to salvage motor pathways for functional return of the limb. This tool is not suitable for every person who has had a stroke, …

Lessons Learned: New Insights On The Role Of Cytokines In Covid-19, Maja Buszko, Aleksandra Nita-Lazar, Jung Hyun Park, Pamela L. Schwartzberg, Daniela Verthelyi, Howard A. Young, Amy S. Rosenberg

United States Public Health Resources

In the midst of resurging COVID-19 cases, the second NIH/FDA virtual COVID-19 and Cytokines symposium was held on 1 December 2020, focusing on longitudinal studies of COVID-19 immunity, including long-term consequences, potential associations with autoimmunity and the multisystem inflammatory syndrome in children (MIS-C).

A central and ongoing quest in COVID-19 research is to establish why and how SARS-CoV-2 elicits heterogeneity in disease severity and immunopathology among infected individuals. Hence, much effort has been exerted to understand the cellular basis of SARS-CoV-2-induced immune responses, with the aim of identifying new biomarkers and prognostic tools and developing new therapeutic options. Cytokines emerged …

Implementation Of An Infant Male Circumcision Programme, Pakistan, Shazia Moosa, Ammar Ali Muhammad, Sohail Asghar Dogar, Sundus Iftikhar, Walter Johnson, Asad Latif, Lubna Samad

Section of Paediatric Surgery

Objective: To retrospectively review outcomes of a health provider-led infant circumcision programme in Pakistan.
Methods: Based on World Health Organization guidelines, we trained surgical technicians and midwives to perform circumcisions using the Plastibell device at two Indus Health Network facilities. Programme tools include a training manual for health providers, information brochures for families, an enrolment form and standardized forms for documenting details of the procedure and outcomes. Infants aged 1-92 days were eligible for the study. Health workers contacted families on days 1 and 7 after the procedure to record any adverse events. We compared the characteristics of infants experiencing …

Management Of Paediatric Intracranial Ependymoma, Syeda Kubra Kishwar Jafri, Saqib Kamran Bakhshi, Muhammad Shahzad Shamim

Section of Neurosurgery

Intracranial ependymoma are relatively common paediatric brain tumours, but their eloquent location and high recurrence rate pose a significant challenge. Gross total resection or maximum safe resection followed by adjuvant radiotherapy are currently the standard recommended treatment, although there is still nearly 50% recurrence risk at 5 years. Chemotherapy has shown some promising results after recent advances in molecular understanding of ependymomas, but needs further evaluation before it could be added to the treatment regime.

Prone Versus Supine In Mechanically Ventilated Patients, Caroline Nham, Estela Hurd

Spring Showcase for Research and Creative Inquiry

The purpose for this project is to determine whether the prone position is the best position for a patient who is being placed on a mechanical ventilator. Our research question is, in mechanically ventilated patients, does the use of the prone position promote better patient outcomes than the supine position? We are comparing recent studies on the benefits and complications that can arise in placing patients in the prone or supine position. We hypothesize that the prone position has greater benefits towards the patient's quality of care. Utilizing the library as a resource, provided us with relevant information related to …

The Efficacy Of The Z-Track Method For Intramuscular Injections And Analysis Of Z-Track, Seth Seward, Brooke Buchanan, Anna Schmied, Trevor Leonard

Spring Showcase for Research and Creative Inquiry

Z-track method is used in all intramuscular injections with the exception of vaccinations. It is commonly taught that this is to reduce pain and to ensure all the medication is delivered into the muscular tissue. This project analyzes studies and medical articles to determine if this is the truth or if abstaining from using the Z-track method is indicated.

Mentorship For Newly Licensed Nurses: A Pilot Program, Michelle Doran, Rn, Dnp, Npd-Bc

Doctor of Nursing Practice Projects

Background: The turnover rate for newly licensed nurses is high, posing financial and resource challenges for healthcare organizations. Transition to practice programs are an effective means of supporting retention. Mentorship is a best practice within such programs as it promotes job satisfaction, professional growth and development, and retention.

Objectives: The purpose of this project was to implement and evaluate a pilot mentor program with new nurses. Outcomes were: development of a structured program, enhancement of mentees knowledge about the value of mentorship, and assessment of mentee and mentor satisfaction with the program through a final satisfaction survey.

Methods: Participants were …

The Effects Of Diabetes Self-Management Education Among African American Adults, Nkeiruka Muonagolu Msn, Aprn, Fnp-Bc

Doctor of Nursing Practice Projects

Background: Type II diabetes continues to be a pervasive issue among African American adults. Significant challenges in effective management have resulted in poor health outcomes that have disproportionately threatened the quality of life among this group and increased the risk of mortality. Diabetes Self-Management Education (DSME) has demonstrated success in improved patient management and its capacity to mitigate risks for complications. Although researchers and health institutions generally accept DSME as an effective tool for managing diabetes, limited studies exist on its efficacy for African Americans.

Purpose: This study aimed to examine the effects of DSME intervention on diabetes management among …

Freefall In Reverse, Lalini Shanela Ranaraja

Vázquez-Valarezo Poetry Award

This poem was written as a direct response to the 22nd Vasquez Valarezo Award theme of "Discontentment." Breaking the noun "Discontentment" into its components parts allowed me to explore of the emotions and mental health states experienced by myself and my community during the "COVID summer" of 2020. Each of the poem's stanzas encourages readers to contemplate different emotional stages and the various coping mechanisms they may demand in order to regain a sense of control and stability. The poem also alludes to the value of a strong community during times of crisis, in particular the international student community of …

Macomb Dental Society Journal Spring 2021

Journal of the Macomb Dental Society

In the Spring 2021 issue, the reader will find the following feature articles:

• Five Myths Your Landlord Wants You to Believe
• Unit or Spoon it

Also included are regular columns from the President, Executive Director and Editor, as well as news shorts and information on upcoming events.

Overcoming A ‘Heartbreaking’ Moment For The Huntington's Disease Cause (Coping With Disappointing Clinical Trial Results – Part I), Kenneth P. Serbin

At Risk for Huntington's Disease

No abstract provided.

Life Satisfaction: Aging Female Informal Caregivers Of Persons With Dementia, Deborah Ann Monson

Dissertations

Purpose/Aims

The purpose of this study was to describe the relationship between aging female informal caregivers of persons with dementia (PWD) and care recipients’ PWD demographic factors, aging female informal caregivers of PWD social support factors, positive and negative feelings, a sense of flourishing, stress, and life satisfaction.

Background/Rationale

Older adults with dementia are living longer and the majority are receiving care by aging female informal caregivers. Dementia incrementally worsens over time impacting informal caregiver life satisfaction. Most studies have focused on negative aspects of informal caregiving. Therefore, this study investigated both positive and negative aspects of caregiving.

Conceptual Basis …

Health Disparities Associated With Pre-Existing Cardiovascular Disease And Telemedicine Interventions During Covid-19 Pandemic: Best Practice Review With Recommendations, Barbara Mae Madriaga

Doctor of Nursing Practice Final Manuscripts

Purpose: The purpose of this evidence-based practice Doctor of Nursing Practice (DNP) project was to review research-based evidence brought forth by other researchers and scientists. The first goal was to determine current health care disparities associated with COVID-19 and pre-existing cardiovascular disease. The second goal was to determine current recommendations of COVID-19 and pre-existing cardiovascular disease. The third goal was to determine the use of telemedicine during this pandemic for cardiovascular interventions.

Background: In the United States, heart disease has been the leading cause of death for most racial and ethnic groups. The COVID-19 pandemic has revealed deeply rooted inequities …

War Against Covid-19: How Is National Identification Linked With The Adoption Of Disease-Preventive Behaviors In China And The United States?, Hoi-Wing Chan, Xue Wang, Shi-Jiang Zuo, Connie Pui-Yee Chiu, Li Liu, Daphne W. Yiu, Ying-Yi Hong

Research Collection Lee Kong Chian School Of Business

Fighting the COVID‐19 pandemic requires large numbers of citizens to adopt disease‐preventive practices. We contend that national identification can mobilize and motivate people to engage in preventive behaviors to protect the collective, which in return would heighten national identification further. To test these reciprocal links, we conducted studies in two countries with diverse national tactics toward curbing the pandemic: (1) a two‐wave longitudinal survey in China (Study 1, N = 1200), where a national goal to fight COVID‐19 was clearly set, and (2) a five‐wave longitudinal survey in the United States (Study 2, N = 1001), where the national leader, …

Digital Sustainability And Its Implications For Finance And Climate Change, Gerard George, Simon J.D. Schillebeeckx

Research Collection Lee Kong Chian School Of Business

As the pandemic forced the entire world to a virtual standstill, nature revived a little. The US emitted 10.3% less CO2 in 2020 than in 2019 and other regions similarly experienced emission declines. Depending on the source, global carbon emissions were down between 4 and 8% in 2020.2 Consumers globally have expressed more concern about sustainability, an observation confirmed by large survey research by Accenture, Kantar, Boston Consulting Group (BCG), and Ipsos.3 In its latest Emissions Gap Report4 , the UN Environment Programme (UNEP) explicitly connected the pandemic to climate change, nature loss, and pollution. Besides the acceleration of business …

Disruptive Communication Among The Interdisciplinary Team: Gaining Insight And Providing Nurse Education, Kristen Marie Anderson

Doctor of Nursing Practice Scholarly Project

The purpose of this study is to identify what types of disruptive behavior nurses are experiencing, discuss outcomes of disruptive behavior, and educate healthcare providers and administrators of disruptive communication. Understanding the consequences of disruptive communication can help educators articulate the need for training in conflict management and therapeutic communication methods. It can also aid healthcare providers to be more conscious of their behavior in the professional setting. Seven research questions related to communication were developed and analyzed in this study. The author developed a pre-education survey that included demographics, multiple-choice questions, and open-ended questions to assess the nurses' knowledge …

Understanding The Emotional And Treatment Impact Of Recurrent Miscarriages For Women Living In Rural Medically Under-Served Areas, Whitney Dickerson

Doctor of Nursing Practice Scholarly Project

Purpose: The main purpose of this study was to identify woman’s feelings, support system, and their grieving process after repeating miscarriages. It was also used to identify any medications or treatments sought for miscarriages and pregnancies.

Design: A qualitative study was completed using a series of interviews performed in the rural area of Southeast Kansas regarding miscarriage history and the women’s experiences. Locating women to interview was done through social media, women were chosen who had a series of three or more miscarriages. The study examined access to fertility care in rural communities and the impact of access on …

Goals-Of-Care & End-Of-Life Quality In Relapsed High-Risk Leukemia: Silent Conversations, Lacy Jo Graham

Doctor of Nursing Practice Scholarly Project

BACKGROUND: The distorted association of “end of life (EOL)” with “goals of care (GOC)” has “silenced” crucial goals discussions in patients with relapsed high-risk leukemia, which raises concerns for the provision of care that is inconsistent with patient’s values and preferences.

AIM: The two main goals of this study were to quantify hematologists rate of participation in a GOC pathway initiative during two separate months, then explore their definition and barriers to having/documenting GOC discussions.

DESIGN: Mixed-methods, explanatory sequential design (follow-up explanations variant).

SAMPLE: Quan: Hematology inpatient admissions during the months of October 2020 and January …

Association Of Right Ventricular Dysfunction And Pulmonary Hypertension With Adverse 30-Day Outcomes In Covid-19 Patients, Karen Wats, Daniel Rodriguez, Kurt W. Prins, Adnan Sadiq, Joshua Fogel, Mark Goldberger, Manfred Moskovits, Mahsa Pourabdollah Tootkaboni, Jacob Shani, Jessen Jacob

Publications and Research

Background: Cardiac manifestations in COVID-19 are multifactorial and are associated with increased mortality. The clinical utility and prognostic value of echocardiography in COVID-19 inpatients is not clearly defined. We aim to identify echocardiographic parameters that are associated with 30-day clinical outcomes secondary to COVID-19 hospitalization.

Methods: This retrospective cohort study was conducted in a large tertiary hospital in New York City during the COVID-19 pandemic. It included 214 adult inpatients with a laboratory-confirmed diagnosis of COVID-19 by reverse transcriptase polymerase chain reaction assay (RT-PCR) for SARS-CoV-2 on nasopharyngeal swab and had a transthoracic echocardiogram performed during the index hospitalization. …

How Parkview Created A Holistic Response Team To Improve Workforce Well-Being: Case Study For Health Care Providers Worldwide, Advisory Board, Pamela J. Bland Msn, Rn, Cenp, Hn-Bc, Erin Lacross Dnp, Rn, Nea-Bc, Cenp, Sarah Weaver Msn, Fnp-C, Hn-Bc, Carolyn Meyer Bsn, Rn, Hn-Bc, Ccl

Nursing Publications, Posters, & Presentations

Overview: How Parkview Created a Holistic Response Team to Improve Workforce Well-Being

The challenge: Health care staff across all levels find it challenging to prioritize their own wellbeing, both during and outside of an immediate crisis. The stigma associated with accessing emotional support resources, a health care culture that idolizes stoicism, and competing priorities for time leave many prone to burnout.

The organization: Parkview Health is a not-for-profit, community-based health system serving northeast Indiana and northwest Ohio. The system includes an extensive network of primary care and specialty physicians and 10 hospitals, with more than 13,000 employees.

The approach: Parkview …

Implementation Of Diabetic Foot Care Education Improvement Project, Mitaliben R. Gor

GW Research Showcase 2021-2026

No abstract provided.

Mindfulness Training In Mitigating Implicit Bias:Improving Cultural Competency For Nurses Caring For Lgbt Individuals, Daniel Terrell

GW Research Showcase 2021-2026

No abstract provided.

Examining Hpv-Related Beliefs And Health Information Use Through The Health Belief Model Lens: Towards Cancer Prevention Among Racial-Ethnic Minorities, Min Jeong Jeon, Hee-Soon Juon, Daisy Le

GW Research Showcase 2021-2026

No abstract provided.

Pediatric Mental Health Clinical Experiences In Fnp Programs, Dustin K. Mckague, Sarah L. Beebe, Angela M. Mcnelis, Kristina Thomas Dreifuerst

GW Research Showcase 2021-2026

No abstract provided.

A Quality Improvement Initiative To Engage Older Adults In The Discharge Process Using The Ideal Discharge Protocol, Ava D. Williams, Karen S. Kesten, Beverly K. Lunsford, Margaret Venzke

GW Research Showcase 2021-2026

No abstract provided.

The Effects Of Diabetes Self-Management Education Among African Americans, Nkeiruka Muonagolu, Joyce Knestrick, Karen Kesten

GW Research Showcase 2021-2026

No abstract provided.

Just In Time Orientation Of Non-Critical Care Nurses To The Critical Care Environment, Meghan Doelger, Karen Kesten, Bonnie Sakallaris

GW Research Showcase 2021-2026

No abstract provided.

Insights From Healthcare Worker Parents On Parenting Stress During The Covid 19 Pandemic: A Qualitative Perspective, Michelle Clausen, Annalyn Velasquez, Min Jeong Jeon, Sherrie Flynt Wallington

GW Research Showcase 2021-2026

No abstract provided.