Medicine and Health Sciences Commons^™

Community Engagement: Moving From The Classroom To Interprofessional Education Collaboration, Melissa Wholeben, Sarah Yvonne Jimenez, Carla Ellis

Nursing Faculty Publications

In a dynamic, rapidly evolving global health care environment, it is vital that educators create arenas of learning that give students opportunities to put into action health concepts they have learned in the classroom and to actively engage in their communities. With limited clinical sites, it has become necessary to think outside the box for potential community opportunities. One baccalaureate nursing program has moved students from planning mock health fairs to collaborating with community partners to host large public health fairs with wide reach. Community outreach efforts have expanded to include interprofessional collaborations with students of other health care disciplines …

Occurrence Of Tick-Borne Diseases And Parasites Of American Black Bears In Lakewood And Hiles, Wisconsin, Daniela Mathieu

Undergraduate Honors College Theses 2016-

We conducted a study of 159 American Black Bears (Ursus Americanus) to establish the occurrence rates of Lyme disease, Rocky Mountain spotted fever (RMSF), babesiosis, Ehrlichiosis, and anaplasmosis as well as the presence of their vectors Dermacentor variabilis and Rhipicephalus sanguineus. There are many factors that influence the prevalence of not only the ticks, but tick-borne diseases as well including seasonal and environmental changes, interactions between humans and their domestic animals, as well as changes observed in the tick and host species themselves. We studied the effects of sex, location, and the presence of fecal parasites based on the tick …

A Data Analytics Study For Adverse Reactions Of Blood Donors By Age, Gender, And Donation Type, Muhammed Miah, Shah J. Miah

Business Information Systems Faculty Research

The blood donation process is usually very safe, and blood donors are comfortable during the blood donation procedure; however, blood donors occasionally experience various types of adverse reactions during or at the end of blood donation. Some of these reactions are very minor while blood donors sometimes experience serious reactions as well. This study aims to analyze the various types of adverse reactions experienced by the blood donors. The study conducts detailed analysis on a significant amount of real data collected through a blood organization in the southern part of the United States and provides the results regarding the frequency …

Hpv Vaccine Discussions Between Medical Students And Standardized Patients, Eric S. Brian, Emily Noonan, Laura A. Weingartner

Undergraduate Arts and Research Showcase

The vaccination against human papillomavirus (HPV) protectsindividuals from cancer by preventing HPV infection. This vaccination is recommended for people who are assigned male or female at birth. However, since these groups are often associated with different risks of HPV infection, there may be gaps in how effectively the vaccination is recommended to patients. We gathered data by viewing recordings of medical students taking histories from standardized patients. We recorded if and which vaccinations were discussed as the patients established primary care. We focused on discussions surrounding HPV vaccines and used discussions around influenza vaccines as a comparison. We recorded if …

Efficacy Of A Social Determinants Of Health Training Intervention, Stacy A. Henley, Emily J. Noonan, Laura A. Weingartner

Undergraduate Arts and Research Showcase

BACKGROUND

Social determinants of health (SDOH) are circumstances, such as living and work conditions, that affect patient health outcomes and contribute to health inequalities. Understanding patients’ SDOH can help physicians recognize barriers to care. Therefore, it is important that medical students learn to gather information on SDOH from patients.

METHODS

Standardized patient (SP) encounters with rising third-year students were analyzed to determine if an educational intervention about SDOH increased the frequency SDOH were discussed with patients. SP encounters were randomly sampled from 2017 (pre-intervention, n₁ = 37) and 2018 (post-intervention, n₂ = 40) video recordings of students eliciting …

Genus Applications For Alzheimer's Disease Pathology, Whitney L Carter

Undergraduate Arts and Research Showcase

Estimates vary, but it is thought that 5.5 million Americans age 60 and up may be living with Alzheimer’s diseases (AD). AD is the most common type of dementia and is characterized by a decline in episodic memories, long-term memory, language, attention, and personality changes. The first symptoms can vary, but for most people memory is the first capacity to become impaired. However, symptoms can also be a decline in non-memory aspects of cognition like work-finding, vision/spatial issues, and impaired reasoning or judgement. AD is identified mainly by two histopathological features: extracellular plague of amyloid-beta protein and intracellular neuronal tangles …

Comparing Medical Student Nonverbal Behavior With Cisgender And Transgender Standardized Patients, Meghan M. Schneider, Meghan M. Schneider, Emily J. Noonan, Laura A. Weingartner

Undergraduate Arts and Research Showcase

BACKGROUND

It is essential for medical students to effectively communicate with patients of all gender identities. Nonverbal behaviors such as eye contact and nodding are key communication skills. Evaluating nonverbal behavior is one way to assess the quality of patient care, and examining providers’ behaviors while working with cisgender and transgender patients can identify potential biases linked to patient identity.

METHODS

To evaluate nonverbal behavior, we analyzed video-recorded training sessions with medical students interviewing standardized patients who identified as cisgender or transgender women. All students identified as cisgender men or cisgender women. Ten nonverbal behaviors were rated from 1-7 using …

The Impact Of Perfectionism On Well-Being: Shame In Perfectionism’S Influence On Emotion Regulation, Vishal Ravindra Rathod

Selected Full-Text Dissertations 2020-

Combined product development strategy of antisolvent precipitation and spray drying was adopted to create a hybridized redispersible spray dried ritonavir (RTV, BCS Class IV) nanoamorphous micellar dispersion (RTV-rSD-NAMD) to enhance the solubility and masked the bitterness of RTV. Initially, a proof of concept study was designed using DM3 research strategy to develop RTV-NAMD. It was employed in conjunction with the quality-by-design spaces, and quality target product profile to link the critical material attributes and critical process parameters to the quality target product profile’s critical product attributes QbD elements. RTV-NAMD was successfully optimized with Soluplus® as the stabilizer using the response …

Genetic Variation In Genes Regulating Skeletal Muscle Regeneration And Tissue Remodelling Associated With Weight Loss In Chronic Obstructive Pulmonary Disease, Preeti Lakshman Kumar, Ava C. Wilson, Alison Rocco, Michael H. Cho, Emily Wan, Brian D. Hobbs, George R. Washko, Victor E. Ortega, Stephanie A. Christenson, Xingnan Li, J. Michael Wells, Surya P. Bhatt, Dawn L. Demeo, Sharon M. Lutz, Harry Rossiter, Richard Casaburi, Stephen I. Rennard, David A. Lomas, Wassim W. Labaki, Ruth Tal-Singer, Russel P. Bowler, Craig P. Hersh, Hemant K. Tiwari, Mark Dransfield, Anna Thalacker-Mercer, Deborah A. Meyers, Edwin K. Silverman, Merry-Lynn N. Mcdonald, Copdgene, Eclipse And Spiromics Investigators

Journal Articles: Pulmonary & Critical Care Med

BACKGROUND: Chronic obstructive pulmonary disease (COPD) is the third leading cause of death globally. COPD patients with cachexia or weight loss have increased risk of death independent of body mass index (BMI) and lung function. We tested the hypothesis genetic variation is associated with weight loss in COPD using a genome-wide association study approach.

METHODS: Participants with COPD (N = 4308) from three studies (COPDGene, ECLIPSE, and SPIROMICS) were analysed. Discovery analyses were performed in COPDGene with replication in SPIROMICS and ECLIPSE. In COPDGene, weight loss was defined as self-reported unintentional weight loss > 5% in the past year or low …

The Effect Of Long-Acting Dual Bronchodilator Therapy On Exercise Tolerance, Dynamic Hyperinflation, And Dead Space During Constant Work Rate Exercise In Copd, William W. Stringer, Janos Porszasz, Min Cao, Harry B. Rossiter, Shahid Siddiqui, Stephen I. Rennard, Richard Casaburi

Journal Articles: Pulmonary & Critical Care Med

We investigated whether dual bronchodilator therapy (glycopyrrolate/formoterol fumarate; GFF; Bevespi Aerosphere) would increase exercise tolerance during a high-intensity constant work rate exercise test (CWRET) and the relative contributions of dead space ventilation (V_D/V_T) and dynamic hyperinflation (change in inspiratory capacity) to exercise limitation in chronic obstructive pulmonary disease (COPD). In all, 48 patients with COPD (62.9 ± 7.6 yrs; 33 male; GOLD spirometry stage 1/2/3/4, n = 2/35/11/0) performed a randomized, double blind, placebo (PL) controlled, two-period crossover, single-center trial. Gas exchange and inspiratory capacity (IC) were assessed during cycle ergometry at 80% incremental exercise peak …

Longitudinal Imaging-Based Clusters In Former Smokers Of The Copd Cohort Associate With Clinical Characteristics: The Subpopulations And Intermediate Outcome Measures In Copd Study (Spiromics), Chunrui Zou, Frank Li, Jiwoong Choi, Babak Haghighi, Sanghun Choi, Prathish K. Rajaraman, Alejandro P. Comellas, John D. Newell, Chang Hyun Lee, R. Graham Barr, Eugene Bleecker, Christopher B. Cooper, David Couper, Meilan Han, Nadia N. Hansel, Richard E. Kanner, Ella A. Kazerooni, Eric C. Kleerup, Fernando J. Martinez, Wanda O'Neal, Robert Paine, Stephen I. Rennard, Benjamin M. Smith, Prescott G. Woodruff, Eric A. Hoffman, Ching-Long Lin

Journal Articles: Pulmonary & Critical Care Med

PURPOSE: Quantitative computed tomography (qCT) imaging-based cluster analysis identified clinically meaningful COPD former-smoker subgroups (clusters) based on cross-sectional data. We aimed to identify progression clusters for former smokers using longitudinal data.

PATIENTS AND METHODS: We selected 472 former smokers from SPIROMICS with a baseline visit and a one-year follow-up visit. A total of 150 qCT imaging-based variables, comprising 75 variables at baseline and their corresponding progression rates, were derived from the respective inspiration and expiration scans of the two visits. The COPD progression clusters identified were then associated with subject demography, clinical variables and biomarkers.

RESULTS: COPD severities at baseline …

The Innovator - Winter 2021, Allison Litera

Faculty Affairs & Research Newsletters - The Innovator

Newsletter published by the Offices of Faculty Affairs & Research

Accuracy And Reliability Of A Fully Automated Landmark Identification System On Cone Beam Computed Tomography, Ali Ghowsi, David Hatcher, Heeyeon Suh, Joorok Park, Heesoo Oh

Orthodontics and Endodontics Theses

ABSTRACT Introduction: Medical imaging continues to play an increasing role in health care and is an integral part of medicine and dentistry. Recent technological advancements have led to the development of fully automated landmark identification (ALI) systems capable of tracing Cone-Beam Computed Tomography (CBCT). The purpose of this study was to evaluate the accuracy and reliability of an ALI system as a tool for automatic landmark location compared to human judges. Methods: One hundred subjects’ CBCT volumes from multiple imaging centers were traced by two human judges who were calibrated and had an ICC close to 1. Fifty-three landmarks were …

Complications Reported In Maxillary Skeletal Expansion, Jacqueline Payne, Audrey Yoon, Heeyeon Suh, Joorok Park, Heesoo Oh

Orthodontics and Endodontics Theses

Introduction: The aim of this study was to determine the types and prevalence of complications following MARPE protocol at University of the Pacific and to investigate the complication of asymmetry using CBCT analysis. Methods: In the first portion of this study, 97 patients who started treatment prior to July 2020 and who had MARPE expander treatment at the University of the Pacific were included. Chart review and evaluation of progress clinical photographs were used to report the following complications: inflammation, pain, appliance malfunction, broken microscrew, and pulpitis. In the second portion of this study, 77 patients from a private practice …

National Children's Dental Health Month Activity Book (2021), American Dental Association Foundation

National Children's Dental Health Month

No abstract provided.

18. The Medical Staff Of Elmhurst Hospital Supplemental Information, Stephen Gaies

Doctors and Nurses as Rescuers in Humanitarian Crises Exhibition

Supplemental information for the Medical Staff of Elmhurst Hospital exhibit panel.

To see the associated exhibit panel, click the Related Work button.

2021-2022 Nursing Graduate Msn-Fnp Handbook, Morehead State University. Nursing Department.

Nursing Department Publications Archive

2021-2022 Graduate Student Handbook for the Department of Nursing at Morehead State University.

New Dose Reduction Techniques In Computed Tomography, Andrew Taylor

Medical Imaging Senior Posters

The use of radiation reduction techniques in Computed Tomography (CT) is critical in reducing patient dose, and for establishing new standards in radiation monitoring and protection during imaging procedures. CT is used to obtain high quality image sets that contain more useful information than standard x-ray images for diagnostic purposes; however, it utilizes higher radiation dose. With the advancement of newer technologies and techniques, many CT procedures can be performed to achieve high-quality images while using less radiation, and in some cases, improve diagnostic quality as well. Assessing new dose reduction techniques for specific procedures in CT is useful for …

White Blood Cell Scintigraphy In Nuclear Medicine, Kaitlyn Gurnari

Medical Imaging Senior Posters

White Blood Cell Scintigraphy in Nuclear Medicine

Kaitlyn Gurnari and Lynn Blazaskie M.S.,R.T.(R)

Abstract

Nuclear medicine is an imaging modality that utilizes the use of radiopharmaceuticals to evaluate the function of various structures in the body. These procedures introduce radioactive isotopes into the body via injection, inhalation, or ingestion. One specific procedure performed in nuclear medicine is white blood cell scintigraphy. During this exam, a patient’s blood is drawn and labeled with a radioactive isotope before being reinjected back into the patient. The white blood cells are tagged because their function is to fight infections, and thus they will travel …

Transcatheter Aortic Valve Replacement (Tavr), Ashlee Blannett

Medical Imaging Senior Posters

Transcatheter Aortic Valve Replacement Versus Surgical Aortic Valve Replacement in Treatment of Aortic Valve Stenosis

Ashlee Blannett

Faculty Mentor: Lorie Zelna, M.S., R.T. (R)(MR)

Abstract

The purpose of this project is to explore the benefits and risks of the transcatheter aortic valve replacement (TAVR) procedure compared to the surgical aortic valve replacement (SAVR) procedure in the treatment of aortic valve stenosis (AS). TAVR is a lifesaving procedure for patients who are unable to undergo the surgery to fix their aortic valve stenosis. Aortic valve stenosis is a narrowing of the aortic valve of the heart that causes the valve to …

Diagnosis Of Triple Negative Breast Cancer (Tnbc) Using Mammography, Sarah Mihalka

Medical Imaging Senior Posters

Triple-Negative Breast Cancer (TNBC) is a malignant, aggressive cancer that can affect men or women. Mammography is very helpful in diagnosing this type of cancer. The only option at this time for treatment for TNBC is cytotoxic chemotherapy. There is research being conducted to obtain more treatment options for patients. This is proving to be difficult because TNBC is negative for all hormone receptors. On a mammogram, this cancer may present as a lobulated mass with or without calcifications. This comes as a surprise because most masses present on a mammogram tend to be spiculated. This proves for an …

Percutaneous Renal Cryoablation, Shauna M. Aiena

Medical Imaging Senior Posters

This research topic discusses how safe and effective the use of cryoablation is to treat a renal tumor. Cryoablation is a procedure performed in the Interventional Radiology department to kill cancer cells using very cold temperatures. This procedure is done when the patient cannot have surgery to remove the tumor itself. Although the tumor is not removed during cryoablation, the treatment is performed to freeze the tumor to prohibit growth while releasing antigens from the tumor which triggers an immune response. To see if cryoablation is as effective as some say, a qualitative study was conducted which used 174 renal …

Mri-Guided Breast Biopsy, Makayla Franko

Medical Imaging Senior Posters

This project explains the role MRI has in performing breast biopsies. MR imaging is used along with mammogram and ultrasound to detect and monitor lesions. Traditional imaging of the breast is explained to understand how images of the breast are obtained. The grade of the lesion and how the lesion is found indicates the type of biopsy performed. MRI provides superior visibility for lesions within the breast. MRI-guided breast biopsies are indicated in patients with lesions only visible on MRI. The equipment required for an MRI-guided breast biopsy includes the breast coil, grid, and vacuum-assisted breast biopsy apparatus. Experienced breast …

Hypofractionation Treatment Of Favorable Intermediate-Risk Prostate Cancer, Carlos Torres-Teran

Medical Imaging Senior Posters

This research-based project will demonstrate the efficacy of a moderate hypofractionated regimen for the treatment of favorable intermediate-risk prostate cancer. Prostate cancer is a major cause of disease and mortality among men. Research indicates that each year, 1.6 million men are diagnosed with it and 366,000 die from it. Diagnosis is based on rectal examination, serum prostate specific antigen (PSA) measurement, and when essential, transrectal prostate needle biopsy followed by a Gleason score obtained from it. When treating prostate cancer, identifying a Gleason score is the deciding factor in choosing from a wide spectrum of treatment options ranging from supervision …

Evaluating The Impact Of Resilience Training In The Group Home Care Provider Population, Gwangia O. Hudson

Doctor of Nursing Practice Projects

Stress, compassion fatigue (CF), and burnout are all potential problems faced by those who have adopted a career in caring for others. Poorly managed stresses are associated with strained work interactions, dysfunctional personal connections, poor health, and poor quality of work (Edwards & Burnard, 2003; Richardson et al., 2015; Zajac et al., 2017). Organizations do well to focus on preventing stress, CF, and burnout; and or at a minimum providing, employees with tools to build resilience (Edwards & Burnard, 2003; Gentry, 2018; Zajac et al., 2017).

Improving Delirium Assessment In Critical Care, Michelle Reed

Doctor of Nursing Practice Projects

The objective of this project was to identify barriers that impact nurses completing delirium assessments and to improve compliance rates with delirium assessments. The design was an observational, single group pretest-post-test. The preliminary results demonstrated an educational intervention, using the Knowledge-to-Action theory, improved nurses’ compliance with delirium assessments.

Self-Care Practice In Nursing, Leslie Rhom

Doctor of Nursing Practice Projects

Nurses encounter multiple stressors throughout each shift. If this is not managed well through self-care and coping strategies, it can negatively impact one 's health and the well-being and care delivered to patients. The purpose of this project is to bring awareness of current self-care strengths and limitations of nursing students, equipping students with evidence-based practices to enhance self-care. This effort can lead to improved patient care outcomes by decreasing job turnover, burnout, and compassion fatigue. The participants in this project were pre-licensure nursing students in the final semester of nursing school. Participants attended a didactic lecture, completed the Mindful …

Inspiring Nurse Leader Connectedness To Improve Patient Experience, Shauna Maxson

Doctor of Nursing Practice Projects

Objectives:

1. Interventions targeted at improved communication, retention, empowerment, and encouragement will be utilized to enhance the practice environment of incumbent and future nurses in the emergency department. Nurse connectedness will be improved 25% over baseline following implementation of interventions to positively augment practice environment.

2. Patient experience scores in the emergency department will be sustained at benchmark, or greater, following efforts to improve nurse connectedness.

Design: Prospective, single-center, non-randomized, pre- vs. post-

Data Sources: Scholarly, peer-reviewed journal articles and texts, results from pre- and post-intervention completion of Utrecht Work Engagement Scale, Press Ganey patient experience scores

Review Methods: Review …

Nursing Education Intervention On Using Video-Based Patient Education "Modifiable Stroke Risk Factors", Julie C. Webb

Doctor of Nursing Practice Projects

Objective: Nurses play a significant role in the discharge education and understanding of the disease state to stroke patients. This study aimed to educate nurses on implementing video-based stroke patient education, focusing on individualized patient modifiable risk factors.

Methods: This project included education sessions focused on training nurses to access and use available video-based stroke education. In addition, nurses participated in a needs and knowledge-based survey. These education sessions were provided during staff huddles on different shifts over one week.

Results: Education sessions focused on the proper use of the video-based stroke patient education tool positively influenced nursing opinions regarding …

Spiritual Dimensions Of Care: Need For Spiritual Care Interventions In Nursing Clinical Practice, Jillian Jack

Doctor of Nursing Practice Projects

Empirical research has identified emerging evidence concerning the value and importance of spirituality in the provision of nursing care. Spiritual well-being has important implications for a patient’s well-being and there is evidence that points to the association between spirituality, individual healthcare outcomes, and quality of life (QOL). Assisting patients in meeting their spiritual needs is also recognized internationally. Despite the fact that spiritual care is an essential part of nursing care, there remains a gap concerning spiritual care practices in the nursing clinical environment. The magnitude of the problem has to do with the lack of spiritual care education training. …