Medicine and Health Sciences Commons^™

Kujdesi Infermieror Te Pacientët Me Artrit Reumatoid, Valbona Zeqiraj

Theses and Dissertations

Artriti reumatoid është një çrregullim inflamator, sistemik,kronik i cili kryesisht prek nyjet që janë të veshura me synovium. Karakterizohet tipikisht nga një përfshirje simetrike,herë pas here deformuar, poliartriti periferik. Për shkak se është një sëmundje sistemike, mundet gjithashtu ndikojnë në të gjithë trupin, duke përfshirë zemrën, mushkëritë dhe sytë.

Shkaku AR nuk njihet plotësisht. Ka të ngjarë që individët e ndjeshëm gjenetikisht të ekspozohen ndaj një antigjeni të panjohurduke rezultuar në vetë-stimulim të sistemit imunitar (autoimuniteti).

Përgjigja imune reagon në mënyrë të kryqëzuar me indin pritës (membranën synoviale) duke rezultuar në pezmatim të membranës sinoviale (sinovit).Kjo krijon hipertrofi sinoviale.

Ky …

Kanceri I Gjirit Dhe Mundësitë E Sotshme Diagnostikuese, Medina Ilijazi

Theses and Dissertations

Kanceri i gjirit është një tumor që zhvillohet nga qelizat e vetë gjirit. Kanceri i gjirit është rritja jashtë kontrollit dhe përhapja e qelizave jo normale të indit të gjirit. Metoda kryesore moderne për zbulimin e kancerit të gjirit është mamografia, e cila në mënyrë të besueshme zbulon nga 80% në 96% të tumoreve të gjirit, më të mëdha se 10 mm në diametër. Mamografia kryhet çdo vit si masë profilaktike për të gjitha gratë mbi moshën 40 vjet. Qellimi baze i ketij hulumtimi eshte analizimi i detajizuar i procedurave të hershme diagnostikuese bashkëkohore në kuadër te zbulimit te hershem …

Infeksionet Respiratore Te Fëmijët Dhe Kujdesi Infermieror, Shkurte Nezaj

Theses and Dissertations

Infeksionet akute të rrugëve të sipërme të traktit të frymëmarrjes janë sëmundjet më të shpeshta të moshës fëmijërore.

Në këtë punim trajtohen infeksionet respiratore te fëmijët dhe karakteristikat epidemiologjike të tyre. Duke qenë se rastet me këto infeksione janë mjaft të shprehura dhe kanë incidencë dhe prevalencë të lartë. Gjithashtu është shqyrtuar literatura lidhur mbi rrugët e përhapjes, etiologjinë, manifestimet klinike, karakteristikat epidemiologjike masat parandaluese si dhe kujdesi infermieror te fëmijët.

Punimi synon që duke u mbështetur në rezultatet e hulumtimit, duke pasur në konsideratë situatën dhe fëmijët e prekur nga infeksionet respiratore, të prezantojë menaxhimin dhe kujdesin infermieror me …

Incidenca Dhe Prevalenca E Depresionit Te Popullata Nga Mosha 20-30 Vjeç Ne Komunen E Ferizajt, Shkurte Bakija Avdija

Theses and Dissertations

Depresioni është një gjendje me humor të ulët dhe neveri ndaj aktivitetit. Mund të ndikojë në mendimet, sjelljen, motivimin, ndjenjat dhe ndjenjën e mirëqenies së një personi. Mund të shfaqë trishtim, vështirësi në të menduar dhe përqendrim dhe një rritje ose ulje të ndjeshme të oreksit dhe kohës së kaluar për të fjetur. Njerëzit që përjetojnë depresion mund të kenë ndjenja degjenerimi, mungesë shprese dhe ndonjëherë, mendime vetëvrasëse. Mund të jetë afatshkurtër ose afatgjatë. Simptoma thelbësore e depresionit thuhet se është anhedonia, e cila i referohet humbjes së interesit ose humbjes së ndjenjës së kënaqësisë në aktivitete të caktuara që …

Implementación De Políticas De Prevención Y Control De La Obesidad Infantil En Estados Unidos Y Latinoamérica: Lecciones Para La Investigación Y La Práctica Transfronterizas, Mireya Vilar-Compte, Rafael Perez-Escamilla, Elizabeth Rhodes, Olga L. Sarmiento, Camila Corvalan, Rachel Sturke, Susan Vorkoper

Department of Public Health Scholarship and Creative Works

Aunque se han hecho avances en el desarrollo y aplicación a gran escala de inter-venciones eficaces contra la obesidad infantil, los retos siguen siendo importantes. Nuestro objetivo era comprender las causas del éxito de Estados Unidos y los países latinoamericanos en la implementación de políticas y programas (PYP) contra la obe-sidad e identificar oportunidades de mejora aplicando los principios de la ciencia de la implementación. Seleccionamos tres estudios de comparación de casos: (1) el etique-tado frontal en los envases de alimentos (México y Chile), (2) los programas de calles abiertas y calles para el juego (Colombia y Estados Unidos) y …

Utilizing Video Education To Improve Self-Care In Heart Failure Population At Home, Adrienne Wharry

West Chester University Doctoral Projects

Abstract

This quality improvement project was implemented to improve self-care in home health patients using video education provided on the tablet-based monitoring system. Heart failure is a chronic, progressive disease with high hospital readmission rates. However, consistent use of self-care behaviors improves patient quality of life and reduces hospital readmission rates in heart failure patients. Literature has shown that continued self-care education is essential for the success of the heart failure patient. The use of Bluetooth tablet systems for home health care and monitoring has expanded in recent years. The Self-Care of Heart Failure Index (SCHFI) was administered to heart …

The Benefits Of Evidence Based Practices In Public Administration: Does Therapeutic Listening Training Increase Emotional Intelligence To Affect Change Management Outcomes In Public And Private Sector Organizations, John Sillup

West Chester University Doctoral Projects

Abstract

This doctoral dissertation considers change management as it relates directly to evidence-based practices in public administration. The problem under study was the lack of scholarly research on the effect of an administrative leader’s emotional intelligence (EI) has on follower self-efficacy during change management. This study provided findings on the effect of therapeutic listening training as a means to increase emotional intelligence to potentially affect change management outcomes in public and private sector organizations. Change management is a systematic and structured process of developing and implementing strategies and interventions for organizations transitioning from current state to a desired state. The …

Bilateral Sensorineural Hearing Loss In The Setting Of Acute Methamphetamine Overdose, Jeremy Reich, Harleen Sethi, Robert Sataloff

Otolaryngology (ENT) Resident Research

Substance abuse is a rare but known cause of sensorineural hearing loss (SNHL). We report a case of acute SNHL in a 28-year-old man following an overdose of methamphetamine and incidental ingestion of fentanyl. On initial encounter, he had moderate-to-severe hearing loss in the right ear and severe-to-profound hearing loss in the left ear in addition to acute kidney injury, liver failure, and lactic acidosis. The patient was treated with a two-week course of high-dose steroids and expressed a subjective improvement in hearing. This case highlights the importance of auditory testing following a drug overdose and is one of the …

Bedbug Education, Treatment, And Prevention, Elizabeth Bedford

Department of Entomology: Distance Master of Science Projects

Cimex lectularius (bedbug) has become a severe issue in more recent years due to travel, immigration, and importation of products. Unfortunately, most people do not know their biology hence do not treat these arthropods correctly. Many myths and misinformation are currently available to people on the internet and with pest professionals. Education and proper treatment must eradicate these pests in homes, commercial buildings, and other places. To prove whether or not education with treatment garners better results,ten homes were treated with the same heating and chemical process, with only five being educated before, during and after. All homes were inspected …

Diets Of Double-Crested Cormorants In The Lake Winnebago System, Wisconsin, Ryan P. Koenigs, Daniel J. Dembkowski, Charles D. Lovell, Daniel A. Isermann, Adam D. Nickel

United States Department of Agriculture Wildlife Services: Staff Publications

Double-crested cormorant Phalacrocorox auritus Lesson (cormorant) populations have increased throughout the Great Lakes region of North America causing concern related to the impact of cormorant predation on fish communities. A recent decline in yellow perch Perca flavescens (Mitchill) abundance within the Lake Winnebago System, Wisconsin, USA, prompted an assessment of cormorant diets to evaluate potential effects of cormorant predation on the sportfish community. Diets were collected from 883 cormorants (417 from Lake Winnebago and 466 from Lake Butte des Morts) between 2015 and 2017. Cormorant diets on both waterbodies consisted mostly of freshwater drum Aplodinotus grunniens Rafinesque and gizzard shad …

Evaluation Of A Warfarin Bait For Controlling Invasive Wild Pigs (Sus Scrofa), James C. Beasley, Lindsay M. Clontz, Allison Rakowski, Nathan P. Snow, Kurt C. Vercauteren

United States Department of Agriculture Wildlife Services: Staff Publications

BACKGROUND: Wild pigs (Sus scrofa) cause widespread environmental and economic damage, and as a result are subjected to extensive control. Current management strategies have proven insufficient, and there is growing interest in use of toxicants to control invasive populations of this species. In 2017 a low-dose warfarin bait was federally approved for use in controlling wild pigs in the United States. However, no states have allowed use of this bait due to unanswered questions regarding welfare concerns, field efficacy, and non-target impacts.

RESULTS: All captive wild pigs fed 0.005% warfarin baits in no choice feeding trials succumbed in an average …

Unboxing The Japanese Sojourning Mom’S Pediatric-Going Experience: A Phenomenological Study Of Culturally And Linguistically Appropriate Health Services, Carolyn Oldham

Theses and Dissertations--Education Sciences

This study explores how twelve former Lexington-area Japanese sojourning mothers define culturally and linguistically appropriate services and how culture, gender and language shaped their health care beliefs, behaviors and experiences in pediatric settings. It is a naturalistic, pragmatic line of inquiry born in collaboration with Japanese sojourning moms across cups of matcha 末茶 and mugicha 麦茶. Framed by constructivist and intersectionality research lenses, this phenomenological study seeks to understand how study participants perceived the cultural and linguistic appropriateness of their interactions with Lexington-area pediatric offices and to begin to ascertain the meanings they created based on their subjective experiences. Its …

Teleneurology Based Management Of Infantile Spasms During Covid-19 Pandemic: A Consensus Report By The South Asia Allied West Syndrome Research Group, Priyanka Madaan, Jitendra Kumar Sahu, Jithangi Wanigasinghe, Kanij Fatema, Kyaw Linn, Mimi Lhamu Mynak, Nicolás Garófalo Gómez, Pauline Samia, Prakash Poudel, Prem Chand

Paediatrics and Child Health, East Africa

With telehealth services rescuing patients with chronic neurological disorders during the COVID-19 pandemic, there is a felt need for simplified teleneurology protocols for neurological disorders in children. Infantile spasms is an epileptic encephalopathy where treatment lag is a significant predictor of outcome. It is one such condition where telemedicine can make a remarkable difference when in-person consultations are delayed or are not possible. However, the adverse effect profile of the first-line therapeutic options, the need for frequent follow-up, underdeveloped telemedicine services, lack of a rational protocol, poor awareness about infantile spasms, a lesser level of parental understanding, and scarcity of …

Research Day 2021 Program, Western Michigan University Homer Stryker M.D. School Of Medicine

Research Day

No abstract provided.

Patella Resection In Total Knee Arthroplasty: An Analytical Comparison Of Three Techniques, Kelsey Cushway

Research Day

Patella resection, as a routine component of TKA, can be both difficult to plan and difficult to execute. The primary purpose of this study was to evaluate the repeatability of three unique patellar resection techniques used in total knee arthroplasty. The secondary purpose of this study was to establish whether different surgical techniques were able to reproduce preoperative plans made by each surgeon. We used radiographic measurements to evaluate patellar thickness and patellar cut angle preoperatively and postoperatively. Three techniques (45 cases in total) were evaluated, revealing qualitative differences between surgical techniques and significant quantitative differences between average patellar thickness …

Machine Learning Models For 6-Month Survival Prediction After Surgical Resection Of Glioblastoma, Jeffrey Gray, Lohit Velagapudi, Michael Baldassari, Bryan Sadler, David Vuong

Phase 1

Introduction: The role of surgical resection for the treatment of glioblastoma multiforme is well established. Survival analysis after resective surgery in the literature comprises mostly of traditional statistical models. Machine learning models offer powerful predictive and analytical capability for varied datasets and offer improved generalizability and scalability. We analyzed survival data of patients with glioblastoma with various machine learning algorithms and compared it to binary logistic regression.

Methods: We retrospectively identified cases of glioblastoma treated with surgical resection at our institution from 2012-2018. Feature scaling and one-hot encoding was used to better fit the models to the data and used …

Cryo Vs Rf P-Wave Characteristics Comparative Analysis, John Schanz, Waleed Khan, Behzad B. Pavri

Phase 1

Introduction: Atrial fibrillation (AF) is the leading cause of stroke. Patients with drug-refractory AF are managed with Radiofrequency (RF) or Cryoballoon (Cryo) pulmonary vein isolation (PVI). Approximately 30% of PVIs result in AF recurrences. There is clinical utility in identifying patients at higher risk of AF recurrence with readily available ECG parameters.

Methods: This retrospective study analyzed the ECG characteristics and AF recurrence of 86 paroxysmal AF patients who underwent PVI. Baseline characteristics were collected by chart review and p-wave parameters were measured with electronic calipers in the MUSE (GE) ECG database. AF recurrence was defined as any documented atrial …

Patient Tolerance To Virtual Reality-Based Vestibular Rehabilitation: A Scoping Review, Michael Knapp, Tejal Naik

Phase 1

Introduction: Virtual reality-based therapy (VRBT) using head-mounted devices (HMDs) is being explored as a novel treatment modality for rehabilitation of vestibular disorders. We hypothesize there may exist unique risks and side effects to VRBT using HMDs in the vestibular patient population which no previous studies have directly explored. This scoping review compiles all currently published data concerning vestibular patient tolerance to this treatment modality and provides preliminary interpretation of overall risks.

Methods: An exhaustive list of search terms covering virtual reality, HMDs, vestibular disorders, side effects, and adverse events were submitted to six different databases. Returned papers were uploaded to …

Provider Perceptions Of Virtual Reality As A Therapeutic Tool, Margaret Eberts, Christine Vincent, Tejal U. Naik, Md, Virginia O'Hayer

Phase 1

Introduction: Virtual reality (VR) shows significant potential as a healthcare tool, especially in the management of anxiety disorders and pain. However, despite recent studies demonstrating the effectiveness of VR, there continues to be limited use among providers. A lack of resources and understanding of the feasibility of clinical VR use may present a significant barrier for VR implementation. Through studying the perceptions of providers using VR clinically, this study aims to understand the achievability of VR as a standardized therapy.

Methods: Researchers distributed an online, self-administered questionnaire to healthcare providers identified on VR application websites. The questionnaire consisted of five …

Provider Perceptions Of Virtual Reality As A Therapeutic Tool, Christine Vincent, Margaret Eberts, Tejal U. Naik, C. Virginia O'Hayer

Phase 1

Introduction: Virtual reality (VR) can be an effective healthcare tool, particularly applied to anxiety and pain management. Despite significant interest in VR, lack of resources and knowledge regarding feasibility are barriers to implementation. This study aims to understand the current clinical usage of VR and the achievability of VR as a standardized therapy, by assessing VR healthcare providers.

Methods: An online, self-administered questionnaire with five sections—respondent demographics, VR value, onboarding, billing, and clinical use—was distributed. Providers, identified on VR application websites, were contacted via email. Inclusion criteria was providers in the United States using VR actively or in the past …

Readmission Risk Assessment Tool For Stroke Patients, Simran Rahi, Sasha Mitts, Dominick Battistini, Tiffany D’Souza, Bryan Sadler, Krista Mar, Maureen Deprince, Deborah Murphy, Diana Tzeng, Md

Phase 1

Introduction: Strokes are one of the leading causes of morbidity and mortality in the world and its cost of management has vastly increased; an effective prediction tool that utilizes artificial intelligence to lower the rate of stroke-related readmissions has the potential to lower healthcare costs and increase the quality of provider care. We hypothesize that machine learning techniques are superior to traditional statistics when determining the likelihood of 30-day readmission for Jefferson’s stroke patients.

Methods: Jefferson’s existing data on stroke patients were cleaned, aggregated, and prepared to be split into train and test sets. Using the train sets, machine learning …

Impact Of Algorithmic Bias On Hospital Risk Stratification Scores Among Insurance Recipients, Peter Zdunek, Sarah Reed, Saima Anis, J. Alex Wrem

Phase 1

Introduction: Artificial intelligence-based modelling has created an opportunity to improve upon existing hospital readmission risk score systems by redefining priority and uncovering new criteria, but inherent systematic errors known as algorithmic bias can impact applicability. This study evaluated whether there is racial bias for unplanned readmission risk scores in a novel model prepared for the CMS AI challenge.

Methods: The study population provided by the CMS challenge included Medicare recipients from 2012 (unique beneficiaries n=1,667,362, total claims n=34,233,260). Risk scores for unplanned hospital readmissions were projected on the basis of clinical and demographic criteria, including age, sex, comorbidities, and prior …

Transcending Chronic Illness And Disability: Virtue-Based Adaptation Model Perspective, Jeong Han Kim, Rene Gonzalez, Taryn V. Richardson, Dong Hun Lee

School of Rehabilitation Services & Counseling Faculty Publications

The present study examined the replicability of Virtue-Based Adaptation Model (V-PAM). Traditional adaptation studies in the field of rehabilitation often focus on examining innate psychological disposition such as personality. In V-PAM; however, the emphasis is given to virtue, one’s pursuit of excellence and commitment after the onset of illness and disability. From this perspective, adaptation to illness and disability is viewed as a positive by-product of having endured adversities while transforming them into insightful opportunities for renewal. Thus, adaptation is not only affected by innate dispositions, but also it can be nurtured via the collaborative counseling process. Two hundred eight …

Sport, Gender And Development : Intersections, Innovations And Future Trajectories, Lyndsay M C Hayhurst, Holly Thorpe, Megan Chawansky Dr.

Faculty Books

The ebook edition of this title is Open Access, thanks to Knowledge Unlatched funding, and freely available to read online. In a context where striving for gender equity in relation to achieving the UN Sustainable Development Goals seems more pressing than ever before, Sport, Gender and Development: Intersections, Innovations and Future Trajectories bring together an exploration of sport feminisms to offer new approaches to research on Sport for Development and Peace (SDP) in global and local contexts. Including postcolonial and decolonial feminist lenses by drawing upon fieldwork with organizations and individuals in Afghanistan, Uganda, Nicaragua, and India, Sport, Gender and …

Hand Hygiene For Health Promotion, Phyllis Knight-Brown

Doctor of Nursing Practice Projects

For many years public health organizations, such as The World Health Organization (WHO) and The Centers for Disease Control and Prevention (CDC), have stressed the need for proper hand hygiene. Proper hand hygiene requires a prescribed process to rid the hands of potentially infecting organisms by using soap and water (handwashing) or hand sanitizer (sanitizing). These processes need to be performed at critical times to promote infection prevention. Many studies have shown that hand hygiene is a learned behavior that becomes habitual over time, and behavior change mechanisms in addition to education are needed to affect a long-term change in …

Binding Moral Values Gain Importance In The Presence Of Close Others, Daniel A. Yudkin, Ana P. Gantman, Wilhelm Hofmann, Jordi Quoidbach

Publications and Research

A key function of morality is to regulate social behavior. Research suggests moral values may be divided into two types: binding values, which govern behavior in groups, and individualizing values, which promote personal rights and freedoms. Because people tend to mentally activate concepts in situations in which they may prove useful, the importance they afford moral values may vary according to whom they are with in the moment. In particular, because binding values help regulate communal behavior, people may afford these values more importance when in the presence of close (versus distant) others. Five studies test and support this hypothesis. …

2021 Apothecary, Southwestern Oklahoma State University

Apothecary

It is with great honor we present the 2021 Apothecary issue. This year’s Apothecary was made possible by the provision of generous financial contributions from many stores, businesses, and Southwestern College of Pharmacy alumni. We greatly appreciate and thank you for your continued support.

The Apothecary staff would like to thank Dr. David Ralph and Adina Foust for their patience, countless hours, and unfailing efforts throughout this year. We also want to give huge thanks to the SWOSU Design Studio for their hard work in creating this year’s amazing cover and dividers. You always help bring our ideas to life …

2021 Edition, Southwestern Oklahoma State University

The Sig

The Sig Newsletter from the Southwestern Oklahoma State University College of Pharmacy - 2021 Edition

Organophosphate Pesticide Dose Estimation From Spot And 24-Hr Urine Samples Collected From Children In An Agricultural Community, Carly Hyland, Katherine Kogut, Robert B. Gunier, Rosemary Castorina, Cynthia Curl, Brenda Eskenazi, Asa Bradman

Public and Population Health Faculty Publications and Presentations

Background: Spot urine samples are often used to assess exposure to organophosphate (OP) pesticides in place of “gold standard” 24-hr samples, which are cumbersome to collect. Assessment of non-persistent chemicals using spot urine samples may result in exposure misclassification that could bias epidemiological analyses towards the null. Few studies have examined the validity of measurements of urinary metabolites in spot samples to estimate daily OP dose or the potential implications of reliance on spot samples for risk assessments.

Objective: Examine the validity of using first morning void (FMV) and random non-FMV urine samples to estimate cumulative 24-hr OP pesticide dose …

Pneumomediastinum Following Endotracheal Intubation, Aroh Ribadiya

Scholarship in Medicine - All Papers

EP, an 81-year-old female with a history of multiple metastases presented to the Emergency Department (ED) for shortness of breath. She developed respiratory failure requiring endotracheal intubation. She was successfully intubated, treated with etomidate, succinylcholine, propofol, fentanyl, and admitted to the Intensive Care Unit (ICU). A follow up chest CT at 2 hours demonstrated an incidental finding of pneumomediastinum.