Medicine and Health Sciences Commons^™

If Gharib Hall Could Talk, Maryam Alizadeh, Dean Parmelee, Saeedreza Mehrpour

Medical Education Faculty Publications

Not only did we have to convince faculty and students that "active and engaged" learning would make for better education-a major "culture" transition-we had to create the learning spaces that would support these changes. Hafferty, in confronting hidden curriculum, has suggested that medical school is a "learning space", which sends messages to students and teachers (1). In sum, we defined the "problem" as an "opportunity" to engage students, faculty, and leadership in a process to transform the learning culture to learner-centered and this included creating a teaching-learning space to fit.

Vital Signs, Winter 2021, Boonshoft School Of Medicine

Vital Signs

A newsletter created by the Boonshoft School of Medicine to document the current affairs of the school. This issue includes a variety of feature articles, alumni profiles, class notes, and more.

Advancing Motivational Interviewing Training With Artificial Intelligence: Readmi, Paul J. Hershberger, Yong Pei, Dean A. Bricker, Timothy Crawford, Ashutosh Shivakumar, Miteshkumar Vasoya, Raveendra Medaramitta, Maria Rechtin, Aishwarya Bositty, Josephine F. Wilson

Family Medicine Faculty Publications

Background: Motivational interviewing (MI) is an evidence-based, brief interventional approach that has been demonstrated to be highly effective in triggering change in high-risk lifestyle behaviors. MI tends to be underutilized in clinical settings, in part because of limited and ineffective training. To implement MI more widely, there is a critical need to improve the MI training process in a manner that can provide prompt and efficient feedback. Our team has developed and tested a training tool, Real-time Assessment of Dialogue in Motivational Interviewing (ReadMI), that uses natural language processing (NLP) to provide immediate MI metrics and thereby address the need …

Incorporation Of Feeding Functional Group Information Informs Explanatory Patterns Of Long-Term Population Changes In Fish Assemblages, Jason C. Doll, Stephen J. Jacquemin

Biological Sciences Faculty Publications

The objective of this study was to evaluate long term trends of fish taxa in southern Lake Michigan while incorporating their functional roles to improve our understanding of ecosystem level changes that have occurred in the system over time. The approach used here highlighted the ease of incorporating ecological mechanisms into population models so researchers can take full advantage of available long-term ecosystem information. Long term studies of fish assemblages can be used to inform changes in community structure resulting from perturbations to aquatic systems and understanding these changes in fish assemblages can be better contextualized by grouping species according …

Tracking The Development Of Communication In Parents With Children With Autism Spectrum Disorders, Megan Bahns

Undergraduate Research Journal

Compared to their typically developing (TD) peers, most children with Autism Spectrum Disorder (ASD) develop language skills later and at slower rates. Previous research has found that verbal input shapes the linguistic development of young TD children and children at risk for developmental delays. One area that is not well understood is whether certain aspects of communication (i.e., rate of verbal output, rate of gestures) of the caretaker play a role in how language is developed in children with ASD over time. The purpose of this study is to explore the linguistic behavior of the caretaker (i.e., the mother) when …

Primary Care: A Service-Learning Environment For Occupational Therapy Students, Brandi Andreae, Wen-Pin Chang, Thomas F. Fisher, Priya Bakshi

Occupational Therapy Faculty Publications

This research provides evidence on occupational therapy (OT) students in primary care (PC). OT demonstrates the skills and knowledge to address chronic medical conditions in PC with entry-level education. Limited evidence of occupational therapists in PC demonstrates a need to examine OT services in this setting. In this emerging area of practice and ever-changing reimbursement models, additional evidence is needed to define the value and continuation of OT services in PC. A mixed-methods study aimed to answer the primary research question: How are OT students used in the PC setting in fieldwork or capstone experiences? A two-phase process was involved. …

Nsu College Of Pharmacy_Brochure_2021, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

The Future Of Zoonotic Risk Prediction, Colin J. Carlson, Maxwell J. Farrell, Zoe Grange, Barbara A. Han, Nardus Mollentze, Alexandra L. Phelan, Angela L. Rasmussen, Gregory F. Albery, Bernard Bett, David Brett-Major, Lily E. Cohen, Tad Dallas, Evan A. Eskew, Anna C. Fagre, Kristian M. Forbes, Rory Gibb, Sam Halabi, Charlotte C. Hammer, Rebecca Katz, Jason Kindrachuk, Renata L. Muylaert, Felicia B. Nutter, Joseph Ogola, Kevin J. Olival, Michelle Rourke, Sadie J. Ryan, Noam Ross, Stephanie N. Seifert, Tarja Sironen, Claire J. Standley, Kishana Taylor, Marietjie Venter, Paul W. Webala

Journal Articles: Epidemiology

In the light of the urgency raised by the COVID-19 pandemic, global investment in wildlife virology is likely to increase, and new surveillance programmes will identify hundreds of novel viruses that might someday pose a threat to humans. To support the extensive task of laboratory characterization, scientists may increasingly rely on data-driven rubrics or machine learning models that learn from known zoonoses to identify which animal pathogens could someday pose a threat to global health. We synthesize the findings of an interdisciplinary workshop on zoonotic risk technologies to answer the following questions. What are the prerequisites, in terms of open …

The Size And Culturability Of Patient-Generated Sars-Cov-2 Aerosol, Joshua L. Santarpia, Vicki L. Herrera, Danielle N. Rivera, Shanna Ratnesar-Shumate, St. Patrick Reid, Daniel N. Ackerman, Paul W. Denton, Jacob W. S. Martens, Ying Fang, Nicholas Conoan, Michael V. Callahan, James V. Lawler, David Brett-Major, John Lowe

Journal Articles: Epidemiology

BACKGROUND: Aerosol transmission of COVID-19 is the subject of ongoing policy debate. Characterizing aerosol produced by people with COVID-19 is critical to understanding the role of aerosols in transmission.

OBJECTIVE: We investigated the presence of virus in size-fractioned aerosols from six COVID-19 patients admitted into mixed acuity wards in April of 2020.

METHODS: Size-fractionated aerosol samples and aerosol size distributions were collected from COVID-19 positive patients. Aerosol samples were analyzed for viral RNA, positive samples were cultured in Vero E6 cells. Serial RT-PCR of cells indicated samples where viral replication was likely occurring. Viral presence was also investigated by western …

Recommended Reporting Items For Epidemic Forecasting And Prediction Research: The Epiforge 2020 Guidelines, Simon Pollett, Michael A. Johansson, Nicholas G. Reich, David Brett-Major, Sara Y. Del Valle, Srinivasan Venkatramanan, Rachel Lowe, Travis Porco, Irina Maljkovic Berry, Alina Deshpande, Moritz U. G. Kraemer, David L. Blazes, Wirichada Pan-Ngum, Alessandro Vespigiani, Suzanne E. Mate, Sheetal P. Silal, Sasikiran Kandula, Rachel Sippy, Talia M. Quandelacy, Jeffrey J. Morgan, Jacob Ball, Lindsay C. Morton, Benjamin M. Althouse, Julie Pavlin, Wilbert Van Panhuis, Steven Riley, Matthew Biggerstaff, Cecile Viboud, Oliver Brady, Caitlin Rivers

Journal Articles: Epidemiology

BACKGROUND: The importance of infectious disease epidemic forecasting and prediction research is underscored by decades of communicable disease outbreaks, including COVID-19. Unlike other fields of medical research, such as clinical trials and systematic reviews, no reporting guidelines exist for reporting epidemic forecasting and prediction research despite their utility. We therefore developed the EPIFORGE checklist, a guideline for standardized reporting of epidemic forecasting research.

METHODS AND FINDINGS: We developed this checklist using a best-practice process for development of reporting guidelines, involving a Delphi process and broad consultation with an international panel of infectious disease modelers and model end users. The objectives …

Lying In Wait: The Resurgence Of Dengue Virus After The Zika Epidemic In Brazil, Anderson Fernandes Brito, Lais Ceschini Machado, Rachel J. Oidtman, Márcio Junio Lima Siconelli, Quan Minh Tran, Joseph R. Fauver, Rodrigo Dias De Oliveira Carvalho, Filipe Zimmer Dezordi, Mylena Ribeiro Pereira, Luiza Antunes De Castro-Jorge, Elaine Cristina Manini Minto, Luzia Márcia Romanholi Passos, Chaney C. Kalinich, Mary E. Petrone, Emma Allen, Guido Camargo España, Angkana T. Huang, Derek A. T. Cummings, Guy Baele, Rafael Freitas Oliveira Franca, Benedito Antônio Lopes Da Fonseca, T. Alex Perkins, Gabriel Luz Wallau, Nathan D. Grubaugh

Journal Articles: Epidemiology

After the Zika virus (ZIKV) epidemic in the Americas in 2016, both Zika and dengue incidence declined to record lows in many countries in 2017-2018, but in 2019 dengue resurged in Brazil, causing ~2.1 million cases. In this study we use epidemiological, climatological and genomic data to investigate dengue dynamics in recent years in Brazil. First, we estimate dengue virus force of infection (FOI) and model mosquito-borne transmission suitability since the early 2000s. Our estimates reveal that DENV transmission was low in 2017-2018, despite conditions being suitable for viral spread. Our study also shows a marked decline in dengue susceptibility …

Impact Of Extrinsic Incubation Temperature On Natural Selection During Zika Virus Infection Of Aedes Aegypti And Aedes Albopictus, Reyes A. Murrieta, Selene M. Garcia-Luna, Deedra J. Murrieta, Gareth Halladay, Michael C. Young, Joseph R. Fauver, Alex Gendernalik, James Weger-Lucarelli, Claudia Rückert, Gregory D. Ebel

Journal Articles: Epidemiology

Arthropod-borne viruses (arboviruses) require replication across a wide range of temperatures to perpetuate. While vertebrate hosts tend to maintain temperatures of approximately 37°C-40°C, arthropods are subject to ambient temperatures which can have a daily fluctuation of > 10°C. Temperatures impact vector competence, extrinsic incubation period, and mosquito survival unimodally, with optimal conditions occurring at some intermediate temperature. In addition, the mean and range of daily temperature fluctuations influence arbovirus perpetuation and vector competence. The impact of temperature on arbovirus genetic diversity during systemic mosquito infection, however, is poorly understood. Therefore, we determined how constant extrinsic incubation temperatures of 25°C, 28°C, 32°C, …

Mapping Heat Vulnerability Index Based On Different Urbanization Levels In Nebraska, Usa, Babak Jalalzadeh Fard, Rezaul Mahmood, Michael Hayes, Clinton Rowe, Azar M. Abadi, Martha Shulski, Sharon J. Medcalf, Rachel Lookadoo, Jesse E. Bell

Journal Articles: Epidemiology

Heatwaves cause excess mortality and physiological impacts on humans throughout the world, and climate change will intensify and increase the frequency of heat events. Many adaptation and mitigation studies use spatial distribution of highly vulnerable local populations to inform heat reduction and response plans. However, most available heat vulnerability studies focus on urban areas with high heat intensification by Urban Heat Islands (UHIs). Rural areas encompass different environmental and socioeconomic issues that require alternate analyses of vulnerability. We categorized Nebraska census tracts into four urbanization levels, then conducted factor analyses on each group and captured different patterns of socioeconomic vulnerabilities …

Viral Dynamics Of Acute Sars-Cov-2 Infection And Applications To Diagnostic And Public Health Strategies, Stephen M. Kissler, Joseph R. Fauver, Christina Mack, Scott W. Olesen, Caroline Tai, Kristin Y. Shiue, Chaney C. Kalinich, Sarah Jednak, Isabel M. Ott, Chantal B. F. Vogels, Jay Wohlgemuth, James Weisberger, John Difiori, Deverick J. Anderson, Jimmie Mancell, David D. Ho, Nathan D. Grubaugh, Yonatan H. Grad

Journal Articles: Epidemiology

SARS-CoV-2 infections are characterized by viral proliferation and clearance phases and can be followed by low-level persistent viral RNA shedding. The dynamics of viral RNA concentration, particularly in the early stages of infection, can inform clinical measures and interventions such as test-based screening. We used prospective longitudinal quantitative reverse transcription PCR testing to measure the viral RNA trajectories for 68 individuals during the resumption of the 2019-2020 National Basketball Association season. For 46 individuals with acute infections, we inferred the peak viral concentration and the duration of the viral proliferation and clearance phases. According to our mathematical model, we found …

07. Roman Catholic Sisters Of Philadelphia (Exhibit Panel - Doctors And Nurses As Rescuers In Humanitarian Crises), Stephen Gaies

Doctors and Nurses as Rescuers in Humanitarian Crises Exhibition

This file is the "Roman Catholic Sisters of Philadelphia" panel, which was created in 2021 and added to the exhibit entitled "Doctors and Nurses as Rescuers in Humanitarian Crises Exhibition."

To see the supplemental information, click the Related Work button.

18. The Medical Staff Of Elmhurst Hospital (Exhibit Panel - Doctors And Nurses As Rescuers In Humanitarian Crises), Stephen Gaies

Doctors and Nurses as Rescuers in Humanitarian Crises Exhibition

This file is the "Medical Staff at Elmhurst Hospital" panel, which was created in 2021 and added to the exhibit entitled "Doctors and Nurses as Rescuers in Humanitarian Crises Exhibition."

To see the supplemental information, click the Related Work button.

07. Roman Catholic Sisters Of Philadelphia Supplemental Information, Stephen Gaies

Doctors and Nurses as Rescuers in Humanitarian Crises Exhibition

Supplemental information for the Roman Catholic Sisters of Philadelphia exhibit panel.

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

Decreasing Test Anxiety In Nursing Students Using Cute/Funny Animal Videos, Lynn Kelso

DNP Projects

Abstract

Background: Stress, test anxiety and worry continue to increase in nursing students. As successful completion of course exams is required for nursing students to complete their program of study, these increased levels of stress, anxiety and worry can hinder their ability to perform at their best. Purpose: The aim of this project is to show that using cute/funny animal videos prior to an exam can decrease test anxiety (TA) and improve performance. Project Improvement Framework: The plan-do-study-act, PDSA, quality improvement framework was used for the final, modified project. Method: A video was embedded into three of …

The Outcomes Of Cope, A Cognitive Behavioral Therapy Program, In Patients Awaiting Lvad Implantation, Aaron G. Harris

DNP Projects

PURPOSE: The purpose of the Doctor of Nursing Practice (DNP) project was to pilot Creating Opportunities for Personal Empowerment (COPE), an evidence based cognitive behavioral therapy (CBT) intervention, with patients diagnosed with advanced heart failure who are awaiting Left Ventricular Assist Device (LVAD) implantation or those who have had one recently implanted before they are discharged home. METHODS: A cross-sectional study design was used for this Pilot project. Patients were identified for potential participation by LVAD coordinators and represent a convenience sample. The patients were screened for anxiety and depression using the GAD-7 and PHQ-9 screening tools. If patients scored …

Relationship Between Preoperative Frailty And Postoperative Outcomes After Lvad Implantation, Katherine L. Wilhelm

DNP Projects

Abstract

Background: Frailty is common in many patients with advanced heart failure, including those who undergo left ventricular assist device (LVAD) implantation. Frailty has been associated with worse outcomes after other cardiac surgeries; however, little is known about the effect of frailty on postoperative outcomes after LVAD implant.

Purpose: The purpose of this project was to evaluate whether preoperative frailty [as determined by either short physical performance battery (SPPB) score ≤ 7/12 or 6-minute walk test (6-MWT) <200 >meters] is associated with poorer postoperative outcomes after LVAD implantation than non-frailty in adults with advanced heart failure.

Setting and Sample: This project …

Anti-Inflammatory Effect Of Alpha Lipoic Acid Loaded Calcium Citrate Nanoparticle On Human Keratinocyte Hacat Cells, Boonyaras Bukkavesa, Siwaporn Nilyai, Kanidta Sooklert, Sasin Thamakaison, Amornpun Sereemaspun

Chulalongkorn Medical Journal

Background: Alpha lipoic acid (LA) is potent anti-oxidant and anti-inflammation natural compound. To enhance the efficacy and stability of LA, LA-loaded calcium citrate nanoparticles were developed.Objective: To investigate the anti-inflammatory effects of LA-loaded calcium citrate nanoparticles (LA-NPs) in HaCaT keratinocytes.Methods: HaCaT cells were exposed under two inflammation stimuli conditions, lipopolysaccharide (LPS) and Pb(NO3)2, and then were treated with or without LA and LA-NPs for 24 h. Cell viability and pattern of cell death were evaluated. In addition, the expression levels of inflammatory cytokines including IL-1β, IL-6, and TNF-α as well as inflammatory mediator COX-2 were determined by real-time polymerase chain …

The Influence Of Infant Formula On The Growth Of Commensal And Pathogenic Streptococcus Species In The Infant Oral Cavity, Geneva Waynick

Undergraduate Honors Theses

The oral microbiome is a complex community of microorganisms that can both reflect and greatly influence the health of the human host. A number of diseases are associated with dysbiotic oral microflora in infants and children, including dental (e.g. dental caries, gingivitis, and periodontal disease), and gastrointestinal diseases (e.g. pediatric appendicitis, celiac disease, and pediatric inflammatory bowel disease). A variety of factors can influence the composition of the oral microbial community in infants, including gestation length, mode of delivery, feeding method, and diet. This study focuses on the effects of diet on the growth of a commensal bacterium (Streptococcus …

Risk Factors For Workplace Sexual Harassment In Female Truck Drivers, Kimberly Marie Riddle

Theses and Dissertations--Nursing

Sexual harassment is one of the most common forms of workplace violence in the United States. Sexual harassment is defined as unwanted verbal and physical behaviors of a sexual nature (e.g., physical advances, requests for sexual favors, inappropriate sexist or sexual comments or jokes, pornography, or other unwanted conduct) that creates an uncomfortable working environment or interferes with the employee’s job responsibilities. In general, it is estimated that nearly one in every two women have experienced sexual harassment at the workplace over their lifetime. In male-dominated occupations, such as truck driving, law enforcement, firefighting, and construction, females may have a …

Complications In Cardiac Surgery, Christine Williamitis

Theses and Dissertations--Nursing

Quality of care and outcomes from cardiac surgery have always been of primary importance to providers and the entire health care team when caring for cardiac surgical patients. Providers in cardiac surgery have had a long history of tracking procedural morbidity and mortality rates in programs nationally and internationally. Morbidity and mortality rates vary widely among hospitals. In most studies in which procedural outcomes from cardiac surgery are evaluated, the focus has been on operative morbidity and mortality and the probability of death after a cardiac surgical procedure. Less attention has been paid to predictors of perioperative complications, and sample …

Factors Associated With Lifestyle Modification For Type 2 Diabetes Self-Management And Prevention, Leigh Anne Koonmen

Theses and Dissertations--Nursing

Diabetes is the seventh leading cause of death in the United States, affecting roughly 13% of U.S. adults aged 18 years or older. Type 2 diabetes accounts for 90-95% of all diabetes cases and is characterized by the progressive development of insulin resistance leading to sustained elevated blood glucose levels. Management of type 2 diabetes includes risk-reduction strategies and continuous medical care to prevent the development of complications.

Lifestyle is a major contributing factor to morbidity and mortality rates in the United States. Preventative health behaviors, such as engaging in physical activity, maintaining a healthy weight, and following a healthy …

Dietary Assessments And Their Association With Psychological Factors, Inflammation, And Cardiovascular Health Outcomes, Junghee Kang

Theses and Dissertations--Nursing

Cardiovascular diseases (CVDs), a group of disorders of the heart and blood vessels, are the leading cause of death worldwide, causing one-third of deaths each year. Diet is one of the most important behavioral risk factors for CVD. The effects of behavioral risk factors, such as diet, may lead to increased blood pressure, increased blood glucose, raised blood lipids, and overweight and obesity. Inflammation contributes to the development of CVD and can be influenced by diet. Dietary assessment indices can measure diet quality from an individual's dietary intake by scoring food and nutrient intakes. However, the mediation effects of diet …

Disparities In The 2009 Swine Flu Pandemic And Covid-19: A Literature Review, Yusuf Amawi

Honors Undergraduate Theses

The purpose of this thesis was to identify causes of disparities in affliction (infection) and mortality for minority populations (Blacks, Hispanics, Asians, and American Indian/Alaskan Natives) during the Swine Flu (H1N1) and COVID-19 (Sars-Cov-2) Pandemics. A literature review was conducted gathering peer-reviewed journal articles related to racial and socioeconomic disparities in affliction and mortality during both pandemics. The model of Blumenshine et al. (2008) was used as a guide for the analysis of this thesis, and measures of exposure, susceptibility, and treatment were hypothesized as causes for the disparities experienced by the minority populations during the two pandemics. Ultimately, it …

Effects Of Physical Activity On Physical Health, Cognition, And Activities Of Daily Living In Persons At Risk Of Alzheimer's Disease Or All-Cause Dementias, Trevon Hodge

Honors Undergraduate Theses

The purpose of this study was to summarize the effects of physical activity (PA) as a nonpharmacological preventative measure in people at risk of Alzheimer's disease (AD) or all-cause dementia. It was hypothesized that persons at risk of AD or all-cause dementia who engage in sustained and continuous PA would fare better in terms of physical health, cognition, and activities of daily living (ADLs). A systematic literature review was conducted in the Cumulative Index to Nursing and Allied Health Literature (CINAHL) using 12 keywords. Studies were included if they were randomized controlled trials with people at risk of AD or …

Comparing The Acceptability Of Treatment Rationales For Two Psychotherapies, Marin Gail Olson

All Graduate Theses, Dissertations, and Other Capstone Projects

An effective treatment rationale is important because it can affect whether or not a client decides if they will commit to the therapeutic approach. In recent years, acceptance and commitment therapy (ACT) has developed as an approach that, although related to cognitive-behavioral therapy (CBT), is philosophically distinct. CBT typically places a greater emphasis on changing/eliminating “symptoms” of psychological disorders and the role thoughts play in directly influencing emotional and behavior problems. ACT, on the other hand, places a heavier emphasis on accepting and changing one’s relationship to aversive private experiences. When comparing the assumptions and goals underlying CBT and ACT, …

Assessment Of Perceived Levels Of Stress And Coping Mechanism Use Among Elementary School Teachers, Lauren Larson

All Graduate Theses, Dissertations, and Other Capstone Projects

The teaching profession is known to be highly stressful. Teacher stress is a real concern as there is a well-established link between job stress, burnout, and teacher attrition. Teacher attrition rates are currently at concerning levels in the United States and around the world. A cross-sectional, correlational study design was used to assess the relationship between perceived levels of stress and coping mechanism use among elementary school teachers. Participants consisted of a convenience sample of 420 public elementary school teachers in Minnesota. A 48-item survey which included the Perceived Stress Scale and Brief COPE was used to measure perceived levels …