Medicine and Health Sciences Commons^™

Predictors Of Goal Attainment Among High School Students In Accelerated Academic Curricula Receiving School-Based Motivational Interviewing Intervention, Camille E. Hanks

USF Tampa Graduate Theses and Dissertations

Students enrolled in Advanced Placement (AP) courses and International Baccalaureate (IB) programs represent a unique group of adolescents given the high demands of their rigorous coursework and the elevated stress they experience compared to peers in the general education (Suldo & Shaunessy-Dedrick, 2013). These students are often missed in traditional screening procedures that tend to identify students struggling academically or exhibiting disruptive behaviors. Fortunately, Shaunessy-Dedrick and colleagues (2021) developed a comprehensive school-based intervention program, including universal (Tier 1) and selective (Tier 2) components, which aims to support the well-being of AP/IB students. The Tier 2 component of this program (i.e., …

The Intersection Of Hiv, Covid-19 And Systemic Racism, Gary F. Spinner

Journal of Health Disparities Research and Practice

ABSTRACT

The Human Immunodeficiency Virus (HIV) pandemic has taken the greatest toll on racial and ethnic minorities in the United States. Blacks and Latinxs suffer greater disease incidence, prevalence, morbidity and mortality from HIV as compared with Whites. Similarly, the Covid-19 pandemic caused by SARS-CoV-2 has disproportionately affected Blacks, Latinxs, and Native Americans causing higher rates of infection, more severe disease, and higher rates of mortality as compared with Whites. The pandemic of racism is as ubiquitous as the pandemics of HIV and Covid-19. Its sustaining forces drive wealth inequality, poverty, racially segregated and overcrowded housing, unequal employment opportunities, unequal …

Can Community Gardens With Workshops Increase Gardening Behavior? A Navajo Wellness Collaboration, Kevin A. Lombard Phd, India J. Ornelas Phd, Desiree Deschenie, Felix Nez, Sonia Bishop, Katie Osterbauer Ms, Eileen Rillamas-Sun Phd, Shirley A.A. Beresford Phd

Journal of Health Disparities Research and Practice

This paper seeks to evaluate the potential efficacy of a community gardening intervention on the Navajo Nation to increase gardening and healthy eating behaviors, which are potentially important in preventing obesity and related health conditions. Rates of obesity are high among American Indians, including those living on Navajo Nation land. Eating fresh fruits and vegetables is part of healthy eating. However, availability and access to fresh fruits and vegetables are severely limited on the Navajo Nation, due to distance and cost. One way to increase both availability and consumption of fresh fruits and vegetables is through community gardening, yet …

Prostate Cancer: Social, Economic And Demographic Correlates Of Non Use Of Supplemental Diets Among Black Men In Florida, Jemal Gishe, Getachew Dagne, Mohamed Kanu, Kushal Patel, Revlon Briggs, Folakemi Odedina, Francis Pleban

Journal of Health Disparities Research and Practice

Background: Epidemiologic data consistently show that Black men in the U.S. are disproportionately affected by prostate cancer. The incidence rate is 60% higher and death rate is 2.1 times more for Black men compared to Whites. There is growing evidence from literature that nutritional supplements, such as selenium, lycopene, vitamin A, vitamin D and soy may reduce the risk of prostate cancer. However, the level of knowledge and usage of these supplemental diets among Black men is low. Therefore, it is important to understand why Black men are low users of the supplemental diets and develop intervention programs to change …

Health Disparities And Covid-19 Pandemic: Increasing Clinical Research Participation Among African Americans, Kashica J. Webber-Ritchey, Abbi D. Lane-Cordova

Journal of Health Disparities Research and Practice

Health disparities in African Americans is a persistent issue. Higher rates and severity of the novel coronavirus-19 [COVID-19] among African Americans only widens health disparities. Effective COVID-19 treatment options are imperative, requiring representation of African Americans in clinical research. However, low participation and under-representation of African Americans is complex in nature. This article describes health disparities, the impact of COVID-19, and participation in clinical research among African Americans. We offer strategies for researchers to enhance the inclusion of African Americans. We also offer strategies in conducting clinical research during COVID-19.

Social Injustice And Pediatric Health: Pediatric Covid-19 Guidelines Are Exacerbating Health Disparities, Sneha Thamotharan

Journal of Health Disparities Research and Practice

Fewer cases of COVID-19 and hospitalizations have been reported in children. This has impacted the prioritization of pediatrics in understanding the infection, transmission, and treatment of SARS-CoV-2 in children. Unfortunately, COVID-19 rates are higher among racial and ethnic minoritized children. Simultaneously unfolding during this pandemic is a national outcry to address systemic injustice, including institutional racism in healthcare which are driving these disparities. Aligned with social justice, this paper reflects on how Pediatric COVID-19 guidelines may be exacerbating existing health disparities among racial and ethnic minoritized youth, as well as urges for and provides possible ways to culturally tailor current …

A Community-Based Participatory Research Project To Increase The Understanding Of The Health Concerns Of African Immigrant Communities In Urban Missouri., Rhonda Belue, Covenant Elenwo, Clayton Adams, Adaobi Anakwe, Kelly Taylor, Sunita Manu, Sidee Conteh

Journal of Health Disparities Research and Practice

Background

African immigrants and refugees experience unique mental and physical health care needs that may be a result of pre-migration history and the acculturation process. The purpose of this project was to collaborate with African immigrant and refugee communities to identify health needs of the communities and lay a foundation for future action.

Methods

Key-informant interviews with five West, East and Central African immigrant and refugee communities included community leaders (n=10) and listening sessions with larger groups of community members totaling approximately 150 participants to identify health care needs. Content analysis was employed to identify themes related to immigrant and …

Lessons From The Health Care Innovation Awards: Productively Engaging Vulnerable Populations To Address Social Determinants Of Health, Maysoun Freij, Megan Skillman, Caitlin Cross-Barnet, Rachel Friedman Singer, Christina Rotondo, Michelle Dougherty, Sarah Ruiz, Adil Moiduddin, Lynne Page Snyder

Journal of Health Disparities Research and Practice

Objectives: This paper examines productive interactions—a cornerstone of the Chronic Care Model—between health care providers and vulnerable populations with chronic illnesses and/or disabilities. Methods: We conducted qualitative analysis of 16 focus groups and 29 interviews with patients and/or caregivers and 195 interviews with program leadership and providers across 15 Health Care Innovation Awards that targeted vulnerable populations. We analyzed how awardees addressed health concerns and social determinants of health (SDOH), and identified key components of productive interactions. Results: Providers achieved productive interactions through four primary strategies: establishing trust and showing respect; solving problems; building accuracy in health …

Association Between Insurance Status And Hospital Outcomes Among Acute Kidney Failure Patients, Khoa Truong, Thuan Thai, Lingling Zhang, Lu Shi, C. Jason Wang

Journal of Health Disparities Research and Practice

Objectives: To investigate the relationship between insurance status and the risk of acute kidney failure (AKF) and consequential hospitalization outcomes.

Methods: A cross-sectional regression analysis was conducted for inpatients ages 18-64 in South Carolina 2012–2013. One dichotomous dependent variable - diagnosed with AKF at hospital admission, and two continuous dependent variables of hospital outcomes - total charge and length of stay, were examined. The key explanatory variable was the patient’s insurance status. Other covariates included patient’s age, gender, and race as well as AKF risk factors - Type 2 diabetic mellitus (T2DM), chronic kidney disease (CKD), hypertension, and proteinuria.

Results: …

New Technologies For Detection And Management Of Atrial Fibrillation, Adel K. Hamad

Journal of the Saudi Heart Association

Atrial fibrillation (AF) is a common and prevalent form of arrhythmia. It is associated with various morbidities with stroke being the major hazard. Since AF is often reported to be asymptomatic, many individuals remain unaware of their condition and may not receive the requisite treatment. Hence, screening for AF has gained substantial attention recently. Growing advancement in technology has paved way for numerous approaches for AF screening using medical-prescribed devices as well as consumer electronic devices. However, there still lies scope for large-scale randomized trials which would explore additional aspects associated with AF. This review very concisely summarizes AF, screening, …

Information Needs Of Traditional Medicine Practitioners (Tmps) In Nigeria With A Particular Reference To Alimosho Local Government Of Lagos State, Adeniran Pauline Oghenekaro Mrs.

Library Philosophy and Practice (e-journal)

Information plays a crucial role in modern society. It helps people to develop their knowledge of the world. This knowledge guides them against mistakes leading to effectiveness and efficiency in all aspects of life. This survey aimed to determine the Information needs and sources of Information of Traditional Medicine Practitioners (TMPs) in Nigeria with reference to Alimosho Local Government Area of Lagos State. The study population comprised forty (40) registered traditional medicine practitioners in Alimosho Local Government Area of Lagos State. The questionnaire instrument was used for data collection in which forty (40) copies were administered to the traditional medicine …

Protection Against Infection In Epidural Stimulation Implantation: A Program Evaluation., Yukishia Austin

Doctor of Nursing Practice Papers

Background: Spinal surgical site infection (SSI) is the third most common complication after spinal surgery. Complications of surgical site infection can increase hospital length of stay, associated health care costs, mortality, and produce unfavorable surgical outcomes (Janssen et al., 2019). The need to decrease the incidence of surgical site infections (SSis) is a primary concern for the Kentucky Spinal Cord Injury Research Center (KSCIRC) organization. To decrease the risk of infection with epidural spinal cord implantation, a pre-operative quality improvement plan was implemented for KSCIRC to follow.

Setting: The project took place at the University of Louisville's Kentucky Spinal Cord …

Library & Knowledge Services Newsletter - Summer 2021, Baystate Health Sciences Library

Library Newsletters

Baystate Library & Knowledge Services - Summer 2021

Stream Sediment Monitoring In Morehead Kentucky, Kristopher Krolikowski, Jen O'Keefe

2021 Celebration of Student Scholarship - Oral Presentations

Sediment loads in stream systems play a big role in how overall runoff behaves. Streams naturally transport sediment at various ratios depending on precipitation. When vegetation is removed in upstream environments, sediment loads on streams increase. Sudden increases of sediments in streams can cause many issues, such as flooding or stream re-direction. In Morehead, KY, large-scale logging operations on the ridge above Knapp Avenue and on the ridge above the north end of Allen Avenue have caused increased sediment load in a small stream called Oxley Branch. This stream flows south parallel to Knapp Avenue and along the eastern property …

Wellness Through Answers News V36:No.4 July-August 2021, Wendy Urciuoli

Articles - Patient Care

No abstract provided.

The Role Of Cardiovascular Ct In Occupational Health Assessment For Coronary Heart Disease: An Expert Consensus Document From The Society Of Cardiovascular Computed Tomography (Scct)., Ahmad M Slim, Emilio Fentanes, Michael K Cheezum Md, Iain T Parsons, Christopher Maroules, Billy Chen, Suhny Abbara, Kelley Branch, Prashant Nagpal, Nishant R Shah, Dustin M Thomas, Todd C Villines, Ron Blankstein, Leslee J Shaw, Matthew Budoff, Ed Nicol

Parkview Heart Institute

No abstract provided.

2021-2022 Pediatric Subspecialty Trainees, Children's Mercy Hospital

Residents and Fellows Portraits

Photo composites of the graduate pediatric trainees in adolescent medicine, advance non-invasive imaging, allergy/immunology, child abuse pediatrics, child neurology, coagulation, congenital cardiac surgery, clinical child psychology, developmental-behavioral pediatrics, epilepsy, headache medicine, hospice & palliative care, laboratory genetics & genomics, neonatal-perinatal medicine, pediatric adolescent gynecology, pediatric bioethics, pediatric cardiology, pediatric clinical pharmacology, pediatric critical care medicine, pediatric dentistry, pediatric emergency medicine, pediatric EM/child abuse, pediatric endocrinology, pediatric gastroenterology, pediatric hematology/oncology, pediatric hospital medicine, pediatric infectious diseases, pediatric nephrology, pediatric ophthalmology; pediatric optometry, pediatric orthopedic surgery, pediatric otolaryngology, pediatric pulmonology, pediatric rehabilitation, pediatric sports medicine, pediatric surgery, sleep medicine, pharmacy, pediatric residency …

2021-07-01_Michiganoverview_Covidschooloutbreak, Michigan Department Of Health & Human Services

Michigan COVID-19 Outbreak Reports

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

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

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

Efficacy Of Quikclot Combat Gauze When Used By Immediate Responders In A Simulated Gunshot Wound, Brenden Feingerts

Yale School of Medicine Physician Associate Program Theses

Gunshot wounds sustained by civilians in the context of active shooter events are distressingly common in the United States. Current guidelines recommend the use of advanced hemostatic dressings as the first-line treatment for gunshot wounds sustained to anatomical areas in which a tourniquet cannot be effectively deployed. These guidelines have been informed by studies conducted in military and surgical settings by trained medical personnel, however, no studies have been conducted to assess their efficacy when utilized by untrained civilian bystanders. In this study, we will compare the efficacy of QuikClot Combat Gauze to standard gauze for achieving hemostasis when utilized …

Efficacy Of Rimegepant Plus Calcitonin Gene-Related Peptide Monoclonal Antibody For Migraine, Carina Leggio

Yale School of Medicine Physician Associate Program Theses

Migraine is a paroxysmal pain disorder managed with abortive therapy during a pain attack, prophylactic therapy to prevent attacks, and often a combination of both. Calcitonin gene-related peptide (CGRP) and its receptor have a role in the provocation of migraines, and therefore have been targeted in the development of both preventive and abortive therapies. However, there is limited research investigating concomitant use of the therapies. This study will examine the safety and efficacy of oral rimegepant when used for acute treatment concomitantly with a monoclonal antibody (mAb) targeting the CGRP ligand or receptor for the preventive treatment of migraine. A …

Sudarshan Kriya Yoga And Alteration In Depression Severity And Default Mode Network Connectivity, Elizabeth Togneri

Yale School of Medicine Physician Associate Program Theses

Major depressive disorder is one of the most common and burdensome psychiatric disorders. Many individuals still experience symptoms despite pharmacological treatment. Breathing techniques have shown potential for stress, depression, and anxiety reduction. A second promising treatment are mindfulness-based interventions, which have been shown to effectively decrease depression with fewer side effects than pharmacological agents. Both interventions are accessible via remote instruction. This study will investigate the effect of Sudarshan Kriya Yoga breathwork on depression symptoms. Using a prospective, randomized controlled trial, subjects will receive Sudarshan Kriya Yoga, Mindfulness Based Stress Reduction, or standard care for 8-weeks. We will measure changes …

Coronary Angiogram Plus Invasive Physiologic Tests In Women With Nonobstructive Coronary Dysfunction, Megan Mccauley

Yale School of Medicine Physician Associate Program Theses

Ischemic heart disease is the leading cause of death for women in the Western hemisphere. Women with ischemic heart disease typically present to the emergency department with acute coronary syndrome, and subsequently undergo coronary angiography. In 66% of women, no evidence of obstructive disease is found, and current standard of care recommends no further diagnostic testing. However, nonobstructive diseases cannot be ruled out with coronary angiography alone and therefore are frequently missed. This study will examine whether invasive physiological testing with coronary angiography can impact multiple adverse cardiac events in adult women. Using a prospective comparative effectiveness trial, we will …

Behavioral And Emotional Changes Across Covid-19 School Experiences In Children And Adolescents, Brittney Gunneson

Yale School of Medicine Physician Associate Program Theses

The COVID 19 pandemic has necessitated several containment measures including full or partial remote learning for some children and adolescents. Displacement from school is known to be socially isolating with the potential to impact child behavior. However, the direction of effect of pandemic school closures on the emotional well-being of children and adolescents is not yet clear. This study aims to determine the effect of remote learning on emotional and behavioral changes in children and adolescents. Using participants from the Adolescent Brain Cognitive Development study, this longitudinal prospective cohort study will compare mean, current, and follow-up scores on the Child …

Sexual Function In Women Undergoing Risk Reducing Salpingo-Oophorectomy With Or Without Hysterectomy, Madeline Perez

Yale School of Medicine Physician Associate Program Theses

Bilateral Salpingo-Oophorectomies are offered to women with hereditary breast and ovarian cancer syndromes as prophylaxis to reduce the incidence of ovarian cancer. These surgeries induce acute surgical menopause and often result in compromised sexual function including decreased desire, sexual discomfort, and diminished sexual satisfaction. However, little is known about the differences in sexual function in women who undergo surgery with hysterectomy versus those that leave their uterus intact. Using a prospective cohort study, we will compare the effects of Bilateral Salpingo-Oophorectomy alone versus Bilateral Salpingo-Oophorectomy plus hysterectomy on sexual function in premenopausal women with breast cancer gene mutations. We will …

The Effect Of Plasma Levels Of Matrix Metalloproteinase-9 On Intracranial Aneurysm Progression, Peter Stampfel

Yale School of Medicine Physician Associate Program Theses

Intracranial aneurysms are a common vascular abnormality identified incidentally or after rupture leading to aneurysmal subarachnoid hemorrhage. However, accurately assessing the risk of aneurysmal disease progression is challenging. Here we propose a prospective cohort study to identify if elevated levels of matrix metalloproteinase-9, a molecular marker of vascular degeneration, in the peripheral blood samples of subjects with unruptured intracranial aneurysms correlate with aneurysm progression over a follow up period. This study aims to aid in identifying patients at increased risk of aneurysm progression in order to guide treatment decisions and ultimately decrease subarachnoid hemorrhage morbidity and mortality.

Spiritual Direction Practice In Physician Associates, Nicholas Nielsen

Yale School of Medicine Physician Associate Program Theses

Burnout affects nearly 50% of healthcare providers including physician associates throughout their professions. The extent of burnout experienced is directly related to the life satisfaction of these providers and to the level of care they provide their patients. One effective way to combat burnout is emotional intelligence practice, but there is little evidence to suggest that incorporating spiritual well-being can reduce burnout and improve life satisfaction in clinicians. In this study, we will assess the effect of spiritual guided practice on burnout and life satisfaction in physician associates. Using a non-blinded randomized control trial, we will select inpatient hospitalist physician …

Early Use Of Vaginal Progesterone And Cervical Pessary To Reduce Preterm Birth Rates In Twins, Thomas Vulaj

Yale School of Medicine Physician Associate Program Theses

Preterm birth is one of the most common causes of neonatal morbidity and mortality. The incidence of preterm birth can be reduced by treatment with vaginal progesterone or cervical pessary. However, no studies have supported a treatment regimen that can reduce preterm birth in twin pregnancies. In this study, we will examine whether a combination therapy of vaginal progesterone and cervical pessary can reduce preterm birth in women with dichorionic-diamniotic twin gestations. We will enroll pregnant women with dichorionic-diamniotic twins at 11-14 weeks’ gestation from a local hospital in a randomized control trial. This novel approach may help establish a …

Aacp Basic Resources For Pharmacy Education, Jason Guy, Ivan Portillo, Robert D. Beckett, Leslie Ann Bowman, Daisy De La Rosa, Vern Duba, Juanita Draime, Kayce Gill, Neyda Gilman, Rebecca Hoover, Alison Kosnieczny, Scott Perkins

Library Association/Organization Work

"The AACP Basic Resources for Pharmacy Education is produced as a guide for those developing or maintaining the library collections that serve colleges and schools of pharmacy. The goal of the Basic Resources list is to make recommendations of books and other works to be included in pharmacy libraries, but not all titles are required to be purchased. Each pharmacy college has its own mission and its own program(s), and so each college’s library collection must reflect that mission and support the college’s program(s). Excellent library collections are built by knowledgeable librarians and drug information specialists using their professional judgment …

Increasing Extubation Awareness During Interdisciplinary Rounds With A Rounding Tool In The Pediatric Intensive Care Unit (Picu)., Lilly Giang

Doctor of Nursing Practice Papers

Purpose: Prolonged duration of mechanical ventilation and endotracheal tube intubation are associated with longer length of stay and increases risk for infection by about 3% per day when mechanically ventilated (Mirzarahimi et al., 2020). Evidence suggests that the use of a rounding tool during interdisciplinary rounds improves clinical outcomes, reduce duration of mechanical ventilation, and decrease length of stay in the PICU. The aim of the project was to measure registered nurses and PICU providers perception of the extubation prompts and determine if the extubation prompts decrease duration of mechanical ventilation and length of stay. Methods: After extensive review of …

Implementation Of A Newborn Skin Care Routine To Decrease Diaper Dermatitis., Shelia Kingsley

Doctor of Nursing Practice Papers

Background: Diaper dermatitis (DD) is an acute, inflammatory reaction of the skin, and is one of the most common skin problems in infancy. Diaper care procedures should aim at supporting skin barrier function to reduce the incidence of diaper dermatitis. Evidence indicates that providing appropriate skin care practices can be effective in preventing skin redness and breakdown. Purpose: To create an evidence-based skin care guideline that would improve consistency in care, decrease skin breakdown and standardize workflow. Methods: A Neonatal Skin Assessment Report was created and used to review pre- and postintervention Neonatal Skin Condition Score (NCSC) © assessment scores. …