Medicine and Health Sciences Commons^™

Program Evaluation: Assessing The Effectiveness Of Diabetes Group Education Utilizing The Diabetes Knowledge Test., Aminata Gueye

Doctor of Nursing Practice Papers

Background: Diabetes Mellitus (DM) is the 7th leading cause of death in the United States (HHS ODPHP, 2019). It is also the leading cause of chronic disease complications such as adult-onset blindness, kidney failure, and lower-limb amputations (HHS ODPHP, 2019). It is recommended that all people with diabetes should participate in diabetes self-management education (ADA, 2018). Purpose: The purpose of this DNP project is to evaluate the effectiveness of diabetes group education by assessing participants’ knowledge utilizing the diabetes knowledge test (DKT) at an outpatient diabetes care center in Louisville KY. The evidence from the literature review supports the importance …

The Implementation Of A Standardized Car Safety Seat Discharge Teaching To Improve Self-Efficacy In Neonatal Intensive Care Unit Nurses., Madeline Sass

Doctor of Nursing Practice Papers

Background: There is a lack of standardization for car safety seat education to caregivers before hospital discharge. Nationally, 59% of motor vehicle accident deaths occur because the car seat is misused (Greenwall, 2015). The American Academy of Pediatrics (1999) states this is a gap in care because all caregivers need to receive proper car safety seat instruction before discharge. Purpose: This quality improvement project aimed to increase nursing self-efficacy and compliance of registered nurses (RNs) by implementing a standardized CSS discharge intervention. Methods: RNs on the unit were educated with a 7-minute presentation video titled “Car Seat Safety: Discharge Teaching” …

Managing The Unseen: Pandemic Prophylactics, Placebos & Panaciea, Nancy K. Lankton, Avinandan Mukherjee

Accounting Faculty Research

Introduction: The World Health Organization declared COVID-19 as a pandemic on March 11, 2020, when the disease had spread to 114 countries, infecting more than 118,000 people and killing almost 4,300.¹ As of mid-February 2021, over 109 million people worldwide had been infected with the virus and over 2.4 million people had died. COVID-19 is a pandemic of epic proportions that has changed the way we live, work, and do business.

This call for papers solicited manuscripts describing and analyzing the intersection of management, COVID-19, and the workplace. The goal was to create a special issue that would inform …

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

Michigan COVID-19 Outbreak Reports

The Outbreak Data page was obtained from Michigan's COVID-19 data page: https://www.michigan.gov/coronavirus/0,9753,7-406-98163_98173_102057---,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.

COVID-19 outbreaks are generally defined as two or more cases with a link by place and time indicating a shared exposure outside of a household. Local health departments report the number of new and ongoing outbreaks they are investigating by the setting of the outbreak. New outbreaks are those outbreaks that were first identified during the current reporting week. Ongoing outbreaks are …

Covid-19 Responses: A Living Archive, Centre For Ai & Data Governance (Smu)

Centre for AI & Data Governance (2019-2025)

COVID-19 has reshaped our lives, the global economy, and the geopolitical landscape in unimaginable ways. Socio-economic disruptions are keenly felt across every sector in every country and irreversible damage has been done to our collective health and livelihood opportunities. From a health crisis, the pandemic has insidiously unfolded into a human one - where efforts taken to contain the virus have resulted in the targeting and/or neglect of vulnerable populations, the exacerbation of structural inequalities, and the pushback against fundamental rights and freedoms. The prolonging of this health crisis has also accentuated the need for better governance as questions of …

Clinicians' Use Of Mhealth Applications In Interventions For Substance Use Disorders, James Daniel Bender

Dissertations

The purpose of the study was to examine how clinicians are identifying, evaluating, and utilizing mHealth apps as treatment adjuncts with their clients who have a substance use disorder. A sample of 93 participants (20 males, 72 females, and 1 not listed) completed measures of demographics and inquiries about their use and evaluation of mHealth apps in their practices. Clinicians who work at mental health centers and private practicing clinicians were recruited. The majority of the sample (71%) reported that they had not utilized mHealth apps with their clients who have a substance use disorder diagnosis. Participants who have attended …

Examining Treatment Acceptability Of An Eight-Week Mindfulness-Based Stress Reduction Protocol, Blake William Palmer

Dissertations

The goal of this study is to examine whether levels of perceived stress, experiential avoidance, personality traits including openness to experience and agreeableness, and demographic variables will predict the treatment acceptability (indicated by responses on the Treatment Acceptability and Adherence Scale) of an eight-week Mindfulness-Based Stress Reduction (MBSR) program. This study collected data in the Spring of 2019. The final number of participants in the study was 116 (40 females, 76 males, Mage = 36, age range: 22-69 years). Participants completed measures including the Perceived Stress Scale (PSS), Acceptance and Action Questionnaire-II (AAQ-II), the agreeableness and openness to Experience domains …

Promoting Healthy Transitions: Occupational Therapy Interventions For Health Management Of Homeless Populations Discharging From Health Care Settings, Dominic Carullo, Hana Chamoun, Alison Mcandrew, Brian O'Sullivan, Chelsea Pierce

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Objectives
By the end of this presentation, participants will be able to

• Identify the need for effective interventions to create better connections to health services and facilitate health management skills in individuals experiencing homelessness prior to discharge from a healthcare setting
• Recognize the potential for occupational therapists to increase health literacy and the development of self-directed health management skills for individuals experiencing homelessness prior to hospital discharge
• Apply components of an evidence-based, best practice approach to promote the development of healthy behaviors and health management skills in individuals experiencing homelessness

PICO Question
What interventions within the scope of occupational therapy …

A Quality Improvement Initiative: Combination Oral Contraception And Counseling For Sexually Active Adolescent Girls 12-18 Years Old, Angelica Del Toro

Cohort IX

According to the 2016 “U.S. Selected Practice Recommendations for Contraceptive Use” and the “U.S. Medical Eligibility Criteria for Contraceptive Use,” published by the Centers for Disease Control (CDC) and the World Health Organization (WHO), sexually active adolescents benefit from oral contraception and counseling from their primary care practitioners, as they already have an existing relationship. As a family nurse practitioner, I could provide an initial assessment and prescribe the appropriate contraceptive instead of referring them to a gynecologist.

I learned this in my practice during a 10-day reflective practice log. After a literature review and several supporting articles, I received …

Improving Pneumonia Immunization Rates Among Adult Residents Of A Long-Term Care Facility., Salma Hegazi

Doctor of Nursing Practice Papers

Background: Pneumonia is a significant cause of morbidity and mortality in long-term care facility (LTCF) residents (Stamm et al., 2020). Vaccination of LTCF residents is a reasonable prevention strategy, (Andre et al., 2018; Centers for Medicare & Medicaid Services, 2020; Kaiser Family Foundation, 2019). Improving immunization rates among LTCF residents remains to be a challenge (Rehm et al., 2012; Stamm et al., 2020).

Purpose: The purpose of this quality improvement (Q.I.) project is to improve the pneumococcal pneumonia immunization rates at an LTCF in Louisville, KY.

Methods: A review of each residents' medical record to obtain immunization status, evaluating the …

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

Michigan COVID-19 MIS-C Data

The MIS-C Data page was obtained from Michigan's COVID-19 data page: https://www.michigan.gov/coronavirus/0,9753,7-406-98163_98173_104661---,00.html.

This report is created by the Michigan Department of Health & Human Services from data self-reported by health care providers and local health departments. Data is updated on the first and third Thursdays of the month.

Multisystem Inflammatory Syndrome in Children (MIS-C) is a condition in children and adolescents under 21 years of age where multiple organ systems become inflamed or dysfunctional which occurs in association with illness. Children with MIS-C may have a fever and various symptoms, including abdominal (gut) pain, vomiting, diarrhea, neck pain, rash, …

Expediting Dental Treatment For Patients With Diabetes Mellitus In A University-Based Dental Clinic., Michelle Baxter

Doctor of Nursing Practice Papers

Oral health and diabetes are connected in a reciprocal relationship linked through the pathological mechanisms of bacteremia, inflammation, and the immune response. Dental patients experience a delay in receiving treatment at a university-based dental clinic secondary to obtaining required medical consultation from the patients’ private providers for complex medical conditions. This project was implemented to minimize barriers in access to care, reduce the risk for oral health and systemic diabetes complications, and optimize the health outcomes for diabetic patients seeking comprehensive dental treatment. The intervention group included 32 patients with diabetes who participated in hemoglobin A1c (HbA1c) testing during their …

Effectiveness Of An Evidence Based Cognitive Behavioral Therapy Program (Creating Opportunities For Personal Empowerment [Cope]) To Improve Childhood Mental Health Outcomes In A Private School., Carlatesha Flippin

Doctor of Nursing Practice Papers

Background: When mental health issues are left untreated in children, there is an increased risk for poor school performance, substance abuse, and missing essential experiences in life. School-based cognitive-behavioral therapy programs improve negative emotions, increase student positive experiences, increase coping skills knowledge, and provide adequate resources for effective mental health management of symptoms. School-based -behavioral therapy programs improve childhood mental health outcomes and promote coping skills utilization amongst pediatric populations.

Purpose: To implement Creating Opportunities for Personal Empowerment (COPE) a cognitive behavioral therapy program in a private school-based setting to assist children in obtaining optimal mental health outcomes.

Methods: Seven …

The Role Of Extracurricular Activities And Lectures In Mitigating Medical Student Burnout, Jennifer C Sepede, Joanna Petrides, Philip B Collins, Meredith C Jones, Nicole Cantor, Linda Boyd

Rowan-Virtua School of Osteopathic Medicine Departmental Research

CONTEXT: Strong evidence throughout the literature highlights burnout as a significant and increasing problem among medical students, impacting students' ability to effectively care for and empathize with patients.

OBJECTIVES: To examine how involvement in extracurricular activities and attendance at burnout lectures can impact burnout among medical students.

METHODS: An anonymous digital survey including the Maslach Burnout Inventory (MBI) was sent to all students (n=765) at Rowan University School of Osteopathic Medicine. The survey included questions regarding the number of burnout/wellness lectures respondents had attended, the number of clubs in which the respondents participated, the number of hours spent in these …

Library Involvement In Health Informatics Education For Health Professions Students And Practitioners: A Scoping Review., Deborah L Lauseng, Kristine M Alpi, Brenda M Linares, Elaine Sullo, Megan Von Isenburg

Himmelfarb Library Faculty Publications

Objective: The purpose of this scoping review is to evaluate the extent of library or librarian involvement in informatics education in the health domain.

Methods: We searched eight databases from their inception to 2019 for reports of informatics educational activities for health professionals or health professions students that involved library staff or resources. Two reviewers independently screened all titles/abstracts (n=2,196) and resolved inclusion decisions by consensus. From the full text of the 36 papers that met the inclusion criteria, we extracted data on 41 educational activities.

Results: The most frequent coded purposes of activities were "teaching clinical tools" (n=19, 46.3%) …

Asthma Exacerbation Cpg -Albuterol Via Metered Dose Inhaler Dosing (Weight-Based Vs. Age-Based Dosing), Children's Mercy Kansas City

Clinical Critically Appraised Topics

No abstract provided.

The Relationship Between Mindfulness, Proprioceptive Awareness, And Interoceptive Awareness, Casey Ford

Masters Theses & Specialist Projects

The goal was to understand mindfulness mechanisms of emotion regulation and body awareness and how these relate to interoceptive and proprioceptive awareness. The 23 participants completed the Five Factor Mindfulness Questionnaire (FFMQ; Baer et al., 2006) and the Multidimensional Assessment of Interceptive Awareness (MAIA; Mehling et al., 2012). Then, the participants completed a procedure on the purpose-built Active Movement Extent Discrimination Apparatus (AMEDA; Symes et al., 2010), a device used to measure proprioception at the ankle joint. The entire procedure took one hour to complete. Results did not support the hypothesis that higher levels of mindfulness were related to higher …

Integrating Minority Stress Theory Into Suicide Risk Models For Sexual Minority Women, Meredith Ballard Whitfield

Masters Theses & Specialist Projects

Suicide remains the 10th leading cause of death in the United States in which there is a large disparity in prevalence of suicide ideation and attempts among sexual minority individuals and heterosexual counterparts. Furthermore, it has been established that sexual minority women are at increased risk of suicidality even when compared to sexual minority men. Despite this large disparity in suicidal behavior, there is a dearth of research dedicated to assessing negative mental health outcomes in sexual minority women. Although the common theoretical model of suicide (IPTS) hypothesizes that one must have neglected interpersonal psychological needs and acquired capability, further …

Investigating Social Support As A Moderator Of The Association Between Adverse Childhood Experiences And Alcohol Use And Problems, Sterling Mckenzie Hubbard

Masters Theses & Specialist Projects

Unresolved childhood trauma, known as adverse childhood experiences (ACES), have been found previously to lead to a plethora of health disparities and increase the risk for problematic substance use, particularly alcohol use. However, protective factors, such as social support have been found to buffer against these consequences. The goal of this study was to highlight the connection between ACES and problematic alcohol use. Additionally, the aim was to investigate perceived social support as a moderator between ACES and problematic alcohol use and to examine the domains of social support and how they individually moderate the association between ACES and social …

Ua10/1 Vitality Report, Wku Suzanne Vitale Clinical Education Complex

CEC Publications

Newsletter created by and about the Suzanne Vitale Clinical Education Complex.

• Moore, Mary. From the Director's Desk
• McMaine-Render, Sarah. Circle of Support - Summer Program
• Sales, Shannon. The 2021 Special Needs Expo
• Reynolds, Laura. 14th Annual Run for Autism
• Schaeffer, Beth. It's That Time, Again
• Conder, Sarah. Art, Imagination, & Friendship
• Elkins, Michelle. CIrcle of Support - Graduates
• Brunett, Lauren & Kelsey Harris. A Word from Our Family Resource Program Interns
• Hudson, Caroline. Alternative & Augmentative Communication Support in Renshaw Early Childhood Center
• Wheeler, David. LifeWorks@WKU Spring 2021
• Swietek, Molly. Conceptualizing an Alliance for Autism & Other Learning Differences
• Collins, …

Building Cultural Competency Among Emerging Public Health Professionals: Student Experiences In Panama, Matthew Fifolt, Meena Nabavi, Erika L. Austin, Lisa C. Mccormick

Experiential Learning & Teaching in Higher Education

One of the prerequisite skills of effective public health and health practitioners is cultural competency. Cultural competency, however, requires a deep and profound understanding of individuals who are shaped by different life experiences than one’s own. Previous authors have described study abroad and service-learning as established strategies for enhancing cultural competency among emerging health professionals. This article describes how students made meaning of an international study abroad experience in Panama through analysis of student-produced work including reflective journal entries, blog posts, and photo journaling.

In summer 2019, 13 undergraduate and graduate students participated in a four-week travel course to explore …

Support For Me Assessment Of Substance Use Treatment And Recovery Services Current Infrastructure And Future Needs: Summary Of Feedback From The Support For Me Community Focus Groups (Condensed), Katie Rosingana Ba, Mary Lindsey Smith Phd, Evelyn Ali Bs, Karen Pearson Mlos, Ma, Tyler Egeland Ba, Mark Richards Bs

Substance Use Research & Evaluation

In 2019, Maine’s Department of Health & Human Services received a $2.1 million grant from the Centers for Medicare and Medicaid Services (CMS) SUPPORT Act, establishing the SUPPORT for ME initiative within the Office of MaineCare Services. The primary goal of this planning grant is to increase MaineCare providers’ capacity to deliver Substance Use Disorder (SUD) treatment and recovery services for Medicaid beneficiaries. In collaboration with Maine DHHS, the Cutler Institute conducted a series of virtual focus groups in Maine as part of a needs assessment for the SUPPORT for ME initative. These focus groups were conducted regionally by Public …

Mental Health Services Provision In Primary Care And Emergency Department Settings: Analysis Of Blended Fee-For-Service And Blended Capitation Models In Ontario, Canada., Thyna Vu, Kelly K Anderson, Nibene H Somé, Amardeep Thind, Sisira Sarma

Epidemiology and Biostatistics Publications

Treating mental illnesses in primary care is increasingly emphasized to improve access to mental health services. Although family physicians (FPs) or general practitioners are in an ideal position to provide the bulk of mental health care, it is unclear how best to remunerate FPs for the adequate provision of mental health services. We examined the quantity of mental health services provided in Ontario's blended fee-for-service and blended capitation models. We evaluated the impact of FPs switching from blended fee-for-service to blended capitation on the provision of mental health services in primary care and emergency department using longitudinal health administrative data …

"We Need To Genuinely Listen To What People Tell Us They Need": Identifying How To Support Individuals Living With Mental Illness And/Or Substance Use Difficulties To Thrive Following Homelessness In London, Ontario, Carrie Marshall

Occupational Therapy Publications

While unhoused, persons who have experienced homelessness are frequently consumed with securing the necessary conditions to meet their basic needs including finding a place to stay for the night, finding food, and keeping safe. It is frequently assumed that when individuals secure a tenancy following homelessness, that their life naturally improves for the better in most or all areas of their lives. Unfortunately, recent research suggests that many individuals who secure housing after homelessness continue to live in a state of survival. While the importance of supporting individuals to secure and sustain housing cannot be understated, other aspects of a …

Rapid Microscopic Fractional Anisotropy Imaging Via An Optimized Linear Regression Formulation., N J J Arezza, D H Y Tse, C A Baron

Medical Biophysics Publications

Water diffusion anisotropy in the human brain is affected by disease, trauma, and development. Microscopic fractional anisotropy (μFA) is a diffusion MRI (dMRI) metric that can quantify water diffusion anisotropy independent of neuron fiber orientation dispersion. However, there are several different techniques to estimate μFA and few have demonstrated full brain imaging capabilities within clinically viable scan times and resolutions. Here, we present an optimized spherical tensor encoding (STE) technique to acquire μFA directly from the 2nd order cumulant expansion of the powder averaged dMRI signal obtained from direct linear regression (i.e. diffusion kurtosis) which requires fewer powder-averaged signals than …

A Novel Three-Choice Touchscreen Task To Examine Spatial Attention And Orienting Responses In Rodents, Faraj L. Haddad, Maryam Ghahremani, Cleusa De Oliveira, Ella E. Doornaert, Kevin D. Johnston, Stefan Everling, Susanne Schmid

Brain and Mind Institute Researchers' Publications

Mammalian orienting behavior consists of coordinated movements of the eyes, head, pinnae, vibrissae, or body to attend to an external stimulus. The present study aimed to develop a novel operant task using a touch-screen system to measure spatial attention. In this task, rats were trained to nose-poke a light stimulus presented in one of three locations. The stimulus was presented more frequently in the center location to develop spatial attention bias toward the center stimulus. Changes in orienting responses were detected by measuring the animals’ response accuracy and latency to stimuli at the lateral locations, following reversible unilateral chemogenetic inactivation …

Community-Based Wound Care Intervention Utilizing Non-Clinical Personnel In The Intravenous Drug Use Population., Jennifer Fox

Doctor of Nursing Practice Papers

Background: Wounds resulting from injection drug use can increase morbidity and mortality in intravenous drug users (IVDU) (Kerr, et al., 2004; Phillips, et al., 2012; Pieper, 2019). Lack of access to healthcare contributes to self-treatment, worsening wounds, and severe co-morbidities (Robinowitz et al., 2014). Needle exchange programs (NEP) offer clean injecting equipment and infectious disease testing. NEP employees have close contact and high rapport with this population (Robinowitz et al., 2014). NEP can be utilized to assess skin for infection and high-risk injecting behaviors contributing to wound development. Early detection of wounds through assessment and prevention through cleaner injecting behaviors …

Why New Diseases Keep Popping Up, Alan L. Gillen, Jason Conrad

Faculty Publications and Presentations

New and reemerging diseases are terrifying and concerning problems. Not only do they carry a financial and emotional toll, but they account for significant numbers of death. Emerging diseases are usually zoonotic and highly virulent in nature. These are pathogenic and parasitic diseases of high consequence and impact. Why would a good Creator allow these new diseases? Why do new diseases keep popping up? Mutation and displacement of original types of microbes account for many new diseases; however, the answer is more complex than just these two factors. Zoonoses are the most common type of infection, specifically from viral pathogens, …

Crohn’S Disease And Omega 3: Can It Decrease Crp? A Literature Review, Ariana L. Vyvjala

Bachelors of Science in Nursing

The Crohn’s and Colitis foundation of America estimates that 70,000 Americans are diagnosed with inflammatory bowel disease (IBD) each year (2021). Crohn's disease is an inflammatory bowel disease characterized by periods of remission and exacerbation triggered by an increase in stress (Mackner et al., 2020). Patients can experience debilitating abdominal pain, diarrhea, fatigue, blood in the stool, and reduced appetite during an exacerbation period, all of which can lead to life-threatening complications (Mayo Clinic, 2020). In most cases, patients are diagnosed in their late teens or early adulthood years, and are prescribed anti-inflammatory drugs (Mayo Clinic, 2020). As there is …

Through The Lens Of The Eaat Facility Manager: Benefits Of Equine-Assisted Activities And Therapies To College-Aged Students, Annalee Parker

Animal Science Undergraduate Honors Theses

This study aimed to explore and gather information on the benefits of equine assisted activities and therapies (EAAT) to college-aged students so that the information may be given to college students as an educational source and a mental health relief resource. This study strived to explore, through the lens of managers of EAAT organizations and their coworkers, how EAAT has positively affected college-aged students, including those with PTSD, behavioral problems, communication obstacles, Down syndrome, family differences, abusive relationships, depression, anxiety, and/or physical ailments. As a whole, EAAT is viewed as more of a recreational activity rather than a method of …