Medicine and Health Sciences Commons^™

Impactful Interactions With Medical Interpretation, Alyssa L. Reinschmidt

Honors Thesis

The purpose of this paper is to examine the quality of healthcare that one can receive when the language barrier is a factor, looking specifically at the collaboration of interpreters and physicians in the delivery of care. To carry out this study, I have analyzed the presence of the language barrier in South Dakota, the current methods of interpretation in clinical settings, and how physicians and interpreters work together to provide care to Limited English Proficiency (LEP) patients. Data has been collected from scholarly articles, journals, presentations, and videos.

Ultimately, with my committee’s help, I have created a physician-interpreter training …

Empathy Training To Combat Provider Burnout In Geriatric Healthcare, Heather N. Block

Honors Thesis

The correlation between provider empathy and the quality of patient care is strong (Hojat, 2016). Provider bias, whether conscious or unconscious, can be detrimental for patients, particularly for vulnerable geriatric populations. This population is especially vulnerable due to the ailments that often accompany age such as diabetic neuropathy, glaucoma, hearing loss, tinnitus, cataracts, retinitis pigmentosa, and illnesses that affect mobility. The Aging Awareness Activity was created to help future healthcare providers understand the difficulties facing the geriatric population. Using hands-on tools to simulate hearing, visual, dexterity, and movement impairments allows for participants to practice activities of daily living with impairment …

Stress, Alcohol Use, And Punitive Parenting During The Covid-19 Pandemic, Jennifer Price Wolf, Bridget Freisthler, Caileigh Chadwick

Faculty Research, Scholarly, and Creative Activity

Background
Emerging research suggests that parents are experiencing heightened stress during the COVID-19 pandemic. Parental stress is a risk factor for harsh or punitive parenting, and this association may be exacerbated by the use of alcohol.
Objective
We examine whether parental stress is associated with use of punitive parenting, as well as whether this association is modified by drinking pattern.
Participants & setting
We used advertisements and word-of-mouth to recruit 342 parents living in Central Ohio during the initial stay-at-home order for COVID-19.
Methods
We used geographic ecological momentary assessment (gEMA) to measure parental stress and punitive parenting during three …

Long-Term Mortality After Histoplasma Infection In People With Hiv, Joseph Cherabie, Patrick Mazi, Adriana M Rauseo, Chapelle Ayres, Lindsey Larson, Sasinuch Rutjanawech, Jane O'Halloran, Rachel Presti, William G Powderly, Andrej Spec

2020-Current year OA Pubs

Histoplasmosis is a common opportunistic infection in people with HIV (PWH); however, no study has looked at factors associated with the long-term mortality of histoplasmosis in PWH. We conducted a single-center retrospective study on the long-term mortality of PWH diagnosed with histoplasmosis between 2002 and 2017. Patients were categorized into three groups based on length of survival after diagnosis: early mortality (death < 90 days), late mortality (death ≥ 90 days), and long-term survivors. Patients diagnosed during or after 2008 were considered part of the modern antiretroviral therapy (ART) era. Insurance type (private vs. public) was a surrogate indicator of socioeconomic status. Out of 54 PWH infected with histoplasmosis, overall mortality was 37%; 14.8% early mortality and 22.2% late mortality. There was no statistically significant difference in survival based on the availability of modern ART (

Effect Of Different Types Of Intermittent Fasting In Alloxan Induced Type Ii Diabetes Wistar Rats, Bhagyalakshmi K

Faculty work

No abstract provided.

2021-05-07_Michigandaily_Covidmap, Michigan Department Of Health & Human Services

Daily Michigan COVID-19 Update

The "WHERE WE STAND WITH COVID-19" map was obtained from Michigan's main COVID-19 page: https://www.michigan.gov/coronavirus. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated daily at 3p.m., Monday - Saturday.

The State of Michigan is working around the clock to test and treat COVID-19 patients. Below is the most recent data healthcare experts across the state have compiled.

The image contained a map, indicating total cases by county, and also provides statistics on Total Confirmed Cases, Total COVID-19 Deaths, Daily Confirmed Cases, and Daily COVID-19 Deaths. There …

Medical School Watercooler Newsletter - May 7, 2021, Lindsey Lyle

Watercooler Newsletter

This is the May 7, 2021 edition of the Frederick P. Whiddon College of Medicine's newsletter - Watercooler.

Contents Include:

• Members of the Class of 2021 receive awards at honors ceremony
• USA College of medicine holds 2021 commencement
• Di Palma seeks ways to reduce side effects of breast cancer treatment in international study
• Mark your calendar for grand rounds
• Basic Medical Sciences: Four USA College of Medicine grads on a different career path
• Meet a Med Student: Matthew Handley
• Doctoral hood for her; next year, white coat for him

2021-05-07_Michiganoverview_Covidvaccinestats, Michigan Department Of Health & Human Services

Michigan COVID-19 Vaccine Data

The COVID Vaccine Dashboard page was obtained from Michigan's main COVID-19 page: https://www.michigan.gov/coronavirus/0,9753,7-406-98178_103214-547150--,00.html.

Data is updated Monday through Saturday. Previously reported numbers of administered vaccine doses may change as new data are received. A possible lag in reporting vaccine doses will result in increases in numbers previously reported.

This report is created by the Michigan Department of Health and Human Services Division of Immunization from data reported to the Michigan Care Improvement Registry (MCIR).

The dashboard contained the tabs Vaccines Delivered, Delivery Trend, Doses Administered, Doses by Vaccine, Doses Metrics, Coverage, Coverage Metrics …

2021-05-07_Michiganoverview_Covidsymptoms, Michigan Department Of Health & Human Services

Michigan COVID-19 Syndromic Surveillance System Data

The Syndromic Surveillance System Data report was obtained from Michigan's COVID-19 dashboard, from under the link "​Coronavirus Symptoms": https://www.michigan.gov/coronavirus. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated daily.

Syndromic Surveillance System data is obtained from approximately 183 facilities participating in syndromic surveillance (132 Emergency Departments (ED), 51 Urgent Cares) across the State of Michigan. The reporting is based on individuals who present at EDs and may not be representative of the overall population. The coronavirus-like symptoms query searches visit free-text (chief complaint, triage notes, and clinical impression) for fever or …

Developing An Early Mobility Nurse-Led Protocol In Critical Care Patients, Anne Flicek

Nursing Masters Papers

The growth of the medical field has resulted in an increase of patients with co-morbidities. Many patients admitted to the intensive care unit present (ICU) with multiple co-morbidities. These co-morbidities add to the frailty of the patient. Frailty has an increased an increased 6 month mortality rate (Maguet, Roquilly, Lasocki, Asehnoune,…& Sequin, 2014). Hospital stays, specifically ICU stays, are one of the largest expenditures for Medicare. To reduce costs, ICU lengths of stay need to be shortened. A growing body of evidence supports the feasibility, safety, and short- and long-term functional benefits of early mobility. Early mobility can be maintained …

2021-05-07_Michiganoverview_Covidstats, Michigan Department Of Health & Human Services

Cumulative Michigan COVID-19 Data

The COVID Overview page was obtained from Michigan's main COVID-19 page: https:/www.michigan.gov/coronavirus/0,9753,7-406-98163-520743--,00.html.

The State of Michigan is working around the clock to test and treat COVID-19 patients. Below is the most recent data healthcare experts across the state have compiled. It is updated Monday - Saturday.
This report is provisional and subject to change. City of Detroit and Wayne County are reported separately. MDHHS began tracking probable cases April 5, 2020. FCI indicates federal correctional institute. MDOC indicates Michigan Department of Corrections. Diagnostic tests, including nucleic acid amplification/real-time polymerase chain reaction (NAAT/RT-PCR) and rapid virus antigen detection point of …

The Effects Of Diabetes Education On Long-Term Complications, Sunny Lawrence

Doctor of Nursing Practice Scholarly Project

The purpose of the scholarly project is to: a) Evaluate if diabetes education can improve a patient’s overall condition; b) Measure the chances of reducing long-term complications if a person is to participate in diabetes education and continue to follow up; c) Demonstrate that with effective diabetes self-management education (DSME) hemoglobin A1c can be reduced. The project design and target population were selected based on research performed on diabetes and diabetes education and the effects that it has on improving self-management in turn creating better glycemic control and fewer complications. This study will focus on type 2 diabetes, which is …

Accidents/Injury Prevention, Amanda Gill, Kyle Kuzur

Health Fair: Tools & Lessons for K-12

No abstract provided.

Self-Esteem, Chanel Dixon, Rachel Bynum, Ashtyn Cottle

Health Fair: Tools & Lessons for K-12

No abstract provided.

Coronavirus Update 5/7/2021: Additional Raffle Added, The Coronavirus Planning Team

University Briefings & Virtual Events

Undergraduates who have had two shots of the Pfizer or Moderna vaccine or one shot of the Johnson & Johnson vaccine will need to load their vaccination cards to their student health portal over this weekend to be eligible.

Culminating Capstone Project: Critical Illness Myopathy, Min S. Yu

Department of Occupational Therapy Entry-Level Capstone Projects

The capstone project was completed in the focus area of clinical practice skills at AdventHealth hospital. The objective was to educate the rehabilitation team on critical illness myopathy (CIM), a condition that was requested to be further investigated by Megan Graf, OTR/L, who served as the capstone mentor. Through an extensive search, a literature review was completed. The rehabilitation team was informed scholarly and clinically with a PowerPoint presentation. Currently there is a gap within the literature between occupational therapy and CIM. Conversely, physical therapy had a plethora of research conducted on patients with CIM

Muscular Performance And Neuromuscular Fatigue Are Not Sex-Dependent During Low-Load Fatiguing Bilateral Leg Extension Exercise, Taylor K. Dinyer, Evangeline P. Soucie, Pasquale J. Succi, Caleb C. Voskuil, M. Travis Byrd, Haley C. Bergstrom

Journal for Sports Neuroscience

Purpose. This study examined the sex-related differences in muscular performance and neuromuscular (electromyographic [EMG] and mechanomyographic [MMG] amplitude [AMP] and mean power frequency [MPF]) responses during fatiguing leg extension repetitions performed at the critical load (CL). Methods. Eleven men and nine women completed one-repetition maximum (1RM) testing, repetitions to failure at 50, 60, 70, and 80% 1RM to determine CL, and repetitions to failure at CL, on separate days. The EMG and MMG, AMP and MPF signals and number of repetitions completed were recorded. Results. There were no sex-dependent responses in the %1RM that corresponded to, the number of repetitions …

Implementation And Evaluation Of The Quantification Of Blood Loss And Postpartum Hemorrhage Education, Marlee Cares

Doctor of Nursing Practice Scholarly Project

Postpartum hemorrhage (PPH) is an obstetric emergency that can lead to maternal morbidly and mortality. The literature consistently shows that numerous maternal deaths related to PPH are preventable. The significant contributors identified to maternal deaths from PPH include deficient education obstetrical nurses have on PPH, delayed recognition, and miscalculations of blood loss. After completing a literature review on the current PPH practice and determining the current method of estimation of blood loss (EBL) to be inaccurate, obstetric nurses at a rural, southeast Kansas hospital were educated on PPH to improve recognition and determine cumulative blood loss more accurately by the …

A Quality Improvement Project For Medication Reconciliation, Crystal Garcia

Doctor of Nursing Practice Scholarly Project

The purpose of this study was to implement a quality improvement project for medication reconciliation in the Intensive Care Unit (ICU) of a Midwestern hospital. This project was conducted by surveying the twenty-two nurses, four pharmacists, and one medication reconciliation technician regarding their view of barriers to why medication reconciliations are not always done at admission to this unit. Data was collected that revealed the number of patients admitted to this ICU prior to the implementation of the project. Then a quality improvement project was initiated. The first step was to re-educate the staff on the proper steps of entering …

Provider Knowledge Of Tickborne Diseases, Kristi Harbit

Doctor of Nursing Practice Scholarly Project

Tickborne diseases have increased in incidence in recent years, and new tickborne diseases are being discovered. These increasing numbers show the importance of well-educated health care providers to adequately diagnose and treat these diseases. The purpose of this DNP scholarly project study was to determine the effectiveness of an educational presentation for primary care providers over tickborne diseases in Kansas, Missouri, Oklahoma, and Arkansas. The educational presentation was given at a local nurse practitioner conference and knowledge was assessed via a pre-test, post-test, and 6-week follow-up email. Few research articles are available over this subject and the articles that have …

Education For Healthcare Providers, Nurses, And The Public On Opioid Induced Hyperalgesia, Jenny Greene

Doctor of Nursing Practice Scholarly Project

This project evaluated the knowledge of the public, healthcare providers, and nurses regarding opioid induced hyperalgesia (OIH). OIH is an elevated pain response because of high dosage or chronic use of opioids. Opioids are a problem not only in the United States but throughout the world; addiction, constipation, and overdose are the most frequently mentioned consequences of opioids. Little is known about other consequences to the body caused by chronic or high dose opioid usage, such as OIH. This project sought to increase awareness and caution against the utilization of opioids by patients and their healthcare providers and nurses practice. …

Neonatal Abstinence Syndrome Nonpharmacological Intervention Education For Healthcare Professionals Caring For Newborns, Darby Harvey

Doctor of Nursing Practice Scholarly Project

Neonatal abstinence syndrome has increased significantly in the United States over the past few decades due to the increase of maternal substance abuse. The overall goal of caring for these infants is effective management of the withdrawal symptoms, including both pharmacological and nonpharmacological interventions. However, nonpharmacological interventions have been shown to improve infant outcomes and reduce length of hospitalization. This project sought to increase healthcare professionals’ knowledge and confidence regarding neonatal abstinence syndrome and the utilization of nonpharmacological interventions when caring for infants diagnosed with neonatal abstinence syndrome through the provision of an educational presentation. This study utilized a one-group …

Educational Needs Regarding Concussion In Youth Athletes, Trevor Harvey

Doctor of Nursing Practice Scholarly Project

BACKGROUND: Concussions are a major health concern for youth athletes. Parents and coaches of youth athletes are often tasked with monitoring, treating, and managing youth athletes who are suffering from a concussion. The purpose of this study was to increase education provided to parents and coaches of youth athletes regarding concussions, concussion symptoms, and concussion management.

METHODS: Parents and coaches (n=64) of youth athletes in grades seven through twelve participated in a pretest, educational opportunity, and posttest study design to determine if knowledge of concussions, concussion symptoms, and concussion management increased following an educational presentation. Participants were recruited …

Nursing Orientation And Effect On Retention In A Rural Medical Facility, Miranda Plumlee

Doctor of Nursing Practice Scholarly Project

New graduate registered nurses (NGRNs) need post-graduate support to ease their transition into professional practice and to decrease turnover. Orientation programs have been identified as a method to increase NGRN retention, job satisfaction, and competence. With the current nursing shortage, it is essential to maintain NGRNs in the profession, especially since they encompass the largest population of nurses leaving the profession each year. The purpose of this project was to develop an understanding of the effect that nursing orientation has on job satisfaction, competence level, and the retention of NGRNs in a rural Kansas medical facility. A quantitative approach was …

Effects Of Rapid Response Teams On Patient Outcomes After Nursing Education, Abby Zeb

Doctor of Nursing Practice Scholarly Project

Purpose: The main purpose of this study was to review the number of calls of the rapid response team (RRT) and the potential change in cardiac arrest rates before and after education of the floor nurses concerning RRT.

Design: A quantitative study was completed using a retrospective chart review to observe the number of calls of the RRT as well as patient cardiac arrest rates after education of the floor nurses concerning the RRT. Chart reviews were conducted on all rapid response calls seven months after nursing education was complete and during a seven-month period one year after completion of …

Use Of Non-Vitamin K Antagonist Oral Anticoagulants Among Patients With Nonvalvular Atrial Fibrillation And Multimorbidity, Steve Deitelzweig, Allison Keshishian, Amiee Kang, Amol Dhamane, Xuemei Luo, Christian Klem, Lisa Rosenblatt, Jack Mardekian, Jenny Jiang, Huseyin Yuce, Gregory Y. H. Lip

Publications and Research

Introduction

Non-valvular atrial fibrillation (NVAF) is often accompanied by multiple comorbid conditions, which increase the associated risks and complexity of patient management. This study evaluated the risk of stroke/systemic embolism (SE) and major bleeding (MB) among multimorbid patients with NVAF who were prescribed non-vitamin K antagonist oral anticoagulants (NOACs) or warfarin.

Methods

A retrospective study of patients with NVAF and high multimorbidity who initiated apixaban, dabigatran, rivaroxaban, or warfarin from 1 January 2013 to 30 September 2015 was conducted using five insurance claims databases. Multimorbidity was defined as six or more comorbid conditions, and 1:1 propensity score matching (PSM) was …

Evaluation Of Chili Pepper (Capsicum Annuum), Tiger Nuts (Cyperus Esculentus), And Turmeric (Curcuma Longa) As Sources Of Antioxidant Compounds For The Potential Of Antiaging-Like Activity, Chelsea Toyer

Theses

Aging is a natural process that living organisms go through as they become older. In humans and other animals, aging is accompanied by several morphological changes, including the formation of wrinkles. Wrinkles are also caused by various environmental factors such as excessive exposure to sun or pollution, and continuous sleep deprivation. These environmental factors cause oxidation of skin cells and the degradation of subcutaneous fatty acids, leading to the formation of wrinkles. Skin care and wrinkle treatment products are part of a multimillion-dollar industry. Plant-based products are an alternative method for treating wrinkles and premature aging. Several antioxidants naturally found …

2021-05-07_Michiganoverview_Covidbedppe, Michigan Department Of Health & Human Services

Michigan COVID-19 Hospital Data

Contains the tables Statewide Hospital Capacity Report for COVID-19, COVID-19 Metrics, Statewide Hospital Available PPE Tracking for COVID-19, as well as the tables PPE Days On Hand and Patient Census.

Codon Bias Can Determine Sorting Of A Potassium Channel Protein, Anja J. Engel, Marina Kithil, Markus Langhans, Oliver Rauh, Matea Cartolano, James L. Van Etten, Anna Moroni, Gerhard Thiel

Nebraska Center for Virology: Faculty Publications

Due to the redundancy of the genetic code most amino acids are encoded by multiple synonymous codons. It has been proposed that a biased frequency of synonymous codons can affect the function of proteins by modulating distinct steps in transcription, translation and folding. Here, we use two similar prototype K⁺ channels as model systems to examine whether codon choice has an impact on protein sorting. By monitoring transient expression of GFP-tagged channels in mammalian cells, we find that one of the two channels is sorted in a codon and cell cycle-dependent manner either to mitochondria or the secretory pathway. …

A Quality Improvement Initiative To Decrease Fall Risk In Community Dwelling Elderly, Michele Shearer

Doctor of Nursing Practice (DNP) Manuscripts

Falls are a health concern for the elderly and are the leading cause of fatal and non-fatal fall injuries in this population (Burns & Lee, 2016). Meijers, et al. (2012) found that one in three community dwelling elderly will experience at least one fall per year with an even higher rate in adults greater than 80 years old. Numbers of falls are expected to increase as this population ages. This increase in falls and their consequences will produce an enormous economic burden on the United States health care system (Burns & Lee, 2016). The purpose of this program was to …