Medicine and Health Sciences Commons^™

Health Research Capacity Building Of Health Workers In Fragile And Conflict-Affected Settings: A Scoping Review Of Challenges, Strengths, And Recommendations, Rania Mansour, Hady Naal, Tarek Kishawi, Nassim El Achi, Layal Hneiny, Shadi Saleh

Faculty Publications

Background

Fragile and conflict-affected settings (FCAS) have a strong need to improve the capacity of local health workers to conduct health research in order to improve health policy and health outcomes. Health research capacity building (HRCB) programmes are ideal to equip health workers with the needed skills and knowledge to design and lead health-related research initiatives. The study aimed to review the characteristics of HRCB studies in FCASs in order to identify their strengths and weaknesses, and to recommend future directions for the field.

Methods

We conducted a scoping review and searched four databases for peer-reviewed articles that reported an …

Protecting The Nest: Contact Tracing And The Covid-19 Pandemic At Otterbein, Andrew Meyers

Masters Theses/Capstone Projects

My experience started initially by completing the COVID-19 Contact Tracing course offered through Johns Hopkins, which immersed me into the world of contact tracing which I had been completely unfamiliar with before. In the beginning of the fall semester in August 2019, the Otterbein Contact Tracing Program consisted of just Danielle Kilboy and myself, and we initially handled all COVID-19 cases among students on the Otterbein campus. Although we had both gone through the training program, there were many situations throughout the semester that we could not possibly prepare for and we would have to continue learning as we navigated …

Optimizing The Role Of Clinical Pharmacy Services In Transitions Of Care, Dj Clark, Clara Mikhaeil, Karen White

Providence Pharmacy PGY2 Program at Providence Medical Group 2021

Purpose

Health & Services The purpose of this project is to improve clinical outcomes in patients transitioning from inpatient to outpatient care by optimizing the process that primary care pharmacists use to perform comprehensive medication reviews.

Background

• Transitions of care from the inpatient to outpatient setting is an area of great opportunity for improving patient outcomes. • One prospective cohort study found that 20% of patients discharged from the hospital to home experienced an adverse event within 3 weeks of discharge. Of these adverse events, 66% were medication related.1 • Another observational study found that 14% of patients had …

Leadership Strategies To Support Resilience, Katee Paine

Nursing Masters Papers

Healthcare institutions have garnered national attention due to high levels of healthcare worker burnout, stress, and turnover rates. As the largest population of healthcare workers, nurses are often confronted with stressors that can lead to burnout in their practice and work environment. The global COVID-19 pandemic has highlighted and magnified these stressors over the past year, such as emotional strain of caring for dying patients, long shifts, rotating schedules, increased workload demands, and high-stress work environments. Resilience, characterized by an ability to bounce back from adverse situations, has been found to play an important role in navigating and adapting to …

Eastern European Orthodox Christian Immigrant Women: A Pilot Study And Needs Assessment, Kimberly A. Babich-Speck

Doctor of Nursing Practice Scholarly Projects

The healthcare perceptions of the Eastern European Orthodox Christian immigrant women (EEOCIW) to the United States (U.S.) are under-represented in the literature. Although they appear similar to Americans, their cultural and religious traditions are outside the mainstream American culture. This pilot study and health needs assessment examines the women’s healthcare perceptions of 14 EEOCIW and identifies similarities and differences with 25 U.S. born Orthodox Christian women (USOCW). Between September and November 2020, interviews were conducted with Orthodox Christian immigrant women from Eastern Europe and Orthodox Christian women born in the U.S. Questions covered the perceptions of women’s healthcare, factors influencing …

Synthesis And Self-Assembly Of Amphiphilic Block Copolymers For The Fabrication Of Non-Spherical Polymersomes, Tamuka Chidanguro

Dissertations

Polymersomes, also known as polymer vesicles, have gained a lot of interest over the past two decades. These hollow spherical systems are made via the self-assembly of amphiphilic block copolymers and have found use in a range of areas from drug delivery, to cellular models, to nanoreactors. Their hollow nature allows them to carry hydrophilic cargo in their inner compartment and hydrophobic cargo in their membrane. Over the last decade, increasing efforts have focused on controlling the morphology of polymersomes. Research has shown that polymersome morphology plays an important role for instance in drug delivery, where tubular or rod-like vesicles …

Viewing Air Battle Management Through The Lens Of Interdependence, Jordan E. Peterson, John M. Mcguirl, Michael E. Miller, Danielle Bales, Brianna Sternitzky

International Symposium on Aviation Psychology - 2021

Recent work has shown the importance of understanding and supporting interdependence relationships among agents engaging in complex, joint activities. Building on the Coactive Design Method of Johnson, the goal of this research was to determine the impact of providing operators with real-time information of team interdependencies. It was hypothesized that allowing operators to focus on maximizing the opportunities for team synergy would result in better planning in a dynamic environment. Operators in the Air Battle Management field used a decision aid that provided information on team interdependence during three combat scenarios. Effectiveness of the decision aid was measured by expert …

Toward Modeling Pilot Workload In A Cognitive Architecture, Christopher Stevens, Christopher R. Fisher, Megan B. Morris

International Symposium on Aviation Psychology - 2021

Characterizing and predicting pilot cognitive workload remains a formidable challenge, especially in tasks with a high perceptual/motor demand like aerial refueling. Cognitive models are useful tools for this, as they offer the potential to derive both performance and workload simulations before a test is conducted. We conducted a task analysis of a C-17 aerial refueling mission and developed a low-fidelity Atomic Components of Thought – Rational (ACT-R) model and environment to simulate the task. ACT-R models have been successful in predicting workload in other domains, such as menu navigation and problem solving. Eight aerial maneuvers were examined, including takeoff, climb, …

Informing Aviation Security Workforce Assessment And Selection Amidst The Covid-19 Pandemic, Stephen R. Mitroff, Benjamin Sharpe

International Symposium on Aviation Psychology - 2021

The COVID-19 pandemic has presented the aviation security industry with short-and long-term challenges relating to workforce assessment that require thoughtful responses. In the short-term, the pandemic has made it difficult to administer typical assessment methods. In the long-term, as the pandemic’s impact lessens and travel regains pre-pandemic levels, organizations will need to decide how best to allocate current employees and onboard new employees. While the pandemic has created both selection and assessment challenges, it now opens the door for innovations to support organizations to be better prepared to support the traveling public. The current paper discusses a tool, XRAY Screener, …

Measuring Motivation In Pilot Training Applicants, John D. Trent, Mark R. Rose

International Symposium on Aviation Psychology - 2021

This study evaluated applicant motivation in pilot selection. Traditional measures of motivation have moderate to low predictive validity in flight training and often show large subgroup differences. The purpose of this study was to evaluate a self-report measure of motivation by examining 1) dimensionality, 2) reliability, 3) predictive validity, 4) construct validity, 5) validity based on known groups, and

Covid-19 Impacts On Collegiate Aviation Training, Xiaoyu O. Wu, Jacob J. Shila

International Symposium on Aviation Psychology - 2021

In 2020, the COVID-19 pandemic has had a significant impact on the aviation industry. The regular day-to-day fight training routines have been altered for several reasons, including physical distancing requirements, disrupted training schedule, and the increased level of concern. Aviation educators will likely need to adapt their programs to optimize the learning experience, maintain effective safety delivery, and ensure competent graduates. The impact of the month-long break in fight training on the airmanship skills is also unaccounted for. This study surveyed collegiate aviation students to identify the COVID-19 shut down impacts on both their fight skill developments and the over-all …

Reports Of Resilient Performance: Investigating Operators’ Descriptions Of Safety-Producing Behaviors In The Aviation Safety Reporting System, Jolene Feldman, Immanuel Barshi, Brian Smith, Bryan Matthews

International Symposium on Aviation Psychology - 2021

While many existing taxonomies and frameworks provide a common vocabulary for describing how human operators fail in the context of sociotechnical systems, at present, there is no common vocabulary to describe how humans succeed. Such a framework would facilitate systematically collecting and analyzing data on how human performance can produce safety, not just how it can reduce safety. One potentially rich source of currently available information for exploring desired performance is the reports submitted to NASA’s Aviation Safety Reporting System (ASRS). These de-identified, confidential, and voluntary narrative reports are submitted by pilots, controllers, ground operators, and others within aviation operations. …

The Role Of A Group Assessment Centre In The Selection Of Ab Initio Air Traffic Controllers, Jennifer Eaglestone, Alexander W J Arnold

International Symposium on Aviation Psychology - 2021

The selection of Air Traffic Controllers (ATCOs) is known to be extensive and highly selective. Air Traffic Control the Netherlands (LVNL) has a six-stage procedure for ab initio applicants. It includes two rounds of cognitive ability testing, personality testing, two job sample tests, an interview, and an assessment centre (AC). This study examines the construct-and predictive validity of the AC using 15 dimension-scores as predictor variables, with the final score on a high-fidelity job sample test as the dependent variable (criterion). A Principal Component Analysis (PCA) of the 15 dimension-scores resulted in two components, one (inter)personal behaviour component and one …

Decision Support Tools For The Collaborative Trajectory Options Program, Philip J. Smith, Amy Spencer, Mark Evans, Bob Hoffman, Bert Hackney, Rafal Kicinger

International Symposium on Aviation Psychology - 2021

The FAA currently makes frequent use of Flow Constrained Areas (FCAs) to thin traffic through some region of airspace by assigning departure delay to flights filed to fly through that airspace. An important potential future use of such FCAs is their integrated application within a Collaborative Trajectory Options Program (CTOP) Traffic Management Initiative (TMI). This paper reports the results of cognitive walkthroughs completed with ten recently retired traffic managers. These walkthroughs were designed to evaluate information and information display requirements, as well as other decision support requirements, for software to enable the creation of FCAs for a CTOP TMI

Modeling Contingency Management In Unmanned Aircraft Systems Traffic Management, Emily Barrett, Martijn Ijtsma

International Symposium on Aviation Psychology - 2021

Contingency management in future Unmanned Aerial Vehicles (UAVs) Traffic Management (UTM) requires a variety of distributed and interdependent functions and services—such as flight tracking and conformance monitoring, weather detection and prediction, and ground-based detection and avoidance— that need to be coordinated across multiple roles and organizations. This paper describes a combination of cognitive walkthroughs and computational modeling of work to analyze edge case scenarios and assess resiliency in future UTM operations. We discuss how the walkthrough and modeling inform each other and present early results. The ultimate goal of this work is to identify requirements for robust and resilient system …

Task Modeling In Air Traffic Control With Trajectorized En-Route Traffic Data Processing System, Sungju Maeng, Makoto Itoh, Hiroko Hirabayashi, Atsushi Senoguchi

International Symposium on Aviation Psychology - 2021

As the volume of flight is extended, it is expected that the task complexity of air traffic controllers will increase. In Japan, air traffic control in en-route airspace is operating with TEPS (Trajectorized En-route Traffic Data Processing System), which has functions to display information necessary for air traffic controllers’ tasks. It has evolved to support the controllers with less workload, resulting in escalated interaction between controllers. However, paradoxically this means more information is provided and more workload would be required. In order to manage mental workload of air traffic controllers, detailed analyses of their tasks with TEPS are needed. In …

Evaluation Of Cardiac Function Using Speckle Tracking Echocardiography In Patients With Chronic Kidney Disease, Simran Agnes Martis

Manipal College of Health Professions, Manipal Theses and Dissertations

No abstract provided.

Association Of Abo Blood Group With The Coronary Artery Disease And Severity, Nuhmanul Haque N

Manipal College of Health Professions, Manipal Theses and Dissertations

No abstract provided.

Electromyographic Analysis Of Shoulder Girdle Muscles During Sitting Pivot Transfer In Individuals With Paraplegia, Suchita Sunder

Manipal College of Health Professions, Manipal Theses and Dissertations

No abstract provided.

Perception Of Play Participation Among Children With Overweight Or Obesity: An Exploratory Study, Josna Na Joseph

Manipal College of Health Professions, Manipal Theses and Dissertations

Background: Childhood obesity is one of the rising threats to public health and it may impact on their occupational participation. As play is a primary occupation of children, it is important to know the factors influencing the play participation of children with overweight or obesity. Limited studies were found related to play participation of children with overweight or obesity and most of the researches were done outside the India that lead to the following aim. Aim: To explore the perception on play participation among children with overweight or obesity. Methods: A qualitative design with phenomenological approach was used in the …

"Effect Of Visual And Auditory Stimuli In Cortical Activation During Saccadic Eye Movements", Balaje V .

Manipal College of Health Professions, Manipal Theses and Dissertations

No abstract provided.

Preference Of Pain Intensity Rating Scales In Individuals With Chronic Musculoskeletal Pain: A Cross-Sectional Study, Shivani Sandeep Mandrekar

Manipal College of Health Professions, Manipal Theses and Dissertations

No abstract provided.

Provider Perceptions On The Outcome Of Postpartum Depression Screening During Well- Child Visits, Natasha Patterson

The Eleanor Mann School of Nursing DNP Capstone Projects

The US Preventative Task Force and Centers for Medicare and Medicaid Services recommend screening for perinatal and postpartum depression (PPD) during well-child visits that occur during the first year of the baby’s life. Postpartum means the time after childbirth, and postpartum depression is defined as a variant of major depressive disorder that occur during pregnancy or within 4 weeks of delivery. Current pediatric guidelines recommend that PPD screening occur at three to five days after birth and at one, two, four, six, nine and twelve month well-child evaluations during the first year of life. This DNP clinical inquiry project brought …

Business Analysis Of Flexpacer: The Viability And Profitability Of Rechargeable Pacemakers, Bailey Arnold

Information Systems Undergraduate Honors Theses

Heart disease being as prominent as it is in the United States enables medical technology manufacturers to create lucrative businesses and products for cardiothoracic and cardiovascular physicians and patients. As a proposed rechargeable pacemaker (PM) that uses piezoelectric energy harvesting technology, FlexPacer has the chance to eliminate the need for battery replacement surgeries. This paper aims to outline the current issues in PM products and technology, identify the potential risks and benefits of FlexPacer, and discuss FlexPacer’s potential for profitability.

Functional Rehabilitation And Strength Training-Focused Interventions For An Achilles Tendon Rupture And Repair: A Case Report, Anna Murphy

Physical Therapy Scholarly Projects

Background and Purpose. Current literature identifies a lack of consensus regarding specific rehabilitation protocols following acute Achilles tendon ruptures. This case report highlights the rehabilitation of a patient following an Achilles rupture and surgical repair, who underwent a physical therapy treatment program, focusing on interventions to increase function, strength, and return to activity.

Description. The patient is a 64-year-old male, evaluated in the clinic four weeks following a status-post left Achilles tendon repair surgery, and presented with left ankle pain, decreased left ankle range of motion and decreased left ankle strength. The treatments and interventions used for this …

A 70 Year Old Male With Left-Sided Flaccidity Following Right Hemorrhagic Cerebrovascular Accident: A Case Study, Hannah Dekrey

Physical Therapy Scholarly Projects

Background and Purpose: Cerebrovascular accidents (CVAs) are a common medical issue addressed by physical therapists. This case study examines the effectiveness of one rehabilitation plan in an inpatient rehabilitation setting, and explores potential improvements in the method of intervention for patients following a CVA.

Case Description: This patient was a 70-year-old male admitted to an inpatient rehabilitation facility following a right CVA resulting in left-sided flaccidity of upper and lower extremities. He underwent therapy in this facility for five weeks.

Interventions: Conventional therapy interventions were used with this patient. The interventions consisted of a combination of strengthening, …

The Human Services Workforce Crisis: Moving Forward With Intention In Massachusetts, Suzanne Gray Henderson

School of Professional Studies

The human services field is growing rapidly in Massachusetts as it is across the country, and the Commonwealth does not have enough qualified staff to fill vacancies. The workforce shortage has risen to crisis levels due to high turnover, insufficient training, low wages, and a lack of recognition and appreciation for direct support professionals. The individuals receiving services in Massachusetts deserve quality and stability. The state budget – strained by inefficient service models and reactive fixes – also demands systemic change. The human services workforce crisis impacts a variety of stakeholders. Individuals served are directly affected, as are the direct …

Moving From Shelter To A Housing First Reponse, Robyn Kennedy

School of Professional Studies

Massachusetts is a right to shelter state for families who experience homelessness. Based on decisions made several decades ago, the state assigned the response to families who experience homelessness to the Department of Welfare (now the Department of Transitional Assistance) and a shelter, rather than a housing response was adopted. Following national best practice, the state has decided to transition the system to a Housing First response. Through this research, I will be evaluating the trends in the industry and assessing what Massachusetts needs to do to achieve a Housing First approach to serving families who are experiencing homelessness. Unless …

Support For Me: Key Stakeholder Interview Summary, Katie Rosingana Ba, Mary Lindsey Smith Phd, Karen Pearson Mlis, Ma, Evelyn Ali Bs, Tyler Egeland Ba, Mark Richards Bs

Substance Use Research & Evaluation

This summary feedback report is organized to inform the Office of MaineCare Services goal of addressing barriers and finding new and/or improved ways to increase capacity in Maine for people who seek treatment and recovery services for substance use disorder. Interview protocols were designed to assess critical domains of interest for the state, which include: current and potential provider capacity, access to care & service delivery provider willingness, and financial/ administrative policies.

Key Highlights from the stakeholder interviews indicated that:

• While there have been improvements in the integration of care for persons with behavioral health (BH) diagnoses, this integration has …

Detect Adverse Events And Medication Errors Using Technology, Kenneth Maxik, Craig Kimble, Alberto Coustasse

Pharmacy Practice & Administration

Technology has changed the practice of pharmacy. Many systems are now part of an ever increasingly interfaced or integrated health care system allowing the electronic exchange of prescriptions from electronic health records (EHRs) to the pharmacy information system and bidirectional data exchange for many items, such as lab results and test information. With meaningful use of automated distribution cabinet databases, EHR efforts, electronic data exchange, and smart pump technology, the availability of data to use for addressing and preventing adverse medication events has grown. Use of these systems has allowed a data-rich environment to store and retrieve reporting. Mining data …