Medicine and Health Sciences Commons^™

Pediatric Acute Lymphoblastic Leukemia Treatment Effects On Neurocognitive Development, Peyton Lee Crowder

Epsilon Sigma at-Large Research Conference

Introduction

The problem at hand is understanding if pediatric acute lymphoblastic leukemia (ALL) treatment affects neurocognitive function or development. As the children battle ALL and are given treatments such as cranial radiation therapy and chemotherapy, they are having issues later on in life because the treatment regimens are very strong and are given during a crucial period of development.

Purpose Statement and Question

Does one pediatric treatment option affect neurocognitive development more than another later in life?

Literature Review

Research was conducted online via Google Scholar and East Tennessee State University Library database. Key terms used were pediatric ALL and …

Nursing Staff Shortage And Patient Outcomes, Amber Scogin

Epsilon Sigma at-Large Research Conference

Introduction and Background: A widespread issue that is affecting patients and nurses alike is the ongoing prevalence of registered nurse shortages in the field of healthcare. This obstacle has jeopardized exceptional patient care for many years and research suggests there is a need for interventions to combat the growing shortage.

Purpose Statement: This research aimed to investigate how the lack of acceptable nursing staff levels affected patients’ quality of care, safety, and outcomes in various healthcare settings. It also emphasizes the need for interventions that would focus on the supply and retention of nursing staff in order to combat the …

The Treatment Of Post-Pandemic Mental Health In Pediatric Patients, Morgan Holland

Epsilon Sigma at-Large Research Conference

Introduction

The onset of the COVID-19 pandemic including stay at home restrictions, school closures, economic decline, and societal distress has affected pediatric mental health in ways studies have yet to discover. There are more children presenting with mental health issues compared to pre-pandemic times. Multiple factors have shown to contribute to the lack of quality care for children experiencing mental health crises in this ongoing pandemic.

Purpose Statement

The COVID-19 pandemic significantly affected the frequency of mental health related presentations to the pediatric emergency department, subsequently resulting in increased delay in transition to inpatient psychiatric treatment

Literature Review

The data …

Covid-19 Educational Disruption And Delivery Redesign On Traditional Bsn Student Nclex Performance, Kendrea Todt, Greta Marek

Epsilon Sigma at-Large Research Conference

Title: Covid-19 Educational Disruption and Delivery Redesign on Traditional BSN Student NCLEX Performance

Purpose: The purpose of the study was to understand the educational disruption and delivery redesign (EDDR) caused by the Covid-19 pandemic on ETSU Baccalaureate of Science in Nursing (BSN) students and the impact on the nursing workforce. Student progress was evaluated by exploring student grade point average (GPA), socio economic determinants of health, Assessment Technologies Institute (ATI) Test of Essential Academic Skills (TEAS) scores and ATI comprehensive predictor scores on student first-time National Council Licensure Exam for Registered Nurses (NCLEX-RN) pass rates to evaluate the supply of …

Implementation Of A Protocol To Improve Quality And Use Of Existing Crisis Safety Plan, Kaitlynn Earls

Epsilon Sigma at-Large Research Conference

Implementation of a Protocol to Improve Quality and Use of Existing Crisis Safety Plan

Kaitlynn Earls, Dr. Jo-Ann Marrs, Dr. Judy Rice, Dr. Beth Schreiner. College of Nursing, East Tennessee State University.

Crisis safety plans are an important tool for decreasing suicide attempts if a crisis situation arises. Pre-implementation data found that only approximately 20% of clients with schizophrenia/schizoaffective disorder in medication services only had a up to date crisis safety plan in place.

The purpose of this quality improvement project is to implement and evaluate a protocol to increase the use of an already established crisis safety plan in …

I'Ll Just Weight On The Lord: Spirituality And Health Behaviors In Obese African American Women, Andrea S. Poynter, Florence M. Weierbach, Deborah L. Slawson, Jean Hemphill, Georgita T. Washington

Epsilon Sigma at-Large Research Conference

Obesity is one of the fastest growing health concerns impacting all racial, ethnic, gender, and socioeconomic groups in the United States of America. More than one-third of the U.S. adult population is classified as being obese (Obesity Society, 2021). Obesity has reached epidemic proportions in all races and genders within the US with African American women comprising a majority of those impacted by this chronic health condition. Obesity rates are well documented within the literature but what is lacking is the role spirituality may play in obese African American women and their health behaviors. The purpose of this qualitative, phenomenological …

Community Health Workers In Guatemala, Rebecca Brown

Liberty University Research Week

Graduate

Applied

New Techniques For Treating Lateral Ankle Sprains: A Case Series, Quinn Macdonald

Liberty University Research Week

Undergraduate

Applied

Effects Of High Velocity Nasal Insufflation On Respiratory Efficiency, Macey York

Liberty University Research Week

Undergraduate

Applied

I'Ll Just Weight On The Lord: Spirituality And Health Behaviors In Obese African American Women, Andrea S. Poynter, Florence Weierbach, Deborah Slawson, Jean Hemphill, Georgita T. Washington

Epsilon Sigma at-Large Research Conference

Obesity is one of the fastest growing health concerns impacting all racial, ethnic, gender, and socioeconomic groups in the United States of America. More than one-third of the U.S. adult population is classified as being obese (Obesity Society, 2021). Obesity has reached epidemic proportions in all races and genders within the US with African American women comprising a majority of those impacted by this chronic health condition. Obesity rates are well documented within the literature but what is lacking is the role spirituality may play in obese African American women and their health behaviors. The purpose of this qualitative, phenomenological …

Use Of Complementary Alternative Medicine To Treat Nausea And Vomiting During Pregnancy Across Disparate Demographics And Vulnerable Populations: Application Of A Conceptual Equity Framework, Stephanie Chituru Ogbonda, Glodi Bakangelaka Bokanya, Som Subba, Yasmeen Fathima

Liberty University Research Week

Graduate

Applied

Improving Mental Health Among Undergraduate Nursing Students: Increasing Resilience In Nursing School, Hannah Hilliard

Liberty University Research Week

Undergraduate

Applied

Throwing The Distance: Recovery From An Ulnar Collateral Ligament Reconstruction Surgery – A Case Study, Timothy Dofflemyer

Liberty University Research Week

Undergraduate

Applied

Surgical Intervention Of Peroneal Tendon To Chronic Regional Pain Syndrome- A Rare Case Study, Carrington Erquiaga

Liberty University Research Week

Undergraduate

Applied

Observing Health Status And Outcomes Among Rural And Indigenous Populations Of Zacapa And Morales, Guatemala From 2019 And 2021, Grace Sibert, Renata Yassa

Liberty University Research Week

Undergraduate

Applied

Effects Of Subtalar Manual Therapy On Pain In A Male College Lacrosse Player: A Case Study Research, Alonzo Lopez

Liberty University Research Week

Undergraduate

Applied

Differential Management Of Acute Injuries Versuses Muscular Imbalance In High School Athletes, Madison Mitchell

Liberty University Research Week

Undergraduate

Applied

Understanding The Where, When, And Why Of Transcription Factors, Mariko Locke

Liberty University Research Week

Undergraduate

Basic

A Nurse Leader Residency Program: Improving Leadership Competencies, Melanie Stanton

Epsilon Sigma at-Large Research Conference

Ballad Health nurse leaders received little nursing leadership education or competency development before beginning their leadership roles; yet they are crucial to improve quality, safety, cost, patient experience, and team member engagement. Competency development is linked to improved nurse leader confidence, job satisfaction, and retention. Additionally, the organization is experiencing a shortage of prepared internal candidates to fill vacant nurse manager positions. The organization’s Chief Nursing Council (CNC) questioned if a leadership development program could improve new and aspiring nurse managers' leadership competency. The CNC aimed to improve nurse leader competency by implementing and measuring the effectiveness of an evidence-based …

What Did We Learn About Vads In 2021?, Maya Guglin

The VAD Journal

This is our 8th annual literature review on mechanical circulatory support (MCS) devices.

Our previous reports were well received by the readers. The full text of the reviews for 2014, 2015, 2016, 2017, 2018, 2019, and 2020^1-7 were downloaded 821, 861, 701, 869, 951, 272, and 365 times, respectively.

In this review, we summarized the most interesting and important, from our standpoint, publications from 2021. There may be some slight overlap with the end of 2020 because some papers were published online first, and the year of the publication changed when they became …

The Role And Strategies Of Food Manufacturers Towards Obesity And Health Policies, Emem Okpokowuruk

Epsilon Sigma at-Large Research Conference

Introduction & Background: Unhealthy diets and non-communicable diseases such as obesity are on the rise on a national and global scale, and there is an urgent need to initiate interventions. However, research suggests there is a lack of effective initiatives from major processed food manufacturers, which are a major contributor to the cause of these health issues. Thus, this study seeks to examine the role that food manufacturers have in contributing to the obesity epidemic and the strategies that they use to navigate around health policies.

Purpose Statement Question: Is there evidence of a primary role that processed food manufacturers …

Medical School Watercooler Newsletter - April 14, 2022, Lindsey Lyle

Watercooler Newsletter

This is the April 14, 2022 edition of the Frederick P. Whiddon College of Medicine's newsletter - Watercooler.

Contents include:

• Basic medical sciences student wins travel award to international conference
• MAA Annual Fund drive begins
• Pathology faculty and resident present at USCAP meeting
• Meet a Ph.D. Student: Meagan M. Taylor

Potential Benefits Of Combined Statin And Metformin Therapy On Resistance Training Response In Older Individuals, Douglas E. Long, Kate Kosmac, Cory M. Dungan, Marcas M. Bamman, Charlotte A. Peterson, Phillip A. Kern

Clinical and Translational Science Faculty Publications

Metformin and statins are currently the focus of large clinical trials testing their ability to counter age-associated declines in health, but recent reports suggest that both may negatively affect skeletal muscle response to exercise. However, it has also been suggested that metformin may act as a possible protectant of statin-related muscle symptoms. The potential impact of combined drug use on the hypertrophic response to resistance exercise in healthy older adults has not been described. We present secondary statin analyses of data from the MASTERS trial where metformin blunted the hypertrophy response in healthy participants (>65 years) following 14 weeks …

Sensory Preference And Learning Preference In Children With Attention Deficit/Hyperactivity Disorder And Dyslexia, Jennifer Gomez, Hope Mccarroll, Lisa Griggs-Stapleton

Spring 2022 Virtual OTD Capstone Symposium

Is there a connection between a child’s sensory preferences and their learning preference? Sensory processing disorders are a heavily researched topic in current literature and many children with sensory differences present with learning disabilities, but research is lacking concerning any connection between sensory processing and learning. This research study examines children’s sensory preferences and learning preferences and denotes trends between these two variables. 15 participants were recruited from the Accommodated Learning Academy in Grapevine, Texas, a private school for students 1st-12th grade with learning delays. The sample of 15 participants consisted of 12 females and 3 males, aged 11-15 years …

The Effect Of The Sleep Promotion Interventions On Incidence Of Delirium In Intensive Care Patients: An Integrative Literature Review, Sarah Lee

Nursing Masters Papers

Sleep is vital to our health, and prolonged sleep deprivation can result in serious health problems. Yet, patients in the intensive care unit (ICU) commonly experience sleep deprivation due to the environment and necessary treatments. High noise levels, bright lights, frequent patient care activities, mechanical ventilator desynchrony, pain, anxiety, and medications are the main factors that disrupt patients’ sleep architecture and affect sleep quality. Sleep deprivation is a significant contributor to the development of delirium, which is associated with poor patient outcomes and added financial burden. Implementation of sleep promotion interventions may decrease the incidence of this detrimental illness. The …

Increasing Self-Determination Throughout The Transition Process: A Resource Guide For Benton Hall Academy, Melanie N. Vacchiano

OTD Capstone Projects

This capstone project was completed through a partnership with Benton Hall Academy in Nashville, Tennessee. Benton Hall Academy “strives to prepare each student academically, socially, behaviorally, and emotionally, through individualized instruction, to work to his or her potential and to make a successful transition into the workplace or into a higher learning experience”. This project focused on the compilation of resource materials for supplementary support/education purposes. Through collaboration with stakeholders, a virtual and hard-copy resource guide was created with the goal to encourage self-determination, life skills, and increase overall participation amongst high school students. Topics included faculty/staff resources, parent resources, …

Investigating The Efficacy Of Tazemetosttat For In Vitro Treatment Of Human Triple Negative Breast Cancer Cells, Harshita Indukuri

Honors Scholars Collaborative Projects

Cancer is a formidable, genetic disease that affects many people, either directly or indirectly. Breast cancer is the most commonly diagnosed cancer worldwide (31). Triple-negative breast cancer (TNBC) is a type of breast cancer that has a higher lethality compared to other breast cancers and has a poor prognosis due to its highly invasive nature and limited treatment options. Finding safe, effective, and accessible treatment for TNBC is integral to treating TNBC patients. Tazemetostat is an EZH2-inhibitor that has recently been approved for use in epithelioid sarcoma (23). EZH2 is an overexpressed protein in many cancers, including TNBC (11). However, …

The Development Of An Assessment Plan For Wellness And Risk For Substance Use In Nurse Anesthesia Students, Tessa Friend, Lauren Zaleski

Doctor of Nursing Practice Scholarly Projects

Student Registered Nurse Anesthetists (SRNAs) are at an increased risk for low levels of perceived wellness and substance use disorder (SUD) due to a multitude of factors. Disturbances in perceived wellness and SUD pose mental and physical risks to the student as an individual, and may have an impact on their academic and clinical performance. Designing an assessment plan for the evaluation of wellness and risk for substance use in the SRNA population may aid anesthesia program directors in identifying early warning signs, implementing wellness curricula tailored to their student’s unique needs, and evaluating the effectiveness of these wellness curricula …

Proposal Of A Clinical Practice Guideline For A Non-Pharmacologic Music Listening Complementary Pain Therapy, Alec Smith, Sean Lawler, Joel Griffith

Doctor of Nursing Practice Scholarly Projects

Background: As many as 65% of post-surgical patients experience moderate to severe pain. Post-surgical pain is associated with a variety of negative physical and psychological consequences for patients. Currently, medical treatments for postoperative pain rely heavily on pharmaceuticals which can cause adverse side effects. Opioid analgesics, most notably, cause hypoventilation, apnea, and in some cases, dependence and addiction. In 2017, in response to state and national opioid prescription reduction programs, The Joint Commission (TJC) began requiring healthcare institutions to provide patients with non-pharmacologic pain treatment modalities. These pain treatment modalities, also known as complementary therapies, include music listening interventions, which …

Exploring The Occupational Impact Of Pregnancy And The Role Of Occupational Therapy During The Prenatal Period, Monica Wutzke, Karen Park, Susan Macdermott

Spring 2022 Virtual OTD Capstone Symposium

Background: Pregnancy is a major transitional period accompanied by different physiological changes that can impact performance and engagement in meaningful and needed daily occupations. There is currently limited research that examines the transition to parenthood during the prenatal period through an occupational therapy (OT) perspective.

Objective: The purpose of this study was to explore the impact pregnancy has on an individual’s roles, routines, and daily occupations. This study aimed to investigate this through an OT lens in order to better identify how the needs of pregnant individuals fall within the scope of OT.

Methods: Pregnant individuals participated in an online …