Medicine and Health Sciences Commons^™

Quantum Tunneling And Exceptional Human Capacities: Illustrating Different Skepticisms In Physics And Psychology, Glenn Hartelius

International Journal of Transpersonal Studies Advance Publication Archive

Quantum tunneling is a phenomenon where a particle appears on the other side of an energy barrier that it does not have enough energy to pass through, according to classical physics. This notion, first proposed by a German physicist in 1927, runs improbably counter to common sense and to rules thought for hundreds of years to govern physics. Acceptance of this and other quantum phenomena has required the reconceptualization of subatomic particles from solid bits of matter to probability clouds that extend infinitely in every direction. As such, quantum physics has required a skepticism driven by the need for sound …

Life Before Birth: A Thematic Analysis Of Memories Of Coming Into Life Part 2: Recollections Of Fetal Life And Birth, Jenny Wade

International Journal of Transpersonal Studies Advance Publication Archive

This article examines a second set of data produced in a thematic analysis of 68 “earliest memory” narratives submitted to an independent website to explore the question: what do people who claim to remember how they came into the world say about their experience prior to and including birth? Part 1 examined the first and largest subset of the data, narratives of an otherworldly existence consistent with Western reincarnation intermission stage 2 experiences, near-death experience accounts and mythic traditions. This article thematically analyzes descriptions of life in the womb, birth, and apparently veridical out-of-body and other paranormal impressions of events …

The Role Of Spiritual Intelligence And Differentiation In Predicting Marital Adjustment Of Married Iranian Students, Sedigheh Ahmadi, Richard H. Morley, Faezeh Ghalebi, Hossein Ilanloo, Christine D. Nguyen

International Journal of Transpersonal Studies Advance Publication Archive

The aim of this study was to investigate the role of spiritual intelligence and differentiation in predicting marital adjustment of Iranian students. The participants of this study were 312 married students from Yazd University. The instruments used in this study were the Dyadic Adjustment Scale (DAS) to measure marital adjustment, Differentiation of Self- Inventory, and the Spiritual Intelligence Self-Report Inventory (SISRI). The results of the study demonstrated that spiritual intelligence predicted the marital adjustment of married students (p

Unexpected Side Effects: A Cautionary Note On Challenges Of Persistent Self-Transcendence, Elizabeth D. Stephens, Harris L. Friedman

International Journal of Transpersonal Studies Advance Publication Archive

Self-transcendence is an ambiguous construct without consensual meaning, yet many claim that it relates to, or even causes, beneficial outcomes. Few discuss its potential deleterious side effects, choosing to focus primarily on positive effects. However, anything with sufficient potency to heal may have unintended side effects, especially when it leads beyond a transitory state to becoming an enduring trait, such as when self-transcendence (ST) becomes persistent self-transcendence (PST). With PST, evidence is overviewed here, along with two illustrative case reports, that people can suffer emotional difficulties, motivation changes, loss of self-reflexivity, anhedonia, dissociation, depersonalization, memory problems, and other psychological concerns. …

Life Before Birth: A Thematic Analysis Of Memories Of Coming Into Life Part 1: Recollections Of Another Realm, Jenny Wade

International Journal of Transpersonal Studies Advance Publication Archive

Autobiographic memories prior to birth remain controversial in psychology because such memories are traditionally believed to begin much later when some sense of self is formed. Prenatal sentience, including fetal learning, occurs in species from arthropods to humans, and evidence for autobiographic memories from pre- and neo-natal humans has typically come from clinical case histories of altered-state regression techniques eliciting records from adults or clinical case histories of children in normal states. This thematic analysis examined 68 “earliest memory” narratives submitted to an independent website to explore the question: what do people who claim to remember how they came into …

Eliciting Awe In The Spectator: The Case Of A Dhrupad-Based Dance Performance, Santarpia Alfonso, Andrée Martin, Armando Menicacci, Pierre De Olivieira, Daniel Lemieux, Laurence Éthier, Caroline Charbonneau, Bruno Pucella, Christophe Flambard, Les Frères Gundecha, Louis-Charles Lusignan, Alice Bourgasser, Élizabeth-Anne Dorléans, Ariane Dubé-Lavigne, Angélique Poulin

International Journal of Transpersonal Studies Advance Publication Archive

This paper describes “Kalos, eîdos, skopeîn,” an immersive Dhrupad-based dance installation designed to elicit feelings of awe in the spectators, in a real-life artistic context. This study used a mixed-methods approach in order to explore spectators’ awe experience (N=45), using specific scales and interpretative phenomenological analysis. Results suggested that “Kalos, eîdos, skopeîn,” with its combination of nature motifs and the slow dance-walk associated with the Dhrupad music in the choreography, was able to produce awe-related moments in some spectators and inspire a degree of positive emotions. Our qualitative results viewed awe explicitly as a positive emotion and showed that generally …

How Perception Meets Hermeneutics: An Empirical Investigation Of Tasseography, Elizabeth Avetisian

International Journal of Transpersonal Studies Advance Publication Archive

Tasseography is a divination method to provide insight about the seeker’s past, present, or future life by interpreting patterns in the dregs of a liquid. Although it has been practiced with coffee throughout Europe and Middle East, particularly among women, no known studies exist on the seer’s perceptual process of the ambiguous patterns or how the roles of the seeker and seer, symbols, ritual, and cultural epistemology shape the divinatory hermeneutics. This study focused on the Armenian coffee divination ritual, asking what are the processes and conditions that enable experienced cup readers to obtain divinatory insight in tasseography? Two seekers …

Psychologists In Training: Developing Lgbtq+ Cultural Competence In Trainees, Anna Shumilina

Selected Full Text Dissertations, 2011-

Lesbian, gay, bisexual, transgender and queer (LGBTQ+) individuals search for counseling services at higher rates compared to their heterosexual peers. Unfortunately, LGBTQ+ people also report negative therapeutic experiences that are evident in higher dissatisfaction rates with counseling services. Perceived heterosexist bias, homophobia, and therapists’ general lack of understanding and/or adequate training of gender and sexual diversity are some of the reasons why LGBTQ+ individuals may be wary of seeking medical or mental health services or why they forgo accessing services altogether (Dillon et al., 2004). Even though there is an emerging body of research stating a clear need to provide …

Application Of Metastable Curve And Crystal Anisotropic For Understanding Tablet Performance Of Pharmaceutical Materials, Vivek Dhirubhai Patel

Selected Full-Text Dissertations 2020-

Tablets are the most preferred drug delivery dosage from compares to all other delivery forms. Tablet sizes are very important to consider with respect to the patient compliance. During the early development stage, it is very important to screen out the material based on their compressibility at each plane for further formulation. There are mainly three type of crystallization method like evaporation, cooling, and antisolvent method. Slow cooling method is a useful method to determine the crystal property at a different temperature point. Metastable curves assist in identifying the nucleation point of crystal during cooling method. A limited quantity of …

Application Of Physiologically Based Pharmacokinetic (Pbpk) Modeling To Study The Impact Of Roux-En-Y Gastric Bypass (Rygb) Surgery On The Bioavailability Of Oral Antibiotics, Suvarchala Kiranmai Avvari

Selected Full-Text Dissertations 2020-

Understanding the mechanisms that govern drug absorption and elimination is a critical component in pharmaceutical research and development, as the oral route remains the most common method of drug administration. The utilization of in silico physiologically based pharmacokinetic modeling and simulation (PBPK M&S) has enabled the extrapolation of modeling and simulation in special populations where concerns regarding alteration in overall drug exposure may arise, such as following gastrointestinal surgery. Roux-en-Y Gastric bypass (RYGB), or partial resection of the gastrointestinal tract, leads to multiple physiological alterations that affect drug absorption. The inability to generalize and predict changes in oral drug bioavailability …

The Role Of Child Life Specialists In Community Settings: Chapter 6: Prison, Genevieve Lowry

Graduate School of Education

This chapter focuses on the role of the child life specialist working with families affected by incarceration. Children and families are at increased risk due to trauma exacerbated by arrests, incarceration, and re-entry. This chapter will focus on the ways a child life specialist working in jails, prisons, detention centers, and in communities with schools, non-profits, and faith-based organizations can provide developmentally appropriate explanations, preparation, play, expressive arts, and coping, facilitating opportunities that foster relationships and understanding while promoting resilience.

Dry Needling For Relief Of Spasticity In Patients With Chronic Stroke: An Evidence Synthesis, Morgan Darner Spt, Tristen Rush Spt, Emily Wald Spt, Christian Whitesell Spt

Physical Therapy Student Research Projects

No abstract provided.

Analysis Of Perfectionism On Perceived Stress And Sleep Hygiene In Physical Therapy Students, Lindsay Cowman Spt, Trey Furgeson Spt, Jp Noonan Spt

Physical Therapy Student Research Projects

No abstract provided.

Applying The Current Acute - To - Chronic Workload Ratio Considerations To Running Related Injury Prevention, Chris James Spt, Colton Johnson Spt, Cailey Roth Spt, Justine Schroeder Spt

Physical Therapy Student Research Projects

No abstract provided.

The Effectiveness Of Conservative Management In Improving The Severity Of Pectus Excavatum In Children & Young Adults: A Systematic Review, Mckenze Carlson Spt, Emma Kays Spt, Cassidy Pringle Spt, Kristi Steptoe Spt

Physical Therapy Student Research Projects

No abstract provided.

Effective Interventions To Treat Postpartum Diastasis Recti: A Systematic Review, Michaela Hauer Spt, Cassandra Jones Spt, Mattison Munger Spt, Cassidy Wethor Spt

Physical Therapy Student Research Projects

No abstract provided.

The Influence Of Cognitive Loading On Landing Mechanics: A Systematic Review, Tyler Havard Spt, Jenny Hofer Spt, Paul Johnson Spt, Rachael Severson Spt

Physical Therapy Student Research Projects

No abstract provided.

The Effects Of Tactile Acuity Training On Chronic Low Back Pain: A Systematic Review Of The Literature, Paige Drenth Spt, Ty Garrett Spt, Caleb Gunn Spt, Amy Roby Spt

Physical Therapy Student Research Projects

No abstract provided.

Motivating Older Adults To Participate In Physical Activity, Jenna Mammenga Spt, Deandra Woebke Spt, Kyler Bergeson Spt, Drew Keuck Spt

Physical Therapy Student Research Projects

No abstract provided.

It's Time To Break Old Habits: Admitting Stemis To The Telemetry Unit, Teresa Jahn, Tanya Glenz

Nursing Posters

Beginning December 2020 uncomplicated ST-Elevated MI patients will be admitted directly to Telemetry following intervention instead of CICU.

June 2020: Review and develop evidence- based exclusion criteria for admission to Telemetry

June 2020: Create a process for communication between the nursing supervisor, cath lab, Telemetry Unit and CICU for patient placement

Fall 2020: Meeting with Telemetry and CICU charge nurse, nursing supervisor and cath lab RN to discuss communication process

Dec 2020: Begin tracking STEMI patients

• Unit admitted to (Telemetry or CICU/ICU)
• Requiring transfer to CICU/ICU from Telemetry

A Multidisciplinary Approach To Reduce Complications From Blind Small Bore Feeding Tube (Sbft) Insertion, Teresa Jahn, Jennifer Burris, Peggy Lange, Elizabeth Plante, Mithun Suresh Md

Nursing Posters

Between 2019 and 2021, six lung perforations related to blind placement of SBFTs.

A multidisciplinary team reviewed current methods of placing SBFTs and the feasibility of each:

• Fluoroscopy
• 2 Step X-Ray
• Capnography
• Electromagnetic visualization

Capnography was selected as a safe and cost-effective way to attempt to identify insertion location in real time.

• Four team members were selected and trained to insert SBFT using capnography
• Each placement attempt and outcome of placement was tracked
• Outcomes were identified as successful or unsuccessful
• Any adverse events were to be tracked

Open All Hours!: Bariatric Surgery Patients Love Csc, Naomi Schneider, Mallory Mondloch

Nursing Posters

During the fall and winter of 2020, St. Cloud Hospital saw a dramatic increase in the number of COVID-19 patients. Additionally, elective surgeries in Minnesota were on hold during the early months of the pandemic, and later in 2020 there was a significant backlog of these patients, waiting for their procedure. To serve patients and their families, St. Cloud Hospital teams planned for a way to safely and professionally offer surgical care needs to Central Minnesota.

Early Detection Of Sepsis, Holly Kockler, Evalyn Michira

Nursing Posters

The aim for this project was to improve early identification and intervention for sepsis to lower mortality rates and increase sepsis order set usage.

Key Drivers:

• Sepsis mortality rate is higher than compare groups
• Sepsis Order Set utilization is low
• Sepsis core measure performance is below benchmark

Centracare Launch Of Covid Antiviral Therapy, Jessica Miller, Todd Lemke Pharmd, Dennis Heinen Rph

Nursing Posters

• Efficiently monitor the limited available stock of oral antiviral COVID therapies during surge states
• Prescribe safely and appropriately
• Dispense to patients close to home.

Icu Liberation: Early Mobility And Exercise, Leann Volkers, Holly Kockler, Kristi Patterson

Nursing Posters

The aim of this project was to streamline and standardize the delivery of the follow up Important Message from Medicare (IMM) for IP admissions across CC and Carris-RWF in compliance with regulatory standards of care.

Key drivers identified:

• Site specific variation
• Underutilization of Epic functionality
• Use of data to understand performance

Promoting Patient Outcomes: Clabsi Prevention, Woon Paek

Nursing Posters

What is a CLABSI?

“A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs (usually bacteria or viruses) enter the bloodstream through the central line” (CDC, 2021)

Best practices for preventing CLABSIs:

• Perform hand hygiene
• Don proper PPE
• Sterile/aseptic technique during insertion
• Prioritize for cares related to central line first
• Daily assessment for need of central line
• Daily chlorhexidine gluconate bathing
• Remove catheters that are unnecessary
• "Scrub the hub" BEFORE EVERY access
• Change dressings every 7 days or as needed
• Assessment of site/dressing condition
• Change purple Ultrasite caps with dressings
• Tubing changes per CentraCare policy
• Discard …

Innovative Use Of Ehr To Support Admission Screening For Emerging Pathogens, Patricia Dumonceaux Msn, Rn, Cic, Phn, Carolyn Harlander-Zimny, Elizabeth Kiffmeyer, Ellen Simonson, Tamara Welle

Nursing Posters

• CentraCare hospitals were the first in Minnesota to identify a patient with Candida auris (C. auris), an emerging pathogen.
• 2018 Centers for Disease Control and Prevention (CDC) and state health department recommended adoption of enhanced admission screening process to allow for early identification of patients at risk of being colonized with C. auris/Carbapenem-Resistant Organisms (CROs).
• C. auris, a fungus, and CROs, comprised of organisms from the Enterobacteriaceae family resistant to carbapenems, are emerging multidrug resistant pathogens. Emphasis on identification and early isolation of at-risk patients decreases risk of transmission.

Improving The Management Of Tardive Dyskinesia On An Inpatient Mental Health Unit, Jennifer Krebsbach

Nursing Posters

Implement a practice change on the adult mental health unit to improve the accuracy and increase the rate of completion of the abnormal involuntary movement scale (AIMS) for tardive dyskinesia (TD).

Perioperative Glucose Monitoring Protocol, Nicole Helgeson

Nursing Posters

Currently, there is no established glucose management protocol for our surgical patients. Poor outcomes related to hyperglycemia may include increased morbidity/mortality, surgical site infection (SSI), sepsis, renal, and cardiac concerns. The purpose of this protocol is to improve the care and outcomes for surgical patients through a consistent standardization of glucose management.

Purewick External Female Catheter, Elizabeth Kiffmeyer, Mallory Mondloch

Nursing Posters

Catheter-Associated Urinary Tract Infection (CAUTI) rates increased in FY21 compared to FY20, and many units continue to not meet their National Database of Nursing Quality Indicators (NDNQI) target goal even through FY22.

A group of CentraCare stakeholders gathered, including bedside nursing staff, urology techs and nursing leadership, to discuss barriers and areas for opportunity. Representatives from BARD®, our urinary catheter supply company, were invited to conduct an analysis on our urinary catheter/ CAUTI reduction practices. Findings from the analysis included an opportunity to implement an external female catheter.