Medicine and Health Sciences Commons^™

Icu Liberation: Early Mobility And Exercise, Vanessa Fuller, Andrea Nyquist

Nursing Posters

ICU Liberation:

The Society of Critical Care Medicine’s (SCCM) Intensive Care Unit (ICU) Liberation Bundle was created to reduce the harmful effects of events that occur in the ICU setting. Early mobility and exercise is part “E” of the ICU Liberation Bundle; goals are to reduce ICU and hospital length of stay (LOS), prevent readmissions, reduce discharges to long term care facilities, reduce delirium and coma days, and reduce likelihood of hospital mortality (SCCM, 2021)

Preoperative Weight Loss For Patients Undergoing Lumbar Spine Surgery Utilizing Motivational Interviewing To Decrease Postoperative Complications: A Quality Improvement Project, Amanda Welle

Nursing Posters

Do patients who are obese, based on BMI>30 and are offered lumbar spine surgery, who undergo preoperative MI via telehealth to lose weight, compared to those who don’t undergo MI have decreased postoperative complications at 30 days postoperatively?

Conclusions/Implications:

• Results from this QI project suggest a higher BMI class is associated with postoperative complications-wound infection.
• However, given the small sample size no conclusions could be drawn
• This QI project should be replicated on a larger scale
• The process for recruitment and intervention is established. The Neurosurgical providers are supportive of the continued study.

Very Important Discharge Appointment (Vida), Jennifer Burris, Holly Kockler, Gail Olson, Kristi Patterson, Natasha Pflueger, Jennifer Salzer, Leann Volkers

Nursing Posters

To improve patient flow, access, and decrease strain on resources by enhancing the current process of Discharge and Loop Back Huddle by identifying two patients for early discharge the next day.

Current Practices:

• Discharge huddle and Loopback (Discuss care progression for all pts)
• Discharge planning using the IDEAL Model (Patient and Family Engagement with Discharge)
• Electronic Discharge Readiness Tools (Exp Discharge Date, Discharge milestones, etc.)

Next piece of the puzzle:

• VIDA: a framework to identify 2 patients to be discharged before 11 am – so the bulk of our discharges do not occur between Noon and 4:00 pm.
• Decreasing the …

Neurointerventional Post-Procedure Assessment And Documentation Compliance, Chandra Brower

Nursing Posters

Per stroke best practice guidelines, pulse and groin checks need to be completed post-neurointerventional procedure per orders. Our plan is to improve assessment and documentation of post-procedure pulse and groin checks by improving the flow of the Electronic Medical Record (EMR). By enhancing clinical documentation and improving the documentation process, nursing practice can be supported, and best patient care delivered.

Physiology-Based Education For Patients With Type 2 Diabetes, Becca Barry, Cara Marie Gabriel, Brenna Lynn Olson

All Electronic Theses and Dissertations

Type 2 diabetes (T2DM) is a multisystemic disease that affects more than 370 million people worldwide and costs the U.S. Healthcare System over $245 billion per year (Kahn et al., 2013; Powers et al., 2015). Current diabetes education serves as a beneficial intervention method in the prevention and limitation of disease complications. Nevertheless, the current education regimen does not adequately convey the physiological reasoning behind those recommendations. Creating an educational tool that provides patients with physiological reasoning behind diabetes and treatment methods was needed to improve diabetes understanding. Neighborhood HealthSource expressed a need for easily understandable and accessible pathophysiology-based T2DM …

On-Treatment Changes In Pediatric Parameningeal Rhabdomyosarcoma Treated With Upfront Proton Therapy, Jacob Allen Jordan

Longitudinal Scholar's Project

The project is focused on the effects of longitudinal changes in patient and tumor anatomy on the delivered treatment plan during proton radiotherapy for the treatment of pediatric Para meningeal rhabdomyosarcoma. The study will investigate the effects of change on dose delivered to organs-at-risk near the tumor. This effort will extend the analysis of changes to the organs-at-risk to all the cases in the study and add an additional case meeting the study criteria.

Lower Extremity And Trunk Electromyographic Muscle Activity During Performance Of The Y-Balance Test On Stable And Unstable Surfaces., Navpreet Kaur, Kunal Bhanot, Germaine Ferreira

Physical Therapy Collection

Background: The Star Excursion Balance Test (SEBT) has been used as a rehabilitation exercise. To improve its efficacy, efficiency, and method variations, the Y-Balance Test (YBT) with anterior (A), posterolateral (PL), and posteromedial (PM) directions of the SEBT has been recommended. Electromyographic activity has been reported to change when the same task is performed on various surfaces.

Hypothesis/Purpose: To compare the EMG activity of trunk and LE muscles during the performance of the YBT on stable and unstable surfaces.

Study Design: Cross-Sectional study.

Methods: Healthy adults with no history of chronic ankle instability were recruited for the study. …

Admission Variables Predict Success In A Hybrid-Online Physical Therapist Education Program, Evan M. Pucillo, Rossniel Marinas, Christine Salmon, Vibhor Agrawal

Physical Therapy Collection

Purpose: Screening student applicants can be a valuable measure for hybrid-online Doctor of Physical Therapy (DPT) programs.Institutions embrace a wide variety of measurements that drive admissions decisions. However, uncertainties exist regarding the most accurate admission predictors of academic outcomes, especially among hybrid-online DPT programs. The purpose of this study was to examine predictive relationships between applicants’ admission variables and program grade point average and National Physical Therapy Examination (NPTE) performance in a cohort of entry-level hybrid-online DPT students. Methods: A retrospective cohort design and convenience sampling method was used across two entry-level hybrid-online DPT programs in the Southeastern US. Hybrid-online …

Effectiveness Of Executive Functioning Interventions Among Homeless Elementary Aged Students, Julia Warmack, Abby Jessen, Taylor Koopmeiners

Critically Appraised Topics

Elementary-aged children who are homeless face challenges in the areas of self-regulation, working memory, attention, and time management (Wanger-Fuhs et al., 2014). Currently, there is a lack of research on homeless elementary-aged children and the influence occupational therapy can have on their academic success. Specifically, there is no comprehensive source that details the effects of the role of occupational therapy interventions on executive functioning skills such as self-regulation, working memory, attention, and time management for the population of homeless elementary-aged school children. The purpose of this CAT paper was to determine the effect of occupational therapy interventions that focus on …

Effectiveness And Availability Of Occupational Therapy Interventions For Improving Quality Of Life For Families Dealing With Virtual Learning During The Covid-19 Pandemic And Substance Use Issues, Madison Christian, Alexis Lehmann, Hannah Steckler

Critically Appraised Topics

Currently, there is an overall lack of evidence examining the effects of occupational therapy interventions to enhance families’ quality of life while dealing with virtual learning in school-aged children and the impacts of substance use on parents. The purpose of this critically appraised topic is to determine the availability for immediate use and the quality of occupational therapy interventions for improving the quality of life for families with school-age children dealing with school issues and virtual learning during the COVID-19 pandemic, specifically with parents who are also experiencing substance use issues

The Link Between Occupational Therapy Interventions, Quality Of Life, And Social And Leisure Participation In Adults With Chronic Conditions, Katie Deboer, Callie Kleindl, Monicah Nyakoe

Critically Appraised Topics

The focus population for this critically appraised topic (CAT) was adults aged 18 years and older with chronic conditions. For this CAT, chronic conditions included depression, heart diseases, diabetes, arthritis, respiratory diseases, chronic kidney disease, neurological disorders, and cancers. Chronic conditions greatly impact a large majority of the older adult population. Of the adult population, about 80% had at least one type of chronic condition while close to 70% had two or more (National Council on Aging, 2021). Diving deeper, the prevalence of chronic conditions in adults 65 years and older varied by race/ethnicity. According to Lim et al. (2018), …

Identifying The Role Of Occupational Therapy In The Pediatric Palliative Care Team For Pediatric Cancer Patients, Rudessa Bedonie, Hannah Gianan, Riley Thomas, Kennedy Tooke

Critically Appraised Topics

What is the role of occupational therapy in providing effective intervention during palliative care for pediatric cancer patients and their families during the transition to the end of life?

Wellness Through Answers News V37:No.1 January/February 2022, Wendy Urciuoli

Articles - Patient Care

No abstract provided.

Cardiac Gene Therapy With Relaxin Receptor 1 Overexpression Protects Against Acute Myocardial Infarction, Teja Devarakonda, Adolfo G. Mauro, Chad Cain, Anindita Das, Fadi N. Salloum

Internal Medicine Publications

Relaxin is a pleiotropic hormone shown to confer cardioprotection in several preclinical models of cardiac ischemia-reperfusion injury. In the present study, the effects of up-regulating relaxin family peptide receptor 1 (RXFP1) via adeno-associated virus serotype 9 (AAV9) vectors were investigated in a mouse model of myocardial infarction. AAV9-RXFP1 vectors were generated and injected in adult male CD1 mice. Up-regulation of Rxfp1 was confirmed via quantitative polymerase chain reaction, and overexpressing animals showed increased sensitivity to relaxin-induced ventricular inotropic response. Overexpressing animals also demonstrated reduced infarct size and preserved cardiac function 24 hours after ischemia-reperfusion. Up-regulation of RXFP1 via AAV9 vectors …

Rpop: Robust Pet-Only Processing Of Community Acquired Heterogeneous Amyloid-Pet Data, Leonardo Iaccarino, Renaud La Joie, Robert Koeppe, Barry A. Siegel, Bruce E. Hilner, Constantine Gatsonis, Rachel A. Whitmer, Maria C. Carrillo, Charles Apgar, Monica R. Camacho, Rachel Nosheny, Gil D. Rabinovici

Internal Medicine Publications

The reference standard for amyloid-PET quantification requires structural MRI (sMRI) for preprocessing in both multi-site research studies and clinical trials. Here we describe rPOP (robust PET-Only Processing), a MATLAB-based MRI-free pipeline implementing non-linear warping and differential smoothing of amyloid-PET scans performed with any of the FDA-approved radiotracers (18F-florbetapir/FBP, 18F-florbetaben/FBB or 18F-flutemetamol/FLUTE). Each image undergoes spatial normalization based on weighted PET templates and data-driven differential smoothing, then allowing users to perform their quantification of choice. Prior to normalization, users can choose whether to automatically reset the origin of the image to the center of mass or proceed with the pipeline with …

The History Principles And Purpose Of The Academy Of Applied Osteopathy, Academy Of Applied Osteopathy

Stanley Kimball, D.O. Collection

Academy of Applied Osteopathy brochure detailing the history, objectives, platform, future, finance, and membership information for the organization.

Working Paper For Proposed New England College Of Osteopathic Medicine, New England Foundation For Osteopathic Medicine

Stanley Kimball, D.O. Collection

The Working Paper for Proposed New England College of Osteopathic Medicine describes plans for the creation and structure of a new college of Osteopathic Medicine created by the New England Foundation for Osteopathic Medicine.

Coronal And Apical Leakage Among Five Endodontic Sealers, Kali Vo, Joan Daniel, Chul Anh, Carolyn Primus, Takashi Komabayashi

Dental Medicine Faculty Publications

Purpose: The aim of this study was to use dye penetration to measure apical and coronal leakage simultaneously in single-canal teeth that had been treated endodontically using a single-cone obturation technique.

Methods: One hundred single-canal, extracted human teeth were cleaned and shaped with ProTaper NEXT rotary files to size-X5 (50/.06), then randomly assigned to five sealer groups for single-cone gutta-percha obturation. The teeth were soaked in 0.6% rhodamine B at 37°C for seven days, then the roots were ground mesiodistally and the maximum apical and coronal dye penetration was measured. Differences in leakage among the sealer groups were examined using …

Osteopathy And The Profession Of Medicine, Anna G. Tinkham D.O.

Stanley Kimball, D.O. Collection

Letter written to the Atlantic monthly in response to an article critical of osteopathy written by Dr. Channing Frothingham.

The Effects Of Celiac Disease On Oral Health In Children And Adults, Marissa Balducci, Katarina Jones

Dental Hygiene Student Scholarship

Objectives: Celiac disease (CD) is an autoimmune disorder characterized by intolerance to dietary gluten in genetically predisposed subjects. To ensure affected patients receive optimal dental care, it is necessary for dental professionals to recognize the oral manifestations of celiac disease in both children and adults. Upon associating oral conditions with celiac disease, the dental provider should be able to present recommendations to the patient, contributing to an improvement in their oral health.

Methods: This review of the literature used PubMed to identify relevant professional research articles with publication after 2017. MesH terms utilized in the search process were …

How Effective Are Eco-Friendly Dental Hygiene Products In Preventing Carious Lesions And Improvement In Overall Oral Health, Mary Claryns Truz, Destiney Coles

Dental Hygiene Student Scholarship

Objectives: The purpose of this review of literature is to measure the effectiveness, and future of eco-friendly¹ dental hygiene products in the dental field. As the manufacturing of products from food to technology increases over time, so does the sentiment for environmental practices. The numerous organizations that push for more sustainable initiatives in modern-day society continue to increase over time. The efforts for sustainable practices can be seen in the field of dentistry through dental hygiene products. These products range from compostable toothbrushes, waste-free toothpastes to organic floss advertised for use by the public. In reviewing the efficacy of …

Hydroxyapatite Toothpaste On Caries Prevention In Children, Samantha Richardson, Kelly Vaughan

Dental Hygiene Student Scholarship

Are Hydroxyapatite Toothpastes The Answer To Fluoride Free Patients?

Richardson, Samantha 1 and Vaughan, Kelly 2

Dental Hygiene Program, Virginia Commonwealth University

Abstract:

Objectives/Aims: With the rising trend to become more clean with our ingredient lists, we are facing more patients refusing fluoride treatments and fluoridated toothpastes. This trend has been prevalent in our younger generations due to parents only wanting the purest natural ingredients for their children and now declining fluoride application. The goal of this literature is to find a safe alternative toothpaste that will be just as effective as fluoride.

Methods: This review of literature has been …

Repressive Interactions Between Transcription Factors Separate Different Embryonic Ectodermal Domains., Steven L. Klein, Andre L P Tavares, Meredith Peterson, Charles H Sullivan, Sally A. Moody

Anatomy and Regenerative Biology Faculty Publications

The embryonic ectoderm is composed of four domains: neural plate, neural crest, pre-placodal region (PPR) and epidermis. Their formation is initiated during early gastrulation by dorsal-ventral and anterior-posterior gradients of signaling factors that first divide the embryonic ectoderm into neural and non-neural domains. Next, the neural crest and PPR domains arise, either

Phage Hunters: The Discovery Of Two Novel Bacteriophages That Infect Gordonia Rubripertincta, Sarah Ballarin, Neel Balusa, Melissa Bell, Samia Caballero, Joshua Chan, Maria Farez, Ashley J. Guillen-Tapia, Nashrah Pierre-Louis, Victoria Polishuk, Bhavya Soni, Julie Torruellas Garcia, Katie E. Crump

Sea-Phages

Antibiotic resistance is a global healthcare concern because it poses a threat to effectively treating bacterial infections and the need for alternative therapeutics are urgently required. Phage therapy, which uses viruses to treat bacterial infections, is a promising alternative to conventional antibiotics. Phages have also been widely used in the food industry to prevent microbial growth on certain foods and are currently being explored as a method for bioremediation of oil spills and wastewater treatment. Although phages are ubiquitous in nature, many have yet to be discovered. Through the SEA-PHAGES (Science Education Alliance-Phage Hunters Advancing Genomics and Evolutionary Science) program …

Maura O'Neill's Portfolio, Maura O'Neill

Honors College Portfolios

This portfolio consists of works that I have completed during my time in the School of Nursing at Duquesne University. The portfolio consists of blogs, brochures, posters, reflections, and more that encapsulate not only my nursing curriculum but my public and global health minor. Each element of this portfolio demonstrates my knowledge, passion, and interest in nursing with a focus in public/global health. A Bachelor of Science in Nursing curriculum consists of science-based courses and clinical experience. Aside from the tedious and rigorous nursing courses, public health courses can be added to further educate nursing students. Being able to understand …

Mitigating The Mental Health Impact Of Marginalization And Discrimination, Debra A. Hope

Trans Collaborations Academic Papers

In honor of the life and work of Aaron T. Beck, this paper describes the application of cognitive therapy to management of marginalization stress among minoritized communities. Collaborative empiricism, cognitive restructuring, and behavioral interventions are highlighted as being particularly useful in a contemporary multicultural approach for the anxiety, depression, stress, and other sequelae of marginalization due to a stigmatized identity. Although primarily illustrated through recent work with transgender and gender diverse adults, the discussion extends to other groups including racial, ethnic, and sexual minorities and immigrants. This work illustrates the power of Dr. Beck’s approach to address the presenting concerns …

Test–Retest Reliability And Sensitivity Of A Brief Clinical Monitoring Measure For Transgender And Gender Diverse Adults: The Trans Collaborations Clinical Check-In (Tc3), T. Zachary Huit, Natalie R. Holt, Alexander Farquhar-Leicester, Rebecca L. Brock, Richard Mocarski, Nathan Woodruff, Debra Hope

Trans Collaborations Academic Papers

The current study aimed to examine the test–retest reliability and sensitivity of the Trans Collaborations Clinical Check-In (TC³) in a 3-month period with four assessment points at baseline, 1, 2, and 3 months to examine its utility as a clinical progress monitoring measure. This study builds on the initial validation study conducted by Holt et al. (2019). The sample of 32 transgender and gender diverse (TGD) participants were chosen who met screening for at least modest depression and anxiety, and did not have other significant risk factors (e.g., mania, self-harm). Participants completed a battery of measures that assessed …

Bridging The Gap Between Practice Guidelines And The Therapy Room: Community-Derived Practice Adaptations For Psychological Services With Transgender And Gender Diverse Adults In The Central United States, Debra A. Hope, Natalie Holt, Nathan Woodruff, Richard Mocarski, Heather M. Meyer, Jae A. Puckett, Joshua Eyer, Shelley Craig, Jamie Feldman, Jay A. Irwin, John Pachankis, K. J. Rawson, Jae Sevelius, Sim Butler

Trans Collaborations Academic Papers

Individuals who identify as transgender and gender diverse (TGD) are presenting at mental health clinicians’ offices with increasing frequency. Many TGD clients are seeking care related to affirming their gender identity but also may present with anxiety, depression, trauma, substance abuse, or other problems forwhich a clinician may commonly provide services. Some clinicians may hesitate to accept TGD clients into their practice if they have little specialized training to work with this population in an affirming manner, especially in more underserved areas where a generalist practice is the norm. Numerous professional associations and experts have developed guidelines for affirmative behavioral …

Educational Preparedness To Care For Transgender And Gender Diverse Adults: Perspectives Of Mental Health Professionals, Sharon N. Obasi, Robyn E. King, Natalie R. Holt, Richard Mocarski, Debra A. Hope, Nathan Woodruff

Trans Collaborations Academic Papers

Ensuring that mental health professionals are appropriately trained to provide affirming and sensitive care to transgender and gender diverse (TGD) adults is one mechanism that may reduce the marginalization sometimes experienced by TGD adults in mental health contexts. In this study, mental health professionals (n = 142) completed an online survey documenting the sources and types of training received to provide TGD-sensitive care; and, shared a self-assessment of their comfort, competence, and ability to provide TGD-sensitive care. Findings revealed that the majority of the mental health professionals in the study (approximately 81%) received specific training to work with TGD …

Assessment Of Emergency Care Services In Nigerian Hospitals: A Cross-Sectional Study, Kelechi Herbert Umoga

Yale Medicine Thesis Digital Library

The Accident and Emergency (A&E) unit in Nigeria is a key entry point to access health care for patients with various diseases. Currently there are limited data assessing the functionality of these units and their capacity for care. This study aims to evaluate the functional capacity of A&Es in Nigeria and to identify factors impeding optimal care.We conducted a cross-sectional study of seven hospitals in Nigeria, randomly selecting one hospital from each of the six geopolitical zones, and purposively including National Hospital Abuja. We used a universal sampling technique interviewing all doctors and nurses identified as routine A&E staff. We …