Medicine and Health Sciences Commons^™

Blockchain-Based Digital Trust Mechanism: A Use Case Of Cloud Manufacturing Of Lds Syringes For Covid-19 Vaccination, Trupti Rane, Jingwei Huang

Engineering Management & Systems Engineering Faculty Publications

Trust is essential in the digital world. It is a critical task to build digital trust for the ongoing digital engineering transformation. Aiming at developing a blockchain-based digital trust mechanism for Cloud Manufacturing or Manufacturing-as-a-Service (MaaS), in this paper, we use the manufacturing of low dead space (LDS) medical syringes through Cloud Manufacturing as a motivating scenario to develop a basic framework. To meet the need of optimally saving COVID-19 vaccine doses to save more lives, the medical device manufacturing community needs to make a swift move to meet the surged need for LDS syringes. Cloud Manufacturing is a form …

Emergency Department Use Among Probationers Enrolled In The Riverside University Health System, Whole-Person Care Pilot Program, Nirshila Chand

CGU Theses & Dissertations

Formerly incarcerated individuals suffer from poor health outcomes and often overuse emergency department (ED) services because of a lack of access to care and insurance coverage upon reentry to their community. The Riverside County Whole Person Care (WPC) pilot program implemented by Riverside University Health System (RUHS) was designed as a reentry program developed to address these challenges and ensure that releasees successfully transition back into the community. The primary aim of this project was to assess whether participating in the RUHS WPC program reduced emergency department (ED) use among recent releasees. This was a cross-sectional retrospective study of formerly …

Examining Structural Racism As A Cause Of Health Inequities Among Pacific Island Peoples In The United States And Aotearoa New Zealand: An Exploratory Comparative Case Study, Jake Ryann Cambia Sumibcay

CGU Theses & Dissertations

Native Hawaiians and Pacific Islanders (NHPI) in the United States are known to experience profound and persistent disparities across most indicators of socioeconomic status and health when compared to the majority population. Similarly, the Indigenous Māori and Pacific peoples in Aotearoa New Zealand parallel the same experiences. Reducing disparities and improving health equity among racial/ethnic minority populations have been regarded as a national priority in both the United States and New Zealand. Improved population health data have provided insights into the social determinants of health (SDoH), which has unveiled multiple factors that contribute to health disparities, including income, education, residential …

Physicians’ Perceptions Of The Utility Of Clinical Guidelines In The Management Of People With Type 2 Diabetes In Saudi Arabia, Abdulaziz Eskandarani

CGU Theses & Dissertations

Aim: The aim of this research was to assess physicians’ perception of the utility of clinical guidelines in the management of people with Type 2 diabetes in Saudi Arabia and how their perception is affected by different physicians’ characteristics and whether high perception would result in adherence to guidelines. Methods: This study employed a cross-sectional study design and used a self-administered online survey through Qualtrics software. The survey was distributed through the Saudi Society for Diabetes (SSD) whose membership includes more than five-thousand active physicians from all regions of Saudi Arabia. There were 493 respondents to the survey. Results: Around …

Epstein-Barr Virus, But Not Human Papillomavirus, Is Associated With Preinvasive And Invasive Ocular Surface Squamous Neoplasias In Zambian Patients, Peter Julius, Stepfanie N. Siyumbwa, Phyllis Moonga, Fred Maate, Trevor Kaile, Gleb Haynatski, Veenu Minhas, Jazmine Snow, Kerstin Peterson, Patience Gihozo, Sam Streeter, Salan Kaur, Annika Evans, Daniela Gonzalez, Kandali Samwel, Guobin Kang, John T. West

LSU-LCMC Cancer Center Faculty Publications

BACKGROUND: The etiopathogenesis of ocular surface squamous neoplasia (OSSN) is not fully understood. We assessed the frequency of oncogenic viruses in OSSN by immunohistochemistry (IHC) and polymerase chain reaction (PCR) for human papillomavirus (HPV), Epstein-Barr virus (EBV), Merkel cell polyomavirus (MCPyV), Kaposi sarcoma virus, and adenovirus. Cases from Zambia were prospectively enrolled using a cross-sectional study design between November 2017 and March 2020. METHODS: Demographic and clinical data [age, sex, HIV status, antiretroviral therapy (ART) history, CD4 count, plasma viral load] and tumor biopsies were collected from 243 consenting patients. Tumor samples were bisected, and half was used for DNA …

Diversity, Equity And Inclusion (And Greatness), Lance Plunkett Jd, Llm

The New York State Dental Journal

As NYSDA moves to correct deficiencies in its makeup, it also pays homage to a fallen leader.

Macomb Dental Society Journal Winter 2022

Journal of the Macomb Dental Society

In the Winter 2022 issue, the reader will find the feature article "What Grinds Your Teeth?"

Also included are regular columns from the President, Executive Director and Editor, as well as news shorts and information on upcoming events.

Whole Exome Sequencing Identifies A Novel Mutation In Aspm And Ultra-Rare Mutation In Cdk5rap2 Causing Primary Microcephaly In Consanguineous Pakistani Families, Ehtisham Ul Haq Makhdoom, Haseeb Anwar, Shahid Mahmood Baig, Ghulam Hussain

Department of Biological & Biomedical Sciences

Background & objectives: Primary Microcephaly (MCPH) is a rare neurogenetic disease, manifesting congenitally reduced head circumference and non-progressive intellectual disability (ID). To date, twenty-eight genes with biallelic mutations have been reported for this disorder. The study aimed for molecular genetic characterization of Pakistani families segregating MCPH.
Methods: We studied two unrelated consanguineous families (family A and B) presenting >2 patients with diagnostic symptoms of MCPH, born to asymptomatic parents. We employed whole-exome sequencing (WES) of probands to find putative causal mutations. The candidate variants were further confirmed and analyzed for co-segregation by Sanger sequencing of all available members of each …

Learning The Rules Of The Game: The Role Of Generic "You" And "We" In Shaping Children's Interpretations Of Norms, Ariana Orvell, Giulia Elli, Valerie Umscheid, Ella Simmons, Ethan Kross, Susan A. Gelman

Psychology Faculty Research and Scholarship

A critical skill of childhood is learning social norms. We examine whether the generic pronouns “you” and “we,” which frame information as applying to people in general rather than to a specific individual, facilitate this process. In one pre-registered experiment conducted online between 2020 and 2021, children 4- to 9-year-old primarily living in the midwestern U.S. (N = 146, 75 girls, 71 boys, Mage = 7.14, SD = 1.69, 82% White) interpreted actions described with generic pronouns (vs. “I”) as normatively correct and selected the speaker who used generic pronouns as the rule-follower, particularly when generic pronouns were …

Early Deprivation Alters Structural Brain Development From Middle Childhood To Adolescence, Margaret A. Sheridan, Cora E. Mukerji, Mark Wade, Kathryn L. Humphreys, Kathryn Garrisi, Srishti Goel, Kinjal Patel, Nathan A. Fox, Charles H. Zeanah, Charles A. Nelson, Katie A. Mclaughlin

Psychology Faculty Research and Scholarship

Hypotheses concerning the biologic embedding of early adversity via developmental neuroplasticity mechanisms have been proposed on the basis of experimental studies in animals. However, no studies have demonstrated a causal link between early adversity and neural development in humans. Here, we present evidence from a randomized controlled trial linking psychosocial deprivation in early childhood to changes in cortical development from childhood to adolescence using longitudinal data from the Bucharest Early Intervention Project. Changes in cortical structure due to randomization to foster care were most pronounced in the lateral and medial prefrontal cortex and in white matter tracts connecting the prefrontal …

Sex Differences In Cognitive Flexibility Are Driven By The Estrous Cycle And Stress-Dependent, Andrew T. Gargiulo, Jiayin Hu, Isabella C. Ravaglia, Annie Hawks, Xinyue Li, Katherine Sweasy, Laura A. Grafe

Psychology Faculty Research and Scholarship

Stress is associated with psychiatric disorders such as post-traumatic stress disorder, major depressive disorder, anxiety disorders, and panic disorders. Women are more likely to be diagnosed with these stress-related psychiatric disorders than men. A key phenotype in stress-related psychiatric disorders is impairment in cognitive flexibility, which is the ability to develop new strategies to respond to different patterns in the environment. Because gonadal hormones can contribute to sex differences in response to stress, it is important to consider where females are in their cycle when exposed to stress and cognitive flexibility testing. Moreover, identifying neural correlates involved in cognitive flexibility …

Examining The Effects Of Exercise-Induced, Physical Stress Overtraining On Stress Biomarkers In Adolescent, C57bl/6 Mice, Curtis Scotty Davis

Theses, Dissertations and Capstones

Exercise has long been established as a therapeutic modality to improve health and related physical fitness, sports performance, and injury/risk reduction in both adults and adolescents (Haff & Triplett, 2015; Kaminsky, 2010). Nonetheless, there is a lack of research investigating the negative effects of exercise overstress (i.e., overtraining syndrome) in these populations, particularly adolescents (Brenner & American Academy of Pediatrics Council on Sports Medicine and Fitness, 2007; Matos & Winsley, 2007). The objective of this study was to examine hormone biochemical markers, anthropometric markers, and behavioral traits, which are associated with overtraining syndrome, in adolescent C57BL/6 mice. A total of …

Stroke Patient Outcomes When Fever Is Present, Anthony Grant

Nursing Masters Papers

Introduction to the Problem: Prescribers in the acute care setting differ in opinions with the role fever plays with stroke patient outcomes. This is evident by contrasting guideline recommendations and differing plan of care development amongst prescribers. This lack of clarity has led to the question; does fever affect stroke patient outcomes in that acute care setting.

Supporting Literature: The research utilized for this inquiry was specific to both ischemic and hemorrhagic stroke patient outcomes when fever is present.

Methods Used for Inquiry: An integrative literature review was conducted for this inquiry. A total of ninety articles were …

Learner Outcomes From An Echo In Augmentative And Alternative Communication, Lillie Reinhart

Theses and Dissertations--Communication Sciences and Disorders

Background: Students with complex communication needs (CCN) rely on the use of augmentative and alternative communication (AAC) to support their communication; however, many students are leaving high school without an effective form of communication. To build capacity and increase school professionals’ knowledge and self-efficacy in AAC, this thesis used an adaptation of Project ECHO (Extension for Community Healthcare Outcomes) for use with AAC.

Methods: Using a post then pre-retrospective survey, participants self-reported changes in knowledge, confidence, and overall satisfaction with ECHO sessions. Paired sample t-tests assessed participant-reported change in knowledge. Frequency counts were used to analyze responses about confidence and …

The Feasibility Of Transitional Psychiatric Care Service In A City With A Population 20, 171 In A Midwestern State, Aubri Ashbacher

Doctor of Nursing Practice Scholarly Project

Psychiatric patients are a known vulnerable population. This population often ends up in a cycle of decline post-hospitalization that leads to rehospitalization. The purpose of this study is to establish the feasibility for bringing psychiatric transitional care services to the local community. The methods for the study include a qualitative analysis of common themes discussed from the presentation of the idea of transitional care services for this area to area mental healthcare providers. Using a qualitative approach, the project will involve conducting interviews with mental healthcare providers in a midwestern community via Zoom about the feasibility of transitional psychiatric care …

Healthy Work Environment And Outcome Improvements For Nursing, Haley Kepley

Doctor of Nursing Practice Scholarly Project

The purpose of this study was to educate registered nurses about healthy work environments and the importance the relationship of the environment has on nursing outcomes. The project was conducted online using Qualtrics survey software. Data was collected from November 11th, 2021, to December 4th, 2021. Registered nurses currently working in a southeast Kansas hospital participated by completing a two-part survey. The survey consisted of a pretest, an educational resource, and finished with a post-test identical to the pretest except for the demographic questions collected in the pre-test. The data collected from completed surveys were used to measure participant knowledge …

A Provider Needs Assessment For A Pulmonary Rehabilitation Program At A Rural Community Hospital, Shelbie Cosby

Doctor of Nursing Practice Scholarly Project

Pulmonary rehabilitation is a comprehensive rehabilitation program that utilizes exercises and education in order to assist with the management of chronic obstructive pulmonary disease (COPD) by decreasing COPD exacerbations and increasing patient quality of life. A critical component to proposing a pulmonary rehabilitation program at a rural community hospital involves the support for a program by the potential referring providers. It is theorized that positive thoughts and attitudes towards pulmonary rehabilitation by providers correlates with support and ongoing success of a pulmonary rehabilitation program. A survey of providers associated with Labette Health was conducted to assess such attitudes and thoughts …

Sepsis Identification In The Long-Term Care Facility, Shonna Bible

Doctor of Nursing Practice Projects

BACKGROUND: Each year approximately 1.7 million people in the United States develop sepsis, and an estimated 270,000 Americans die from this disease (Center for Disease Control and Prevention [CDC], 2020). Early recognition, and identification is essential in decreasing potential for mortality in this population.

METHODS: During a two-week period six individual sessions via a one-hour presentation was provided on evidence based best practice of sepsis recognition. A pretest was utilized to determine prior knowledge of sepsis recognition. A post-test was provided to evaluate the effectiveness of the educational material. Finally, a survey was conducted to provide input for …

Improving Parent/Guardian Awareness Of Kindergarten Entry Health Requirements, Paul Prince

Doctor of Nursing Practice Projects

Ensuring students meet health requirements to enter Kindergarten is a time-consuming process. By improving education to parents to help them discern differences between PreK and Kindergarten requirements, the health of students can be optimized and the time burden for administrators and school nurses can be reduced. There is evidence that parents/guardians better respond to non-written material delivered through push notification or email. A 5-minute video presentation was distributed to 24 parents/guardians of PreK students. Project impact was measured through a pre/post survey evaluating levels of confidence in child readiness for Kindergarten. Results identified that parent/guardian confidence was increased after education. …

Implementation Of New Teaching Strategies By Psychosocial Rehabilitation Center Staff To Increase Member Participation And Retention Of Newly Referred Members, Joseph Warren Ledesma Perez

Doctor of Nursing Practice Projects

Non-profit organizations like psychosocial rehabilitation centers operate largely on reimbursements and funding from government agencies and charitable organizations, respectively. Since reimbursements are based on units of service provided, the center’s operations rely heavily on the attendance and participation of its members in the provided sessions. Charitable institutions, also require fund recipients to provide a report of outcomes and the impact the funds have on the recipients or the community at large. Members’ participation at the chosen site was reported to be low, which led to a projected unsustainability of operations if the numbers did not improve. Equipping the staff facilitating …

Increasing Cancer Survivorship Knowledge Through Individualized Cancer Survivorship Packets, Ashley Atkins

Doctor of Nursing Practice Projects

This project was developed with the aim of formulating an individualized educational packet that would improve patients’ knowledge of their initial cancer diagnosis and provide additional information to facilitate a smooth transition from treatment to remission. Using a pretest and posttest, quantitative data was collected pertaining to 10 different types of patient education. The pretest survey collected eight questions that related to gathering information about their cancer diagnosis, resources, and knowledge level. The DNP Project Leader secured a Cancer Survivorship Guide through the American Society of Clinical Oncology that was added to the initial cancer survivorship education for all patients. …

Implementing Obesity And Comorbidity Education In A Faith-Based Setting, Tammy Lynn

Doctor of Nursing Practice Projects

The aim of the study was to increase knowledge of the damaging consequences of obesity and related comorbidities. Obesity has reached epidemic proportions on a global scale and increases the potential health risk of many associated diseases. Faith-Based organizations have been found to be optimal resources for public health education. The shared beliefs and comradery are a source of support and encouragement for those who face many of life’s challenges, as well as life’s joys. The purpose of the project was to investigate the effectiveness of education delivered in a Baptist church on the topics of obesity and related comorbidities. …

Changing The Ways Bedside Nursing Staff Think About ‘All Things Urinary Catheters, Angela Foard

Doctor of Nursing Practice Projects

The purpose of this project was to bring attention to the importance of the bedside nursing staff’s "back to the basics" approach to nurse-led interventions to help reduce the number of increasing hospital-acquired infections (HAI), specifically catheter-associated urinary tract infections (CAUTI). The motivation to address this problem was due to the bedside nursing staff under-utilizing best practice interventions to prevent insertions and re-insertions of urinary catheters. A high number of urinary catheter insertions and re-insertions increases the risk of a CAUTI. Evidence-based interventions should be reinforced and utilized by bedside nursing staff to prevent insertions and re-insertions. Evidence-based nurse-led practices …

Improving The Mental Health And Wellness Of Middle School Educators Post-Covid19, April Pearson

Doctor of Nursing Practice Projects

U.S. public school teachers of all educational levels were challenged during the COVID-19 pandemic to provide education to students in alternative ways; face-to-face, hybrid model, or remote learning. This resulted in teacher stress, dissatisfaction, and turnover. Locally, after the 2020-2021 school year at East Iredell Middle School, 9 out of 22 educators resigned or transferred due to the stress and fatigue of teaching students in a hybrid model during the COVID-19 pandemic. The purpose of this project was to promote the health and wellness of middle school educators. The PICOT statement is, what is the effect of an educational program …

Improving Care Of Women Experiencing A Pregnancy, Belinda T. Ferguson

Doctor of Nursing Practice Projects

The purpose of the Doctor of Nursing Practice (DNP) project was to provide evidence-based staff education at a pregnancy resource center to increase staff/patient engagement and communication by implementing a clinical practice change and use of a DNP student-developed discharge summary referral form (DRF) to assist with assessing patient’s needs, evaluating access to services and utilization of medical care and health promotion services. The overall aim of this project is to increase care with medical follow-up and seek to address improving engagement and communication with patients during their care and after discharge from the Pregnancy Resource Center (PRC). The major …

Incentive Spirometer Use In Trauma Patients 65 Years And Older With Rib Fractures/Chest Trauma, Sharon F. Ali

Doctor of Nursing Practice Projects

Geriatric patients 65 years old and older admitted to the medical surgical trauma unit with rib fractures had increased readmission rates to the trauma ICU, due to respiratory insufficiency within the last 12 months. This DNP project followed all patients admitted to the trauma service of a Level I trauma hospital with rib fractures/blunt chest trauma during the months of February 2-April 30, 2022. The focus was on the nurse-driven protocol, which included providing incentive spirometer education to the trauma patient for aggressive pulmonary hygiene and documenting patients’ achievements and goals into the medical record. Registered nurses (RN) were asked …

The Impact Of A Medicare Public Health Emergency Policy Change For Continuous Glucose Monitors On Utilization And Total Cost Of Care For Diabetes, Momoka Abe, Katie Norton, Jenifer Smith

Providence Pharmacy PGY1 Program at Providence Portland and Providence St. Vincent Medical Centers 2022

Home glucose monitoring was revolutionized in 1999 when the U.S. Food and Drug Administration (FDA) approved the first professional continuous glucose monitor (CGM). With the advancements in technology, newer CGMs are available for personal use and have greatly impacted the way diabetes is managed. Although there are data regarding the benefits of CGMs in lowering hemoglobin A1c, data is currently lacking regarding whether the use of CGM affects the number of hospitalization/emergency department visits as well as the effect on cost of care. In addition, while CGMs have been traditionally used in patients with type 1 diabetes due to their …

Automatic Posture Correction Utilizing Electrical Muscle Stimulation, Ravi Kiran Kattoju

Electronic Theses and Dissertations, 2020-2023

Habitually poor posture can lead to repetitive strain injuries that lower an individual's quality of life and productivity. Slouching over computer screens and smart phones, asymmetric weight distribution due to uneven leg loading, and improper loading posture are some of the common examples that lead to postural problems and health ramifications. To help cultivate good postural habits, researchers have proposed slouching, balance, and improper loading posture detection systems that alert users through traditional visual, auditory or vibro-tactile feedbacks when posture requires attention. However, such notifications are disruptive and can be easily ignored. We address these issues with a new physiological …

Surface Engineering For Controlled Growth And Deposition Of Nanomaterials - Assembly And Design At The Nano-Microscale, David Fox

Electronic Theses and Dissertations, 2020-2023

Materials with nanoscale dimensions offer several important benefits over bulk materials (e.g. increased surface area, low-cost, deviation from bulk properties, etc.). Such materials are critical components for next-generation energy storage materials, optoelectronic devices, and catalyst systems. However, these materials are often processed in liquid media, and their diminutive structures are fragile in the presence of capillary forces. As such, preparing uniform and stable nanomaterial coatings is a significant challenge. Herein, we discuss an approach where the substrate itself is factored into the assembly and growth of these materials. First, nanoporous surfaces were utilized to achieve a uniform deposition of one-dimensional …

Exploring Quality Of Life Perception Among Pre-Clinical And Clinical Phases Of Medical School Students In One Medical School Program In The Southeastern United States, Carley Blades Myszkowski

Electronic Theses and Dissertations, 2020-2023

Medical education is a complex, intense, and demanding process. Research showed that medical school students experienced significant changes and navigated intense and fluctuating stressors during their four years of medical school (Compton et al. ,2008; Hojat et al., 2004; McKerrow et al., 2020; Pagnin & De Querioz, 2015). Research has shown medical school students were impacted by substantially reduced physical, mental, and emotional health (Rajapuram, Langness, Marshall, & Sammann, 2020). Both internationally and nationally there was a growing interest in researching the health and wellness of medical school students, particularly focusing on quality of life (QOL) (Heidari et al., 2014; …