Medicine and Health Sciences Commons^™

Clinical Effectiveness Of High Definition Fluorescence Camera In Detection Of Initial Occlusal Caries, Mohamed Salama, Olfat Hassanein, Omar Shaalan, Asmaa Yassen

Dentistry

Background: Although visual inspection is the preferred route in everyday clinical practise for detecting early caries lesions, novel technologies like light fluorescence-based devices (Vista Proof iX HD smart) have been developed to enhance early caries detection. Material and Methods: Occlusal surface of 45 molar and 49 premolar teeth from 34 adult participants who fulfilled the eligibility criteria were examined by two observers using three diagnostic methods. Examination was performed visually using the International Caries Detection and Assessment System (ICDAS-II) followed by Vista Proof. Fissurotomy was applied for histological validation. Intra- and inter-observer agreement were measured for ICDAS-II and light-induced fluorescence …

Electroporation And Cell Killing By Milli- To Nanosecond Pulses And Avoiding Neuromuscular Stimulation In Cancer Ablation, Emily Gudvangen, Vitalii Kim, Vitalij Novickij, Federico Battista, Andrei G. Pakhomov

Bioelectrics Publications

Ablation therapies aim at eradication of tumors with minimal impact on surrounding healthy tissues. Conventional pulsed electric field (PEF) treatments cause pain and muscle contractions far beyond the ablation area. The ongoing quest is to identify PEF parameters efficient at ablation but not at stimulation. We measured electroporation and cell killing thresholds for 150 ns–1 ms PEF, uni- and bipolar, delivered in 10- to 300-pulse trains at up to 1 MHz rates. Monolayers of murine colon carcinoma cells exposed to PEF were stained with YO-PRO-1 dye to detect electroporation. In 2–4 h, dead cells were labeled with propidium. Electroporation and …

Catheter-Directed Embolectomy For Massive Pulmonary Embolism In A Pediatric Patient, Shin Mei Chan, Fabian M Laage Gaupp, Jessica M Lee, Jeffrey S Pollak, Akhil Khosla

Faculty, Staff and Student Publications

Pulmonary embolisms can affect 0.9 in 100,000 children and carry high risk for mortality. However, management of pediatric pulmonary embolism is largely derived from adult studies and treatment often includes local or systemic thrombolytics or anticoagulation, which may pose unique bleeding risks in children and adolescents compared with adults. This report describes a case in which catheter-directed embolectomy was used to successfully manage a pediatric patient with high-risk/massive pulmonary embolism. This case suggests that catheter-directed embolectomy is an effective therapy in patients outside the adult population and more research is required to expand inclusion criteria for current catheter-directed embolectomy treatment …

Healing Through Mother Earth, Taylor A. Russell

Dance (MFA) Theses

This thesis deals with mental health, with a focus on Black women. Historically, Black women are often so compromised, being constant caregivers and helping everyone else, that they forget to help themselves, not having the time and financial means to do so. If we go back in the time of slavery, many Black women were taking care of slave owners' children and suckling the white women’s babies instead of their own. By the time they got home and after diligently caring for other people’s children they were focused on their own children, who they had been away from for hours …

Infectious Complications And Microbiology During Induction Chemotherapy Over A Decade At A Community Pediatric Cancer Center, Julia Vandenheuvel Md, Tibisay Villalobos Md

Department of Pediatrics

No abstract provided.

Social Determinants Come To The Hospital: A Qi-Initiative To Address Food Insecurity On An Inpatient Pediatric Unit, Kayle Barndt, Alicia Llewellyn, Anna V. Folk Msn, Msn, Rn, Cpn, Claudia F. Busse Md

Department of Pediatrics

No abstract provided.

Real-Time Feedback By Personal Text Message As A Successful Qi-Tool To Boost Pediatric Vte Screening Rate, Stormie Gough, Claudia F. Busse Md, Anna V. Folk Msn, Msn, Rn, Cpn, Jo Lynn Xander, Amy L. Lindmark Do

Department of Pediatrics

No abstract provided.

Evaluation Of Childhood Obesity To Parental Obesity In Rural Fm Clinic, Nancy Bobrysh, Elaine Banerjee Md, Mph

Department of Pediatrics

No abstract provided.

A Case Of Polymorphous Low-Grade Neuroepithelial Tumor Of The Young With Polysomy Of Chromosome 1 And 19 Lacking Braf Mutation, Julia Vandenheuvel Md, Daniel Zinn Md

Department of Pediatrics

No abstract provided.

Let’S Stay Together: Using Glucose Gel To Reduce Neonatal Hypoglycemia And Promote Breastfeeding, Kimberly Galluzzo

Department of Pediatrics

No abstract provided.

Total Gastrectomy As Treatment For Hereditary Diffuse Gastric Cancer In Three Adolescent Patients From Two Related Families, Cayanne Liew Do, Jillian R. Grau Md, Danielle A. Ferraguti Do

Department of Pediatrics

No abstract provided.

Fever Of Unknown Origin (Fuo) In A Healthy Child: A Reminder Of An Uncommon Presentation Of An Uncommon Disease, Julia Vandenheuvel Md, Tibisay Villalobos Md

Department of Pediatrics

No abstract provided.

Recognition Of Pediatric Malnutrition In The Inpatient Setting Using Bmi Z-Score Screening, Cayanne Liew Do, Catherine Carter Rd, Ldn, Claudia F. Busse Md

Department of Pediatrics

No abstract provided.

Bouncing The Ball – A Novel Communication Framework For Pediatric Inpatient Rounding, Richard J. Mazzaccaro Md, Kristen M. Prendergast Md, Claudia F. Busse Md

Department of Pediatrics

No abstract provided.

The Anorexic Effect Of Dl-Fenfluramine Is Dependent On Animals' Habituation To Different Food Types, Sun Shin Yi, Sujean Choi

Biomedical Sciences Faculty Research and Publications

Background: As rates of obesity and diabetes have increased dramatically over the past few decades, the use of anti-obesity drugs has now become a routine therapeutic measure. However, the pharmacological effects of chronic use of these drugs in humans frequently lead to reduced efficacy in reducing appetite and body weight through as-yet-unidentified mechanisms. An example of this can be found in animal studies where the appetite suppressant DL-fenfluramine (FEN) is chronically administered and its tolerance develops in animals and humans. The appetite effects of FEN are typically measured in several animal studies by the feeding changes in a balanced standard …

Quality Of Life And Symptom Sharing Among Women With Athletic Urinary Incontinence, Hailey Stevens

Honors Theses and Capstones

Abstract

Introduction Women have a 2-3.5 times greater chance of urinary incontinence (UI) during exercise. Some high-impact activities are particularly provocative including gymnastics, trampoline, and volleyball. Athletic UI can cause frustration, worry, and embarrassment for women, negatively influencing their quality of life and sports performance. Methods This secondary analysis aimed to compare UI frequency with the amount of frustration, worry, and embarrassment (F/W/E) experienced by athletic and active women with UI. Data regarding the frequency of UI, management strategies, amount of F/W/E, and demographics from the Active Women’s Incontinence Screening Tool (AWIST) was analyzed. Data analysis was performed in Excel …

Nursing Student Self-Efficacy In Clinical Skills, Levels Of Anxiety, And Utilization Of Alternative Education Experiences During The Covid-19 Pandemic, David S. Hart

Honors Theses and Capstones

No abstract provided.

Telehealth Delivery Of Acceptance And Commitment Therapy And Recreational Therapy: Supporting People With Chronic Pain During The Covid-19 Pandemic, Grace L. Roy

Honors Theses and Capstones

Chronic pain is a significant public health problem that requires person-centered and comprehensive care to address the many socioecological factors that contribute to pain. Within the context of the COVID-19 pandemic, telehealth options for chronic pain management can help more people access the care that they need. The purpose of the current pilot study was to investigate the efficacy and feasibility of delivering a 6-week Acceptance and Commitment Therapy (ACT) and recreational therapy intervention via telehealth for a group of seven participants with chronic pain. It was found that TeleACT-RT was associated with positive behavioral outcomes including increased psychological flexibility, …

College Of Health And Human Service Faculty’S Confidence And Inclusion Of Lgbtq+ Health Content In Curriculum, Carley S. Kanter

Honors Theses and Capstones

In the health care system, those who identify as lesbian, gay, bisexual, transgender, queer, (LGBTQ+) face discrimination and health disparities. Students who are better prepared in higher education to provide care for this population have higher levels of confidence in LGBTQ+ health content than those who have less exposure. Therefore, faculty who teach curriculum related to health and wellness have an opportunity to prepare students to provide high quality, patient centered care by teaching culturally competent care that is inclusive of LGBTQ+ populations. The aim of the study is to determine whether the degree of confidence in teaching LGBTQ+ health …

A Comparison Of Perceptions Of Labor Support Before And During The Covid-19 Pandemic, Sarah Grace Krein

Honors Theses and Capstones

Satisfaction with the experience of birth has been shown to be affected by the quality of support received by the birthing individual and how closely the experience aligns with their expectations. This is important because the hospital and societal restrictions put in place during the COVID-19 pandemic may have altered individuals’ experiences of birth during this time. This is further concerning as there is a known correlation between a negative birth experience and the risk for postpartum depression. This study aimed to identify birthing parents’ perceptions of support during birth and how the COVID-19 pandemic impacted support practices. A survey …

Review Of Age-Related Trends Of Infection Among People Hospitalized Hospitalized For Infection With Concurrent Substance Use, Julia Catherine Lucia Gregorio

Honors Theses and Capstones

Background: Opioids and related injections are the most common drug associated with infection (Capizzi et al., 2020). Overall, data overwhelmingly shows infection and overdose rates on the rise in recent years (Kaiser Family Foundation, 2019).

Methods: The aim of this study was to identify trends between age and concurrent infection rates related to substance use from 2012 to 2019. This quantitative study utilized data from the NH Hospital Discharge Summaries (Office of Health Statistics, 2021). Specifically, trends among three age groups (young adults (18-34), middle-aged (35-54), and older adults (55+)) who were admitted to an inpatient unit or the emergency …

Review Of Age-Related Trends Of Infection Among People Hospitalized For Infection With Concurrent Substance Use, Julia Catherine Lucia Gregorio

Honors Theses and Capstones

Abstract

Background: Opioids and related injections are the most common drug associated with infection (Capizzi et al., 2020). Overall, data overwhelmingly shows infection and overdose rates on the rise in recent years (Kaiser Family Foundation, 2019).

Methods: The aim of this study was to identify trends between age and concurrent infection rates related to substance use from 2012 to 2019. This quantitative study utilized data from the NH Hospital Discharge Summaries (Office of Health Statistics, 2021). Specifically, trends among three age groups (young adults (18-34), middle-aged (35-54), and older adults (55+)) who were admitted to an inpatient unit or the …

Implementing Daily Schedules To Prevent Episodes Of Agitation In Pediatric Patients Boarding In The Emergency Department With Behavioral Health Diagnoses., Alex W. Carbone, Kathleen Kiley Bsn, Rn, Cpen, Anne Meginniss Msn, Fnp-Bc, Kerry Nolte Phd, Fnp-C, Debra Lajoie Jd, Phd, Msn, Rn, Esq.

Honors Theses and Capstones

Abstract

Background: Pediatric psychiatric emergencies have been recognized as a national crisis in the United States (Roman et al., 2018). Emergency department (ED) visits for pediatric behavioral health (BH) conditions rose 31% from April 2020 to October 2020 (Bartek et al., 2021). This increase in ED visits for BH concerns, matched with overwhelmed inpatient psychiatric treatment centers and lacking community support programs, has resulted in an increase in BH ED boarders (Bartek et al., 2021). This population of patients who remain in the ED while awaiting placement at a psychiatric care program are at risk for prolonged boarding durations in …

A Review Of Monte Carlo Methods And Their Application In Medical Physics For Simulating Radiation Transport, Joe Shields

Honors Theses and Capstones

Monte Carlo methods are used to calculate statistical behavior through the use of random number generators and probability density functions. They have been used extensively in medical physics for research in radiotherapy, designing technology, dosimetry, and advanced clinical applications. This paper provides a background on Monte Carlo methods and a review of radiation therapy physics and dosimetry. Additionally, there is a discussion of the different ways Monte Carlo methods are used in medical physics as well as a review of current research related to Monte Carlo methods. The final portion of this paper contains my own Monte Carlo simulation using …

Sensory Scouting: An Analysis Of Supports For Sensory Needs Of Children In Local Businesses, Alison Whitman

Honors Theses and Capstones

Families with children with challenging sensory needs may experience a decline in community participation, leading to decreased quality of life, personal feelings of well-being, and identity as a member of the community (Little et al., 2015 & Silverman & Tyszka, 2017). The purpose of this study was to examine and report the sensory experiences such as the sights, sounds, and physical movement opportunities within local businesses in the Seacoast New Hampshire area. To accomplish this, nine family-focused businesses were evaluated using the Sensory Scout Business Assessment-4^th Edition (SSBA). Many businesses were found to have potentially overwhelming movement, auditory and …

Review Of Gender Related Trends Among People Hospitalized For Infections With Concurrent Substance Use, Meghan Lotti

Honors Theses and Capstones

Abstract

Background: The opioid epidemic has been on the rise in the past decades, and with the rise of opioid use, infections related to substance use has also been on the rise. Infection trends in relation to gender currently have little evidence on how they affect each other.

Methods: Data was gathered from the New Hampshire Discharge Dataset on patients aged 18 to 85 who were admitted to any hospital with an infection diagnosis and concurrent substance use, from the years 2012 to 2019. This data was then graphed to analyze the trends.

Results: Infection rates had a consistent rise …

Prevalence Of Vaping And The Association With Cardiometabolic Risk In College Students, Brittney Rose Nalesnik

Honors Theses and Capstones

Vaping is a growing public health concern; however, most reported prevalence rates have only focused on youth. The purpose of this study was to investigate prevalence rates among undergraduates (18–24 years old) and examine differences in cardiometabolic parameters between vapers and non-vapers. Students (n= 267) were recruited from an introductory nutrition course during Fall 2021 to participate in the College Health and Nutrition Assessment Survey. Prevalence data were collected through a self-reported wellness survey. More than half (55.1%) reported ever vaping. During the past 3 months, 7.9% reported zero use, 18.4% 1x/2x, 3.4% monthly, 10.5% weekly, and 15.0% daily/almost daily; …

Morality-Based Messaging? An Examination Of State Health Departments’ Facebook Posts In Advertising Covid-19 Vaccines, Kylee R. Casner

Honors Theses and Capstones

COVID-19 vaccination is an important public health tool in curbing the COVID-19 pandemic, but vaccination rates in the U.S. are inadequate for reaching herd immunity, leaving public health officials to develop strategies to increase vaccination rates. The field of public health has historically used stigmatizing messaging to encourage health behaviors. Through a content analysis COVID-19 Facebook posts made by the Alabama Public Health, Mississippi State Department of Health, Rhode Island Department of Health, and Vermont Department of Health, this study explores the types of messaging used to influence COVID-19 vaccination behavior and looks to determine if stigmatization of non-vaccination is …

Enhancing Peripheral Intravenous Line Maintenance Practices Among Nurses In A Critical Care Setting: A Quality Improvement Project, Jaylene Velasquez

Honors Theses and Capstones

Abstract

Background: One of the major risks of infection lies in a patient’s intravenous (IV) access. On a cardiac intensive unit, a Levell II trauma center, preventing adverse events (i.e. infections, sepsis, etc.) is essential within this unit due to the nature of these health conditions. To ensure patient safety, nurses must abide by evidence-based practices and facility guidelines regarding intravenous line management. This quality improvement (QI) project implemented interventions to enhance nursing practices for peripheral intravenous therapy.

Methods: This project included statistical analysis and audits to measure the impact of the interventions. The variables being observed in this project …

Mindfulness And Pain Regulation: The Role Of Acceptance And Commitment Therapy For Individuals With Chronic Pain, Ariana C. White

Honors Theses and Capstones

Chronic pain is a significant and widely prevalent health condition which requires comprehensive care to address the many facets contributing to symptomatology. In 2016, 20% of American adults (about 50 million) reported experiencing chronic pain, of which 7.4% indicated that chronic pain frequently limited their life and participation in activities within the past 3 months (CDC, 2018). As a result, many individuals with chronic pain turn to opioid-based medication for pain relief, but long-term use of opioids actually increases pain sensation (Tobin, 2019). Moreover, opioid medication is unable to target underlying mental health components which emerge as part of chronic …