Medicine and Health Sciences Commons^™

Role Of Hypertension In Low-Birth-Weight Racial Disparities Among Virginian Women, Ashli Owen

Walden Dissertations and Doctoral Studies

Low birth weight (LBW) is a leading cause of infant mortality globally, but it disproportionately burdens the Black community in the United States, with a rate twice that of White women. Further, hypertensive disorders of pregnancy (HDsP) increase LBW incidence. The purpose of the study was to assess the association between HDsP and LBW, maternal race and LBW, and the moderation effect of HDsP on race and LBW on Black and White women in Virginia. The theoretical framework for this study was based on the lifecourse health development model, which states that health should be viewed as an outcome of …

Development Of An Insomnia Assessment Guideline For Bipolar Disorder, Daniel Oyewusi Oyewole

Walden Dissertations and Doctoral Studies

AbstractBipolar disorder (BD) affects more than 1% of the world’s population regardless of race, sex, ethnicity, or socioeconomic status. BD is a severe and chronic mental illness characterized by insomnia, depressed and elevated mood, racing thoughts, mood swings, anxiety and depression, and suicide. Insomnia is prevalent in BD and occurs across all stages of BD, yet no guidelines exist. The clinical practice guideline entitled the Insomnia Assessment Guideline for Bipolar Disorder (IAGBD) was developed using best-practice evidence from the published literature. The IAGBD is a step-by-step process for assessing insomnia in bipolar patients. Clinicians follow a series of questions in …

Newly Graduated Baccalaureate Nurses Critical-Thinking Development, Norberto Rosado

Walden Dissertations and Doctoral Studies

For the nursing profession, critical thinking is essential to provide safe and effectivepatient care. While the development of critical thinking skills is a desired outcome for newly graduated baccalaureate nurses, many lack the ability to make critical decisions. The absence of critical thinking among newly graduated nurses may be related to a lack of exposure to the clinical environment during their academic experience. This study explored how critical thinking processes can be affected by different approaches to baccalaureate clinical nursing education in Puerto Rico. A descriptive qualitative approach was used to understand the perceptions of newly graduated baccalaureate nurses regarding …

The Experiences Of Female Survivors Of Sexual Assault When They Make A Police Report, Tracy L. Rainey

Walden Dissertations and Doctoral Studies

Nearly 20% of all women will be the victim of an attempted or completed sexual assault within the United States, yet less than one quarter of victims will report their experienced crime to law enforcement (LE). Many survivors of sexual violence experience apprehension about reporting sexual assault, due to fear of social consequences, relational consequences, and fear of the reprisal from LE officers. The purpose of this interpretive descriptive qualitative study was to describe and interpret the experiences of adult, female sexual assault survivors when they make a LE report about their victimization. Resilience theory, which is the study of …

Self-Management Support Program For Dialysis Patients, Elmer Sadiang-Abay

Walden Dissertations and Doctoral Studies

AbstractChronic kidney disease (CKD) prevalence rates have been on the rise in recent years, and currently, about 37 million Americans are living with the disease. Most patients with CKD progress to end-stage renal disease (ESRD), resulting in additional treatments, including kidney transplants and hemodialysis (HD). HD treatments depend on patients’ adherence to self-management practices. The practice gap was the lack of guidelines for staff to use with ESRD patients to teach self-management strategies. This project aimed to develop an evidence-based clinical practice guideline (CPG) on a self-management support program for dialysis patients for use by health care providers at the …

The Sustained Effects Of Mindfulness-Based Interventions On Distress Symptoms In Female Breast Cancer Patients, Candace K. Sprouse

Walden Dissertations and Doctoral Studies

The purpose of this study was to illuminate the magnitude and prevalence of distress symptoms among female breast cancer patients and help identify best social work practices for treating distress symptoms in cancer patients. Using the social cognitive model of restorative well-being, the sustained effects of mindfulness-based interventions on distress symptoms female breast cancer patients experienced were examined in this study. Grounded in social cognitive theory, this model facilitated understanding of the recovery of well-being after an emotional setback. This quantitative experimental study included analysis of secondary data with pre- and post testing with multiple follow ups to measure the …

Factors Influencing Human Papillomavirus Vaccination Among Hispanic Youth In Bexar County, Texas, Timothy Edward Wallum

Walden Dissertations and Doctoral Studies

A high number of Hispanic youth in Bexar County, Texas, face morbidity and mortality related to human papillomavirus (HPV) infection due to inadequate vaccination coverage youth. A better understanding of the factors that influence vaccination might help public health authorities to increase coverage. The aim of this quantitative, cross-sectional study, which was based on the socioecological model and involved analysis of weighted survey data from the 2016 to 2018 National Immunization Survey-Teen, was to better understand the multilevel factors influencing HPV vaccine use among Hispanic youth. The weighted sample was representative of the study population in terms of survey characteristics …

Childhood Anxiety And Roles Of Parents, Educators, And Pediatric Healthcare Providers In Addressing Protective Factors, Gabriela Zamora-Ahlstrom

Walden Dissertations and Doctoral Studies

AbstractChildhood anxiety affects over 32% of youth in the United States, and when left untreated, contributes to poor school performance, social difficulties, truancy, school dropout rates, juvenile delinquency, substance abuse, and family and community difficulties. Preventing childhood anxiety by implementing effective protective factors for children can eliminate many of these outcomes. Using the biopsychosocial theory and social work systems theories, this study involved exploring the beliefs and attitudes of parents, educators, and pediatric healthcare providers in an affluent suburban community of Detroit (Rochester/Rochester Hills, MI), regarding their roles in providing protective factors against childhood anxiety. A generic qualitative research design …

Relationships Between Stress Self-Management, Social Support, And Health In Hispanic Informal Caregiver Burnout Prevention, Nicole Alexandra Mas Román

Walden Dissertations and Doctoral Studies

Burnout syndrome is a psychological disorder characterized by physical, emotional, and mental distress and exhaustion resulting in feelings of depression, anxiety, irritability, and negative attitudes. If left unattended, burnout syndrome can lead to new or worsening health outcomes. The purpose of this nonexperimental quantitative study was to examine the relationship between stress self-management, perceived social support, health status, and burden among Puerto Rican informal caregivers. The theoretical foundations for this research were the informal caregiving integrative model and the individual and family self-management theory. Survey data were collected from 415 participants. Multiple regression analyses were performed to determine the relationship …

Type Of Union And Reproductive Health Influence On Domestic Violence In Sierra Leone, Yvonne Rowe

Walden Dissertations and Doctoral Studies

Domestic violence (DV) is one of the most hidden but prevalent public health concerns affecting women of childbearing age in Africa, despite ongoing prevention initiatives. Lack of power and control in the household is a significant precursor of DV in women, especially in sub-Saharan Africa. While poverty, gender inequality, and societal norms have been identified as directly related to DV, the factors of type of union and reproductive health choice remain unexplored. This quantitative study with a cross-sectional design assessed the relationship between the type of union, female contraceptive use, and type of DV amongst women in Sierra Leone. Anchored …

Evaluation Of House Staff Candidates For Program Fit: A Cohort-Based Controlled Study, Soo-Hoon Lee, Phillip H. Phan, Sanjay V. Desai

Management Faculty Publications

Background: Medical school academic achievements do not necessarily predict house staff job performance. This study explores a selection mechanism that improves house staff-program fit that enhances the Accreditation Council for Graduate Medical Education Milestones performance ratings.

Objective: Traditionally, house staff were selected primarily on medical school academic performance. To improve residency performance outcomes, the Program designed a theory-driven selection tool to assess house staff candidates on their personal values and goals fit with Program values and goals. It was hypothesized cohort performance ratings will improve because of the intervention.

Methods: Prospective quasi-experimental cohort design with data from two house staff …

Percept-R: An Open-Access American English Child/Clinical Speech Corpus Specialized For The Audio Classification Of/ɹ/, Nina R. Benway, Jonathan L. Preston, Elaine Hitchcock, Asif Salekin, Harshit Sharma, Tara Mcallister

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

We present the PERCEPT-R corpus, a labeled corpus of child speakers of American English with typical speech and residual speech sound disorders affecting rhotics. We demonstrate the utility of age-and-gender normalized formants extracted from PERCEPT-R in training support vector classifiers to predict ground-truth perceptual judgments of “rhotic” (i.e., dialect-typical) and clinical “derhotic”/ɹ/for novel speakers (mean of participant-specific f-metrics=.83; SD =.18, N = 281).

Essential Oils For Alternative Pain Therapy, Joy Debinski, Alex Garay, Dalia Albanna

2021

No abstract provided.

Limb Alert: Increasing Staff Awareness And Communication, James Waldie, Azeezat Fabian, Fafa Apedo, Jessica Kovacs

2021

No abstract provided.

Standardized Labeling Of Iv Infusions To Decrease Medication Errors And Increasing Nurse Workflow Efficiency, Tayyiba Shaik, Vikltoria Gudmundsson, Skyelar Hester, Veronica Pacheco

2021

No abstract provided.

Why Can't I Drink? A Look At Npo Guidelines At Children's Health, Hanna Boehm, Elizabeth Brewer, Rebekah Hockaday, Joy Villaflor

2021

No abstract provided.

Improving Patient Safety Through Increased Awareness Of Alarm Fatigued9 Pulmonology & Our Children’S House, Alli Mcdaniel, Marissa Reyes, Nabat Sheriff

2021

No abstract provided.

Are Er Parents In On What Infiltration Means?, Ashley Lee, Andrew Taylor, Carley Torres

2021

No abstract provided.

Acting With Tlc Splint, Jade Deckard, Karen Esquivel, Adriana Guerre

2021

No abstract provided.

L.A.P.S. Not Apps: Evaluating The Use Of Electronic Devices In A Level 4 Nicu, Madyson Roehrig, Karen Barajas, Priscilla Aponte

2021

No abstract provided.

Sharing Is Caring:Decreasing Caregiver Stress For Pediatric Patients Undergoing Inpatient Surgerythrough Visual Communication, Abigail Holman, Jaime Kilmer, Brandon Shipley

2021

No abstract provided.

Is S-Adenosylmethionine (Same) An Effective Drug To Help Treat Patients With Depression?, Cassidy M. Flanigan

PCOM Physician Assistant Studies Student Scholarship

 Objective: The objective of the selective EBM review is to determine whether or not “Is Sadenosylmethionine (SAMe) an Effective Drug to Help Treat Patients with Depression?”

Study Design: A systematic review of three randomized controlled trials (RCTs) published between 2016-2020.

Data Sources: All three RCTs were discovered using PubMed. The articles were published in English in peer-reviewed journals and selected based on applicability to the clinical question.

Outcome Measured: A reduction in depressive symptoms was the outcome measured in all three studies using the Montgomery-Asbery Depression Rating Scale (MADRS). The mean change in baseline was calculated once intervention was received. …

Is Botulinum Toxin Effective At Reducing Sensory Symptoms In The Hands Of Patients With Raynaud’S Phenomenon?, Maria C. Dicioccio

PCOM Physician Assistant Studies Student Scholarship

Objective: The objective of this systematic review is to determine, “Is Botulinum Toxin Effective at Reducing Sensory Symptoms in the Hands of Patients with Raynaud’s Phenomenon?”

Study Design: A systematic review of two randomized controlled trials (RCTs) and one prospective case series published between 2017 and 2019.

Data Sources: The articles were discovered using PubMed or Academic Search Premier. The articles were published in English in peer-reviewed journals and selected based on pertinence to the clinical question.

Outcome Measured: A reduction in sensory symptoms was the outcome measured in all three studies using the VAS pain score (0-10/100) or McCabe …

Does Hippotherapy Improve Gross Motor Function In Children With Cerebral Palsy?, Victoria I. Bockius

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not “Does hippotherapy improve gross motor function in children with cerebral palsy?”.

STUDY DESIGN: A systematic review of three randomized controlled trials (RCTs), with one being a randomized crossover trial. All three were published between 2015 and 2018.

DATA SOURCES: Three RCTs published in peer-reviewed journals were chosen from PubMed. The studies were selected based on their relevance to the clinical question.

OUTCOMES MEASURED: The outcome measured was improvement in gross motor function. Either hip adductor spasticity using Modified Ashworth Scale (MAS) or the Gross Motor Function …

Deadly Combinations: Factors That Are Associated With Simultaneous And Concurrent Polysubstance Use, Laura Lightfoot

Electronic Theses and Dissertations, 2020-2023

Mortality reports show that most overdose deaths include more than one substance. In addition, there is a gap in the literature that discusses risk factors for polysubstance use. The objective of this study was to explore what factors relate to the likelihood of engaging in polysubstance use, defined as using more than one substance. Specifically, the goal was to evaluate predictors of simultaneous (i.e., the use of alcohol and another substance at the same time in the past six months) polysubstance use and concurrent (i.e., the use of any two substances in the past six months) polysubstance use, vs. no …

Reexamining Cytolethal Distending Toxin's Host Cell Entry And Trafficking: The First Steps Down A Long Road, George Huhn

Electronic Theses and Dissertations, 2020-2023

Cytolethal distending toxin (CDT) is a virulence factor produced by many Gram-negative bacteria, including Haemophilus ducreyi, the causative agent of genital chancroid. CDT is a heterotrimeric toxin consisting of a cell-binding domain (CdtA + CdtC) and a catalytic domain (CdtB) that has DNase activity. After binding to the host plasma membrane, CDT undergoes endocytosis and travels through the endosomes en route to the endoplasmic reticulum (ER). Only CdtB and CdtC arrive in the Golgi before moving to the ER. Only then does CdtB move into the nucleus, causing DNA damage that induces cell-cycle arrest and apoptosis. The previous CDT trafficking …

Prenatal Exposure To A Natural Disaster And Early Development Of Psychiatric Disorders During The Preschool Years: Stress In Pregnancy Study, Yoko Nomura, Jeffrey H. Newcorn, Christine Ginalis, Catherine Heitz, Jeenia Zaki, Farzana Khan, Mardia Nasrin, Kathryn Sie, Donato Deingeniis, Yasmin L. Hurd

Publications and Research

Background: Growing evidence shows an association between in utero exposure to natural disasters and child behavioral problems, but we still know little about the development of specific psychopathology in preschool-aged children. Methods: Preschool children (n = 163, mean age = 3.19, 85.5% racial and ethnic minorities) and their parents (n = 151) were evaluated annually at ages 2–5 to assess the emergence of psychopathology using the Preschool Age Psychopathological Assessment (PAPA), a parent-report structured diagnostic interview developed for preschool-age children. Sixty-six (40.5%) children were exposed to Sandy Storm (SS) in utero and 97 (59.5%) were not. Survival analysis evaluated patterns …

The Interaction Of Children Living In Single-Parent Households With Healthcare In Tennessee, Molly Balcer

Scholarship in Medicine - All Papers

The objective of this paper is to examine how a child living in a single-parent home is able to interact with healthcare in the state of Tennessee in 2020. Family structure in the United States trends away from the nuclear family, with 32% of households containing children headed by single-parents in 2018 as recorded by the United States Census Bureau. Given the knowledge that children in single-parent families are at higher risk for unmet healthcare needs, it is prudent to determine whether these trends are mirrored in Tennessee. Tests of statistical analysis were conducted on publicly available data collected from …

Factors Affecting The Rates Of Childhood Poverty In Tennessee, Aleeya F. Shareef

Scholarship in Medicine - All Papers

Objective: The goal of this investigation is to analyze data to determine the factors that influence childhood poverty in Tennessee. Specifically, I am examining how child poverty has changed over the past years, as well as determining its associations with residential segregation (Black/white), food insecurity, teen births, low birthweights, child and infant mortalities, drug overdose deaths, access to healthy foods, premature deaths, and uninsured children. Data was used from the County Health Rankings website. Their data has been collected from surveys. Paired t-tests, unpaired t-tests, Pearson correlations, and stepwise linear regressions were performed. Results indicated that Tennessee has had decreased …

Relationship Between Poverty And Ed Visit Rate (Per 10,000) With Primary Diagnosis Of Asthma Amongst Ohio Counties, Emily Schneider

Scholarship in Medicine - All Papers

Objective: Previous literature have found mixed results regarding poverty as a risk factor for asthma prevalence. More recently, national data obtained from Medicaid has shown that there is no association between poverty and asthma prevalence but has shown an association with asthma-related Emergency Department (ED) visits and hospitalizations. The objective of this study is to determine if this relationship is evident amongst the 88 counties in Ohio. Methods: Pearson correlations were conducted with the following variables: percent in poverty under age 18 and the ED visit rate with a primary diagnosis of asthma amongst children in each Ohio county. This …