Medicine and Health Sciences Commons^™

Strategies For Supporting Healthcare Workers’ Resilience And Mental Health During A Pandemic: A Scoping Review, Eka Oktavianto, I Made Moh. Yanuar Saifudin, Gani Apriningtyas Budiyati

Jurnal Keperawatan Indonesia

As a group, health workers are at risk of experiencing stress and mental health problems at work, which may negatively affect their resilience. This study assessed the effectiveness of mental health support strategies for health workers during the COVID-19 pandemic. This scoping review followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines in searching through three journal databases, such as: EBSCO, Scopus, and PubMed. The quality of the studies was assessed with the Crowe Critical Appraisal Tool, and the results of the review emerged from a process of synthesis that identified common themes. The search yielded five main …

The Influence Of Gender And Hope On The Resilience Of Bullied Adolescents, Nur Setiawati Dewi, Megah Andriany, Ovi Imrotul Lathifah, Artika Nurrahima, Rita Hadi Widyastuti, Nurullya Rachma, Elis Hartati

Jurnal Keperawatan Indonesia

Bullying is currently a national concern in Indonesia. Many of the country’s children and adolescents have taken their lives due to a lack of resilience in the face of bullying. However, some studies have revealed that victims can survive the adverse effects of bullying. This study aimed to analyze the roles of hope and sociodemographic characteristics in the resilience of bullied adolescents in Indonesia. The study used a cross-sectional design and selected 305 bullied high school students in Semarang as participants through purposive sampling. The Adolescent Resilience Scale and the Children’s Hope Scale were used to measure the participants’ resilience …

Prevalence Of Endoparasites And Haematology In Redbelly Tilapia From A Shallow Tropical Reservoir In Ghana, Elliot H. Alhassan, Samuel A. Osei, Akwasi Ampofo-Yeboah, Samuel O. Dandi

Tanzania Journal of Science

The goal of this study was to assess common endoparasites on Tilapia zillii in the Tono Reservoir, as well as to investigate the mean intensity and prevalence of these parasites. A total of 175 fish specimens were examined during the study. Endoparasites of three metazoans and one protozoan were observed from the Tilapia zillii gills, intestines, and stomach. The findings showed that the most common endoparasites affecting Tilapia zillii are Ichthyopthirius multifiliis, Bothriocephalus sp., Contracaecum sp., and Dactylogyrus sp. Also, Contracaecum sp had the highest prevalence of 29.71, followed by Bothriocephalus sp (18.86), Ichthyopthirius multifiliis (12), and Dactylogyrus sp (6.86). …

Predictors Of Attrition From Care And Treatment Centres Among Hiv-Positive Pregnant And Breastfeeding Adult Women In Dar Es Salaam, Tanzania, Felix Elias, Nyimvua Shaban, Edwin Rutalebwa

Tanzania Journal of Science

In Tanzania, poor retention rates among pregnant and breastfeeding mothers continue to be a problem, contributing to a mother-to-child HIV transmission rate of 11% in 2019, compared to a global target of 5%. The goal of this study was to determine the influence of retention on clinical outcomes and identifying predictors of attrition among HIV-positive pregnant and breastfeeding women from follow-up care in Dar es Salaam. A retrospective cohort study included HIV-positive women who engaged in PMTCT services in public and private health facilities between January 2016 and December 2019. Secondary data were extracted from databases used for routine follow-up …

Household And Community Factors Affecting Nutritional Status Of Under-Five Children (6-59 Months) In Gairo District Using Composite Index Of Anthropometric Failure, Tausi M. Mohamed, Cornelio N. Nyaruhucha

Tanzania Journal of Science

In Tanzania, where the majority of under-five children are affected, undernutrition is still a significant public health concern. The study aimed at assessing the prevalence of undernutrition and its determinants among under-five children in Gairo District using a Composite Index of Anthropometric Failure (CIAF). A household-based cross-sectional study was employed involving 300 under-five children with their mothers/caregivers in three wards in the Gairo District. Data collection on socio-demographics, dietary diversity, and healthcare factors were collected by interviewer-based semi-structured questionnaires. Anthropometric measurements using standard procedures were performed to collect anthropometric data. Odds ratios with a 95% confidence interval and p-value ≤ …

Dosimetric Comparison Between Two And Six Beams Conformal Radiotherapy Plans For Paediatric Wilm's Tumour Patients At Ocean Road Cancer Institute, Tanzania, Rashid M. Mruma, Nazima Dharsee, Christina V. Malichewe, Jumaa D. Kisukari, Geofrey F. Soko, Hemed S. Myanza, Furahini Yoram

Tanzania Journal of Science

This study aimed to compare the dose distributions of three-dimensional conformal treatment planning using two and six radiation beams among paediatric patients receiving radiotherapy for Wilms tumour at Ocean Road Cancer Institute. CT scans of 53 patients were used to generate 106 treatment plans, 53 plans for two beams, and 53 plans for six beams. Planning target volumes and organs at risk parameters were compared between both plans using paired samples t-test.  A p-value < 0.05 was considered statistically significant. The findings showed that the D95% and Dmean of the target are better with six beams than with the two-beam plans (p ˂ 0.001). The conformity index and monitor unit are significantly better with two-beam plans than with six-beam plans (p ˂ 0.001). No volume of the contralateral kidney received more than 12 Gy for both two and six plans. There were no differences in Dmax for the spinal cord (p = 0.208), while Dmean was observed to be lower in two compared to six beams (p ˂ 0.001) for the liver. Six beam plans have good target coverage, while two beam plans have good conformity index and monitor unit. The observed doses to the organs at risk in both plans were lower than their normal tolerance. Keywords:    Wilm's tumour, Three-dimensional conformal radiotherapy, whole abdomen radiotherapy, paediatric radiotherapy, Dosimetry

Targeting The Molecular And Immunologic Features Of Leiomyosarcoma, Brandon M Cope, Raymond S Traweek, Rossana Lazcano, Emily Z Keung, Alexander J Lazar, Christina L Roland, Elise F Nassif

Faculty, Staff and Student Publications

Leiomyosarcoma (LMS) is a rare, aggressive mesenchymal tumor with smooth muscle differentiation. LMS is one of the most common histologic subtypes of soft tissue sarcoma; it most frequently occurs in the extremities, retroperitoneum, or uterus. LMS often demonstrates aggressive tumor biology, with a higher risk of developing distant metastatic disease than most sarcoma histologic types. The prognosis is poor, particularly in patients with uterine disease, and there is a need for the development of more effective therapies. Genetically, LMS is karyotypically complex and characterized by a low tumor mutational burden, with frequent alterations in TP53, RB1, PTEN, …

Genome-Wide Crispr Screens Reveal Zatt As A Synthetic Lethal Target Of Top2-Poison Etoposide That Can Act In A Tdp2-Independent Pathway, Jeong-Min Park, Huimin Zhang, Litong Nie, Chao Wang, Min Huang, Xu Feng, Mengfan Tang, Zhen Chen, Yun Xiong, Namsoo Lee, Siting Li, Ling Yin, Traver Hart, Junjie Chen

Faculty, Staff and Student Publications

Etoposide (ETO) is an anticancer drug that targets topoisomerase II (TOP2). It stabilizes a normally transient TOP2-DNA covalent complex (TOP2cc), thus leading to DNA double-strand breaks (DSBs). Tyrosyl-DNA phosphodiesterases two (TDP2) is directly involved in the repair of TOP2cc by removing phosphotyrosyl peptides from 5'-termini of DSBs. Recent studies suggest that additional factors are required for TOP2cc repair, which include the proteasome and the zinc finger protein associated with TDP2 and TOP2, named ZATT. ZATT may alter the conformation of TOP2cc in a way that renders the accessibility of TDP2 for TOP2cc removal. In this study, our genome-wide clustered regularly …

Performa Diagnostik Global Leadership Initiative On Malnutrition (Glim) Dibandingkan Dengan Malnutrition Nutritional Assessment (Mna) Dalam Pengkajian Malnutrisi Pada Pasien Geriatri Di Rawat Inap, Astrine Permata Leoni, Wita Rizki Amelia, Purwita Wijaya Laksmi, Ahmad Syauqy

Jurnal Penyakit Dalam Indonesia

Introduction. As many as 76.6% of patients aged 60 years and above (elderly) are malnourished or at risk of malnutrition based on MNA within the first 48 hours of hospital admission. The prevalence of malnutrition varies widely depending on the population studied, the healthcare setting and the tools used for the assessment. To date, SGA is widely used in the diagnosis of malnutrition for adults and MNA for elderly patients. Recently, experts proposed empirical consensus of GLIM criteria for determining the diagnosis of malnutrition in adults. This study aimed to investigate the diagnostic performance of GLIM criteria as a …

Vaksinasi Influenza Sebagai Prediktor Terjadinya Kejadian Rawat Inap Akibat Kejadian Kardiovaskular Pada Pasien Dengan Riwayat Penyakit Jantung Koroner: Suatu Laporan Kasus Berbasis Bukti, Sukamto Koesnoe, Alvin Johan, Widhi Dewanta, Nabilla Gita Ekanara, Muhammad Ikrar Hermanadi

Jurnal Penyakit Dalam Indonesia

Influenza is known to worsen cardiovascular events in patients with a history of coronary heart disease. However, the effectiveness of influenza vaccination in reducing hospitalization due to cardiovascular disease is not clearly known. We aim to determine the effect of influenza vaccination on hospitalization rates due to cardiovascular disease in patients with a history of coronary heart disease. Relevant literature was searched on four electronic databases: MEDLINE, EMBASE, SCOPUS, and Cochrane Library, using predetermined keywords. Critical review of the studies was done using the Center of Evidence Based Medicine (CEBM) University of Oxford assessment tool. The search yielded six articles, …

A Novel 3dna® Nanocarrier Effectively Delivers Payloads To Pancreatic Tumors, Grace A Mccarthy, Aditi Jain, Roberto Di Niro, Christopher W. Schultz, Wei Jiang, Charles Yeo, Jessica Bowers, Jennifer Finan, Kelly Rhodes, Lou Casta, Vivi Hou, Anthony Stefanoni, Samantha Z Brown, Avinoam Nevler, Lebaron C. Agostini, Lori Getts, Robert Getts, Jonathan R Brody

Department of Surgery Faculty Papers

INTRODUCTION: Standard-of-care systemic chemotherapies for pancreatic ductal adenocarcinoma (PDAC) currently have limited clinical benefits, in addition to causing adverse side effects in many patients. One factor known to contribute to the poor chemotherapy response is the poor drug diffusion into PDAC tumors. Novel treatment methods are therefore drastically needed to improve targeted delivery of treatments. Here, we evaluated the efficacy of the 3DNA® Nanocarrier (3DNA) platform to direct delivery of therapeutics to PDAC tumors in vivo.

MATERIALS AND METHODS: A panel of PDAC cell lines and a patient tissue microarray were screened for established tumor-specific proteins to identify targeting moieties …

Neurochemical Effects Of Sepsis On The Brain, Tatiana Barichello, Vijayasree V Giridharan, Carlos Henrique R Catalão, Cristiane Ritter, Felipe Dal-Pizzol

Faculty, Staff and Student Publications

Sepsis is a life-threatening organ dysfunction triggered by a dysregulated host immune response to eliminate an infection. After the host immune response is activated, a complex, dynamic, and time-dependent process is triggered. This process promotes the production of inflammatory mediators, including acute-phase proteins, complement system proteins, cytokines, chemokines, and antimicrobial peptides, which are required to initiate an inflammatory environment for eliminating the invading pathogen. The physiological response of this sepsis-induced systemic inflammation can affect blood-brain barrier (BBB) function; subsequently, endothelial cells produce inflammatory mediators, including cytokines, chemokines, and matrix metalloproteinases (MMPs) that degrade tight junction (TJ) proteins and decrease BBB …

Cancer Patient And Provider Responses To Companion Scales Assessing Experiences With Lgbtqi-Affirming Healthcare, Mandi L. Pratt-Chapman, Yan Wang, Gwendolyn P. Quinn, Sylvia Shirima, Sarah Adler, Ruta Brazinskaite, Asa Radix, Barbara Warren, Kristen Eckstrand, Ana Maria Lopez

Department of Medical Oncology Faculty Papers

Background: Sexual and gender minority (SGM) persons are at a higher risk for some cancers and may have poorer health outcomes as a result of ongoing minority stress, social stigma, and cisnormative, heteronormative healthcare environments. This study compared patient and provider experiences of affirming environmental and behavioral cues and also examined provider-reported knowledge, attitudes, behaviors, and clinical preparedness in caring for SGM patients among a convenience sample.

Methods: National convenience samples of oncology providers (n = 107) and patients (n = 88) were recruited separately via snowball sampling. No incentives were provided. After reverse coding of appropriate items for unidirectional …

Expert Consensus On Microtransplant For Acute Myeloid Leukemia In Elderly Patients -Report From The International Microtransplant Interest Group, Huisheng Ai, Nelson J Chao, David A Rizzieri, Xiaojun Huang, Thomas R Spitzer, Jianxiang Wang, Mei Guo, Armand Keating, Elizabeth F Krakow, Didier Blaise, Jun Ma, Depei Wu, John Reagan, Usama Gergis, Rafael F Duarte, Preet M Chaudhary, Kaixun Hu, Changlin Yu, Qiyun Sun, Ephraim Fuchs, Bo Cai, Yajing Huang, Jianhui Qiao, David Gottlieb, Kirk R Schultz, Mingyao Liu, Xiequn Chen, Wenming Chen, Jianmin Wang, Xiaohui Zhang, Jianyong Li, He Huang, Zimin Sun, Fei Li, Linhua Yang, Liansheng Zhang, Lijuan Li, Kaiyan Liu, Jie Jin, Qifa Liu, Daihong Liu, Chunji Gao, Chuanbo Fan, Li Wei, Xi Zhang, Liangding Hu, Weijing Zhang, Yuyang Tian, Weidong Han, Jun Zhu, Zhijian Xiao, Daobin Zhou, Bolong Zhang, Yongqian Jia, Yongqing Zhang, Xiaoxiong Wu, Xuliang Shen, Xuzhang Lu, Xinrong Zhan, Xiuli Sun, Yi Xiao, Jingbo Wang, Xiaodong Shi, Bo Zheng, Jieping Chen, Banghe Ding, Zhao Wang, Fan Zhou, Mei Zhang, Yizhuo Zhang, Jie Sun, Bing Xia, Baoan Chen, Liangming Ma

Department of Medical Oncology Faculty Papers

Recent studies have shown that microtransplant (MST) could improve outcome of patients with elderly acute myeloid leukemia (EAML). To further standardize the MST therapy and improve outcomes in EAML patients, based on analysis of the literature on MST, especially MST with EAML from January 1st, 2011 to November 30th, 2022, the International Microtransplant Interest Group provides recommendations and considerations for MST in the treatment of EAML. Four major issues related to MST for treating EAML were addressed: therapeutic principle of MST (1), candidates for MST (2), induction chemotherapy regimens (3), and post-remission therapy based on MST (4). Others included donor …

Exploring Communication In Healthcare Through Decision-Making Interventions And A Novel Measure Of Clinician Spoken Plain Language, Renata W. Yen

Dartmouth College Ph.D Dissertations

Statement of the Problem

Good communication in clinical encounters is a key component of quality healthcare. Improving clinician communication would benefit all populations, however patients with lower health literacy or who are socially disadvantaged stand to benefit the most due to the complex content in clinical encounters. Shared decision-making can improve outcomes, but shared decision-making cannot occur without good clinician communication. In this dissertation, I reviewed interventions for facilitating shared decision-making for socially disadvantaged patients. Then, I examined the use of spoken plain language, or clinician use of familiar, clear verbal language when communicating with patients, and developed a prototype …

Penilaian Domain Pengkajian Paripurna Pasien Geriatri (P3g) Sebagai Faktor Yang Berpengaruh Terhadap Kejadian Pneumonia Nosokomial Pada Pasien Usia Lanjut Yang Dirawat Di Rumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo, Hildebrand Hanoch Victor, Edy Rizal Wahyudi, C. Martin Rumende, C. H. Soejono, A. G. Rooshoeroe, Hamzah Shatri, Leonard Nainggolan, Cosphiadi Irawan

Jurnal Penyakit Dalam Indonesia

Introduction. Nosocomial pneumonia is a lung infection that occurs after the patient is hospitalized for more than 48 hours, without any signs of pulmonary infection at the time of treatment. When compared with young individuals, elderly individuals are more likely to have community-sourced and nosocomial infections with worse outcomes. Comprehensive Geriatric Assessment (CGA) domains are expected to explain the factors that contribute to nosocomial pneumonia in elderly patients. This study aimed to determine the proportion of elderly treated at Dr. Cipto Mangunkusumo National Central General Hospital who experienced nosocomial pneumonia and whether the CGA domains influence the occurrence of nosocomial …

Modulasi Mikrobiota Untuk Memperbaiki Laju Filtrasi Glomerulus, Toksin Uremik, Dan Penanda Inflamasi Pada Gagal Ginjal Kronik: Telaah Sistematik Dan Meta-Analisis, Burhan Gunawan, Raymond Sebastian Purwata, Syarif Hidayat, Roy Akur Pandapotan, Jennifer Jennifer

Jurnal Penyakit Dalam Indonesia

Introduction. Dysbiosis microbiota is considered as one of the consequences and impacts of high uremic toxins in patients with Chronic Kidney Disease (CKD), which can lead to an increased risk of progression and mortality. The aim of this systematic review and meta-analysis was to perform quantitative effect of microbiota modulation for estimated Glomerular Filtration Rate (eGFR), uremic toxin (total-p cresyl/total pCS), and inflammatory marker (hs-CRP) outcome among CKD patients.

Methods. Article searches were conducted from PubMed, ScienceDirect, and Cochrane Library data sources from 2010-2022. Assessment of article quality follows the rules of PRISMA (Preferred Reporting Items in Systematic …

Efektivitas Ekstrak Strobilanthes Crispus Terhadap Kadar Glukosa Darah Puasa Dan Pasca Tes Toleransi Glukosa Oral Pada Rattus Norvegicus Diabetes Melitus, Alvin Gunawan, Laura Wihanto, Ari Christy Muliono

Jurnal Penyakit Dalam Indonesia

Introduction. The 2018 Riskesdas data shows that the prevalence of diabetes mellitus is increasing each year. Strobilanthes crispus leaves are known for lowering blood glucose levels. This study aimed to determine the difference in the effectiveness of S. crispus leaves ethanolic extract on fasting blood glucose (FBG) and post-oral glucose tolerance test (OGTT).

Methods. True experimental study using post-test only control group design and Rattus norvegicus as experimental animals. Rattus norvegicus were selected by random sampling which were then divided into 4 groups (K, P1, P2, P3), each group consisted of 5 animals. The animals were subsequently induced with diabetes …

Gambaran Risiko Post-Traumatic Stress Disorder (Ptsd) Pada Penyintas Covid-19 Di Rumah Sakit Universitas Andalas, Sri Wahyuni, Arina Widya Murni, Beni Indra, Rini Gusya Liza, Isnindiah Koerniati, Eldi Sauma

Jurnal Penyakit Dalam Indonesia

Introduction. The COVID-19 pandemic has a negative impact on life where sufferers can experience emotional problems such as despair, deep sadness, helplessness, anxiety, and depressive symptoms. Especially in hospitalized COVID-19 survivors, there are sequelae in the form of anxiety, depression, and Post-traumatic Stress Disorder (PTSD). PTSD experienced by COVID-19 survivors will affect the patient’s quality of life in the future. This study aimed to assess the risk of PTSD in COVID-19 survivors who had been hospitalized at Andalas University Hospital.

Methods. A cross-sectional descriptive study was conducted among COVID-19 survivors aged ≥15 years who had been hospitalized at Andalas University …

Modulatory Effect Of Medicinal Plants And Their Active Constituents On Atp-Sensitive Potassium Channels (Katp) In Diabetes, Lina T. Al Kury

All Works

Hyperglycemia, which is a chronic metabolic condition caused by either a defect in insulin secretion or insulin resistance, is a hallmark of diabetes mellitus (DM). Sustained hyperglycemia leads to the onset and development of many health complications. Despite the number of available antidiabetic medications on the market, there is still a need for novel treatment agents with increased efficacy and fewer adverse effects. Many medicinal plants offer a rich supply of bioactive compounds that have remarkable pharmacological effects with less toxicity and side effects. According to published evidence, natural antidiabetic substances influence pancreatic β-cell development and proliferation, inhibit pancreatic β-cell …

Design Of The Combination Effect Of Finerenone And Empagliflozin In Participants With Chronic Kidney Disease And Type 2 Diabetes Using A Uacr Endpoint Study (Confidence), Jennifer B Green, Amy K Mottl, George Bakris, Hiddo J L Heerspink, Johannes F E Mann, Janet B Mcgill, Masaomi Nangaku, Peter Rossing, Charlie Scott, Alain Gay, Rajiv Agarwal

2020-Current year OA Pubs

BACKGROUND: Despite available interventions, people with type 2 diabetes (T2D) remain at risk of chronic kidney disease (CKD). Finerenone, a potent and selective nonsteroidal mineralocorticoid receptor antagonist, and sodium-glucose cotransporter 2 inhibitors (SGLT2is) can reduce both kidney and cardiovascular risks in people with CKD and T2D. Here we outline the design of a study to investigate whether dual therapy with finerenone and an SGLT2i is superior to either agent alone.

METHODS: CONFIDENCE (NCT05254002) is a randomized, controlled, double-blind, double-dummy, international, multicenter, three-armed, parallel-group, 7.5 - to 8.5-month, Phase 2 study in 807 adults with T2D, stage 2-3 CKD and a …

Nadph Oxidase 2 Limits Amplification Of Il-1Β-G-Csf Axis And An Immature Neutrophil Subset In Murine Lung Inflammation, Zhimin Song, Sourav Bhattacharya, Guangming Huang, Zev J Greenberg, Wei Yang, Juhi Bagaitkar, Laura G Schuettpelz, Mary C Dinauer

2020-Current year OA Pubs

The leukocyte NADPH oxidase 2 (NOX2) regulates inflammation independent of its antimicrobial activity. Inherited defects in NOX2 lead to chronic granulomatous disease (CGD), associated with recurrent bacterial and fungal infections, often with excessive neutrophilic inflammation that results in significant inflammatory burden and tissue damage. We previously showed that excessive leukotriene B4 (LTB4) production by NOX2-deficient mouse neutrophils was a key driver of elevated lung neutrophil infiltration in the initial response to pulmonary challenge with the model fungal particle zymosan. We now identify interleukin-1β (IL-1β) and downstream granulocyte colony-stimulating factor (G-CSF) as critical amplifying signals that augment and sustain neutrophil accrual …

Functional Effects Of Disease-Associated Variants Reveal That The S1-M1 Linker Of The Nmda Receptor Critically Controls Channel Opening, Lingling Xie, Miranda J Mcdaniel, Riley E Perszyk, Sukhan Kim, Gerarda Cappuccio, Kevin A Shapiro, Beatriz Muñoz-Cabello, Pedro A Sanchez-Lara, Katheryn Grand, Jing Zhang, Kelsey A Nocilla, Rehan Sheikh, Lluis Armengol, Roberta Romano, Tyler Mark Pierson, Hongjie Yuan, Scott J Myers, Stephen F Traynelis

Faculty, Staff and Students Publications

The short pre-M1 helix within the S1-M1 linker (also referred to as the pre-M1 linker) between the agonist-binding domain (ABD, S1) and the M1 transmembrane helix of the NMDA receptor (NMDAR) is devoid of missense variants within the healthy population but is a locus for de novo pathogenic variants associated with neurological disorders. Several de novo variants within this helix have been identified in patients presenting early in life with intellectual disability, developmental delay, and/or epilepsy. In this study, we evaluated functional properties for twenty variants within the pre-M1 linker in GRIN1, GRIN2A, and GRIN2B genes, including six novel missense …

Orienting Patients To Their Own Care: Implementing Goals And Progress On Whiteboards, Grace Beer, Leah Mcgough

Scholars Week

Introduction: Goal-setting within the hospital setting can be a useful tool for health care professionals. By using a white board in a patient’s room, nurses can work with patients to create goals in their plan of care. Implementing daily goals on these boards can improve patient satisfaction, increase nurse-patient communication, and provide a sense of accomplishment.

Methods: We researched scholarly articles that discuss the use of goal-setting in clinical practice. These articles engage in the idea that patients visually seeing their goals helps them stay focused and motivated in their health care. The researchers used methods such as interviews, focus …

Benefits And Challenges Of Charge Nurses Taking Patient Assignments, Alyssa Kuhl, Jenna Thomas, Karlee Meadows

Scholars Week

No abstract provided.

Implementation Of An Artificial Airway Communication Tool, Grace Thacker, Macy Damron

Scholars Week

This evidence based practice research project evaluated the use of communication tools for patients with artificial airways in the hospital setting. It was determined through clinical experiences and article research that no standard communication tool has been recommended for this patient population. Moreover, research has suggested that patient satisfaction has improved with the use of new communication methods. Given the lack of a solution to this issue, we have suggested the implementation of a new hospital policy concerning the use of a communication tool. This communication tool is an eight and a half by eleven laminated piece of paper that …

The Benefits Of Using Patient Transfer Devices In The Emergency Department, Abby Lawhorn, Mikaylen Dearmond

Scholars Week

The Emergency Department (ED) is known as one of the most fast-paced environments in which nurses work. Because of the nature of their responsibilities and daily tasks, ED nurses are at high risk of injury. One of those tasks that occur multiple times throughout the day is patient transfers. The Emergency Department staff is constantly moving patients in and out of the unit. Most often, patients seen in the ED are weak, in pain, elderly, or unable to transfer from vehicles, ambulance, stretchers, or wheelchairs independently or without minimal assistance. Our research focuses on the benefits of using assistive devices …

Why Bladder Training Prior To Foley Catheter Removal Is Not Best Practice, Emily Winstead, Sydny Tucker

Scholars Week

Several studies have been completed on bladder training prior to foley catheter removal via intermittent clamping. While this practice initially appears to be beneficial to patient care, the studies we have researched all found the practice to be insignificant or not indicated for patient care. As we researched, we were able to compile evidence from multiple sources that support bladder training prior to catheter removal is not best practice. After compiling those results, we were able to gather a better understanding of the reasons this practice is not indicated and what risks it will pose to patients. In conclusion, we …

The Positive Effects Of Delayed Immersion Bathing For Newborns, Aubrey Stuart

Scholars Week

Problem: Newborn infants were once bathed only 2-4 hours after birth. The rate at which newborns experienced hypothermia, hypoglycemia, and a difficulty with exclusive breastfeeding was once much higher than it is today.

Methods: This project was a meta-analysis of multiple clinical trials regarding delayed infant bathing. Three main studies that implemented a 24 hour or later bathing program were chosen and reviewed to assess for trends in hypothermia, hypoglycemia, and the exclusive breastfeeding rates of newborns.

Results: In each study reviewed, the rates of hypoglycemia and hypothermia decreased while the rates of exclusive breastfeeding increased.

Implications: By delaying newborn …

The Benefits And Use Of Intranasal Versed (Midazolam) In Pediatric Patients Requiring Procedural Sedation And Seizure Cessation In The Emergency Department, Coleman Austin, Madison Simmons

Scholars Week

Pediatric emergency department’s across the country have developed specific methods for treating injuries and illnesses in the pediatric population. However, many adult emergency departments that treat pediatric patients have outdated methods for treating children who come through their doors. A great example of this would be the current standard of care for pediatric patients who are in need of some form of sedation for treatment. Many adult emergency departments currently will use moderate to deep sedation techniques for treatment that should typically only require light sedation, like for lacerations and imaging scans. After lots of research, it seems that where …