Medicine and Health Sciences Commons^™

Incarcerated Patients Have Higher Mortality After Trauma: An Unreported Healthcare Disparity, Harry Newmanplotnick

Yale Medicine Thesis Digital Library

While the U.S. has the highest incarceration rate in the world, at nearly 1% of the adult population, or over 2 million people, insight regarding health disparities in this population remains limited, particularly for traumatic injuries and surgical care. Our aims with this paper were two-fold. First, we sought to perform the largest national database analysis of criminal-justice system involved (CJI) trauma patients (specifically incarcerated patients). Second, we planned to investigate if incarceration status was associated with differences in a variety of outcomes after trauma for U.S. adults.To accomplish these aims we analyzed data from the National Trauma Data Bank …

Dosimetric And Radiobiological Comparison Between Conventional And Hypofractionated Breast Treatment Plans Using The Halcyon System., Duong Thanh Tai, Luong Tien Phat, Nguyen Ngoc Anh, Huynh Van Tran Sang, Tran Minh Loc, Nguyen Xuan Hai, Peter A Sandwall, David Bradley, James C L Chow

Oncology Articles

PURPOSE: The objective of this research is to compare the efficacy of conventional and hypofractionated radiotherapy treatment plans for breast cancer patients, with a specific focus on the unique features of the Halcyon system.

METHODS AND MATERIALS: The study collected and analyzed dose volume histogram (DVH) data for two groups of treatment plans implemented using the Halcyon system. The first group consisted of 19 patients who received conventional fractionated (CF) treatment with a total dose of 50 Gy in 25 fractions, while the second group comprised 9 patients who received hypofractionated (HF) treatment with a total dose of 42.56 Gy …

Vaccination Inequities Among Children 12-23 Months In India: An Analysis Of Inter-State Differences, Octavia K. Goodman, Abram L. Wagner, Dakota Riopelle, Joseph L. Mathew, Matthew L. Boulton

Community & Environmental Health Faculty Publications

Background

Previous research has shown that socioeconomic and demographic risk factors in children are additive and lead to increasingly negative impacts on vaccination coverage. The goal of this study is to examine if different combinations of four risk factors (infant sex, birth order, maternal education level, and family wealth status) vary by state among children 12-23 months in India and to determine the impact of ≥ 1 risk factor on differences in state vaccination rates.

Methods

Using data from the National Family Health Survey (NFHS) conducted in India between 2005 and 2006 (NFHS-3) and 2015-2016 (NFHS-4), full vaccination of children …

Forming The Perception Of Wic Infant Feeding Recommendations: A Qualitative Study, Emily Fisher, Kathryn Wouk, Priyanka Patel, Chuanyi Tang, Qi Zhang

Community & Environmental Health Faculty Publications

Nearly half of newborns in the United States are enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Promoting breastfeeding is a programmatic priority, although formula vouchers are provided for those who do not exclusively breastfeed. Previous literature suggests that participant perception of WIC’s breastfeeding recommendations is a significant factor predicting breastfeeding initiation, duration, and exclusivity outcomes. However, little is known about how participants’ perceptions of WIC’s breastfeeding recommendations are formed. To address this knowledge gap, we conducted a qualitative pilot study in Nevada, interviewing 10 postpartum WIC mothers and 12 WIC staff who had interacted …

Unraveling Controversies Over Civic Honesty Measurement: An Extended Field Replication In China, Qian Yang, Weiwei Zhang, Shiyong Liu, Wenjin Gong, Youli Han, Jun Lu, Donghong Jiang, Jingchun Nie, Xiaokang Lyu, Rugang Liu, Mingli Jiao, Chen Qu, Mingji Zhang, Yacheng Sun, Xinyue Zhou, Qi Zhang

Community & Environmental Health Faculty Publications

Cohn et al. (2019) conducted a wallet drop experiment in 40 countries to measure "civic honesty around the globe," which has received worldwide attention but also sparked controversies over using the email response rate as the sole metric of civic honesty. Relying on the lone measurement may overlook cultural differences in behaviors that demonstrate civic honesty. To investigate this issue, we conducted an extended replication study in China, utilizing email response and wallet recovery to assess civic honesty. We found a significantly higher level of civic honesty in China, as measured by the wallet recovery rate, than reported in the …

The Effectiveness Of An Ehealth Family-Based Intervention Program In Patients With Uncontrolled Type 2 Diabetes Mellitus (T2dm) In The Community Via Wechat: Randomized Controlled Trial, Yuheng Feng, Yuxi Zhao, Linqi Mao, Minmin Gu, Hong Yuan, Jun Lu, Qi Zhang, Qian Zhao, Xiaohong Li

Community & Environmental Health Faculty Publications

Background: Intervention based on family support and risk perception can enhance type 2 diabetes mellitus (T2DM) patients’ self-care activities. In addition, eHealth education is considered to improve family members’ support for patients with T2DM. However, there is little evidence from rigorously designed studies on the effectiveness of an intervention combining these approaches.

Objective: This randomized controlled trial (RCT) aimed to assess the effectiveness of an eHealth family-based health education intervention for patients with T2DM to improve their glucose control, risk perception, and self-care behaviors.

Methods: This single-center, 2-parallel-group RCT was conducted between 2019 and 2020. Overall, 228 patients were recruited …

Pharmacology Of Disulfiram As An Antibacterial Agent, Yogesh Meka

Theses, Dissertations and Capstones

Disulfiram (Antabuse®) is an oral prescription drug used to treat alcohol abuse disorder (AUD). Disulfiram (DSF) and its metabolites act on the body by inhibiting multiple enzymes involved in alcohol metabolism. This study aims to understand the pharmacology of disulfiram as an antibacterial medication. Previous studies on DSF showed antibiotic activity against multidrug-resistant Staphylococcus aureus strains (MRSA). The initial aim of this study was to decipher the mechanisms involved in inhibiting bacterial growth by DSF, which was done by performing biochemical studies. The studies revealed that DSF had antagonistic effects on redox buffering and energy production. Another aim of this …

5 - Patient Room, Providence - Special Pathogens Program

Special Pathogens Posters

No abstract provided.

9 - Special Pathogens Research Network (Sprn) Poster, Providence - Special Pathogens Program

Special Pathogens Posters

No abstract provided.

Tablet In The Consultation Room And Physician Satisfaction, Richard Kumi, Joseph Azuri, Rajiv Sabherwal

Information Systems Faculty Publications and Presentations

The purpose of the study is to investigate patient-physician interactions during a clinical encounter to ascertain the impact of tablet computing on physician satisfaction during a clinical encounter. This study was conducted at a primary care clinic, and the physicians who participated could use a tablet during their clinical encounters. The authors compared satisfaction between physicians who used the tablet during a clinical encounter and those who did not using data from 122 clinical encounters involving 82 patients. The results indicate that physicians who used the tablet during clinical encounters are more satisfied than those who did not. Additionally, there …

Association Between Children’S And Parents’ Physical Activity During The Covid-19 Pandemic: A Cross-Lagged Analysis, Monika Szpunar, Matthew Bourke, Leigh Vanderloo, Brianne Bruijns, Stephanie Truelove, Shauna Burke, Jason Gilliland, Jennifer Irwin, Patricia Tucker

Health Studies Publications

Background: COVID-19 caused closures of movement supporting environments such as gyms and schools in Canada. This study evaluated the association between Ontario parents’ and children’s physical activity levels across time during COVID-19, controlling for variables that were identified as significant predictors of children’s and parents’ physical activity (e.g., children’s age, parents’ employment status). Methods: Parents (n = 243; mean age = 38.8 y) of children aged 12 and under (n = 408; mean age = 6.3 y) living in Ontario, Canada completed 2 online surveys, the first between August and December 2020 and the second between August and December 2021. …

Parents' Attitudes Regarding Their Children's Play During Covid-19: Impact Of Socioeconomic Status And Urbanicity, Leigh Vanderloo, Kendall Saravanamuttoo, Matthew Bourke, Shiran Zhong, Monika Szpunar, Jason Gilliland, Shauna Burke, Jennifer Irwin, Stephanie Truelove, Patricia Tucker

Health Studies Publications

ObjectivesThe COVID-19 pandemic has had a profound impact on the daily routines of parents and children. This study explored the influence of socioeconomic status (SES) and urbanicity on parents' attitudes toward their children's active play opportunities 6 months and 1.5 years into COVID-19.MethodsA sample of 239 Ontario parents of children aged 12 and younger completed two online surveys (August–December 2020; 2021) to assess parents' intentions, beliefs, and comforts concerning their child's eventual return to play, in addition to various sociodemographic and physical activity variables. Descriptive analyses were run as well as an exploratory factor analysis (EFA) was conducted to group …

Good, Bad, Or Not-Even-Wrong Science And Mathematics In Transpersonal Psychology: Comment On Rock Et Al.'S "Is Biological Death Final?", Harris L. Friedman

International Journal of Transpersonal Studies

Rock et al. (this issue) used a Drake-like equation to provide an estimate of the mathematical likelihood of survival of consciousness after death based on combining a number of probability guestimates. Although it is refreshing to see a mathematical paper within transpersonal psychology, as this subdiscipline of psychology suffers from a shortage of quantitative research, it is uncertain whether this contribution is good, bad, or not-even-wrong science. The original Drake equation, and its derivative Drake-like equation spinoffs, have been criticized for combining numbers that produce results that lack meaning and thereby perhaps can be seen as using pseudomathematics. This concern …

Nondual States Are Not A Thing: This Inspiring New Age Spiritual Idea Is Neither Advaita Vedanta Nor Psychology, Glenn Hartelius

International Journal of Transpersonal Studies

The term “nondual states” has gained some currency as applied to states of mind in which the sense of self is softened, expanded, or shifted from conventional experience. Nonduality is a metaphysical concept about the nature of reality, commonly associated with the Advaita Vedanta school of Indian religion. New Age religious thought has applied the term “nondual” to states of consciousness that are believed to contact or apprehend this speculated metaphysical ideal. However, this use is incompatible with lineage-based teachings of Advaita Vedanta, inadequately precise to serve as a psychological construct, and improper as an insertion of New Age metaphysical …

Cognitive Illusion, Lucid Dreaming, And The Psychology Of Metaphor In Tibetan Buddhist Dzogchen Contemplative Practices, Michael R. Sheehy

International Journal of Transpersonal Studies

A classic set of eight similes of illusion (sgyu ma’i dpe brgyad) are employed recurrently throughout Indian and Tibetan Buddhist literature to illustrate the operations of cognition, its correlative perceptions, and experiences that emerge. To illustrate a Buddhist psychology of metaphor, the fourteenth century Tibetan scholar and synthesizer of the Dzogchen (rdzogs chen) or Great Perfection system, Longchen Rabjam Drimé Ödzer (1308-1363), composed his poetic text, Being at Ease with Illusion. This work on illusion is the third volume in Longchenpa’s Trilogy of Being at Ease (Ngal gso skor gsum) in which he presents a series of Dzogchen instructions on …

Wild Otherness Within: A Jungian And Zen Approach To The Untamed Self In The Ten Oxherding Pictures, Sara Granovetter

International Journal of Transpersonal Studies

The Ten Oxherding Pictures are an ancient allegory for the process of enlightenment. This article analyzes the series of ten paintings through the lenses of Jungian psychology and alterity studies to suggest an unorthodox interpretation of the images. This interpretation highlights the relationship between the oxherd and the ox, suggesting that the ox is a wild other that seeks intersubjective understanding. In questioning the meaning of domestication in these images, this investigation deconstructs the traditional allegory of enlightenment as a process of domestication, suggesting that these images instead point towards the importance of releasing the appropriative attitude. Ultimately, the oxherd …

Dynamic Bronchoscopy For Excessive Dynamic Airway Collapse, Jennier Salaski, Krista Ophoven

Nursing Posters

Definition:

Excessive Dynamic Airway Collapse (EDAC) is a respiratory condition characterized by >50%luminal narrowing on expiration.

Recognition Of Nonconclusive Seizures In Patients After Cardiac Arrest Using, Teresa Jahn, Elizabeth Plante

Nursing Posters

Background:

Evidence - Prevalence of nonconvulsive status epilepticus or other epileptiform activity in patients who are comatose after a cardiac arrest is between 12-22%. Consistent with the literature, at this facility approximately 12% were found to have non convulsive seizures. Prolonged epileptiform discharges may cause secondary brain injury and increased mortality. In 2020, the American Heart Association recommended EEG monitoring should be promptly performed and interpreted for the diagnosis of seizures in all comatose patients following cardiac arrest.

Local Problem - Comatose patients admitted to critical care after cardiac arrest who require targeted temperature management (TTM) have continuous EEG monitoring …

From Silos To Collaborative Working Relationships With Ems And Ed, Angela Moscho

Nursing Posters

Opportunity:

To establish a strong, collaborative relationship between St. Cloud Hospital Stroke Center, St. Cloud Hospital Emergency Department and Emergency Medical Services.

Background:

Two separate health care systems with one goal in mind: best stroke care for a community member experiencing stroke-like symptoms.

Current Practice in 2017:

• Code stroke activation with LTKW (last time known well) up to 6 hours.
• Inconsistent pre-notifications and pre-activations by EMS and ED.
• St. Cloud Hospital and Mayo Clinic Ambulance with siloed/individualized protocols for their respective health systems.

Heated High Flow Oxygen Therapy Management Of Respiratory, Swallowing/Dysphagia And Nutrition Needs, Jenelle Overgaard

Nursing Posters

Problem

• Patients diagnosed with COVID-19 pose challenges for oxygenation. Often requiring heated high flow oxygen therapy (HHFOT) for days to weeks, with literflow commonly over 40 L/min with maximum of 60 L/min.
• There is minimal research on aspiration risk at higher literflow, therefore practice included decreasing liter flow to 20 L/min for oral intake was standard.
• During oral intake, with literflow decreased to 20 L/min, patients' oxygen saturations would quickly trend down.
• Alarms indicating low saturation would create anxiety, cause patients to eat faster potentially increasing risk for aspiration.

Solution

• For adult inpatients meeting criteria, increase maximum literflow allowed during …

Promotion Of National Certification In Telemetry, Janelle Maciej

Nursing Posters

Situation:

Goal to bring awareness to telemetry nurses, the specialty certifications they are eligible for, and criteria for eligibility. Currently, six telemetry nurses hold a nationally recognized certification.

Action Plan:

• March 19, 2023 was Certified Nurses Day and was the kickoff for the start of encouragement for telemetry nurses to be certified.
• Each telemetry nurse was delivered a card and lifesaver candy inviting them to consider a nationally recognized certification.
• A certification informational packet promoting CV-BC and PCCN certification was placed at each desk and referenced during huddle for one week.
• Certification preparation books are available upon request.

Examining Gestational Diabetes Mellitus Educational Resources: Patient And Provider Perspectives, Allison F. Peebles, Morgan E. Cooley, Rose A. Maxwell

Student Scholarship

Objective: To analyze the effectiveness of gestational diabetes mellitus (GDM) education as well as patient and provider confidence in education practices. Study

Design: Women with a diagnosis of GDM who delivered at Miami Valley Hospital were included in the study. Patients were asked to complete a questionnaire to evaluate their knowledge and confidence in managing their GDM. Providers were asked to complete a questionnaire to provide their perspective on patient education related to GDM.

Results: Patients correctly identified 66% of the correct ways that GDM affects maternal health, fetal health, and pregnancy complications. Patients felt empowered by their education and …

Belonging, A Photovoice Project, Lauir Deruiter-Willems, Nikki Hillier, Misty Rhoads, Amanda Harvey

Faculty Research and Creative Activity

This project was designed to advance our understanding of college students’ knowledge of health and barriers to wellness by using the Photovoice concepts. The components included:

•pictures

•stories

•expository writings

The instructions

• asked students to focus on inclusion, equality, & visibility

• required self-reflection

• engaged students in discussions

• explored Social Determinants of Health in community settings.

Food, Lauri Deruiter-Willems, Misty Rhoads, Nikki Hillier, Amanda Harvey, Stacey Knight-Davis

Belonging, A photovoice project: Exhibit

Photos and short writings from Public Health & Nutrition undergraduate students describing the food dimension of the social determinants of health.

Community, Safety And Social Context, Lauri Deruiter-Willems, Misty Rhoads, Nikki Hillier, Amanda Harvey, Stacey Knight-Davis

Belonging, A photovoice project: Exhibit

Photos and short writings from Public Health & Nutrition undergraduate students describing the community, safety and social context dimensions of the social determinants of health.

Health Care, Lauri J. Deruiter-Willems, Nikki Hillier, Misty Rhoads, Amanda Harvey, Stacey Knight-Davis

Belonging, A photovoice project: Exhibit

Photos and short writings from Public Health & Nutrition undergraduate students describing the Health Care and Community dimensions of the social determinants of health.

Physical Environment, Lauri Deruiter-Willems, Misty Rhoads, Nikki Hillier, Amanda Harvey, Stacey Knight-Davis

Belonging, A photovoice project: Exhibit

Photos and short writings from Public Health & Nutrition undergraduate students describing the physical environment dimension of the social determinants of health.

Belonging, Post Card, Lauir Deruiter-Willems, Misty Rhoads, Nikki Hillier, Amanda Harvey, Stacey Knight-Davis

Belonging, A photovoice project: Exhibit

Marketing post card with selected images from the Belonging exhibit.

Sex Differences In Cardiometabolic Risk Factors In Youth With Obesity, Lucrecia Valdez

Theses and Dissertations--Nutrition and Food Systems

Background: The prevalence of hypertension in children and adolescents is rising, with 13% having elevated blood pressure and 5% having hypertension. Sex differences play a role in cardiovascular diseases in adults but are not well defined in youth. The objective of this study is to identify sex differences in obesity-mediated cardiometabolic risk factors in adolescents. Methods: This is a pilot study of n=82 youth with obesity recruited from a High BMI Clinic. Clinical data and blood samples were collected at a single time point. Serum sterols were quantified via LC-MS/MS. Number of cardiometabolic risk factors were evaluated. Data are mean …

An Analysis Of The Clear Horizons Program In Perry County, Kentucky On Smoking Cessation, Julia Kollitz

Lewis Honors College Thesis Collection

Perry County is an Appalachian county located in southeastern Kentucky. The population is 28,473 people (United States Census Bureau, 2020). It is a predominately white community, with 95.9% of people falling in this category, which is higher than the national percentage of 75.8% (United States Census Bureau, 2020). Being a rural county, this community uses few news sources, with the primary outlet being WYMT Eastern Kentucky News. This news outlet is a subset of CBS (WYMT, 2023). When comparing statewide and nationwide data, Perry County does consistently worse. They have a high school graduation rate that is lower than the …