Medicine and Health Sciences Commons^™

From Distress To Destress: Screening For Anxiety At Federally Qualified Health Center, Megan Flaviano, John Do, Angelina Rodriguez, Darren Rahaman, Jeremy Sporrong, Ashwitha Francis

Far West Division GME Research Day 2023

No abstract provided.

Rates Of Colostomy Creation Following Sacral Nerve Stimulator (Sns) Implantation For Fecal Incontinence, Austin Brown, Melissa Gott, Abby Crume, Michelle Murday

Continental, MidAmerica, & Mountain Divisions GME Research Day 2023

No abstract provided.

Extra-Axial Desmoplastic/Nodular Medulloblastoma, Shh-Activated In Adult: A Case Report, Gul Wymer, Fatemeh Mousavi, Jennifer Barker

East Florida Division GME Research Day 2023

Introduction: Medulloblastoma (MB) is an embryonal central nervous system (CNS) tumor located in the posterior cranial fossa. Medulloblastoma is one of the most common malignant pediatric brain tumors, accounts for 25% of all pediatric intracranial tumors, but rare in adults; and constitute 0.4%-1% of adult primary brain tumors. The incidence of medulloblastomas in adults is approximately 0.5 per million per year and decreases with age with male predominance. Medulloblastomas classically appear as well-defined masses in the cerebellum that enhance both computed tomography (CT) of the head and brain magnetic resonance imaging (MRI) with gadolinium contrast. The clinical symptoms and signs …

Midgut Volvulus A Rare Cause Of Acute Abdomen In The Adult Patient, Mason S. Deinema, Saptarshi Biswas

South Atlantic Division GME Research Day 2023

No abstract provided.

Slow Mohs For Sebaceous Carcinoma Of The Scalp, Heather Kopecky, Angela Rosenburg, Brett Thomas, Richard Miller

West Florida Division GME Research Day 2023

No abstract provided.

Cancer Immunotherapy: A Breakthrough In Patient Care, Abdou-Samad Kone, Nour El Imane Issam Salah, Amina Ghouzlani, Abdallah Badou

Health Sciences

Cancer is one of the world's leading causes of death. Conventional therapies, such as surgical resection, radiotherapy, and chemotherapy, have improved patient management and have shown overwhelming progress. However, the incidence and mortality rates among cancer patients are still extremely high, at approximately 20,5 % and 10,6 % for both sexes, respectively. This may be due to the heterogeneity of tumors, their special microenvironment, and the development of resistance to certain conventional therapies. The concept of immunotherapy provided a new perspective on patient treatment. The interaction of tumor cells with their microenvironment depends on different factors and conditions that promote …

Cancer Therapy And Oral Mucositis, Breanna E. Walker, Heidi Berczes

Dental Hygiene Student Scholarship

Cancer therapy can cause various adverse effects on the oral cavity. The development of oral mucositis is one of the most common oral condition associated with both chemotherapy and radiotherapy. As dental professionals it is our duty to prevent and treat this condition in our patients. OM is very painful and has been known to decrease the quality of life in those with the condition. We have looked at studies evaluating the effectiveness of various agents in the prevention and treatment of OM. Our hope is to bring awareness to OM while educating providers on treatment options.

Shannon Bauman : Distinguished Achievement Award In Business, St. Norbert College

Alumni Award Bios

Alumni staff recognizes Shannon Bauman's achievements that led to her reception of the Distinguished Achievement Award in Business.

Racial, Ethnic, And Sex Diversity Trends In Health Professions Programs From Applicants To Graduates, Daniel Majerczyk, Erin M. Behnen, David J. Weldon, Roy Kanbar, Yolanda M. Hardy, Stanley K. Matsuda, Karen L. Hardinger, Farid G. Khalafalla

Funded Scholarship

Importance Diversity is an essential element of an effective health care system. A key to developing a diverse workforce is establishing a diverse student population in health professions programs.

Objective To examine the diversity of students in Doctor of Medicine (MD), Doctor of Osteopathic Medicine (DO), Doctor of Dental Surgery (DDS), Doctor of Dental Medicine (DMD), and Doctor of Pharmacy (PharmD) programs with emphasis on the trends of underrepresented minoritized groups (American Indian or Alaska Native, Black or African American, Hispanic or Latino, and Native Hawaiian or Other Pacific Islander) and sex relative to the overall age-adjusted US population.

Design, …

Exploring The Therapy Experiences Of Latinx Individuals Working With Non-Latinx Therapists, Edith Del Moral

Theses and Dissertations--Family Sciences

Latinos are the largest minoritized ethnic group in the United States. Despite having a population of 62.1 million Latinos in the United States, the representation of Latinx therapists remains low. Therefore, the chance for Latinx individuals and families to receive mental health services from a Latinx therapist is very low. This phenomenological study examines the experiences of six Latinx individuals who worked with non-Latinx therapists. The resulting themes included therapist client match, awareness, respect for boundaries, and genuineness. These themes informed by the personal stories of people who have gone through the therapeutic process will aid professionals in the field …

In-Vitro Screening Of Immune Response With Ftir Spectroscopy In A Mirna Murine Knock Out Model, Ryan Muddiman, Abigail Keogan, Daniel Cullen, Remsha Afzal, Frances Nally, Claire Mccoy, Aidan Meade

Conference Papers

MicroRNAs are small ~22 nucleotide RNA sequences that are guided to the 3’ untranslated region (UTR) of protein-coding target mRNA sequences. One particular microRNA, miR155, plays a remarkable role in the immune system, where it is essential for mounting appropriate immune responses. However, its dysregulation has been identified in multiple inflammatory disorders such as Multiple Sclerosis (MS), arthritis, psoriasis and colitis. More specifically, miR-155 has been found to be elevated in the serum and brain lesions of MS patients. Importantly, therapeutic inhibition of miR-155 can inhibit progression of the MS disease model. One of us has identified that macrophages are …

Comparison Of Newest Vital Sign And Brief Health Literacy Screen Scores In A Large, Urban Hispanic Cohort, Adriana Arcia, Anthony T. Pho, Maichou Lou, Suzanna Bakken

School of Nursing and Health Science: Faculty Scholarship

Objective

Prior studies comparing subjective and objective health literacy measures have yielded inconsistent results. Our aim was to examine the concordance between Newest Vital Sign (NVS) and Brief Health Literacy Screen (BHLS) scores in a large cohort of English- and Spanish-speaking urban Hispanic adults.

Methods

Item means, standard deviations, corrected-item total correlations, Cronbach’s alpha, and Spearman correlations and area under receiver operating characteristic (AUROC) curve analysis were used to compare NVS and BHLS items and total scores.

Results

N = 2988 (n = 1259 English; n = 1729 Spanish). Scores on both measures demonstrated good internal consistency (NVS: α …

Seeing Things The Same Way: Perspectives And Lessons Learned From Research-Design Collaborations, Sabrina Mangal, Lauren Berger, Jean-Marie Bruzzese, Alexandra De La Cruz, Maichou Lor, Imama A. Naqvi, Eugenio Solis De Ovando, Nicole Spiegel-Gotsch, Samantha Stonbraker, Adriana Arcia

School of Nursing and Health Science: Faculty Scholarship

Information visualizations are increasingly being developed by informatics researchers to communicate health information to lay audiences. For high-quality results, it is advisable to collaborate with creative professionals such as graphic designers, illustrators, or user interface/user experience designers. However, such collaborations are often a novel experience for both parties, each of which may be unfamiliar with the needs and processes of the other. We have coalesced our experiences from both the research and design perspectives to offer practical guidance in hopes of promoting the success of future collaborations. We offer suggestions for determining design needs, communicating with design professionals, and carrying …

Yoga Plus Mantram Repetition To Reduce Chronic Pain In Veterans With Post-Traumatic Stress Disorder: A Feasibility Trial, Erik J. Groessel, Carol Hafey, Adhana Mccarthy, Rahil M. Hernandez, Miguel Prado-Nava, Danielle Casteel, Symone Mckinnon, Douglas G. Chang, Catherine R. Ayers, Thomas R. Rutledge, Ariel J. Lang, Jill E. Bormann

School of Nursing and Health Science: Faculty Scholarship

Background

Veterans with post-traumatic stress disorder (PTSD) are more likely to report chronic pain than veterans without PTSD. Yoga has been shown to reduce both chronic pain and PTSD symptoms in clinical trials. The goal of our study was to assess the feasibility and acceptability of conducting a randomized controlled trial (RCT) that combined yoga and mantram repetition (Yoga + MR) into one program for military veterans with both chronic pain and PTSD.

Methods

In this feasibility RCT, 27 veterans were randomized to either Yoga + MR or a relaxation intervention. Due to the COVID-19 pandemic, in-person recruitment, assessments, and …

Current State And Future Recommendations For Faculty In Phd In Nursing Programs, Marion E. Broome, Jane M. Georges, Joan Vitello-Cicciu, Cynthia A. Leaver, Rick García

School of Nursing and Health Science: Faculty Scholarship

In 2020 the American Association of Colleges of Nursing (AACN) Board of Directors appointed a 9-member task force to revise AACN's 2010 position statement, The Research-Focused Doctoral Program in Nursing: Pathways to Excellence, with the goal of developing a vision for research-focused doctoral programs and graduates. This resulted in 70 recommendations in a new AACN position statement, The Research-Focused Doctoral Program in Nursing: Pathways to Excellence (2022). The new document is based on a review of the literature from 2010 to 2021 and 2 inaugural surveys sent to deans and PhD students in nursing. The new The Research-Focused Doctoral …

“A Patient Should Not Have To Ask”: Women’S Experiences Of Patient Education About Preconception Care For Type 2 Diabetes, Laura E. Britton, Adriana Arcia, Guneet Kaur, Oluwatomisin Sontan, Cassondra J. Marshall, Maureen George

School of Nursing and Health Science: Faculty Scholarship

Objectives

Method

Results

Understanding The Barriers To Covid-19 Vaccine Among Hispanic/Latinx Communities, Razel Bacuetes Milo, Claudia Aguayo, Allison Rae Chico, José Andrés Rozo, Iris Vásquez, Patricia Calero, Joseph Burkhard

School of Nursing and Health Science: Faculty Scholarship

Objective:

Methods:

Results:

Patient-Specific Predictors Of Surgical Delay In A Large Tertiary-Care Hospital Operating Room, Natalie Myers, Sarah E. Giron, Ruth A. Bush, Joseph F. Burkard

School of Nursing and Health Science: Faculty Scholarship

Purpose

Design

Methods

Findings

Nurses And Respiratory Therapists Lived Experience During Covid-19 Pandemic: A Qualitative Study, Razel Bacuetes Milo, Elvira Gómez, Carol Suarez, Patricia Calero, Cynthia Connelly

School of Nursing and Health Science: Faculty Scholarship

Introduction

Nurses and respiratory therapists working on the frontline during the pandemic surge were short-staffed and worked extended hours while adding new tasks to already demanding workloads. As the world watched news covering COVID-19's effect, nurses and respiratory therapists lived through the daily stress of treating each patient with care, dignity, and compassion. Limited studies have focused on this population, which is vital to providing care and saving lives; research is needed to understand nurses’ and respiratory therapists’ experiences during the COVID-19 pandemic.

Objective

The study aimed to understand nurses’ and respiratory therapists’ experiences during the COVID-19 pandemic.

Methods

A …

The Lived Experience Of Military Women With Chronic Pain: A Phenomenological Study, Sandra W. Peppard, Joseph Burkard, Jane Georges, Judy Dye

School of Nursing and Health Science: Faculty Scholarship

Introduction

Chronic pain, a persistent or recurrent pain lasting more than 3 months, is a widespread problem among military women due to combat-related injuries and post-deployment stressors. Risk factors associated with chronic pain include gender, mental health, post-traumatic stress disorder, and prior physical or military sexual trauma. The most common prevalence of chronic pain is musculoskeletal (e.g., low back and neck), migraine, osteoarthritis, and fibromyalgia. Following deployment, 25% of military women are at risk for chronic pain. Military women are prescribed opioids for pain at a higher rate than men and are at risk for prescription opioid addiction. The unique …

Barriers To And Facilitators Of Military Spouses’ Recovery From Perinatal Mental Health Disorders: A Qualitative Study, My Hanh (Theresa) Nguyen, Semira Semino-Asaro, Alison M. Reminick, Amber T. Rukaj, Cynthia D. Connelly

School of Nursing and Health Science: Faculty Scholarship

Introduction: Perinatal mental health disorders (PMHDs) are a common complication of child-bearing, affecting approximately 1 in 7 U.S. mothers. An expanding literature has examined how PMHDs afect military families; however, little is known about military spouses’ experiences in accessing and engaging in treatment for PMHDs. Te purpose of this qualitative study was to gain a better understanding of the barriers to and facilitators of accessing, engaging, and progressing in treatment and recovery among a sample of U.S. military spouses with PMHDs. Methods: Military spouses (N = 12) were recruited from a maternal mental health clinic at an academic …

Emerging Adults Reflect After Completing A Long-Distance Running Program: Were Program Goals Met?, Elaine M. Rutkowski, Patricia Calero, Cynthia D. Connelly

School of Nursing and Health Science: Faculty Scholarship

Objective:To examine the potential sustained effects of WeROCK, a structured middle school-based marathon training program, on participants’ reported levels of wellness promotion, physical activity, and self-efficacy as they enter early adulthood. Design and Methods: A retrospective descriptive mixed methods design. Sample included emerging adults (N=57) who were past middle school participants in WeROCK Orange County, CA. Data were collected via online questionnaires. Results: Physical activity contributed to the positive wellbeing for participants in this sample; Physical activity was satisfying, inspirational, and enjoyable; school was considered important; Approximately 77% of participants engaged in a high or moderate levels …

Use Of Sequential Organ Failure Assessment Among Intensive Care Unit Patients With Septic Shock, Ahlam Aluneizi, Eman Aluneizi, Caroline Etland

School of Nursing and Health Science: Faculty Scholarship

Purpose: Sepsis is a significant cause of mortality in modern intensive care units (ICUs). At Sharp Grossmont Hospital (SGH), sepsis cases increased the patient mortality rate in comparison to other Sharp facilities. Currently, no tools are utilized to identify septic patients at SGH. The study aimed to find out the impact of early consultation of advanced illness management (AIM) and goals of care conversations (GOCC) on reducing the length of stay (LOS) among septic shock patients.

Methodology: Descriptive data were attained based on Electronic Medical Records (EMR) of 39 septic shock patients form which ICU nurses utilize to calculate Sequential …

What Has Philosophy Ever Done For Nursing: A Discursive Shift From Margins To Mainstream, Jane M. Georges

School of Nursing and Health Science: Faculty Scholarship

This paper is a personal dialogue of maneuvering the landscape of scholarship in the United States as a nurse faculty. The principal thesis of this paper is that a discursive shift from margins to mainstream literature has occurred within nursing discourse during the past 20 years as the result of a growing body of work by nurse philosophers. I utilize my own work in nursing philosophy as an exemplar and provide a narrative situated in a feminist-critical paradigm. This paper: (1) presents a historical background through a critical-feminist lens of the discursive shift using my own work and lived experiences …

A Systematic Review Of Interventional Trials Reporting Relationships Between Silent Mantram Repetition And Health In Adults, Jennifer M. Hulett, Michelle Corona, Brooke M. Hartman, Jill E. Bormann

School of Nursing and Health Science: Faculty Scholarship

No abstract provided.

Improving Patient-Reported Outcomes In Stroke Care Using Remote Blood Pressure Monitoring And Telehealth, Imama Naqvi, Kevin Strobino, Hanlin Li, Kevin Schmitt, Yuliya Barratt, Stephen A. Ferrara, Amna Hasni, Kenrick D. Cato, Mark G. Weiner, Mitchell S. V. Elkind, Ian M. Kronish, Adriana Arcia

School of Nursing and Health Science: Faculty Scholarship

Background Inequities in health care access leads to suboptimal medication adherence and blood pressure (BP) control. Informatics-based approaches may deliver equitable care and enhance self-management. Patient-reported outcomes (PROs) complement clinical measures to assess the impact of illness on patients' well-being in poststroke care.

Objectives The aim of this study was to determine the feasibility of incorporating PROs into Telehealth After Stroke Care (TASC) and to explore the effect of this team-based remote BP monitoring program on psychological distress and quality of life in an underserved urban setting.

Methods Patients discharged home from a Comprehensive Stroke Center were randomized to TASC …

Surgical Team Structure: How Familiarity And Team Size Influence Communication Effectiveness In Military Surgical Teams, Christopher H. Stucky, Felichism W. Kabo, Marla J. De Jong, Sherita L. House, Joshua A. Wymer

School of Nursing and Health Science: Faculty Scholarship

Introduction

Preventable patient harm has persisted in health care despite recent advances to reduce errors. There is increasing recognition that non-technical skills, including communication and relationships, greatly impact interprofessional team performance and health care quality. Team familiarity and size are critical structural components that potentially influence information flow, communication, and efficiency. Methods

In this exploratory, prospective, cross-sectional study, we investigated the key structural components of surgical teams and identified how surgical team structure shapes communication effectiveness. Using total population sampling, we recruited surgical clinicians who provide direct patient care at a 138-bed military medical center. We used statistical modeling to …

Effects Of Context Perception And Haptic Feedback On Sway, Andrew Meszaros, Tess Swake, Robin Dorociack, Catherine Enger, Gavin Boen, Alex Johnston, Braedon Miller

Student-Faculty Research - College of Physical Therapy

The purpose of this research is to assess whether framing the context of haptic feedback as an "error" signal or "helpful" signal can impact sway control.

Perturbation-Based Balance Training Added To A Fall Prevention Exercise Program And Its Effect On Fall Risk And Fear Of Falling In Community-Dwelling Older Adults, Joseph Espero, Jeremiah Everett, Leanne Gehrke, Sage Goodman, Spencer Hall, Melody Hansen, Lyndsay Stutzenberger, Rebecca Dobler, Gabe Haberly

Student-Faculty Research - College of Physical Therapy

Background:

● Falls lead to decreased independence, increased disability, and increased risk of death

● Falls occur in more than one out of four older adults each year

Research Suggests:

● 50 hours of a structured strength and balance exercise program supplemented with fall prevention education over 12 weeks decreases fall risk in community dwelling older adults

● One session of perturbations provided at the appropriate dosage can decrease fall risk by 50%, with multidirectional perturbations having the greatest benefit

Hypothesis:

● Adding one session of perturbation-based training to a structured strength and balance exercise program will reduce the risk …

The Impact Of Race On Quality Of Life Of The Aged After Heart Transplant Or Long-Term Mechanical Circulatory Support, Jerian Dixon-Evans

Graduate Research Theses & Dissertations

The prevalence of heart failure is on the rise, with projections indicating that nearly 3% of the American population will be affected by 2030. This condition is particularly prevalent in adults, with a disproportionate impact on minority communities. The US population is aging, and the lifetime risk of heart failure increases with age. Patients with Stage D heart failure may need advanced surgical therapies, such as a heart transplantation (HT) or long-term mechanical circulatory support (MCS), if ineligible for HT. Health-related quality of life (HRQOL) may differ by race in patients who undergo these advanced surgical therapies. While there have …