Medicine and Health Sciences Commons^™

Work-Life Balance: Combating Nurse Practitioner Burnout And Primary Care Provider Shortages Utilizing Telehealth, Jennifer O'Dell

Graduate Research Projects

No abstract provided.

The Balance Between Sleep And Lifestyle: How Lifestyle Impacts Insufficient Sleep, Evan Hartman, John Monnig

Scholarship in Medicine - All Papers

Sleep insufficiency is a common but overlooked problem for many people. This is harmful because adequate sleep is important to cognitive, emotional, and physical health. This study analyzed how food environment index, smoking, physical activity, and median household income impact sleep insufficiency on an Ohio population. All data was utilized from the County Health Rankings (CHR) database. This analysis presented that the food environment index (r = -0.676, p < .001) and median household income (r = -0.743, p <.001) negatively correlated to insufficient sleep percentage. Furthermore, both adult smoking percentage (r = 0.735, p < .001) and physical inactivity (r = 0.761, p < .001) positively correlated to insufficient sleep percentage. It is also important to note that there was a significant difference between Ohio and Indiana counties (t = -12.347, p < .001), two neighboring states that both contain a mixture of urban and rural populations. Lastly, there was no significant difference between rural and urban Ohio counties (t=-1.521, p=.132). This data presents that more physical activity and less smoking may have positive benefits on sleep along with eating healthier, more nutrient dense food. Moreover, increased median household income may also positively impact sleep. Lifestyle factors such as smoking, physical activity, and increased nutritious food consumption are all avenues for patients to try to implement into their own lives to improve their sleep. Hopefully, such lifestyle modifications will improve sleep quality and thus result in an improvement in other aspects of their overall health.

Uninsurance Rates And Associated Impacts Within Urban And Rural Counties In Ohio In 2022, Anneliese M. Fisher, Megan Sharifi

Scholarship in Medicine - All Papers

Background: Rural populations comprise of 20% of the American population and 19% of those individuals are over the age of 65 (compared to 15% in urban areas).1,2 There has been an increase in discussion surrounding the social determinants of health (SDOH), and the literature shows that the SDOH often disproportionately impact individuals based on where they live, including rural areas. The rural-urban mortality rate disparity within the United States has been growing and has been attributed to levels of poverty.3 The SDOH also include access to healthcare and insurance, and insurance coverage is associated with higher healthcare access and quality.4 …

Patient Experience Study: Healthy Birth Initiatives & Providence, Monique Gill, Ritu Ghosal, Maggie M Hodges, Lindsay Dickey, Roberta Hunte

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No abstract provided.

Helminth Parasites Of Northern Cottonmouth, Agkistrodon Piscivorus (Ophidia: Viperidae), From Arkansas, C.T. Mcallister, C.R. Bursey, H.W. Robison

Journal of the Arkansas Academy of Science

The Northern cottonmouth, Agkistrodon piscivorus is a large, semiaquatic viperid snake found statewide in Arkansas. Although a great deal has been published on helminth parasites of A. piscivorus from other parts of its range, little (outside of its cestodes) is known about those other helminths occurring in cottonmouths of the state. In our survey, we examined seven adult A. piscivorus from Polk County and a single specimen from Calhoun County. Several helminth parasites were found, including three trematodes, Styphlodora magna, Renifer ellipticus, and Paralechriorchis syntomentera, two nematodes, an unknown larval ascarid and Physaloptera abjecta, an oligacanthorhynchid acanthocephalan cystacanth, and a …

Ticagrelor Plus Aspirin Vs Clopidogrel Plus Aspirin In Mild Non-Cardioembolic Ischemic Stroke: A Protocol Of A Randomized, Controlled, Active Comparator Arm, Outcome Assessor Blind, Feasibility Study, Athena Sharifi-Razavi, Amir Moghadam Ahmadi, Nasim Tabrizi, Razieh Daz

Farber Institute for Neuroscience Staff Papers and Presentations

Background & Objectives: The risk of recurrence after a transient ischemic attack (TIA) or minor stroke is high especially within three months after first event. The aim of study is assessing the efficacy of ticagrelor plus aspirin in reduction of mild non-cardioembolic ischemic stroke or high risk TIA recurrence during first 3 months.

Methods: This is a randomized, controlled, active comparator arm, outcome assessor blind, parallel group, feasibility study design on 90 patients with diagnosis of non-cardioembolic minor ischemic stroke or high risk TIA admitted in Bou-Ali Sina Hospital, Sari, Iran. After meeting all inclusion and exclusion criteria, patients will …

Perceptions Of Occupational Therapists Working In Established Pace Programs, Jessica L. Daugherty-Peters

Occupational Therapy Doctorate Capstone Projects

Background: The Program of All Inclusive Care for the Elderly (PACE) provides medical and social services to older adults who meet nursing home level of care but wish to remain in their own homes. Although PACE has been in existence for decades, this program is new to the state of Kentucky.

Purpose: The problem this Capstone project will address is the need for further research related to occupational therapy’s roles and experiences in PACE programs. This capstone will explore the perceptions of occupational therapists and occupational therapy assistants working in established PACE programs.

Methods: This study followed a Qualitative Descriptive …

Perceptions Of Occupational Therapy Practitioners In Recognizing And Addressing Older Adult Food Insecurity, Mitzie Marion C. Mickelson

Occupational Therapy Doctorate Capstone Projects

Background: According to productive aging initiatives from the American Occupational Therapy Association, occupational therapy practitioners play an integral role in advancing and promoting wellness and independence of adults in later life. Evidence has indicated that numerous occupational therapy interventions can enhance the quality of life and functional ability levels of older adults and may be modified to target the needs of older adults who experience the threat of hunger.

Purpose: The purpose of this qualitative descriptive study is to explore how occupational therapy practitioners view their role in enhancing older adults’ healthy eating behaviors and reducing the risk of food …

Administrators’ Perceptions Of Alternative Service Delivery Models And The School-Based Occupational Therapists’ Role, Kimberly Saccucci

Occupational Therapy Doctorate Capstone Projects

School-based occupational therapists (SBOTs) provide a range of services with collaborative consultation amongst interdisciplinary team members being one of their responsibilities. One perspective that has not been thoroughly examined within previous research is the administrators’ perceptions of the OTs’ roles and responsibilities within the school setting, which may impact how therapists can implement alternative service delivery models. This study aimed to determine administrators’ perceptions of the workload model for SBOTs, to explore their understanding of the SBOTs’ role and responsibilities, and to understand their perceptions regarding collaborative consultation.

An anonymous electronic survey was distributed to public school administrators within Rhode …

A One-Day In Person Workshop To Assess Novice Occupational Therapists’ Perceived Level Of Preparedness In Supervising Level Ii Fieldwork Students., Inken Prochilo

Occupational Therapy Doctorate Capstone Projects

Occupational therapy fieldwork education is an in-depth experience required by the American Council of Occupational Therapy Education (ACOTE) to demonstrate entry-level skills as a practitioner. Level II Fieldwork allows the student to apply knowledge gained in the classroom, in a clinical setting under the guidance and mentorship of a qualified therapist, also referred to as a fieldwork educator (FWE). Fieldwork shortages have long been documented and continue to present challenges for academic fieldwork coordinators (AFWC) across the countryThe purpose of this Capstone was to evaluate the impact of an in-person workshop focused on the skills required for the fieldwork supervisory …

Inequalities And Impacts On Poverty Incidence Of Tobacco, Alcohol, And Health Out-Of-Pocket Expenditures In The Philippines, 2012–2018, Nel Jason Haw

Health Sciences Faculty Publications

The Philippines increased taxes for tobacco and alcohol products and expanded population coverage under the national social health insurance scheme from 2012 to 2018. This paper examines inequalities in tobacco, alcohol, and health out-of-pocket (OOP) expenditures in the Philippines using the Family Income and Expenditure Survey 2012, 2015, and 2018. Fewer households reported spending on tobacco and alcohol, and the amount decreased among poor households over time, resulting in a decrease in impoverishment. Tobacco and alcohol spending was regressive, with the magnitude of regressivity decreasing between 2015 and 2018. Health OOP expenditures decreased between 2015 and 2018, with the magnitude …

Winona State University News Blog: 2015-February 2023, Winona State University

Winona State University Blogs

This PDF document includes Winona State University (WSU) News Blog articles and entries for the university from 2015-May 2023.

Robotic Team High Reliability Organization’S Communication Evaluation Tool, Joanne F. Mercurio

Regis University Student Publications (comprehensive collection)

Multidisciplinary team communication in robotic surgery presents several safety considerations for the intraoperative surgical patient. It is an important consideration since the surgeon and the operating room team are geographically distanced with the surgeon at the console, and the other team members situated at the patient bedside. Scrubbed team members are performing such functions as positioning the robotic arms as well as exchanging instruments, while the remaining interprofessional team members are coordinating multiple patient care activities. It therefore becomes imperative that the recognition of the potential for miscommunication is of paramount importance, and strategies need to be generated that will …

Implementation Of A Revised Intubation Checklist For A Critical Care Transport Team, Teresa M. Zuber

Regis University Student Publications (comprehensive collection)

Critical care transport teams are often tasked with performing endotracheal intubation (ETI) during transport while adhering “to the same standards as in-hospital emergency anesthesia” (Lockey et al., 2017). One transport team adopted a checklist in 2014 to meet this high standard, but because of changes in equipment and practice expectation, an updated version was needed. The purpose of this quality improvement (QI) project was to design an updated checklist and measure the following primary outcomes: first pass success and steps taken to mitigate hypoxia and hypotension (and/or elevated shock index) prior to intubation. Additionally, a survey was administered to the …

The Impact Of Self-Care On Nursing Faculty Burnout And Worklife, Jennifer J. Harrington

Regis University Student Publications (comprehensive collection)

Nursing faculty are relied upon to prepare the nursing workforce of the future. The stress and pressure felt by nursing faculty impacts their ability to practice self-care, and this threatens their ability to perform optimally. Lack of self-care can lead to diminished quality of life, and ultimately burnout. Feelings of burnout and decreased quality of life, which are precursors to faculty turnover, further perpetuates the nursing shortage. A Quality Improvement (QI) Pilot Initiative, with an evidence-based design methodology was implemented within one university’s nursing department, located in a western state, to address this problem. Using a pre-post survey design and …

Progression Magazine, 2022-2023, Coastal Carolina University

Progression Magazine

Magazine of the Gupta College of Science at Coastal Carolina University.

Demographic Factors In Adult Low-Grade Glioma Survival: A Seer Study, Mathew Krick

Public Health Theses

PURPOSE: It is unclear what role sociodemographic predictors have on the subtype-specific survival patterns of patients with low-grade gliomas. Understanding these effects may help guide and improve public health intervention strategies for patients with this relatively rare, understudied condition. METHODS: Using the Surveillance, Epidemiology, and End Results Program, we identified adult cases (aged 20-79 years) diagnosed with a World Health Organization Central Nervous System grade II supratentorial astrocytoma, oligodendroglioma, or mixed glioma between 1975-2019. Kaplan-Meier estimates and multivariable Cox models were utilized to assess factors associated with survival. RESULTS: The final cohort included 4,684 adult grade II glioma cases with …

Provider Perspectives On Fertility And Fertility Preservation Discussions Among Women With Cystic Fibrosis, Jessica Corcoran, Caitlyn Campbell, Sigrid Ladores

APC Fund

Cystic Fibrosis (CF) is a genetic disorder that primarily impacts the respiratory and gastrointestinal systems. With advances in treatment and medications, the life expectancy of people with CF is continuing to increase with current life expectancy at 47 years of age. Given the increased life expectancy, people with CF are interested in childbearing but may have CF specific fertility issues that should be addressed by their CF healthcare provider. Currently, these conversations are not occurring or are suboptimal. This study aimed to investigate the practices of cystic fibrosis (CF) healthcare providers regarding fertility and fertility preservation (FP) discussions among women …

Molecular Subtyping And Survival Analysis Of Osteosarcoma Reveals Prognostic Biomarkers And Key Canonical Pathways, Siddesh Southekal, Sushil Kumar Shakyawar, Prachi Bajpai, Amr Elkholy, Upender Manne, Nitish Kumar Mishra, Chittibabu Guda

Journal Articles: Genetics, Cell Biology & Anatomy

Osteosarcoma (OS) is a common bone malignancy in children and adolescents. Although histological subtyping followed by improved OS treatment regimens have helped achieve favorable outcomes, a lack of understanding of the molecular subtypes remains a challenge to characterize its genetic heterogeneity and subsequently to identify diagnostic and prognostic biomarkers for developing effective treatments. In the present study, global analysis of DNA methylation, and mRNA and miRNA gene expression in OS patient samples were correlated with their clinical characteristics. The mucin family of genes, MUC6, MUC12, and MUC4, were found to be highly mutated in the OS patients. …

Mental Health In Sports Media, Samuel Ridgley

Communication & Media Studies | Senior Theses

This paper looks at the increasingly popular conversation surrounding mental health in sports. It provides a glimpse into how common the struggle of mental health can be for many high-level athletes while also examining the narrative and expectations that society and the media have created. The paper also provides examples of prominent athletes from a variety of different sports and delves into their personal mental health experiences in the eyes of the media. The goal of this paper is to show the progression and change of how the media portrays mental health amongst athletes in today’s ever-changing world.

Trends Over Time In Incidence Of Bicuspid Aortic Valve Patients With Thoracic Aortic Aneurysms In New York, Sarah Marc, Jahnvi Bansal, Alexander Cove, Annet Kuruvilla, Joshua Helali, Ashutosh Yaligar, Junying Wang, Jie Yang, Jonathan Price, Thomas Bilfinger, Henry Tannous, Annie Laurie Shroyer, Allison Mclarty

Department of Surgery Faculty Publications

Aim: Bicuspid aortic valve (BAV) is one of the most common congenital cardiac malformations, with increased risk for early onset thoracic aortic aneurysms (TAA). This study aims to examine the trends over time in incidence of BAV patients with TAA, given imaging advancements and increased frequency of imaging.

Methods: Using administrative billing codes, this retrospective cohort study analyzed New York Statewide Planning and Research Cooperative System records from January 2007- December 2018, evaluating BAV+TAA incidence trends. Subgroups based on index admission were evaluated with a pre-identified 2014 inflection time point using an interrupted time series (ITS) analysis.

Results: Using a …

What Impact Does The Ability To Access Healthcare Have On Maternal Outcomes In Africa?, Helena Harris

Nursing | Senior Theses

Background: Maternal mortality rates reflect health inequities in access to obstetric care in some parts of the world including many African countries. Geographical barriers and limited number of skilled human resources have put women in rural areas at a significantly higher risk of maternal mortality.

Research Question: What impact does the ability to access healthcare have on maternal outcomes in African rural areas compared to urban cities?

Methods: A literature review was performed of credible databases. Six articles were reviewed extensively highlighting the purpose, strengths, and limitations of each study. Refer to Appendix A for the literature review table.

Findings: …

Ineffective Aggregation Of Filipino-American Health Assessment Data & It's Effect On Individualized Healthcare, Marrian Gutierrez, Anthony Rain Macoy

Nursing | Senior Theses

Background

Filipino-Americans and their health care data seem to be difficult to find individually, and this is due to the continual grouping of this population with other Asian subgroups into the Asian-American population. The needs of the Filipino-American population are distinctly different from other Asian-American subgroups, and the underrepresentation leads to inadequate health care, lack of education within the community, and in some cases, disproportional deaths of Filipino-Americans.

Objective

To highlight the importance of adequate aggregation of health assessment data of a specific population on individualized care, in this paper, Filipino-Americans.

Summary of Findings

In the review of literature, it …

Retinopathy: Reducing The Risk For Patients With Type Ii Diabetes Mellitus, Jasmyn Mei

Nursing | Senior Theses

Background In our modern environment, diabetes has become a significant public health issue. It is estimated that there are currently 537 million diabetics living in the world. According to those predictions, there will be about 783 million diabetics worldwide by 2045. With the effects of rapid lifestyle changes and urbanization, there is a rising tendency in the prevalence of diabetes and its consequences, such as retinopathy. Moreover, diabetic retinopathy is an important cause of avoidable blindness.

Objective The purpose of this study is to evaluate whether there is a relationship between early education and health outcomes in regards to retinopathy. …

Assessing The Impact Of Pregnancy And Birth Factors On The Maternal And Infant Microbiota, Kait F. Al, Laura Allen, Samantha Bedell, Jeremy P. Burton, Barbra De Vrijer

Obstetrics & Gynaecology Publications

Background: The microbiota acquired at birth is known to play an intimate role in later life health and disease and has been shown to be affected by the mode of birth. There has been recent interest in microbiota correction by maternal vaginal seeding in Cesarean section-born infants; however, the safety of this practice has been debated. The aim of this study was to assess how other factors, such as timing of sampling, maternal obesity, vaginal Group B Streptococcus colonization (GBS), and antibiotic exposure, affect the maternal and infant microbiota.

Methods: Maternal vaginal and saliva samples were collected at three time …

Usability Evaluation Of A Self-Management Mobile Application For Individuals With A Mild Traumatic Brain Injury, Marquise M Bonn, Laura J. Graham, Stephanie Marrocco, Samantha Jeske, Becky Moran, Dalton L Wolfe

Physical Therapy Publications

OBJECTIVE: Mild traumatic brain injuries (mTBIs) are common and may result in persisting symptoms. Mobile health (mHealth) applications enhance treatment access and rehabilitation. However, there is limited evidence to support mHealth applications for individuals with an mTBI. The primary purpose of this study was to evaluate user experiences and perceptions of the Parkwood Pacing and Planning™ application, an mHealth application developed to help individuals manage their symptoms following an mTBI. The secondary purpose of this study was to identify strategies to improve the application. This study was conducted as part of the development process for this application.

METHODS: A mixed …

Critiquing Representations Of Intellectual Disability In Occupation-Based Literature, Rachel Reparon, Pamela Block, Ann Fudge Schormans, Debbie Laliberte Rudman, Gail Teachman

Occupational Therapy Publications

Background: Within and beyond occupation-based scholarship, concerns abound regarding the pervasiveness of discourses that promote a negative, deficit-based view of intellectual disability and associated consequences for disabled people’s lives. Such representations risk reducing the complexities of human doing and being and can limit the occupational possibilities of this group. Yet, there is a lack of critically reflexive research exploring how disability is discursively constructed in occupation-based literature.

Aims/Objectives: This paper critically analyses representations of intellectual disability within occupation-based literature. It considers the influence of such representations on the occupational possibilities of people labelled intellectually disabled.

Methods: This review employed a …

History Of International Aid, Obidimma Ezezika, Kishif Fatima, Umayangga Yogalingam, Mona Jarrah, Suzanne Sicchia

Health Studies Publications

The following interactive discussion questions are based on a fictional animated storyline developed from Chapter 2 of the third edition of An Introduction to Global Health by Michael Seear and Obidimma Ezezika. The storyline and questions are intended to provide students with the opportunity to understand trends that shaped the modern aid industry, the origins of foreign aid institutions and organizations, and the history that led to current large-scale foreign aid initiatives.

There are questions for each of the five modules of the storyline as well as general reflection questions at the end. To answer the questions associated with the …

An Introduction To The Sustainable Developmental Goals Through The Lens Of Dewroze, Obidimma Ezezika, Kishif Fatima, Umayangga Yogalingam, Mona Jarrah, Suzanne Sicchia

Health Studies Publications

The following interactive discussion questions are based on a fictional animated storyline by Chapter 1 of the third edition of An Introduction to Global Health. The animated storyline and questions are intended to provide students with the opportunity to understand global health, the Sustainable Development Goals (SDGs), and barriers related to the social determinants of health, in the context of a developing country.

Students will be introduced to the fictional village of Dewroze where they will learn how poverty shapes vulnerabilities that lead to health inequities. In this village, students will meet Ada, Ada’s father, Ada’s mother who is pregnant, …

What Are The Barriers And Facilitators To Community Handwashing With Water And Soap? A Systematic Review., Obidimma Ezezika, Jennifer Heng, Kishif Fatima, Ayman Mohamed, Kathryn Barrett

Health Studies Publications

Handwashing with water and soap (HWWS) is an effective method of cleaning and disinfecting the surface of the hands. HWWS is effective in infection control and prevention transmission, such as in Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). However, rates of handwashing compliance vary globally. This systematic review aimed to identify the barriers and facilitators to community HWWS globally. We conducted a comprehensive search strategy in OVID Medline, OVID Embase, Web of Science Core Collection, and Scopus using keywords and subject headings related to handwashing. Studies were excluded if they reported hand hygiene among healthcare or food service workers, considered …