Medicine and Health Sciences Commons^™

Assessment Of Appropriate Antibiotic Usage After Intervention To Increase Antibiotic Stewardship In A Rural Health Care Setting, Mayci Mccloud Speights

Doctoral Projects

Antibiotics are a powerful and useful tool prescribed by healthcare providers to treat bacterial infections in patients. However, when antibiotics are unnecessarily prescribed or improperly consumed or not consumed by patients, antimicrobial resistance (AMR) can ensue. Antibiotic resistance (ABR) is an urgent public health threat and is, unfortunately, the root cause of many deaths in the United States every year. According to the Centers for Disease Control (CDC), in the United States, more than 2.8 million antimicrobial-resistant infections occur each year, and more than 35,000 people die as a result (Centers for Disease Control [CDC], 2022a). Even further, when infections …

Studying The Impact Of Hyperlipidemia Monitoring Tools On Referral Rates In Patients Taking Antipsychotics, Jasmyn S. Allen

Doctoral Projects

The purpose of this DNP project is to determine how well an evaluation tool may be used to track hyperlipidemia in patients using antipsychotic medicines who are between the ages of 20 and 50. Elevated lipid contents in the bloodstream, or hyperlipidemia, increase the danger of heart-related illnesses. Antipsychotic drugs, frequently administered for mental health disorders and dyslipidemia, have been connected. The goal is to ascertain whether utilizing an evaluation tool raises the three-month referral rates for hyperlipidemia to primary care (Dayabandara et al., 2017). The foundation of the research is found in several articles collected from different websites. According …

Early Identification Of Barriers To Medication Adherence In The Elderly Population Through The Use Of A Modified Screening Tool, Miranda Joyner, Blake Meranto

Doctoral Projects

Medication nonadherence (MNA) is a major contributor to hospitalizations and accounts for billions of dollars spent every year on health care. Despite medications being prescribed in nearly 75% of healthcare interactions, it is estimated that 33 to 50% of Americans do not take their medications as prescribed, if at all (Bartlett Ellis et al., 2020; Kleinsinger, 2018). The COM-B (Capability, Opportunity, Motivation, Behavior) Model used in this DNP project suggests that an individual must have the capability, opportunity, and motivation to enact a certain behavior, and should any of these areas be lacking, the behavior is unlikely to occur. This …

Effectiveness Of Staff Training On Trauma-Informed Care, Brandy Tramel Williams

Doctoral Projects

The connection between experiencing trauma and the development of substance use disorder is widely recognized. Although trauma is more prevalent among individuals with substance use disorders, healthcare professionals have limited access to training focused on trauma informed care. It is crucial for those working in addiction treatment to receive training and education on trauma informed care to understand the impact of trauma and its association with substance use disorders.

This DNP project's objective was to develop and evaluate an educational presentation for staff emphasizing the importance of trauma-informed care in the context of addiction. The effectiveness of this intervention was …

A Quality Improvement Project: Implementing A Sleep Disturbance Screening Questionnaire In A Primary Care Clinic, David Elder Hamby

Doctoral Projects

At present time, it is estimated that 50-70 million Americans suffer from some form of sleep disturbance (disrupted sleep) and subsequently, sleep disorders (formal diagnosis) (Hanson & Huecker, 2022), which has a direct correlation between sleep disorders and many existing common comorbid conditions. Patients commonly report experiencing excessive daytime sleepiness, inability to focus or concentrate, generalized fatigue, decreased libido, and lability of emotions. As a person ages, there is an increasing trend in the reduction of quality and quantity of sleep. Due to Americans living longer, the number of Americans living with sleep disturbance has significantly ballooned in recent decades. …

A Multifaceted Approach Using Implementation Science Methods To Increase Chg Bathing Compliance And Reduce Central Line Associated Blood Stream Infections On A Non-Icu Unit, Emily E. Warwick

VCU Health Nursing

BACKGROUND or RATIONALE:

The Acute Care Surgery unit (ACS) is a General and Progressive level of care post-operative unit at VCU Health system. Between quarter four 2021 and quarter one of 2023, five Central line associated blood stream infections (CLABSIs) occurred. NDNQI data revealed ACS had a higher CLABSI rate per 1,000 patient days than the national average of other similar type units in other magnet hospitals.

STATEMENT OF THE PROBLEM:

A GAP analysis revealed ACS did not achieve the 80% CHG compliance goal set by VCU Health’s Infection Prevention Department in all six quarters that these five CLABSIs occurred. …

Lumbar Specialization And The Evolution Of Swimming Modes In Cetaceans, Caedmon Morgret, Ryan Bebej

Summer Research

Locomotion describes how an animal moves through its environment. The driving force behind locomotion in cetaceans (whales, dolphins, and porpoises) is the vertebral column and its associated muscles, tendons, and ligaments. Lumbar vertebrae represent one of several vertebral regions in the column (Fig. 1) that dictate cetacean swimming mode1 . Ancient cetaceans had four limbs and were able to move around on land, with swimming capabilities similar to modern terrestrial/semiaquatic mammals2 . Over time, as cetaceans became more aquatic, they transitioned from using limb-dominated swimming to taildominated swimming, which required drastic functional changes in the lumbar region. Prior work demonstrates …

Dermatologic Manifestations Of Rheumatic Disease: Cutaneous Manifestations Of Vasculitides, Julianna S. Kang, Julia Nunley, Tiffany Ho, Mavra Masood, Fnu Nutan, Beth Rubinstein

Open and Affordable Course Content at VCU

No abstract provided.

Identifying Barriers To Dental Care Among Hispanics In Southwest Minnesota, Lissette Garza

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this study was to assess the different barriers for dental health care among the Hispanic population in a rural, southwestern community in Minnesota. To collect data, an adaptation of the survey written by Vazquez and Swan (2003) was distributed to Hispanic individuals at an agricultural facility, religious organization, and an early childhood organization. The findings for the research question are presented in the cross-sectional study utilizing descriptive statistics in the form of frequencies and percentages. The results of this study indicate that not having a dental provider of the same cultural background, having a language barrier, and …

Factors Leading To Satisfaction Following A Total Knee Arthroplasty, Scot Bauman

Graduate Research Theses & Dissertations

One of the most common surgical treatment options for knee osteoarthritis (OA) is a total knee arthroplasty (TKA), which utilizes a combination of metal and plastic to resurface the damaged cartilage surfaces of the knee, leading to decreased pain and improved function for the patient. However, despite fairly good subjective scores following surgery, up to 20% of patients report being dissatisfied with their outcome. Previous research has assessed reasons for this high dissatisfaction rate including postoperative range of motion (ROM), preoperative education, and postoperative strength. Nevertheless, there continues to be a paucity in the literature regarding how preoperative function affects …

Does Where You Meet Your Partner Influence Relationship Satisfaction? An Investigation Of Online Dating In The Lgbtq+ Community, Brooke M. Fornetti

Graduate Research Theses & Dissertations

There has been a multitude of research conducted on the impact of online dating and relationship satisfaction for heterosexual couples. However, little research has been done on how utilizing online dating methods as a way to meet potential partners can impact LGBTQ+ relationships. The purpose of the current study is to explore the potential relationship between meeting a romantic partner through online methods – such as utilizing dating applications or websites – and relationship satisfaction for LGBTQ+ couples. Data from 115 participants with ages ranging from 18 to 64 years were analyzed to determine if meeting a romantic partner online …

Physical Therapy And Caregiver Burden: A Mixed Methods Design, Jamie S. Way

Graduate Research Theses & Dissertations

This dissertation explores the value and impact of physical therapists working with caregiver-care recipient dyads. A convergent mixed methods design was used to assess the impact physical therapy can have on burden experienced by the primary caregiver, caring for a loved one with a chronic neurological condition. The purpose of this study was to examine the role of physical therapy on caregiver burden by answering the following research questions: 1) Does caregiver burden as measured by the Zarit Burden Interview change over time when the care recipient receives physical therapy services? 2) Does patient function improve over time in individuals …

An Exploration Of The Relationship Between Physical Therapists’ Pyschological Characteristics And Feedback Methods, Dustin Cox

Graduate Research Theses & Dissertations

Providing treatment interventions to clients with chronic pain is a complex task for any professional. Research suggests that clients with chronic pain experience declines in physical, emotional, and psychological quality of life. Client’s that have chronic pain have complex effects from dealing with this condition in their lives. Hashmi and colleagues found that clients with chronic pain (i.e., pain lasting > three months) process pain through the emotional and reward circuitry in the brain. The literature base provides evidence that clients with chronic pain who receive psychologically based interventions along with physical rehabilitation have better outcomes than individuals with chronic pain …

Early Intervention Speech-Language Pathologists’ Knowledge, Beliefs, And Practices Surrounding Culturally And Linguistically Responsive Assessment Practices For Dual Language Learners, Rebecca Lynne Jarzynski

Graduate Research Theses & Dissertations

Early intervention (EI) speech-language pathologists (SLPs) are required to provide culturally and linguistically responsive assessments for dual language learners (DLLs) within an increasingly diverse population. Previous research has documented gaps between SLPs’ beliefs related to assessments for DLLs and their implementation of best practices within school-based and pediatric outpatient settings. The purpose of this present research study was to better understand the current knowledge, beliefs, and practices of EI SLPs in relation to the use of culturally and linguistically responsive assessment practices within the context of EI programs. A total of 134 EI SLPs completed a nationwide survey in which …

The Role Of Body Appreciation And Self-Worth In The Social Support, Self-Management, And Glycemic Control Relationships With Type 2 Diabetes Mellitus Among Adult Arab Omani Women, Samia Alharrasi

Wayne State University Dissertations

Background: Diabetes self-management (DSM) is the mainstay of type 2 diabetes mellitus (T2DM) control. Adhering to self-management tasks is demanding, especially for women living with T2DM. Adult Arab Omani women living with T2DM are highly influenced by their social environment, which might impact women’s body appreciation and self-worth. The literature focused on these psychological determinants of DSM adherence behavior among Omani women living with T2DM is scared. Objective: Therefore, this study aimed to examine the relationship between social support and DSM behavior as mediated by body appreciation and self-worth in adult (≥ 40 years old) Arab Omani women living with …

Patient Guide To: Stevens-Johnson Syndrome (Sjs) And Toxic Epidermal Necrolysis (Ten), Djoni Elkady, Eden Lake Md

School of Medicine

No abstract provided.

Hippocampal Versus Cortical Deletion Of Cholinergic Receptor Muscarinic 1 In Mice Differentially Affects Post-Translational Modifications And Supramolecular Assembly Of Respiratory Chain-Associated Proteins, Mitochondrial Ultrastructure, And Respiration: Implications In Alzheimer's Disease, Mohammad Golam Sabbir, Mamiko Swanson, Robert C. Speth, Benedict C. Albensi

HPD Articles

In a previous retrospective study using postmortem human brain tissues, we demonstrated that loss of Cholinergic Receptor Muscarinic 1 (CHRM1) in the temporal cortex of a subset of Alzheimer's patients was associated with poor survival, whereas similar loss in the hippocampus showed no such association. Mitochondrial dysfunction underlies Alzheimer's pathogenesis. Therefore, to investigate the mechanistic basis of our findings, we evaluated cortical mitochondrial phenotypes in Chrm1 knockout (Chrm1) mice. Cortical Chrm1 loss resulted in reduced respiration, reduced supramolecular assembly of respiratory protein complexes, and caused mitochondrial ultrastructural abnormalities. These mouse-based findings mechanistically linked cortical CHRM1 loss with poor survival of …

The Neuroscience Of Trauma Supports Diminished Capacity As A Nuanced Approach To The Icc Case Of An Ex-Child Soldier, Lee Hiromoto, Ramail Siddiqui, Landy F. Sparr

JCLC Online

The 2021 conviction of former child soldier Dominic Ongwen by the International Criminal Court (ICC) for war crimes committed as an adult commander in the Lord’s Resistance Army in Uganda raises questions about the ICC’s approach to mental illness.  During his trial, the defendant unsuccessfully raised defenses of insanity and duress, based on his kidnapping into the militant group as a child.  The court rejected not only those defenses, but also the claim that he had mental illness at all, in spite of his traumatic childhood.  Integrating scientific research, we argue that both the ICC and the defense failed to …

Postgraduate Residency Program: Pedagogical Strategies In Bridging The Transition From Novice Nurse Practitioner To Confident Primary Care Provider, Kelly Stauter, Katherine Bydalek

CoTL 2023 Research Talks

Advancing the education of new nurse practitioners helps close the gap with the knowledge and core competencies necessary to practice independently and master delivery of quality care across the life span to vulnerable populations. Innovative teaching strategies incorporate the needs of the novice nurse practitioner and are designed to support the inclusive learning environment through educational technology, learner-centered activities, interprofessional partnerships, and local community-based agencies that facilitate active learning. Expanding the didactic and clinical training experience by integrating specialty rotations and simulation immersive events, enhances learning outside of the classroom and equips the postgraduate nurse practitioner with the skills and …

Validation Of The Occupational Depression Inventory In Sweden, Markus Jansson-Fröjmark, Farzaneh Badinlou, Tobias Lundgren, Renzo Bianchi, Irvin Sam Schonfeld

Publications and Research

Background The Occupational Depression Inventory (ODI) was recently devised to assess depressive symptoms that individuals specifically attribute to their work. One purpose of the ODI is to overcome limitations in current assessments of job-related distress. This study aimed to validate the Swedish version of the ODI.

Methods The study involved 365 individuals employed in Sweden. In addition to the ODI, the study included the Satisfaction with Life Scale, the Effort-Reward Imbalance Questionnaire, the Demand-Control-Support Questionnaire, the GAD-2, and the PHQ-9. We inquired into the factorial validity, dimensionality, scalability, test-score reliability, criterion validity, convergent validity, discriminant validity, and measurement invariance of …

University Of New Mexico Health Sciences Center Discovery Research Annual Report 2023, Michael Haederle, Claire Hannon, Elizabeth Dwyer Sandlin, Nicole San Roman, Chris Ramirez, Brianna Wilson, Jett Loe, Sara Mota, Sarah Head

Research Annual Reports

Research annual report from the University of New Mexico Health Sciences Center.

Chief Executive Officer: Lehigh Valley Hospital Center, Lehigh Valley Health Network

Historical Archives

No abstract provided.

Sexually Transmitted Infection (Sti), Children's Mercy Kansas City

Clinical Pathways (Formally Known As Clinical Practice Guidelines)

No abstract provided.

Graduate Medical Education Annual Report 2022-2023, Children's Mercy Kansas City

GME Annual Reports

Annual report of the Children's Mercy Hospital Graduate Medical Education department, including pediatric residency, internal medicine/pediatrics residency, fellowship programs, medical students, continuing medical education, and library services.

Contraception And Healthcare Utilization By Reproductive-Age Women Who Use Drugs In Rural Communities: A Cross-Sectional Survey., Ximena A. Levander, Canyon A. Foot, Sara L. Magnusson, Ryan R. Cook, Jerel M. Ezell, Judith Feinberg, Vivian F. Go, Kathryn E. Lancaster, Elizabeth Salisbury-Afshar, Gordon S. Smith, Ryan P. Westergaard, April M. Young, Judith I. Tsui, P. Todd Korthuis

Epidemiology and Environmental Health Faculty Publications

BACKGROUND: Women who use drugs (WWUD) have low rates of contraceptive use and high rates of unintended pregnancy. Drug use is common among women in rural U.S. communities, with limited data on how they utilize reproductive, substance use disorder (SUD), and healthcare services.

OBJECTIVE: We determined contraceptive use prevalence among WWUD in rural communities then compared estimates to women from similar rural areas. We investigated characteristics of those using contraceptives, and associations between contraceptive use and SUD treatment, healthcare utilization, and substance use.

DESIGN: Rural Opioids Initiative (ROI) - cross-sectional survey using respondent-driven sampling (RDS) involving eight rural U.S. regions …

Telecontraception – A Way To Address A Health Care Disparity A Preliminary Literature Review, Pamela D. Parker

MedEd Teaching Certificate Program

Unintended pregnancy continues to be a significant personal and public health concern in all countries. In 2015-2019 there were 121 million unintended pregnancies annually, corresponding to a global rate of 64 unintended pregnancies per 1000 women aged 15-49 years. While there are multiple contraception options available in general, access to them can be limited by a myriad of factors. Over the past two decades there has been an increase in mail order services for contraception that bypasses the traditional clinician office visit-examination-pharmacy model, thus increasing access for many women (and men). These companies have been proven to provide safe, convenient …

Environmental Transmission Of Influenza A Virus In Mallards, Kim M. Pepin, Clinton B. Leach, Nicole L. Barrett, Jeremy W. Ellis, Kaci K. Vandalen, Colleen T. Webb, Susan A. Shriner

United States Department of Agriculture Wildlife Services: Staff Publications

Abstract

Influenza A viruses present a major challenge for animal and human health. They circulate widely in wild waterfowl and frequently spillover into poultry, emphasizing the need for risk-based surveillance in wild birds and an understanding of the relative importance of different transmission mechanisms. We addressed this objective with a replicated (N = 6) experimental infection study in which we serially exposed eight cohorts of four naïve contact mallards to an experimentally infected mallard and a shared water pool. Viral concentration in the water was a better predictor of transmission than several direct measures of viral shedding in the …

Changes In Wild Pig (Sus Scrofa) Relative Abundance, Crop Damage, And Environmental Impacts In Response To Control Efforts, Joseph W. Treichler, Kurt C. Vercauteren, Charles R. Taylor, James C. Beasley

United States Department of Agriculture Wildlife Services: Staff Publications

Background

As the population and range of wild pigs (Sus scrofa) continue to grow across North America, there has been an increase in environmental and economic damages caused by this invasive species, and control efforts to reduce damages have increased concomitantly. Despite the expanding impacts and costs associated with population control of wild pigs, the extent to which wild pig control reduces populations and diminishes environmental and agricultural damages are rarely quantified.The goal of this study is to quantify changes in wild pig relative abundance and subsequent changes in damages caused by invasive wild pigs in response to …

Individual‑Level Patterns Of Resource Selection Do Not Predict Hotspots Of Contact, Anni Yang, Raoul Boughton, Ryan S. Miller, Nathan P. Snow, Kurt C. Vercauteren, Kim C. Pepin, George Wittemyer

United States Department of Agriculture Wildlife Services: Staff Publications

Contact among animals is crucial for various ecological processes, including social behaviors, disease transmission, and predator–prey interactions. However, the distribution of contact events across time and space is heterogeneous, influenced by environmental factors and biological purposes. Previous studies have assumed that areas with abundant resources and preferred habitats attract more individuals and, therefore, lead to more contact. To examine the accuracy of this assumption, we used a use-available framework to compare landscape factors influencing the location of contacts between wild pigs (Sus scrofa) in two study areas in Florida and Texas (USA) from those influencing non-contact space use. …

Echinococcus Species Infections Among Wild Canids In Pennsylvania, Usa, Kayla Garrett, Justin Brown, Ryan K. A. Grunert, Jonathan Hunte, Mark G. Ruder, Kyle Van Why, Michael J. Yabsley, Christopher A. Cleveland

United States Department of Agriculture Wildlife Services: Staff Publications

Echinococcus species are zoonotic tapeworms that can impact the health of wildlife, domestic animals, livestock, and humans. Two species of interest in North America are Echinococcus multilocularis and Echinococcus canadensis (Echinococcus granulosus sensu lato). The primary wildlife definitive hosts for E. multilocularis and E. canadensis are similar, including red foxes (Vulpes vulpes), gray foxes (Urocyon cinereoargenteus), coyotes (Canis latrans), and wolves (Canis lupus). These two Echinococcus spp. use different intermediate hosts, including small mammals for E. multilocularis and artiodactylids for E. canadensis. Although historically absent from …