Medicine and Health Sciences Commons^™

Black Maternal And Infant Mortality Rates And Food Apartheid In Louisville, Maame Dei

Undergraduate Theses

The purpose of this thesis is to determine whether there is a correlation between the Black maternal and infant mortality rates and food apartheid or food deserts. This thesis will highlight that further research is needed in understanding how food insecurity may influence maternal and infant mortality. This thesis collected data from several midsize cities to assess accessibility to healthy food options and maternal and infant mortality rates. The cities were selected based on similarities in demographic and geographic makeup and having experienced a similar pattern of redlining. St. Louis, Memphis, Knoxville, and Pittsburgh were cities that were chosen for …

Increasing Access To Healthcare For Black, Indigenous, People Of Color (Bipoc) And Impoverished Populations In A Rural County Of North Carolina, Shawn Perry

Doctor of Education Dissertations

Rural healthcare has often lagged when compared to those in suburban areas and inner cities. Rural healthcare has often been less effective, lower in quality, and not as accessible. Access to healthcare has been a key factor in life quality and quantity for all. Utilizing a mixed-methods approach, qualitative and quantitative data was collected and analyzed which included the community health needs assessment (CHNA) data from the rural county (RC) and a double-blind survey distributed to organizational members by the partnering organization, the rural hospital (RH). The data identified that access to healthcare is a critical need for RC. Additionally, …

Understanding And Targeting The Tph1-Serotonin-Htr3a Axis In Small Cell Lung Cancer, Yanning Hao

Theses and Dissertations--Toxicology and Cancer Biology

Small cell lung cancer (SCLC), which accounts for 10-15% of all lung cancer, is the most malignant type that tends to grow fast and spread in its early stages. The 5-year survival rate remains low at 6% overall. Thus, new therapeutic methods and pharmacological targets for SCLC patients are urgently needed. We present novel data indicating that the synthesis of serotonin is upregulated in SCLC compared to normal bronchial epithelial cells and non-small cell lung cancer. Serotonin signaling plays a critical role in various physiological and pathological processes. However, its contribution to SCLC development has not been well understood. The …

Accreditation Commission For Education In Nursing (Acen): A Mixed Methods Study To Determine Accreditation Readiness At A Non-Profit Organization Located In Western North Carolina, Leslie Queen

Doctor of Education Dissertations

The accreditation process allows programs to complete the reflection process of program evaluation, where they assess and measure themselves via preset standards and suggested outcomes. The theoretical framework of Getzels and Guba (1957) was used to determine if the people within the nonprofit organization studied could successfully fulfill the predetermined expectations of the organization. This study also examined the value of program evaluation, explained the process used by schools of nursing that wish to seek national accreditation, investigated the benefits and strengths of attaining accreditation, and uncovered possible barriers that may hinder accreditation efforts. By exploring these topics, conclusions were …

Distinctiveness In Hospital Safety And Security, Jimmy Reid Rollins Jr.

Doctor of Education Dissertations

The purpose of this research was to understand leadership and how these ideas feed into a professional dynamic of employee behavior, organizational leadership, motivation, and workplace culture, and how there is a real human interest as employees excel, grow, mature, and become better individuals.

Participants in this study were employees of a regional health organization and employed with the job title of public safety officer, public safety supervisor, or public safety administrator. This research used a mixed methodology approach in an explanatory design. A survey was completed followed by one on one interviews.

Conducting research into the safety and security …

Pharmacological Management Of Oral Lesions, Tanishka Taori, Bhinika Wadher, Shefali Maheshwari, Swapnil Mohod, Suwarna Dangore

International Arab Journal of Dentistry

Oral ulcerations caused by aphtous lesions, leukoplakia, scarlet fever, syphilis, NOMA, mucormycosis herpetic lesions, candidiasis, discoid lupus erythematous, ulcerative lichen planus, mucous membrane pemphigoid, spongy nevus, oral submoucs fibrosis and pemphigus vulgaris are treated in a step-up fashion that may include topical, intralesional, and systemic pharmaceutical treatment. This page discusses the most often used therapy agents, methods, and dosages. Although the emphasis is on local pharmacologic therapy, systemic illnesses that frequently occur with such oral lesions are briefly discussed, as is the appropriate care.

Kisspeptin 54 As Biomarker For Breast And Ovarian Cancer, Zaid Nabeel Elia, Nisreen Waleed Mustafa, Fatimah Kadhim Ibrahim Al-Mahdawi

Al-Nisour Journal for Medical Sciences

Cancer disorders are the world's second leading cause of death caused in 90% of cases but the development of metastasis, that are the clinical result of the extremely invasive behavior of cancer, metastasis is the major cause of cancer-related deaths. The Metastatic suppressor activity of Kisspeptin system was identified cancer cells The current study aimed to reveal the relationship between kisspeptin and CA15-3, Ca125 in women with breast and ovarian cancers. The study included 142 women, 61 confirmed breast cancer 41 ovarian cancer, and 40 apparently healthy control whose ages ranging between 40-57 years. CA15-3, CA125, and kisspeptin-54 were determined …

Knowledge Of Mothers Regarding Postpartum Care In Hila Health Care Centers, Suhair M. Hassoon, Muna A.Kadhum Zeidan, Aws Azmi Shakir

Al-Nisour Journal for Medical Sciences

Safe maternity programmers have recently increased their emphasis on the importance of postnatal care. The aim of this study were to determine of postpartum care in clinics of mothers in Hila City: A cross-sectional study was carried out in PHCs during the period from (1st November 2019 to 28th February2020). A total of 200 mothers and pregnant women are randomly selected from primary health centers and hospitals were included in the study. Data were collected based on face-to-face interview using a questionnaire. The results show that "age group 20-24 years was the highest percentage (26.5) %, while age group 35-39 …

Determine Levels Of Estradiol, Follicle-Stimulating Hormone, Luteinizing Hormone, Anti-Fsh, And Anti-Lh In Thyroiditis And Polycystic Ovarian Syndrome (Comparison Study), Kawthar Ali Saad, Mohammed Fluihh Threaf, Nihad Khalawe Tektook

Al-Nisour Journal for Medical Sciences

Determination and comparative study of the levels of some hormones (Estradiol, Follicle-stimulating hormone, Anti-FSH, Luteinizing hormone, and Anti-LH) in Thyroiditis and Polycystic ovarian syndrome. Serum was collected from patients with Polycystic ovarian syndrome (PCOS) (30 samples) a group of thyroid disease (30 samples, as well as a group of healthy (30samples) as control. During the months (April – November) 2021, the study was conducted in many hospitals in BaghdadIraq. Measurement of E2, TSH, anti-LH and LH, and anti-LH by sandwich ELISA technique results of current study showed higher percentages in Thyroiditis group (70.0%) among (40- ≥50) years, but higher percentages …

C-Reactive Protein Level And Lipid Profile Among Sars-Cov-2 Recovered Patients In Baghdad / Iraq, Madha Mohammed Sheet Saleh, Abdulrazzak Jabbar Al-Shawi

Al-Nisour Journal for Medical Sciences

Serum markers in post-discharged SARS-CoV-2 patients and their relationship with disease severity among recovered patients are poorly described and, in many occasions, might be related to residual effects of the disease. To evaluate the C-reactive protein positivity and the lipid profile after 2-7 months of recovery in SARS-CoV-2 patients. The study also pointed out the frequency of clinical manifestations during the illness course. A total of 27 COVID-19 recovered patients (13 males and 14 females) with an age range of 21-40 year (mean 27.2) were participated in this study. Variable frequency of symptoms as high as fatigue (96.3%), neurological symptoms …

The Role Of Staphylococcus Aureus Enterotoxin B (Seb) In The Exacerbation Of Multiple Sclerosis Disease, Ekhlas Saddam Falih, Suhaib Khalid Ibrahim, Suhad Hassan Aubaid

Al-Nisour Journal for Medical Sciences

Staphylococcus aureus is a gram- positive bacteria that causes a number of clinical conditions. The toxic shock syndrome toxin (TSST) and the Staphylococcus aureus enterotoxins (A, B, C, D, and E) were the first superantigens to be broadly described as T cell activators, and it is these same enterotoxins (A, B, and C) that have been implicated in the severity or development of multiple sclerosis. This damage disrupts the ability of parts of the nervous system to transmit signals, resulting in a variety of signs and symptoms, in order to investigate the percentage of Staphylococcus aureus enterotoxin gene B (SEB) …

Study The Effect And Reduce The Intensity Of Yellow Light Illumination In Complete Darkness On The Driver's Eye, Mundher Sameen Shuker, Alhassan Jalil Omron

Al-Nisour Journal for Medical Sciences

A study and evaluation of the impact of yellow light on drivers' eyes in total darkness. to research the impact of yellow light on the driver's eye when driving at night, identify the appropriate fix for this issue, and lessen the likelihood that difficulties may arise. 100 male patients from Dhi Qar city, aged 20 to 70, were enrolled in the study. Their information was measured, as well as the refractive error of their wrist. Headaches, blurred vision, eye redness, and ignoring routine eye exams are among the rest they experience. The severity assessments ranged in age, exposure to yellow …

Co-Infection Of Covid -19 Patient With A. Baumnnii In Iraqi Patients, Maha E. Zidan, Hiba M. Nasir, Jaleel Samanje

Al-Nisour Journal for Medical Sciences

Acinetobacters.baumannii is an opportunistics pathogenshave a highs incidences through immunocompromised individuals, especially those who have experienced elongated hospital stay. To investigate the prevalence of antibiotics resistance genes of A. baumannii in Iraqi Covid -19 patients. Fifty clinical isolats of out of (86) isolate of A. baumannii were isolated patients attacked with Covid19 from different clinical sources and from different hopsitals. All the clinical samples primarily were cultured on Blood, MacConkey agar. For differentiation A. baumannii, the clinical samples were also streaked on Drigalski Lactose agar medium. Suspected colonies were confirmed by VITEK-2 system. Co infected A. baumannii sample with Covid …

Correlation Of Some Biomarker With Severity Of Infection In Covid19 Patients, Qais Hamid Jassim Nasir, Israa Saeed Abbas, Ahmed Ghazi Al-Qaisi

Al-Nisour Journal for Medical Sciences

104 patients. The participants were made up of 30 controls, patients with COVID-19 are, 37 severe patients, and 37 moderate patients (47 males and 57 females) with age range from (30 to 85) years, who were attending in Healing Specialist Center for Crisis in Medical City and Hospital Ibn AlKhatib. during the period from November 2021 to April 2022. in the study patients were divided into three groups based on the severity of their lung involvement as determined by their pulmonary computed tomography scores: severe, moderate, and control. The results showed that no significant Different between R1 and R2 with …

Estimation Of Il-23 In Ulcerative Colitis And Crohn’S Disease In Sample Of Iraqi Patients With Inflammatory Bowel Disease, Qabas Salman Hayyawi, Mohammed Filyyh Treaf, Ekhlas Saddam Falih

Al-Nisour Journal for Medical Sciences

Inflammatory bowel disorders (IBD) are a significant cause of disease burden globally. Interleukin 23 (IL 23) is one of many important cytokines that can be studied in this context. The Interleukin- 23 is a critical aspect of the performing of irritation and is intently tied to it. So there are still many unanswered questions about the function every one of them performs in this orchestra in phrases of their pro- and anti-inflammatory elements. In this study, one hundred age- and sex-matched IBD patients had been included in this study. Measurement of serum IL-23 is done by the use of an …

The Induction Dose Of Propofol, While Using Either Ketamine Or Midazolam As Co-Induction Agent, Adel Amen Hama

Al-Nisour Journal for Medical Sciences

The drug-induced state of general anesthesia prevents patients from being awakened even by painful overstimulation. Depressed spontaneously respiration or drug-induced decrease of muscle control may necessitate the ability to autonomously maintain a patent airway and positive pressure breathing. Aim of study: To compare the induction dose of propofol, while using either ketamine or midazolam as co induction agent. This prospective study was conducted in “Baghdad Teaching Hospital” from 3rd (October) 2020-20th (April) 2021. Forty patients were enrolled in this study. The patients were randomly collected and divided in two groups according to drug combination they received, group A and group …

Assessment Of The Knowledge, Attitude, And Practice Of Postoperative Pain Management Among Nurses In Medical And Surgical Wards At Aga Khan University Hospital, Veronicah Wangui

MSc in Advanced Practice Nursing

Postoperative pain remains a significant global problem despite overall pain management advances. Postoperative pain may alter neural pathophysiology, including peripheral and central sensation, and lead to chronic pain syndrome. Postoperative pain management implies professional care to improve patients’ comfort and early ambulation, decrease analgesia side effects, and reduce chronic pain. Nurses taking care of postoperative patients must be equipped with adequate knowledge and skills to be effective. This study aimed to assess the knowledge, attitude, and nurses' practice on postoperative pain management among nurses in medico-surgical wards at Aga Khan University Hospital. It is a quantitative descriptive cross-sectional study. Data …

In-Person Vaccine Education And Parental Vaccine Acceptance, Sophia Zhao

Nursing | Student Research Posters

Understanding the reasons behind parental vaccination hesitancy plays a critical role in community health, preventing vaccine preventable diseases, and increasing vaccination rates. It is crucial to determine how different vaccination promotion and education methods can be used to increase vaccine acceptance in parents as they play an integral role in their child's health and well-being. This research poster aims to determine the effects in-person vaccine education has in vaccine hesitant parents.

Improving Spiritual Care Competency Among Intensive Care Unit Nurses: Promoting Holistic Patient Care Towards End-Of-Life, Joanne Nguyen, Dana Bagis

Nursing | Student Research Posters

Intensive care unit (ICU) nurses play a crucial role in providing physiological stabilizing care in a dynamic and fast-paced environment, often marked by constant changes and variability in complex patients. Despite their specialization, the aspect of spiritual care tends to be overlooked, particularly in the context of end-of-life care. This is significant because previous studies have shown that a lack of spiritual care leads to poorer health outcomes, decreased coping, increased depression, and diminished quality of life for patients. This research proposal aims to investigate the spiritual care competency among ICU nurses who partake in spiritual care based training, with …

Prescription Opioid Misuse And Addiction: Healthcare’S Contribution To The Opioid Epidemic And What Can Be Done About It, Emily Larsen, Katrina Ecke

Nursing | Senior Theses

Up to one in four patients undergoing prolonged opioid therapy in a primary care setting battle opioid addiction. In 2020, the CDC found that more than 16,000 deaths involving prescription opioids (limited to natural and semi-synthetic opioids and methadone) had occurred, which is equivalent to about 45 deaths per day. Opioid overdose death can be identified through three distinct waves; increased prescribing of opioids in the 1990’s began the first wave, the beginning of the second wave came in 2010 with a rapid increase in heroin related overdose deaths, and in 2013 the third wave began with a significant increase …

Barriers To Obtaining Healthcare In The United States, Nikita Laungani

Nursing | Senior Theses

One barrier to obtaining healthcare in the United States (U.S.) has been the type of healthcare insurance that someone has. It is important for nurses to understand the impact of the patient’s access to care, which is a factor in their health outcomes. Health insurance, race and ethnicity, income, and zip code are at the top of a long list of social determinants of health that affects where and how they receive care. To find out more about how barriers to obtaining healthcare affect outcomes, I researched various types of barriers around the country. It is important to understand how …

Exploring The Effects Of Different Types Of Diets On Preventing And Managing Diabetes Mellitus Type 2, Ma. Patricia Diorel Peig

Nursing | Senior Theses

Diabetes is a major health problem that is becoming an epidemic in major countries of the world. Diabetes can affect people of all ages and of all races. However, there is a higher risk of developing diabetes for certain groups of people. As of today, there is still no cure for diabetes. The treatment plan for patients diagnosed with diabetes is to control the level of blood glucose through different interventions. The progression of diabetes is influenced by food behaviors, and diet control is an important aspect of management of this disease. There are different types of diet recommended that …

Medically Accurate Evidence-Based Sex Education And Abstinence-Only Sex Education: Impact On Teen Pregnancies In The United States, Nicole Chiu

Nursing | Senior Theses

The U.S. has funded abstinence-only programs to combat pregnancy rates for a long time. With numerous factors contributing to teen pregnancies, there have been a lot of ways that people have decided to try to decrease the number of teen pregnancies. For example, schools have either decided that they intend to fully educate their teenage students using medically accurate evidence-based sex education or come from a more conservative approach and give abstinence-only education. The objective of this investigation is to identify whether evidence-based sex education or abstinence-only sex education is more effective at combating teen pregnancy and abortion rates. This …

Using Family Focused-Care Solutions To Improve Child’S Quality Of Life, Joshua M. Del Sol

Nursing | Senior Theses

Chronic illness in children impacts not only themselves but their families too. Everyone in the family supports each other and provides each other with pretty much all our physiological needs including our emotional needs. Parents/caregivers are the role models for their young children and really shape the person they become because basic values and their early relationships are formed. A family provides that consistent balance in our life that is the center of our life at a young age. When children are diagnosed with a chronic illness, parents may feel responsible, ashamed, guilty, or angry. Families may turn on each …

The Effects Of Prolonged Exposure Therapy On The Symptoms Of Patients With Posttraumatic Stress Disorder, Hannah Belle Pontillas

Nursing | Senior Theses

The Diagnostic and Statistical Manual of Mental Disorders or DSM-5 defines posttraumatic stress disorder or PTSD as persistent psychophysiological reactions including intrusive memories of trauma, negative feelings towards such memories, and avoidance of related stimuli—all of which are a direct result of experiencing a traumatic event. The first line of treatment for this particular mental disorder is considered to be prolonged exposure therapy or PE therapy due to its high success rate in treating the symptoms of moderate to severe PTSD as it encourages patients to directly confront and overcome their trauma. However, PE therapy has garnered concern as it …

Maternal Postnatal Depressive Symptoms And Its Effects On Infant Bonding, Tammy Nguyen

Nursing | Senior Theses

The objective of this thesis is to gain insight on precipitating factors that increase postpartum mother’s depressive symptoms, including stress and anxiety, and how attachment is influenced. Maternal-infant bonding is defined as the emotional relationship and interaction between mother and infant. Postnatal depressive symptoms typically are under-diagnosed due to a lack of education and the stigma of believing that the effects are “normal” consequences of motherhood. Those affected may not seek professional help. Unrealistic expectations about bonding with their infants can have a negative mental health impact on mothers and influence infants’ behaviors. High expectations of needing to be a …

Kangaroo Care Education For Low Socioeconomic Status Families In The Neonatal Intensive Care Unit., Joara Peterson

Nursing | Senior Theses

The early contact between mother and baby is known as skin-to-skin, also referred to as “kangaroo care” (KC). It involves placing the baby on the mother’s chest as soon as it is appropriate (Thompson et al., 1979). This interaction was primarily for bonding but many researchers have discovered additional benefits. There is significant correlation between kangaroo care and weight gain (especially for low birth weight infants), as well as body temperature and heart rate regulation, which reduces the risk of medical complications. It also decreases levels of stress in mothers and babies by lowering the release of cortisol hormone (Mohammadi …

Prevalence Of Hypoglycemia Induced By Overtreatment In Elderly Type Two Diabetics Using Continuous Blood Glucose Monitors, Alyssa Mae Tubera

Nursing | Senior Theses

Background: The most common way of reading blood glucose (BG) levels in type II diabetics is by manually pricking one’s finger with a needle and measuring the glucose through a monitoring device. There has been an increased use in continuous glucose monitoring (CGM) that permits clients to wear a sensor on their arm that simultaneously records glucose levels throughout the day and reports the results to a smartphone or monitoring device. Depending on the result and whether the patient is using insulin, it will determine how much medication will be administered. There is little research on the impacts of using …

The Effects Of School-Based Art Therapy On Depressed Adolescents, Jasmine Nicolas

Nursing | Senior Theses

Depression in adolescents is associated with deficient behavioral and health outcomes (Fletcher, 2019). Art therapy has been shown to be effective in treating mental health condition such as depression. A student’s academic success heavily depends on treating their depression. Community health nurses can play a vital role in advocating for adequate mental health support to improve a student’s overall well-being and academic success. The literature review contains six articles on the prevalence and impact of depression among adolescents, art therapy as an intervention for improving psychological outcomes and resilience among adolescents, and experiences of adolescent clients in art therapy within …

The Digital Divide: The Path Towards Digital Inclusivity, Angelica Gonzalez Almanza

Social Justice | Senior Theses

The gap between those Americans who use or have access to ICTs and those who do not is referred to as the digital divide (PACEs, 2002). The pandemic has increased dependence on technology and exacerbated the digital divide, which perpetuates existing systems of racism and poverty (Early et al., 2021). In this study, a mixed-method approach was conducted to understand what digital literacy skills parents need to overcome the digital divide and support their child's education. Specifically, the study explored how the program Impact Technology training has affected parents' involvement with their child's education. There were 175 Latinx parents that …