Medicine and Health Sciences Commons^™

Impact Of Type 2 Diabetes And Hypertension On Allocation Of Grant Funds In Federally Qualified Health Centers, Rhonda Mullins

Walden Dissertations and Doctoral Studies

Limited resources exist for managing the increasing cases of hypertension and type 2 diabetes, which underlines the need to continuously review reimbursement plans to ensure care affordability for chronic illness. The purpose of this quantitative study was to determine whether a correlation existed between the number of patients with type 2 diabetes, hypertension, and demographic characteristics (independent variables) seen at Federally Qualified Health Centers (FQHCs) and the allocation of grant funds from Health Resources and Service Administration (HRSA) (dependent variable) from 2016 – 2020 among adults 18 years old and older in the United States. Guided by the Transaction Cost …

Nurse Education Regarding Hypertension And Use Of A Follow-Up Call Protocol In Primary Care, Edwin Omar Rivera-Figueroa

Walden Dissertations and Doctoral Studies

AbstractMany patients whose primary or secondary chronic condition is hypertension present to their first follow-up appointment in a primary care facility in the north of Puerto Rico with uncontrolled high blood pressure. Nurses’ knowledge of hypertension is vital to addressing a gap in practice for this patient population and patient quality of life and the prevention of cardiovascular diseases. The practice-focused question guiding this project focused on a nurse educational session for increasing hypertension management knowledge as well as a follow-up phone call protocol that aimed to improve patient care. The theoretical framework guiding this project was Pender’s health promotion …

Academic Performance And E-Cigarette Use Among Teenagers, Jeremy Tan Rondael

Walden Dissertations and Doctoral Studies

Early e-cigarette use by youth has the capacity to create an early addiction to nicotine, increasing the risk of life-long dependency and the possible development of multiple cardiovascular and pulmonary diseases. Reinforced by the socioecological model, the purpose of this study was to determine if academic performance is associated with e-cigarette use among teenagers and young people and if the presence of adverse childhood events (e.g., cyberbullying in school and/or the presence of homelessness) mediated this association. This study included all respondents (N = 1,401) from the state of Nevada who answered the 2019 National Youth Risk Behavior Survey. Binary …

Diagnostic Accuracy Of Different Cut-Off Values Of Adenosine Deaminase Levels In Tuberculous Pleural Effusion, Kiran Iqbal Masood, Shayan Shahid, Kauser Jabeen, Joveria Farooqi, Sabeika Raza Kerawala, Muhammad Irfan

Department of Pathology and Laboratory Medicine

Objective: To assess the diagnostic accuracy of different cut-off values of pleural fluid adenosine deaminase levels as a diagnostic method for tuberculous pleural effusion.
Method: The prospective study was conducted from 2014 to 2016 at the Aga Khan University Hospital, Karachi, and comprised pleural fluid samples of adult patients with and without tuberculosis which were tested for adenosine deaminase levels, and divided into tuberculosis group A and non-tuberculosis group B. Sensitivity, specificity, negative predictive value and positive predictive value were calculated using different cut-offs. Data was analysed using IBM SPSS (Statistical Package for Social Sciences) version 21.0 (IBM Corp., Armonk, …

Patient Navigation Across The Cancer Care Continuum: An Overview Of Systematic Reviews And Emerging Literature, Raymond J. Chan, Vivienne E. Milch, Fiona Crawford-Williams, Oluwaseyifunmi A. Agbejule, Ria Joseph, Jolyn Johal, Narayanee Dick, Matthew P. Wallen, Julie Ratcliffe, Anupriya Agarwal, Larissa Nekhlyudov, Matthew Tieu, Manaf Al-Momani, Scott Turnbull, Rahul Sathiaraj, Dorothy Keefe, Nicolas H. Hart

Research outputs 2022 to 2026

Patient navigation is a strategy for overcoming barriers to reduce disparities and to improve access and outcomes. The aim of this umbrella review was to identify, critically appraise, synthesize, and present the best available evidence to inform policy and planning regarding patient navigation across the cancer continuum. Systematic reviews examining navigation in cancer care were identified in the Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, Embase, Cumulative Index of Nursing and Allied Health (CINAHL), Epistemonikos, and Prospective Register of Systematic Reviews (PROSPERO) databases and in the gray literature from January 1, 2012, to April 19, 2022. Data were screened, …

A Comparative Study Of Oocyte Between Native Cattle And Buffalo Species In Bangladesh: A Qualitative And Quantitative Approach, Zannatul Naim, Md Saiful Islam, Lam Yea Asad, Md Enayet Kabir

Turkish Journal of Veterinary & Animal Sciences

In vitro embryo production (IVP) can help alleviating reproductive difficulties in cattle and buffalo. This study compared qualitative and quantitative features of native cattle and buffalo ovaries and oocytes to understand them comprehensively. In addition, it was conducted to pick the ideal ovaries for oocyte collection and to assess either maturation affects oocyte diameter or not. The ovaries were collected from the local slaughterhouses of Dhaka city, Bangladesh. Next, the quantitative parameters of ovaries were measured, the follicular fluid was aspired, the oocytes were classified, and the diameters of oocytes were determined in both pre and postmaturation. Here, the results …

Comparison Between Conventional And 3d Printed Implant Retained Mandibular Complete Overdentures Regarding Occlusion Using Digital Occlusion Analysis System (A Pilot Study), Hazem M. M. Al-Sappagh, Mohamed S.N. Taha, Noha A. Mansour, Radwa M.K. Emera

Mansoura Journal of Dentistry

Purpose

This within-patient study aimed to compare two different construction techniques (conventional and 3D printing) of two implant-assisted complete mandibular overdenture regarding occlusion using a digital occlusion analysis system (Occlusense).

Methods

Six patients were selected for this study from the prosthetic department, Faculty of Dentistry, Mansoura University. All patients received mandibular implant-assisted overdentures with two fabrication techniques, conventional overdenture (group I) and 3D printed overdenture (group II). Ball and socket attachments were used to retain the mandibular overdentures to the underlying implant fixtures. Conventional and 3D printed mandibular overdentures were compared and evaluated after 3 months of overdenture use regarding …

Evaluation Of Tele-Diagnostic Practice In Autism Spectrum Disorder, Emily Graham Lerose

Wayne State University Dissertations

EVALUATION OF TELE-DIAGNOSTIC PRACTICES IN AUTISM SPECTRUM DISORDER By Emily Graham LeRose Advisor: Dr. Shelly Jo Kraft, PhD, CCC-SLP Major: Communication Sciences and Disorders Degree: Doctor of Philosophy

Following the social-distancing mandates of the COVID-19 pandemic of 2020, diagnosis of autism spectrum disorder pivoted from an in-person method of evaluation, utilizing empirically supported “gold-standard” methods, to novel tele-diagnostic methods. This research investigated the efficacy and accessibility of autism diagnostic services using the tele-diagnostic platform of autism assessment by comparing retrospective patient data from periods of in-person assessment to tele-diagnostic assessment at one, large, urban hospital.

Diagnostic outcomes for these two …

Implementation Levels Of Electronic Health Records And Their Influence On Quality And Safety, Soumya Upadhyay

Healthcare Administration and Policy Faculty Research

Improvement in quality and patient safety outcomes have been at the forefront of the United States healthcare system. Policies advocate for implementing different electronic health records (EHR) levels to support this effort. Several studies have demonstrated mixed results on the impact of EHR on quality and safety outcomes. Our study delves deeper into gaining an understanding of this influence on hospitals that have adopted various levels of EHR, especially intermediate and comprehensive. Using a longitudinal study design for general acute care hospitals within the U.S., we examine the relationship between intermediate and comprehensive EHR on quality (readmission rates for pneumonia …

Differences In Neural Encoding Of Speech In Noise Between Cochlear Implant Users With And Without Preserved Acoustic Hearing, Hwan Shim, Subong Kim, Jean Hong, Youngmin Na, Jihwan Woo, Marlan Hansen, Bruce Gantz, Inyong Choi

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Cochlear implants (CIs) have evolved to combine residual acoustic hearing with electric hearing. It has been expected that CI users with residual acoustic hearing experience better speech-in-noise perception than CI-only listeners because preserved acoustic cues aid unmasking speech from background noise. This study sought neural substrate of better speech unmasking in CI users with preserved acoustic hearing compared to those with lower degree of acoustic hearing. Cortical evoked responses to speech in multi-talker babble noise were compared between 29 Hybrid (i.e., electric acoustic stimulation or EAS) and 29 electric-only CI users. The amplitude ratio of evoked responses to speech and …

Acoustic-To-Articulatory Speech Inversion Features For Mispronunciation Detection Of/ɹ/In Child Speech Sound Disorders, Nina R. Benway, Yashish M. Siriwardena, Jonathan L. Preston, Elaine Hitchcock, Tara Mcallister, Carol Espy-Wilson

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Acoustic-to-articulatory speech inversion could enhance automated clinical mispronunciation detection to provide detailed articulatory feedback unattainable by formant-based mispronunciation detection algorithms; however, it is unclear the extent to which a speech inversion system trained on adult speech performs in the context of (1) child and (2) clinical speech. In the absence of an articulatory dataset in children with rhotic speech sound disorders, we show that classifiers trained on tract variables from acoustic-to-articulatory speech inversion meet or exceed the performance of state-of-the-art features when predicting clinician judgment of rhoticity.

Minimizing Triggers, Bailey Havis, Ashley Miller, Jorge Zamarripa

2022

No abstract provided.

Standardizing Best Practices Of Orthostatic Vital Signs, Allison Bui, Colin Blackmon, Erian Brown, Shaqueta Iwuji

2022

No abstract provided.

Best Dressed Tubes, Luciano Ayala, Olivia Crispell, Bryn Simmons

2022

No abstract provided.

Nasotracheal Intubations In The Cvicu, Erin Pye, Jo Meyer, Caroline Van Den Berg, Jacquella Thomas

2022

No abstract provided.

Hold Up! Encouraging Safe Holding To Enhance Neurodevelopment In The Heart Center, Madeline Wittmann, Melissa Nunez, Taylor Marovich, Quynh Pham

2022

No abstract provided.

Sex Education: Educating Our Educators, Kristen Deleon, Alexia Felix, Yildiz Songur

2022

No abstract provided.

Addressing Barriers To Interpretation For Spanish-Speaking Families, Audrey Reyes, Bailey White, Matthew Zeringue, Marianna Cortes

2022

No abstract provided.

Reading: Good For The Brain, Good For The Heart, Courtney Campbell, Serena Clark, Katelyn Farley, Jadyn Hendricks, Micaela Lyons

2022

No abstract provided.

Review Of Utilizing The Brøset Violence Checklist In Early Identification And Prevention Of Aggressive Patient Behavior, Aniza Cabrales-Rios, Brianne Clinton, Jarrod Feight, Mayrelin Reyes-Basilio, Jessica Vega

2022

No abstract provided.

Alternating Antibiotics In Multiple Lumen Central Lines: Best Practice, Jade Laird, Jazmin Schaefbauer, Brooke Shirley, Morgan Whiting

2022

No abstract provided.

Is Transcutaneous Supraorbital Nerve Stimulation Effective For Reducing The Number Of Monthly Migraine Days In Adults?, Bergen I. Kassoff

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not “Is transcutaneous supraorbital nerve stimulation (TSNS) effective for reducing the number of monthly migraine days in adults?”

STUDY DESIGN: A systematic review of three randomized controlled trials (RCTs) published between 2011 and 2021.

DATA SOURCES: All sources were obtained from PubMed, published in English in peer reviewed journals, and selected based on relevance to the clinical question.

OUTCOMES MEASURED: A reduction in the number of monthly migraine days was the outcome measured in all three studies and was determined by the mean change from baseline from …

Does Dapoxetine Increase Duration Of Sexual Intercourse In Men With Premature Ejaculation When Compared With Oral Ssris?, Nathan E. Violette

PCOM Physician Assistant Studies Student Scholarship

Objective: The objective of this systematic review is to determine, “Does dapoxetine increase duration of sexual intercourse in men with premature ejaculation when compared with oral SSRIs?”

Study Design: A systemic review of two RCTs and one non RCT published between 2014 and 2020.

Data Sources: All three articles were researched using PubMed. The articles were published in peer reviewed journals and selected based on their validity and relevance to the clinical question, as well as including pertinent patient-oriented outcomes.

Outcome Measured: All three studies measured intravaginal ejaculatory latency time (IELT) using the stopwatch method (timing of intravaginal penetration to …

Does Acupuncture Help Reduce Headache Intensity In Patients Who Have Migraine Without Aura?, Hannah S. Hults

PCOM Physician Assistant Studies Student Scholarship

Objective: The objective of this selective EBM review is to determine whether or not “Does acupuncture help reduce headache intensity in patients who have migraine without aura?”

Study Design: A systematic review of three randomized controlled trials (RCTs) all published between 6/29/2016 and 2022.

Data Sources: All three RCTs were peer-reviewed articles published in English on PubMed. Each article was relevant to the clinical question and had patient-oriented outcomes that included headache intensity.

Outcome Measured: Headache intensity was measured using the visual analogue scale (VAS) in all three RCTs. The VAS is a scale from 0-10 with correlating cartoon faces …

Effects Of Insurance Coverage On Healthcare Access And Outcomes For Children In Ohio, Haley Hurst, Patrick Ruz

Scholarship in Medicine - All Papers

Objective: Despite health insurance coverage correlating to improved child health outcomes and reduced healthcare costs, it is estimated that 8.7% of children in America lack continuous insurance. Although coverage has expanded multiple times through the Children's Health Insurance Program (CHIP) initiated in 1997, rates for child insurance vary drastically across regions of the country. In this study we investigated child insurance rates over time and by state, as well as explored the effects of having insurance and child health outcomes. To do this, we measured the association of uninsured children to primary care physician access and child mortality in the …

The Importance Of Sexual Education On Adolescent Sexual Behaviors, Ryan Hill, Jacqueline Stephens

Scholarship in Medicine - All Papers

Objective: The objective of this report is to examine how sex education for adolescents living in rural and urban settings in the states of Alabama and Ohio impacts their sexual health and behaviors.

Methods: To explore this topic, several different statistical tests were done: an independent t-test, an ANOVA test, a Pearman/Spearman correlation, a regression, and a standard correlation. The reason for these different tests was to compare the difference in the number of sexually transmitted diseases, how insurance status correlates with teenage pregnancy rates and sexually transmitted diseases, and the relationship between socioeconomic status and the rate of sexually …

Social And Environmental Factors Impact On Reading Performance In Illinois In 2020, Gisella Drouet

Scholarship in Medicine - All Papers

Objective: Reading scores, such as average literacy grade level are often used as a variable for academic success. It has been found that third grade students reading at grade level are less likely to drop out of high school. The objective of the project is to investigate average reading performance and its implications on English fluency, high school graduation and various social factors.

Methods : Social factors analyzed in this study were single-parent household, residential segregation and severe housing conditions. Illinois data analyzed was from County Health Rankings website ( https://www.countyhealthrankings.org/app/illinois/2020/measure/outcomes/1/map). This study analyzed the change in 2020 reading performance …

The Effectiveness Of A Ventilator Care Bundle Protocol In Decreasing Incidence Of Ventilator-Acquired Pneumonia: A Scoping Review, Katherine I. Garrett Bsn, Rn, Erin Houston Myatt Bsn, Rn, Tracy Mcclinton Dnp, Aprn, Agacnp-Bc, Ebp-C

Doctor of Nursing Practice Projects

Purpose/Background

Ventilator-acquired pneumonia (VAP) is a preventable hospital-acquired infection with a high mortality rate. Ventilator care bundles (VCB) are implemented to decrease the risk of infection while patients are mechanically ventilated. The aim of this scoping review was to assess how adult patients in the intensive care unit (ICU) requiring mechanical ventilation and the incidence of VAP are affected by staff’s compliance to a VCB.

Methods

From August of 2022 to November 2022, literature research was done among databases such as PubMed, MEDLINE, and CINAHL. The systematic search in PubMed yielded 55 results with the headings of “(ventilator) AND (care …

Anti-Inflammatory And Analgesic Effects Of Highly Selective Microsomal Prostaglandin E2 Synthase-1 (Mpges-1) Inhibitors, Madeline Stewart

Theses and Dissertations--Pharmacy

Lipid messenger prostaglandin E2 (PGE₂) is a prostanoid that plays a key role in the generation of the inflammatory response. Currently available non-steroid anti-inflammatory drugs (NSAIDs) inhibit cyclooxygenase (COX)-1 and/or COX-2, all with significant cardiovascular, cerebrovascular, and gastrointestinal risks that have limited their utilization. Microsomal PGE₂ synthase 1 (mPGES-1), an inducible enzyme responsible for overproduction of PGE₂, may be a more promising target for a new type of anti-inflammatory drug without the adverse effects associated with the COX-1/2 inhibition. There have been extensive efforts to design and discover inhibitors targeting mPGES-1. Unfortunately, within the previously …

Traditional Healing And Biomedicine Use In Urban American Indians Living With Diabetes, Elin Elise Kambuga

Walden Dissertations and Doctoral Studies

The purpose of this interpretative qualitative study was to describe influences that affect the use of traditional healing and biomedical health services for type 2 diabetes to help health educators develop more culturally competent diabetes education programs for urban American Indian/Alaska Native (AI/AN) communities in the United States. The theoretical framework used for this study was the social ecological model (SEM). Using the SEM, the research questions were crafted to explore experiences of participants connected to personal, interpersonal, community, institutional, policy, and educational factors that influenced the use of traditional healing and biomedical health services. Urban AI/AN adults living in …