Medicine and Health Sciences Commons^™

Rotablation And Shockwave In Cardiac Catheterization, Emily Corbett

Student Research Poster Presentations 2024

This project explains what Cardiac Catheterization, Shockwave, and Rotablation are. In addition, it talks about how the use of Shockwave and Rotablation can be used in patients with severe calcifications of the coronary arteries. Case studies help to show the comparison between Shockwave and Rotablation, as well as the use of Rotablation and then Shockwave. Rotablation is more useful when treating patients with superficial calcifications, whereas shockwave is more beneficial at treating deeper calcifications. All of these treatment methods are used to keep the coronary arteries open and prevent people from having blocked off arteries causing heart attacks. Two different …

Maternal Health Crisis: Implicit Bias/Cultural Humility Education For Perinatal Nurses, Carmen Rezak

Regis University Student Publications (comprehensive collection)

Abstract

Today, perinatal nurses are challenged to provide equitable care for a very diverse and

high-risk pregnant/postpartum patient population. Pregnant women of color are mistrustful of

the health care system and concerned about their care and risks when admitted to the hospital for

fear that they are not listened to or treated with the same respect and intent as their white patient

counterparts. Reverend Martin Luther King, Jr., in a 1966 speech, made in connection with the

Medical Committee for Human rights stated, “Of all the forms of inequality, injustice in health is

the most shocking and inhumane.” Nurses play …

Identifying The Effects Of Virtual Reality Simulation In The Nurse Education Lab, Nancy N. Khuu

Schultz-Werth Award Papers

Currently in the United States, 844 colleges are accredited for a Bachelor of Science in Nursing (BSN) program (American Association of College of Nursing, 2023). Each year, over 155,000 newly graduated registered nurses enter the hospital and clinical setting (Bradley, 2021). Many factors, including cost, time, familiarity with the electronic medical record and unit, the ability to provide patient-centered care, as well as competence with hands-on skills, can impact how much time the novice-level nurse receives for orientation on the floor. Nursing programs not only play a key role in preparing students for the NCLEX but also introduce them to …

Inclusive Sports Environments: Youth Gymnastics Coaches’ Perceptions On Promoting Inclusivity For Autistic Athletes, Alec D. Sheaffer

Occupational Therapy Doctorate Capstone Projects

Background: Despite the positive physical, psychological, and social benefits of sports, children with disabilities participate in sports at a lower rate than their typically developing peers. Partnerships between occupational therapists and youth sports providers can facilitate inclusive sports environments that enable equitable access to sports for all children.

Purpose: The purpose of the Capstone Project was to explore youth gymnastics coaches’ perceptions on inclusive sports participation following an educational module.

Theoretical Framework. The occupational justice framework (Townsend & Wilcock, 2004) guided the development of the project through the view that equitable participation in preferred occupations is an individual right.

Methods. …

Ot Cht Treatment And Intervention For Adult Clients After A Nerve Transfer Surgery: A Pilot Survey, Katheryn Fister

Occupational Therapy Doctorate Capstone Projects

Background: This study used a pilot survey to collect data regarding how current occupational therapists who are also certified hand therapists are working with adult clients after a nerve trans- fer surgery. The pilot survey was conducted virtually via email and created using Qualtrics software.

Purpose: The purpose of this research was to create a survey tool and obtain data to describe current occupational therapy practice trends, outcomes, and education for clients after a nerve transfer surgery. The research sought to determine what interventions are commonly incorporated, what are common outcomes, what education is being provided, what is included …

National Children's Dental Health Month Activity Book (2024), American Dental Association Foundation

National Children's Dental Health Month

No abstract provided.

Libro De Actividades Por El Mes Nacional De La Salud Dental Infantil [Spanish Language Version: National Children's Dental Health Month Activity Book] (2024), American Dental Association Foundation

National Children's Dental Health Month

No abstract provided.

Public Health For Dummies, Snigdha Sahai, Devaki C. Yellappa

Books

Public Health for Dummies is a guide that aims to demystify the world of public health with a touch of humor, a splash of raw honesty, and a generous dose of practical insights. This book is not just a roadmap for aspiring public health professionals; it’s a celebration of the diverse ways in which public health impacts our daily lives, whether we realize it or not. Public health often gets overshadowed by the glamorous fields of clinical medicine or high-tech health innovations. But behind the scenes, it is the unsung hero that ensures clean drinking water, advocates for vaccination campaigns, …

Understanding The Impact Of Asthma And Rsv, Jasmine Celeste

Graduate Research Projects

No abstract provided.

A Review Of Factors That Impact Breastfeeding And Postpartum Depression, Brooke Crowley, Kara Roman, Andrea Olmstead, Jaydeen Morris, Jason Brumitt

Doctor of Medical Science (DMSc)

Postpartum depression is experienced by up to 15% of mothers and can greatly impact the experience that they have with their newborns.¹ Postpartum depression can be associated with young maternal age, smoking, antenatal depression, stress during pregnancy, and newborns requiring intensive care.² It most often develops about 6 or more weeks after birth and can range from postpartum “blues” to postpartum psychosis.³ If left untreated, postpartum depression can lead to poor maternal-fetal bonding, breastfeeding failures, and worse outcomes for the psychological and physical development of the child.³ Untreated postpartum depression is also associated with extended periods …

Computed Tomography Angiography: Transcatheter Aortic Valve Replacement, Dante Vitali

Student Research Poster Presentations 2024

A Transcatheter Aortic Valve Replacement (TAVR) is a minimally invasive surgical procedure used to replace a narrowed aortic valve that fails to open properly (aortic stenosis). Aortic valve stenosis is the most commonly acquired valvular heart disease. Instead of traditional open-heart surgery, a TAVR involves threading a catheter through blood vessels to deliver and implant a new valve. Computed Tomography Angiography (CTA) is a medical imaging technique that uses X-rays and computer processing to create detailed cross-sectional images of blood vessels, organs, and other soft tissues in the body. It is commonly used to visualize the coronary arteries, aorta, and …

The Impact Of Robotic-Assisted Ambulation On The Cardiopulmonary System: A Systematic Review, Alexandrea Steele, Zachary Johnson, Alanna O'Malley, Laurie Brogan, Nicole Evanosky

Student Research Poster Presentations 2024

No abstract provided.

Top Of Scope Work And Bringing Joy To The Workplace For Clinical Rns, Julie Karls, Gini Pilles, Renee Doetkott

Nursing Posters

Purpose Statement:

Support primary care transformation and team-based care goals through the utilization of RNs

Objectives:

• Encouraging all care team members to work to the top of their scope of practice, increasing joy, and pride in work while strengthening team relationships.
• Creating access for providers through co-management of chronic disease (Diabetes, Asthma and Hypertension).
• Improving patient outcomes related to chronic disease through close monotiling, relationships, and accountability

A Randomized Trial Of Vaginal Antiseptic Preparation Solutions To Reduce Bacteria Colony Counts In Patients Undergoing Vaginal Surgery, James R. Saelens, Adam J. Langer, Andrew N. Boeckley, Natalie M. Castillo, Julie A. Desouza, Jennifer L. Drerup, Kelly M. Muterspaw, Hannah M. Stump, Rose A. Maxwell, Geoffrey Towers

Obstetrics and Gynecology Faculty Publications

Antiseptic preparation of surgical sites is known to reduce the rate of infective complications. However, surgical site infections (SSI) remain a leading cause of post-operative hospitalizations, increasing patient stress and cost for the healthcare system.1-7 In gynecologic surgery, preparation of the vagina is performed to reduce bacterial load prior to surgery, though it is known to remain contaminated.3 In the US, only solutions containing povidone-iodine (PI) are FDA approved for vaginal preparation; though, a 2018 ACOG Practice Bulletin lists chlorhexidine gluconate (CHG) with low (<4%) alcohol concentrations as a reasonable option for off-label use.3 Other preparations for vaginal surgery have been reported including baby shampoo (BS) and a commercially available preparation, containing PCMX (para-chloro-meta-xylenol, Techni-care®, chloroxylenol), that is marketed specifically for use with mucous membranes.8-12 There is a growing need to establish evidence-based alternatives to iodine for vaginal preparation for patients with allergies or sensitivity to iodine-containing products while minimizing postoperative irritation. One retrospective study comparing BS to PI in gynecologic surgeries showed a non-significant lower rate of surgical site infection with BS.9 One major challenge for determining effectiveness of surgical scrubs for reducing SSI is the relatively rare occurrence of postoperative infection. As an alternative proxy for infection colony counts of bacteria/fungi, before and after preparation, have been used.12,13 BS has been shown to reduce bacterial loads in non-gynecologic surgery, but there is limited data regarding its use in vaginal surgery, even though surgeons have been using BS in cases of iodine allergy or intolerance to other antiseptics.9-12CHG use in vaginal surgery has been debated due to concerns about vaginal irritation, however studies have demonstrated that alteration of the solution to 2-4% chlorhexidine with low (4%) alcohol concentration was associated with mild to no vaginal irritation. CHG showed similar reduction in post-incision bacterial counts and wound infections in cesarean delivery, and reduced colony counts during hysterectomy (when compared to PI).14-20 PCMX and CHG were shown to significantly reduce bacterial colonization of extracted root canals, and PCMX has been marketed specifically for vaginal antiseptic preparation.21 While some information on the effectiveness of these four antiseptic preparations has been documented in the literature, at this time there are no randomized controlled trials comparing these solutions in the context of vaginal surgery. Further evaluation and research of antiseptic solutions is warranted to provide evidence for best practices in minimizing infection and irritation. The purpose of this study was to compare the effectiveness of three antiseptic solutions with the standard, PI, for reducing bacterial colonies as a proxy for SSI, and to assess postoperative irritation and infection symptoms.

Conjugated Pneumococcal Vaccination To Decrease The Incidence Of Acute Otitis Media In Pediatric Populations Under Five Years Old, A Scoping Review, Thomas Dillon Murray, Michelle Rhea, Erika Mccarthy, Kristy Asbell

Doctor of Medical Science (DMSc)

Background

Acute otitis media (AOM) is one of the most common pediatric diseases and can lead to long term complications. Due to the inflammation caused by AOM, damage can be done to the middle ear, impacting a child's auditory sense. As they grow older, this can result in developmental delay and impact many other aspects of their life. AOM associated with long term hearing loss is most prevalent in rural communities. Early detection and treatment of AOM can prevent inflammation from progressing to chronic scarring but many rural communities do not have access to expedient medical care.

One of the …

Physical Activity And Reduced Risk Of Cognitive Decline, Ashley Tolentino, Erika Mccarthy, Travis Adelman, Taryn Pearl

Doctor of Medical Science (DMSc)

Similar to dementia management, treatment of mild cognitive impairment includes both non-pharmacologic and pharmacologic options to help prevent progression of further cognitive decline and dementia. Pharmacologic treatment of reversible causes include discontinuation of medications causing cognitive side effects, treating sleep disturbances, treating depression , and correcting deficiencies in vitamin B12 or thyroid hormone.² Another important step includes vascular risk factor modification with pharmacologic treatment of hypertension, which has been identified as an important risk factor of dementia. ³Non-pharmacologic interventions include various methods of cognitive rehabilitation (e.g., memory training and exercise). Exercise programs lasting 6 to 12 months have …

An Ex-Vivo Investigation Of The Effect Of Skin Conditioning With Formulation Vehicles On The Dermal Disposition Of Diphenhydramine Perfused Directly Into The Dermis, Nasim Rezvani Haghighi Shirazi

Selected Full-Text Dissertations 2020-

It is well known that the composition/excipients of a topical dermatological drug product (TDDP) affect the permeation of an active pharmaceutical ingredient (API) through the skin. While it is generally accepted that the vehicle mostly modulates the release of the API from the product, little is known whether the vehicle might also influence the kinetics of the API within the skin itself. In one attempt to answer this question, we developed an ex-vivo model using pig ear and a retrodialysis/microdialysis technique to deliver the API directly into dermis and measure the API dermal pharmacokinetics (dPK). We compared the dPK of …

Oral Manifestations Of Metastatic Diseases: A Clinical And Histologic Analysis Of 7 Cases, Zeming Zheng Dds, Elizabeth Philipone Dmd

The New York State Dental Journal

Metastatic diseases comprise 1-3% of malignant oral neoplasms with nearly one-third of patients being unaware of having a primary cancer1-4,9. This retrospective analysis identified all oral lesions diagnosed as metastatic disease in the CDM Department of Oral Pathology’s oral biopsy database from 2015-2020 and reported on patient demographics, clinical presentation and diagnosis, origin of the primary, and whether the patient had known history of the disease. From 17,500 total cases, 7 cases were identified as metastatic disease and described in detail. Clinicians’ recognition and awareness of these lesions’ often evasive, ambiguous oral presentations may help facilitate diagnosis, treatment, and prognosis.

The Impact Of Severity Of Motor Delay, Timing Of Task Mastery, And Start-Play Intervention On The Development Of Means-End Problem Solving In Young Children, Andrea B. Cunha, Iryna Babik, Dongho Choi, Natalie Koziol, Regina T. Harbourne, Stacey C. Dusing, Sarah W. Mccoy, Sandra L. Willett, James A. Bovaird, Michele A. Lobo

Psychological Sciences Faculty Publications and Presentations

Background: Children with motor delays are at increased risk for delayed means-end problem-solving (MEPS) performance.

Objectives: To evaluate children with motor delays: 1) the impact of motor delay severity and MEPS mastery timing on developmental trajectories of MEPS; and 2) the effectiveness of Sitting Together And Reaching To Play (START-Play) intervention for improving MEPS.

Methods: This represents a secondary analysis from a multi-site randomized controlled trial, with blinded assessors and prospective registration. Children with mild or significant motor delays (n = 112, mean age=10.80, SD=2.59 months at baseline) were randomly assigned to START-Play or usual care early …

The Effects Of Controlled Breathing And Physical Postures On Anxiety And Stress In Mental Health Patients, Kristen Killingsworth

DNP Research Projects

Objective: Anxiety and stress are debilitating disorders that have been on the rise in recent years following the COVID-19 pandemic. Medication alone has not been shown to be successful in mitigating the disorders, necessitating research into other alternatives for anxiety and stress management. The purpose of this project was to assess if a single complementary and alternative medicine (CAM) relaxation session had an impact on stress and anxiety levels. Method: A comprehensive literature review was conducted to identify strategies for reducing stress and anxiety. Guided by the Holistic Care Model of Self-Regulation, the nurse-led CAM relaxation session was developed. The …

Perception Of Students As Partners In Learning Among Students And Faculty Members Of Sonam Karachi, Pakistan, Anum Shiraz Gujrati

PhD-HS 2024

Background: Students as Partners (SaP) has emerged as a student-centred approach where students are taken as active partners in determining learning outcomes and pedagogies rather than being merely passive learners and consumers in Higher Education (HE). It shifts the focus from the teacher-centred to the student learning environment and from a product to process-orientated outcomes. There is still a need to explore the perception of students as partners in HE among undergraduate and graduate nursing students and faculty members.
Purpose: The purpose of the study is to explore the perception of students and faculty members regarding students as partners in …

Research Action Brief: Healthcare Experiences And Perceptions As Drivers Of Gaps In Mammography, Core (Center For Outcomes Research & Education)

Reports

No abstract provided.

Health Systems Partnership For Collaborative Anti-Racist Perinatal Care: A Case Study Of Black Community Based Perinatal Care, Roberta Hunte, Monique Gill, Kevin Cherry, Desha Reed-Holden

Reports

No abstract provided.

Impact Of Anaemia On Right And Left Ventricular Function In Dialysis Patients, Nesreen M. Zakaria, Naglaa F. Al-Mihy, Rehab M. Al-Ashry

Journal of Medicine in Scientific Research

Background A common complication in cases with end stage renal disease (ESRD) undergoing hemodialysis is anemia, contributing significantly to cardiovascular morbidity. The goal of this research is to assess anemia impact on right ventricular (RV) and left ventricular (LV) function in patients undergoing regular dialysis. Methods In this prospective study, one hundred ESRD patients on regular hemodialysis were enrolled, divided into two groups: 72 anemic patients (Group I) and 28 non-anemic patients (Group II). Anemia was characterized by hemoglobin (Hgb) levels below 120 g/L for males and below 110 g/L for women. Group I patients underwent echocardiographic evaluations at baseline, …

Seroprevalence Of Hiv Markers Among Patients Attending To Shebin El- Kom Teaching Hospital, Elham T. Awwad, Rasha G Mostafa, Asmaa M Soliman, Abdelghany Aish, Mariam A. Fouad

Journal of Medicine in Scientific Research

Objectives: to determine the prevalence of HIV infections and assess the accuracy of various testing methods among patients at Shibin El Kom teaching hospital.

Background: HIV/AIDS is a global public health challenge, with increasing prevalence in developing countries like Egypt. Stigma and limited detection methods have hindered the accurate assessment of HIV cases. Early detection is critical for effective prevention and treatment.

Methods:

A retrospective study was conducted from May 2006 to December 2022, involving 71,353 individuals who underwent routine preoperative and preadmission investigations. Blood samples were collected and tested using an immunochromatographic rapid test, ELISA, chemiluminescence, and Western blot. …

Incidence Of Peripartum Hysterectomy In Al-Galaa Teaching Hospital, Marwa R. Shahine, Sherif M. Safwat

Journal of Medicine in Scientific Research

Introduction: A hysterectomy carried out at the moment of delivery or within a day after it is known as a peripartum hysterectomy. Either a scheduled or emergency procedure can be carried out. It is a dramatic life-saving technique carried out when all other conservative management avenues have failed, made worse by the frequent emergency circumstances in which it is carried out.

Objectives: Studying the causes and patterns of peripartum hysterectomy at Al-Galaa Maternity Teaching Hospital, A tertiary referral hospital, in addition to studying the associated maternal and fetal complications.

Methodology: In order to analyze the emergency peripartum hysterectomy performed at …

Unilateral Versus Bilateral Laparoscopic Ovarian Drilling In Clomiphene Citrate Resistant Cases Of Polycystic Ovarian Syndrome: A Randomized Controlled Study, Sahar Saeed Elhalfawy, Mostafa Zein- Elabedeen Mohammed, Ayman Shehata Dawood, Mai Nabil Ageez

Journal of Medicine in Scientific Research

Background: Laparoscopic Ovarian Drilling (LOD) is superior to gonadotropins as it induces mono-ovulation, hence eliminating the potential risks linked to multiple pregnancies or ovarian hyperstimulation syndrome (OHSS).

Aim: To contrast the efficiency of unilateral laparoscopic ovarian drilling (ULOD) and bilateral ovarian drilling (BLOD) in treating clomiphene citrate (CC) resistant instances of polycystic ovarian syndrome (PCOS) according to clinical responses, change in biochemical parameters, follicle stimulating hormone (FSH), anti-mullerian hormone (AMH), luteinizing hormone (LH), ovulation rate over six months.

Methods: This Randomized Controlled Work was performed on 140 participants aged from 25 to 35 years old, with PCOS, infertile …

Association Between Urolithiasis And Non-Alcoholic Fatty Liver Disease ; A Comprehensive Study In National Institute Of Urology And Nephrology, Jehan Ibrahim M. Altohamy, Basma Aref Eltaweel, Ahmed Mostafa Elgamal, Salwa Mohammed Ahmed Dahesh, Ghadir Mohamed Elsawy

Journal of Medicine in Scientific Research

Background: Numerous studies have documented an important association between non-alcoholic fatty liver disease (NAFLD) and urolithiasis. NAFLD is described as 5% fat or more of the liver contents in other liver diseases absence including those related to alcohol consumption, chronic viral hepatitis, other chronic liver diseases as autoimmune hepatitis, and drug-induced hepatic diseases (1). Liver tru-cut biopsy is considered the gold standard yet invasive NAFLD diagnostic technique and carries potential complications (2). On the other hand, Computed Tomography (CT) is considered a non-invasive convenient tool that allows for measurable assessment of NAFLD allowing for quantitative diagnosis. Consequently, CT has proven …

The Changes In The Coefficient Of Variation Of The Corneal Endothelial Cell Size (Cv) In Specular Microscopy Following Cataract Surgery, Tarek Ibrahim Badr

Journal of Medicine in Scientific Research

Background Phacoemulsification surgery is the most widely used technique for cataract surgery worldwide. Phacoemulsification comes in two flavors: torsional and longitudinal. Our research compares The changes in the Coefficient of Variation of endothelial cell size(CV) in specular microscopy following longitudinal and torsional phacoemulsification. Patients and Methods In this prospective randomized study, we want to assess the impact of torsional versus longitudinal phacoemulsification on the variations in the Coefficient of Variation of endothelial cell size (CV) in specular microscopy. Our study will comprise 50 eyes with cataract of nuclear type, grades 1, 2 or 3. Results Upon comparing the two groups' …

Concept Of Health-Related Quality Of Life Among People With Heart Failure In Karachi, Pakistan, Anny Ashiq Ali

PhD-HS 2024

Background: Non-communicable diseases (NCDs), including cardiovascular diseases, are a leading cause of global mortality. The mortality rate for cardiovascular diseases is on the rise, with 80 % to 86 % of fatalities, particularly in low- and middle-income countries, including Pakistan. Among NCDs, heart failure (HF) is a condition for which there is no cure, and patients rely on supportive treatments to maintain their quality of life. HF not only affects physical well-being but also has far-reaching consequences on the emotional, social, and cognitive aspects of life. In the context of Pakistan, where unique healthcare, sociocultural, and economic factors prevail, the …