Medicine and Health Sciences Commons^™

Bronchobiliary Fistula And Bilioptysis: A Rare Complication Of Hepatic Lobe Abscess, Pranav Mahadevan, Pratik Patel, Domenick Roma, Nikola Tankosic

South Atlantic Division GME Research Day 2024

No abstract provided.

Discharge Implementation Project: Ascertaining If Discharge Implementation Orders Overall Improves Discharge Metrics At A Texas Hospital, Zachary Paras, Omar Nawab, Komthorn Cunvong, Jackson V. Littlejohn, Sathish Karmegam

North Texas GME Research Forum 2024

There are several factors preventing discharges out of the hospital within 24 hours that ultimately affects metrics for both hospital systems and physicians. These factors include pending labs, imaging, or procedures; pending placement approval at a facility outside of the hospital upon discharge; notification of family and caretakers; secured funding for devices and medicines; and others. In an attempt to mitigate preventable extra days spent in the hospital once a patient is medically ready for discharge, a Texas hospital implemented a discharge order set for providers to utilize that informs all involved parties including case management, PT/OT, social work, nurses, …

Winona State University Improving Our World Blog: 2013-2022, Winona State University

Winona State University Blogs

The Winona State University (WSU) Improving Our World Blog articles and entries from September 2013-February 2022. Note: there may be format coding in the document.

Winona State University Rochester Blog:2014-2023, Winona State University

Winona State University Blogs

The Winona State University (WSU) Rochester Blog includes articles and entries from May 2014-March 2023. Note: there may be format coding in the document.

Winona State University Campus Life Blog: 2013-2022, Winona State University

Winona State University Blogs

The Winona State University (WSU) Campus Life Blog includes articles and entries from October 2013- October 2022. Note: there may be format coding in the document.

Winona State University Wellness Blog: 2013-2023, Winona State University

Winona State University Blogs

The Winona State University (WSU) Wellness blog includes articles and entries from February 2013-February 2023. Note: there may be format coding in the document.

Mentoring The Mentor: A Mentor Training Program, Sheri Gillis

Regis University Student Publications (comprehensive collection)

Mentorship has played an important role in nursing and nursing education for decades. However, there have yet to be any standard qualifications or training programs for those who mentor others. Poor mentorship increases faculty turnover, stress, and poor student outcomes. A quality improvement initiative was implemented in the Associate Degree Nursing Program using an evidence-based approach. Using a pre-post survey design with convenience sampling, five (N=5) nursing faculty met the qualifications to participate in the mentor training program. The Mentor Efficacy (MES) survey, which consisted of 30 questions, was administered to measure the participants' feelings of self-efficacy in the mentoring …

Cave Signs: Assessing Mammoth Cave National Park's Access For The Deaf And Hard Of Hearing, Katelyn Lane

Mahurin Honors College Capstone Experience/Thesis Projects

This project evaluates the accessibility of cave tours in Mammoth Cave National Park for the Deaf and Hard of Hearing community (DHHC). The study was advertised to the DHHC with the use of flyers through the Kentucky Commission on the Deaf and Hard of Hearing, First Baptist Church Bowling Green’s Deaf Ministry, WKU social media, and directly to visitors who contacted the park seeking services. Willing participants either joined a group tour or reserved their own cave tour, requesting necessary accommodations. Following these tours, a survey was given inquiring about participants’ general experience with Mammoth Cave, whether all their needs …

Dataset For Study: Google Glass Scoping Review, David B. Gillette, Bhavana Raja

Physical Therapy Faculty & Staff Datasets

Background: Google Glass™ (Glass), a wearable augmented reality device is gaining popularity in healthcare education due to its portability, affordability, and usefulness, including offering a different vantage point and potential for remote training. We conducted this scoping review to determine its applications, effectiveness, and limitations in healthcare education.

Methods: Seven electronic databases were searched for relevant studies and reports using specified search terms. Two reviewers independently screened studies for eligibility, retrieved data, and compared results.

Results: The search yielded 2,019 articles. After removing duplicates, 1,576 titles, 877 abstracts, and 408 articles were screened; 78 articles were included in this review. …

Safety And Efficacy Of Peptide Receptor Radionuclide Therapy In Neuroendocrine Tumors: A Single Center Experience., Vineeth Sukrithan, Heather Armbruster, Sherise Rogers, Sherry Mori Vogt, Cassandra Grenade, Claire Verschraegen, Ye Zhou, Ashima Goyal, Mona Natwa, Akram Hussein, Hallie Barr, Dramane Konate, Rochelle Batdorf, Andrew Brown, Bonnie Williams, Songzhu Zhao, Lai Wei, Menglin Xu, Manisha H Shah, Bhavana Konda

Oncology Articles

Peptide receptor radionucleotide therapy (PRRT) with 177Lu-dotatate is widely used for the treatment of patients with neuroendocrine tumors (NETs). We analyzed data from 104 patients with NETs treated with 177Lu -dotatate at a US academic center between December 2017 and October 2020 to better understand patterns of long-term efficacy, safety, and toxicity in the real-world setting. 177Lu-dotatate (200 mCi) was administered every eight weeks for four doses. The most common sites of primary disease were small intestine NETs (n = 49, 47%), pancreatic NETs (n = 32, 31%), and lung NETs (n = 7, 7%). Twenty-seven percent had Ki-6720%. The …

Uab Nursing - Fall 2024, University Of Alabama At Birmingham

UAB Nursing magazine

No abstract provided.

Do You See It, Do You Feel It?, Trevan Freeman

Writing Beyond the Prison Living Archive

Essay on Racism; Mental health; Self-identity; Prison life; Drugs; Gangs; Gun violence; Families of the incarcerated; Religion/morality; Injustice

Mixed Emotions, Fontaine Baker

Writing Beyond the Prison Living Archive

Poem on Cancer; Healthcare; Survival

First Week Out..., Rashad El

Writing Beyond the Prison Living Archive

Poem on Re-entry, Rehabilitation; Drugs; Mental Health; Popular culture (Music); Religion/Morality

Understanding The Importance Of Administrative Mental Health Support For Frontline Nurses Post Covid-19, Sarah Mah

Nursing | Senior Theses

During the peak of the COVID-19 pandemic, intensive care units and critical care units were overwhelmed with the number of patients that were on the floors. It was during this time that nurses were experiencing the most mental health decline.

Several factors can be associated with the rapid decline of nurses’ mental health. However, these issues could ultimately stem from the lack of action taken by healthcare administration. This includes increased workload and the lack of PPE, resources institutional support. Because these units played such a vital role during the pandemic, it is imperative that healthcare administrators do what they …

Reimagining Equitable Care: Simulation-Based Education And The Dismantling Of Implicit Bias And Stigma Of Vulnerable Populations In Hospitals, Vanessa Smith

Nursing | Senior Theses

Background: Simulation-based education consists of using high-fidelity mannequins and equipment to provide a safe space for healthcare professionals to practice crucial skills within healthcare. Used within hospitals and schools, simulation most commonly surrounds practicing hands-on skills such as central line insertion, IV insertion, Ultrasound-guided procedures, code blue response, etc. However, a large portion of healthcare that is overlooked is tackling issues within patient-provider relationships. Simulation can help dismantle the negative behaviors and feelings providers push onto patients through the use of standardized patients and role-playing. By using these methods, simulation can reduce providers’ personal implicit biases and the stigma associated …

Factors That Influence The Prevalence Of Food Allergy In Children Born In Industrialized Countries Vs. Developing Countries: A Literature Review & Feasibility Study, Dimitri Miguel Lacson Torres

Nursing | Senior Theses

Background

Food allergy (FA) is known to be more prevalent in industrialized countries compared to developing countries. FA is a chronic disease that can cause a range of symptoms from regional urticaria to lethal anaphylaxis. FA affects 10% of the general population and is more common in children, affecting 8% of children versus 3% of adults (Seth, D. et al., 2020). It is unclear why food allergy is more common in industrialized countries versus developing countries. Research Question What are the influential factors that affect the increasing incidence of food allergy in toddlers born in industrialized countries versus those that …

Impact Of Non-Medical Cannabis Legalization With Market Restrictions On Health Service Use And Incident Cases Of Psychotic Disorder In Ontario, Canada, Kelly K. Anderson, Rebecca Rodrigues, Britney Le, Maliha Mamun, Suzanne Archie, Jordan Edwards, Tara Elton-Marshall, Jason Gilliland, Daniel Thomas Myran, Lena Palaniyappan, Christopher M Perlman, Jamie A Seabrook, Robin M Murray, Salimah Z Shariff

Epidemiology and Biostatistics Publications

BACKGROUND: Cannabis is a risk factor in the onset and persistence of psychotic disorders. There is concern that non-medical cannabis legalization in Canada may have population-level impacts on psychotic disorders. We sought to examine changes in health service use and incident cases of psychotic disorder following cannabis legalization, during a period of tight restrictions on retail stores and product types.

METHODS: We conducted a cross-sectional interrupted time-series analysis using linked population-based health administrative data from Ontario (Canada) from January 2014 to March 2020. We identified psychosis-related outpatient visits, emergency department visits, hospitalizations, and inpatient length of stay, as well as …

Perioperative Mortality In Low-, Middle-, And High-Income Countries: Protocol For A Multi-Level Meta-Regression Analysis, Kevin Mcintyre, Yun-Hee Choi, Ava John-Baptiste, Daniel J Lizotte, Eunice Y S Chan, Jessica Moodie, Saverio Stranges, Janet Martin

Epidemiology and Biostatistics Publications

BACKGROUND: Surgery is an indispensable component of a functional healthcare system. To date there is limited information regarding how many people die during the perioperative period globally. This study describes a protocol for a systematic review and multilevel meta-regression to evaluate time trends regarding the odds of perioperative mortality among adults undergoing a bellwether surgical procedure while accounting for higher order clustering at the national level.

METHODS: Published studies reporting the number of perioperative deaths from bellwether surgical procedures among adults will be identified from MEDLINE, Embase, Cochrane CENTRAL, LILACS and Global Index Medicus. The primary outcome will be the …

Biopsychosocial Factors In Oral And Systemic Diseases: A Scoping Review, Abby L. J. Hensel, Kathryn Nicholson, Kelly K Anderson, Noha A. Gomaa

Dentistry Publications

BACKGROUND: The association between chronic oral diseases and other major systemic health conditions, commonly referred to as the oral-systemic health connection, has been previously studied with several underlying common risk factors and pathways linking both groups of diseases. Psychosocial factors contribute to an increased susceptibility to chronic oral and non-oral diseases. The aim of this review is to summarize the current state of knowledge on the role of psychosocial stress in chronic oral and systemic diseases.

METHODS: A search strategy was built and a literature search was conducted using four databases (CINAHL, Embase, Medline, PsycINFO). A combination of search terms …

Introduction To The Special Topic Issue On Integral And Transpersonal Education, Heidi Fraser Hageman

International Journal of Transpersonal Studies Advance Publication Archive

No abstract provided.

Teaching For Transpersonal Learning, Paul Cunningham

International Journal of Transpersonal Studies Advance Publication Archive

This article addresses the “why,” “what,” and “how” of teaching for transpersonal learning. Why transpersonal education is relevant for addressing modern social problems and the global ecological crisis, what it is like to teach for transpersonal learning, and how transpersonal learning becomes transformative are discussed. Three promising options in technology and consciousness studies for transpersonal learning—transpersonal media, multistate studies, and entheogenic education—are described and the challenges of introducing transpersonal education into academic settings and assessing educational (student) learning outcomes are reviewed. The relevance of Mezirow’s Transformation Theory to transpersonal educational psychology, with special attention to ecological perspective transformation, is then …

January 2024, New England Osteopathic Heritage Center

New England Osteopathic Heritage Center Newsletter

New England Osteopathic Heritage Center's annual newsletter for January 2024

Role Of Insulin-Like Growth Factor-1 Signaling In Diet-Enhanced Bone Elongation, Cassaundra A. White

Theses, Dissertations and Capstones

Childhood obesity has increased precipitously to the point that almost 20% of children between the ages of 2 and 19 have been diagnosed with obesity. While obesity is a complex metabolic disorder, one contributing factor is diet, particularly a diet high in fat. Among many problems associated with diet-induced obesity, the impact on skeletal health is often overlooked. In addition to increased stress on the skeleton due to excess weight, obesity also disrupts the endocrine and immune systems that, in turn, can secondarily alter skeletal growth. Obesity during the early years of childhood is particularly detrimental because the skeleton is …

Development Of A Brief Assessment Battery To Inform Clinical Interventions During Multidisciplinary Visits For Patients With Neurofibromatosis Type 1, Conney W. Berger, Randall Smith, Clara Ko, Tamsin Smith, Kelly Tran, Jasmine Nguyen, Zhihong Wang, Jennifer M. Rohan

Epidemiology Publications and Presentations

Introduction. Risk reduction programs for patients with neurofibromatosis type 1 (NF1) targeting early detection of neurocognitive impairments are in high demand. Neurocognitive deficits impact up to 80% of NF1 patients in ≥1 domains: attention, language skills, executive functioning, and intellectual functioning. The primary aim of this 6-month longitudinal study was to examine the relationship between a more comprehensive assessment tool (Wechsler Intelligence Scale For Children: 5th Ed; WISC-V) with a brief cognitive assessment tool (NIH Toolbox Cognition). Methods. Pediatric patients with NF1 were 6-16 years (M age : 11 ± 3.4; 65.5% female; 58.6% non-Latinx white, 34.5% non-Latinx minoritized, …

Healthcare Professionals' Perspectives Of Barriers To Cancer Care Delivery For American Indian, Rural, And Frontier Populations, Brandon M. Varilek, Sarah Mollman

Journal Articles: College of Nursing

OBJECTIVE: This descriptive qualitative study sought to understand the barriers affecting cancer care delivery from the perspective of healthcare professionals (HCPs) serving American Indian (AI), rural, and frontier populations.

METHODS: One-on-one, semi-structured interviews with multidisciplinary HCPs (

RESULTS: Thematic content analysis revealed three major themes: (a) Access, (b) Time, and (c) Isolation. The themes represent the HCP perspectives of the needs and barriers of persons with cancer to whom they provide cancer care. Furthermore, these themes also reflect the barriers HCPs experience while providing cancer care to AI, rural and frontier populations.

CONCLUSIONS: This study provides preliminary evidence for the …

Working Towards Recommended Terminology In The Canadian Preschool Speech-Language Pathology Context, Alison Csercsics, Lisa Md Archibald, Barbara Jane Cunningham

PRECISe Preschool Speech and Language Publications

Purpose: This quality improvement project aimed to address the inconsistent use of clinical labels across a preschool speech and language program in Ontario, Canada. The study investigated whether a multi-component knowledge translation intervention could increase speech-language pathologists’ (SLPs’) knowledge about the recommended clinical labels, motivate their intentions to use the labels, and facilitate practice change during a three-month pilot period.

Method: The Diffusion of Innovations Theory was utilized to identify and address known and suspected barriers and facilitators that could influence the adoption of consistent terminology. The intervention was evaluated using a pre-experimental study design (with pre-post-follow-up testing) and included …

Implementation Of A Cancer Education Program In Rural Counties With The Lowest Hpv Vaccination Rates And Health Rankings, Sarah Arezo, Shillpa Naavaal, Charlotte Garrett, Marcie S. Wright, Vanessa B. Sheppard, Michael A. Preston

Dental Public Health and Policy Publications

Background: Human papillomavirus (HPV) is the most common sexually transmitted infection (STI). To address STIs, one rural county public school district developed a series of Family Life Programs to educate pre-teens about pertinent health information. The Schooling Cancer Program (SCP) was developed in partnership with the local Cancer Research and Resource Center to raise awareness about cancer risk factors including HPV-related cancers and HPV prevention methods. Methods: We collected a post-evaluation survey from students who attended a SCP session at one of the targeted middle schools. The SCP educated students about topics focusing on healthy lifestyles. The survey asked students’ …

Premedical Students Clinical Shadowing Experience In Surgery: A Thematic Analysis, Carlos J. Bonnafoux, Matthew R. Smallwood, Benjamin Smith, Baila Maqbool

Surgical Education

The LOBOS Surgery Shadowing Program provided valuable exposure to surgical environments, positively influencing students' career aspirations and fostering personal growth. Key recommendations include enhancing communication about student roles, increasing interaction with attending surgeons, and addressing stressors to optimize the shadowing experience.

Determining The Need For 23-Hour Observation Following Transforaminal Lumbar Interbody Fusions: A Patient Perspective On Recovery At Home, Lacey Irias

Doctor of Nursing Practice Projects

Minimally invasive surgery (MIS) for transforaminal lumbar interbody fusion (TLIF) is becoming more frequently performed in ambulatory surgery centers (ASCs). Subsequently, patients are scheduled for an option to undergo a 23-hour observation which requires staff preparation. The preparation increases costs and creates a shortage during a standard daytime shift which can reflect negatively on patient care. Most patients elect to be discharged the same day, on account of experiencing minimal pain and seeking the comfort of their own home. The goal of this DNP project was to assess the necessity of scheduling a patient 23 hours for observation following a …