Medicine and Health Sciences Commons^™

Inflammatory Protein Elicitation In Response To Whole-Body Vibration Exposure, Nicholas Miller

Theses, Dissertations and Capstones

This study aimed to assess the effects of whole-body vibration (WBV) on the brain through changes in blood protein concentrations, seat and head accelerations, and symptomatology over time. Subjects were assigned to control, 1-hour, or 8-hour vibration exposure groups. Glial fibrillary acidic protein (GFAP) and S100B concentrations were measured. Root mean square average weighted vibration (A_ws), vibration dose value (VDV), and seat-to-head transmissibility (STHT) were calculated. There were no differences in GFAP (p = 0.79) or S100B (p = 0.97) concentrations between 1-hour and 8-hour subjects (p = 0.79). Average weighted head acceleration (p …

Donut Hole Fall 2024, Medicare Donations & Design Committee

Donut Hole Newsletter

No abstract provided.

Ultrasound-Guided Erector Spinae Plane Block: An Objective Structured Clinical Examination For First-Year Anesthesia Providers, Andrew Edwards, Jonathan Mardis

Doctoral Projects

The use of ultrasound-guided regional anesthesia (UGRA) in anesthetic practice is an invaluable tool for anesthesia providers to implement into their daily practice. One of these regional techniques is the erector spinae plane block (ESPB) which has anesthetic implications in numerous surgical procedures including cervical spine, thoracolumbar spine, thoracic wall, and chest wall procedures. Because of the novelty of this regional anesthetic technique, it is important to educate first-year anesthesia providers about the implications, skillset, and complications of the ESPB.

To bridge the gap between didactic knowledge and clinical practice in first-year anesthesia providers, an objective structured clinical examination (OSCE) …

Fishing For A “Good Catch”: System-Wide Initiative To Increase Near-Miss Event Reporting, Nicole Ingram, Lisa Bebko

VCU Health Nursing

Purpose: High reliability principles and patient safety tenets emphasize the importance of preventative measures and mitigation in near-miss safety events to prevent patient harm. Near-Miss Event (NME) reporting at VCU Health was recognized as waning in the face of higher-level harm events. Misnomers in the environment led front line team members to believe that their Good Catches, acts of preventing harm from reaching the patient, did not warrant safety event reporting as they were “just doing their job.”

Action: Fishing for a "Good Catch” was developed to encourage team members to recognize, speak up, and aid in the prevention …

Emotional Resilience In The Age Of Digital Media, Beam Lertbunnaphongs

ENGS 15.11: Design and Education

This lesson addresses the complexities of maintaining emotional resilience in the digital age, helping college students balance their online interactions with emotional well-being. Using online activism fatigue as a case study, students will examine the psychological effects of digital media, practice neuroscience-backed coping strategies like cognitive reframing and boundary setting, and participate in interactive activities to build resilience. By guiding students to develop personalized action plans, the lesson promotes sustainable, actionable practices to prevent burnout and support meaningful online advocacy, empowering students to pursue their passions without feeling overwhelmed.

การศึกษาสมรรถนะตามบันไดวิชาชีพของพยาบาลหอผู้ป่วยวิกฤตโรคหลอดเลือดสมอง โรงพยาบาลตติยภูมิขั้นสูง, อาภาภรณ์ ธนากรพรสวัสดิ์

Chulalongkorn University Theses and Dissertations (Chula ETD)

การวิจัยเชิงพรรณนานี้ ศึกษาสมรรถนะตามบันไดวิชาชีพของพยาบาลหอผู้ป่วยวิกฤตโรคหลอดเลือดสมอง โรงพยาบาลตติยภูมิขั้นสูง ด้วยเทคนิคการวิจัยแบบเดลฟาย ผู้ให้ข้อมูลคือ กลุ่มผู้เชี่ยวชาญจำนวน 18 คน แบ่งเป็น 5 กลุ่ม ได้แก่ 1) พยาบาลผู้เชี่ยวชาญการดูแลผู้ป่วยวิกฤตโรคหลอดเลือดสมองจำนวน 6 คน 2) หัวหน้าหอผู้ป่วยวิกฤตโรคหลอดเลือดสมองจำนวน 4 คน 3) แพทย์ผู้เชี่ยวชาญการรักษาผู้ป่วยวิกฤตโรคหลอดเลือดสมอง จำนวน 3 คน 4) พยาบาลผู้ปฏิบัติการขั้นสูงด้านอายุรศาสตร์และศัลยศาสตร์จำนวน 3 คน และ 5) อาจารย์พยาบาลผู้เชี่ยวชาญการพยาบาลผู้ป่วยวิกฤตโรคหลอดเลือดสมองจำนวน 2 คน ดำเนินการวิจัย 3 ขั้นตอน ได้แก่ 1) สัมภาษณ์เกี่ยวกับสมรรถนะพยาบาลตามบันไดวิชาชีพ ซึ่งประกอบด้วย พยาบาลระดับปฏิบัติการ ชำนาญการ ชำนาญการพิเศษ และเชี่ยวชาญ 2) วิเคราะห์ข้อมูล และสร้างแบบสอบถามเพื่อให้ผู้เชี่ยวชาญประเมินระดับความสำคัญ และ 3) คำนวณค่ามัธยฐานและค่าพิสัยระหว่างควอไทล์เพื่อสรุปผล ผลการศึกษาพบว่า สมรรถนะตามบันไดวิชาชีพของพยาบาลหอผู้ป่วยวิกฤตโรคหลอดเลือดสมอง โรงพยาบาลตติยภูมิขั้นสูง ประกอบด้วย 8 ด้าน ดังนี้ 1) การปฏิบัติการพยาบาลในระยะวิกฤต 2) การบริหารยาความเสี่ยงสูงที่ใช้ในผู้ป่วยวิกฤต 3) การป้องกันภาวะแทรกซ้อน 4) การฟื้นฟูสภาพหลังพ้นวิกฤต 5) การสื่อสารและประสานงานเพื่อการรักษาพยาบาล 6) การพยาบาลระยะท้าย 7) การใช้เทคโนโลยีและเครื่องมือดิจิทัลทางการแพทย์ และ 8) การจัดการและพัฒนาคุณภาพการดูแลผู้ป่วย ซึ่งพยาบาลที่ปฏิบัติงานในหอผู้ป่วยประกอบด้วยพยาบาลระดับปฏิบัติการ ชำนาญการ ชำนาญการพิเศษ และเชี่ยวชาญที่มีสมรรถนะทั้ง 8 ด้าน แต่สมรรถนะย่อยมีความแตกต่างกัน ดังนี้ 1) ระดับปฏิบัติการ เน้นงานพื้นฐานภายใต้การดูแล 2) ระดับชำนาญการ สามารถดูแลผู้ป่วยซับซ้อนและทำงานเป็นทีมได้ 3) ระดับชำนาญการพิเศษ สามารถแก้ปัญหาเฉพาะหน้าและใช้หลักฐานเชิงประจักษ์ และ 4) ระดับเชี่ยวชาญ สามารถพัฒนาองค์ความรู้ใหม่ทำให้คุณภาพการดูแลผู้ป่วยดีขึ้น การศึกษานี้สามารถใช้เป็นแนวทางในการประเมินสมรรถนะและมอบหมายงานตามความสามารถของพยาบาลแต่ละระดับ

The Relative Impacts Of Peer Disapproval, Parental Disapproval, And Perceptions Of Risk On Adolescent Marijuana Use, Sean P. Varano, Pamela Kelley, Laurie Becker

Justice Studies Faculty Publications

Adolescent drug use has consistently been a concern for researchers and policymakers for decades as its early onset and continued use can lead to a variety of negative life outcomes. Concerns related to marijuana use have emerged in recent years as states have begun to change laws regarding recreational cannabis use. The current study uses data from a cohort of students in Massachusetts to understand how these changes may impact marijuana use. Findings from this study suggest that nearly three years after the first recreational marijuana retail center opened, the protective features of parental norms toward marijuana use may no …

Inverse Association Between Exercising Blood Pressure Response And Left Ventricular Chamber Size And Mass In Women Who Habitually Resistance Train, Evan L. Matthews

Research Data

Excel document of research data.

Microvascular Reactivity Is Greater Following Blood Flow Restriction Resistance Exercise Compared To Traditional Resistance Exercise, Michael R. Perlet, Evan L. Matthews

Research Data

Excel document of research data, statistical analysis, and graphs.

Infographic: Progress In Oral Health Care And Dental Hygiene Among North Dakota Third Grade Students: 2014-2022, Shawnda Schroeder

Indigenous Health Faculty Publications

More than half of the third-grade students in North Dakota had dental sealants on their back teeth in the most recent school year.

Why We Come: Investigating Virtual Clubhouse Engagement, Megan H. Price

Wayne State University Dissertations

Only a fraction of individuals living with serious mental illness (SMI) receive adequatetreatment. This study investigates members’ experiences of a virtual adaptation of the Clubhouse model, a psychosocial rehabilitation program. During the COVID-19 lockdowns, the virtual Clubhouse, referred to as virtual programming, was established to provide an alternative to the traditional brick-and-mortar Clubhouse. This qualitative inquiry utilizes a phenomenological approach to understand participant experiences of the virtual model, including factors related to motivation, recovery, and impact. Data was collected through semi-structured interviews with 15 members of a Clubhouse located in a large metropolitan city in the U.S. The interviews sought …

Synthesis Of Leishmania Spp Antigens For The Development Of Vaccine Candidates, Dipesh Budhathoki

Theses and Dissertations

Leishmaniasis is a neglected tropical disease caused by the protozoan parasite of the genus Leishmania. Presently no vaccine against Leishmaniasis is available, so there is a need for new anti-leishmanial treatments, including an effective preventive vaccine. We focus on developing vaccine candidates based on leishmania’s cell surface carbohydrate antigens. Saccharides heavily envelop the cell surface of Leishmania, lipophosphoglycan (LPG) becoming a significant glycan in most leishmania species. Its intrinsic antigenicity makes this polysaccharide a useful target for developing conjugated vaccine candidates against all leishmaniasis variants. In this report, we present our progress towards the synthesis of the fragments of LPG …

Nursing Research In Arab Countries: Current Status, Trends, Challenges, And Opportunities, Hiba Wehbe-Alamah, Myrna A.A. Doumit, Joshua Bernstein, Basil H. Aboul-Enein

Health Professions Education Faculty Publications

Introduction: Twenty-two Arab countries comprise the League of Arab States. While united in Arab identity, diversities among these countries exist at many levels. Conducting and publishing research in the Arabic speaking countries is an essential pillar for improving the status of the nursing profession. Purpose: The purpose of this study is to assess the current status, trends, challenges, and opportunities of nursing research in Arab countries. Methodology: An integrative review was conducted using (1) Index Medicus for the Eastern Mediterranean Regional Office Database Journals Directory (IMEMR), (2) the Iraqi Academic Scientific Journals Database (IASJD), (3) Ulrichsweb (UW), (4) The Geneva …

Neuroprognostication In Patients With A Subarachnoid Hemorrhage: A Quasi-Review Of Anti-Inflammatory Agent Administration Versus Blood Pressure Management, Julia Gabalski, Marcie Mcmahon

Soaring: A Journal of Undergraduate Research

A subarachnoid hemorrhage (SAH) is a type of stoke where a blood vessel bursts and causes the subarachnoid space to become filled with blood. Traditional nursing management of SAH includes close monitoring of blood pressure goals in order to prevent complications such as vasospasm. Vasospasm causes delayed cerebral ischemia and neurological deficits secondary to the initial injury. Recent research has expanded understanding of the underlying mechanisms behind the neuroinflammatory cascade that occurs after a SAH. In this study, a methodical search was conducted through the CINAHL and PubMed databases to form a quasi-review of current research. The comparison of traditional …

Evidence Based Practice: A Decision-Making Guide For Health Information Professionals, Jonathan Eldredge

Faculty Book Display Case

This Guide introduces Evidence Based Practice to newcomers as well as serves as a resource for experienced practitioners. It focuses on health information professionals (informaticists, health sciences librarians, informationists, information scientists, data managers, archivists, etc.) within the US context, although others outside of the US health context might find elements of it to be valuable.

Frances Schaeffer, Lehigh Valley Health Network

Historical Archives

No abstract provided.

Robert Schaeffer, Md, As Boy, Lehigh Valley Health Network

Historical Archives

No abstract provided.

Young Frances Schaeffer, Md, Lehigh Valley Health Network

Historical Archives

No abstract provided.

Frances Schaeffer, Md, Lehigh Valley Health Network

Historical Archives

No abstract provided.

Cancer Care Annual Report 2022-2023, Children's Mercy Kansas City

Cancer Center Annual Reports

Annual report of cancer care and oncology services at the Children's Mercy Kansas City, a pediatric medical center. This year’s report focuses on Brain Tumors.

Children's Mercy Annual Report 2023, Children's Mercy Kansas City

Children's Mercy Annual Reports

Annual report for Children's Mercy Kansas City in Kansas City MO, a pediatric medical center.

Outpatient Medications Deimplemented By The Aap Bronchiolitis Guidelines: An Umbrella Review Of Meta-Analyses, Larry Mellick, Paul Walsh, Clista Clanton, Sarathi Kalra, Shane Mckinney

University Research Data and Datasets

OBJECTIVE: To systematically perform an umbrella review all meta-analyses that included outpatient sub-analyses or network meta-analyses with medication treatment comparisons to study the clinical benefits of these deimplemented medications in the outpatient setting.

Limitations Of Invasive Snake Control Tools In The Context Of A New Invasion On An Island With Abundant Prey, Shane R. Siers, Melia G. Nafus, Jereid E. Calaor, Rachel M. Volsteadt, Matthew S. Grassi, Megan Volsteadt, Aaron F. Collins, Patrick D. Barnhart, Logan T. Huse, Amy A. Yackel Adams, Diane L. Vice

United States Department of Agriculture Wildlife Services: Staff Publications

In October 2020, a new population of invasive brown treesnakes (Boiga irregularis) was discovered on the 33-ha Cocos Island, 2.5 km off the south coast of Guam, United States. Cocos Island is a unique conservation resource, providing refuge for many lizards and birds, including endangered species, which were extirpated from mainland Guam by invasive predators including brown treesnakes. We sought to evaluate the usefulness of toxic baiting with acetaminophen-treated carrion baits and cage trapping, common tools for the control of brown treesnakes on mainland Guam, as potential eradication tools on Cocos Island. We evaluated multiple bait types and …

Site-Specific Space Use And Resource Selection By Black Vultures (Coragyps Atratus) In The Southeastern Usa, Betsy Evans, John S. Humphrey, Eric A. Tillman, Michael L. Avery, Bryan M. Kluever

United States Department of Agriculture Wildlife Services: Staff Publications

North American populations of Black Vultures Coragyps atratus have increased and expanded their distribution in the southern and eastern USA. In conjunction with these patterns has been a rise in human–vulture conflicts. To improve our understanding of space use patterns and better inform management, we evaluated the movements of Black Vultures (n = 23) in the southeastern USA using a long-term GPS tracking database. Our specific objectives were to: (1) quantify home-range sizes in relation to season and geographical study location and (2) examine within-home-range resource selection to identify landscape and anthropogenic factors influencing roost and diurnal space use. …

Antipredator Blood-Squirting Defense In Horned Lizards (Phrynosoma): Chemical Isolation Of Plasma Component(S), Pogonomyrmex Ant Dietary Origin, And Evolution, Wade C. Sherbrooke, Bruce A. Kimball

United States Department of Agriculture Wildlife Services: Staff Publications

North American horned lizards of the genus Phrynosoma are largely myrmecophagous and squirt systemic blood from circumocular sinuses during encounters with certain mammalian predators. The predators react with distinct revulsion. Using bioassay-guided fractionation of blood plasma, we endeavored to identify the source and characteristics of the active chemical compound(s) responsible for this negative oral response. Our results of coyote bioassays and a series of novel mouse bioassay experiments were largely concordant. The active compound(s) was likely plasma-borne with a molecular weight (mw) of between 800 and 1,600. To identify the source of the active compound(s), we noted bioassay responses …

Eradication Of Feral Swine From A Barrier Island In Florida, Usa: An Examination Of Effort And Multi-Method, Multi-Species Population Indexing, Richard M. Engeman, Eric A. Tillman, Betsy A. Evans, John C. Griffin, Garrison Grobaski, Bradley S. Smith, John Stark, Bryan M. Kluever

United States Department of Agriculture Wildlife Services: Staff Publications

Feral swine (Sus scrofa) were targeted for and successfully eradicated from Saint Vincent Island (SVI), a National Wildlife Refuge (NWR) along the coast of Florida’s panhandle to protect its habitats and uncharacteristically high diversity of wildlife species for barrier islands in the region, including federal and state-listed threatened and endangered species. The eradication effort was initiated in early 2015 and concluded in 2019. A total of 438 feral swine were removed from the Island, 417 by federal control experts and 21 by recreational hunters. In general, the amount of effort needed to eradicate each feral swine slowly increased …

Downed Wood Removal Effects On Survival And Site Fidelity Of Woodrats In A California Oak Woodland, Timothy J. Smyser, Michael A. Hardy, Amy J. Davis, William L. Preston, William D. Tietje

United States Department of Agriculture Wildlife Services: Staff Publications

Owing to the increasing intensity and frequency of wildfires in the western United States, the removal of woody debris (downed dead wood and snags) from fire‐prone landscapes is being evaluated for wildfire mitigation. Consequently, the study of the ecological value of coarse woody debris to sustain dependent species has become of foremost importance. From 2004–2009, we used a before‐after control‐impact (BACI) study design to assess the effects of downed wood removal on a population of big‐eared woodrats (Neotoma macrotis) in an oak woodland (Quercus spp.) in coastal‐central California, USA. Using Pollock's robust design mark‐recapture analyses (with 12 …

High Thermal Quality Rookeries Facilitate High Thermoregulatory Accuracy In Pregnant Female Rattlesnakes, Haley A. Moniz, Jack Henry Buck, Hayley L. Crowell, Scott M. Goetz, Trevor D. Ruiz, Emily N. Taylor, Scott M. Bobacks

United States Department of Agriculture Wildlife Services: Staff Publications

Temperature is a primary factor influencing organismal development, and the fluctuating daily and seasonal thermal regimes of temperate climates may challenge the ability of viviparous reptiles to optimize body temperatures during gestation. Testing how viviparous reptiles navigate highly variable thermal conditions (e.g., relatively cold nights and/or highly fluctuating temperatures) is a powerful way to understand how they use microhabitats for thermoregulatory benefits. We assessed the thermal ecology of pregnant and non-pregnant female prairie rattlesnakes (Crotalus viridis) inhabiting a high-elevation, montane shrubland in northwest Colorado throughout their short summer active season, addressing the thermal consequences of microhabitat selection with …

Characterizing Feral Swine Movement Across The Contiguous United States Using Neural Networks And Genetic Data, Rachael M. Giglio, Courtney F. Bowden, Ryan K. Brook, Antoinette J. Piaggio, Timothy J. Smyser

United States Department of Agriculture Wildlife Services: Staff Publications

Globalization has led to the frequent movement of species out of their native habitat. Some of these species become highly invasive and capable of profoundly altering invaded ecosystems. Feral swine (Sus scrofa × domesticus) are recognized as being among the most destructive invasive species, with populations established on all continents except Antarctica. Within the United States (US), feral swine are responsible for extensive crop damage, the destruction of native ecosystems, and the spread of disease. Purposeful human-mediated movement of feral swine has contributed to their rapid range expansion over the past 30 years. Patterns of deliberate introduction of …

Bayesian Integrated Species Distribution Models For Hierarchical Resource Selection By A Soaring Bird, Ryo Ogawa, Guiming Wang, L. Wes Burger, Bronson Strickland, J. Brian Davis, Fred L. Cunningham

United States Department of Agriculture Wildlife Services: Staff Publications

Migratory birds exhibit seasonal geographic range (hereafter, range) dynamics during the annual cycle. Few studies have examined how migratory birds select their habitats for range occupancy at the species level and space use at the individual level simultaneously. We hypothesized that environmental variables directly related to fitness components would affect the range occupancy probabilities of migrants, whereas environment variables related to movements and flights would affect the space use intensities of migrants. We built Bayesian integrated species distribution models (ISDMs) to evaluate the effects of climate conditions, wind conditions, and landcover compositions on the seasonal range dynamics of American white …