Medicine and Health Sciences Commons^™

The Association Of Overall Dietary Quality On Stress, Anxiety, Depression, And Academic Performance In College Students: A Systematic Review, Jessica Phelan, Richard R. Rosenkranz, Cindy Logan, Mark Haub, Emily Mailey, Armin Ezzati, Sara K. Rosenkranz

Health & Human Performance Faculty Publications

Objective: The objective of this systematic review was to examine current evidence regarding the associations between dietary quality and mental well-being indicators (stress, anxiety, and/or depression) in college students, with a secondary aim of characterizing the relationship between overall dietary quality and academic performance. Methods: Searches were performed, and the PRISMA guidelines were followed for reporting the methods and results. Results: Twelve observational studies were included and reviewed showing high dietary quality was associated with: low stress (four studies), high stress (one study), and no significant association (two studies); low depression (three studies) and no significant association (two studies) and …

Psychosis And Personality Changes Following Traumatic Brain Injury, David Hanna, Sonya Priven, Nathan Carroll, Heba Ekladios, Adriana Fitzsimmons

Rowan-Virtua School of Osteopathic Medicine Departmental Research

Psychotic disorders following traumatic brain injury (TBI) are a significant concern in psychiatry, with chronic sequelae often overlooked. The pathophysiology of post-TBI psychosis involves neuroplasticity and neuronal remodeling, potentially exacerbating vulnerabilities to chronic psychotic disorders. Differentiating post-TBI psychosis from primary schizophrenia and other psychotic conditions is crucial for appropriate treatment. This case report discusses a 63-year-old male with a history of TBI from a gunshot wound sustained in adolescence, who later developed schizophrenia. The report explores the patient's psychiatric symptoms, cognitive dysfunction, personality changes, and imaging findings. The report examined the complex relationship between TBI and psychotic symptoms, considering genetic, …

Improving Sep-1 Compliance Among Clinicians And Registered Nurses In The Emergency Department, Luke Roesler

Doctor of Nursing Practice Papers

Background: Sepsis is attributable to more than one in three in-hospital deaths in the United States and 20% of deaths globally each year. In 2015, the Centers for Medicare and Medicaid Services (CMS) adopted an early goal-directed 3 and 6-hour bundle intervention measure titled “SEP-1” based on recommendations from the International Surviving Sepsis Campaign (SSC) consensus panel to improve patient outcomes in cases of severe sepsis and septic shock. Sepsis is most often identified in the emergency department (ED) setting due to 87% of cases beginning in the community (Sepsis Alliance, 2022). National compliance with SEP-1 is 50% despite a …

Exploring Learning Paths: Understanding The Learning Strategies Of Artificial Intelligence System Users And Their Involvement In Social Forums, Tauseef Ibne Mamun, Shane Mueller

Michigan Tech Publications

In the last decade, there has been a significant increase in the use of commercial semi-autonomous vehicles by consumers. This has led to a surge in concerns among users about the limitations of these systems, especially when it comes to safety. In order to address these concerns, users often seek out diverse educational resources to comprehend these constraints, explore alternatives, and determine whether their experiences are representative. This paper examines the viewpoints of users who are using a new AI system that has received minimal training from the vendor. We conducted interviews of the users of the AI to examine …

Neurokinin 3 Receptor Antagonists Compared To Paroxetine For Reducing Vasomotor Symptoms In Postmenopausal Women: A Systematic Review., Jessie Vandor, Heather Justice, Erika Mccarthy, Kara Roman, Jason Brumitt

Doctor of Medical Science (DMSc)

Roughly half of the population will experience menopause. Postmenopausal symptoms can present with physical and mental health manifestations, such as anxiety, depression, dyspareunia, vaginal dryness, brain fog, hot flashes, and night sweats. The latter two symptoms are collectively known as vasomotor symptoms.^1,2 Up to 80% of postmenopausal women will experience vasomotor symptoms and about 10% will experience them as severe.³ Vasomotor symptoms are the leading reason why postmenopausal women seek medical evaluation.⁴ Not only are hot flashes bothersome throughout the day, but they often cause intense night sweats that contribute to insomnia and daytime fatigue.⁴ Vasomotor …

The Importance Of Early Mobilization In The Inpatient Setting, Amanda Brawn

Nurse Residency

For hospital patients, how do early mobility interventions, compared to current practice (no intervention), affect their length of hospital stay and readmission rate?

Newborn Bathing Within 24 Hours, Julie Sirois

Nurse Residency

Does delayed bathing in newborns decline negative patient complications compared to those who received a bath prior to 24 hours of birth?

Differences In Outcomes In Patients With Treatment-Resistant Depression (Trd) Receiving Electroconvulsive Therapy (Ect) Vs. Ketamine Infusion Therapy, Kimberly Crowley

Nurse Residency

In patients with treatment-resistant depression, how does ketamine infusion therapy compare to electroconvulsive therapy (ECT) in its impact on depressive symptoms and remission rates?

Dedicated Turn Teams Make The Difference, Madeline Gill Rn Bsn, Mckenzie Kelly Rn Bsn, Phaelan Mead Rn Bsn

Nurse Residency

PICOT Question: Are patients with impaired bed mobility admitted to hospitals with rotating turn teams at decreased risk of developing pressure wounds compared to patients admitted to hospitals without assigned turn teams during their hospitalization?

Evaluating The Effectiveness Of Silicone Foam Dressing In Preventing Pressure Ulcers In Intensive Care Settings, Farah Ibrahim Rn Bsn

Nurse Residency

PICOT Question: For critically ill patients and high-risk aged care residents, does the use of multi-layer silicone foam dressing reduce the future risk of developing pressure injuries compared with those who receive the standard pressure injury preventions without the application of the dressing on their sacrum and heels?

Reducing Implicit Bias In Nursing To Decrease Maternal Racial Health Disparities And Improve Patient Outcomes, Robin Illian Bsn, Julianne Andreades Bsn

Nurse Residency

PICOT Question: For Black birthing patients, how does receiving nursing care from nurses trained in implicit bias and racial health disparities impact maternal morbidity, mortality, and patient satisfaction, compared to those receiving current standard current nursing care?

The Benefits Of Self-Care And Wellness, Tara Nau

Nurse Residency

Among practicing nurses, does participation in health-promoting self-care and lifestyle interventions improve their health behaviors and well-being compared to those who do not engage in such interventions?

Delirium Protocols And The Impact On Patient's Extended Stays And Care, Devin Cheetham-Wilmot Rn, Aislinn Murphy Rn, Bronson Kieltyka Rn, Molly Dall Rn

Nurse Residency

PICOT Question: In patients with stays over 3 days, how does a delirium protocol and interventions improve their stay and symptoms compared to the current standard of practices to shorten length of stay and improvement in care quality within a 6-month experience?

Burns: A Standardized Approach For Resuscitation Of Burn Patients In The Critical Care Setting, Joshua Cole Rn Bsn, Marcus Leo Rn Adn, Kyle Jacques Rn Bsn, Lauren Miller Rn Bsn

Nurse Residency

PICOT Question: In adult major burn patients (Burns greater than 15% body surface area), how does a burn critical care bay with visual cues and intervention specific carts, compare to standard critical care bays affect patient outcomes over the course of their hospital stay?

Trans And Non-Binary Patient Satisfaction In Relation To Practitioner Education, Kristen Goodale

Nurse Residency

In trans and non-binary patients, how does the use of mandatory education modules compared to no specific mandatory education modules impact patients’ satisfaction, safety, and trust in the care they receive in the emergency department?

Impact Of Sleep Comfort Measures On Patient Experience, Elizabeth Cotsifas Rn, Lydia Gordon Rn, Lillian Renier Rn Bsn, Emily Schade Rn

Nurse Residency

PICOT Question: For hospitalized patients, how does the utilization of sleep comfort measures, or lack of, affect patient quality of sleep from admission to discharge?

Postoperative Atrial Fibrillation, Ryan Thurlow Rn Bsn, Olya Tucci Rn Bsn, Lily Williams Rn Bsn

Nurse Residency

What is the more effective treatment metoprolol or amiodarone for best patient outcomes?

Virtual Reality In Pain Management And Its Role In Replacing Traditional Pharmacological Therapies, Jessica Dupler Rn Bsn, Morgen Allain Rn Bsn

Nurse Residency

PICOT Question: In the adult inpatient population does engaging in virtual reality manage pain in a significant way?

Fall Reduction: Using Exercise Interventions To Reduce The Number Of Falls Among People With Parkinson's Disease, Michael D. Healy Rn

Nurse Residency

PICOT Question: In geriatric patients with Parkinson's, what is the effectiveness of lower extremity strength training combined with medication management for the reduction of unplanned falls?

Mechanisms Of Extracellular Vesicle Uptake And Implications For The Design Of Cancer Therapeutics, Stephanie R Jackson Cullison, Joseph P Flemming, Kubra Karagoz, Peter J Wermuth, Mỹ G Mahoney

Rowan-Virtua School of Osteopathic Medicine Departmental Research

The translation of pre-clinical anti-cancer therapies to regulatory approval has been promising, but slower than hoped. While innovative and effective treatments continue to achieve or seek approval, setbacks are often attributed to a lack of efficacy, failure to achieve clinical endpoints, and dose-limiting toxicities. Successful efforts have been characterized by the development of therapeutics designed to specifically deliver optimal and effective dosing to tumour cells while minimizing off-target toxicity. Much effort has been devoted to the rational design and application of synthetic nanoparticles to serve as targeted therapeutic delivery vehicles. Several challenges to the successful application of this modality as …

Assessing Radiology And Radiation Therapy Needs For Cancer Care In Low-And-Middle-Income Countries: Insight From A Global Survey Of Departmental And Institutional Leaders., Stephanie A Parker, Joseph Weygand, Beata Gontova Bernat, Amanda M Jackson, Osama Mawlawi, Izabella Barreto, Yao Hao, Rao Khan, Afua A Yorke, William Swanson, Mohammed Saiful Huq, Eugene Lief, Cesar Della Biancia, Christopher F Njeh, Ahmad Al-Basheer, Oi Wai Chau, Stephen Avery, Wilfred Ngwa, Peter A Sandwall

Oncology Articles

PURPOSE: The global cancer burden and mortality rates are increasing, with significant disparities in access to care in low- and middle-income countries (LMICs). This study aimed to identify radiology and radiation therapy needs in LMICs from the perspective of departmental and institutional leaders.

METHODS AND MATERIALS: A survey was developed and conducted by the American Association of Physicists in Medicine Global Needs Assessment Committee and the American Association of Physicists in Medicine International Council. The survey, organized into 5 sections (Introduction, Infrastructure Needs, Education Needs, Research Needs, and General Information), was open to respondents from March 1, to August 16, …

The Hockey Fans In Training Intervention For Men With Overweight Or Obesity: A Pragmatic Cluster Randomised Trial, Robert Petrella, Dawn Gill, Nárlon C. Boa Sorte Silva, Brendan Riggin, Wendy Blunt, Marisa Kfrerer, Melissa Majoni, Jacquelyn Marsh, Jennifer Irwin, Saverio Stranges, Merrick Zwarenstein, Guangyong Zou

Health Studies Publications

Background: Obesity disproportionately impacts men’s health yet fewer men engage in preventive healthcare. We examined the effectiveness of Hockey Fans in Training (Hockey FIT), a gender-sensitised lifestyle intervention that engages men with overweight/obesity through their passion as fans of a local sports team, on weight change and other health indicators.Methods: Pragmatic, cluster randomised trial (aged 35–65 years, body mass index ≥ 27 kg/m2 ) within 42 community-based sites in Canada and the United States, randomly assigned (1:1) to intervention (Hockey FIT) or control (waitlist) and stratified by region. Sites were selected based on partnerships with local major junior/professional hockey teams …

Using Causal Diagrams Within The Grading Of Recommendations, Assessment, Development And Evaluation Framework To Evaluate Confounding Adjustment In Observational Studies, Kevin Mcintyre, Karina N Tassiopoulos, Curtis Jeffrey, Saverio Stranges, Janet Martin

Epidemiology and Biostatistics Publications

BACKGROUND AND OBJECTIVES: The current Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system instructs appraisers to evaluate whether individual observational studies have sufficiently adjusted for confounding. However, it does not provide an explicit, transparent, or reproducible method for doing so. This article explores how implementing causal graphs into the GRADE framework can help appraisers and end-users of GRADE products to evaluate the adequacy of confounding control from observational studies.

METHODS: Using modern epidemiological theory, we propose a system for incorporating causal diagrams into the GRADE process to assess confounding control.

RESULTS: Integrating causal graphs into the GRADE framework enables …

The Hockey Fans In Training Intervention For Men With Overweight Or Obesity: A Pragmatic Cluster Randomised Trial., Robert J Petrella, Dawn P. Gill, Nárlon C Boa Sorte Silva, Brendan Riggin, Wendy M Blunt, Marisa Kfrerer, Melissa Majoni, Jacquelyn Marsh, Jennifer D. Irwin Phd, Saverio Stranges, Merrick Zwarenstein, Guangyong Zou

Family Medicine Publications

BACKGROUND: Obesity disproportionately impacts men's health yet fewer men engage in preventive healthcare. We examined the effectiveness of Hockey Fans in Training (Hockey FIT), a gender-sensitised lifestyle intervention that engages men with overweight/obesity through their passion as fans of a local sports team, on weight change and other health indicators.

METHODS: Pragmatic, cluster randomised trial (aged 35-65 years, body mass index ≥ 27 kg/m

FINDINGS: Between November 13, 2018-November 12, 2021, 20 sites (n = 497) were allocated to intervention and 22 sites (n = 500) to control. Participants with baseline weight and weight at 3 or 12 months, were …

Thoughts From The Frontlines: Canadian Perspectives In Adopting And Implementing Recommended Clinical Labels In Preschool Speech-Language Pathology, Alison Lynn Csercsics, Lauren Denusik, Barbara Jane Cunningham

PRECISe Preschool Speech and Language Publications

Purpose:

Method:

Treatment Protocol For Withdrawal Of Alcohol, Kendra Bishop, Simone Lauture, Benita Ehomo, Andrey Popov

Nurse Residency

PICOT Question: In patients experiencing or at risk for alcohol withdrawal, how does Phenobarbital protocol compared to standard protocol (use of Benzodiazepines) affect patient detox experience and outcome within their hospitalization?

Low Vs. High Patient Ratio Effects On Medical Errors, Katelynn Watkins Rn, Chris Strong Rn, Najmo Ali Rn

Nurse Residency

PICOT Question: This evidence-based practice project aimed to analyze; in acute-care settings how do variations in nurse-to-patient ratios when comparing low and high ratios, influence medical errors, patient outcomes and nurse outcomes?

Inaugural Message From The Editorial Board Of The Journal Of Faith Integration In Counseling, Lynn Bohecker, Vasti Holstun, Robyn Trippany Simmons, Ann Shillingford, Yulanda Tyre, Robin Switzer, Nivischi N. Edwards, Teshaunda L. Hannor-Walker, Kevin Boyd Hull, Lacey A. Ricks, Amy C. Rice

Journal of Faith Integration Counseling (JFIC)

The inaugural issue of the Journal of Faith Integration in Counseling introduces a platform dedicated to integrating faith, religion, and spirituality into mental health practices. Highlighted articles include the ACPE Spiritually Integrated Psychotherapy (SIP) Training Program, a Buddhist approach to self-concept obsessive-compulsive disorder, and a model for recovery from infidelity in evangelical marriages. These contributions emphasize the importance of spiritual dimensions in counseling to improve client outcomes. The editorial board is committed to mentoring authors and fostering scholarly excellence, addressing a critical gap in existing publication options by offering practical approaches for faith integration in counseling.

Complementary Therapies For Chemotherapy Induced Side Effects In Oncology Patients, Alyssa Gravel Rn, Tori Welch Rn

Nurse Residency

PICOT Question: In oncological patients undergoing conventional treatment, what is the effectiveness of non-pharmacological interventions in treating side effects of chemotherapy and radiation?

Impacts Of Fluid Restriction In Heart Failure Patients, Monica Lopez Rn, Jacob Maxwell-Couch Rn, Jennifer Perry Rn, Barbara Shea Rn

Nurse Residency

PICOT Question: In hospitalized patients with heart failure does a fluid restriction versus liberalized fluid intake lead to improvement of heart failure symptoms?