Medicine and Health Sciences Commons^™

Factors Affecting Mental Health Of College-Aged Individuals, Jada Shannon

Masters Theses & Specialist Projects

College can be a trying time for many students, from the stresses of a new academic load to dealing with financial insecurities. This could be a time where mental health issues, like anxiety and depression, are first starting to emerge, and many look to find ways to cope that may not be beneficial. Previous research has looked at many factors individually as to what the underlying factors could be, but none examine the main factors, sleep, physical activity, social media, and digital technology, simultaneously and little is known about how these factors affect anxiety and depression, as well as the …

The Effect Of Phonomotor Treatment In A Telepractice Model: An Experimental Study, Jessica Mulch

Masters Theses & Specialist Projects

This study provides an investigation into the effectiveness of a modified version of Phonomotor Treatment (PMT) for treating apraxia of speech (AOS) in a telepractice model. A single-subject design was utilized to provide treatment to a participant with post-stroke apraxia of speech and aphasia. Treatment occurred two hours a day, five days a week, for four weeks. Targets were selected specifically for the participant after initial probing and testing. Data was taken to measure the chosen targets for acquisition, maintenance, and generalization. The data collected includes pre-treatment (before starting treatment), post-treatment (directly after treatment), and follow-up (10 weeks after the …

Evaluating Stormwater Erosion Prevention And Sediment Control Best Management Practices Using High-Resolution Rainfall Monitoring And Field-Based Assessment Tools, Brittany Pekara

Masters Theses & Specialist Projects

Advancing stormwater management methods and technology is critical as runoff from impermeable surfaces increases with urbanization and development. Stormwater runoff is highly susceptible to contamination from non-point source pollution and causing flood impacts following rain events, which varies spatially and temporally in an urban landscape. To counteract the impacts of contamination and drainage issues, Best Management Practices (BMPs) are implemented to reduce the effects of stormwater runoff; however, the unpredictable nature of storm events can make methods for effectively monitoring impacts difficult in trying to capture first flush inputs, flood threats, and sedimentation sources. This research utilizes a highresolution rainfall …

Thoughts From The Frontline - August 2024, Tennessee Center For Nursing Advancement, East Tennessee State University

Thoughts from the Frontline Newsletter

No abstract provided.

Utilizing The 4ms Framework To Create A Structure And Process To Support Voluntary Health Assessments In Affordable Housing, Elyse Perweiler, Jennifer Degennaro, Sherry Pomerantz, Marilyn Mock, Margaret Avallone, Aaron Truchil, Stephen Singer

Rowan-Virtua School of Osteopathic Medicine Departmental Research

BACKGROUND: A growing number of older adults live in senior affordable housing, many with limited support systems and representing underserved or disadvantaged populations. Staff in these buildings are in a unique position to identify and address the healthcare and biopsychosocial needs of their residents and link them to services and supports.

METHODS: Staff in four affordable housing sites received training on the 4Ms approach to caring for older adults and conducting resident health assessments. They learned to collect comprehensive health information using a 4Ms Resident Health Risk Assessment (4Ms-RHRA) and results are entered into a customized electronic database. Embedded flags …

Analyzing The Message Complexity, Signal Words, And Readability Of Medical Tourism Warning Messages, Alicia Mason, Sakshi Bhati

Faculty Submissions

Medical tourists are deemed to be a vulnerable patient population because they often have limited knowledge of the specialized health care treatment and services they seek. They are also frequently unfamiliar with the medical tourism physicians, providers, and facilitators with whom they interact. As a result, travel, biomedical, and procedural risks are often difficult to define and estimate. This analysis uses computer-automated technology to analyze the risk and warning messages distributed by government and private medical associations to medical tourists. Results show these messages are often complex and highly textual with little visual graphic elements. The messages frequently lack key …

A Bundle Of Care For Prevention, Early Recognition, And Treatment Of Hyaluronic Acid Dermal Filler Associated Vascular Occlusion, Genny Sanders

Doctor of Nursing Practice Papers

Background: Hyaluronic acid (HA) dermal fillers, an injectable used for cosmetic use, are gaining popularity, and are expected to continue to do so in the projected future. With the rise in the number of patients seeking these procedures there is a correlated rise is adverse events, including the complication of vascular occlusion. Vascular occlusion has the potential for detrimental outcomes, and clinicians performing these procedures are responsible for educating patients about these risks. As whole, the healthcare community must be prepared.

Purpose: A quality improvement (QI) project was created to help clinicians prepare, prevent, recognize, and treat hyaluronic acid dermal …

Implementation Of An Evidence-Based Intervention To Improve Human Papillomavirus (Hpv) Vaccination Rates Of Children Newly Admitted To A Residential Facility., Krista Danielle Fitzgerald

Doctor of Nursing Practice Papers

Background: The Centers for Disease Control and Prevention (CDC) estimates that more than 42 million Americans are presently infected with the Human Papillomavirus (HPV). The nurse practitioner (NP), who provided primary care to children at the residential facility, reported that only 60-70% of children were consented for HPV vaccination.

Purpose: The purpose of this evidence-based intervention was to have 90% of newly admitted children consented and vaccinated for HPV. The specific aims of this project were to (1) increase staff HPV/HPV vaccine knowledge, (2) implement an updated evidence-based consent form, and (3) increase the HPV consent and vaccination rates.

Methods: …

Renal Mass Imaging Modalities: Does Body Mass Index (Bmi) Matter?, Young Son, Mark E Quiring, Raeann M Dalton, Brian Thomas, Noah Davidson, Dayna Devincentz, Collin Payne, Sahil H Parikh, Benjamin A Fink, Thomas Mueller, Gordon Brown

Rowan-Virtua School of Osteopathic Medicine Departmental Research

PURPOSE: Accurate measurement of renal mass size is crucial in the management of renal cancer. With the burdensome cost of imaging yet its need for management, a better understanding of the variability among patients when determining mass size remains of urgent importance. Current guidelines on optimal imaging are limited, especially with respect to body mass index (BMI). The aim of this study is to discern which modalities accurately measure renal mass size and whether BMI influences such accuracy.

METHODS: A multi-institutional chart review was performed for adult patients undergoing partial or radical nephrectomy between 2018 and 2021, with 236 patients …

Determining The Key Education Priorities Related To Heart Failure Care In Nursing Homes: A Modified Delphi Approach, James Mcmahon, David R. Thompson, Christine Brown Wilson, Loreena Hill, Paul Tierney, Jan Cameron, Doris S. F. Yu, Debra K. Moser, Karen Spilsbury, Nittaya Srisuk, Jos M. G. A. Schols, Mariëlle Van Der Velden-Daamen, Gary Mitchell

UK CARES Faculty Publications

There is currently a limited understanding of what nurses in nursing homes view as the key education priorities to support their ability to provide the appropriate care for residents with heart failure (HF). A modified Delphi technique was utilized to gain a consensus on the key education priorities for nurses working in nursing homes in Northern Ireland. An initial list of items (n = 58), across 19 domains, was generated using the findings of a scoping review and stakeholder interviews, and a review of available clinical guidelines. Two rounds of surveys were undertaken. Items were presented using a 5-point Likert …

Smoke Evacuation In The Operating Room, Meghan Holley, Mckenzie Moon

Nurse Residency

In perioperative staff, does mandating the use of smoke evacuation in the surgical setting compared to no smoke evacuation decrease the amount of exposure to toxic byproducts found in surgical plume for each surgical case?

Perceptions And Visual Awareness Of Urban Karst Flooding To Inform Preparedness Planning And Management Actions, Grace Hermann

Masters Theses & Specialist Projects

Awareness and perception of flooding can heavily affect how an individual or community prepares for flooding. Flood awareness can be affected by factors like past flood experience and demographics. Flood experience and demographics can affect flood awareness differently based on factors including the types and cause of flooding. Flooding in karst landscapes can vary from other types of flooding and neither perception nor awareness of karst flooding has been directly studied before. This study explored both expert and non-expert flood awareness and perception and flood policies in a karst landscape through interviews with experts, surveys, and cognitive mapping activities. The …

Development And Application Of The Sinkhole Hazard Risk Index To Inform Karst Policy And Mitigation Planning, Meghan Puente

Masters Theses & Specialist Projects

Sinkholes are geologic hazards that occur in karst landscapes and can be highly destructive and costly. Sinkhole mitigation plans and development policies are nonexistent at the federal level within the United States and vary significantly at the state level. The lack of a unified standard for sinkhole mitigation planning is partly due to a lack of available data and resources needed to assess sinkhole risk. While there are established sinkhole assessments within the literature, they focus more on the detection and prediction of sinkholes rather than a holistic approach to risk assessment. The goal of this study is to create …

Parameter Estimation For Stroke Patients Using Brain Ct Perfusion Imaging With Deep Temporal Convolutional Neural Network, Shake Ibna Abir

Masters Theses & Specialist Projects

Acute ischemic stroke, caused by cerebral artery blockage, is a leading cause of long-term disability and mortality. Effective management relies on accurate, timely assessments from neuroimaging data. Computed tomography perfusion (CTP) imaging is crucial in evaluating stroke patients, offering detailed maps of cerebral perfusion to identify irreversibly damaged tissue and at-risk areas. This detailed assessment is essential for informed therapeutic decisions.

Key perfusion parameters derived from CTP imaging, including cerebral blood volume (CBV), cerebral blood flow (CBF), time to peak (TTP), and mean transit time (MTT), are crucial for understanding the extent and nature of cerebral ischemia, providing valuable insights …

Dean's Research Newsletter, August 2024, Neil W. Schluger

SOM Dean's Research Newsletter

No abstract provided.

An Innovative Patient-Centred Approach To Heart Failure Management: The Best Care Heart Failure Integrated Disease-Management Program, Christopher Licskai, Anna Hussey, Madonna Ferrone, Cathy Faulds, Melissa Fisk, Shanil Narayan, Tim O'Callahan, Andrew Scarffe, Shannon Sibbald, Dhssraj Singh, Teresa To, Jari Tuomi, Robert Mckelvie

Health Studies Publications

BACKGROUND: The management of heart failure (HF) is challenging because of the complexities in recommended therapies. Integrated disease management (IDM) is an effective model, promoting guideline-directed care, but the impact of IDM in the community setting requires further evaluation.

METHODS: A retrospective evaluation of community-based IDM. Patient characteristics were described, and outcomes using a pre- and post-intervention design were HF-related health-service use, quality of life, and concordance with guideline-directed medical therapy (GDMT).

RESULTS: 715 patients were treated in the program (2016 to 2023), 219 in a community specialist-care clinic, and 496 in 25 primary-care clinics. The overall cohort was predominantly …

Proceedings Of The 2024 Berry Summer Thesis Institute, University Of Dayton. University Honors Program, Magdelyn Stewart, Noah Clemens, Sarah Theewis, Henry Salisbury, Kevin Johnston, Adin Stoller, Meggie Bailey, Erin T. Flaherty, Adelyn Hughes, Marc Nya

Proceedings of the Berry Summer Thesis Institute (2013-Present)

Thanks to a gift from the Berry Family Foundation and the Berry family, the University Honors Program launched the Berry Summer Thesis Institute in 2012. The institute introduces students in the University Honors Program to intensive research, scholarship opportunities and professional development. Each student pursues a 12-week summer thesis research project under the guidance of a UD faculty mentor. This contains the product of the students' research.

Contents:

Testing the Influence of Lithology and Ice Sheet Dynamics on Waterfall Formation in Hocking Hills State Park // Magdelyn Stewart

Step-Rate Manipulation for Improved Performance: A Review// Noah Clemens

Alfred Rosenberg: An …

Exploring The Role Of Occupational Therapy In Recovery High Schools For Adolescents With Substance Use Disorder And Co-Occurring Mental Health Disorders, Taylor P. Buono

Department of Occupational Therapy Entry-Level Capstone Projects

Substance use is a public health crisis, and adolescents struggle the most with substance use disorder (SUD), which often persists into adulthood and even until midlife (Estreet & Privott, 2021; Mattila et al., 2022; Rothman & Jimenez, 2023; Volkow & Blanco, 2023). School performance is often affected by the adverse effects of drug and alcohol use among adolescents, and multiple risk factors for substance use occur in the school context, such as drug-using peers, availability of substances, and academic challenges (Finch et al., 2017). Recovery high schools (RHSs) are safe and supportive alternative educational environments that provide additional support not …

Transitioning From Inpatient Rehabilitation To Home In Veterans With Spinal Cord Injuries, Alexis Tucci

Department of Occupational Therapy Entry-Level Capstone Projects

This capstone project aimed to develop a comprehensive guide to support Veterans transitioning home from inpatient rehabilitation, enhancing their quality of life. The guide provides educational materials, recommendations, and valuable resources for clients and their families to utilize both during their hospital stay and after discharge. The primary objective was to understand the ongoing needs of veterans with spinal cord injuries post-discharge and to help bridge the gap between the SCI inpatient unit and home.

Best Quality Vs. Sex Selection - An Analysis Of Embryo Selection Preferences For Patients Undergoing Preimplantation Genetic Testing For Aneuploidy Over A 10-Year Period, Pavan Gill, Christine Whitehead, Marie Werner, Emre Seli

Jefferson Health - New Jersey Papers

PURPOSE: Investigate patient preferences in embryo selection for transfer regarding quality versus sex in IVF/ICSI cycles with PGT-A and assess associated clinical implications.

METHODS: Retrospective cohort study at a university fertility practice from January 2012 to December 2021. Included were patients undergoing single frozen euploid transfers with at least one embryo of each sex available. Primary outcomes were preference for embryo selection (quality vs. sex) and sex preference (male vs. female). Trends over 10 years were evaluated and clinical outcomes, including clinical pregnancy rate (CPR), sustained implantation rate (SIR), and live birth rate (LBR), were compared.

RESULTS: A total of …

High-Grade Liver Injuries With Contrast Extravasation Managed Initially With Interventional Radiology Versus Observation: A Secondary Analysis Of A Wta Multicenter Study, Negaar Aryan, Areg Grigorian, Erika Tay-Lasso, Michael Cripps, Heather Carmichael, Robert Mcintyre, Shane Urban, Catherine Velopulos, Clay Cothren Burlew, Shana Ballow, Rachel C. Dirks, Aimee Lariccia, Michael S. Farrell, Deborah M. Stein, Michael S. Truitt, Heather M. Grossman Verner, Caleb J. Mentzer, T. J. Mack, Chad G. Ball, Kaushik Mukherjee, Georgi Mladenov, Daniel J. Haase, Hossam Abdou, Thomas J. Schroeppel, Jennifer Rodriquez, Miklosh Bala, Natasha Keric, Morgan Crigger, Navpreet K. Dhillon, Eric J. Ley, Tanya Egodage, John Williamson, Tatiana Cp Cardenas, Vadine Eugene, Kumash Patel, Kristen Costello, Stephanie Bonne, Fatima S. Elgammal, Warren Dorlac, Claire Pederson, Nicole L. Werner, James M. Haan, Kelly Lightwine, Gregory Semon, Kristen Spoor, Laura A. Harmon, Jason M. Samuels, M. C. Spalding, Jeffry Nahmias

Department of Surgery Faculty Publications

Background: High-grade liver injuries with extravasation (HGLI + Extrav) are associated with morbidity/mortality. For low-grade injuries, an observation (OBS) first-strategy is beneficial over initial angiography (IR), however, it is unclear if OBS is safe for HGLI + Extrav. Therefore, we evaluated the management of HGLI + Extrav patients, hypothesizing IR patients will have decreased rates of operation and mortality. Methods: HGLI + Extrav patients managed with initial OBS or IR were included. The primary outcome was need for operation. Secondary outcomes included liver-related complications (LRCs) and mortality. Results: From 59 patients, 23 (39.0%) were managed with OBS and 36 (61.0%) …

Occupational Therapy’S Role Within The Foster System, Cassidy Solomon, Cassandra Nelson

Summer 2024 OTD Capstone Symposium

This poster will discuss the development of an occupational therapy program to support the needs of youth within the foster system to prepare this population to live independently. Background information including statistics, the need for occupational therapy, and the program specifics such as rationale, significance, and objective are displayed. The development of an occupational therapy program to aid in the success of children within the foster care system helps to close a gap in research that will contribute to the success and positive outcomes of this population. The purpose of this capstone was to develop a program for children in …

Lactoferrin And Lysozyme To Promote Nutritional, Clinical And Enteric Recovery: A Protocol For A Factorial, Blinded, Placebo-Controlled Randomised Trial Among Children With Diarrhoea And Malnutrition (The Boresha Afya Trial), Ruchi Tiwari, Kirkby Tickell, Emily Yoshioka, Joyce Otieno, Adeel Shah, Barbra Richardson, Lucia Keter, Maureen Okello, Churchil Nyabinda, Indi Trehan

Paediatrics and Child Health, East Africa

Introduction: Children with moderate or severe wasting are at particularly high risk of recurrent or persistent diarrhoea, nutritional deterioration and death following a diarrhoeal episode. Lactoferrin and lysozyme are nutritional supplements that may reduce the risk of recurrent diarrhoeal episodes and accelerate nutritional recovery by treating or preventing underlying enteric infections and/or improving enteric function.

Methods and analysis: In this factorial, blinded, placebo-controlled randomised trial, we aim to determine the efficacy of lactoferrin and lysozyme supplementation in decreasing diarrhoea incidence and improving nutritional recovery in Kenyan children convalescing from comorbid diarrhoea and wasting. Six hundred children aged 6–24 months with …

Faculty Attitudes Toward The Preparation Of Baccalaureate Nursing Students For Practice In Hospital And Non-Hospital Settings, Lisa Radley

Dissertations

The ongoing nursing shortage worsened in recent years following the COVID-19 pandemic, has resulted in increasing concerns about future deficits in the nursing workforce. Many nurses are approaching retirement age at a time when the overall demand for healthcare services is expected to increase. Changes in nursing education have been recommended to ensure that the next generation of nurses are willing and prepared to meet the needs of an ageing population. Nursing faculty will have important roles in the education and mentoring of students to prepare them to care for diverse populations in a variety of practice settings. Understanding faculty …

The Precise-Dyad Neurodevelopmental Substudy Protocol: Neurodevelopmental Risk In Children Of Mothers With Pregnancy Complications, Dorcas Magai, Jaya Chandna, Marie-Laure Volvert, Rachel Craik, Hawanatu Jah, Agnes Msoka, Amina Abubakar, Angela Koech, Grace Mwashigadi, Marleen Temmerman

Centre of Excellence in Women and Child Health

Background: Over 250 million children are not reaching their developmental potential globally. The impact of prenatal factors and their interplay with postnatal environmental factors on child neurodevelopment, is still unclear—particularly in low- and middle-income settings. This study aims to understand the impact of pregnancy complications as well as environmental, psychosocial, and biological predictors on neurodevelopmental trajectories. Open Peer Review Approval Status 1 2 version 2 (revision) 05 Aug 2024 view view version 1 09 Nov 2023 view view Kimford Meador, Stanford University School of Medicine, Palo Alto, CA,, USA 1. Page 1 of 21 Wellcome Open Research 2024, 8:508 Last …

Nursing News & Views - August 2024, Joanne Miller Rn

Nursing Newsletters

Nursing News & Views - August 2024

Scaling Up, Sustaining, And Enhancing School-Based Sexuality Education Programs In Resource-Constrained And Conservative Contexts: Replicable Lessons From Positive-Deviant Countries, Chandra Mouli, Michielsen Kristien, Gogoi Aparajita, Nair M, Ziauddin Mohammed, Hadi S, Ijaz A, Rubio Auriolesh, Marleen Temmerman

Centre of Excellence in Women and Child Health

Despite considerable efforts, progress in the implementationof sexuality education (SE) has been uneven. This study identi-fied six “positive-deviant” low- and middle-income countries,i.e., countries that had scaled up, sustained and enhancedtheir SE programs when many others—in similar social, cul-tural and economic circumstances—were not able to do so. Inother words, they were significantly and consistently moresuccessful than the norm. Countries were shortlisted using avalidated framework and were analyzed using three other vali-dated frameworks on political priority setting, scaling up, andstakeholder engagement. The study found that India, Pakistan,Nigeria, Senegal, Mexico, and Uruguay had scaled up (eithernationwide or in some states/provinces), sustained andenhanced their …

Interpretation Models For Prostate Lesion: Detecting, Explaining, And Understanding., Mehmet Akif Gulum

Electronic Theses and Dissertations

Prostate cancer is a major public health concern, affecting millions of men worldwide. While early detection and treatment of prostate cancer is critical for improving patient outcomes, the detection of prostate lesions is even more important for timely intervention and management of the disease. Prostate lesions are abnormal growths or lumps within the prostate gland, which may or may not be cancerous. The timely detection and accurate diagnosis of prostate lesions is crucial for effective treatment and management of the disease. In recent years, deep learning models have shown promise in accurately detecting and characterizing prostate lesions using advanced imaging …

Unraveling The Complex Dynamics Of Cardiac Fibrosis: Ccn1 As A Novel Regulator Of Scar Collagen Architecture And Structural Integrity In Myocardial Infarction., Annalara Garland Fischer

Electronic Theses and Dissertations

Expansion of the extracellular matrix (ECM), known as fibrosis, accompanies nearly all forms of cardiac disease; however, its most significant and complex manifestations arise following a myocardial infarction (MI). This process, principally led by fibroblasts, constitutes a necessary and adaptive response acutely to fill the void from cardiomyocyte necrosis following ischemic injury due to the heart’s lack of regenerative capacity. This acute response never fully resolves and contributes to ongoing collagen accumulation in non-infarcted regions, leading to diminished ventricular compliance, ongoing myocyte loss, and attrition in function—culminating in heart failure. Further, recent research demonstrates that concomitant with progressive increases in …

Exosomal Cannabidiol: A Promising Candidate For Targeted Oral Delivery Against Breast Cancer., Disha Nagesh Moholkar

Electronic Theses and Dissertations

Cancer therapies are limited by lack of specificity, selectivity and numerous adverse effects. Repurposing potential anticancer compounds with appropriate drug carriers can help overcome these drawbacks. In our present study, we address the major obstacle for cannabidiol (CBD): its low oral bioavailability, using exosomes. Exosomes (Exo) are promising non-toxic and biocompatible drug delivery vehicles Our project aims are to address the research gap by formulating exosomal cannabidiol (ExoCBD): a tumor-targeted oral delivery system for the treatment of breast cancer. The targeting approach relies on the overexpression of folate receptors at the tumor site by using folic acid functionalized exosomes (FA-Exo). …