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Full-Text Articles in Medicine and Health Sciences

The Influences Of The Public Health Care System And Education System On The Economic Growth Of Swaziland, Grace Greer May 2023

The Influences Of The Public Health Care System And Education System On The Economic Growth Of Swaziland, Grace Greer

International and Global Studies Undergraduate Honors Theses

The Kingdom of Eswatini, also known as Swaziland, has one of the youngest populations in the world with over 70% of citizens being under the age of 18 years old. This creates a substantial opportunity for economic, social, and educational growth in a country previously plagued with diseases such as HIV/AIDS, poor health care infrastructure cutting off thousands from basic care, and an educational system with a very low attendance rate and an even lower graduation rate. By evaluating the root causes of such issues dating back to the colonial era there is an opportunity to reprioritize health care ...


Safe Practices For Preventing Covid-19 Among School-Aged Children, Meleena Reyelle Banda-Garcia Dec 2022

Safe Practices For Preventing Covid-19 Among School-Aged Children, Meleena Reyelle Banda-Garcia

Nursing | Senior Theses

Communicable diseases and infections are common health problems among children. Among the most impactful communicable diseases present today is COVID-19, a disease caused by a virus named SARS-CoV-2, which has forced many school closures due to rapid transmission. Despite children not being the main driving factor of the spread of the disease, severe complications underlying COVID-19 incidence have resulted in increased hospitalization among school-age children.The initial global response to the spread of COVID-19 included the closure of school systems; however as the disease continues to be effectively managed, communities are starting to re-open schools partially or entirely nationwide. Although ...


Implementing A Diabetic Foot Care Program In A Virtual Primary Care Clinic, Zahra Naderi Asiabar May 2022

Implementing A Diabetic Foot Care Program In A Virtual Primary Care Clinic, Zahra Naderi Asiabar

Doctor of Nursing Practice (DNP) Projects

Abstract

Background

Healthcare professionals (HCPs) have a key responsibility in delivering preventative and early intervention diabetes foot management within primary care. Diabetic foot ulcers (DFUs) are a major complication of diabetes and can lead to amputations and other wound issues.

Comprehensive care and treatment of diabetes are most effective when patients can access a supportive connection with providers. Before the pandemic, there were many reasons to utilize a technology-based distance approach to health care. The coronavirus pandemic in 2019 prompted additional reasons for the transition to distant care.

Problem

The yearly screening of a virtual foot exam on patients with ...


Implementing A Self-Management Glucose Monitoring Pathway To Improve Glycemic Control, Brian Kozaczka May 2022

Implementing A Self-Management Glucose Monitoring Pathway To Improve Glycemic Control, Brian Kozaczka

Doctor of Nursing Practice Scholarly Projects

Introduction: Nationwide and locally in Los Angeles, CA, uncontrolled diabetes remains a complex chronic condition within the primary care setting. Chronically uncontrolled diabetes is costly for patients and health care systems due to high morbidity and mortality rates. As payor sources move in the direction of providing payment based on core measures and value-based care, chronic illness programs designed to improve these outcomes must be developed, implemented, and sustained. The Federally Qualified Health Center (FQHC) in which this quality improvement project was conducted represents the largest of 11 comprehensive care, family practice FQHCs in the South-Central Los Angeles area.

Background ...


Increasing School Personnel Knowledge And Self-Efficacy Of Allergy Management, Sabrina Monzione May 2022

Increasing School Personnel Knowledge And Self-Efficacy Of Allergy Management, Sabrina Monzione

Doctor of Nursing Practice Scholarly Projects

Introduction: School-aged children with allergies is a growing population. Allergies are a leading cause of chronic illnesses, are costly to the healthcare system, and can result in death. Allergic reactions in schools negatively impact student outcomes. The sites for this improvement project were four urban, public schools in Suffolk County, Massachusetts that did not have standardized school personnel allergy education.

Methods: The project took place in four, urban public schools in Suffolk County, Massachusetts. The four schools are comprised of three middle schools and one high school serving over 1,400 students. Over 240 teachers and supporting staff members provide ...


Eight Tips For The Implementation Of The First Licenced Peanut Allergy Oral Immunotherapy Into Clinical Practice., Jay M. Portnoy, Christina E. Ciaccio, Janet Beausoleil, George Du Toit, Stanley Fineman, Stephen A. Tilles, June Zhang, Claire Lawrence, Mohamed Yassine, S Shahzad Mustafa May 2022

Eight Tips For The Implementation Of The First Licenced Peanut Allergy Oral Immunotherapy Into Clinical Practice., Jay M. Portnoy, Christina E. Ciaccio, Janet Beausoleil, George Du Toit, Stanley Fineman, Stephen A. Tilles, June Zhang, Claire Lawrence, Mohamed Yassine, S Shahzad Mustafa

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Shared learnings from the early use of novel therapies can aid in their optimization. The recent introduction of peanut oral immunotherapy (peanut OIT; Palforzia [Peanut (Arachis hypogaea) Allergen Powder-dnfp]) for peanut allergy addresses a significant unmet need but also highlights the requirement for consideration of several factors by both prescribers and patients.

OBJECTIVE: To provide guidance for prescribers of licenced peanut OIT to facilitate treatment delivery and improve outcomes.

METHODS: Clinicians with experience of licenced peanut OIT (United States n = 6, United Kingdom n = 1) participated in a series of interviews and group discussions designed to elicit tips for ...


Promoting Engagement In A School Setting, Jordyn M. Sippel May 2022

Promoting Engagement In A School Setting, Jordyn M. Sippel

Occupational Therapy Capstone Presentations

The sensory system influences development and an individual’s ability to participate in their daily occupations, like education. Many students have difficulty participating in their school environment because they have difficulties processing or integrating sensory stimuli. These children may be hypersensitive or hyposensitive to sensory stimuli which may impact their ability to participate in the classroom. An occupational therapist can implement a sensory integrative approach to enhance the student’s ability to process the incoming information. The purpose of the capstone experience was to develop sensory-based strategies and implement the Stimulating Maturity through Accelerated Readiness Training (SMART) program to improve ...


Academic Resilience Of Athletic Training Students During Covid-19 Pandemic, Brandon J. Gallimore, Laura Harris, Janet E. Simon May 2022

Academic Resilience Of Athletic Training Students During Covid-19 Pandemic, Brandon J. Gallimore, Laura Harris, Janet E. Simon

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

OBJECTIVE
(1) To describe resilience in athletic training students enrolled in professional coursework during the spring 2020 semester, and (2) to determine the association between resilience and academic performance during the spring 2020 semester.

MAIN OUTCOME MEASURES
Descriptive statistics for GPA were calculated for Fall 2019, Spring 2020, cumulative Fall 2019, cumulative Spring 2020 (ie., current), change in cumulative GPA, and ARS-30 total score. The primary analysis was a Pearson correlation between change in cumulative GPA and ARS-30 total score. A secondary analysis was conducted to evaluate change in cumulative Fall 2019 and Spring 2020 GPA with a paired t-test ...


The Influence Of Dash Diet Education On Knowledge And Adherence In Primary Care: A Quality Improvement Project, Paige Bekker May 2022

The Influence Of Dash Diet Education On Knowledge And Adherence In Primary Care: A Quality Improvement Project, Paige Bekker

Culminating Experience Projects

Background/Local Problem: A rural family practice was concerned about the number of

patients with uncontrolled hypertension, 19.86% n = 56, as defined by the Centers for Disease Control and Prevention (CDC). After several quality improvement (QI) initiates to lower the prevalence rate of uncontrolled hypertension, including proper measurement techniques and home monitoring, the modifiable risk factor of adapting one’s food intake was introduced using the Dietary Approach to Stop Hypertension (DASH) diet as an intervention. The DASH diet is an evidence-based approach for lowering blood pressure. The QI project was completed with the purpose of implementing DASH diet ...


Academic-Practice Partnerships: Building The Post-Pandemic Nursing Workforce, Heather M. Van Housen May 2022

Academic-Practice Partnerships: Building The Post-Pandemic Nursing Workforce, Heather M. Van Housen

DNP Qualifying Manuscripts

As the healthcare industry recovers from the disruption of the COVID-19 pandemic, nursing workforce development across the continuum from entry-level nursing student to faculty development has come into focus as a top priority. This article discusses the benefit of increased academic-practice partnership models to meet the growing demand for registered nurses. These partnerships increase clinical placements for nursing students and provide opportunities for practicing nurses to prepare for a clinical instructor role.


Occupational Therapy Education To Support Families Affected By Huntington's Disease And Their Care Team, Morgan R. Weber May 2022

Occupational Therapy Education To Support Families Affected By Huntington's Disease And Their Care Team, Morgan R. Weber

Occupational Therapy Capstone Presentations

Introduction: Huntington’s Disease (HD) is a neurodegenerative disease that presents with motor, cognitive, and psychiatric and behavioral symptoms. This project aimed to understand the benefits of incorporating occupational therapy education within an HD clinic, creating educational material to support the HD care team, and advocating for occupational therapy. Methods: The project was created to gain advanced clinical practice skills to understand occupational therapy’s role on an interdisciplinary HD clinic team and to implement occupational therapy education in an HD clinic to support patient and caregiver care. Additionally, it was designed for education to create educational material based on ...


Lgbtq+ Health Disparities: Healthcare Intervention, Kara Steinbrecher May 2022

Lgbtq+ Health Disparities: Healthcare Intervention, Kara Steinbrecher

The Eleanor Mann School of Nursing Undergraduate Honors Theses

The lesbian, gay, bisexual, transgender, and queer (LGBTQ+) community has carried the burden of countless health disparities throughout its history tied to discrimination, bias, prejudice, and stigma. LGBTQ+ individuals are disproportionately at higher risk for substance abuse, sexually transmitted diseases, cardiovascular disease, mental illness, suicide, and unequal access to healthcare, related to social stigma and bias that exists in healthcare itself. The purpose of this systematic literature review is to analyze existing health disparities among the LGBTQ+ population in the United States and the efficacy of various interventions of health care professionals to reduce them. Twenty-one articles from multiple online ...


Sedation Assessment And Management In The Intensive Care Unit, Kimberly Dyer, Courtney Garvey May 2022

Sedation Assessment And Management In The Intensive Care Unit, Kimberly Dyer, Courtney Garvey

Doctor of Nursing Practice Scholarly Projects

Nursing management of sedation medications in critical care patients is a complex responsibility, and studies have shown that proper use of sedation protocols can lead to improved patient outcomes. A knowledge gap among critical care nurses in the performance of Richmond Agitation Sedation Scale (RASS) assessments was identified within a critical care unit during the 2019 annual skills day. Inaccurate RASS assessments may lead to inaccurate sedation management according to the current unit protocol and evidence from the literature, and therefore may impact patient outcomes. This project aims to improve a clinical practice within an intensive care unit. The objective ...


Examination Of Spelling Skills Of Elementary Students Who Are Deaf And Hard Of Hearing, Lacey Simpson May 2022

Examination Of Spelling Skills Of Elementary Students Who Are Deaf And Hard Of Hearing, Lacey Simpson

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

Spelling is a crucial skill that children must learn to read, write, and communicate effectively, but this comes with challenges for students with hearing loss. Linguistic processes, such as phonological awareness, morphological awareness, orthographic awareness, semantic awareness, and mental graphemic representations are building blocks to understanding how to spell words accurately but are more difficult to grasp and apply with hearing loss. The purpose of this study was to evaluate the spelling skills of deaf and hard of hearing (d/hh) students to identify which linguistic processes need to be corrected and strengthened. By identifying which linguistic processes need remediation ...


Notice: Youth, Poc & Lgbtq+ Big Tobacco Wants You, Tucosha Lopez May 2022

Notice: Youth, Poc & Lgbtq+ Big Tobacco Wants You, Tucosha Lopez

Capstone Projects and Master's Theses

Breathe California of the Bay Area, Golden Gate, and Central Coast is a 501(c)3 non-profit that works with local communities to fight lung disease. This capstone project was developed for the Tobacco Control Program and addressed how Big Tobacco disproportionately targets youth, people of color, and LGBTQ+. Less awareness of tobacco-related issues, targeted marketing schemes, and individual susceptibility to negative health behaviors result in addiction, decreased physical/mental health, and increased negative behaviors. The project was a 45-minute educational resource video to be published on the Breathe California YouTube channel. It consists of topics about the warning signs ...


La Discapacidad En Los Sistemas De Educación En Bolivia Y Chile, Kree Pace Apr 2022

La Discapacidad En Los Sistemas De Educación En Bolivia Y Chile, Kree Pace

Student Research Submissions

The flawed approach to the education of disabled students is an issue that plagues countless countries across the globe, and those in Latin America are no different. Bolivia and Chile are two vastly different countries from a cultural and economic perspective. However, one issue that they have in common is the manner in which they attempt to teach disabled students. There are two major models of disability; social and medical. The social model teaches that disabilities are not inherently negative traits to have, and that those who have them should be supported by society. It also emphasizes that the organization ...


Prevention Of Diabetes-Related Hospital Readmission Following Initial Diagnosis Of Diabetes In Patients Over The Age Of Fifty: A Scoping Review, Nathan Miller Dnp, Agacnp, Fnp, Jasmine Harris Dnp, Fnp, Michael Clardy Dnp, Agacnp, Diana Dedmon Dnp, Acnp, Fnp-Bc Apr 2022

Prevention Of Diabetes-Related Hospital Readmission Following Initial Diagnosis Of Diabetes In Patients Over The Age Of Fifty: A Scoping Review, Nathan Miller Dnp, Agacnp, Fnp, Jasmine Harris Dnp, Fnp, Michael Clardy Dnp, Agacnp, Diana Dedmon Dnp, Acnp, Fnp-Bc

Doctor of Nursing Practice Projects

Purpose/Background: By reviewing multiple studies related to the treatment of patients with new diagnoses of diabetes, this scoping review will endeavor to determine which interventions, when implemented for patients over 50 years old which are newly diagnosed with type 2 diabetes, can decrease the likelihood of hospital readmission related to diabetes within 90 days when compared with those patients who did not receive or participate in follow-up.

Methods: For resources to be eligible to review they had to be from 2015 or after. Studies selected included patients over the age of 50 newly diagnosed with type 2 diabetes subject ...


A Quality Improvement Project To Examine The Impact Of The Use Of Structured Diabetes Educational Materials For Medical Personnel, Alina Jaffer Apr 2022

A Quality Improvement Project To Examine The Impact Of The Use Of Structured Diabetes Educational Materials For Medical Personnel, Alina Jaffer

DNP Scholarly Projects

With the immigrant population increasing in the United States, the demand for healthcare providers who can provide culturally appropriate care and intracultural communication has increased. Compared to individuals born in the United States, immigrants with diabetes are less likely to meet the standardized targets for diabetes management, resulting in disparities in diabetes-related complications. The problem is the lack of evidence-based patient education for all people, including immigrants who do not speak English as a first language. The purpose of this project was to assess whether or not language-specific structured diabetes educational material for healthcare personnel use would increase the efficacy ...


The Impact Of Outcomes On Depression Literacy In School-Age Children Who Received Depression Education, Loretta Q. Smith Aprn, Pnp-Bc, Bobby Bellflower Dnsc, Nnp-Bc, Faanp Apr 2022

The Impact Of Outcomes On Depression Literacy In School-Age Children Who Received Depression Education, Loretta Q. Smith Aprn, Pnp-Bc, Bobby Bellflower Dnsc, Nnp-Bc, Faanp

Doctor of Nursing Practice Projects

Purpose/Background Recognizing mental illness is crucial in adolescence. It is the second leading cause of suicide and death in children 10-19 years of age. Early identification and recognition of signs and symptoms could prevent progressive mental health illness in early childhood and adulthood. We are seeking to answer the PICO question: In adolescents between 10 and 19 years of age who are enrolled in school (P), how does receiving education on depression awareness (I) compared to not receiving education on depression awareness (C) affect depression scores (O)?

Methods This review was conducted on articles about adolescent children. These articles ...


Integration Of Geriatric Content In Entry-Level Physical Therapy Education In The Philippines: A Pilot Study, Charlemaine Deane A. Perez Apr 2022

Integration Of Geriatric Content In Entry-Level Physical Therapy Education In The Philippines: A Pilot Study, Charlemaine Deane A. Perez

Philippine Journal of Physical Therapy

Introduction: Physical therapy (PT) practice is expected to dynamically respond to the growing needs of older adults. Currently, there is paucity in meeting the demands of the aging Filipino population that may be linked to the status of undergraduate PT education. To date, there are no known systematically analyzed data that explores the breadth of geriatric content in the local BSPT programs. This study aimed to describe the integration of geriatric-related content in the pre-clinical and clinical entry-level PT curricula.

Methods: Descriptive cross-sectional research design using survey instrumentation was conducted among heads and PT educators in higher educational institutions and ...


Roles In Preoperative Planning, Joetta Combs Apr 2022

Roles In Preoperative Planning, Joetta Combs

Epsilon Sigma at-Large Research Conference

This project represents the ever-changing methods surrounding Enhanced Recovery after Surgery and the protocols that compose it. The purpose of this study is to expand education of ERAS guidelines and improve patient outcomes through furthering staff education. Enhanced Recovery After Surgery has been a part of perioperative departments worldwide after being introduced in the 1990s by Northern European general surgeons and has been adapted and modified since its introduction (ERAS Society History, 2022). The preoperative and postoperative process is ever-changing and is difficult for staff to keep up with. Many staff members find it difficult to stay on top of ...


Covid-19 Educational Disruption And Delivery Redesign On Traditional Bsn Student Nclex Performance, Kendrea Todt, Greta Marek Apr 2022

Covid-19 Educational Disruption And Delivery Redesign On Traditional Bsn Student Nclex Performance, Kendrea Todt, Greta Marek

Epsilon Sigma at-Large Research Conference

Title: Covid-19 Educational Disruption and Delivery Redesign on Traditional BSN Student NCLEX Performance

Purpose: The purpose of the study was to understand the educational disruption and delivery redesign (EDDR) caused by the Covid-19 pandemic on ETSU Baccalaureate of Science in Nursing (BSN) students and the impact on the nursing workforce. Student progress was evaluated by exploring student grade point average (GPA), socio economic determinants of health, Assessment Technologies Institute (ATI) Test of Essential Academic Skills (TEAS) scores and ATI comprehensive predictor scores on student first-time National Council Licensure Exam for Registered Nurses (NCLEX-RN) pass rates to evaluate the supply of ...


Coaching Critical Moments: An Occupation-Based Coaching Education And Training Program, Katherine Eglin, Angela Blackwell Apr 2022

Coaching Critical Moments: An Occupation-Based Coaching Education And Training Program, Katherine Eglin, Angela Blackwell

Spring 2022 Virtual OTD Capstone Symposium

This is a poster presentation on an education and training program, created for a capstone project. The program, Coaching Critical Moments (CCM), is designed to provide occupation-based coaching education through learning modules and training through simulation. The poster highlights the background literature about occupation-based coaching in occupational therapy, the problem and purpose statements for the capstone project, the methodology for creating the program, the theoretical foundation for the project, the contents of the program, and a discussion.


Integrating Best Practice In Belmont’S Otd Curriculum Through Research, Dissemination, And Development Of Supplemental Course Materials, Alyson Graham Apr 2022

Integrating Best Practice In Belmont’S Otd Curriculum Through Research, Dissemination, And Development Of Supplemental Course Materials, Alyson Graham

OTD Capstone Projects

This project was focused on researching best practice for teaching to large class sizes in preparation for the increasing cohort sizes within Belmont University's OTD program. Research included best practice for large class sizes as well as best practice within occupational therapy programs. This research was consolidated into a paper which included recommendations that could potentially be implemented into the OTD program. Additional materials were created based on that research for potential use within the mental health curriculum of the OTD program and were included in a Blackboard Sandbox course which faculty can access and utilize in the future.


The Effects Of Running On Arithmetic Problem Solving, Kayia C. Snyder, Nicholas Smith Apr 2022

The Effects Of Running On Arithmetic Problem Solving, Kayia C. Snyder, Nicholas Smith

OHSU-PSU School of Public Health Annual Conference

In this work, we propose to examine the effects of physical activity on academic performance as physical activity is shown to improve mood, energy levels, confidence, and memory retention. We propose to recruit a sample of 200 psychology students from Portland State University. Each student will be asked to take an arithmetic problem-solving test then asked to study the material for three weeks. Of the 200 students, 100 will be randomly assigned to a physical activity condition, in which they will be asked to run 30 minutes prior to studying, then all students will be asked to take a timed ...


Youth Mental Health In The Mountain West, Kristian Thymianos, Olivia K. Cheche, Kelliann Beavers, Katie M. Gilbertson, Caitlin J. Saladino, William E. Brown Jr. Apr 2022

Youth Mental Health In The Mountain West, Kristian Thymianos, Olivia K. Cheche, Kelliann Beavers, Katie M. Gilbertson, Caitlin J. Saladino, William E. Brown Jr.

Health

This fact sheet explores youth mental health metrics of Mountain West states from the Hopeful Futures Campaign’s 2022 report, America’s School Mental Health Report Card. This study provides state snapshots on school mental health policies and workforce availability for all 50 states and the District of Columbia. The Mountain West states of Arizona, Colorado, Nevada, New Mexico, and Utah are considered here.


How Early Education And Pet Therapy May Help Nurses With Compassion Fatigue, Katie E. Clark Apr 2022

How Early Education And Pet Therapy May Help Nurses With Compassion Fatigue, Katie E. Clark

Electronic Theses and Dissertations

Abstract

Although there is a great deal of research on the causes of compassion fatigue, there is little research on prevention techniques or ways to combat compassion fatigue. The purpose of this qualitative phenomenological study was to discover if nurses are prepared to cope with occupational stress and compassion fatigue. A secondary purpose was to examine the perceived benefit that pet therapy can have as a possible stress reduction technique to decrease the effects of compassion fatigue. This research was conducted by gathering data via semistructured interviews. The researcher interviewed nurses who were currently practicing patient care and scored as ...


Standardizing Naturalistic Teaching Opportunities For Problem-Based Learning In Diabetes Education: A Quality Improvement Project, Austin Mccaslin Apr 2022

Standardizing Naturalistic Teaching Opportunities For Problem-Based Learning In Diabetes Education: A Quality Improvement Project, Austin Mccaslin

DNP Projects

Significance and Background:

Poor diabetes management is linked to serious long and short-term health complications. Despite this, medication adherence is a significant problem in adolescents with type 1 diabetes. Management is further complicated by low socioeconomic status, even when mitigated by free healthcare, highlighting health literacy as a culprit of disparities. Evidence shows that a common barrier for adolescents is proficiency in dose determination. Carbohydrate counting is an integral skill, necessary for attaining glycemic control. At a homecare agency serving adolescents with poorly controlled diabetes by providing oversight of medication administration and education, it was noted that patients continued to ...


Doctors & Diets: The Return Of Nutrition To American Medical Education, Luke Hollingsworth Apr 2022

Doctors & Diets: The Return Of Nutrition To American Medical Education, Luke Hollingsworth

Senior Theses

The purpose of this honors graduation thesis is to analyze the role of nutrition in the prevention, management, and treatment of chronic diseases and to argue that clinical nutrition should be reintegrated into American medical education as a high priority subject. The thesis begins with a historical review of clinical nutrition beginning in the fifth century B.C. with Hippocrates in Classical Greece and ending in 21st century America. Following the historical review, five of some of the most prevalent chronic diseases in America are examined through a nutritional lens. This thesis concludes with a discussion of the outlook of ...


Capstone: Burn Surgery Education Module, Sophie J. Weber Apr 2022

Capstone: Burn Surgery Education Module, Sophie J. Weber

MDS/BAS 495 Undergraduate Capstone Projects

I chose to solve a training and continuing education problem in my workplace, by creating a manual on burn surgery. This manual will later be turned into a computer education module, but will always be available in a hard copy as a reference material. I had to find an approach that reflected how my peers wanted to be educated and on what education points they felt were the most important to their success in surgery.