Medicine and Health Sciences Commons^™

America At A Glance: Covid-19 And Disability In Rural Areas, Rtc: Rural, University Of Montana Rural Institute

Health and Wellness

To learn more about COVID-19 impacts on rural people with disabilities, we conducted a survey in late April/early May to explore rural and urban differences in COVID-19 health risks, adherence to public health recommendations, and trust in different information sources. We focused on people with disabilities because they often experience higher rates of secondary health conditions that place them at heightened risk of COVID-19 complications. Summary findings: Rural respondents reported higher rates of COVID-19 health risk factors, but less adherence to public health recommendations. Overall, individuals with health risk factors reported adopting fewer public health recommendations than individuals without health …

A Comparison Efficacy Study Of Commercial Nasopharyngeal Swabs Versus A Novel 3d Printed Swab For The Detection Of Sars-Cov-2, Forest W. Arnold, Gerald Grant, Phillip F. Bressoud, Stephen P. Furmanek, Donghoon Chung, Nadine Sbaih, Dipan Karmali, Meredith Cahill, George Pantalos

The University of Louisville Journal of Respiratory Infections

Introduction: The large volume of diagnostic tests required by the response to the COVID-19 pandemic resulted in a shortage of commercial nasopharyngeal swabs. In an effort to alleviate the shortage, swabs created by 3D printing may be a solution.

Methods: We designed and produced 3D printed swabs and sought to compare their ability to detect SARS-CoV-2 in patients admitted for COVID-19 or who were suspected of having COVID-19.

Results: A total of 30 patients were swabbed with a commercial and a 3D printed swab. Results matched in 27 of 30 patients (90%). Two patients were discordant with a positive commercial …

Psychedelics And Mental Health, Angelica Milla

College of Pharmacy Student Research

No abstract provided.

Dental Practice Success Vol. 7 No. 2, American Dental Association, Publishing Division

Dental Practice Success

No abstract provided.

The Implementation Of An Evidence Based Decision Aid To Improve Self-Efficacy Of Critical Care Nurses In The Recognition Of Need For Palliative Care In Icu Patients., Abigail Southall

Doctor of Nursing Practice Papers

BACKGROUND: Internal and external evidence demonstrates a poor understanding of the definition and scope of palliative care for ICU patients by nurses. Palliative care and hospice care are often viewed as mutually exclusive rather than complimentary. This knowledge gap causes delayed palliative care consultation for ICU patients which has been shown to increase length of stay and cost of care while decreasing patient/family satisfaction. SETTING: The project took in a 36-bed Intensive Care-Open Heart Unit (ICU-OHU) in an urban hospital in the Midwest United States. PURPOSE: The purpose of the quality improvement project was to address misconceptions regarding palliative care …

Acute Effects Of Kinesiology Tape Tension On Soleus Muscle H-Reflex Modulations During Lying And Standing Postures, Yung Sheng Chen, Wei Chin Tseng, Che Hsiu Chen, Pedro Bezerra, Xin Ye

Faculty and Student Publications

Copyright: © 2020 Chen et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Kinesiology tape (KT) has been widely used in the areas of sports and rehabilitation. However, there is no gold standard for the tape tension used during a KT application. The purpose of this study was to examine the effects of KT application with different tension intensities on soleus muscle Hoffmann-reflex (H-reflex) modulation during lying and standing postures. Fifteen healthy university …

A Needs Assessment & Implementation Strategy Of The Emergency Nurse Practitioner Post-Graduate Certificate., Nancy Wilding

Doctor of Nursing Practice Papers

Nurse Practitioners have been utilized to meet the growing needs of emergency departments during the shortage of Emergency Medicine-trained physicians. Stakeholders have recognized the benefits that Nurse Practitioners (NP) bring to Emergency Departments (ED) in providing quality, evidence-based, cost-effective quality care. However, there is a confusion of the emergency nurse practitioner (ENP) role and scope of practice by facilities, physicians, state boards of nursing, credentialing bodies, and patients that limit the ENP from practicing at their full scope of practice. To establish the role and expand the NPs' knowledge and skills to meet the needs of the ED setting, a …

Strategies To Increase Hpv Vaccine Uptake In Primary Care., Katelyn Brandel

Doctor of Nursing Practice Papers

Purpose: The purpose of this project was to increase HPV vaccination initiation rates in a primary care setting. This was accomplished through evidence-based provider and parental education using presumptive language and distribution of a customized toolkit. Design: The project protocol was designed using a theoretical approach about chosen health behaviors from the Health Belief Model. Outcomes included initiation rates, efficacy of a toolkit intervention, efficacy of a recall system, and provider satisfaction. Methods: A two-sided Fisher’s Exact Test was performed. Primary outcome results indicated a non-significant increase in vaccination rates. Of the 24 patients who received the toolkit, 25% chose …

Education Module For Serotonin Syndrome With 24-Hour Dose Monitoring Intervention., Jonathon Blake Hicks

Doctor of Nursing Practice Papers

Background: Serotonin Syndrome (SS) is recognized by a combination of mental status changes, neuromuscular hyperactivity, and autonomic hyperactivity (Volpi-Abadie, Kaye, & Kaye, 2013). Despite the severity and commonality of SS, it is an under reported and an under treated condition (Boyer, 2018). The purpose of this project was to 1) implement an education module on SS using a pretest and posttest design to increase LTC staff knowledge, and 2) evaluate the effectiveness (e.g., confidence level, satisfaction) of the intervention among nursing staff. Method: An education module was implemented focusing on recognizing and treating SS in aging adults. A pretest-posttest design …

Implementation Of A Safety Planning Intervention On An Inpatient Psychiatric Unit., Kevin Luke Houser

Doctor of Nursing Practice Papers

Background: In 2017, suicide was the 10th leading cause of death in the United States. There are multiple interventions used for individuals at risk for suicide. No-suicide contracts are commonly used by clinicians who treat individuals at high risk for suicide, but there is no evidence supporting this intervention in preventing suicides. A safety planning intervention has been shown to decrease the risk of suicide in individuals at high risk for suicide by helping individuals recognize warning signs of a suicidal crisis, use their internal coping strategies, and contact social network or community resources to assist in reducing suicidal thoughts. …

Breastfeeding Education In The Postpartum Period., Kiersten Proctor

Doctor of Nursing Practice Papers

Breastmilk is the best source of nutrients for an infant, yet many mother-infant dyads do not sustain breastfeeding past initiation. Breastfeeding education and support offered to the motherinfant dyad in the postpartum period have the potential to increase maternal breastfeeding selfefficacy, and attribute to a longer duration of breastfeeding. The purpose of this Doctor of Nursing Practice (DNP) quality improvement project was to implement breastfeeding education and support in the postpartum period to mothers who have initiated and maintained breastfeeding by the time of the newborn well-child check, occurring at two to eight days postpartum. This project aimed to increase …

Reducing Nurse Burnout In The Acute Care Setting., Christopher Reynolds

Doctor of Nursing Practice Papers

This paper examines nurse burnout in intensive care unit (ICU) nurses. The quality improvement (QI) project was conducted at the University of Louisville Hospital (ULH) in a ten bed medical intensive care unit (MICU) over the course of one month. The Maslach Burnout Inventory (MBI) survey and a demographic questionnaire were administered to nurses pre and post intervention. The intervention consisted of a uninterrupted, 30 minute work break during a nurse’s twelve hour work shift. The MBI survey was used to determine nurses’ level of burnout using three subscales; emotional exhaustion, depersonalization, and personal accomplishment. A paired t-test was used …

Education And Implementation Of The Clinical Opiate Withdrawal Scale (Cows) In The Acute Care Setting For Care Providers., Rachel Schollaert-Culwell

Doctor of Nursing Practice Papers

The opioid epidemic is a growing crisis, the US consumes a majority of the worlds opioid supply. There are an estimated 100,000,000 opioid dependent persons and according to the National Institute of Health (NIH) over 7 million of those individuals also have an overlapping mental illness which further complicates treatment for this population. In the inpatient setting there is a great need to assess the opioid dependent patient and identify withdrawal signs and symptoms. There are many challenges especially within the ICU when recognizing these patients. Patients can require mechanical ventilation and intravenous sedation and pain medication which consist of …

2020-07-01_Michiganoverview_Covidbedppe, Michigan Department Of Health & Human Services

Michigan COVID-19 Hospital Data

The webpage was obtained from Michigan's Coronavirus Cumulative Data page, under the link Data About Places. Data is self-reported by hospitals daily to the EM Resource System per MDHHS Director Robert Gordon's Emergency Order.

Contains the tables Statewide Available Bed Tracking for COVID-19, COVID-19 Metrics, Statewide Available PPE Tracking for COVID-19 (Statewide Available PPE and Bed Tracking), as well as the tables PPE Days On Hand and Patient Census.

Prepare The Pharmacy For The Next Crisis: A Well-Drafted Business Continuity Plan Enables Continued Operations, Mitigates Potential Risks., Kenneth Maxik, Craig Kimble, Alberto Coustasse

Pharmacy Practice & Administration

The purpose of continuity planning is to ensure that dispensing operations continue, that pharmacy information systems’ data remain protected and accessible, and that telecommunications to support critical organization function during and after business interruption. Interruptions can occur for various reasons, such as earthquakes, fires, flooding, hurricanes, pandemics, power loss, tornadoes, and wildfires. Devising a crisis continuity plan can enable pharmacies to continue to provide patient care, ensure staff safety, and maintain financial viability after a disaster. The coronavirus disease 2019 (COVID-19) pandemic and the resulting business closures brought about by the shutdown have highlighted this need to plan for all …

Modifying The Open Visitation Policy In The Adult Intensive Care Unit To Improve Patient, Family, And Nurse Satisfaction., Elizabeth Blandford

Doctor of Nursing Practice Papers

Background: Open visitation within adult intensive care units (ICUs) has recently replaced restricted visitation to further support patient and family centered care (PFCC) and improve satisfaction. The involvement of the patient or designated person in healthcare decisions and activities, decreases patient anxiety and stress, and can improve recovery. However, with the initiation of open visitation, many ICU patients, families and nursing staff are feeling overwhelmed and frustrated with the new issues that are arising. Decreased productive sleep, increased incidences of delirium, and constant overstimulation can cause patients and families to feel like recovery is unattainable. Nursing workflow is becoming dysfunctional, …

Understanding Type 2 Diabetes Mellitus Among Haitian American Women: A Cultural Perspective, Balkys L. Bivins, Indra R Hershorin, Lonar M. Umadhay

Faculty Articles

The prevalence of type 2 diabetes mellitus (T2DM) is 19.7% in Haiti (DeGennaro et al., 2018). Haitian American women (HAW) experience difficulties with adherence to T2DM treatment and management (Bivins, 2016; Magny-Normilus et al., 2019; Vimalananda et al., 2011; Huffman et al., 2013); however, no previous study was found that focused exclusively on Haitian American women with T2DM. Van Manen's six research activities guided this phenomenological qualitative inquiry. Recruitment included 25 Haitian American women (N = 25) with T2DM from three South Florida counties. Data were collected using a vignette and audio-recorded semi-structured interviews with open-ended questions. Recordings were then …

Psychometric Properties Of The College Athlete Psychological Screening Tool: Validation Of The Depression And Anxiety Subscales, Joseph C. Case

Dissertations

The aim of the present study was to gain a better understanding of the descriptive psychometric properties of the College Athlete Psychological Screening (CAPS) measure. The CAPS is a newly developed assessment screening measure designed to assess 14 common problem areas for college athletes. For the present investigation, 395 participants completed the 108-item CAPS measure. To establish criterion validity, participants also completed the Beck Depression Inventory (BDI) and the Beck Anxiety Inventory (BAI). The present study had three research questions. Question one discussed the descriptive psychodynamic properties (Cronbach’s alpha, means, and standard deviations) of the 14 CAPS subscales. Question two …

Family Presence During Resuscitation: Nurses’ Perceptions Of Their Self-Confidence., Jessica Duffy

Doctor of Nursing Practice Papers

Family presence during resuscitation (FPDR) remains a controversial topic among healthcare providers. Nurses’ lack of self-confidence has repeatedly been identified as one of the barriers as to why families are not being offered the option to be present during resuscitation of their loved ones. The purpose of this quality improvement project is (1) to explore whether nurses’ selfconfidence perception when experiencing FPDR is greater after an educational intervention; and (2) to further explore nurses’ perceived benefits and risks related to FPDR. This prospective project gained a baseline knowledge of the perception of self-confidence, benefits, and risks in regard to FPDR …

Improving Patient Safety: Implementing The Chiulli, Thompson, & Reguin-Hartman Acuity Tool (Ctrat) On A Neuroscience Unit., Niah Gilmore

Doctor of Nursing Practice Papers

Background: Nurse satisfaction is important to maintain in healthcare facilities across to the nation to ensure quality patient care is provided. The aim of this study was to implement the use of the CTRAT acuity tool for nurses’ patient-assignment to improve satisfaction with patient assignments, decrease turnover, and improve quality of patient care. This project was set in a 24-bed neuroscience unit in an urban hospital. Participants included registered nurses. Methods: Spradley’s theory of change was used to guide implementation of this project. Baseline data was obtained prior to implementation of the CTRAT tool and post implementation of CTRAT. Intervention: …

The Impact Of Education And Resources On Postpartum Depression Screening And Referral In Pediatric Primary Care., Shannon Williams

Doctor of Nursing Practice Papers

Background: Postpartum depression (PPD) is recognized as one of the most common complications following childbirth. Despite evidence-based recommendations to screen for postpartum depression in pediatric primary care, screening rates during well-child visits remain at less than 50%. Pediatric providers have consistently identified barriers to screening mothers for PPD. Methods: A multifaceted educational intervention was implemented that focused on screening for PPD during well-child visits and oriented providers to resources and a local referral process for mothers who screened positive. A pretest-posttest design was used to measure provider knowledge, confidence, and awareness in screening, utilizing available resources and a local referral …

Feasibility Of Implementation Of An Evidence-Based Trained Service Dog Provider Assessment Guide., Cassandra Lee

Doctor of Nursing Practice Papers

American healthcare is costing more, and patients are living with more complex chronic conditions. For many, alternative therapies such as trained service dogs provide a valuable complement to standard treatments. Many providers are unaware of the role a service dog can play in healthcare outside of visual impairment, as well as contraindications and concerns their use may bring. The use of service dogs is still considered by some to be complementary and alternative medicine (CAM) since it is not a part of usual medical practice and is not commonly taught within conventional medical education. The purpose of this project was …

2020-07-01_Michiganoverview_Covidlongtermcare, Michigan Department Of Health & Human Services

Michigan COVID-19 Long Term Care Data

The COVID Long Term Care Facilities page was obtained from Michigan's COVID-19 data page: https://www.michigan.gov/coronavirus/0,9753,7-406-98163_98173-526911--,00.html.

This report is created by the Michigan Department of Health & Human Services from data self-reported by long-term care facilities into EMResource. Data is updated on an ongoing basis.

The data below represents a cumulative total of confirmed COVID-19 resident cases, cumulative total of suspected and confirmed resident deaths, cumulative total of confirmed COVID-19 staff cases, and cumulative total of suspected and confirmed staff deaths reported by SNFs in Michigan since January 1, 2020. Case numbers are provisional and may change as facilities correct …

2020-07-01_Michiganoverview_Covidsymptoms, Michigan Department Of Health & Human Services

Michigan COVID-19 Syndromic Surveillance System Data

The Syndromic Surveillance System Data report was obtained from Michigan's COVID-19 dashboard, from under the link "​Coronavirus Symptoms": https://www.michigan.gov/coronavirus. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated daily.

Syndromic Surveillance System data is obtained from approximately 183 facilities participating in syndromic surveillance (132 Emergency Departments (ED), 51 Urgent Cares) across the State of Michigan. The reporting is based on individuals who present at EDs and may not be representative of the overall population. The coronavirus-like symptoms query searches visit free-text (chief complaint, triage notes, and clinical impression) for fever or …

Comparison Of Sars-Cov-2 To Sars-Cov, Mers, And Influenza A: A Systematic Review, Debbie Calabrese

Health Informatics Student Papers and Projects

Differences and similarities are examined among SARS-CoV-2, SARS-CoV-1, MERS and influenza A, in the context of transmissibility. Characteristics specific to the respective pathogens prove invaluable as they set the stage for intervention and management. SARS-CoV-2 bears similarities to other recently emerged infectious diseases in basic virologic ways, yet is distinctly different in terms of viral transmission dynamics. These differences arise from genomic qualities and properties specific to the virus. As ACE2 receptors are determinants for attachment and spread of the virus, and their role throughout tissues in the body is vast, an understanding of organ-level pathogenesis of SARS-CoV-2 is crucial …

Forecasting Covid-19 Pandemic In Multiple Countries Using Machine Learning (Issue 15, 1 July 2020), Leila Ismail, Huned Materwala, Sherzod Turaev, Shaikhah Alhmoudi

Covid19 Newsletters

No abstract provided.

Twenty Year Economic Impacts Of Deworming, Joan Hamory, Michael Kremer, Edward Miguel, Sarah J. Baird, Michael W. Walker

Global Health Faculty Publications

No abstract provided.

Return To Work Guidelines, The Coronavirus Planning Team

University Briefings & Virtual Events

"Return to Work" employee transition timeline, guidelines and requirements.

Perspectives, Summer/Fall 2020, Volume 8, Number 2, Nova Southeastern University

Perspectives

No abstract provided.

Open Public Health Data Discovery: Start With Re3data.Org, Charles J. Greenberg, Sangeeta Narang

Libraries Scholarship

Background: Open public health data consists of organized online data repositories assembled during or after public health investigations. There are enormous quantities of organized public health repository data emerging in a variety of academic, government, or non-commercial discipline or subject repositories. A new registry of research data repositories, re3data.org, has the potential to improve the identification, access, and reuse of public health data, as well as promote best practices of data preservation and management. The intention of this investigation is to provide an introduction to effective use re3data.org for access to shared open public health data.

Description: The authors examined …