Medicine and Health Sciences Commons^™

Oh My Stomach: Constipation Management, Zoë Collette

Cohort VIII

Introduction: The purpose of this quality improvement project, as an adult gerontology/acute care nurse practitioner (AGACNP) working in a mental health hospital, was to provide the best intervention for those who are suffering from constipation. Previously, I was treating patients with Colace 100 mg Po BID, and now, various literature reviews proved that polyethylene glycol 3500 (PEG 3500) was a more effective treatment option. The goal of the PEG treatment was to help with the ease of a bowel movement within 24-48 hours. The project was conducted at Behavioral Hospital of Bellaire, a mental health hospital in Houston, Texas. A …

But I Have Pain Now, Stefanie Mcfelt-Williams

Cohort VIII

Pain is described as an unpleasant sensation that can be experienced differently by each individual. Pain can be acute, lasting less than 3 months, or chronic, lasting greater than 6 months. Opioids have traditionally been recommended as a routine method to treat pain. In the United States, we have an epidemic of opioid overuse and deaths. According to Lin et al. (2019), veterans are at a higher risk of opioid overdose than the general public. One alterative way to manage pain is battlefield acupuncture (BFA). The BFA protocol used in the Veterans Administration (VA) and the Department of Defense (DOD) …

Diagnosis And Treatment Of Uti At Gateway Internal Medicine, Kathra Wickam

Cohort VIII

The project is a quality improvement (QI) initiative with a target population concentrated on adult women, between 18 and 99 years of age, presenting with symptoms of urinary tract infection (UTI). The symptoms are often nonspecific, and dipstick urinalysis lacks adequate specificity; empiric treatment leads to substantial antibiotic exposure that ultimately proves unnecessary. The completion of this QI project came about after a ten-day reflective practice, during which I identified a UTI diagnosis and treatment problem in women at Gateway Internal Medicine in El Paso, Texas. The QI project is aimed at reducing inappropriate outpatient antibiotic use and UTI recurrence …

Blood Pressure Self-Monitoring As A Guide To Disease Management, Monnie Adereti

Cohort VIII

Background: Blood pressure is the force exerted by circulating blood against the walls of the arteries. Blood pressure is written as two numbers. The first (systolic) number represents the pressure in blood vessels when the heart contracts or beats. The second (diastolic) number represents the pressure in the vessels when the heart rests between beats. Hypertension is a medical condition that results from having blood pressure that is too high, and it is often referred to as a "silent killer." Most people with hypertension are unaware of the problem because it may have no warning signs or symptoms. When symptoms …

I Can See Clearly Now With Ultrasound, Freddie Caldwell

Cohort VIII

Pregnant women in active labor are presenting to Labor and Delivery units with increased risk factors for placement of labor epidurals for pain management. Anesthesia providers are challenged with providing a safer alternative to the traditional labor epidural placement process. Evidence shows that providers of anesthesia care can have safer outcomes for patients when they place lumbar epidurals with the use of pre-procedure ultrasound assistance. The population affected in this quality improvement (QI) project was pregnant women ages 22 to 35 years of age in active labor and admitted to William Beaumont Army Medical Center’s (WBAMC) labor and delivery unit. …

Chlamydia And Gonorrhea Health Care Initiative, Brenda S. Nuñez

Cohort VIII

Chlamydial and gonococcal infections are common sexually transmitted diseases (STD) which are increasing each year in the 15-24 years age group. The quality improvement (QI) project aimed to meet clinical guideline recommendations and improve STD screening in this specific age group. The inclusion criteria for this QI project were: asymptomatic sexually active adolescents aged 15-19 years who were tested for chlamydia and gonorrhea during their wellexam visit. The exclusion criteria were pregnancy, patients with recent history of STD, and those undergoing treatment for STD. The Johns Hopkins Nursing Evidence Based Practice Model was used to facilitate the translation of evidence-based …

Deficiency Of Complement Component C1q Prevents Cerebrovascular Damage And White Matter Loss In A Mouse Model Of Chronic Obesity., Leah C Graham, Heidi E Kocalis, Ileana Soto Reyes, Gareth R Howell

College of Science & Mathematics Departmental Research

Age-related cognitive decline and many dementias involve complex interactions of both genetic and environmental risk factors. Recent evidence has demonstrated a strong association of obesity with the development of dementia. Furthermore, white matter damage is found in obese subjects and mouse models of obesity. Here, we found that components of the complement cascade, including complement component 1qa (C1QA) and C3 are increased in the brain of Western diet (WD)-fed obese mice, particularly in white matter regions. To functionally test the role of the complement cascade in obesity-induced brain pathology, female and male mice deficient in C1QA, an essential molecule in …

Messer, Braden - Covid-19 Journal, Braden Messer

Personal Journals

EIU student Braden Messer recounts the transition from Spring Break to online classes. He talks of quarantine life at home, and his stepmother's role as an attorney working with forced quarantine orders.

Zamora, Celeste - Covid-19 Journal, Celeste Zamora

Personal Journals

EIU student Celeste Zamora recounts life while quarantining in Charleston, IL while maintaining her studies and also working at a local hotel. She details Covid policies as they develop, including hotel practices such as the constant wearing of gloves, putting in place a new glass window, and no admittance of out of state people.

Osborne, Ethan - Covid-19 Journal, Ethan Osborne

Personal Journals

EIU student Ethan Osborne recounts in detail the experience and frustration of living at home and working on his family farm in the early months of the pandemic, March-May 2020. He also details his observations of and feelings about the news coverage of the pandemic as well as the disregard (particularly by young people) for shelter in place mandates.

Klepzig, Logan - Covid-19 Journal, Logan Klepzig

Personal Journals

EIU student Logan Klepzig documents travel from Charleston, IL to Mohomet, IL (approximately 1 hour) to deliver groceries to, and visit his grandparents. He also describes the difficulty of not being able to celebrate birthdays, and see family. His journal also includes a number of links to regional and national news stories from the months of March and April of 2020, as well as images documenting pandemic restrictions around the EIU campus.

Mchale, Marguerite - Covid-19 Journal, Marguerite Mchale

Personal Journals

Marguerite McHale, and EIU student in Professor Mark Dries' HIS 1595 class maintains an upbeat journal documenting the challenges of the pandemic. Of particular note, she describes the growing divide between those supportive of the social distancing and masking initiatives, as well as the impact on high school students who she maintains friendships with as one who graduated a year early from high school. She includes a number of pieces of high school student commentary as well as memes related to the pandemic, and links to news stories. She also describes her home life, and finding ways to keep busy …

Drake, Benjamin - Covid-19 Journal, Benjamin Drake

Personal Journals

EIU student Benjamin Drake (freshman at the time of his journal writing in Spring, 2020), and History of Illinois (HIS 3810) student, reflects on the early months of the pandemic. He discusses the frustrations of the disruption of social life, not being on campus with friends, and also experiences with activities like playing virtual Dungeons and Dragons.

Spencer, Julia - Covid-19 Journal, Julia Spencer

Personal Journals

EIU student Julia Spencer describes the challenges adjusting to the new normal of the pandemic as it sets in. In particular she writes about struggles staying motivated to keep up with her studies, and the oddity of having classes on zoom. Her experience is compounded by health scares involving her mother and a friend.

Klein, Will - Covid-19 Journal, Will Klein

Personal Journals

EIU student and baseball player (drafted by the Kansas City Royals in the 5th round of the 2020 draft) documents the upheaval of life in Charleston and at EIU in the early weeks of the pandemic. In particular he describes the distress of day he found out about the cancellation of the baseball season, while the EIU baseball team was travelling.

Ultrastructural Visualization Of 3d Chromatin Folding Using Volume Electron Microscopy And Dna In Situ Hybridization., Paweł Trzaskoma, Błażej Ruszczycki, Byoungkoo Lee, Katarzyna K Pels, Katarzyna Krawczyk, Grzegorz Bokota, Andrzej A Szczepankiewicz, Jesse Aaron, Agnieszka Walczak, Małgorzata A Śliwińska, Adriana Magalska, Michal Kadlof, Artur Wolny, Zofia Parteka, Sebastian Arabasz, Magdalena Kiss-Arabasz, Dariusz Plewczyński, Yijun Ruan, Grzegorz M Wilczyński

Faculty Research 2020

The human genome is extensively folded into 3-dimensional organization. However, the detailed 3D chromatin folding structures have not been fully visualized due to the lack of robust and ultra-resolution imaging capability. Here, we report the development of an electron microscopy method that combines serial block-face scanning electron microscopy with in situ hybridization (3D-EMISH) to visualize 3D chromatin folding at targeted genomic regions with ultra-resolution (5 × 5 × 30 nm in xyz dimensions) that is superior to the current super-resolution by fluorescence light microscopy. We apply 3D-EMISH to human lymphoblastoid cells at a 1.7 Mb segment of the genome and …

An Investigation Of Treatments For The Prevention Of Metabolic Complications For Women Suffering From Polycystic Ovarian Syndrome: Diet, Exercise, Weight Reduction And Herbal Remedies, Brenda Martinez-Puente

Nursing | Senior Theses

The purpose of this research study is to compare the views of traditional versus alternative treatments available to women with Polycystic Ovarian Syndrome (PCOS) suffering from metabolic complications. Alternative treatments include diet, exercise, herbal remedies, or any combination of the three. Pharmacological interventions for the conditions associated with PCOS such as metformin, used to control glucose levels, and clomiphene, used to treat infertility. Through the literature review, articles show herbs and plant products to have similar mechanisms of actions as the pharmacological interventions, but with less side effects. For example, cinnamon was shown to increase insulin sensitivity and pomegranate juice …

2020-05-01_Michiganoverview_Covidstats, Michigan Department Of Health & Human Services

Cumulative Michigan COVID-19 Data

The COVID Overview page was obtained from Michigan's main COVID-19 page: https:/www.michigan.gov/coronavirus/0,9753,7-406-98163-520743--,00.html. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated daily at 3p.m., with COVID-19 results included as of 10 a.m.

Note on cumulative counts: This report is provisional and subject to change. As public health investigations of individual cases continue, there will be corrections to the status and details of referred cases that result in changes to this report.
Note on the deaths: Deaths must be reported by health care providers, medical examiners/coroners, and recorded by local health departments …

2020-05-01_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.

MDHHS has established a regional hub strategy to assist in reducing the spread of COVID-19 within nursing facilities. COVID-19 Regional Hubs have established units dedicated to treating COVID-19-affected individuals and have established appropriate staffing levels and protocols to support this level of care.
These case counts reflect current cases of COVID-19 among facility residents reported …

Tri-State Mining District, Ecological System, And Human Health: Systematic Literature Review Analysis, Jihyun Jane Min

Posters

Objective: Although extensive research exists on corrosive environments in the Tri-State Mining District (TSMD), there has been a lack of research on how such harmful effects in the TSMD could affect residents living in those areas. However, quite recently, such research regarding relationships between the health conditions of low-income residents and toxic elements in TSDM began to grow. Therefore, the increase of empirical studies means greater complexity of the findings that require a more intricate understanding.

Methods: To meet the necessity of the study, this research was conducted by an extensive systematic review of the literature on the harmful effects …

Crisis Communication And Executive Leadership: Ethical Shortcomings In Government, Daniel Davidoff

School of Professional Studies

This research thesis project is an analysis of how and why governments fail in their attempts at crisis communication. The hypotheses tested are: there exists a negative correlation between unethical leadership and successful crisis communication practices. And governments are more likely to experience these failures due to ethical disconnects in modern politics. Research includes a review of relevant academic literature regarding crisis communication theory, as well as the ethical framework that can be applied to that theory. Cases considered are Hurricane Katrina, the choking death of Eric Garner, and the COVID-19 global pandemic. The research project concludes with a recommendation …

Becoming A Trauma Informed Care Organization, Katie Robery

School of Professional Studies

The Brockton Area Mutli Services Inc or BAMSI is a private, non-profit human services organization providing services to adults and children with developmental disabilities, mental illness, behavioral health, and public health needs. Founded in 1975, BAMSI is in the business of “bringing people and services together.” BAMSI transforms lives by building the capacity of individuals, families, organizations, and communities to learn, thrive, and achieve their goals. BAMSI services promote the recovery, resiliency, and self-determination of the people we serve. As a human services leader, we strive to be the provider of choice. (Duffy, 2019) With an emphasis on respect and …

Grit And Perceived Stressors As Predictors Of Academic Success In First And Second Year Doctor Of Physical Therapy Students, Abigail Thomas, Jamal Ibnelhaj

Physical Therapy Scholarly Projects

Background and Purpose: The purpose of this longitudinal study was to identify any correlations between grit scores, perceived stress levels, academic success (GPA), and demographics (age) among doctor of physical therapy (DPT) students at the University of North Dakota (UND). Grit was assessed using the 12 item Grit scale (Grit-O) from Angela Duckworth. Perceived stress was assessed using the IO item perceived stress scale (PSS).

Methods: The Grit-O and PSS scales were distributed to first year DPT students at UND by the primary investigator. 154 students consented to participate in the study, 102 first year students and 52 second year …

Cyp2d6 Enzyme Polymorphisms And Their Effect On Opiate Metabolism, Blair Camille Runde

Physician Assistant Scholarly Project Papers

The purpose of this research and systematic literature review is to determine if pharmacogenetic testing for the CYP2D6 enzyme responsible for the metabolism of several opiates leads to differences in serum levels, side effects, and treatment outcomes for patients with acute or chronic pain. In this review, the Pubmed and Embase databases were searched from January 1, 2014, to November 1, 2019. Exclusion criteria included studies published before 2014 and those not peerreviewed. For this review, 11 studies were included with designs such as prospective and retrospective cohorts, randomized control trials, systematic reviews, and meta-analyses. Much of the presented research …

The Effect Of Attentional Focus Instructions On Single Leg Balance Performance 2020., Cory Monahan

Master's Theses

Balance and postural control exercises are often a part of exercise programs. During exercise programs, movement practitioners can provide instructions to facilitate performance and learning. Instructions can be used to direct attentional focus, which has been found to affect the performance and learning of motor skills, including balance and postural control tasks. However, no known studies to date have investigated the effect of both internal and external attentional focus instructions on static single leg balance performance. The purpose of this study was to investigate the effect of attentional focus instructions on static single leg balance performance as reflected by the …

Physical Therapy And Music Therapy Collaboration For The Treatment Of Chronic Stroke: A Case Study, Jamie Ronning, Kayla Smith

Physical Therapy Scholarly Projects

Background and purpose: Stroke is one of the leading causes of death and disability in the United States. Following a stroke, individuals may suffer from a number of severe and lasting adverse effects. Although there is current research to support the use of physical therapy (PT) and music therapy (MT) individually during stroke rehabilitation, few studies have examined collaboration of these two disciplines. The purpose of this case study was to evaluate the effectiveness of combined PT and MT interventions for strength, balance, gait, and functional activity in an adult with chronic stroke.

Case description: The client is a 51-year-old …

Electromyographic Activity Of Hip Abductor Muscle During Jumping And Landing: Pilot Study, Chloe Coleman, Jairica Christjohn, Ryan Keller, Carly Jo Schroer

Physical Therapy Scholarly Projects

Background and Purpose: The purpose of this study was to see if there is a difference in the electromyographic (EMG) activity in the hip abductor muscles (right gluteus medius) with regard to knee valgus in free standing vertical jump and landing. Both male and female participants were analyzed.

Methods: Six subjects (2 male, 4 female) in good physical condition with no previous knee pathologies participated in the experiment. EMG activity was recorded using a Noraxon TeleMyo DTS telemetry unit with a sampling rate of 1 kHz. The EMG data for the gluteus medius muscle activity and knee valgus was recorded …

Electromyographic Analysis Of Muscle Activity Of Serratus Anterior Muscle: Pilot Study, Shelby Fruechte, Shenae Lacroix, Tyler Trumble

Physical Therapy Scholarly Projects

Introduction. The purpose of this study is to record electrical activity (electromyographic or EMG) from the serratus anterior during three different commonly applied methods to determine which method produces the most EMG activity.

Methods. Eleven male subjects voluntarily participated in the experiment. All of the subjects were healthy, active college students with no prior history of shoulder or scapular injuries. EMG was tested on right serratus anterior parallel to muscle fibers. MVC was taken in 3 different testing positions to compare EMG during a push up with a plus.

Outcomes. There were significant findings following the tests and data analysis. …

The Evil Twin: The Case Of Heterotopic Pregnancy, Rashmi Jadhav, Vegas Brown, Gabriel Cabrera

West Florida Division GME Research Day 2020

• Heterotopic pregnancy occurs in about 1 in 30,000 naturally conceived pregnancies (5). The risk rises 1-3% for pregnancies occurring through assisted reproductive technologies (ART) (1).
• Isolated ectopic pregnancy affects an average of 1 in every 150 live births (1).
• A known pre-existing intrauterine pregnancy (IUP) can be falsely reassuring and delay the diagnosis of a potentially life-threatening concurrent ectopic pregnancy.
• Presentation is vague and 45% of patients have no symptoms (5).
• Differential Diagnoses: endometritis, incomplete miscarriage, ruptured ovarian cyst, non-GYN cause (ie: appendicitis or UTI).
• Risk Factors: Infertility treatment, in vitro fertilization (IVF), prior ectopic, prior tubal surgery, use of …

An Atypical Presentation Of Neuroleptic Malignant Syndrome, Rudy Forte, Shiwani Kamath, Debra Angelo, Johnathan Frunzi

West Florida Division GME Research Day 2020

Neuroleptic Malignant Syndrome (NMS) is a rare, but potentially life threatening condition associated with dopamine blockade, particularly first-generation antipsychotics. The complex pathophysiology of NMS remains somewhat unclear and debatable as the symptoms are not fully explained by dopamine blockade alone.¹ D2 dopamine receptor antagonism remains responsible for most cases of NMS, however a few cases have been reported in which little to no D2 blockade activity was present.¹

This poster is about an atypical presentation of NMS.