Medicine and Health Sciences Commons^™

Causes And Risk Factors Of Hospitalization Among Under-Five Children In Kassala, Eastern Sudan, Ahmed A. Hassan, Zainab Taha, Mohammed A. Abdulla, Abdelaziem A. Ali, Ishag Adam

All Works

© 2020 Ahmed A. Hassan, Zainab Taha, Mohammed A. Abdulla, AbdelAziem A. Ali, Ishag Adam. BACKGROUND: According to the World Health Organization estimation, African Region deaths of all under-five deaths in 2015 were over 5 times higher in comparison to the European Region. AIM: The study aimed to estimate the prevalence, investigate the possible causes and risk factors associated with under-five children’s hospitalization in Kassala, Eastern Sudan. METHODS: A community-based cross-sectional study was conducted from December 2015 to March 2016. The data were collected by interviewing mothers. RESULTS: A total of 297 mother-child pairs participated in the study. The mean …

Evaluating The Effectiveness Of Online Educational Modules And Interactive Workshops In Alleviating Symptoms Of Mild To Moderate Depression: A Pilot Trial, Luis A. Murillo, Emily Follo, Julienne Balestrier, April Smith, Deborah L. Bevvino

Reading Hospital Family Medicine Residency

Introduction: Depression is a common health concern in primary care with barriers to treatment well documented in the literature. Innovative online psychoeducational approaches to address barriers to care have been well received and can be cost effective. This pilot trial evaluated the effectiveness of an online psychoeducation curriculum intended to alleviate symptoms of depression while utilizing minimal staff resources. Methods: A small (n=29) randomized control pilot study was conducted. Online psychoeducational content was delivered in 5 to 10-minute videos over 8weeks. Participants engaged in moderated discussions on workshop topics. The Patient Health Care Questionnaire (PHQ-9) was used to measure pre/ …

Nursing Annual Report 2019, Children's Mercy Hospital

Nursing Annual Reports

Annual report for nursing services at Children's Mercy Kansas City.

Hearing And Cognitive Impairments Increase The Risk Of Long-Term Care Admissions, Nicole Williams, Natalie Phillips, Walter Wittich, Jennifer C. Campos, Paul Mick, Joseph B. Orange, M Kathleen Pichora-Fuller, Marie Savundranayagam, Dawn M. Guthrie

Kinesiology and Physical Education Faculty Publications

Background and Objectives: The objective of the study was to understand how sensory impairments, alone or in combination with cognitive impairment (CI), relate to long-term care (LTC) admissions. Research Design and Methods: This retrospective cohort study used existing information from two interRAI assessments; the Resident Assessment Instrument for Home Care (RAI-HC) and the Minimum Data Set 2.0 (MDS 2.0), which were linked at the individual level for 371,696 unique individuals aged 65+ years. The exposure variables of interest included hearing impairment (HI), vision impairment (VI) and dual sensory impairment (DSI) ascertained at participants’ most recent RAI-HC assessment. The main outcome …

Development And Validation Of A Prognostic Survival Model For Cancer Patients That Includes Patient Reported Outcomes., Hsien Seow, Peter Tanuseputro, Lisa Barbera, Craig Earle, Dawn M. Guthrie, Sarina Isenberg, Rosalyn Juergens, Melissa Brouwers, Jeff Myers, Rinku Sutradhar

Kinesiology and Physical Education Faculty Publications

Importance Existing prognostic cancer tools include biological and laboratory variables. However, patients often do not know this information, preventing them from using the tools and understanding their prognosis.

Objective To develop and validate a prognostic survival model for all cancer types that incorporates information on symptoms and performance status over time.

Design, Setting, and Participants This is a retrospective, population-based, prognostic study of data from patients diagnosed with cancer from January 1, 2008, to December 31, 2015, in Ontario, Canada. Patients were randomly selected for model derivation (60%) and validation (40%). The derivation cohort was used to develop a multivariable …

Community Outreach And Education Project: Hepatitis A And B Vaccines In High Risk Populations, Ellen Wright

Master of Science in Nursing Theses and Projects

The Community Outreach and Education Project targets high risk groups within Gaston County to increase education and vaccination against Hepatitis to, in turn, lower countywide Hepatitis rates. Through implementation of the project, Gaston County Department of Health and Human Services-Public Health (GCDHHS-PH) will partner with Community sponsors to gain access to their high-risk clients. Sponsors will be educated on the impact of prompt intervention in slowing the spread of hepatitis throughout high risk groups. Once an agreement is made between GCDHHS-PH and Community sponsors, GCDHHS-PH will present to participating facilities and begin screening, educating, and vaccinating high-risk individuals.

Single- And Dual-Energy Ct: A Comparison, Emilee Bixler

Student Research Poster Presentations 2020

This research offers a comparison of two types of computed tomography (CT) configurations by exploring each scanner type and the accompanying image specifications, protocols, radiation doses, geometric aspects, and photographic aspects of the resulting images. The comparison aimed to determine if single-energy CT (SECT) or dual-energy CT (DECT) had any clear advantages over the other scanner type. Several studies in the research resulted in DECT displaying a decrease in dose without compromising contrast-to-noise ratio (CNR). The studies in this research also showed DECT had a superior ability of decreasing iodine by 70% concentration dose while obtaining the same image quality …

Evidence Based Practice Positively Affects The Delivery Of Nursing Care, Miranda Lee

Student Research Poster Presentations 2020

No abstract provided.

Breast Density Awareness, Alyssa Acker

Student Research Poster Presentations 2020

Breast density refers to the amount of fibrous and glandular tissue in comparison to fatty tissue demonstrated on a mammogram. A woman’s breast density is significant because as the density of the tissue increases, the woman’s risk for developing breast cancer increases and the more challenging for microcalcifications or lesions to be seen on mammography images. The Mammography Quality Standards Act, requires radiologists or imaging facilities to send each patient a written summary of their mammogram report and communicate to the patient if their results suggest further imaging. In addition to this requirement, 38 states that have passed a Breast …

The Use Of Cyberknife Stereotactic Body Radiation Therapy In Treating Hepatocellular Carcinoma, Alexis Baddick

Student Research Poster Presentations 2020

Radiation therapy is an ever-changing field, making it easier and safer to treat a broader range of cancers. With the advancement of the CyberKnife System, we can now investigate how effective stereotactic body radiation therapy (SBRT) treatments are in terms of treating hepatocellular carcinoma (HCC) patients. HCC is the most common liver cancer as well as one of the most prominent cancer-related deaths in the world. Several studies indicated that, previously, treating HCC with ionizing radiation was not an effective option due to the liver’s sensitivity to radiation, among other factors. After conducting research and examining nine different sources, there …

The Sonographic Progression Of Non-Alcoholic Fatty Liver Disease Into Non-Alcoholic Cirrhosis Of The Liver, Giana Tondora

Student Research Poster Presentations 2020

Cirrhosis is quickly becoming a prevalent disease in the United States alone and affects 1 in every 400 Americans. Cirrhosis occurs when the liver's fibrous bands are no longer fibrous in response to the liver being scarred and no longer being able to filter toxins from the blood. Ultrasound is a key tool along with blood tests that allows cirrhosis to definitively be detected and diagnosed in patients. Cirrhosis can be either non-alcoholic or alcoholic depending on the patient’s history and there are distinct differences in appearance of the liver sonographically as well as symptoms and treatment of this disease …

The Managemed Screening As A Tool For Discharge Planning, Manpreet Nijjar

OT Student Capstones

The ManageMed Screen was used as a tool for discharge planning from a post-acute rehab setting to reduce readmission rates. The goal was to identify barriers to medication adherence. Medication adherence is best explained as the extent to which patients follow the given instructions for prescribed medication.

The Fostering Healthy Parents Program: A Specialized Program Developed For The Foster Care Community, Kelly Cregar

OT Student Capstones

Foster children and their caregivers are underrepresented and overlooked in many aspects of their care. Lack of resources and services leave them in the dark, both financially and medically, resulting in around a 50% guardian retention rate (National Council for Adoption, 2018). Constantly being uprooted and either placed in a new home or a group home, foster children rarely achieve a feeling of belonging, leading to a plethora of health problems (Fawley-King, Trask, Zhang, & Aarons, 2017). Occupational therapists have the potential to develop programs that encourage development and progression in this demographic, as well as programs that allow for …

The Perceived Benefits Of Counseling Provided To First Responders Through The Officer Craig Tiger Act, Matthew Wittwer

OT Student Capstones

Importance: Responding to traumatic incidents can cause negative effects on first responders mental and physical health. In 2018, Arizona passed the Officer Craig Tiger Act requiring state funded departments and agencies to provide sworn firefighters and police officers with 36 licensed counseling visits following a traumatic event. Objective: This cross-sectional study looks at the perceived benefits of the Act through the perspective of the first responders. Methods: A survey was completed by 65 first responders. The survey included the Quality of Life Scale (QOLS), the PTSD Checklist for DSM-5 (PCL-5), the Perceived Stress Scale (PSS), and a questioner to gather …

Neuropsychological Test Performance In Individuals With Persistent Post-Concussion Symptoms: A Data-Driven Method To Conceptualize Ot Cognitive Rehabilitation Toward Return-To-Work, Naomi Melendez

OT Student Capstones

Cognitive deficits, secondary to concussion, can impact return to work; people may be held from work due to symptoms. Common difficulties include trouble learning new tasks, or needing more time to perform job tasks. In 10-20% of cases, symptoms can persist for months, and are more likely to persist one year post-injury. Studies have examined cognitive performance after concussion with mixed results, warranting further research in cognitive deficits and cognitive rehabilitation. The OT scope of practice is inclusive of rehabilitation at the physical, cognitive, and affective domains; however, concussion cognitive rehabilitation services are under-represented in literature.

The purpose of this …

Writing Intensive Project In The Dietetic Program, Dorothy Chen-Maynard

Q2S Enhancing Pedagogy

As a member of Faculty Learning Community Writing Intensive Project, we developed a project for the course that allow students to write where instructor provides a scaffolding process for students to write a review manuscript for a professional journal.

Registered Nurse Perception Of Physician Assistants, Erin Renee Alpers, Linda Charles, Kaitlyn Mellesmoen

All Electronic Theses and Dissertations

The physician assistant (PA) profession is a relatively new and ever-growing field within healthcare. PAs serve patients in many different specialties alongside a wide variety of other members of healthcare teams. With the exponential growth of the PA profession the understanding of the role they provide is essential to other healthcare workers. Since the emergence of the PA there has been one study on the relationship between Registered Nurses (RNs) and PAs, and this occurred over thirty years ago. An understanding between team members continues to be key to promoting effective care of patients in healthcare teams. Therefore, the study …

Adolescents & Long Acting Reversible Contraception, Nicole Elizabeth Amstutz, Jessica Kesterson

All Electronic Theses and Dissertations

Background/Purpose: The purpose of this literature appraisal is to assess adolescent access to long-acting reversible contraception (LARCs). Theoretical Framework: The Health Belief Model (HBM) helps describe the psychological and behavioral underpinnings of how one cares for one’s health. The HBM can be applied to how adolescents perceive the risks associated with unprotected intercourse compared to the perceived benefits of LARC usage. The HBM considers the benefits, barriers, risk of susceptibility, risk severity, self-efficacy, and cues to the action of adopting positive health interventions in one’s life (Jones et al., 2016). Methods: Twenty-four relevant articles from the literature were appraised. Results/Findings: …

A Community Service Project: Creating Awareness Of Chronic Malnutrition In Guatemalan Children, Mallory A. Beswick, Bree A. Blanchette, Brooke L. Elvehjem

All Electronic Theses and Dissertations

Guatemala City is home to one of Central America’s largest garbage dumps. Many individuals living in Guatemala City scavenge the dump for recyclables and other goods, that they can then sell for income. Family earnings vary greatly on a daily basis and can range anywhere from approximately $2.00 to $6.00. Since family income is very low and often unpredictable, many families living in the area struggle to supply not only a sufficient amount of food for their children, but also nutritious food needed for proper growth and development. As a result, many children in Guatemala face chronic malnutrition. Transforming Futures, …

Addictions Following Bariatric Surgery: A Critial Review Of The Literature, Anna Hansene Bjork

All Electronic Theses and Dissertations

Background: Bariatric surgery has become increasingly common for the treatment of obesity. Research and education are needed to identify and study potential post-surgical risks including alcohol use disorders and other physiological and psychological comorbidities. Purpose: The purpose of this critical review of the literature was to study and identify addiction after bariatric surgery, specifically alcohol use disorder. Theoretical/Conceptual Framework: Rosenstock’s Health Belief Model (1988) was used to correlate theory and addiction. In particular, how health beliefs differ between patients, and their perception of addiction. This allows nurses to apply strategies that influence or educate patients on making healthy lifestyle changes. …

Supporting Physiologic Labor: Effects Of Hydrotherapy On Labor Outcomes, Ashley Y. Blaine

All Electronic Theses and Dissertations

Background/Purpose: The purpose of this literature analysis was to identify the effects of hydrotherapy use in the first stage of labor. Although hydrotherapy has been well-studied and its benefits well documented, it is use in labor still remains under-utilized in the United States. There has been a recent rise in medical intervention in labor and a coinciding rising cesarean section rate. In an effort to promote physiologic labor, both the American College of Obstetricians and Gynecologists (ACOG) and the American College of Nurse-Midwives (ACNM) have issued statements supporting hydrotherapy use during labor. Theoretical Framework: Katherine Kolcaba’s Theory of Comfort provides …

Neonatal Abstinence Syndrome (Nas) In Neonatal Intensive Care: Breastfeeding May Be Beneficial For Decreasing Nas Severity For Infants, Julie A. Chandler

All Electronic Theses and Dissertations

Background: Neonatal abstinence syndrome (NAS) is defined as hyperactivity of the central and autonomic nervous symptoms in infants from intrauterine exposure to drugs of addiction. There is variability in how NAS is managed in the neonatal intensive care unit (NICU) for infants with NAS, more research should be conducted to discover how breastfeeding may benefit NAS infants in the NICU. Purpose: The purpose of this critical review of the literature is to determine whether neonatal abstinence symptoms of infants diagnosed with neonatal abstinence syndrome (NAS) in the neonatal intensive care (NICU) differed if they were breastfed. Results: Using Meleis’s Transition …

School Nurse Influence On Adolescent Type 1 Diabetic Control, Sara E. Dahling

All Electronic Theses and Dissertations

Diabetes care is complex and requires consistent management of multiple factors (such as insulin, blood sugar and carbohydrate counting). School-aged children typically show poorer metabolic control, indicating a need for helping students to manage their diabetic needs. The purpose of this systematic review is to identify strategies within the care coordination role of the Licensed School Nurse that can be implemented by the school nurse, during the school day, to improve diabetic self-care among children and adolescents. Pender’s Health Promotion Model (Petiprin, 2016) was used as a framework for interventions for the school nurse and provided information about important factors …

Reducing Preterm Birth For Women Of Color Through Group Prenatal Care, Laura C. Early, Aubrey Monson

All Electronic Theses and Dissertations

The purpose of this paper is to critically review the literature to examine if group prenatal care can reduce preterm birth rates in women of color compared to individual prenatal care.

Lifestyle Changes For Women With Gestational Diabetes, Brooklyn Feustel Elkan, Kristen Mccammon

All Electronic Theses and Dissertations

Background/Purpose: The purpose of this paper was to evaluate the current literature to see if there was a common thread in treatment/prevention of the progression of gestational diabetes in pregnant women. Theoretical Framework: Dorthea Orem’s theory, The Self-Care Deficit Theory, was the theoretical framework used in this critical review of the literature. This theory asserts that patients should be self-reliant and responsible for their healthcare. This is achieved by providers giving them options and advice based on evidence to change their lifestyle and take control. This directly relates to managing GDM, because providers can only counsel the patients on changes, …

Postpartum Depression Education Of Doulas For Incarcerated Women, Tatia Marie Hibbs, Mikaela Reed, Claire Sautner

All Electronic Theses and Dissertations

As of 2017, there were 111,360 females in a state or federal correctional facility (Bronson & Carson, 2019). Many women in prison are mothers with 5-10% being pregnant while imprisoned (Baldwin, Sobolewska, & Capper, 2018). Some programs have started in female prisons with the goal to provide opportunities to nourish relationships with their children and educate on prenatal health, mental and physical health, and parenting skills. One of these organizations is the Minnesota Prison Doula Project (MnPDP) which utilizes the skills of doulas to provide supportive care to the incarcerated women of the Minnesota Correctional Facility-Shakopee (MCF-Shakopee). MCF-Shakopee is the …

Change In Empathy Levels Among Practicing Physician Assistants, Matthew P. Horn, Jacqueline Roff, Lisa Xiong

All Electronic Theses and Dissertations

This research sought to determine whether empathy declined with either increased years of physician assistant (PA) clinical experience or increased years of pre-PA healthcare experience (HCE). Although there has been an abundance of research examining empathy level trends among healthcare providers, most of these studies have looked at student empathy and not empathy level changes among practicing healthcare providers. However, among clinical healthcare providers, burnout trends with increasing years of experience (Smith, 2018) and a decline in empathy (Wilkinson, Wittington, Perry, & Eames, 2017); therefore, this project examined the link between years of practice and empathy decline. This cross-sectional study …

Marijuana Use In Pregnancy And The Effects On The Fetus/Infant, Amy Rebecca Hurst, Malia Smylie

All Electronic Theses and Dissertations

The purpose of this paper is to critically examine the literature and evidence that is available surrounding pre-pregnancy and prenatal use of marijuana and the effects it has on the developing fetus/infant. It was found that across most findings that further research needs to be done on the use of marijuana prior to pregnancy, during pregnancy, and postpartum. It has also been found that screening and counseling needs to be done and focused on prior to pregnancy and during pregnancy and postpartum. Healthcare professionals have the opportunity to establish a trusting relationship with their patients and to be able to …

Factors That Affect The Sustainability Of Faith Community Nurse Programs In Christian Faith Communities, Mary K. Martin

All Electronic Theses and Dissertations

Background: With the increasing number of people who are homebound or have chronic illnesses, the faith community nurse (FCN) is able to provide whole person care to people in faith communities. Purpose: The purpose of this critical review of the literature is to identify factors that affect the sustainability of FCN programs in faith communities. Theoretical Framework: Ziebarth’s Evolutionary Conceptual Model for Faith Community Nursing was applied to this literature review. This model allows for the definition of and practice of FCNs to change in order to improve the understanding and acceptance of this nursing specialty. Methods: A critical review …

Hunger Solutions Market Bucks Program Improvement In The Rural Setting: A Research Project, Kollin D. Michels, Nicholas S. Reich, Jeffrey D. Sandquist

All Electronic Theses and Dissertations

Food insecurity – a lack of food required for a healthy and productive life – affects approximately 150 million households in the United States alone (Coleman-Jensen, Rabbit, Gregory, & Singh, 2018). The implications of this are numerous – as individuals who are “food insecure” have a statistically increased risk of numerous health conditions and disorders. In an effort to combat the burden of food insecurity, organizations such as the Supplemental Assistance and Nutrition Program (SNAP) have been created to provide increased access to food items. Furthermore, numerous state organizations have developed additional programs, which incentivize SNAP users to purchase nutrient …