Medicine and Health Sciences Commons^™

Predictors And Outcomes Of Invasive Mechanical Ventilation, Ailin Puckett

DNP Research Projects

Objective: Invasive mechanical ventilation (IMV) is lifesaving and one of the most common interventions implemented in the intensive care unit (ICU). More than half of the patients in the ICU require IMV within the first 24 hours after ICU admission. This project aimed to evaluate and predict the mortality rate of hospitalized patients on IMV by examining their risk factors, such as patient demographic characteristics, disease status, social environment, and discharge status.

Methods: The National Inpatient Sample (NIS) database 2016 was used to identify patients requiring IMV. Mortality was the dependent variable. Independent variables had four major categories. First, patients’ …

Barriers To Care Among Uninsured Patients With Chronic Disease In A Free Clinic: A Quantitative Study, Stephanie Jinright

DNP Research Projects

No abstract provided.

The Observational Investigation Of Vitamin D And The Effect On Hypertension (Oiveh) Study, Warren Burke

DNP Research Projects

Background

It is uncertain if vitamin D supplementation improves cardiovascular health, more specifically, the systolic and diastolic blood pressures, and the data from previous trials investigating supplementation and the effects on the blood pressure are limited.

Methods

The following scholarly project was a retrospective observational study, examining randomly selected participants with chronic kidney disease and hypertension from a local nephrology practice. The Student’s t-test, Pearson’s r correlation, and ANOVA statistical tests were utilized to determine if vitamin D supplementation improved the systolic and diastolic blood pressures.

Results

A total of 260 participants were examined. The mean systolic blood pressure …

Breastfeeding Issues Leading To Early Cessation, Brandy Kirstein

DNP Research Projects

Breastfeeding has come to the forefront in modern research as a necessary and important phenomenon to understand and address due to the vast amount of evidence revealing its health benefits for both Mom and baby. Disparities exist related to socioeconomic status, education level, poverty, young age, obesity, alcohol use, smoking, and living in rural areas. This project aims to discover the areas that need the most awareness and change specific to the state of Tennessee to increase the prevalence of exclusive breastfeeding for six months (EBF6) creating healthier future generations and society. This project was a non-experimental, retrospective, correlational design, …

Reducing Hypertension Through Faith Community Nursing, Michelle White

DNP Research Projects

Hypertension affects approximately 31.1% of adults (1.39 million) worldwide. It continues to be a significant risk factor for cardiovascular disease and strokes, the leading causes of death in the United States (Mills, Stefanescu, & He, 2020). Hypertension is expected to increase due to the aging population and unhealthy lifestyle choices of the American people (American Heart Association [AHA], 2018a). Therefore, effective strategies are required to manage hypertension in order to decrease stroke and cardiovascular events that can save the lives of many Americans. National programs such as Healthy People 2020 are working to achieve blood pressure control within the United …

Not Missing: Transcriptions, J. L. Gaustad

Someone's Missing...and I Think It's Me

Not Missing: Transcriptions contains transcriptions of handwritten notes and journal entries from the book Someone's Missing...and I Think It's Me: Our Great Adventure with Dementia, by J.L. Gaustad. It is meant to accompany that book, with page numbers keyed to the pages in the book. For the print edition, this separate zine will be included in a pocket in the cover.

Dopamine-Dependent Transcriptional Dynamics In Striatal Physiology And Cocaine Reward, Morgan Elizabeth Zipperly

All ETDs from UAB

Exposure to drugs of abuse alters transcriptional programs and neuronal activity, leading to long-lasting cellular and behavioral adaptations that may contribute to addiction. The nucleus accumbens (NAc), part of the mesocorticolimbic dopamine pathway, plays a central role in motivation, reward, and reward-related learning, and this brain region is highly implicated in the development and maintenance of addiction. However, the specific contributions of defined cell populations in the NAc to drug reward processes is still poorly understood. Here, we used electrophysiological, optogenetic, and single-nucleus RNA-sequencing (snRNA-seq) approaches in a rodent model system to define the acute physiological and transcriptional responses of …

Utilization Of Dental Services Among Medicaid Enrolled Pregnant Women In Virginia, Shillpa Naavaal, Tegwyn Brickhouse, Jonathan W. Yu, Joann Wells

Philips Institute for Oral Health Research Publications

The study evaluated the impact of the Virginia Medicaid dental benefit on dental services utilization among pregnant women enrolled in Medicaid. Data from a total of 10,395 women who had at least one dental claim during the 2015-2017 period were included in the study. The number of dental visits and dental services utilized per person grew from an average of 2.2 visits and 7 services in 2015 to 3.1 visits and 10.5 services in 2017, respectively. In 2017, of all dental services used, 6% were for preventive services and 59% were for treatment services. Continued efforts and targeted interventions are …

Marijuana Legislation: Identifying The Impact On The Oral Healthcare Provider, Abby L. Geiser, Jessica Reid-Burrell

Dental Hygiene Student Scholarship

Objectives/Aims: Since the mid-2000s, the United States has seen a surge in legislation involving the legalization of marijuana, both recreationally and medicinally. The relaxed laws translated into an increase of marijuana consumption and thereby a potential increase in the number of patients a provider will see that are cannabis users. The purpose of this review is to illustrate how the providers begin to see pathologies related to cannabis use more frequently, and how they will need to be prepared for ways this can be addressed. Additionally, oral healthcare providers will face ethical dilemmas and legal challenges when treating patients and …

The Effect Of Competitive Swimming On Oral Health Status, Laura Apsley, Alexandra Walter

Dental Hygiene Student Scholarship

Objectives/Aims: Competitive athletes are often considered to be susceptible to bodily injury. It is now being realized that competitive swimmers are also at risk, specifically in the unsuspected realm of the oral cavity. The purpose of our research is to examine the effect of competitive swimming on an athlete's oral health status.

Methods: Using sources found on Pubmed and Google Scholar, the data used for the correlation of swimming pools and generalized dental trauma are as follows: competitive swimmers and non- competitive swimmers were examined for specific variables such as decayed, missing, or restoratively involved teeth, plaque and gingival index, …

Lead X-Ray Vests: Pros And Cons In Dental Radiography And Patient Education On Radiographic Technology, Kayla D. Oakley, Emily Deker

Dental Hygiene Student Scholarship

Problem: There is a greater need to emphasize and educate patients and providers about radiologic advancements and patient exposure. The tradition of placing lead x-ray vests on patients for all radiographs is no longer a necessity. Without the explanation of why lead aprons are no longer needed, unnecessary steps for the provider and potential harm to the patient could be caused.

Methods: This review of literature was assembled by analyzing data from primary and secondary sources through online databases. The most recent research on the risks and benefits of the use of lead x-ray vests towards patients in …

The Ethics Of Using A Live Patient For Dental Board Exams, Aaliyah Gibbs, Ashley Christ

Dental Hygiene Student Scholarship

Objective: This study will discuss the various viewpoints regarding the ethics of using a live patient for board examination in dentistry. It will expand upon the inconsistency of the exam to include the compromised patient care, dishonorable delay in care needed so students can perform care during boards, the dignity of both the student and the patient that is paid to agree to be subject to such procedures, and the potential and irreversible harm caused to these patients. The research in this paper will explore various options for obtaining a license for clinical boards in dentistry and dental hygiene in …

Probiotic Biotherapy: Discussing Its Influential Role In Oral Health, Karla Florez, Claudette Sullano

Dental Hygiene Student Scholarship

Introduction: Probiotics are widely known for their health promoting benefits, especially with its association to gastrointestinal health. For many years, most research has been focused on the prevention or treatment of gastrointestinal infections or diseases. However, recently probiotics has been a subject of investigation with its association to oral health. This review of literature is designed to analyze the effectiveness of using probiotics as a preventative and therapeutic method for oral infections/diseases such as periodontitis, dental caries, and the like.

Methods: Databases such as the PubMed, and Google Scholar were utilized to find current and relevant findings for this …

Finite Element Analysis Of A One-Piece Zirconia Implant In Anterior Single Tooth Implant Applications, Georgi Talmazov, Nathan Veilleux, Aous Abdulmajeed, Sompop Bencharit

General Practice Publications

This study evaluated the von Mises stress (MPa) and equivalent strain occurring around monolithic yttria-zirconia (Zir) implant using three clinically simulated finite element analysis (FEA) models for a missing maxillary central incisor. Two unidentified patients’ cone-beam computed tomography (CBCT) datasets with and without right maxillary central incisor were used to create the FEA models. Three different FEA models were made with bone structures that represent a healed socket (HS), reduced bone width edentulous site (RB), and immediate extraction socket with graft (EG). A one-piece abutment-implant fixture mimicking Straumann Standard Plus tissue level RN 4.1 X 11.8mm, for titanium alloy (Ti) …

Exploring The Use Of Pulsed Erbium Lasers To Retrieve A Zirconia Crown From A Zirconia Implant Abutment, Ahmed Elkharashi, Kinga Grzech-Leśniak, Janina Golob Deeb, Aous A. Abdulmajeed, Sompop Bencharit

General Practice Publications

Background

Removal of cement-retained implant fixed restorations when needed, can be challenging. Conventional methods of crown removal are time consuming and costly for patients and practitioners. This research explored the use of two different types of pulsed erbium lasers as a non-invasive tool to retrieve cemented zirconia crowns from zirconia implant abutments. Materials and methods

Twenty identical zirconia crowns were cemented onto 20 identical zirconia prefabricated abutments using self-adhesive resin cement. The specimens were divided into two groups for laser assisted crown removal; G1 for erbium-doped yttrium aluminum garnet laser (Er:YAG), and G2 for erbium, chromium-doped yttrium, scandium, gallium and …

An Analytical Perspective On Determination Of Free Base Nicotine In E-Liquids, Vinit V. Gholap, Rodrigo S. Heyder, Leon Kosmider, Matthew S. Halquist

Pharmaceutics Publications

In electronic cigarette users, nicotine delivery to lungs depends on various factors. One of the important factors is e-liquid nicotine concentration. Nicotine concentration in e-liquids ranges from 0 to >50 mg/mL. Furthermore, nicotine exists in protonated and unprotonated (“free base”) forms. The two forms are believed to affect the nicotine absorption in body. Therefore, in addition to total nicotine concentration, e-liquids should be characterized for their free base nicotine yield. Two approaches are being used for the determination of free base nicotine in e-liquids. The first is applying a dilution to e-liquids followed by two methods: Henderson–Hasselbalch theory application or …

Clinicomicrobiology Study Of Ventilator Associated Pneumonia In A Tertiary Care Hospital, Akshitha A

Kasturba Medical College, Mangalore Theses and Dissertations

No abstract provided.

"Clinico-Microbiological Study Of Candida Infections Focusing On Risk Factors, Virulence Factors And Antifungal Susceptibility Patterns.", Poornima M.V.

Kasturba Medical College, Mangalore Theses and Dissertations

No abstract provided.

Bacterial Contamination Of White Coats Among Medical Students And Interns, Sheetal Vasundara Mathai

Kasturba Medical College, Mangalore Theses and Dissertations

No abstract provided.

Aminoglycoside Resistance In Clinical Isolates Of Pseudomonas Species, Mithileshkumar Jha

Kasturba Medical College, Mangalore Theses and Dissertations

No abstract provided.

Potential Role Of Vitamin C As An Antioxidant On Bisphenol(Bpa) Induced Oxidative Stress In Wistar Rats, Sumeeth S

Kasturba Medical College, Mangalore Theses and Dissertations

No abstract provided.

To Study The Antidepressant And Anxiolytic Effect Of Cod Liver Oil On Distinct Brain Tissues In Wistar Rat Model Of Comorbid Depression, Dimple Shet

Kasturba Medical College, Mangalore Theses and Dissertations

No abstract provided.

"Effect Of Virgin Coconut Oil On Behavioral And Biochemical Parameters In Albino Rats Exposed To Chronic Unpredictable Stress", Chitra Pai Kulyadi

Kasturba Medical College, Mangalore Theses and Dissertations

No abstract provided.

Adolescents And E-Cigarette Use: Long-Term Effects, Behaviors And Lung Injury, Sarah Congdon

PCOM Capstone Projects

The use of Electronic Nicotine Delivery Systems (ENDS), commonly referred to as e-cigarettes, has become a deadly habit among adolescents across the nation. These devices are attractive with their sleek design, fun flavors, and youthful advertisements. E-Cigarettes entered the marketplace around 2007, and since 2014, they have been the most commonly used tobacco product among U.S. youth. In 2018, more than 3.6 million U.S. youth, including 1 in 5 high school students and 1 in 20 middle school students, currently use e-cigarettes. There have been increasing lung infections and chronic lung diseases rising in the younger community. The strong adolescent …

Development Of The Steppin' Up For Success Program, Darlene F. Guckenberger

Occupational Therapy Program Student Theses, Dissertations and Capstones

School transitions can be challenging for students, especially when students enter junior high school. Junior high school students experience significant developmental growth in the areas of autonomy, relationships, acceptance, cognitive skills, as well as physical differences associated with hormonal changes. When a student transitions into junior high school, evidence indicates possible declines in motivation, school interest, and academic achievement. Personal relationships, self-worth, and coping skills are essential for a successful transition between schools. Adolescents engage in the occupations of education, leisure, social participation, and activities of daily living. Occupational therapy is perfectly positioned as a support service within the school …

Investigation Of The Prevalence Of Receded Near Point Of Convergence In School-Aged Children With Attention-Deficit/Hyperactivity Disorder, Lorig Sildiryan

Student Theses, Dissertations and Capstones

PURPOSE: The intention of this study was to determine if there was an association between receded near point ofconvergence (NPC) and diagnosis of attention-deficit/hyperactivity disorder (ADHD) in school-agedchildren as compared to neuro-normal children. Differences in accommodative amplitude were investigated as well.

METHODS: This retrospective study was done by analyzing the data from examination records of fifty school-agedchildren between the ages of seven and seventeen. Twenty-five children in the experimental group withADHD were age and gender matched to twenty-five neuro-normal children in the control group. The average of each patient’s NPC break and accommodative amplitude values were used to conduct a …

Healthcare Utilization And Expenditure Of Tuberous Sclerosis Complex Associated With Epilepsy In The United States, Esther Nkrumah

Health Sciences Program Student Theses, Dissertations and Capstones

Tuberous sclerosis complex (TSC) is characterized as a rare hereditary disorder impacting an estimated 25,000-40,000 persons in the United States and 1-2 million persons worldwide (Song et al., 2017). Individuals with TSC have extensive comorbidities that affect their health-related quality of life, healthcareutilization, and expenditure. The current literature lacks documentation on the impact of the various comorbidities and their association with healthcare utilization and expenditures among individuals withTSC. The purpose of this dissertation study was to examine the trends in healthcare utilization(emergency department and inpatient admission) and expenditures that can be identified among individuals diagnosed with TSC, with and without …

Implementation Of An Anxiety Screening And Treatment Protocol In Primary Care, Danielle E. Garcia

Student Theses, Dissertations and Capstones

Background: Anxiety is a prevalent problem frequently presenting in the primary care setting in the United States. The lack of routine anxiety screening and evidence-based treatment protocols in the adult primary care setting causes physical, social, and economic consequences.

Purpose: The purpose of this Doctor of Nursing Practice (DNP) evidence-based practice (EBP) quality improvement project was to implement an EBP anxiety screening and treatment protocol for adults in a primary care clinic to increase early identification and improve management of generalized anxiety disorder (GAD).

Theoretical Framework: W. Edwards Deming’s Plan-Do-Study-Act (PDSA) cycle framework was utilized for this project. The PDSA …

Depression Screening In Outpatient Neurology, Lakicia Foster

Student Theses, Dissertations and Capstones

Depression is the preeminent cause of disability internationally. Support-based depression screening is a nationally recommended means of detecting and treating patients with this disabling illness. The purpose of the doctor of nursing practice (DNP) practice change project was to implement an outpatient neurology depression screening protocol so that depressed patients were identified and received intervention. The project answered whether implementation of an 8- to 12-week systematic depression screening protocol in a neurology practice increased the incidence of accurate depression identification and treatment in this patient population as compared to the 3-month prior baseline. The DNP depression screening project was based …

Critical Care Nurses’ Perceptions Of Safety Related To Using Complex Medical Devices In Daily Nursing Practice, Violet Rhagnanan-Kramer

Student Theses, Dissertations and Capstones

Background: Medical errors are the third leading cause of death in America. Over 10,000 medical errors occur daily, with an estimated financial impact of preventable mistakes is 20 billion dollars annually. Increasing the use of multifarious sophisticated medical technologies in the Intensive Care Unit (ICU) poses a risk of medical errors and unintentional harm to patients. However, limited empirical evidence exists regarding ICU nurses’ perspectives.

Purpose: This study aimed to elucidate ICU nurses’ perceptions of their use of complex medical devices.

Framework: The Conceptual Model for Technology, Nursing, and Patient Safety provide the framework for this study.

Sample: Using purposive, …