Medicine and Health Sciences Commons^™

Evaluating The Impact Of “Three Good Things” On Professional Quality Of Life In Cardiovascular Short Stay Nurses, Alyssa Ruud

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Reducing Hospital-Acquired Infections: Implementing Dual Registered Nurse Verification For Foley Catheter And Central Line Indications, Carmyle Seville, Bsn, Rn, Pccn, Jaiden Tanaleon

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Wake Up And Breathe, Renae Sybesma

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Introducing The Catch Phrase "Don't Leave Your Patient In S.H.A.M.B.L.E.S" To Reduce The Incidence Of Hapis In Imcu, Angelica Taneca, Bsn, Rn, Pccn, Rebeca Zamora, Bsn, Rn, Pccn

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Impact Of Specialized Nurse Cross Training On Cath Lab Door To Balloon Metric, Jo Zarnegar

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Mechanisms Of Correlated Neuronal Activity In The Globus Pallidus, Hamza Albawaliz

Electronic Theses and Dissertations

This thesis investigates the mechanisms of correlated neuronal activity in the globus pallidus externus (GPe), a key structure in the basal ganglia. Neuronal activity in the GPe is reportedly decorrelated in healthy subjects but can become highly correlated in Parkinson’s disease. However, high-density neuronal recordings in the GPe of healthy rats reveal a surprising degree of correlated activity. This raises the question of whether intrinsic properties or network connectivity alone can account for such patterns. To explore this, a computational model was developed in which GPe neurons are represented as coupled phase oscillators influenced by experimentally derived phase-response curves and …

Development Of A Non-Faradaic Impedimetric Biosensor Based On Reduced Graphene Oxide For The Detection Of Brain-Derived Neurotrophic Factor (Bdnf), Mariana N. Martins

Electronic Theses and Dissertations

Neurological disorders affect millions of people worldwide. In the case of Alzheimer’s disease (AD), the rising number of cases significantly increases global healthcare costs. Therefore, early detection of biomarkers at the onset of the disease is essential for early diagnosis. This study presents an electrochemical biosensor designed for the detection of Brain-Derived Neurotrophic Factor (BDNF) in human plasma, incorporating reduced graphene oxide (rGO) to enhance signal sensitivity. Dielectrophoresis (DEP) was employed to deposit rGO flakes on the electrode surface, improving conductivity and sensor performance. Electrochemical impedance spectroscopy (EIS) was used to monitor changes in impedance associated with BDNF binding events, …

Guide For Selecting Experimental Models To Study Dietary Fat Absorption, Andromeda M. Nauli, Ann Phan, Karen Mai, Kathleen Tran, Surya M. Nauli

Pharmacy Faculty Articles and Research

Dietary fat absorption is a complex, multi-step process involving digestion, enterocyte uptake, intracellular trafficking, re-esterification, and transport via lipoproteins into circulation. Because dietary fat absorption plays a central role in lipid homeostasis, metabolic syndrome, and fat malabsorption disorders, its study has a broad biomedical significance. However, experimental investigation of this process is technically challenging due to the short lifespan of enterocytes, the dual lymphatic and portal transport routes, and the need to trace the metabolic fate of absorbed lipids. This review summarizes and critically evaluates the major experimental systems used to study dietary fat absorption, highlighting their respective strengths, limitations, …

Tinkering In Clinical Practice: Exemplars From Slps Working With Persons In Disordered States Of Consciousness, Ann Guernon, Christina Papadimitriou, Jennifer A. Weaver, Trudy Mallinson, Marla Clayman, Jay Meehan, Keith Cox, Luke Lindemann, Patricia Grady

Rehabilitation and Health Sciences Department Faculty Conferences

Speech-language pathologists (SLPs) providing care for people living with disordered states of consciousness frequently navigate ambiguity and uncertainty. Using interview and video data we will show how SLPs clinically reason via tinkering or “thinking in action”. This undervalued and understudied clinical reasoning skill is a caring practice comprised of curiosity, experimentation, flexibility and adaptation to attend to a person’s needs. SLPs will have the opportunity to reflect and discuss their experiences with tinkering in a wide range of patient populations.

Toxic Truths: Pediatric Poisonings And The Antidotes That Save Lives, Michael Smith, Michelle Dephillips

Pediatrics in Practice: A CME Podcast

In this episode, we’re joined by Dr. Michelle DePhillips, a pediatric emergency medicine physician, to explore the critical topic of pediatric poisonings. From household items to medications, children are exposed to a wide range of toxic substances—and quick, informed action can make all the difference. Dr. DePhillips shares real-world cases, essential antidotes every pediatrician should know, and practical prevention strategies for families. Whether you're in primary care or the emergency department, this conversation offers valuable insights to help you respond confidently when minutes matter.

Click here to stream the podcast episode.

Heart To Heart: Pediatric Cardiologists On Caring For Children With Congenital Heart Defects, Michael Smith, Jeffrey Shuler, Aseel Dabbagh

Pediatrics in Practice: A CME Podcast

In this episode, we sit down with leading pediatric cardiologists to explore the complexities and compassion behind caring for children with congenital heart defects (CHDs). From early diagnosis and surgical planning to long-term management and family support, our guests share their insights on what it takes to guide patients and families through every stage of the journey. They also discuss the latest advancements in pediatric cardiology and the importance of coordinated, multidisciplinary care. Whether you're a healthcare professional, a parent, or simply curious about the field, this conversation offers a meaningful look into the heart of pediatric cardiac care.

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Effect Of Neuroinflammation On Exploratory Behavior In Mice, Gage Pompa, Ariana Mitic, Yader Gomez, Lilian Hagos, Orlando Montiel

Undergraduate Research Symposium Posters

Introduction: Mice have been observed in both laboratory and field settings to exhibit a tendency to remain near corners and walls. This trait is known as positive thigmotaxis. Thigmotaxis has been recognized as a fundamental aspect of rodent behavior and used extensively as an anxiety index in mice. Although this characteristic has been recognized as a fundamental aspect of rodent behavior, thigmotaxis has been extensively studied in rectangular and circular environments. However, there is a notable lack of understanding of how alternative geometric configurations can influence this behavior.

Methods and Approach: Using a grid overlaid on the environment the mice …

Exploring The Interplay Between Hypertension And Osteoporosis: A Narrative Review, Yolanda V. Gutierrez, Ronald Shaju, Alyssa A. Sepulveda, Seval Coban

School of Medicine Publications

Hypertension and osteoporosis are highly prevalent chronic conditions that have significant implications for global health, especially in aging populations. While these conditions have traditionally been viewed as separate, emerging research suggests a strong pathophysiological link between the two. Understanding these shared mechanisms may help improve screening and guide integrated management strategies. This narrative review was conducted between January 2024 and July 2025 using PubMed, ScienceDirect, and Google Scholar. The search strategy used the Boolean string: (“hypertension” OR “high blood pressure”) AND (“osteoporosis” OR “bone loss”), supplemented with pharmacologic terms (“ACE inhibitors,” “angiotensin receptor blockers,” “thiazide diuretics,” “beta-blockers”, “SERMS”, “Bisphosphonates”, “Denosumab”, …

Mpox Insights: From Structure To Human Cell Interaction, Md. S. Zaman, Robert C. Sizemore, Draven Rodriguez, Emilio Lopez, S. M. Golam Alam, Suleyman Tufa, Juan C Lopez Alvarenga, Nuraly S. Akimbekov, Mohammed S. Razzaque

School of Medicine Publications

Mpox, a zoonotic viral disease, has emerged as a global concern due to outbreaks in both endemic and non-endemic regions in 2022. Rodents, including African squirrels and Gambian pouched rats, are suspected key reservoirs, with human infections occurring through direct contact with infected animals or bushmeat consumption. Previously confined to rural Africa, mpox has spread via international travel and the exotic pet trade. Human-to-human transmission occurs mainly via respiratory droplets and direct contact with bodily fluids or lesions. The virus has a double-stranded DNA genome within a lipid envelope. Despite lower mutation rates in DNA viruses, mpox has developed mutations, …

High Phosphorus Intake: The Role Of Phosphorus And Health Outcomes Through The Lens Of High Phosphorus Additive Intake, Taigen M. Mayes

Senior Honors Theses

Phosphorus is a commonly consumed mineral in the traditional human diet and plays an essential role in human physiological functions. With the use of phosphate additives, high phosphate intake has become increasingly prevalent in recent years. Phosphate is regulated in the body by a homeostasis mechanism. A disruption to the homeostasis has a link to various pathologies such as bone health, cardiovascular disease, cancers, and kidney issues. Various studies have investigated the role of phosphate and its effects on human function. Bone health, cardiovascular disease, cancer, premature aging, dementia, and kidney disease are linked with high phosphorus intake.

Defending Science, Rebuilding Trust: Toward A Healthier Louisiana, John A. Cavell Jr.

Journal of the Louisiana Public Health Association

No abstract provided.

Volume 5 November '25 Full Issue, Donna Williams

Journal of the Louisiana Public Health Association

No abstract provided.

Data Driven Policies: An Ideal For Louisiana's Juvenile Justice System, Stephen Phillippi, Sara Juneau, Kelsey Witmeier, Victoria Sacco

Journal of the Louisiana Public Health Association

Background: Data collection and monitoring efforts among juvenile justice agencies have grown exponentially in the United States over the last 50 years. Despite widespread recognition that reliable data is essential to developing strategic evidence-based policies, there are still considerable gaps among the states and locally. In Louisiana, legislators and decision-makers have worked towards advancing juvenile justice policy reforms in recent decades, though the resulting outcomes remain unclear. The goals of the current study were to identify existing data reporting strengths and gaps within the Louisiana juvenile justice system (JJS) and examine how such reports might be better used in data-driven …

From Potholes To Perceived Social Support: Community Influences On Individuals With Mobility Disabilities And Their Care Teams In New Orleans, Kelsey Witmeier, Gabrielle Gonzalez, Michael Norman, Mary Delahoussaye, Phil Wilson, Tung-Sung Tseng

Journal of the Louisiana Public Health Association

Background: Little is known about the role of community in influencing the experiences, needs, and well-being among individuals with mobility impairments and disabilities (IMIDs), caregivers, and service providers in New Orleans. Methods: We conducted semi-structured interviews with 10 individuals who identified as IMIDs, caregivers, and service providers, who were recruited using convenience sampling. Transcripts were transcribed verbatim, and thematic analysis was conducted to identify key themes. Results: Three themes were found: 1) community barriers and facilitators, 2) the community’s role in perceived belongingness, and 3) the unique influences of the community on caregivers. Conclusion: Community influences the experiences of IMIDs …

Differentially Expressed Mirnas Explain Racial Differences In Diagnosis Stage Among Triple Negative Breast Cancer Patients In Louisiana, Yawen Hu, Xioacheng Wu, Meng Luo, Nubaira Rizvi, Amjila Bam, Luis Del Valle, Lucio Miele, Qingzhao Yu

Journal of the Louisiana Public Health Association

Background: Triple-negative breast cancer (TNBC) is a highly aggressive subtype that disproportionately affects African American (AA) women, leading to worse survival rates and higher metastasis risks compared to Caucasian American (CA) women. MicroRNAs (miRNAs) are crucial in cancer development and hold promise as biomarkers, but their role in racial disparities in TNBC outcomes is unclear. Methods: This study used Louisiana Tumor Registry data and collected tumor tissues for miRNA sequencing to examine significant miRNAs differentially expressed by race and TNBC stages at diagnosis among 3,298 TNBC cases diagnosed from 2011 to 2017. Results: Of the TNBC cases, 49.7% were AA. …

Association Between Food Insecurity And Nervous System Disorders In Caddo Parish, La: A Call To Action For Health, Megan Gremillion, Morgan Uebinger, Claire Crosby, Kaitlyn Tholen, Marie Vazquez Morgan, Ammar Husan

Journal of the Louisiana Public Health Association

Background: Food insecurity (FI)–the lack of access to affordable, nutritious food–affects millions of Americans. Caddo Parish, Louisiana, is of interest due to high FI prevalence and socioeconomic risk factors. While FI is known to exacerbate chronic health issues, its association with neurological health remains understudied, especially in high-risk communities. Methods: A cross-sectional study was conducted among adult patients in Caddo Parish in 2022 using Epic Electronic Medical Record data to identify diagnoses of migraine, dementia, and stroke—the top neurological causes of disability-adjusted life years (DALYs) in the United States. FI status was determined using the Hunger Vital Sign screening questionnaire. …

Volume 5 November '25 Cover, Publishing, And Table Of Contents, Donna Wlliams

Journal of the Louisiana Public Health Association

No abstract provided.

Pediatric Firearm Injuries In A Major Urban Louisiana City: A Deadly Public Health Issue, Morgan Brown, Jenny Stevens, Jose Cruz Ayala, Claudia Leonardi, Alison Smith, Fabienne Gray

Journal of the Louisiana Public Health Association

Background: In 2019, firearm injuries surpassed motor vehicle collisions as the leading cause of pediatric death in the US. In Louisiana, firearm injuries represent the leading cause of pediatric death since 2013. A more comprehensive understanding of risk factors associated with pediatric firearm injury is needed to improve outcomes. Methods: A retrospective review from 2016-2023 of pediatric trauma patients presenting to a Level I Adult Trauma Center & Level II Pediatric Trauma Center in a major urban Louisiana city was performed. Demographics, mechanism of injury, and injury intent were evaluated. Results: Among 8,832 patients, 1,116 (12.6%) sustained firearm injuries. Among …

High Activity Urban Event Impacts Local Air Quality Of The Claiborne Corridor In New Orleans, La, Evrim Oral, Daniel Harrington, Mohamed S. Mohamed, Mohamed S. Rahman, Saheba Cuccia, Samrat Mukherjee, Amy Stelly, Barry Keim, Adrienne Katner

Journal of the Louisiana Public Health Association

Background: This paper presents fine particulate matter air pollution measurements in the hours before, during, and after a Port of New Orleans labor strike and a multi-day concert held at the New Orleans Superdome. Both events occurred in areas adjacent to the Claiborne Expressway, an elevated highway extension of Interstate-10 (I-10), which runs through the Claiborne Corridor neighborhood of the City of New Orleans, LA (USA). Methods: Air sensors were located southeast and northwest of the Claiborne Expressway to measure respirable “fine particulate matter” (PM2.5), a traffic-related pollutant associated with cardiovascular and respiratory disease. Ambient PM2.5 concentration measurements were collected …

Characterizing Global Dermatologic Engagement And Needs: A Cross-Sectional Study From 83 Countries, Alexis G. Strahan, Christine Li, Maud Guérin, Tom Allison, Gene Colón, Jehireh Peraza-Williams, Olyvia Zarchin, Morvarid Zehtab, Ann M. Pacheco, Jadesola Akinwuntan, Shivani Jain, Marlous L. Grijsen, Wendemagegn Enbiale, Wingfield Rehmus, L. Claire Fuller, Karolyn Wanat, Esther E. Freeman

School of Medicine Faculty Publications

No abstract provided.

The Associations Between Meniscus Tear Location And The Prevalence And Severity Of Cartilage Wear In Different Knee Compartments Using An Arthroscopic Grading System, Tara Korbal, Claudia Leonardi, Amy Bronstone, Vinod Dasa

School of Medicine Faculty Publications

Introduction: Meniscus tears are associated with progressive cartilage degeneration and worsening osteoarthritis. Although several previous studies have explored the relationship between meniscus tears and cartilage damage, few have examined the relationship between tear location and cartilage wear in all knee compartments using an arthroscopic grading system. Objectives: Evaluate the association between meniscus tear location and the prevalence and severity of high-grade cartilage wear in knee compartments. Methods: A total of 210 patients were categorized into groups based on meniscus tear location: medial meniscus tear (MMT, n = 106), lateral meniscus tear (LMT, n = 41), and medial-lateral meniscus tear (MLMT, …

Development Of Evidence-Based Clinical Practice Guidelines For Monitoring Diabetic Patients Using Smartphone Technology, Ganiyat Funmilayo Efuntoye

Walden Dissertations and Doctoral Studies

In this doctoral project, I developed and validated an evidence-based clinical practice guideline for implementing smartphone technology to monitor diabetic patients in primary care settings with an 80% threshold. The project addressed a critical gap in standardized guidance for diabetes technology integration, which has resulted in inconsistent adoption and suboptimal patient outcomes. A systematic literature review of four major databases yielded 12 high-quality studies representing all evidence levels (I–V) according to the Johns Hopkins evidence-based practice model. Evidence synthesis revealed strong and compelling evidence with consistent results supporting smartphone technology implementation, including HbA1c improvements of 0.4%–0.8%, sustained patient engagement rates …

Epidemiology Of Metabolic Syndrome In Patients With Inflammatory Bowel Disease: A Population-Level Cohort Study From The United States, Aakash Desai, Himsikhar Khataniar, Jana G. Hashash, Priya Sehgal, Francis A. Farraye, Gursimran S. Kochhar

Division of Gastroenterology and Hepatology Faculty Papers

BACKGROUND: Epidemiological data on metabolic syndrome (MetS) in patients with inflammatory bowel disease (IBD) are limited.

METHODS: A retrospective cohort study was conducted using the United States (US) Collaborative Network (TriNetX) to obtain data for patients with IBD between 2010 and 2023. The primary aim of the study was to estimate the prevalence of MetS in ulcerative colitis (UC) and Crohn's disease (CD). Prevalence was further characterized by age, sex, race, disease location, IBD medications, history of surgery, and IBD phenotype.

RESULTS: Among 100,890 patients with IBD, metabolic syndrome (MetS) affected 34.4% overall (UC 32.4%, CD 34.3%). Prevalence rose sharply …

Streamlining Sepsis Care And Enhancing Antibiotic Administration Efficiency Through Emergency Department Staff Nurse Education, Dafina Jamillah Skinner

Walden Dissertations and Doctoral Studies

Sepsis is a life-threatening medical emergency that requires rapid identification and treatment. Delays in administering antibiotics are directly associated with increased mortality, longer hospital stays, and higher complication rates. Without intervention, patients faced preventable harm, and the organization risked continued non-compliance with federal quality measures. This Doctor of Nursing Practice (DNP) project implemented a structured educational program for emergency department (ED) nurses to improve knowledge of evidence-based sepsis protocols. The practice-focused question asked: For nurses in the ED, will an educational intervention on sepsis recognition and antibiotic stewardship improve knowledge of timely antibiotic administration and blood culture acquisition? Twenty ED …

Nursing Faculty Demographics, Attitude, Knowledge, And Integration Of Complementary And Alternative Medicine In Nursing Curriculum, Patricia L. Balistreri

Walden Dissertations and Doctoral Studies

Nurses have demonstrated positive attitudes toward complementary and alternative medicine (CAM); however, additional education is limited in nursing programs to prepare them to discuss and educate patients about these practices. Nursing faculty play a significant role in educating, mentoring, and influencing students’ knowledge levels and attitudes toward CAM. The purpose of this quantitative, non-experimental, cross-sectional study, guided by the CAM healthcare model, was to examine relationships among nursing faculty demographics, CAM knowledge, attitudes, and curriculum integration. The Knowledge, Attitudes, and Use of CAM survey was administered to 111 nursing faculty across multiple programs. Data were analyzed using multiple linear regression …