Medicine and Health Sciences Commons^™

Impact Of Aromatherapy On Surgical Patients' Perceived Nausea And Vomiting, John Brennan, Ryan Brennan Bs, Sue Garrison Ma, Bsn, Rn, Cheryl Green, Evelyn Jacovino Msn, Rn, Cmsnl, Cynthia Martins Msn, Rn, Shelly Simonet Bsn, Rn, Jannet Serra Ma, Bsn, Rn, Beth Williams Dnp, Rn, Ec-Bc, Andrew Quito Bsn, Mba

Posters

Postoperative nausea and vomiting (PONV) is the most common adverse effect of surgery. In the United States, it is estimated that 20- 30% of all surgical encounters, or 75 million Americans yearly experience some form of PONV. Holistic management of PONV has the potential to save a significant amount of resources when compared to standard treatment modalities (Amirshahi et al., 2020; Asay et al., 2019).

Prior to implementation of this quality improvement project, it was estimated that roughly 20% of orthopedic surgery patients at Bridgeport Hospital Milford Campus experienced PONV, a serious practice concern. The goal of this project was …

Cardiac-Surgical Advanced Life Support (Cals-S), Rachel Hewett, Lois Lenzmeier, Amber Martin

Nursing Posters

Improve resuscitation outcomes of cardiovascular surgery patients through the adoption of the Cardiac Advanced Life Support-Surgical (CALS-S) algorithm for cardiac arrest.

Don't Judge A Book By Its Cover: Generational Diversity At Centracare, Theresa Reichert, Lora Gullette, Britney Winkelman

Nursing Posters

The American Association of Critical Care Nurses (AACN) identifies key elements of a health work environment. Key elements to build belonging within a health work environment (HWE) include:

• Recognizing the value each person brings to the team
• Open, respectful, and effective communication
• Helping teams identify missing "F"s by valuing multiple perspectives
• Avoiding communication breakdowns
• Building departmental cultures where it is safe for employees to speak up with safety concerns
• Advancing collaboration and mutual respect, even during conflict.
• Strengthening employee fulfillment, retention and morale

At CentraCare, many different generations work together to care for patients and one another. Understanding generational strengths …

Developing Education To Improve Confidence And Competence In Handling Physical And Mental Health Emergencies For Ambulatory Care Nurses, Teresa Nathan, Cathrine Robak

Nursing Posters

With over 60 clinics employing over 600 nursing staff, the educational needs for the CentraCare clinic system are vast and diverse. We conducted a learning needs assessment, identifying confidence and competence gaps in the subjects of physical health and mental health emergencies as a theme across the clinic system.

A Tapestry For Sustaining Perioperative Participation, Larry Asplin, Joanne Oliver-Coleman

Nursing Posters

Perioperative nursing shortages are becoming critical. Many baby boomers are retiring. As a result, this team was tasked to create some basic principles that will help sustain the value of perioperative nursing by utilizing a multigenerational approach.

Perioperative Resources Nurses are pivotal in enhancing the quality and efficiency of care within surgical settings. These nurses operationalize evidence-based standards for healthy work environments and promote creativity in implementing these standards. They can be full-time, part-time, virtual, or volunteer.

High-Risk Tcm Program & Decreasing Hospital Readmissions, Elise Hedman, Christine Erickson

Nursing Posters

Prevent hospital readmissions in high-risk TCM patients utilizing the Community Paramedic program as a resource to visit patients in the home.

From Stillness To Life: A Family's Experience Of Craniosacral Therapy In The Nicu, Veronica Quarry

Journal of Transformative Touch

The mother of a newborn in the NICU shares the benefits both infant and parents experienced when their daughter received CranioSacral Therapy during that critical time.

Beyond Opioids: The Role Of Polysubstance Exposure In Neonatal Abstinence Syndrome Treatment And Hospitalization, Caelyn Harrison

Undergraduate Honors Theses

This thesis explores the impact of prenatal polysubstance exposure, specifically focusing on the need for pharmacological treatment for Neonatal Abstinence Syndrome (NAS) and the duration of their hospital stay. A retrospective analysis of 462 infants, including 121 exposed to polysubstances during pregnancy, showed significant associations between polysubstance exposure and adverse neonatal outcomes. Infants with prenatal polysubstance exposure were more likely to require pharmacological treatment for NAS (52.8%) compared to non-exposed infants (38.7%), as determined by chi-square analysis (χ²(1, N = 462) = 7.36, p = .007). Additionally, infants exposed to polysubstances experienced longer hospital stays on average (M = 14.88 …

Breaking Barriers: Exploring The Impact Of Social Media On Women's Behaviors, Attitudes, And Barriers In The Free-Weights Room, Kate Jensen

Master's Theses

The purpose of this study was to determine social media’s impact on women’s habits and attitudes on the weight-room area of a college recreation center. Using non-experimental quantitative methods, the frequency and type of weightroom use by women was measured, as well as the type and frequency of fitness-focused social media use.

Does Limb Specialization In Track And Field Introduce Asymmetry In Dynamic Stability?, Aaron X. Jones

Master's Theses

Time to stabilization (TTS) represents the time it takes for a person to become still after a hop landing. Lower times suggest greater dynamic stability. Whereas leg dominance (preference) does not seem to have a significant impact on TTS performance in the general healthy populations, limb specialization in sport may introduce asymmetry. This study compares TTS following forward hops in healthy male controls (N = 19) to varsity DIII Track & Field athletes (N = 20). Groups were equal for height, but the athlete group’s average limb length (106.7 ± 5.5 cm) was greater than the control group (101.5 ± …

Valproate Use Is Associated With Lower Hepatic And Cardiovascular Outcomes When Compared To Levetiracetam In Patients With Masld/Mash: A Multinationalanalysis, Donghyun Ko, Do Han Kim Md, Wilhelm S. Basegoda Md, Jose A. Porres, Luis M. Nieto Md, Pedro Palacios Argueta Md, Paul T. Kroner Md, Frank J. Lukens Md

Posters

Valproate and levetiracetam are commonly used to manage epilepsy. While valproate is well-documented to significantly affect lipid metabolism, less is known about the effects of levetiracetam. Given this, worse outcomes in MASLD/MASH are anticipated in patients treated with valproate.

The aim of our study is to compare hepatic and cardiovascular outcomes in MASLD/MASH patients treated with valproate versus levetiracetam.

Immune-Related Adverse Events Associated With Pembrolizumab In Dmmr/Msi-H Colorectal Cancer: A Single Arm Safety Meta-Analysis, Joshi Simran, Saman Javid, Gaurav Sharma, Corinne Caissie, Armando Dominguez-Diaz

Posters

Pembrolizumab, a PD-1 checkpoint inhibitor, enhances immune response and has proven effective against various cancers, including melanoma, non-small cell lung cancer, and head and neck squamous cell carcinoma.

Clinical trials have also shown its efficacy in treating various types of cancers with different mismatch-repair statuses. However, the spectrum and frequency of immune-related adverse events (irAEs) in the dMMR (deficient mismatch repair) / MSI-H (microsatellite instability-high) colorectal cancer remain underexplored.

Therefore, this meta-analysis aims to evaluate pembrolizumab's safety profile in this colorectal cancer subset.

Does Covid-19 Matter: A Growth Curve Modeling Analysis Estimating And Predicting The Growth Trends Of The Accountable Care Organizations (Acos) Preventative Quality Performance During 2016-2020 Period, Christina Bocanegra-Perez

Theses & Dissertations

Does COVID-19 Matter: A Growth Curve Modeling Analysis Estimating and Predicting the Growth Trends of the Accountable Care Organizations (ACOs) Preventative Quality Performance During 2016-2020 Period

Christina M. Bocanegra, PhD

University of the Incarnate Word

Abstract

Introduction: CMS aggregates and reports Accountable Care Organizations (ACOs) performance each year, resulting in distributed shared savings to provider participants. The intent is to share benefits with healthcare providers to promote lower costs, better patient experience, and better outcomes. The Medicare Shared Savings Program (MSSP), in which ACO groups collect data to include the six preventative quality care measures viewed in this study, focuses …

Glp1 Ra Reverses The Harmful Association Of Body Weight Variability With Cvd Outcomes Across Different Metabolic Profiles, Sarpong Boateng, Yussif Issaka Md, Basile Njei

Posters

This study aimed to investigate the impact of GLP1 RA on this known negative relationship between BMI variability and cardiovascular (CVD) outcomes across different metabolic profiles.

Glp-1ra Use Is Not Associated With Immediate Worse Outcomes In Patients Undergoing Ercp: A Multinational Analysis, Donghyun Ko, Do Han Kim Md, Wilhelm S. Basegoda Md, Jose A. Porres, Carolos Elizondo Altorre, Luis M. Nieto Md, Miguel Salazar Md, Paul T. Kroner Md, Pedro Palacios Argueta Md, Frank J. Lukens Md

Posters

Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure used to treat biliary and pancreatic conditions with increased therapeutic utilization over recent decades. Limited evidence exists regarding the potential impact of glucagon-like peptide-1 receptor agonists (GLP-1RA) on post-ERCP pulmonary outcomes. Increasing concern for retention of gastric contents has led to recent recommendations on holding these agents prior to upper endoscopic intervention. The aim of this study is to assess if use of GLP-1RA prior to ERCP leads to worse cardiopulmonary outcomes.

Efficacy Of Neuromuscular Ultrasound In Diagnosing And Treating A Mammogram-Induced Brachial Plexus Injury-A Case Report, Jaime Dougherty, Tyler Pigott, Altamash E Raja

Rowan-Virtua School of Osteopathic Medicine Departmental Research

A 40-year-old woman presented with chronic left anterior shoulder, upper arm, and axillary pain following a routine mammogram 3 years prior. Despite multiple interventions, her pain persisted significantly affecting her quality of life. Ultrasound examination revealed fascicular edema in the medial brachial cutaneous nerve (MBCN), intercostobrachial cutaneous nerve (ICBN), and a positive sono-Tinel. Ultrasound-guided hydrodissection of these nerves provided complete axillary pain relief and significant improvement in anterior arm pain, sustained for 6 months. This case highlights the diagnostic challenges of cutaneous nerve entrapment syndromes, often overlooked and misdiagnosed, especially without a clear inciting injury. Ultrasound proves superior to electrodiagnostic …

Untreated Subclinical Hypothyroidism Is Associated With Higher Mortality And Hepatic Decompensation In Patients With Masld/Mash: A Multinational Analysis, Do Han Kim Md, Donghyun Ko Md, Jose A. Porres, Wilhelm S. Basegoda Md, Cristina H. Makarian, Luis M. Nieto Md, Pedro Palacios Argueta Md, Paul T. Kroner Md, Frank J. Lukens Md

Posters

This study aims to explore whether subclinical hypothyroidism contributes to the progression of MASLD/MASH, reflected as an increased risk of liver-related outcomes.

Efficacy Of Pcit In Treating Children With Gad, Sarah Herman

Physician Assistant Scholarly Project Posters

Generalized Anxiety Disorder (GAD) is a common mental health condition in children that leads to excessive worry, impacting daily functioning and quality of life. As anxiety disorders pose a risk for chronic and resistant presentations if untreated, early and effective interventions are crucial. This literature review evaluates the effectiveness of Parent-Child Interaction Therapy (PCIT) as an alternative treatment for GAD, comparing it with established Cognitive Behavioral Therapy (CBT). A review of seven articles suggests that PCIT may be equally or more effective than CBT in treating childhood anxiety, highlighting the importance of employing evidence-based practices in clinical settings

Comparative Efficacy And Preference Of Estrogen Cream Or Gel Vs. Vaginal Ring Estrogen For Hormone Replacement Therapy In Menopausal Individuals, Clara Burkman

Physician Assistant Scholarly Project Posters

• Menopause is a natural, nonpathological event that occurs due to decreasing estrogen levels. • One of the most reported symptom of menopause is urogenital atrophy, also known as vaginal atrophy. • Symptoms include vaginal pruritus, dyspareunia, dryness, dysuria, postcoital bleeding, and tightness due to the thinning and reduced elasticity of the vaginal mucosa. • Local estrogen therapy is the preferred treatment option due to its minimal systemic absorption, potentially safe option for menopausal patients with hormone-sensitive conditions, and it is easily adjustable to symptom severity. • The purpose of this literature review is to compare two common delivery methods, …

Effects Of Nsaids On Bone Healing Time In Orthopedic Patients, Alayne Brekke

Physician Assistant Scholarly Project Papers

Use of NSAIDs in adults recovering from orthopedic injury or surgery has been found to be largely inconclusive when it comes to determining significance in delay of bone healing. The purpose of this review is to determine whether use of NSAIDs is detrimental to bone healing after orthopedic injury or surgery. A literature review was performed using electronic databases PubMed and SportsDiscus from May to July of 2024. There were fifteen studies that met final inclusion criteria. Research overwhelmingly acknowledged that selective COX-2 inhibitors are not recommended in a post injury or post operative state. However, when it comes to …

Effectiveness Of Epinephrine In Cardiac Arrest On Survivability With A Favorable Neurologic Outcome, Nathan Young

Physician Assistant Scholarly Project Posters

Cardiac arrest represents a critical medical emergency characterized by the cessation of effective cardiac function resulting in loss of blood flow to vital organs. The management of cardiac arrest often involves pharmacological interventions, primarily the administration of epinephrine. Historically, epinephrine has been the first-line agent in resuscitation protocols due to its sympathomimetic properties that can enhance cardiac contractility and blood circulation. However, the efficacy of epinephrine in yielding favorable long-term survival outcomes with maintained neurological function remains in question. This literature review examines the effectiveness of epinephrine in adult cardiac arrest, comparing outcomes to scenarios of no drug use and …

Telemedicine Vs. Clinic Monitoring: Adherence In Hypertension Management, Kimberly Hinkle

Physician Assistant Scholarly Project Posters

Hypertension affects over a billion adults worldwide and remains a major contributor to cardiovascular disease and mortality. Effective management requires consistent medication adherence and lifestyle changes, but barriers such as limited healthcare access often hinder follow-up. This literature review evaluates the efficacy of home blood pressure (BP) monitoring combined with telemedicine follow-up in improving medication adherence among adults with hypertension compared to traditional clinic-based follow-ups. A literature review was conducted, resulting in the inclusion of six studies that examined interventions such as telepharmacy, remote BP monitoring, bidirectional text support, and mobile health applications. Results demonstrated that telemedicine significantly enhances BP …

P2y12 Inhibitor Monotherapy Vs. Dual Antiplatelet Therapy: Medication Management After Suffering From Acute Coronary Syndrome, Jordan Saxerud

Physician Assistant Scholarly Project Posters

According to the American Heart Association, there are approximately 1.4 million people who are hospitalized and 700,000 deaths attributed to acute coronary syndrome on a yearly basis in the United States. It is standard therapy for patients to receive a drug eluting stent and dual antiplatelet therapy to prevent occlusion of the stent and other coronary arteries. Dual antiplatelet therapy typically consists of aspirin and a P2Y12 inhibitor. Dual antiplatelet leads to an increased risk of bleeding. This literature review aims to investigate if earlier initiation of P2Y12 inhibitor monotherapy decreases the risk of bleeding while maintaining adequate protection against …

High Dose Intravenous Vitamin C In Breast Cancer Therapy, Brianna Solis

Physician Assistant Scholarly Project Papers

Breast cancer remains one of the most prevalent malignancies globally, emphasizing the need for adjunct therapies to enhance treatment outcomes and improve patient care. Current breast cancer treatments, including radiation, chemotherapy, and surgery, are often effective but are frequently associated with significant side effects that can impact treatment tolerance and quality of life. This review examines the effectiveness of high-dose intravenous (IV) vitamin C as an adjunct therapy in breast cancer treatment, specifically its potential to reduce tumor size and alleviate chemotherapy-associated side effects. A literature review was performed using electronic databases PubMed and Google Scholar from April to June …

Efficacy Of Probiotic Use In Allergic Rhinitis And Asthma In Children And Adolescents, Mary Janke

Physician Assistant Scholarly Project Papers

Allergic rhinitis and asthma are chronic conditions affecting children and adults, often impairing quality of life. Conventional treatments, including allergen avoidance, antihistamines, corticosteroids, and bronchodilators, manage symptoms but may also have limitations and side effects. Recent studies have explored the efficacy of probiotics as a potential adjunct therapy to alleviate AR symptoms, decrease asthma severity, and reduce the dependence on these conventional treatments. This literature review aims to determine the efficacy of probiotics in treating asthma and allergic rhinitis. It includes studies using probiotics to treat asthma and/or allergic rhinitis, as found using Embase and PubMed. Only studies involving pediatric …

The Comparison Of Once Daily Insulin And Once Weekly Insulin In Patients With Diabetes Mellitus, Carly Gilbertson

Physician Assistant Scholarly Project Papers

Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or a combination of both. The purpose of this literature review is to determine if patients with diabetes mellitus taking once weekly insulin injections compared to once daily insulin injections offer the same, or better, effectiveness at lowering their HbA1c. This is critical in the management and progression of the disease. The electronic databases PubMed, Clinical Key and Embase were searched and there were 92 articles found. Inclusion criteria included articles published within the past 5 years, randomized clinical trials and meta-analysis. …

Treatment Of Adult Adhd, Megan Bryn

Physician Assistant Scholarly Project Posters

Pharmaceutical therapy, particularly stimulants, is the mainstay treatment for ADHD • The systematic literature review focuses on nonpharmaceutical therapies (cognitive behavioral therapy, psychoeducation, mindfulness behavioral therapy) as potential alternatives for the management of adult ADHD • Nonpharmaceutical treatments could be beneficial for patients where pharmaceutical therapy is not preferred or contraindicated • Research supports the use of pharmaceutical therapy for adult ADHD in combination with nonpharmaceutical therapies • Future research could explore nonpharmaceutical therapies along as a long-term management option for adult ADHD

Monoclonal Antibody Therapy Versus Oral Immunotherapy In Food Allergies, Kendra Bohm

Physician Assistant Scholarly Project Posters

Food allergies are classified as an immune hyperreaction that leads to various symptoms that can range from mild to severe and even result in death. Often, management of food allergies includes avoidance of triggering substances or rescue treatment after exposure has occurred. This literature review aims to examine preventative management options for food allergies, including oral immunotherapy, and recent medications, including monoclonal antibodies. The databases searched for this literature review include PubMed, Embase, and Google Scholar. Additional references were also selected from reference lists in those studies as they pertained. This review explores the success in reaching desensitization following treatment …

Impact Of Altering Gut Microbiota With Multinutrient Supplementation On Neuropsychiatric Symptoms In Attention Deficit/Hyperactivity Disorder, Benjamin Hinkle

Physician Assistant Scholarly Project Posters

§ Attention-Deficit/Hyperactivity Disorder (ADHD) is a prevalent neuropsychiatric condition, often characterized by inattention, hyperactivity, and impulsivity. § Recent evidence suggests a potential link between gut microbiota composition and various neuropsychiatric disorders, including ADHD, through the gut-brain axis (GBA). § Literature review of studies published between 2017 and 2024 explores the influence of multinutrients on gut microbiota and its efficacy of treating the core symptoms of ADHD in children ages 6-12 years old. § Findings indicate that multinutrients alter gut microbiota and subsequently impact neuropsychiatric symptoms.

Monoclonal Antibody Therapy Versus Oral Immunotherapy In Food Allergies, Kendra Bohm

Physician Assistant Scholarly Project Papers

Food allergies are classified as an immune hyperreaction that leads to various symptoms that can range from mild to severe and even result in death. Often, management of food allergies includes avoidance of triggering substances or rescue treatment after exposure has occurred. This literature review aims to examine preventative management options for food allergies, including oral immunotherapy, and recent medications, including monoclonal antibodies. The databases searched for this literature review include PubMed, Embase, and Google Scholar. Additional references were also selected from reference lists in those studies as they pertained. This review explores the success in reaching desensitization following treatment …