Medicine and Health Sciences Commons^™

Identification Of Obstructive Sleep Apnea Symptoms Among Veterans In The Primary Care Setting, John Dominic Rosella Iv

Doctor of Nursing Practice Scholarly Projects

Untreated obstructive sleep apnea (OSA) has long-term cardiovascular and metabolic health implications, impacting quality of life and increasing health expenditures. Veterans have a higher prevalence rate of OSA attributed to an aging population and higher rates of comorbid conditions. The problem of under recognition of OSA symptoms partly relates to clinicians needing to elicit relevant symptoms routinely. At the same time, the lack of primary-care-based screening protocols contributes to the percentage of undiagnosed OSA. The purpose of this evidence-based project was to implement routine screening to identify OSA risk among veterans in primary care settings in South Carolina. The method …

Depression In Individuals With Chronic Liver Disease: Improving Screening In The Outpatient Setting, Kayla Corine Wright

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Individuals with chronic conditions such as chronic liver disease experience higher rates of depression, often underdiagnosed and placing high risk demographics in jeopardy of adverse outcomes, including worsening prognosis, decreased quality of life, and increased symptomatology.

Purpose: Evidence advocates for routine depression screening within high-risk patient populations. This paper outlines the implementation of a quality improvement initiative aimed at enhancing depression screening at a selected outpatient liver clinic within an extensive hospital system by implementing the PHQ-9 questionnaire during patient clinic visits, where no standardized screening protocol was previously in place.

Methods: The Plan-Do-Study-Act cycle guided the implementation …

Menopause And Autism: Towards A Public Health Framework, Amanda Birnbaum, Alicia Broderick, Caprice Benoit, Bhumi Patel

Department of Public Health Scholarship and Creative Works

Despite volumes of autism publications, there are enormous gaps in what we know about autism in adults and women. Yet, a large UK study reported that recent surges in autism diagnoses have been greatest in these populations. As the understanding of who is autistic expands, so too must our understanding of autism across the lifecourse.

Menopause is one (of many) underexplored aspects of the autistic lifecourse. Based on the sparse literature on autism and menstruation, there is reason to believe the hormonal changes of menopause may create more challenges for autistic than neurotypical adults. Some qualitative research suggests that …

Addressing Risk For Poor Health Outcomes By Establishing A Culturally Appropriate Community Nutrition Education Event, Tamara Bow

Doctor of Nursing Practice Projects

Problem Description

Poverty, decreased health literacy, and lack of community educational opportunities result in nutritional deficits. Students in the Umatilla School District and the surrounding community lack knowledge of the components of a nutritious diet. If not addressed, students and families are at risk of poor health outcomes.

Setting

The city of Umatilla has a population of 7,363, and the mean household income is $51,790 (United States Census Bureau, 2022). In the 2021-2022 school year, Umatilla School District 6R had 54% Ever English Learners, which included students who speak a language other than English at home (Oregon Department of Education, …

Atrial Fibrillation Status And Physical Rehabilitation In Older Patients With Acute Decompensated Heart Failure: An Analysis From The Rehab-Hf Trial, Douglas Corsi, Sean Dikdan, Naman Upadhyay, Haiying Chen, Dalane W Kitzman, Robert Mentz, David J Whellan, Daniel R Frisch

SKMC Student Presentations and Publications

BACKGROUND: The REHAB-HF (Rehabilitation Therapy in Older Acute Heart Failure Patients) trial demonstrated that a transitional, tailored, progressive rehabilitation intervention improved physical function, 6-minute walk distance, frailty, quality-of-life, and depression in older patients hospitalized for acute decompensated heart failure. This analysis assessed the impact of atrial fibrillation (AF) on intervention benefits.

METHODS AND RESULTS: Of 349 enrolled patients hospitalized for acute decompensated heart failure (mean age 72.7±8.1 years), 176 (50.4%) had AF. Participants were randomly assigned to 12-week rehabilitation intervention or attention control. The primary outcome was Short Physical Performance Battery score at 3 months. Participants with AF were older …

Non-Partner Sexual Violence Among International College Students In The United States, Kruti S. Chaliawala, Rebecca A. Vidourek, Keith A. King

Dignity: A Journal of Analysis of Exploitation and Violence

The prevalence of non-partner sexual violence among college students is a pressing concern that demands urgent attention. Although an integral part of the education system, international college students are often underrepresented in various studies. This calls attention to understanding the cultural nuances and multiple factors affecting this population. The current research delves into the experiences of sexual abuse among international students within the last 12 months, focusing specifically on incidents where sexual penetration or unwanted sexual touching occurred without consent. The study sheds light on the frequency and demographics associated with these distressing incidents using data from a large-scale survey …

From Crisis To Closure: Use Of Kerecis© Omega3 And Negative Pressure Wound Therapy In Treating Necrotizing Soft Tissue Infection, Nikita Gambhir, Heather V. Tran, Stephanie N. Campbell, Mihir Panchal

School of Podiatric Medicine Publications

The aim of this case study was to evaluate the effectiveness of Kerecis© Omega3 MariGen Micro for the treatment of a necrotizing soft tissue infection (NSTI) in a diabetic patient, including wound healing progress and closure outcomes post-application.

The application of acellular dermal micromatrix allograft in conjunction with NPWT and STSG, facilitated significant wound healing in a patient with NSTI, without amputation. This case highlights the unique properties of Kerecis Omega3, a fish-derived skin substitute rich in omega-3 fatty acids, significantly contributed to tissue regeneration and wound healing, even in a high-risk patient with multiple comorbidities, including diabetes and obesity. …

Who Is Treating Periprosthetic Femur Fractures? An Analysis Of The Periprosthetic Research Consortium, Nicholas Pohl, Arjun Saxena, Jeffrey Stambough, John Martin, Simon Mears, Paul Lichstein, Eric Jordan, Cameron Egan, Antonia Chen, Greg Erens, Samir Chabib, Bryce Wall, Navin Fernando, Jordan Nichols, Ran Schwarzkopf, Katherine Lygrisse, Derek Amanatullah, Prerna Arora, David Ivanov, Galvin Loughran, James Browne, Danielle Hogarth, Parke Hudson, Thomas Donaldson, Frank Buttacavoli, Ravi Kari, Galen Mills

Rothman Institute Papers

Background: Periprosthetic femur fractures (PPFFs) following total hip arthroplasty (THA) have increased in the past decade as the demand for primary surgery continues to grow. Although there is now more evidence to describe the treatment of Vancouver B fractures, there is still limited knowledge regarding factors that cause surgeons to perform either an open reduction and internal fixation (ORIF) or revision THA (rTHA). The purpose of this study was to determine what type of surgeons treat Vancouver B PPFFs at 11 major academic institutions and if there are trends in treatment decision-making regarding the use of ORIF or rTHA based …

Rates Of Reporting And Analyzing Race And Ethnicity In Athlete-Specific Sports Medicine Research: A Systematic Review, John H. Sonnier, Carlo Coladonato, Irfan A. Khan, Gregory Connors, Ryan W. Paul, Anya T. Hall, Emma E. Johnson, Meghan E. Bishop, Fotios P. Tjoumakaris, Kevin B. Freedman

Rothman Institute Papers

BACKGROUND: Race- and ethnicity-based differences in treatment access and outcomes have been reported in the orthopaedic sports medicine literature. However, the rate at which race and ethnicity are reported and incorporated into the statistical analysis of sports medicine studies remains unclear.

PURPOSE: To determine the rate at which race and ethnicity are reported and analyzed in athlete-specific sports medicine literature.

STUDY DESIGN: Systematic review; Level of evidence, 4.

METHODS: Using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, articles published by the 3 journals of the American Orthopaedic Society for Sports Medicine between 2017 and 2021 were considered …

Skin Safety Duo: Partnered Assessments For Pressure Injury Prevention, Ana Soto Barrios, Katie Winn, Ceila Hernandez

2023

No abstract provided.

In Pediatric Er Nurses, How Does A Visual Reminder In Epic Impact Pain Reassessment?, Addison Davis, Carleigh Carleigh, Francisco Cortez, Trinity Bell, Vanda Mcadoo

2023

No abstract provided.

Electronic Documentation: Need To Standardize “Charting By Exception”, Michel’La Adams, Rochelle Henderson, Toi James, Jasmine Ramirez, Elijah Rodriguez

2023

No abstract provided.

We Care About What You Think! Optimizing Patient-Family Satisfaction Throughout The Heart Center, Alex Corkill, Evan Enos, Lisa Martina, Brett Roffine, Mya Thomas, Camryn Toney

2023

No abstract provided.

Best Practice Recommendations To Reduce Accidental G-Button/Tube Dislodgements, Julia Reyes, Lissa Galvan, Nicholas Poulides, Pinki Gracy, Prekshya Gautam

2023

No abstract provided.

All About Comfort!, Carlee Hoover, Katherine Jaseckas, Shelby Little

2023

No abstract provided.

Walk A Mile In Our Shoes: Bridging The Gap Between The Er And Inpatient Nursing Feedback Given, Payton Cope, Yaritza Rios, Veronica Cuffaro, Reagan Swindall, Jasmine Cabrera

2023

No abstract provided.

Blood Draws Through A Piv In The Icu, Maribel Molina, Melissa Barrett, Kaitlyn Cavanagh

2023

No abstract provided.

Predicting Access Barriers And Facilitators To Pediatric Specialty Care Among Children With Complex Chronic Conditions, Elisabeth Vestal

MUSC Theses and Dissertations

Children with complex chronic conditions (CCC) face healthcare inequities when accessing pediatric specialty care. Social or economic barriers may exacerbate the challenges faced by families with a child/children with CCC and include increased geographical distance to specialty services, familial poverty, inadequate neighborhood resources, and food insecurity. Understanding how social and economic factors may impact equitable access to care are essential in improving health outcomes for children with CCC. The first manuscript in this compendium is an integrative review focused on the barriers and facilitators of accessing pediatric specialty care for rural dwelling children with CCC. The second manuscript presents a …

The Hunger Vital Sign Alone Misses Patients Who Are Not Food Secure, Avry Logeman, Susan Evans, Jenenne Geske

Posters and Presentations: Family Medicine

No abstract provided.

Aging Skeletal Muscle: Influence Of Obesity And Role Of The Exercise Responsive Nuclear Receptor Nor-1, Hector G. Paez

Alternative Theses and Dissertations (AETDs)

Skeletal muscle mass and function are critical components of overall health and quality of life. Advanced age is associated with skeletal muscle disease characterized by a loss of muscle mass, function, and quality. Indeed, low muscle mass and function is associated with poor disease outcomes and greater mortality, greater incidence of falls, and a high fiscal and societal cost. Aging contributes to a decline in skeletal muscle health through several intrinsic and extrinsic mechanisms including impaired nutrient sensing, mitochondrial dysfunction, inflammation, physical inactivity, and proteostatic imbalance. Obesity, an increasingly prominent public health concern, is becoming more common in the elderly …

The Effects Of Cannabinoids On Migration-Related Protein Expression In Ewing’S Sarcoma, Allison Lashall

Theses

Ewing’s sarcoma is an aggressive pediatric bone cancer that has low five-year survival rates, primarily due to metastatic disease and resistance of recurring tumors to traditional treatment options; therefore, novel treatment options are needed. The compound cannabidiol (CBD) has been shown to reduce cell viability, migration, and invasion in several tumor types, though the cellular mechanism of action is not well understood. Our lab has demonstrated the ability of CBD to reduce viability, migration, and invasion of Ewing’s sarcoma cells in vitro and is investigating differential protein and cytokine expression of known mediators of migration, such as intercellular adhesion molecule …

Low Prevalence Of Soil Transmitted Helminth Infection In Ugandan Children Hospitalized With Severe Malaria, Drew Capone, Nuzrath Jahan, Ruth Namazzi, Robert Opoka, Chandy John

Paediatrics and Child Health, East Africa

Co-infection by intestinal helminths and Plasmodium spp. may be common in endemic communities. Several studies have identified a relationship between helminth infection, Plasmodium spp. infection and malaria severity. However, the relationship is not well defined, and results are inconclusive. We analyzed stool samples from a cohort of children with severe malaria enrolled in two hospitals in Uganda from 2014-2017 and asymptomatic community children from the same household or neighborhood and enrolled at the same time, all 6 months to 48 months of age. We investigated if intestinal helminth infection modified risk of severe malaria. We extracted nucleic acids from stool …

How The Lockdown Of Covid-19 Influenced The Neurocognitive And Psychosocial Development Of Preschoolers, Kay Picson

Nursing | Student Research Posters

The COVID-19 pandemic instilled a new normal across the world. Businesses turned to take out services and faced financial struggle. Hospitals enacted a visitor policy, limiting contact with patients, their families, and their friends. Schools closed their classrooms and moved to online learning from home, isolating children from their teachers, peers, and an optimal learning environment.

The literature review consists of six articles pertaining to the influence of the COVID-19 lockdown on preschoolers neurocognitive and psychosocial development. Specifically, the influence of the lockdown on preschooler mental health, executive function, and social skills. According to the research, the results were differential, …

Effects Of Educational Intervention On Asthmatic Children, Zoe Coggins

Nursing | Student Research Posters

Abstract

Children are more vulnerable to asthmatic symptoms due to the physiological immaturity of their respiratory systems. Therefore, irritants are deemed more hazardous for the pediatric population. Pollution is a growing health concern, and within the literature review, several approaches to the measurement of the impact of low air quality and educational interventions are discussed. The themes identified in the literature review are increased risk of pollution-induced exacerbation due to age, behavior, and residential proximity to emission-producing facilities. The review of the literature demonstrated how pollution is a growing public health concern, especially among the pediatric population. Interventions, reviewed in …

Dean's Report- Fall 2024, Marina K. Holz

GSBMS Dean’s Report

No abstract provided.

Biliteracy Development Of Spanish-English Bilingual Children: A Closer Look Into The Role Of Morphological Awareness, Grace Morgan, Jamie Smith

Graduate Independent Studies - Communication Sciences and Disorders

No abstract provided.

Religious And Spiritual Self-Assessment For Speech-Language Pathologists, Rose T. Kirchgessner, Jamie Mahurin Smith

Graduate Independent Studies - Communication Sciences and Disorders

No abstract provided.

"Deep Learning For Microscope Image Denoising", Nasreen Buhn, Sriya Adunur, Guy Hagen, Jonathan Ventura

College of Engineering Summer Undergraduate Research Program

In order to avoid damaging live cells, optical microscope imaging must be conducted under low-excitation light intensity and/or short exposure times, resulting in low signal-to-noise ratios (SNR). Deep learning methods offer an effective solution for removing microscope noise, utilizing algorithms that are able to reconstruct finer features in low SNR images. This research explores the denoising capability of several deep learning methods based on PSNR and SSIM. Tested methods include traditional approaches (BMED), supervised learning (CARE and Restormer), and unsupervised methods (Noise2Fast, N2V, SSD-Unsupervised, and SASSID). The Restormer model, which employs an encoder-decoder transformer architecture and progressive learning, stood out …

Significance Of Noninvasive Endothelial Dysfunction And Other Cardiovascular Measurements In Various Communities, Sofi Z. David, Lily Wilcox, Kalia Richard

College of Engineering Summer Undergraduate Research Program

This pilot study aims to raise awareness of endothelial dysfunction in underrepresented communities, where cardiovascular disease is prevalent. By delivering educational presentations and materials, the study seeks to increase participants' understanding and interest in endothelial dysfunction, potentially leading to proactive health behaviors. The results will inform future initiatives to enhance public knowledge and reduce the burden of cardiovascular disease in these communities.

In the future, there will also be a 3 vs 5-minute hyperemia study. Thirty participants without a history of cardiovascular disease will undergo testing using the Cordex SmartCuff™ device. If the three-minute hold proves to accurately measure endothelial …

Sex Differences In The Association Between Glial Fibrillary Acidic Protein And Cognitive Performance In Autosomal Dominant Alzheimer’S Disease, Taryn Gordon

Doctor of Psychology (PsyD)

The rising incidence of Alzheimer’s Disease and its disproportionate prevalence in the female sex has led to a growth in research focused on preclinical Alzheimer’s Disease and the histopathological brain changes. However, limited research has focused on preclinical changes in Autosomal Dominant Alzheimer’s Disease populations and sex differences within these unique populations. This study aimed to address gaps in the literature by examining biological markers of neuroinflammation, glial fibrillary acidic protein (GFAP), in preclinical Autosomal Dominant Alzheimer’s Disease mutation carriers and non-carriers, and its relationship with cognitive function and sex. Archival data was utilized from the Colombia-Boston biomarker study of …