Medicine and Health Sciences Commons^™

Urbanism Strategies For Linking Existing And New Cities, Naglaa J. Q. Mo’Men Abdel-Qader Ebrahim1, Mohsen Bayad2

Journal of Engineering Research

New cities, designed for urban growth outside existing metropolitan regions, face challenges in street infrastructure due to rapid expansion. Efficient control of mobility is crucial as cities grow. Sustainable transportation involves factors like infrastructure, public transit, delivery networks, affordability, efficiency, air quality, health, and reduced emissions. Commuting between established and new urban areas is common, leading to issues like urban sprawl, longer travel times, and congestion in developing countries. The challenge is to improve accessibility while addressing air quality, traffic, congestion, noise, built environment, emissions, and sprawl. This study aims to explore factors influencing mobility choices in Egypt, focusing on …

Mitigating Care Provider Turnover For Children With Developmental Disabilities, Abigail Equinoa

Occupational Therapy Student Capstones

No abstract provided.

Curriculum Vitae Of Thein Zhu, Thein Zhu

Presentations and Events

Curriculum Vitae of Thein Zhu

1999- To Date in Fort Wayne, Indiana, USA (Past career for 1963-1998 period in Myanmar (Burma) is also attached)

Thein Hlaing Zhu (as Thein Hlaing before 2009)

Occupation :Trauma Epidemiologist

Development Of A Student-Run, Faculty-Directed Pbc, Olivia Holloway, Angela Blackwell, Julie Seidle

Summer 2024 OTD Capstone Symposium

Benefits of creating a student-run, faculty-directed, community-based Pro Bono Clinic for community members to engage in the occupation of gardening.

Using A Modified Delphi Panel To Develop Best Practices In Course Evaluations Of Teaching., Ma. Emmanuelle (Ella) Domingo Vogt Pharmd, Robert D. Beckett Pharmd, Monica Miller Pharmd, Ms, Alex N. Issacs Pharmd, Ms

Parkview Pharmacy Department

Presented at AACP Annual Meeting. Boston, MA: July 2024.

This study generated best practices colleges of pharmacy should employ when conducting student evaluations of teaching and courses.

The Innovator - Summer 2024, Matthew Hamel

Faculty Affairs & Research Newsletters - The Innovator

No abstract provided.

Veterans In Focus: Disability And Veterans In Rural America, Hannah W. Pepprock, Lillie Greiman, University Of Montana Rural Institute

Health and Wellness

There are an estimated 17 million Veterans living throughout the United States. Relative to the general population, Veterans are more likely to experience disability. Veterans are also disproportionately represented in rural areas across the U.S. As people with disabilities are also disproportionately represented in rural areas, it is valuable to explore the intersection between veteran status, disability, and rurality. This analysis uses publicly available date from the American Community Survey to examine service-connected disability rating status and the ACS-6 questions on functional ability as they related to U.S. regions and rurality.

Promoting Academic And Social Well-Being For Young Adults With Asd Towards Post-Secondary Education And Employment, Theresa Holcomb, Pam Kasyan-Howe, Kristin Domville

Summer 2024 OTD Capstone Symposium

This program and policy-type capstone addresses the gap in inclusive services for young adults with Autism Spectrum Disorder (ASD) in post-secondary education (PSE). It resulted in developing and implementing a Social Engagement program designed to enhance communication skills, self-advocacy, and workplace preparedness—key factors for academic and vocational success. Guided by the Occupational Adaptation Model (OAM) and the Person-Environment-Occupation-Performance (PEOP) model, the program used a board game-based format to facilitate interactive learning and the practical application of social skills. Targeting young adults with ASD involved in vocational training, the program emphasized developing professional communication and workplace social interaction. The findings indicate …

Implementation Of A Crna Clinical Faculty Preceptorship Workshop: A Quality Improvement Project., Sarah Veeneman

Doctor of Nursing Practice Papers

Background/Significance: Certified Registered Nurse Anesthetists (CRNAs) undergo extensive didactic and clinical training when earning their doctoral practice degrees. However, there is inconsistency of preceptor clinical training.

Purpose: The purpose of this quality improvement project was to improve the consistency in preparedness of CRNA clinical faculty preceptors who train nurse anesthesia residents (NARs).

Methods: A pre-post approach was used. A MeSH search was conducted that resulted in 13 studies that were examined for quality and applicability for this project. The Plan-Do-Study-Act model was the framework to guide this quality improvement project.

Intervention: Participants attended one 3-hour educational training workshop. …

Implementation Of A Mindfulness Approach To Emotional Regulation In A Public High School., Kaelin Cherise Shay

Doctor of Nursing Practice Papers

According to the Gallup and Walton Family Foundation-State of American Youth Survey for 2023, schools in the United States received an average grade of C+ when it comes to supporting their students’ mental health, highlighting a potential area for improvement in the school system (Wilcoxon & Marken, 2023). This quality improvement project aimed to teach high school students about emotional regulation using a mindfulness platform and evidence-based techniques designed for the school environment. The sessions focused on improving the students’ understanding of emotions and emotional regulation and helping them apply techniques to regulate emotions in a healthy manner.

This project …

Evaluation Of An Educational Training On Telehelath Utilization Rates And Hospital Readmissions In A Home Health Setting., Gabrielle A. Coomer

Doctor of Nursing Practice Papers

Background: Hospital readmissions are on the rise and continue to be a concern within healthcare due to their effects on the quality of care and healthcare costs. Telehealth strategies have been utilized across healthcare settings to improve hospital readmission rates.

Purpose: The purpose of this project was to evaluate the effectiveness of a telehealth training program in increasing telehealth utilization rates and reducing the acute care hospitalization rate within a single home health agency.

Intervention: A 30-minute PowerPoint presentation on the definition of telehealth, goals, and benefits of telehealth, patient eligibility, special considerations for clinicians, billing and coding guidelines, …

Examining The Tax Landscape Of Recreational Cannabis: Trends And Considerations From The Past 10 Years Of Policy, Thomas A. Norton, Amanda K. Thompson-Abbott, Raymond Keener Iii, Alberto Coustasse

Accounting Faculty Research

This article aims to provide an overview of the taxation of recreational cannabis in states where it has been legalized for recreational purposes. By delving into the various approaches taken by different jurisdictions, analyzing the economic impacts, and examining the challenges and opportunities inherent in cannabis taxation, we seek to shed light on a topic that is rapidly shaping the future of the cannabis industry and the broader economy. From excise taxes to sales taxes and licensing fees to revenue allocation, the taxation framework surrounding recreational cannabis is a dynamic and evolving landscape. Potential federal excise taxes could further complicate …

Higher-Dose And Adjuvanted Seasonal Influenza Vaccines Can Improve Immunogenicity In People With Hiv, Ethan Gladhill, Heather Rollins, Heather Justice, J. Brumitt

Doctor of Medical Science (DMSc)

Background- People with HIV have proportionally higher mortality and morbidity from seasonal influenza and have a reduced immune response to seasonal influenza vaccines. Improvement of their immune response to influenza vaccines may lead to improved health outcomes.

Methods- CINAHL and Medline were searched using the terms “high dose influenza AND HIV”, “high antigen AND influenza vaccine”, “influenza vaccine AND HIV AND immunogenicity”, “influenza vaccine AND HIV AND adjuvant”, and “adjuvanted influenza vaccine AND HIV”. Articles were selected based on criteria of investigating higher-dose (30μg or higher) or adjuvanted influenza vaccines …

Auxiliary Diagnosis Of Dental Calculus Based On Deep Learning And Image Enhancement By Bitewing Radiographs, Tai Jung Lin, Yen Ting Lin, Yuan Jin Lin, Ai Yun Tseng, Chien Yu Lin, Li Ting Lo, Tsung Yi Chen, Shih Lun Chen, Chiung An Chen, Kuo Chen Li, Patricia Angela R. Abu

Ateneo Laboratory for Intelligent Visual Environments

In the field of dentistry, the presence of dental calculus is a commonly encountered issue. If not addressed promptly, it has the potential to lead to gum inflammation and eventual tooth loss. Bitewing (BW) images play a crucial role by providing a comprehensive visual representation of the tooth structure, allowing dentists to examine hard-to-reach areas with precision during clinical assessments. This visual aid significantly aids in the early detection of calculus, facilitating timely interventions and improving overall outcomes for patients. This study introduces a system designed for the detection of dental calculus in BW images, leveraging the power of YOLOv8 …

The Impact And Potential Of Digital Health Technologies, Craig Kimble, Thomas Pile, Alberto Coustasse

Pharmacy Practice & Administration

Digital technologies and smart devices are now used in every aspect of our lives. Further innovation in the digital health realm is growing and has the potential to reduce inefficiencies in the health care system by sharing health data with providers, decreasing costs related to unnecessary health care visits and improving patients’ quality of life and clinical outcomes by better tailoring treatment to the individual’s health needs.

Daily Alarm Rounds: Enhancing Interdisciplinary Communication And Reducing Perceived Alarm Burden In Bedside Nurses., Shelby Mangeot

Doctor of Nursing Practice Papers

Purpose: The Joint Commission established alarm management as a national patient safety goal in 2013 and has continued this goal through 2023 (2022). This goal mandates hospitals to prioritize alarm system management and establish evidence-based techniques to manage and reduce nuisance alarms. The purpose of this quality improvement project was to provide bedside nurses with education about excessive alarm burden and evidence-based alarm management techniques, then implement a daily bedside alarm rounding tool to enhance interdisciplinary communication and address patient alarm limits during daily rounds.

Methods: After extensive review of the literature, prompts discussing daily alarm limits were added to …

Lgbt Cultural Competence Education For Nurse Leaders In A Large Metropolitan Healthcare System: Quality Improvement, Trevor Mcguffin, Andrew Mitchell

Doctor of Nursing Practice Papers

Background: In the United States, seven percent of adults identify as LGBT. The LGBT population is disproportionately affected by health disparities and barriers to care when compared to the cis-heterosexual population. Due to healthcare providers’ limited LGBT health education and experience, inconsistencies in LGBT culturally competent care perpetuate health disparities and barriers to care for the LGBT population.

Purpose: The purpose of this quality improvement project was to educate nurse leaders on LGBT cultural competency and facilitate nurse leaders’ behavior change.

Methods: This quality improvement project consisted of three LGBT cultural competence modules and two guided behavior change pathways. Outcomes …

Thoughts From The Frontline - July 2024, Tennessee Center For Nursing Advancement, East Tennessee State University

Thoughts from the Frontline Newsletter

No abstract provided.

Un Rce Rise Youth Corps: Mcleod Health Free Health Care For Horry County, Savannah Piziak

Goal 3: Good Health and Well-Being

No abstract provided.

Summer 2024 Edition, Southwestern Oklahoma State University

The Sig

GREETINGS FROM THE DEAN'S OFFICE!

Since the last edition of The Sig there has been great progress on the construction of the Jerry & Margaret Hodge College of Pharmacy and Rural Health Center. After calling the third floor of the CPP building home for 50 years, it is exciting to see our new home emerge at the corner of North Davis and Caddo with concrete being poured and steel beams hoisted into place with a crane.

Addressing Caregiver Burden Among Oncology Caregivers: An Educational Intervention., Alexandria Salois

Doctor of Nursing Practice Papers

The incidence of cancer is on the rise, the number of cancer diagnoses are increasing at an alarming rate with advanced technologies and available evidence. Cancer care has also shifted from the inpatient setting to mostly outpatient. With this, a large portion of the responsibility has been transferred to the caregiver of that patient (Kent et al., 2019). Historically, caregivers have not been at the forefront of research, however, the concept of caregiver burden is beginning to emerge. A gap exists in addressing the needs of caregivers in both evidence-based data and with the local community cancer support group, Gilda’s …

Evaluation And Implementation Of Mindfulness Module To Reduce Burnout Among Emergency Department Nurses: A Quality Improvement Project, Katie Waltrip

Doctor of Nursing Practice Papers

BACKGROUND: Nurses working in the ED experience higher burnout rates than those working in other healthcare settings. Defined as emotional exhaustion, depersonalization, and a low sense of personal accomplishment, burnout is associated with increased work absences and turnover and decreased patient satisfaction and quality care. Burnout must be examined and addressed for emergency nurses to continue providing quality care.

PURPOSE: This quality improvement project aimed to evaluate burnout among nurses working in the ED prior to and immediately following a 9-week mindfulness-based intervention.

METHODS: A Plan-Do-Study-Act model was utilized along with application of supporting evidence from the literature and an …

Promoting Healthy Habits Among Children In A Residential Facility., Tiffany Jones

Doctor of Nursing Practice Papers

Background: Childhood obesity has been a significant public health concern in the United States. The prevalence of obesity among children and adolescents has increased over the past few decades. There are serious implications for immediate and long-term health. It poses serious health risks and economic challenges.

Setting: This quality improvement project will take place at a residential psychiatric treatment facility and therapeutic foster care program for children and adolescents with mental health or behavioral issues. This facility is in the suburbs of Louisville, Kentucky.

Purpose: The purpose of this project is to boost physical activity and improve knowledge about nutrition …

Improving Transitions In Care Through Early Discharge Planning: A Quality Improvement Initiative., Sarah Markgraf

Doctor of Nursing Practice Papers

Background: A substantial body of evidence has shown transitions in care are one of the weakest links in healthcare networks, especially for older adults with complex comorbidities. Residents receiving short-term rehabilitation (i.e., rehab) transitioning to home from a skilled nursing facility (SNF) are the most vulnerable in the first 30 days post-discharge for adverse resident events, including avoidable rehospitalization. Avoidable rehospitalizations cost Medicare billions of dollars annually and lead to poor resident outcomes. Early discharge planning in SNFs for short-term stay rehabilitation has decreased rates of avoidable rehospitalizations, improved quality of life in geriatric residents, and improved care partners' perceived …

A Parenting-Skills Intervention To Mitigate Adverse Childhood Experiences For Children Of Parents In Substance Use Disorder Recovery., Makayla S. Haas

Doctor of Nursing Practice Papers

Abstract

Background: Parents recovering from substance use disorder (SUD) are prone to neurobiological alterations that affect parental emotional regulation, increasing occurrence of harsh parenting, heightened stress, and relapse. Children with parents who suffer from SUD experience adverse childhood experiences (ACE), predisposing them to negative health and lifestyle risks. Implementing a parenting-skills intervention for parents in recovery can promote positive-parenting, reduce parenting stress, improve the parent-child relationship, and mitigate the effects of ACEs.

Setting: ChooseWell Communities (CWC), a sober-living community, in Louisville, KY served as the project site. Participants at CWC are sober parents with primarily young children under 5 years …

Improving Treatment And Follow-Up Care For Patients Who Screen Positive For Depression In Family Practice: A Quality Improvement Project., Jennifer D. Hooper

Doctor of Nursing Practice Papers

Background: Depression is a prevalent condition requiring systematic approaches for effective treatment and follow-up in primary care. This quality improvement project aimed to enhance care for patients screening positive for depression at an academic family practice with a diverse patient population and a comprehensive electronic health record (EHR) system.

Purpose: The primary objective was to assess whether a provider educational session and the implementation of an optional depression treatment and follow-up algorithm could improve timely and appropriate care for patients with positive PHQ-9 screenings.

Setting: The project was conducted at an academic family practice office.

Methods/Procedures: The intervention included a …

Improving Pressure Injury Nurse Awareness And Decision-Making In The Cardiac Intensive Care Unit: A Quality Improvement Project., Sarah G. Moreno

Doctor of Nursing Practice Papers

Abstract

Background/Significance: Hospitalized patients with pressure injuries have 5 times greater death compared to a patient without a pressure injury. A needs assessment identified the problem of pressure injuries in the CVICU with the goal to improve nurse awareness and decision-making to decrease pressure injuries in the CVICU.

Purpose: The purpose of this project was to increase nurse awareness of pressure injury prevention via an education workshop and evidence-based pressure injury decision tree in the Cardiovascular ICU.

Methods: A MeSH search was conducted to identify pressure injury interventions and nurse awareness of pressure injuries which resulted in 17 …

Reducing Stress And Improving Mindfulness Practices Among Mental Health Professionals Through Guided Meditation., Liara G. Patton

Doctor of Nursing Practice Papers

Abstract

Background: Chronic exposure to psychological stress places mental health providers in a vulnerable position when coping skills are not learned or available. Mental health providers are at risk for both mental and physical illness due to the empathetic demands of their client’s stressors. The deficit in adequate coping skills can cause provider-client relationships to suffer and create an undesirable work environment.

Setting: This project took place in Somerset, KY, at a mental health company called A New Beginnings Achievement Center (ANBAC). Twenty-six employees work at ANBAC, all of whom are involved in providing mental health services to developmentally delayed …

Focused Interventions To Decrease Inpatient Falls, Alyssa Nicole Watchmaker Smith

Doctor of Nursing Practice Papers

Background: Falls are the most commonly reported safety incidence in the hospital setting (Morris R. et al., 2017). Because falls may be a result of many factors, evidence shows that multicomponent fall interventions best reduce fall rates (Bargmann et al., 2020; Dykes et al., 2010; Dykes et al., 2020; Strini et al., 2021). In this project, a needs assessment identified a need for fall prevention strategies to reduce fall rates on inpatient units.

Setting: A step-down/telemetry Cardiovascular Intervention Unit (CVI) (15 beds) and Cardiovascular Unit (CVU) (12 beds) in a suburban private hospital.

Purpose: The purpose of this evidence-based project …

Improving The Integration Of Whole Health Into A Veterans Affairs Outpatient Primary Care Clinic., Diana Lynn Blair

Doctor of Nursing Practice Papers

Abstract

The annual $4.1 trillion price tag for healthcare with a simultaneous decline in patient health outcomes is the catalyst to change the current healthcare culture from disease-focused to a Whole Health wellness and prevention model. Transforming to preventative care would remedy the current costly healthcare system, thus Veterans Health Administration (VHA) set forth a mandate to implement Whole Health (WH) system wide. The purpose of this project was to provide a training program that facilitated the implementation of WH and improve the documentation of WH in the electronic health record (EHR). A needs assessment provided to the Fort Knox …