Medicine and Health Sciences Commons^™

The Future Of Wellness In Health Care, Jennifer Bickel

Advances in Cancer Education and Quality Improvement

No abstract provided.

Validating A Predictive Model Of Nurse Burnout Using Integrated Data Sources, Shahin Davoudpour, Mahesh Vaidyanathan, Rinad S. Beidas, Hannah Mulroe, Elliott Brandon, Matthew Lloyd, Gabrielle M. Olson, Mallika Pandey, Daniel Blumenthal, Baljash Cheema, Gaurava Agarwal

Advances in Cancer Education and Quality Improvement

Objective: To evaluate an integrated machine learning model using routinely collected organizational data to identify nurses at increased risk for burnout.

Background: Health care worker burnout directly threatens patient safety, quality of care, and workforce stability. Although nurses experience significantly higher burnout rates than physicians and face distinct operational stressors (eg, staffing shortages, continuous bedside care demands), most predictive modeling efforts have focused on physicians. Current approaches to identifying burnout typically rely on voluntary surveys, but advances in data science and machine learning have created new opportunities to move beyond self-reported measures.

Methods: This retrospective observational study included 1,177 nurses …

Actualizing Leaders To Inspire A Group Network (Align): Feasibility And Pilot Of Implementing A Commensality Group Program For Leaders In A Pediatric Healthcare Setting, Thomas B. Ayres, Kristin Ray, Angela Myers

Advances in Cancer Education and Quality Improvement

Background: Leadership behaviors in pediatric health care settings are strongly linked to leader burnout, professional fulfillment, and self-care in addition to influencing their teams. Despite their pivotal role, leaders often face substantial emotional burdens associated with their roles. Commensality groups, defined as small, recurring gatherings centered around shared meals and structured discussions, have emerged as a promising approach to enhancing connection, community, and resilience among health care professionals. A gap in the literature regarding commensality groups is understanding the mechanism of this well-being intervention. Our hypothesis is that commensality groups act as resource caravans and provide psychosocial resources to health …

Staff Education To Improve Provider Knowledge And Confidence In Continuous Glucose Monitoring Utilization, Tierra Quiana Smith

Walden Dissertations and Doctoral Studies

I conducted this Doctor of Nursing Practice (DNP) staff education quality improvement project to address inconsistent knowledge and confidence regarding continuous glucose monitoring (CGM) among primary care providers and support staff in a federally qualified health center. The practice-focused question examined whether evidence-based CGM education influenced staff knowledge and confidence in recommending and implementing CGM for adults with uncontrolled Type 2 diabetes. Guided by the Johns Hopkins evidence-based practice model, the project included an interdisciplinary education session, quick-reference and insurance coverage resources, troubleshooting guidance, and anonymous pre- and posteducation assessments. On September 28, 2026, 19 of 21 eligible interdisciplinary staff …

Ai-Enhanced Predictive Model For Adverse Clinical Outcomes Of Chronic Diseases In Older Adults, Grace C. Giles

Summer Research Program Abstracts

No abstract provided.

Epidemiological, Clinicopathological, And Molecular Features Of Melanoma In Oman: A Single-Institution Study, Boris Itkin, Zahida Niaz, Khadiga Mohammed, Tauseef Ali, Syeda Sara Tajammul, Zubair Ahmad, Prashant Ajit Deshpande, Muhammad Rashid Hanif, Maha Al Shaibi, Mohammad Al Hosni

Sultan Qaboos University Medical Journal

Objectives: Published data on melanoma in Oman are scarce. This study aimed to describe epidemiological, clinicopathological and molecular characteristics of melanoma patients in a single institution in Oman. Methods: This retrospective study included patients with a histopathological diagnosis of invasive melanoma who were assessed at Sultan Qaboos Comprehensive Cancer Care and Research Centre, Muscat, Oman, between July 2021 and February 2025. Data on patient demographics, comorbidities, melanoma type, localisation, stage, key histopathological and molecular characteristics were extracted from electronic clinical charts and quantitatively described. Results: A total of 31 patients were included. The median age at diagnosis was 52.9 years …

The Application Of Electronic Games In Occupational Therapy Rehabilitation In Saudi Arabia, Alaa Mohammad Arafah, Bdoor Khalid Bajamal, Jumana Fawaz Alharbi, Shahad Hussein Majhoom, Wesam Qurban

Journal of Medical Rehabilitation Science

Objectives: This study explores the application of electronic games in occupational therapy rehabilitation in Saudi Arabia, focusing on therapists' knowledge, usage patterns, and perceived benefits and barriers.
Methodology: A cross-sectional survey was conducted among 103 occupational therapy professionals working in Saudi Arabia. The survey included 25 questions on the use of electronic games in their rehabilitation settings.
Results: The results revealed that only 39.8% of respondents currently use electronic games in clinical practice. Nevertheless, 87.2% of therapists acknowledged increased patient engagement as a major benefit, while 66.7% noted improvements in motor skills and motivation. Additionally, 67% of participants reported receiving …

Fgfr1/Klb-Mfg-E8 Maintains Microvascular Integrity And Adaptive Cardiac Remodeling, Sanskruti R Gare, Nasser H Alatawi, Xinyi Chen, Jiayan Zhang, Claire Ross, Oveena Fonseka, Yihua Han, Namrita Kaur, Andrea Ruiz-Velasco, Xiangjun Zhao, Yingjuan Liu, Riham R E Abouleisa, Susanne S Hille, Tao Wang, Sabu Abraham, Bernard D Keavney, Martin K Rutter, Elizabeth J Cartwright, Gareth Howell, Tamer M A Mohamed, Oliver J Müller, Wei Liu

Faculty, Staff and Students Publications

Background: Endothelial defects in the heart are a contributor to cardiac pathological remodeling and dysfunction, which can be influenced by cardiomyocytes. Here, we explore cardioprotective crosstalk between cardiomyocytes and endothelial cells under diabetic conditions.

Methods: Type 2 diabetes was induced in male and female mice using a high-fat, high-sucrose diet in conjunction with low-dose streptozotocin. Cardiomyocyte-specific deletion of FGFR1 (fibroblast growth factor receptor 1) or KLB (beta-Klotho) was achieved by crossing floxed mice with αMHC (alpha-myosin heavy chain)-Cre transgenic mice, while the treatment potential was assessed by recombinant adeno-associated virus 9 delivery systems or administration of recombinant protein. Various in …

Factors Contributing To Executive Function In Young Adults, Lindy Janae Stevenson

McNair Scholars Research

Executive functions (EF) are skills used to complete desired behaviors and inhibit undesired ones. These skills are necessary for everyday life, and even more so in higher education and the workplace. This study examined the combined impact of sleep and exercise on five facets of EF in young adults enrolled in undergraduate or graduate courses. It also examined how perceived effort and performance in college classes interact with EF. The first five hypotheses studying sleep and exercise were analyzed using a 2x2 between-groups ANOVA. The data divided participants into those averaging fewer than 7 hours of sleep a night and …

“Tell Your Story”: Storytelling To Enhance Mental Health And Social Connection In Older Adults, Faith O. Folorunso

Summer Research Program Abstracts

No abstract provided.

Individual, Social, Economic, And Health System Determinants Of Cervical Cancer Screening Uptake Among Women In Rubanda District, Uganda, Gervase Centinary, Sebastian Baine Olikira, Sezalio Masembe, Ronald Kibonire Arineitwe

School of Nursing & Midwifery, East Africa

Background: Cervical cancer screening uptake in Sub-Saharan Africa is shaped by individual, social, economic, and health system factors, yet few studies test all four domains simultaneously within a single rural district. This study examined individual, social, economic, and health system determinants of screening uptake among women aged 18 years and above in Rubanda District, Uganda, a district with critically low screening coverage.

Methods: A community-based cross-sectional study was conducted among 418 women aged 18 years and above across four sub-counties of Rubanda District, selected through multi-stage sampling. Individual, social, economic, and health system characteristics were collected via structured questionnaire. …

Staff Education To Improve Medical Surgical Nurses’ Knowledge, Confidence, And Intent To Use Teach-Back For Medication Side-Effects, Christina Turner

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) quality improvement staff education project addressed inconsistent nurse-delivered medication side-effect education and limited use of the teach-back method on a medical-surgical unit. Organizational Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) communication measures identified opportunities to improve patient understanding of medications and their potential side effects. The purpose of this project was to determine whether education for medical-surgical nurses on standardized nurse-delivered bedside medication side-effect education using the teach-back method improved nurses' knowledge, confidence, and intent to use teach-back with their patients. The project was guided by the Johns Hopkins nursing evidence-based practice …

Associations Of Subclinical Hypothyroidism And Thyroid Autoimmunity With Insulin Resistance Independent Of Adiposity: An Analysis Of Nhanes, Iman Taher Hussein

AUIQ Complementary Biological System

A thyroid–inflammation–insulin pathway has been proposed in which thyroid dysfunction promotes inflammation and thereby reduces insulin sensitivity, but adiposity-adjusted population evidence is limited. This cross-sectional analysis examined whether subclinical hypothyroidism (SCH) and thyroid autoimmunity are associated with insulin resistance independently of body mass index (BMI), and whether C-reactive protein (CRP), the only inflammatory biomarker available, is associated with either, using National Health and Nutrition Examination Survey (NHANES) 2007–2012 data. Non-pregnant adults aged 18–60 years with fasting glucose < 126 mg/dL and normal free thyroxine were included; SCH was defined as thyroid-stimulating hormone (TSH) 4.5–10 mIU/L, and insulin resistance was quantified by the homeostasis model assessment (HOMA-IR). Linear regression of log HOMA-IR accounted for the complex survey design (strata, clusters, weights) and was adjusted for age, sex, BMI, and survey cycle, with sensitivity and interaction analyses. Among 2,434 adults (89 with SCH), no association with HOMA-IR was detected for TSH (β = 0.009 per mIU/L; 95% CI -0.014 to 0.032), SCH (β = -0.035; 95% CI -0.186 to 0.115), or thyroid peroxidase …

Implementation Of A Modified Trigger Tool For Adverse Drug Reaction Detection In Pediatric With Covid-19 In Indonesia, Nisa Maria, Avini Risda Khaerani, Indri Yuliani Hamdani, Annisa Lazuardi Larasati, Larasati Arrum Kusumawardani

Pharmaceutical Sciences and Research

Pediatric patients are vulnerable to adverse drug reactions (ADRs), necessitating prompt monitoring of treatment-related adverse events (AEs). This study analyzed ADRs in pediatric COVID-19 patients using a modified trigger tool to identify AEs, followed by causality analysis with the Naranjo Algorithm, and evaluated the tool’s performance. A cross-sectional, single-center retrospective study was conducted at a hospital in Indonesia from August 2020 to July 2021, using total sampling of pediatric patients aged one to≥24 hours with COVID-19. AEs were identified using 23 triggers (15 laboratory result, eight drug-administration). A total of 242 positive triggers were detected among 120 patients (mean two …

Structured Education To Strengthen Nurse-Led Delirium Prevention And Management In The Emergency Department, Alicia Brianna Mitchell

Walden Dissertations and Doctoral Studies

I designed this Doctor of Nursing Practice (DNP) staff education project to strengthen emergency department (ED) nurses’ ability to identify delirium in older patients. The ED is a high-risk environment for delirium, particularly among older adults and those with complex medical conditions. However, nurses often lack structured education on delirium prevention and management. I aimed to close that gap by providing targeted evidence-based education to improve prevention, early recognition, and intervention, ultimately enhancing care quality and patient outcomes. The guiding practice-focused question for this project was: In a community hospital emergency department, what is the impact of a targeted educational …

Project Proposal To Integrate A Mobile Health Clinic To Improve Access To Care: County Health Department Health Equity Initiative, Santana Maria Robinson

Walden Dissertations and Doctoral Studies

The facility faces common challenges that include funding shortages, uninsured or public versus private insurance, limited or no transportation, and increased utilization of emergency or urgent care services versus preventive, primary care treatment, thus creating a widespread practice problem. The practice-focused question is: “in vulnerable or marginalized populations, how does mobilized access to care increase compliance for preventive medicine, screenings, and primary care services to improve health outcomes and quality of care over a 3-month period?” The summary of literature from peer reviewed journal articles within the last 5 years supports the implementation of a mobile clinic van to improve …

Nurse Professionals’ Perceptions Of Childhood Poverty And Its Impact On Southern Appalachian Children’S Mental Health, Katelyn Brooke Gilmore

Walden Dissertations and Doctoral Studies

Childhood poverty is a social determinant of health associated with adverse mental health outcomes among children, yet limited research has examined this relationship from the perspectives of nurse professionals working in Southern Appalachia. The purpose of this basic qualitative study was to explore nurse professionals’ perceptions of the influence of childhood poverty on children’s mental health in Southern Appalachia. Maslow’s hierarchy of needs served as the theoretical framework. Semi-structured interviews were conducted with 10 licensed nurse professionals who worked with children in the region, and data were analyzed thematically using ATLAS.ti. Three overarching themes emerged: (a) poverty creates unmet needs …

Bridging The Gap: Patient Perspectives On Transition Of Care In Hirschsprung Disease, Stefanie F. Faucher

Summer Research Program Abstracts

No abstract provided.

10-21-26 Bor Hsc Committee Meeting Agenda, Patricia Serna

HSC Committee (A subcommittee of the UNM Board of Regents)

10-21-26 BOR HSC Committee Meeting Agenda

Using Implementation Research Frameworks To Identify Facilitators And Barriers To Implementation Of Ferric Carboxymaltose Intravenous Iron Among Moderately Anemic Postpartum Women Participating In A Trial In India, Umesh Charantimath, Valerie L. Flax, Ashwini Dandappanavar, Anika Hannan, Mrityunjay C. Metgud, Avinash Kavi, Manjunath Somannavar, Shivaprasad S. Goudar, Simal Thind, Rosemary Frasso, Lauren Wiener, Sabrina Larosa, Cecilia Rasco, Elizabeth M. Mcclure, Richard Derman

College of Population Health Faculty Papers

Postpartum anemia affects approximately 75% of women in India. We conducted this implementation research (IR) related to the use of ferric carboxymaltose (FCM) intravenous (IV) iron as part of a trial in anemic postpartum women. The aim of the IR study was to understand potential facilitators and barriers to implementation of single-dose FCM IV iron. This is a mixed-methods study in three secondary-level healthcare facilities in Belagavi, India, designed to explore selected Consolidated Framework for Implementation Research constructs and Proctor’s framework elements. Quantitative data were gathered via surveys of postpartum women who received IV FCM (n = 308) and from …

Specific Effects Of Pulsed Field Ablation On The Cardiac Tissue, The Nervous System And The Conduction System In Experimental And Clinical Studies, Josselin Duchateau, Iwanari Kawamura, Gurukripa N Kowlgi, Elad Maor, Moritz Nies, Christian W Zemlin, Tomás García-Sánchez, Samuel J Asirvatham

2020-Current year OA Pubs

AIMS: Pulsed field ablation (PFA) has emerged as a novel ablation modality for the treatment of cardiac arrhythmias and has rapidly reshaped contemporary electrophysiology practice. This article provides a comprehensive analysis on the mechanisms underlying the specific effects of PFA on myocardial, neural tissue structures, and the cardiac conduction system, integrating biophysical principles with preclinical and clinical evidence relevant to contemporary electrophysiology practice.

METHODS AND RESULTS: This document provides an exhaustive mechanistic explanation for the preferential effects of PFA on myocardium and the limits of the 'tissue-selectivity' concept. The complex interplay between cellular and tissue-level biophysics, biological responses, and tissue …

Transcatheter Sinus Venosus Asd Closure In Severe Pulmonary Hypertension, Hadeel Allam, Eli Fredman, Daisuke Kobayashi, Manish Aggarwal, Ronald Grady, David Balzer

2020-Current year OA Pubs

No abstract provided.

Modifiable Psychosocial Risk Factors For Depression Among Cancer Survivors In The United States, Philip Baiden, Batholomew Chireh, Judith S. Anagbonu

Health & Biomedical Sciences Faculty Publications

Depression is highly prevalent among cancer survivors and contributes to poorer quality of life, reduced treatment adherence, and increased morbidity. Functional limitations, loneliness, and inadequate social and emotional support are important psychosocial factors associated with self-reported lifetime diagnosis of major depressive disorder among cancer survivors. Using a cross-sectional study design, this study examined the independent associations of functional limitations, loneliness, and social/emotional support with a self-reported lifetime diagnosis of major depressive disorder among a large sample of U.S. cancer survivors. Data were drawn from the 2023 and 2024 Behavioral Risk Factor Surveillance System. The analytic sample included 70,620 adult cancer …

Provider And Clinical Staff Knowledge And Confidence In Recognizing, Screening For, And Managing Diabetes Distress, Hermanda Robinson

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project was a staff education project addressing inconsistent recognition and response to diabetes distress among adults with type 2 diabetes at a primary care/endocrinology office in Virginia. Diabetes distress can interfere with self-management and quality of life, but nurses and advanced practice nurses can address this gap by assessing treatment barriers, providing education, and coordinating referrals. The practice-focused question asked whether evidence-based staff education would improve provider and clinical staff knowledge and confidence in recognizing, screening for, and managing diabetes distress. The purpose was to implement and evaluate education on diabetes distress, the Diabetes …

Implementation Of A Comprehensive Menopausal Care Program To Address Gaps In Perimenopausal And Postmenopausal Health, Sheri Davis

Walden Dissertations and Doctoral Studies

Summary This quality improvement (QI) project evaluated a practice change at a rural ambulatory care clinic where patients’ menopause symptom experiences were often underrecognized and screening relied on a nonvalidated assessment supplied by a hormone-product vendor. The purpose was to determine whether replacing that tool with the validated Menopause-Specific Quality of Life (MENQOL) questionnaire, with staff education and a consultation-first, symptom-focused workflow improved documentation and patient-reported outcomes. Guided by the Plan-Do-Study-Act framework, preimplementation and postimplementation patient surveys were compared using descriptive statistics and independent-samples t tests, and patient comments and staff interviews were reviewed for themes. Documentation compliance was complete, …

A Proposal For A Standardized Diabetes Self-Management Education And Support Program To Enhance Primary Care Nurses' Knowledge And Confidence, Esther Ebere Agbo

Walden Dissertations and Doctoral Studies

Type 2 diabetes mellitus is a prevalent chronic condition in primary care that requires effective patient self-management education. Primary care nurses play a critical role in providing diabetes education; however, inconsistent training may affect the quality and consistency of patient education. This Doctor of Nursing Practice (DNP) executive leadership systems improvement project proposed a Standardized Diabetes Self-Management Education and Support (DSMES) program in a primary care clinic. The identified practice problem is the lack of standardized diabetes education at the project site. The practice-focused question is as follows: Will a proposed standardized DSMES program for nurses and patients in a …

Standardized Adult Adhd Assessment And Management Protocol, Alicia Gray

Walden Dissertations and Doctoral Studies

This quality improvement project evaluated a standardized adult attention-deficit/hyperactivity disorder (ADHD) assessment and management protocol in a private outpatient psychiatric practice. Four psychiatric nurse practitioners conducted evaluations independently, resulting in variable screening, documentation, and stimulant safety review. A baseline review of 40 charts showed documented screening with the Adult ADHD Self-Report Scale version 1.1 (ASRS-v1.1) in 32.5% of charts, complete criteria from the Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5) in 45.0%, substance-use screening in 27.5%, and cardiovascular screening in 35.0%. The practice-focused question addressed whether a standardized protocol would improve diagnostic documentation and safe prescribing adherence. …

Complete Atrioventricular Block Revealing Late-Onset Cardiac Fabry Disease: Diagnostic Role Of Native T1 Mapping, Nouhaila Bentama, Lamyae Bakamel, Jalal Tagueniti, Fatiha Ait Yahya, Brahim Meftout

Journal of the Saudi Heart Association

A 63-year-old man presented with symptomatic complete atrioventricular block requiring urgent pacemaker implantation. Evaluation revealed non-obstructive left ventricular hypertrophy with normal coronary arteries. Cardiac magnetic resonance showed diffusely reduced native T1 values and inferolateral late gadolinium enhancement, suggesting Fabry cardiomyopathy; amyloidosis was excluded by bone scintigraphy. Diagnosis was confirmed by markedly reduced alpha-galactosidase A activity, elevated lyso-Gb3, and a pathogenic hemizygous GLA variant (p.Asn215Ser). Enzyme replacement therapy with agalsidase beta was initiated, with early stabilization of myocardial deformation and septal thickness. This case highlights native T1 mapping as a key diagnostic biomarker in unexplained left ventricular hypertrophy.

Narrative Medicine: Essays On Health And Care Vol 2, Robert B. Hackey, Will Toner, Megan Lessard, Jessica A. Smith, Glorimar De Los Santos Mejia, Jillian M. Spinali, Paige M. Daly, Brianna De La Fuente, Julia M. Renzelmann, Clare C. Diffin

Narrative Medicine: Essays on Health and Care

No abstract provided.

Editor's Note, Robert Hackey

Narrative Medicine: Essays on Health and Care

No abstract provided.