Medicine and Health Sciences Commons^™

Inadequacies In Nutritional Counseling In The Perinatal Population, Tiffany Fry

Doctor of Nursing Practice Scholarly Projects

Abstract

Obesity continues to increase at unprecedented levels and warrants immediate provider attention at the perinatal level to improve the health of the present and future generations. Reduction of this condition can reduce risk factors leading to morbidity and mortality. Guidelines exist for the prevention and management of obesity, yet little focus is placed on prevention in the perinatal population. Lack of consistent and healthy lifestyle in the perinatal population has the potential to not only place the mother at risk for obesity but also her unborn child. The overall purpose of the scholarly project is to identify any potential …

Outpatient Physical Therapy Management Of A Patient Presenting With Double Crush Syndrome: A Case Study., Nicholas G. Hatfield

Physical Therapy Scholarly Projects

Background and Purpose. This case study evaluates the effectiveness of physical therapy interventions in the treatment of a patient presenting with a potential Double Crush Syndrome.

Case Description. This patient was a 59-year-old male with reports of right shoulder pain and right upper extremity paresthesia, numbness, and tingling affecting his ability to perform daily tasks at work and at home.

Interventions. The physical therapy interventions given were all based on findings from the initial evaluation and included a mixture of manual therapy techniques such as shoulder mobilizations, therapeutic exercises/activities such as stretching, resistance training, and carries, and …

Outpatient Physical Therapy Management Of Symptoms Associated With A Brainstem Arteriovenous Malformation: A Case Report, Michell Hall

Physical Therapy Scholarly Projects

BACKGROUND AND PURPOSE: Arteriovenous malformations are irregular connections between arteries and veins, while they can occur anywhere in the body, they are the most common in the brain and the spinal cord. The purpose of this case study is to describe the interventions, treatments, and results of conservative physical therapy for a patient diagnosed with an arteriovenous malformation located in the brainstem.

CASE DESCRIPTION: Descriptive case study of a patient scheduled two times a week for a 6-week episode of care. Conservative physical therapy interventions and treatments included lower extremity strengthening, static and dynamic balance training, gait training …

Physical Therapy Management Of Lower Exteremity Weakness And Balance Dysfunction Due To Sarcopenia And Frailty: A Case Report, Carla J. Maurstad

Physical Therapy Scholarly Projects

Introduction: The aging population is on the rise and is expected to increase from 8.5% to 16.5% for those aged sixty-five years and older by 2050. With the expected rise comes the increased prevalence of frailty that leads to a decline in physiological function placing individuals at risk for sarcopenia, disability, falls, hospitalization, and death. The purpose of this case study is on lower extremity muscle weakness (sarcopenia) and frailty and the effectiveness of physical therapy to improve muscle strength, balance, proprioception, and functional mobility to decrease the risk of falls, improve performance with daily activities, and improve …

Outpatient Physical Therapy Management Of Patient With Torn Right Anterior Collateral Ligament Prior To Surgical Repair: A Case Study, Isaac Scott

Physical Therapy Scholarly Projects

Background and Purpose: Anterior cruciate ligament injuries are one of the most common in sports medicine. This structure provides stability to the knee joint. Depending on the level of ligament injury, this injury can be treated conservatively or surgically. The purpose of this case study is to explore a preoperative treatment plan for a patient looking to have a future ACL surgical repair.

Case Description: This case study describes the 13-week treatment plan for a 21-year-old patient that had plans for a future surgical repair. This was the second time this patient tore the ACL in that extremity …

Interdisciplinary And Innovative: A Nursing And Computer Science Collaboration To Create A Barcode Medication Administration System, Jodi Lisbeth Berndt, Peter Ohmann, Imad Rahal, Lindsey Hoeschen, Andrew Rothstein

Nursing Faculty Publications

Preventing medication errors remains a priority in nursing education. The implementation of Barcode Medication Administration (BCMA) systems is one strategy that has been used to reduce medication errors. Practice using BCMA in simulated settings may enhance the transfer of these skills to the clinical practice setting. However, the purchase of BCMA educational products available for nursing students can be cost prohibitive for many nursing programs. To overcome the barrier of cost, an interdisciplinary and innovative collaborative approach was used to create a fully functional low-cost BCMA system.

Developing Mental Health And Wellness Awareness In Schools, Leah Wood

Dissertations

The COVID-19 pandemic increased concerns for anxiety and depression in adolescents (Jones et al., 2021). As these concerns increased, students’ coping skills and mental health declined (Meherali et al., 2021). This mixed-methods study based in improvement science sought to develop mental health supports for teachers and students in a secondary setting. A mental health team convened for the purpose of this study completed a root cause analysis for a high school to determine the barriers to mental health supports. We identified the problem and potential barriers preventing proper mental health education and supports for teachers, students, and parents. The analysis …

Examining The Relationship Between Psychological Well-Being And Academic Performance Among First-Year College Students In A U.S. Mid-South University, Ya-Hsin Hsiao

Dissertations

This study examined the relationship between psychological well-being and college students. In addition, I looked at how COVID-19 impacted their psychological well-being. I used Ryff and Keyes’ (1995) 18-item Scale of Psychological Well-Being (SPWB-18) to measure participants' psychological well-being. Other demographic information such as race, gender, first-generation college student status, college readiness, and Pell Grant eligibility were collected from the WKU’s Institutes of Research.

Data were analyzed using multiple regressions that controlled for the effects of ethnicity, gender, first-generation status, and socioeconomic status. Moreover, the impact of COVID-19 on psychological well-being was evaluated and reported. In this dataset, the internal …

Insight - Summer 2023, Dugoni School Of Dentistry

Insight

Welcome to the summer 2023 issue of Insight, a newsletter celebrating the accomplishments of our community of scholars. We aim to spotlight insights from people at the Dugoni School working in all areas of scholarship, including clinical or biomedical research, the scholarship of teaching and learning, improvement of the health care system, and professional partnerships that advance the field.

Excitation Power Dependence Of Blinking In Copper-Indium-Sulfide Quantum Dots, Nicholas Chambers

Physics Undergraduate Honors Theses

Under continuous excitation, quantum dots exhibit random transitions between fluorescent ON states and non-fluorescent OFF states --- a phenomenon known as blinking. A physical description of the mechanism responsible for blinking that applies broadly to many types of quantum dots remains under debate. We study the blinking behavior of the non-toxic CuInS2 quantum dot, a system that has seen little investigation at the single-particle level. In particular, the optical properties of CuInS2 quantum are often improved by adding ZnS to the nanoparticles, but this addition leads to complex structural-optical property relationships that are even less understood. To probe the relationship …

A Factor Analytic Examination Of Women's And Men's Friendship Preferences, Jessica D. Ayers, Jaimie Arona Krems, Athena Aktipis

Psychological Sciences Faculty Publications and Presentations

Friendships are valuable relationships that can bestow many benefits. How can humans ensure they receive the maximum benefits with minimal potential costs? One possible solution is to have preferences for traits, expectations, and rules in friendship. This could, for example, help people pursue beneficial friendships and jettison costly friendships. Previous research robustly documented that such preferences for traits, expectations, and rules exist, though they are often combined, and indicates that these preferences may be sex-specific. Across two studies (N = 853), our factor analyses documented that preferences for desired traits in friendship are organized into two broad categories with …

Evaluating Implementation Of Diabetes Screening In Family Practice, Makilah Furlan

Masters Theses/Capstone Projects

Poster presentation on implementing diabetes screening in family medicine practice.

Detecting Pathobiomes Using Machine Learning, Valerie Jackson, Valerie Jackson

Industrial Engineering Undergraduate Honors Theses

Machine learning is a field with high growth potential due to the overall continuous progressions, developments, advancements, and improvements caused by the way it is used to help interpret and use large amounts of data [1]. One type of data that can be collected and analyzed by these machine learning models is data that is associated with DNA and information that the DNA gives. The research will be focusing specifically on using machine learning technology to detect pathobiomes indicative of salmonella pork. The pathobiome associated with salmonella is very similar to others, and this causes a problem for classification/detection with …

Comparison Between Active Interventions And Passive Interventions For Patients With Carpal Tunnel Syndrome Using The Boston Carpal Tunnel Questionnaire: A Systematic Review And Meta-Analysis, Christian Servando Quinones, Jung Gil Kim, Kenneth Heimer

DPT Capstones

Aims and Objectives: To assess the effectiveness of active interventions, such as manual therapy and gliding exercises compared to passive interventions, such as kinesiotaping, splints, and modalities utilizing the Boston Carpal Tunnel Questionnaire in patients with carpal tunnel syndrome.

Background: A large number of people worldwide suffer from carpal tunnel syndrome, which is a type of entrapment neuropathy. Treatment includes active interventions (manual therapy and gliding exercises) and passive interventions (splinting, kinesiotaping, and modalities). The Boston Carpal Tunnel Questionnaire is the most widely used self-administered outcome scale to measure the improvement of carpal tunnel syndrome. The effectiveness of the various …

Micrognathia, Children's Mercy Kansas City

Clinical Pathways (Formally Known As Care Process Models)

No abstract provided.

Intracranial Focal Infections, Children's Mercy Kansas City

Clinical Pathways (Formally Known As Care Process Models)

No abstract provided.

Western Maine Addiction And Recovery Initiative's Substance Misuse Prevention And Wellness Day: Year 1 Feedback Survey For Ohchs And Telstar, Tyler Egeland Ba, Evelyn Ali Bs, Mary Lindsey Smith Phd

Substance Use Research & Evaluation

As part of the evaluation of the Western Maine Addiction Recovery Initiative’s (WMARI) HRSA Rural Communities Opioid Response Program grant, staff from the Catherine Cutler Institute developed a survey to gather feedback from individuals who participated in the SUD Day events. Two separate PRE/POST surveys were deployed at each high school (OHCHS and Telstar) to assess knowledge gain, beliefs, and satisfaction. For more information, please contact Lindsey Smith at [email protected]

Cyclic And Linear Peptides Containing Tryptophan And Arginine Residues As Cell-Penetrating Peptides And Antifungal Agents, Khushbu Bhakta

Pharmaceutical Sciences (MS) Theses

Here, we synthesized a novel group of linear and cyclic amphiphilic peptides containing different sequences of arginine (R) and tryptophan (W) residues. The peptides included a class of cyclic peptides, [R3W3]2, [R3WRW]2, [RWW]4, [WRR]4, [RWRW3]2, and the corresponding linear peptides, (R3WRW)2, (RWW)4, (WRR)4, (RWRW3)2. The peptides were examined as potential molecular transporters and cell-penetrating peptides (CPPs), and their efficiency in delivering cell-impermeable compounds was compared with [WR]5. The peptides showed no significant cytotoxicity in different cell lines (MDA-MB-231, SK-OV-3, and HEK-293) at a concentration of 1 µM and after 3 h of incubation time. The uptake of fluorescence-labeled cargo molecules …

A Review Of The Neural Basis Underlying The Acoustic Startle Response With A Focus On Recent Developments In Mammals, Alice Zheng, Susanne Schmid

Anatomy and Cell Biology Publications

The startle response consists of whole-body muscle contractions, eye-blink, accelerated heart rate, and freezing in response to a strong, sudden stimulus. It is evolutionarily preserved and can be observed in any animal that can perceive sensory signals, indicating the important protective function of startle. Startle response measurements and its alterations have become a valuable tool for exploring sensorimotor processes and sensory gating, especially in the context of pathologies of psychiatric disorders. The last reviews on the neural substrates underlying acoustic startle were published around 20 years ago. Advancements in methods and techniques have since allowed new insights into acoustic startle …

The Impact Of Maternal Diabetes On Birth To Placental Weight Ratio And Umbilical Cord Oxygen Values With Implications For Fetal-Placental Development, Sheryl Choo, Barbra De Vrijer, Timothy R H Regnault, Hilary K Brown, Larry Stitt, Bryan S Richardson

Obstetrics & Gynaecology Publications

Introduction

We determined the impact of gestational diabetes (GDM) and pre-existing diabetes (DM) on birth/placental weight and cord oxygen values with implications for placental efficiency and fetal-placental growth and development.

Methods

A hospital database was used to obtain birth/placental weight, cord PO₂ and other information on patients delivering between Jan 1, 1990 and Jun 15, 2011 with GA >34 weeks (N = 69,854). Oxygen saturation was calculated from the cord PO₂ and pH data, while fetal O₂ extraction was calculated from the oxygen saturation data. The effect of diabetic status on birth/placental weight and cord oxygen values …

Families' Knowledge Change In Paediatric Drug Resistant Epilepsy: A Novel Clinic Model, Michelle Kregel, Sherry Coulson, Maryam N Nouri, Rochelle Sorzano, Andrea Andrade

Paediatrics Publications

BACKGROUND: Epilepsy is a chronic condition that affects approximately 95,000 Ontarians, of whom approximately 15,000 are children under the age of 18. Drug resistant epilepsy (DRE) will affect around 30% of these children who will require more advanced care due to their medical complexities. The purpose of this study is to determine if receiving care in a paediatric Comprehensive Epilepsy Clinic (CEC) is associated with positive outcomes for children living with DRE and their families by looking at three health outcomes: 1) families' knowledge of their child's diagnosis and treatment plan, 2) navigational access to both the hospital and community …

Variability And Magnitude Of Brain Glutamate Levels In Schizophrenia: A Meta And Mega-Analysis., Kate Merritt, Robert A Mccutcheon, André Aleman, Sarah Ashley, Katherine Beck, Wolfgang Block, Oswald J N Bloemen, Faith Borgan, Christiana Boules, Juan R Bustillo, Aristides A Capizzano, Jennifer M Coughlin, Anthony David, Camilo De La Fuente-Sandoval, Arsime Demjaha, Kara Dempster, Kim Q Do, Fei Du, Peter Falkai, Beata Galińska-Skok, Jürgen Gallinat, Charles Gasparovic, Cedric E Ginestet, Naoki Goto, Ariel Graff-Guerrero, Beng-Choon Ho, Oliver Howes, Sameer Jauhar, Peter Jeon, Tadafumi Kato, Charles A Kaufmann, Lawrence S Kegeles, Matcheri S Keshavan, Sang-Young Kim, Bridget King, Hiroshi Kunugi, J Lauriello, Pablo León-Ortiz, Edith Liemburg, Meghan E Mcilwain, Gemma Modinos, Elias Mouchlianitis, Jun Nakamura, Igor Nenadic, Dost Öngür, Miho Ota, Lena Palaniyappan, Christos Pantelis, Tulsi Patel, Eric Plitman, Sotirios Posporelis, Scot E Purdon, Jürgen R Reichenbach, Perry F Renshaw, Francisco Reyes-Madrigal, Bruce R Russell, Akira Sawa, Martin Schaefer, Dikoma C Shungu, Stefan Smesny, Jeffrey A Stanley, James Stone, Agata Szulc, Reggie Taylor, Katharine N Thakkar, Jean Theberge, Philip G Tibbo, Thérèse Van Amelsvoort, Jerzy Walecki, Peter C Williamson, Stephen J Wood, Lijing Xin, Hidenori Yamasue, Philip Mcguire, Alice Egerton

Department of Medicine Publications

Glutamatergic dysfunction is implicated in schizophrenia pathoaetiology, but this may vary in extent between patients. It is unclear whether inter-individual variability in glutamate is greater in schizophrenia than the general population. We conducted meta-analyses to assess (1) variability of glutamate measures in patients relative to controls (log coefficient of variation ratio: CVR); (2) standardised mean differences (SMD) using Hedges g; (3) modal distribution of individual-level glutamate data (Hartigan's unimodality dip test). MEDLINE and EMBASE databases were searched from inception to September 2022 for proton magnetic resonance spectroscopy (1H-MRS) studies reporting glutamate, glutamine or Glx in schizophrenia. 123 studies reporting on …

Examining Ndufab1 Expression In Head And Neck Squamous Cell Carcinoma, Addison Stevens

Poster Presentations

Honors research poster.

Introduction: Head and neck squamous cell carcinoma (HNSCC) is approximately 4% of all cancers and 2% of all cancer associated mortality in the United States. In 2023, there will be an estimated 67,000 new cases of HNSCC, along with 15,400 deaths, in the United States. HNSCC locations include the oral cavity, oropharynx, nasopharynx, hypopharynx, and larynx. Major risk factors for HNSCC include tobacco use, alcohol use, and human papilloma virus (HPV). Epidermal growth factor receptor (EGFR) is currently the only approved molecular targeted therapy for HNSCC. Therefore, new therapeutics and biomarkers for HNSCC are warranted. Mitochondria are …

Comparator Groups In Icu-Based Studies Of Physical Rehabilitation: A Scoping Review Of 125 Studies, Heather K O'Grady, Julie C Reid, Christopher Farley, Quincy E B Hanna, Janelle Unger, David J Zorko, Jackie Bosch, Lyn S Turkstra, Michelle E Kho

Physical Therapy Publications

OBJECTIVES: To characterize comparator groups (CGs) in ICU-based studies of physical rehabilitation (PR), including the type, content, and reporting.

DATA SOURCES: We followed a five-stage scoping review methodology, searching five databases from inception to June 30, 2022. Study selection and data extraction were completed independently, in duplicate.

STUDY SELECTION: We screened studies by title and abstract, then full-text. We included prospective studies with greater than or equal to two arms enrolling mechanically ventilated adults (≥ 18 yr), with any planned PR intervention initiated in the ICU.

DATA EXTRACTION: We conducted a quantitative content analysis of authors' description of CG type …

Fragment Based Drug Development Based On 6,7-Dimethoxyquinazoline As A Core Scaffold, Cody M. Orahoske

ETD Archive

The work entitled “Fragment Based Drug Design based on 6,7- Dimethoxyquinazoline core structure” presents a unique approach to drug discovery, specifically focusing on the pharmacophore 6,7-dimethoxyquinazoline. This study explores the structural diversity of 6,7-Dimethoxyquinazoline derivatives to identify other pharmacologically relevant targets, with evidence indicating that this core structure possesses intrinsic properties that make it suitable as a base structure of small molecule drugs. Furthermore, this pharmacophore has been observed in various approved therapeutics or drug candidates under investigation, highlighting its importance in drug discovery. My research showcases of 6,7-dimethoxyquinazoline core structure been derivatized to generate an anti-trypanosomiasis drug candidates and …

Before And After The World Turned Virtual: Examining Intimate Partner Violence And Problematic Alcohol Use Before Versus During The Covid-19 Pandemic In A Couple's Based Sample, Ishita Munshi

ETD Archive

About 1 in 4 women and 1 in 10 men report experiencing intimate partner violence (IPV) in their lifetime. For several decades, problematic alcohol use is a consistent predictor of IPV perpetration. However, as the COVID-19 pandemic transformed the romantic lives of people, it is crucial to investigate how it may have altered the prevalence of IPV perpetration and the link between IPV perpetration and problematic alcohol use. Among a sample of dating young adult couples, this study compared the IPV prevalence pre-COVID-19 pandemic (Wave 1) to during COVID-19 conditions (Wave 2). Furthermore, the study examined if problematic alcohol use …

The Relationship Between Perception Of Barriers And Life Satisfaction As Mediated By Coping Efficacy, Lela L. Pickett

ETD Archive

This study examined the relationship between life satisfaction and perception of educational and career-related barriers. Perceived barriers threaten career development and can subsequently enhance negative appraisals of personal worth and ability. Coping efficacy, an individual's belief or confidence in their ability to manage and overcome challenging or stressful situations, was evaluated as a mediator of this relationship among a sample of 208 undergraduate college students.

The findings of this study suggest a significant negative relationship between the perception of barriers and life satisfaction, which indicates that individuals with higher levels of perceived barriers endorsed lower life satisfaction and vice versa. …

In-Service Education And The Provision Of Educational Materials To Improve Awareness Of Chronic Wasting Disease Management Efforts In Arkansas, Mary Claire Stewart

Animal Science Undergraduate Honors Theses

Chronic Wasting Disease (CWD) is a disease caused by an accumulation of misfolded prions throughout the nervous system. This disease affects animals within the Cervidae Family, which includes deer, elk, moose, and caribou. This disease is fatal and physical symptoms often do not materialize until the animal is near death. CWD has become an increasing issue in Arkansas since an elk (Cervus canadensis) in Newton County tested positive for CWD in 2016. Since then, the Arkansas Game and Fish Commission (AGFC) has worked with the University of Arkansas Division of Agriculture (UADA) and others to develop management strategies to slow …

Variation In Leg Tissue Dielectric Constant Values Of Healthy Young Adult Females With And Without Compression Bandaging., Suzie Ehmann, Harvey N. Mayrovitz

HPD Articles

Background The clinical efficacy of a compression application has been often limited to the assessment of the change in limb volume, change in clinical symptoms (i.e., wound size, pain, range of motion, incidence of cellulitis), or vascular hemodynamics of the whole limb. Assessing compression-related biophysical changes of a localized area, such as around a wound, or in an area outside of an extremity cannot be objectively assessed by these measurements. Tissue dielectric constant (TDC) values, which provide a measure of the local tissue water (LTW) content, offer an alternative method to document variation in the LTW content of the skin …

Disparities In Women With Endometriosis Regarding Access To Care, Diagnosis, Treatment, And Management In The United States: A Scoping Review., Shannon Westwood, Mackenzie Fannin, Fadumo Ali, Justice Thigpen, Rachel Tatro, Amanda Hernandez, Cadynce Peltzer, Mariah Hildebrand, Alexnys Fernandez-Pacheco, Jonathan Raymond-Lezman, Robin J. Jacobs

HPD Articles

Endometriosis is a benign gynecological condition that elicits chronic pain in 2-10% of reproductive-age women in the United States and exists in approximately 50% of women with infertility. It creates complications such as hemorrhage and uterine rupture. Historically, the gynecologic symptoms of endometriosis have been associated with economic strain and inferior quality of life. It is suspected that endometriosis diagnosis and treatment are affected by health disparities throughout gynecological care. The goal of this review was to collate and report the current evidence on potential healthcare disparities related to endometriosis diagnosis, treatment, and care across race, ethnicity, and socioeconomic status. …