Alternative and Complementary Medicine Commons^™

The Effect Of Narrative Medicine Combined With Medication Assisted Treatment On Decreasing The Desire To Use Intravenous Substances In Hospitalized Patients With Infective Endocarditis, Paula Works

DNP Projects

Substance abuse is a significant problem that spans the nation. Of particular concern is the growing population of patients at UK HealthCare who have endocarditis as a complication from IV substance abuse.

PURPOSE: The aims of this study were

1. To assess the effect of narrative medicine combined with MAT, compared to MAT alone, on desire to use in hospitalized patients with a history of IV substance use
2. To examine the changes in quality of life before and after the introduction of narrative medicine in hospitalized patients with a history of IV substance abuse using The Quality of Life Scale (QOLS). …

Knowledge, Attitudes, And Use Of Complementary And Alternative Medicine (Cam) Among Nurses, Nursing Assistants, And Unit Secretaries, Kim Dimaunahan, Sandy Martir, Amber Norman, Trisha Saul

Books, Presentations, Posters, Etc.

No abstract provided.

Service Dogs For Veterans With Ptsd: Taxonomy, Work Stress Reduction, And Matching, Lindsay Parenti

Graduate Theses, Dissertations, and Problem Reports (ETD)

Research suggests that many veterans with post-traumatic stress disorder (PTSD) struggle with reintegration (Sayer et al., 2010), but are unlikely to seek help or complete treatment (Schottenbauer et al., 2008). To make matters worse, available treatment options are often time consuming, challenging, and/or associated with negative side effects (Carafano & Hutchinson, 2017). Using animals as a treatment modality for veterans with PTSD is an emerging topic of interest and has shown promise (Owen, et al., 2016; Richie et al., 2016). However, several factors have hindered the advancement of this field. Obstacles include a lack of standard terminology and classification system, …

Optimizing Return To Learn Following A Sport-Related Concussion: A Quality Improvement Project, Dawn Ranns, Tamara Valovich Mcleod

Clinical Practice in Athletic Training

Sport-related concussion (SRC) has been at the forefront of the sports medicine literature and media; however only recently has return to learn (RTL) been recognized as an important piece of a concussion management plan (CMP). A student’s successful transition back to the classroom following SRC depends on the support, resources, and effective communication among the multidisciplinary team. This project focused on the assessment of current faculty knowledge, attitudes, and beliefs about concussion, the development of an RTL policy, and implementation of educational resources at a Division II institution. This project ran for 6 months, using 2 cycles of the plan, …

Point-Of-Care Assessment At A Free, Out-Of-Hours Orthopedic Clinic, Whitney M. Graves, Zachary K. Winkelmann, Kenneth E. Games

Clinical Practice in Athletic Training

Access to healthcare is a challenge for many Americans living in rural communities. Hospital systems have created programs and developed models to improve access to care. However, documentation of the role of these clinics serving different populations and various types of communities is quite scarce. The purpose of this article is to describe the patient satisfaction and procedures assessed at the point-of-care during a 14-week, out-of-hours free orthopedic clinic in the Southeastern United States. One hundred and twenty-nine patients attended the orthopedic clinic and completed a patient satisfaction survey following their patient encounter. At the end of the 14-week, 89% …

Mesenchymal Stem Cells: Sources, Clinical Applications And Outcomes For Common Musculoskeletal Conditions, Steven Boyton, Lindsey Clemensen

Clinical Practice in Athletic Training

Background: The clinical use of Mesenchymal Stems Cells (MSC) in musculoskeletal medicine has become increasingly recognized in the medical field as a promising treatment modality. MSCs have been defined as spindle shaped cells that are capable of rapid proliferation and self-renewal contained within several tissues including bone marrow, synovial and adipose tissue, blood and periosteum. MSCs are currently being used in clinical trials for musculoskeletal purposes including the enhancement of tissue regeneration, bone and cartilage defects and tissue repair. Currently a variety of stem cell products, methods and applications are being used which can provide many misconceptions for the most …

Patient Satisfaction With Athletic Trainers Working In A Physician Practice Setting, Nathaniel P. Acree, Forrest Q. Pecha, Joshua B. Lavigne, Esther C. Nolton

Clinical Practice in Athletic Training

Background: Recent changes in healthcare administration via the introduction of the Triple Aim by the Institute of Healthcare Improvement have challenged healthcare institutions to improve the efficiency and effectiveness with which services are provided, while also enhancing patient experience. These changes have facilitated the hiring of clinical support staff from varying backgrounds with the aim of ensuring the goals of the triple aim are met within the clinical environment. Recently orthopedic practices have begun to include certified athletic trainers in the healthcare delivery team due to their advanced base of musculoskeletal knowledge. Previous literature has observed increased efficiency and revenue …

Effectiveness Of Yoga Therapy On Pain And Related Depression, Anxiety, Perceived Stress, And Quality Of Life, Karen Romani

Walden Dissertations and Doctoral Studies

Individuals are becoming more dependent on medication for conditions such as chronic-pain, anxiety, and depression. It is reported that patients are often overprescribed medication while health outcomes do not improve. The medicalization of society is distracting attention from the possibility of other therapies such as complementary or alternative medicine (CAMs) that can improve health outcomes if they were as supported as pharmacological research and better received by the medical community. Yoga and meditation, the components of Mindfulness Based Stress Reduction (MBSR) and yoga therapy, have been shown as effective CAMs for cases of anxiety and depression related to chronic illness …

Best Practices In Patellar Tendinopathy Management: An Evidence To Practice Review, Christopher J. Burcal, Adam B. Rosen, Tony Taylor, Mike Nicola

Clinical Practice in Athletic Training

Patellar tendinopathy (PT) is a degenerative condition that is common in sporting populations due to the loads placed on the tendon during dynamic activity. PT often occurs in overtraining situations; however, it may also occur in conjunction with and/or worsen through poor biomechanics, persistent inflammation, and altered movement patterns. Although sports medicine practitioners have evidence to support the prevalence of this injury, we do not have a strong base of evidence surrounding the contributing factors and pathophysiology that lead the pain and disability reported in patients with PT. The purpose of this evidence to practice review was to summarize a …

Preconditioning Of The Tumor Microenvironment By Means Of Low Dose Chemotherapies For An Effective Immunotherapy Of Breast Cancer, Hussein F. Aqbi

Theses and Dissertations

Breast cancer mortality is mainly due to distant recurrence of the disease arising from dormant tumor cells established by cancer therapies. Patients who initially respond to cancer therapies often succumb to distant recurrence of the disease. It is not clear why people with the same type of breast cancer respond to treatments differently; some escape from dormancy and relapse earlier than others. In addition, some tumor clones respond to immunotherapy while others do not. We investigated how autophagy plays a role in accelerating or delaying recurrence of neu overexpressing mouse mammary carcinoma (MMC) following adriamycin (ADR) treatment, and in affecting …

Targeting Sphingosine Kinase 2 As A Treatment For Cholangiocarcinoma, Anthony D. Stillman

Theses and Dissertations

Cholangiocarcinoma (CCA) has a high mortality rate and its occurrence is rising. This increase prompts the need for improved CCA treatments. Studies have suggested that CCA is highly reliant on the sphingosine-1-phosphate-receptor-2 (S1PR2) and sphingosine kinase 2 (SphK2). Recently, a competitive SphK2 inhibitor, ABC294640, has been approved for clinical trial. ABC294640 has the potential to treat CCA, which is support by a phase I clinical study that was able to temporarily treat a patient suffering from metastasized CCA with ABC294640. To determine the viability of ABC294640 as a treatment for CCA, this study focused on determining the effects of ABC294640 …

Assessing The Impact Of A Yoga Intervention On Sleep In Female Veteran And Non-Veteran College Students, Erica Forzley

Graduate Student Theses, Dissertations, & Professional Papers

Early sleep research in the 1970’s reported that sleep problems were due to cognitive and physiological arousal (Kennedy, 2014; Ong, Ulmer, & Manber, 2005). Recent research suggests that in addition to arousal, maladaptive beliefs and attitudes contribute to sleep problems (Kennedy, 2014; Ong et al., 2005). Techniques to decrease cognitive and physiological arousal include exercise, relaxation techniques, and talk therapy (Kennedy, 2014; Ong et al., 2005. To address maladaptive attitudes and beliefs mindfulness and acceptance techniques such as yoga are recommended (Kennedy, 2014; Ong et al., 2005). Untrue beliefs about how much sleep is needed and a tendency to avoid …