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- Member of: Barrett, The Honors College Thesis/Creative Project Collection
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Description
Smartphone-based healthcare. It's becoming more real as technology advances, adding value to healthcare and opening the doors to more personalized medicine. The Medical Pal is a smartphone application that can track symptoms and analyze trends in the severity of those symptoms, alerting healthcare providers when there is a significant increase in the symptom severity. This is especially directed to the palliative patient, whose care is focused on managing symptoms and providing comfort. The HIPAA-compliant server used for the smartphone application was Catalyze.io and 40 Mayo Clinic Arizona palliative patients were surveyed on their smartphone usage to test the acceptance of this app in a clinical setting. A trial involving 9 simulated patients was conducted over a two week period to test the functionality of the app. A majority of surveyed patients (85%) expressed favor for the idea of a mobile ESAS, and the app was functioning, with the capability of displaying patient data on a healthcare provider's account. This project is intentionally a door-opener to an open field of opportunity for mobile health, symptom observation, and improvements in healthcare delivery.
ContributorsDao, Lelan Diep (Author) / Cortese, Denis (Thesis director) / Lipinski, Christopher (Committee member) / Fitch, Tom (Committee member) / Barrett, The Honors College (Contributor) / Department of Chemistry and Biochemistry (Contributor)
Created2015-05
Description
Intrauterine devices (IUDs) have become one of the most common types of contraception in the United States. In the last decade, the American College of Obstetricians and Gynecologists, the World Health Organization, and the Food and Drug Administration (FDA) updated IUD recommendations to include placement in younger populations and nulliparous women. Research has shown that younger, nulliparous women may have smaller uterine dimensions and it is possible that larger IUDs are not suitable for those populations. This study retrospectively evaluated follow-up pelvic ultrasounds showing uterine dimensions and IUD positions of 57 women who had IUDs placed in a clinic. The largest IUD, the Paragard, showed a significantly higher rate of malpositioning than the Kyleena, Liletta, and Mirena IUDs. There is concern that the Paragard IUD, which is most commonly malpositioned, is also the IUD most dependent on position for adequate contraception. There was no correlation between uterine dimensions and IUD position at the time of analysis, however. Further data collection will continue in hopes that a larger sample size will reveal a parameter which affects IUD placement. Should further data analysis show that uterine width plays an important role in IUD position, the design for a device which can measure the width of patient's uterus (without the need for pelvic ultrasound) has been included. The concept generation for this measurement device includes laser measurements of uterine cavity width at different known lengths from the fundal wall, which output to an LED screen for recording.
ContributorsGrayson, Claire Elise (Co-author) / Kilgore, Brody (Co-author) / Reifsnider, Elizabeth (Thesis director) / Stabenfeldt, Sarah (Committee member) / Grayson, Robert (Committee member) / School of Molecular Sciences (Contributor) / Sanford School of Social and Family Dynamics (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
Description
Burn injuries and soft tissue infections infrequently result in amputation; however, the prognostic indicators of lower limb amputation are not well characterized by current literature. Several other studies have estimated the prevalence of amputation to be between 1.8-5.8% in burn patients, but a thorough analysis of past medical history as potential risk factors had not yet been conducted in the United States. Our retrospective study examined the medical charts of 110 patients admitted to the Arizona Burn Center at Maricopa Medical Center between 2000 and 2016 with varying levels of lower limb amputation due to either a burn injury or soft tissue infection. The data was then compared to controls matched for sex, injury mechanism, age, and total body surface area (TBSA) that did not receive an amputation and that were admitted during the same time frame. Statistically significant relative risk factors for amputation included diabetes mellitus, hypertension, smoking history, alcohol abuse, and liver disease, each of which increased risk four to five times over matched controls. Interestingly, all these conditions negatively impact the circulatory system, leading to blood vessel damage, difficulties with wound healing, and increased risk for infection. As the prevalence of obesity and cardiovascular disease increases in the United States’ population, risk factors such as diabetes and hypertension are projected to affect more individuals than ever before. By demonstrating the increase in risk these conditions have on impacting the likelihood of amputation, this study exemplifies the importance of properly managing cardiovascular diseases to both burn clinicians and prevention campaigns.
ContributorsRichards, Nicole Paige (Author) / Cortese, Denis (Thesis director) / Matthews, Marc (Committee member) / School of Life Sciences (Contributor, Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
Description
This longitudinal research study addresses the correlations between infant feeding status in relation to infant temperament, maternal postpartum depression, and weight changes over time in a lower income, diverse population sample. The majority of participants were enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) in Mesa, Arizona. Each participant was recruited in their third trimester and followed for the infants' first six months of life. A series of four home visits were made in which demographic surveys, temperament questionnaires, postpartum depression scales, weight changes over time, fecal, vaginal, saliva, and breast milk samples were taken. Due to the extensive process of extracting and sequencing of the microbiome samples, data has yet to be collected from the fecal, vaginal, saliva, and breast milk samples and were not included in this study. Correlational and descriptive statistics were run on the qualitative data including various demographic questions, total temperament, depression, and healthy eating index scores. It was found that lower socioeconomic factors contributed to more difficult infant temperaments, mothers who breastfed had higher post-delivery postpartum depression scores, and mothers with healthier eating indexes formula or mixed fed their infants. The findings from this data will be compared to the incoming microbiome data to examine the role of the microbiome of mothers and infants and its effects on infant temperament, postpartum depression, and weight changes over time.
ContributorsWong, Lindsay Alissa (Author) / Reifsnider, Elizabeth (Thesis director) / Zheng, Lu (Committee member) / School of Nutrition and Health Promotion (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
Description
This research will focus on identifying healthcare disparities among different groups of people in Maricopa County, with a focus on the Phoenix area. It takes form in a combination of a review of previously existing data, surveying pregnant women about their health insurance situations before their pregnancies, and surveying college students in Maricopa County about their past and current health insurance situations. The pregnant women who were interview were part of a study called Metabolism Tracking During Pregnancy through the School of Nutrition and Health Promotion at Arizona State University. College students who were interviewed were recruited online and all participants were choosing to respond. This research paper will focus on policies currently in place to try to address healthcare disparities and establishing the presence of healthcare disparities that are preexisting, and using individual responses from a small sample size of minorities and women to represent the larger Phoenix population. Differences in healthcare spending for different groups of people will also be analyzed in order to establish disparities present. This research is significant because if healthcare equality is the goal, then spending distribution to each should be proportional to the size of each subpopulation.
ContributorsGeiser, Rachel (Author) / Reifsnider, Elizabeth (Thesis director) / Cortese, Denis (Committee member) / School of Molecular Sciences (Contributor) / School of International Letters and Cultures (Contributor) / School of Politics and Global Studies (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
Description
The purpose of this secondary data-analysis was to explore the factors that predict a healthy birth outcome and a healthful postpartum weight for Mexican American mothers. There is a need to educate women who are overweight and obese that in order to have a healthier pregnancy and delivery they need to reduce their BMI. Demographic factors, the frequency of pregnancy complications, the weight and BMI of the mother, and Gestational Weight Gain were all factors investigated. These factors were investigated to determine parameters to obtain healthy birth weights in Mexican American infants.
ContributorsRemackel, Jacqueline Joy (Author) / Reifsnider, Elizabeth (Thesis director) / Zheng, Lu (Committee member) / School of Nutrition and Health Promotion (Contributor) / Barrett, The Honors College (Contributor)
Created2016-12
Description
This paper details the development of a six-week health education class for pregnant and parenting women recovering from substance abuse. The class was developed in collaboration with Student Health Outreach for Wellness (SHOW) Community Initiative, a student-run organization providing free healthcare to underserved populations, and with Crossroads, Inc., a licensed treatment provider serving men, women, and veterans recovering from addiction and substance use disorders. A needs assessment via personal interview was conducted to identify the demographics of the female residents at the Crossroads for Women treatment facility, the existing medical health promotional services, and the needed medical and health promotional services. The needs assessment identified the need for health education for pregnant and parenting women recovering from addiction. The SHOW Program Development Guide was utilized to develop the content for the classes based on the Health Belief Model theory. The Health Belief Model focuses on the beliefs and attitudes of individuals and altering them to make achieving good health more feasible (Hochbaum, Rosenstock, and Kegels, 1952). The program curriculum identifies potential perceived barriers to health and utilizes strategies to decrease the perceived barriers and increase perceived benefits. The six-week course was divided to address six different topics: 1. Introduction, 2. Physical Health, 3. Stress Management, 4. Nutrition, 5. Exercise, and 6. Conclusion and Discharge Planning. The class will be taught by a variety of health professional disciplines in accordance with the interprofessional practice theory, which utilizes two or more health professions to improve health outcomes. This project outlines all presentation materials, handouts, activities, and implementation recommendations required to produce a program that helps pregnant and parenting women on their road to recovery.
ContributorsPhillips, Megan Anne (Author) / Harrell, Liz (Thesis director) / Reifsnider, Elizabeth (Committee member) / School of Human Evolution and Social Change (Contributor) / Barrett, The Honors College (Contributor)
Created2016-12
Description
This research addresses the importance of factors such as gestational weight gain (GWG) and postpartum weight of mothers, as well as obesity rates in infants born to these mothers who are included in the population of low-income Mexican-American mothers and infants enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Evaluating these factors will contribute to finding recommendations to help solve the obesity epidemic in this specific population. Breastfeeding duration, mother BMI, infant birth weight, and infant weight z-scores were statistically analyzed from a WIC population in Houston. The study participants are involved in a five year intervention study where the home environment and education on feeding practices, breastfeeding duration and obesity are evaluated. The results found that: (1) breastfeeding initially indicates a further continuation of breastfeeding; (2) mothers who breastfed for six months were likely to have a lower BMI at twelve to eighteen months than those who did not; (3) the birth weight of the infant is associated with the weight pattern of the child later; (4) the weight/height percentiles of a newborn are somewhat likely to stay the same until age three; (5) the prenatal weight of the mother impacts the weight of the newborn infant; and (6) the mother's postpartum BMI at one week is associated with a similar BMI at 12 months postpartum. In conclusion, women in this population tend to not breastfeed for 6 months and are not losing gestational weight postpartum, leading to increased wright retention after pregnancy, as well as heavier babies that will maintain this weight in early childhood. Further breastfeeding, nutrition, exercise, obesity, and proper infant feeding education are needed to reduce the rate of obesity in low-income Mexican-American WIC populations.
ContributorsSchmid, Emily Grace (Author) / Reifsnider, Elizabeth (Thesis director) / Danielson, Kim (Committee member) / Sanford School of Social and Family Dynamics (Contributor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor) / Barrett, The Honors College (Contributor)
Created2016-12
Description
The purpose of this secondary data-analysis was to identify potential risk factors in the home at 12 months that can lead to the development of childhood overweight or obesity. Childhood obesity is a multifaceted epidemic, and is highly prevalent in low-income populations. This analysis focuses on the weight outcomes of babies at 12 months of age who are from low-income, Mexican American families. The weight and BMI of the mother, basic feeding practices, and acculturation were some of the factors that were found to have correlations with the weight of a child at 12 months. The HOME Scale was used in this data analysis, however, no significant correlations can be found at this time. Further research with children who are older than 1-year-old should be performed to determine if the HOME Inventory factors play a role in the weight outcome of a child.
ContributorsCiulla, Gabriella Rae (Author) / Reifsnider, Elizabeth (Thesis director) / Danielson, Kim (Committee member) / School of Nutrition and Health Promotion (Contributor) / Sanford School of Social and Family Dynamics (Contributor) / Barrett, The Honors College (Contributor)
Created2016-12
Description
The study focused on blue light and its effects on health due to the increased daily use in society. The purpose of this study was to determine the amount of prior knowledge of the general public on blue light and its link the Age Related Macular Degeneration (ARMD). Participants were selected from a group of patients at Eye Care Professionals in Chandler, Arizona. In the first part of the study, participants answered an initial survey which was used to screen participants for the second part of the study depending on their use of blue light protective products. The second part of the study focused on education and evaluation, and consisted of a video and a survey. Overall, it was found that 72.6% of participants were not aware that blue light can lead to ARMD, and therefore are unaware of protective products available to them. The second part of the study was not completed. A video with additional supplementary information was sent to participants; however, there were not enough responses for the data to be statistically significant. Therefore optometrists, ophthalmologists, and general practitioners could use educational tools such as short videos or simple brochures to increase awareness of blue light and ARMD if they prove to be effective.
ContributorsFurey, Catherine Grace (Author) / Cortese, Denis (Thesis director) / Reitano, Joseph (Committee member) / Department of Marketing (Contributor) / W. P. Carey School of Business (Contributor) / Barrett, The Honors College (Contributor)
Created2017-05