Medical-Legal Partnerships Reinvigorate Systems Lawyering Using An Upstream Approach, Kate L. Mitchell, Debra Chopp

Articles

The upstream framework presented in public health and medicine considers health problems from a preventive perspective, seeking to understand and address the root causes of poor health. Medical-legal partnerships (MLPs) have demonstrated the value of this upstream framework in the practice of law and engage in upstream lawyering by utilizing systemic advocacy to address root causes of injustices and health inequities. This article explores upstreaming and its use by MLPs in reframing legal practice.

Proposals To Address Health Disparities In Occupational Therapy, Madison Michelle Cotten

Honors Theses

Health disparities, “preventable differences in the burden of disease, injury, violence, or opportunities to achieve optimal health,” are infamous for their effects within both general healthcare and occupational therapy settings (Centers for Disease Control and Prevention [CDC], 2008). Though existing literature establishes a need for the widespread adoption of anti-discrimination measures, specific recommendations for occupational therapy schools remain limited. This project aims to remedy this gap in knowledge by serving as an initial overview of healthcare disparities within occupational therapy and by addressing the potential value of incorporating diversity courses into the curriculum of occupational therapy schools. Through the presentation …

The Santa Clara, 2024-05-10, Santa Clara University

The Santa Clara

No abstract provided.

The Contribution Of Pope Francis’ Integral Ecology To Global Ethics, Salvatore Enzo Del Brocco

Electronic Theses and Dissertations

The defense of the dignity and inviolability of human life has always gained prominence in the doctrine of the Catholic Church. With Pope Francis' concept of integral ecology, Catholic bioethics is expanded to a broader understanding. His vision of integral ecology, global bioethics, and solidarity emphasizes the interconnectedness of all things and the importance of caring for one another and the planet. It calls us to recognize our common humanity and to work together for the common good by facing the numerous emerging problems of our times, which threaten the dignity of human life and the future life of the …

The Contributions Of Philosophical Anthropology To Healthcare Ethics, Bura Koroba

Electronic Theses and Dissertations

The first principles of bioethics, autonomy, beneficence, nonmaleficence, and justice have contributed immensely to healthcare ethics. The procedural approach streamlines the decision-making process, protects vulnerable subjects, and fosters stability and trust in the patient-caregiver relationship. Yet, the principles are demonstrably insufficient, riddled with limitations and loopholes that could stand in the way of care.[i] Several recommendations have been proffered to remedy the deficiencies. Value ethics, for instance, has been touted as a proficient addendum to the foundations established by the principles. Still, these have not sufficiently addressed all arising issues in bioethics. Besides the challenges encountered in decision-making, opposing …

Resolution Of Chronic Coccydynia After Osteopathic Manipulative Treatment: A Case Report, Daniel A. Valdés, Meagan Sherrington, L. Michael Waters Jr

Research Day

Coccydynia is characterized by pain or discomfort in the coccyx region, most frequently caused by direct trauma. This condition, exacerbated by sitting on flat or hard surfaces, may cause immobility and adversely impact the daily lives of those afflicted. Standard treatment options include ergonomic adaptations, manual or physical therapy, nerve blocks, or surgery. Currently, there is very little evidence supporting the use of osteopathic manipulative treatment (OMT) as a therapeutic option for patients suffering from chronic coccydynia. The authors describe the case of a 26-year-old female, previously healthy, highly active competitive volleyball player who developed chronic coccydynia following direct trauma …

Rapid Increase Of Female But Not Male Obesity: Analysis Of The 2023 Vanuatu Health Transition Project Survey On Aneityum, Matthew Christian, Olivia Lasalle, Zhiqiao Huang, Hannah Chen, Ricky Chen, J. Koji Lum

Binghamton University Undergraduate Journal

Globally, obesity rates are continuing to increase and countries in the midst of modernization are most vulnerable. Developing nations are undergoing a health transition alongside rapid economic modernization. The nation of Vanuatu, like other Pacific island countries, is experiencing such a transition marked by decreased cases of infectious disease and increased incidence of chronic and non-communicable diseases. Aneityum is a small and sparsely populated island in Vanuatu and is behind more developed islands in its transition. This present study is the latest in a multi-year project examining health in Vanuatu as it undergoes a health transition with an increased prevalence …

Tongue-Tie: Impact On Oropharyngeal Function During Swallow., Kolbie A. Vincent

Electronic Theses and Dissertations

Swallowing is an intricate process involving over 50 muscle pairs and numerous nerves, with dysphagia resulting from deficits in various stages (Hennessy & Goldenberg, 2016). Lingual restriction may adversely impact swallowing function, affecting bolus preparation, size, and overall efficiency. Tongue-tie can pose challenges to speech, chewing, and swallowing (Becker & Mendez, 2022; Chaubal et al, 2011; García-Pola, M. J., et al., 2002). This pilot study seeks to determine how tongue-tie affects swallowing function in an adult male, and whether surgical revision of a submucosal lingual tether leads to measurable changes in oropharyngeal swallow function. Results showed inconsistent changes in diameter …

Establishing An Objective, Quantifiable Method For Detecting Erosive Tooth Wear, Camille Kita

Biological Sciences Undergraduate Honors Theses

This study aims to monitor and evaluate erosive tooth wear (ETW) by measurement of enamel surface thickness and texture in a clinical setting. The objective approach is fundamentally different from the standard subjective visual assessment that professionals in the dental field using the Basic Erosive Wear Evaluation (BEWE) method.

Twenty-nine hyposalivation and three control subjects were used in this longitudinal study, for a total of 597 samples (only 577 teeth were eligible for surface texture analysis) evaluated in a longitudinal study including both baseline and 12 month follow up surfaces. Each participant’s buccal surface of the tooth was first analyzed …

Exploring The Nexus: The Influence Of Acculturation And Stress On Infant Outcomes Among Hispanic And Black/African American Adolescents, Mia I. Moreno

2024 Spring Honors Capstone Projects - Archive

Numerous studies on acculturation and acculturative stress exist; however, findings are inconsistent and overlook an exploration of differences between Hispanic and Black/African American (B/AA) adolescents’ acculturation, stress, and birth outcomes. Despite societal and cultural challenges for both minorities, Hispanic women typically have positive birth outcomes comparable to White women, but B/AA women show an increased risk for negative birth outcomes. Further, minority and adolescent childbearing women frequently receive fewer prenatal care (PNC) visits than recommended which may impact birth outcomes. Therefore, my study sought to compare Hispanic and B/AA women’s birth outcomes assessing acculturation and stress and examine the relationship …

Barriers To Breastfeeding In Low Socioeconomic Populations, Nikki Goldberg, Paige Daws

The Eleanor Mann School of Nursing Undergraduate Honors Theses

This literature review assessed and determined common themes among vulnerable populations for the initiation and continuation of breastfeeding habits. The barriers identified were divided into four themes including: lack of support, inflexible employment environment, differences of breastfeeding norms and education, and financial burden. Interventions identified in this literature review were community support programs and the implementation of hospital programs and initiatives to encourage breastfeeding. The need for this research and discussion stems from the sub-optimal infant feeding practices that contribute to infant mortality rates (Gallegos et al., 2020).

Examining The Effects Of Menstrual Cycle Phase And Hormonal Contraceptive Use On Women's Sleep, Charles Ethan Coombs

Psychological Science Undergraduate Honors Theses

Women overrepresent men for sub-optimal sleep, a consequence of hormone fluctuation in the menstrual cycle affecting sleep regulatory pathways. While research has examined the prevalence of sub-optimal sleep through cycle phases, little research has examined how hormonal contraceptives (HC’s) could similarly affect women’s sleep, while also neglecting to utilize subjective sleep measures. In this study, we examine subjective sleep quality among naturally cycling (NC) women, women using different HC types, and between active and inactive phase pill users by subjecting 463 women to a subjective sleep battery. We hypothesized that HC users would report more sub-optimal sleep than NC women. …

Effects Of Exercise On Level Of Support, Mobility, And Quality Of Life In Adults With Down Syndrome, Jorge Lorza-Lopez, Jolena Sagaya, Simone Schroder, Paige Melvin Zink

UNLV Theses, Dissertations, Professional Papers, and Capstones

Down syndrome (Ds) is a genetic disorder characterized by the autosomal abnormality of a third copy of chromosome 21. Due to the physical and intellectual disabilities that many people with Ds experience, they often need support with (instrumental) activities of daily living. Since adults with Ds are living longer, it is important to determine how exercise can affect mobility and quality of life in the Ds community. The impact on more functional outcomes, such as level of support and quality of life has not been systematically investigated. Therefore, the aim was to investigate whether twelve weeks of a remote, structured …

Evaluating The Integration Of Traditional And Western Medicine In Rural Ghana: The Role Of Healers And The Government, Teresa Nicole Lemon

Poster Presentations

A question of pressing importance for the healthcare system in Ghana is the integration between biomedicine, which is unreachable for many rural citizens, and traditional medicine, which fills in the gaps in access for rural and non-rural citizens seeking care and is utilized by 70% of the population. The WHO promotes integrated health systems and created strategies to assist governments in their efforts.

The Ghanaian government did create policies to aid in integration, but their attempt to integrate was unsuccessful. This, along with other factors, has led some scholars to consider the government’s efforts as “tokenistic”; however, they do not …

Mixed Methods Approach To Assess ‘Placental Opioid-Enhancing Factor’ Activity Within ‘Alternative’ Health Contexts Of Human Maternal Placentophagy, Jacob C. White

UNLV Theses, Dissertations, Professional Papers, and Capstones

Rats with elevated opioid levels experience an even greater increase in pain threshold after placenta or amniotic fluid consumption via placental opioid-enhancing factor (POEF) in the afterbirth. POEF only enhances opioid hypoalgesia; it cannot produce hypoalgesia alone. Although the POEF molecule remains unidentified and its efficacy in humans is unknown, it could be a safe, novel pain treatment. People who consume placenta as an alternative postpartum health practice are ideal for testing POEF bioactivity. Though rat models show that bioactive POEF is highly sensitive, some forms of the practice in humans may conserve POEF.

This project is the first attempt …

Mindfulness For Middle School Students Receiving Adapted Physical Education Services: Quality Improvement Program, Kaila Mangrum

UNLV Theses, Dissertations, Professional Papers, and Capstones

Middle school students with disabilities are often isolated from their peers with decreased opportunities for participation, struggle with social emotional regulation, and self-efficacy. This has been evident among students with various disabilities who are from various age groups receiving special education services including adapted physical education (APE). Research has shown mindfulness amplifies learning and promotes a positive environment that supports children’s overall wellbeing. This quality improvement project focused on developing an occupational therapy centered mindfulness program to enhance social participation, self-efficacy, and social-emotional regulation. Data collection occurred pre and post program from specialized program teacher assistants (SPTAs) using the School …

The Role Of Soft Infrastructure In Developing Sustainable Volunteer-Based Healthcare For Transient Migrants In The El Paso-Ciudad Juárez Border Region, Daniel Avitia

Open Access Theses & Dissertations

No abstract provided.

Integrating Collective Art Healing Practices Into Contemporary Art Therapy, Taleene Armen, Nicole Aviel, Ej Liao, Brianna Mitjans, Mandy Schuster

LMU Theses and Dissertations

Five graduate students from the Marital and Family Art Therapy Program at Loyola Marymount University (LMU) conducted a research study to explore the characteristics and attributes of collective art practices and how they contribute to healing. A survey including quantitative measures and qualitative responses were administered on the Qualtrics platform, allowing for a wide geographic reach and rapid data collection. The subsequent qualitative analysis involved the creation of visual artworks by the researchers, utilizing the arts as data to identify additional common themes contributing to healing attributes. The data revealed three major themes, or characteristics, of how art contributes to …

Numerical Variations In The Thoracic And Lumbar Vertebrae Within The John A. Williams Skeletal Collection, Western Carolina University, Cullowhee, Nc (Usa), Leanna Annette Sanford

Department of Anthropology: Theses and Student Research

This research is on how human variation can lead to the identification of remains based on skeletal variation. The data were collected by performing a morphoscopic trait study of the John A. Williams (J.A.W.) Documented Human Skeletal Collection at Western Carolina University in Cullowhee, NC (USA). Morphoscopic traits are nonmetric traits, visually identified using the knowledge of osteology. The study was performed to study variation of the vertebral column, specifically focusing on morphoscopic traits of the thoracic and lumbar vertebrae. The focus of this research is centralized on the presence of numerical variations in the vertebral column such as eleven …

The Osteobiography Of Human Remains From The Seaview And Indian Town Trail Archaeological Sites, Maggie M. Klemm

Department of Anthropology: Theses and Student Research

Extensive site surveys and excavations on the Island of Barbuda led by Sophia Perdikaris have identified over 62 sites spanning from the Archaic time period to Historic times. Over the last 18 years, these multidisciplinary teams have focused on mapping all sites and performing rescue excavations on sites threatened by sea level rise, erosion or development. Two such sites are the Saladoid site of Seaview (BA016) and the Troumassoid site of Indian Town Trail (BA01). The dunes surrounding the site of Seaview receive the brunt of storms and hurricanes. In 1998 hurricane Georges exposed skeletal material now part of the …

Understanding Medical Students' Perceived Readiness To Serve As Culturally Competent Practitioners, Michel'le Janae Bryant

Seton Hall University Dissertations and Theses (ETDs)

Background: The US population is more culturally diverse than ever. Although advancements have been made in improving the nation’s overall health, health disparities continue among different racial and ethnic groups. To promote person-centered care practices, medical students must be ready to serve diverse patient populations and provide equitable care. Despite their training, some medical students report feeling unprepared to treat diverse patient populations, potentially impacting their clinical practice and patient care outcomes.

Purpose: This study’s purpose was to explore the perceived readiness of final-year medical students in the US to provide culturally competent care utilizing the Readiness Theory and The …

The Role Of The Patterning Cascade Model In Human Mandibular Premolar Variation, Molly Militello

Graduate Theses and Dissertations

Human mandibular premolars represent a morphologically transitional tooth class, possessing a relatively caniniform third premolar (P3) and a more molariform fourth premolar (P4). Marked variation in cusp height and lingual cusp number are characteristics unique to these postcanine teeth. The aim of this study is to determine if human premolar variation aligns with predictions outlined by the patterning cascade model (PCM). The PCM posits that tooth size and enamel knot spacing/surrounding inhibitory fields (approximated by cusp tip positioning) play a role in determining ultimate crown morphology, providing a predictive framework for examining crown variation within and between individuals. While there …

Prevalence, Persistence And Microscopic Aspects Of The Vomeronasal Organ In Normal Versus Embryos With Chromosomal Abnormalities, Carmen Constantina Martinescu, Marius Alexandru Moga, Codrut Ioan Ciurea, Lorena Dima, Liana Ples, Andreea Neculau

Journal of Mind and Medical Sciences

Background. The objective of this study was to describe the histological and immunohistochemical aspects of vomeronasal organ in two groups of (normal and pathological) embryos and fetuses, with chromosomal morphological abnormalities. Methods. The research was based on a retrospective, descriptive analysis, carried out over a period of 5 years. The study included 46 biopsy fragments taken from aborted embryos and fetuses aged between 9 and 23 weeks. We compared the microscopic structure of the vomeronasal organ using different histologic and immunohistochemical staining procedures. Results. Our results showed that in both groups of embryos and fetuses there are three major stages …

The Santa Clara, 2024-04-26, Santa Clara University

The Santa Clara

No abstract provided.

A Review Of Consanguinity In The Iraqi Population: A Call To Action To Prevent A Future Health Catastrophe, Zaid Ali Hawi, Kealan Pugsley, Atefeh Namipashaki, Walied Samarrai, Ziarih Hawi

Publications and Research

Although not uncommon worldwide, consanguinity has been a part of Arab culture and tradition as a means to strengthen tribal blood relations. However, this type of union has been linked to inherited diseases, particularly those of a recessive nature (e.g., hemoglobinopathies). Furthermore, several recent studies have documented highly significant associations between consanguineous parentage and common multifactorial diseases, including but not limited to hypertension, mental disorders, and several cardiovascular diseases. In Iraq, the prevalence of consanguinity is very high and still on the rise. This has resulted in an increased prevalence of inherited diseases and has significant negative impacts on Iraq’s …

Development Of Novel Analytical Methods For The Investigation Of Mammalian Tissues And Cells, Grace A. Binder

USF Tampa Graduate Theses and Dissertations

This dissertation endeavors to advance the frontiers of analytical chemistry by addressing critical challenges across three distinct chapters. In the first chapter, the focus is on the evaluation of digestion methods for the analysis of trace metals in mammalian tissues and the Standard Reference Material NIST 1577c. The primary goal is to optimize methodologies, laying the groundwork for reliable trace metal analysis and furthering our understanding of their roles in biological systems.

Transitioning into the realm of immunomodulation, the second chapter elucidates immune response, disease and treatment through the optimization and discovery of STING modulators, utilizing the luciferase assay for …

The Myopia Epidemic: Exploring The Pathology And Management Of The World’S Most Common Eye Disorder, Gabriella Baldassarre, Bs

inSIGHT

Myopia is the most common eye disorder in the world and an increasing cause of vision impairment in children.¹ Myopia is an imbalance in the refractive components of the eye and its length, leading to inaccurate focusing of light rays in front of the retina tissue instead of on it. There is a spectrum of severity of myopia, from mild nearsightedness to a more severe form known as high or degenerative myopia, which has the potential to cause vision loss and blindness. There is evidence of a developing myopia epidemic, with an estimated one-third of the world population affected …

Insight, Volume 4, Issue 1, 2024

inSIGHT

Contents

8 - The Myopia Epidemic: Exploring the Pathology and Management of the World’s Most Common Eye Disorder
By Gabriella Baldassare

15 - Evolution of Lamellar Keratoplasty
By Ishan Kasat

19 - Bridging the Global Gap of Blindness Through Artificial Intelligence
By Nathan Delacth

24 - CMV Retinitis: An Expert’s Perspective
By Caitlyn Kwun

29 - Macular Holes: Diagnosis, Treatment, and Complications
By Ayra Khan

36 - Chronic Progressive External Ophthalmoplegia
By Bahram Pashaee

39 - Medical Missions, Ethical Considerations, and the Future for Healthcare Delivery in Ophthalmology
By Robert Medina

43 - Shaping the Future of Vision: The Rise …

Effects Of Probiotic Supplementation On Pcos Outcomes, Allison Stoeffler

Physician Assistant Scholarly Project Posters

Polycystic ovarian syndrome (PCOS) is a multifactorial metabolic, endocrinologic, and gynecologic condition affecting up to 5 million women in the United States. It is a disease characterized by oligo- or anovulation, hyperandrogenism, and/or polycystic ovaries. Phenotypic presentation can include irregular menstrual cycles, obesity, hirsutism, insulin resistance, or difficulty conceiving. If untreated, PCOS can result in a sequelae of chronic disease burden. Current standard of care consists of metformin for blood sugar control, oral contraceptives for menstrual regularity, and spironolactone for androgen imbalance, but newer research is identifying gut dysbiosis as a possible contributing etiology to disease development and symptomology. This …

Promoting Empowerment Among Patients And Collaboration Between Obstetricians And Midwives During The Pregnancy And Birth Experience, Alexandra R. Mcdermott

Senior Theses

The purpose of this paper was to evaluate how obstetricians and midwives promote empowerment among patients and support effective collaboration between providers during pregnancy and childbirth. This thesis explores patient care and interprofessionalism as they relate to maternal health, addressing gaps in knowledge regarding how obstetricians and midwives practicing in or near Columbia, South Carolina view these concepts. An extensive literature review was conducted to fully understand pregnancy and childbirth across history and today, throughout the United States and beyond. Obstetrics, midwifery, and a comparison of these fields were explored thoroughly in addition to an analysis of maternal and infant …