Digital Commons Network^™

Creating Engaging Activities To Improve Overall Group Participation Within Centennial Adultcare Center, Ava Woessner

OTD Capstone Projects

This doctoral capstone project was conducted in collaboration with Centennial Adultcare Center, an adult day program that is dedicated to providing a stimulating and supportive environment for personal growth and independence through professional care within a reasonable fee. The center serves a variety of diagnosis including but not limited to: dementia, cerebral palsy, intellectual and developmental disabilities (IDD), stroke, and autism. The primary objectives of this project were to develop engaging, member-focused activities through the use of graded interventions and adaptive equipment, provide staff members with effective resources, and enhance the visibility and promotion of adult day services through social …

Addition Of Prg4 To Optimize The Anti‑Adhesive Properties Of Tissue Barrier Sepraflm®, Ava J. Marks, Khaled A. Elsaid, Ling X. Zhang, Timmy Lin, Janette Baird, Tannin A. Schmidt, Gregory D. Jay

Pharmacy Faculty Articles and Research

Purpose

Postsurgical adhesion remains a significant clinical challenge. Seprafilm^® is widely used as a barrier to reduce adhesion formation, however its efficacy may be inconsistent. Recombinant human proteoglycan-4 (rhPRG4), a surface-active, anti-inflammatory glycoprotein found in synovial fluid inhibits cell and protein adhesion. This study investigated whether coating Seprafilm with rhPRG4 could enhance its anti-adhesive potential.

Methods

Macrophages (J774), human fibroblast-like synoviocytes (HFLS), and melanoma (A375) cells were cultured on tissue culture wells treated with rhPRG4 or bovine submaxillary mucin (BSM) to determine optimal seeding density. Seprafilm sheets were coated with rhPRG4 or BSM (0.78–200 µg/mL). Cell adhesion was quantified …

Swosu Research And Scholarly Activity Fair 2026, Swosu Office Of Sponsored Programs

SWOSU Research and Scholarly Activity Fair Programs

On behalf of the University Research and Scholarly Activity Committee (URSAC) and the Office of Sponsored Programs (OSP) at Southwestern Oklahoma State University, we are pleased to welcome you to the Thirty-Fourth SWOSU Research and Scholarly Activity Fair.

Long Work Hours, Suboptimal Diabetes Management, And Differences By Sex And Race/Ethnicity, Nhanes (2011-2018), Tailisha Gonzalez, Margrethe Horlyck-Romanovsky, Terry T.-K. Huang, Sandra E. Echeverria

Publications and Research

In the United States (US), occupational segregation by sex and race/ethnicity can contribute to health disparities. Although work schedule characteristics have been previously linked to elevated cardiovascular risk, little is known about the effects on chronic disease management in women and minoritized workers. We examined the association between work hours and diabetes management among US workers, testing for differences by sex and race/ethnicity. We utilized 2011–2018 National Health and Nutrition Examination Survey (NHANES) data on working adults (age ≥20 years) with diagnosed diabetes (n = 1041). Suboptimal diabetes management was defined as HbA1c ≥7%. Work hours were categorized per WHO …

Evaluating An Lgbtq+ Adolescent Sexual Health Toolkit: Boosting Confidence And Provider Knowledge, Joslyn Lypka

Doctoral Dissertations & Projects

When leveraged correctly, sexual health education empowers youth to build resilience, deepen self-understanding, and confidently navigate gender and sexual identities. However, many school-based programs emphasize cisgender and heterosexual norms, leaving LGBTQ+ adolescents with limited access to inclusive and affirming sexual health information. This project aimed to develop and evaluate an online sexual health education toolkit designed to increase knowledge and support self-advocacy among LGBTQ+ adolescents, parents/caregivers, and healthcare providers. In collaboration with a Midwest nonprofit organization serving sexual and gender-diverse individuals, an online toolkit was developed and evaluated using two sequential Plan–Do–Study–Act (PDSA) cycles. During the first cycle, subject matter …

Keratopigmentation: A Comparative Review Of Safety, Indications, And Clinical Outcomes, Emmy L. Colon Alamo

Undergraduate Scholarship and Creative Works

Throughout the years, there has been an upsurge in the quantity of cosmetic procedures aimed at changing eye color or appearance. This trend raises significant concerns about patient safety and visual health, as although many methods are promoted worldwide, their efficacy and, most importantly, safety varies greatly. This review looks at the safety of procedures that alter eye color or appearance, focusing mainly on cosmetic keratopigmentation, which is currently the only legally accepted method for changing eye color in the U.S.

A review of clinical studies was conducted to evaluate the outcomes and complications related to keratopigmentation. Then, these findings …

Quality Improvement Project: Faculty Preparedness For Recognition, De Escalation, And Reporting Of Violence In Clinical Education Settings, Dawn "Deedee" D. Moline

Doctor of Nursing Practice Projects

Violence and aggression in healthcare settings present ongoing safety concerns for nursing faculty supervising students during clinical education, particularly when teaching occurs in hospital environments where faculty are not employed. Faculty often rotate across multiple clinical sites and may lack consistent preparation or access to standardized safety education and reporting systems. The purpose of this Doctor of Nursing Practice quality improvement project was to evaluate the effect of a targeted educational intervention on nursing faculty perceived preparedness to recognize, de escalate, and report aggression encountered during clinical instruction. Guided by Bandura’s Social Cognitive Theory and Lewin’s Three Stage Change Model, …

Implementing Simulation-Based Learning In Fieldwork Bootcamp To Enhance Level Ii Fieldwork Preparedness, Kathryn Livingston

OTD Capstone Projects

This doctoral capstone project was completed in collaboration with Belmont University’s School of Occupational Therapy (OT) and the Center for Interprofessional Engagement & Simulation. A needs assessment of OT Faculty, Level II Fieldwork Educators, and the OTD Class of 2026 identified essential skill expectations and common areas of difficulty related to Level II placements. In response, this project developed multiple simulation experiences for Fieldwork Bootcamp to provide students with hands-on practice of core skills in preparation for their Level II placements. A resource manual was developed containing case studies, training guides, debriefing scripts, and setting-specific materials for use during Fieldwork …

Barriers Of Animal Assisted Therapy, Taylor Blanchard, Amy Lyons-Brown

Spring 2026 OTD Capstone Symposium

This study employs a mixed-methods design, integrating online surveys, semi-structured interviews, and clinical observations to examine the use of animal-assisted therapy (AAT) within occupational therapy practice. The primary objectives are to characterize the demographics of occupational therapists and therapy animals engaged in AAT, identify barriers to its implementation, and evaluate the resources currently available to support practitioner knowledge and competency. By addressing these areas, the study seeks to clarify existing gaps in education and practice, with the broader goal of strengthening the evidence base and enhancing the accessibility, consistency, and impact of AAT in occupational therapy.

Antibacterial Tellurium Dioxide Nanoparticles Incorporated Into An Adhesive Wound Dressing, Tina Hesabizadeh, Rajendra Subedi, Rolando Baez, Thomas J. Webster, Gregory Guisbiers

Faculty Scholarship

Tellurium dioxide (TeO2) nanoparticles were synthesized by pulsed laser ablation in liquids (PLAL) using a bottom-ablation configuration, with deionized water as the solvent and pure tellurium pellets as the target. The resulting nanoparticles were spherical, with an average diameter of 56 ± 13 nm. Phase analysis indicated that the nanoparticles consisted mainly of around 83% of paratellurite α-TeO2, with a minor fraction, i.e., around 17% of the metastable γ-TeO2 phase. The antibacterial performance of the TeO2 nanoparticles was evaluated against Escherichia coli, Pseudomonas aeruginosa, Staphylococcus epidermidis, and methicillin-resistant Staphylococcus aureus (MRSA), demonstrating broad-spectrum antibacterial activity at concentrations as low as …

Intouch Week Of April 20, 2026, New York Medical College

InTouch

• Revisiting AIDS, Advocacy, and the Evolution of Medicine
• NYMC Unites for Parkinson's Disease Awareness Month
• NYMC Visits Yale's Cushing Center
• TCDM New Mexico is On-air
• In The Community: Medical Students Serve Their Communities
• In The Community: NYMC Students Provide Screenings at Community Health Fair
• Student Spotlight: Katelyn Lawson, D.P.T. Class of 2026, Shares a Journey Guided by Purpose and Shaped by Mentorship
• Faculty Profile: Shaping Future Clinicians Through Research and Connection

Development Of Resources To Support Independence In And Access To Nature-Based Activities, Riley Carpender

Capstone Projects

This capstone paper discusses the need for resources that support independence in and access to nature-based activities that support health and wellbeing. Occupational therapists (OTs) have expertise in recommending and implementing adaptations to increase individuals’ engagement in nature-based activities. There is currently a gap in the literature regarding access to nature-based activities, and a lack of understanding of how these activities may be implemented, either by caregivers, educators or healthcare professionals. During my capstone I created a guide with modifications for gardening activities for children, wrote an article on how to adapt nature journaling to be more accessible, coded and …

Exploring Occupational Therapy’S Role In Addressing Mental Health Disparities And Emergency Service Utilization Among Homeless Populations: A Comprehensive Review, Megan Darnell

Capstone Projects

Occupational Therapy (OT) is a healthcare profession focused on enabling individuals to engage in meaningful activities and roles through a client-centered approach. This doctoral capstone experience (DCE) was completed in the Emergency Department (ED) at Bronson Methodist Hospital, where individuals experiencing homelessness frequently present with unmet mental health needs. A gap was identified in the accessibility and utilization of community-based mental health and social resources, contributing to repeated ED utilization. The purpose of this DCE was to examine how resource provisions impact the frequency of ED visits and engagement with community mental health services among this population. Objectives include developing …

Mitochondrial Translation Is A Targetable Dependency Of Chemo-Refractory Triple Negative Breast Cancer, Mariah J Berner, Steven W Wall, Mokryun L Baek, Audra Lane, Allison S Greer, Karen Wang, Lacey E Dobrolecki, Ivy Strope, Qian Zhu, Bing Zhang, Jonathan T Lei, Michael T Lewis, Gloria V Echeverria

Faculty, Staff and Students Publications

Triple negative breast cancer (TNBC) patients harboring residual cancer burden following completion of conventional neoadjuvant chemo-immunotherapy regimens have poor relapse-free and overall survival rates and limited therapeutic options. We and others have demonstrated that mitochondrial function is required for the survival of chemo-refractory TNBC. Here, we define the mitochondrial translation machinery as a critical and targetable dependency underlying chemo-refractory TNBC. Analyses of human and orthotopic patient-derived xenograft (PDX) mass spectrometry proteomics datasets revealed that mitochondrial protein translation-related signatures were among the top associated with chemoresistance. These signatures included core mitoribosome components and the mitoribosome-associated factor Oxidase (Cytochrome C) Assembly 1-Like …

Rural Community Perspectives On Hurricane Helene In Western North Carolina, Jennifer A. Horney, Lilly Moreau, Search Wnc

Journal of Appalachian Health

Introduction: After making landfall on the Florida Gulf Coast in September 2024, Hurricane Helene impacted Western North Carolina (WNC) with historic flooding, landslides, and hurricane-force winds. More than 100 deaths in the region were attributed to the storm’s direct impacts.

Purpose: The purpose of this study was to assess community perspectives of long-term recovery in Mitchell and Yancey Counties, two rural WNC counties severely impacted by Hurricane Helene.

Methods: A 14-question interview guide was developed based on prior disaster research and the community engagement work of Sustaining Essential and Rural Community Healthcare (SEARCH). Questions covered post-Helene experiences related to access …

Exploring Systemic Challenges In The Western North Carolina Dental Safety Net: A Qualitative Analysis, Blaire Mirmow, Bill Milner, Nadia Laniado

Journal of Appalachian Health

Introduction: Despite statewide growth, rural communities in Western North Carolina (WNC) face persistent barriers to oral health care driven by chronic dental workforce shortages and systemic geographic disparities. Within this Appalachian region, the dental safety net serves as a vital yet strained support system, struggling with limited financial resources and a lack of provider participation that leaves many underserved populations without essential oral health services.

Purpose: This study aims to explore the experiences of individuals working within the WNC dental safety net to identify barriers and strategies required to strengthen the delivery of oral health care in high-need rural settings. …

Exploring Parental Barriers Contributing To Vaccine Hesitancy In An Urban West Philadelphia Population, Ryan Pinto, Simone Mileto, Autumn Dye

Research Day

Vaccine hesitancy has been a growing phenomenon over the past two decades due to a variety of social, informational, and political factors with families becoming skeptical of the established childhood vaccination schedule. This skepticism provides increased risk of vaccine preventable illnesses and death amongst the childhood population. This study aims to find why families in the urban West Philadelphia community, which has lower vaccination rates compared to the greater Philadelphia area, are skeptical to adhere to childhood vaccination schedules. Using the Vaccine Based Assessment Tool (VBAT) questionnaire, we gathered parental responses regarding their views on vaccinating their children from October …

The Relationship Between Social Media Use And Motivation For Psychological Services, Nicki Nazarski, Richard Allen, Sophia Pham

Research Day

Prior research has linked social media use to psychological distress and shifts in help-seeking attitudes. However, the literature is limited on how social media engagement relates to motivation to seek formal psychological assessment. The current study will examine the relationships between social media use, in regard to time spent on social media, with attitudes, intentions, and motivation to seek psychological assessment among individuals aged 18 to 29. It is hypothesized that greater social media use and increased exposure to mental health-related content will be associated with more positive attitudes towards psychological support, increased intention to seek help, and higher motivation …

Development And Validation Of The Liebelt Attitudes, Knowledge, And Engagement Scale (Lakes) Among Rural Adults, Anna Morrison, Robert A. Ditomasso

Research Day

INTRODUCTION: Adults living in rural regions experience mental illness at rates comparable to those in urban areas yet utilize mental health services significantly less often. Underutilization of psychotherapy in rural populations has been attributed to structural barriers (e.g., geographic inaccessibility, limited provider availability, reduced anonymity) and sociocultural factors such as stigma. However, rural adults may also remain reluctant to initiate treatment due to attitudes toward psychotherapy, limited help-seeking engagement, or inaccurate knowledge about psychotherapy services. The present study developed and examined the psychometric properties of the Liebelt Attitudes, Knowledge, and Engagement Scale (LAKES), a self-report measure designed to assess psychotherapy-related …

Efficacy Of Phone Call Intervention For Vaccine Participation - A Retrospective Chart Review, Jenna Taha, Paige Schlechter, Autumn Dye

Research Day

Vaccine hesitancy is on the rise in the United States due to multiple factors. Causes of vaccine hesitancy in pediatric patient populations include fear of harmful side effects due to misinformation and social media (Lafnitzegger, A) as well as questioning the necessity of vaccination (Cataldi, J). Previous efforts to increase rates of pediatric vaccination include community efforts such as partnering with faith-based organizations in an attempt to campaign for increased vaccination rates (Crosby, L), as well as acknowledging the need to tackle the pain and fear of needles associated with vaccinations in pediatric populations (Taddio, A).

In the city of …

Side Effects Of Antibiotics: Beta Lactams And Tetracyclines, Jalen Love, Airam Viennelu Aliwalas, Zuhal Saadat, Jeffery Mccanless, Phuongloan Hoang,, Julie Lu-Duong, Essie Samuel

Research Day

Background

According to the Centers for Disease Control and Prevention (CDC) prescribing reports for 2024, an estimated 255.9 million oral antibiotics were prescribed in the outpatient setting, corresponding to a rate of 752 prescriptions per 1,000 persons. This volume of prescribing reflects the effectiveness of antibiotics in reducing infection-related morbidity and mortality. However, no pharmacologic therapy is without risk. Beta-lactams and tetracyclines remain among the most commonly prescribed antibiotic classes in the United States. The purpose of this study is to conduct a narrative literature review examining the reported side effects associated with these and discuss their clinical significance.

Methods …

Studying A Case Of Dementia Associated With Thoracic Kyphoscoliosis And Potential Implications On Csf Clearance, Morgan L. Brown, Sara G. Roman, Collins D. Nelson, Anna Beth Boyette, Rasheed Agboola, Joshua Owolabi, Kristie Petree

Research Day

Purpose: This work presents a case of clinically established dementia associated with thoracic kyphoscoliosis in an effort to study the relationships between these presentations and cerebrospinal fluid clearance. Given the previously identified relationship between impaired CSF clearance and the development of Alzheimer’s disease, this case study aims to further explore the relationship, using a combination of gross pathological observations and histopathological methods to examine specific brain regions, including the choroid plexus. The observed kyphoscoliosis and its effects on CSF clearance, thereby contributing to the pathogenesis of dementia, are also considered.

Methods: Samples were collected from an 81-year-old male cadaver with …

Making Menopause Manageable: A Literature Review And Practical Guide For Clinicians On Menopause Education, Regan Flagg, Emily Rein, Joy Zarandy

Research Day

INTRODUCTION

Menopause is the natural cessation of female reproductive function, accompanied by a wide range of symptoms. Medical training in menopause is widely varied. Resultantly, resident and attending physicians report a varying degree of comfortability in having in depth conversations regarding symptom management and how to best address patient questions. Our goal is to provide primary care physicians with an easy-to-use guide that can bring awareness to the importance of this topic as well as strengthen the confidence of the providers using it. Upon concluding this project, we hope to reach more women, reduce stigma, educate, and support patients in …

Disparities In Urology Match Outcomes For Osteopathic Students And Students Without Home Residency Programs In The Southeastern Section Of The Aua, Adam Davis, Alp Turgut, Caroline Wade, Martha Terris, Ching Man Carmen Tong

Research Day

Urology remains one of the most competitive specialties. Students at schools without home urology residency programs (NHPs) often have limited access to early clinical exposure, mentorship, and research, reducing their likelihood of applying and matching. Osteopathic (DO) students have historically faced additional barriers in surgical subspecialties, raising concerns about equity in access to fields like urology. We hypothesized that students at NHPs, particularly DO students, would apply and match at lower rates. Using SESAUA match data from 2020–2025, we analyzed applicant and match outcomes across medical schools in the region. Medical schools for unmatched applicants were identified using publicly available …

Regional Differences In Routine Vaccination Coverage Before And After The Covid-19 Pandemic: A Comparative Analysis Of School-Aged Populations In Michigan And Georgia, Shwan K. Noori, Ivey Ginn, Emily Mabry, Audrey Arona

Research Day

Introduction: Social media plays a powerful role in shaping public opinion nationwide, especially regarding vaccinations in the aftermath of the COVID-19 pandemic. This data analysis aims to determine whether social media has significantly influenced regional differences in how vaccines for preventable diseases are perceived across the United States. This study aims to explore the potential difference in vaccine compliance rates in Michigan and Georgia before and after the COVID-19 pandemic. The decision to compare Michigan and Georgia was based on their similar population sizes and the opportunity to explore how regional differences may influence data trends within the U.S.

Methods: …

When Red Isn’T Red: Skin Tone, Education Gaps, And Delayed Diagnosis, Evelyn O. Orusa, Blessed D. Jordan, David Adelstein

Research Day

Background: Early recognition of many dermatologic and systemic conditions including infectious exanthems and inflammatory disorders rely on identification of erythema. Traditional medical textbooks predominantly describe these findings using redness-based terminology derived from lighter skin presentations. In darker skin tones, however, inflammation may present as violaceous, gray, or hyperpigmented changes rather than visible redness. The extent to which textbook descriptions align with real-world clinical presentation across skin tones remains insufficiently examined. This study aims to evaluate how widely used medical textbooks describe erythema-dependent conditions and compare these descriptions with clinical images of confirmed diagnoses across lighter and darker skin tones.

Methods: …

Clustering Of Internet Behaviors And Associated Mental Health Outcomes Among U.S. Adolescents, Aakansha Singh, Timothy Grigsby, Miguel Fudolig, Ying Guo, Clariana Ramos De Oliveira

School of Medicine Research Poster Showcase

Poster: Clustering of Internet behaviors and associated mental health outcomes among U.S. adolescents

Exploration Of A Relationship Between The Activities Of Trail And 4’-Trifluoromethoxychalcone., Abigail C. Ernst

Undergraduate Theses

Cancer is the overgrowth of dysregulated or mutated cells that affects 1 in 3 Americans. Chalcones are natural products with many possible derivatives, such as 4’-trifluromethoxychalcone (4TF), developed in Dr. Krzysiak’s lab, which exhibit anticancer activity against cancer cell lines. Tumor Necrosis Factor-Related Apoptosis-Inducing Ligand (TRAIL) is a tumor surveillance cytokine that acts on two receptor types: death receptors and decoy receptors. One way cancer cells can become resistant to TRAIL is by upregulating decoy receptors and/or downregulating death receptors. In this study, MTS assays evaluated the potential relationship between TRAIL and 4TF that sensitizes A549 cells to TRAIL. The …

Health Professional Education Associations: What Other Professions Teach Us About Building Resources, Community, And Advocacy For Midwifery Educators, Kim Q. Dau, Ms, Cnm

Doctor of Midwifery Advances in Midwifery Projects

In response to a looming health care workforce deficit, several health professions have experienced recent rapid workforce growth. These professions are supported by specialized health professional associations designed to promote educational excellence in the face of rapid growth. In contrast, the midwifery profession does not have dedicated professional organizations to support education programs. The purpose of this study is to better understand the various strategies used by selected health professional education associations and their value to the profession. This can be adapted to promote the growth and excellence of midwifery education in the United States, responding to the need for …

Effects Of Probiotic Supplementation On Symptoms In Teenagers Ages 13-18 With Inflammatory Skin Conditions, Katelyn S. Walker, Jessica Rosen, Matilde Belfiore

Department of Nutrition Student Projects

Teenagers between the ages of 13 and 18 are particularly susceptible to inflammatory skin disorders such as acne vulgaris and atopic dermatitis, which can have a detrimental effect on their physical and mental health. Emerging evidence highlights the importance of the gut-skin axis, indicating that the makeup of the gut microbiota affects both skin health and systemic inflammation. Adolescent-specific research is still limited even though probiotic supplementation, especially Lactobacillus strains, has demonstrated anti-inflammatory effects in laboratory, animal, and small clinical studies.

The purpose of this experimental study is to determine whether oral probiotic supplementation improves inflammatory skin condition symptoms in …