Digital Commons Network^™

Forward Thinking And Adaptability To Sustain And Advance Ipecp In Healthcare Transformation Following The Covid-19 Pandemic, Hossein Khalili, Jyotsna Pandey, Sylvia Langlois, Vikki Park, Ryan Brown, Alla El-Awaisi, Kathleen Macmillan, Shelley Cohen Konrad, Brittany Daulton, Christopher Green, Giray Kolcu, Charlotte Mccartan, Gina Baugh, Andrea Pfeifle, Lisa Wetzlmair, Inci Kolcu, Anthony P. Breitbach

Internet Journal of Allied Health Sciences and Practice

The proliferation of the novel SARS-CoV-2 (COVID-19) virus across the globe in 2020 produced a shared trauma internationally of unprecedented devastation, disruption, and death. At the same time, the pandemic has been a transformation catalyst accelerating the implementation and adoption of long overdue changes in healthcare education and practice, including telehealth and virtual learning. The COVID-19 pandemic has placed healthcare at a crossroads, either viewing it as a temporary situation that requires short-term solutions, or as a major disruption that presents opportunities for innovation for sustainable development and transformation. As COVID-19 transitions from pandemic to endemic, we have a unique …

Influence Of Personality On Ethical Decision-Making In Communication Sciences And Disorders, Jennifer K. Binkley, Terry W. Baggs

Internet Journal of Allied Health Sciences and Practice

Purpose: A relationship between personality and ethical decision-making has been demonstrated in professions both within and outside of healthcare. However, this relationship has not been examined in the rehabilitation therapies, including speech-language pathology (SLP). Given the ethical dilemmas faced by therapists, it is important to assess this relationship and to modify ethical training when warranted. Methods: A total of 175 undergraduate communication sciences and disorders students participated in completing the Kiersey Temperament Sorter II and the Defining Issues Test-2. Scores were statistically compared to determine the relationship between the two assessments. Results: Based on a model of moral reasoning development, …

A Work Readiness Scale For Allied Health Graduates, Vidya Lawton, Emre Ilhan, Verity Pacey, Taryn M. Jones, Arlene Walker, Catherine M. Dean

Internet Journal of Allied Health Sciences and Practice

Purpose: The transition for allied health graduates from university to the workforce has been perceived to be difficult and overwhelming, leading to early attrition within healthcare professions. Work readiness is a crucial aspect of successful transition to the workforce, however, the elements of work readiness are not clearly defined. The purpose of this project was to refine the measurement of work-readiness in allied health graduates. Method: A 62-item Work Readiness Scale for Allied Health Professionals (WRS-AH), based on a work readiness scale for a generic population of graduates, was validated and refined using an exploratory factor analysis. Results …

The Object Play Of Young Children On The Autism Spectrum: A Narrative Review Of Strengths-Based Literature, Sharon Eva

Internet Journal of Allied Health Sciences and Practice

Purpose: The play in young children with autism has been historically seen as deficits-based, with a focus on the limitations of autistic object play. More recently, there has been a shift towards a strengths-based view of autistic object play, where their play preferences and skills are viewed as vehicles for meaningful engagement and as having potential for learning. The aims of this narrative review are two-fold: to identify themes in the existing literature regarding the object play of young children with autism; and, to summarize the existing literature specifically examining object play in young autistic children from a strengths-based point …

A Model For Teaching Financial Literacy In A Doctor Of Physical Therapy Program Using The Five Stages Of Career Development, Madeline Ratoza, Rupal Patel, Fabian Bizama, F Scott Feil

Internet Journal of Allied Health Sciences and Practice

Purpose: The cost of higher education programs across allied health disciplines have increased substantially in recent years while salaries have remained relatively stagnant. The result of which is an increase in debt burden for graduates of allied health professional programs. One possible intervention to improve the experience of graduates is to improve financial literacy; however, research on the effectiveness of financial literacy education in higher education is scant. Therefore, the purpose of this study was to understand the effectiveness of a financial literacy and career planning seminar in a Doctor of Physical Therapy (DPT) program. Specifically, this study aimed to …

The Effectiveness Of Student-Driven Pro Bono Physical Therapy Services On Self-Reported Outcomes Of Community-Dwelling Adults With Musculoskeletal Conditions, Elise Harris, Tamara Hefferon, Peyton Oules, Katherine Sarnacki, Benjamin Galaviz, Jake Robert Gaston

Internet Journal of Allied Health Sciences and Practice

Purpose: Student-driven pro bono clinics provide a profound clinical education experience for health professional students while serving members of the community. Currently, there is little research on how the pro-bono clinic impacts the community members involved. The purpose of this study was to examine outcomes following discharge from a pro bono clinic held through an entry-level physical therapy program. Methods: Forty-one volunteer community members, 19 males (M) (46.3%) and 22 females (F) (53.6%), participated in this study. Ages ranged from 20-90 years, with a mean age of 41(17) years. Each community member completed the Wong-Baker FACES Pain Rating Scale (WBFS), …

Working Hours, Sleep, And Burnout Among Athletic Trainers Employed In College Athletics: A Cross-Sectional Study, Stephanie M. Singe, Catherine G. Mydosh, Alexandrya Cairns, Christianne M. Eason

Internet Journal of Allied Health Sciences and Practice

Purpose: Burnout continues to be an important concern for athletic trainers working in the collegiate sport setting. The purpose of the study was to examine the relationships between working hours, sleep, and burnout among athletic trainers providing patient care in the collegiate setting. Methods: A web-based (Qualtrics, Provo, UT) cross-sectional study using a self-reported questionnaire was used to collect demographics and data on working hours, sleep, and burnout. The Copenhagen Burnout Inventory (CBI) was used to determine burnout. Results: The mean age of our participants (n=1006) was 33 ∓ 9 years; 37.6% (n=378) were male, 61.5% (619), and 1.1% …

Hearing Loss As A Risk Factor For Cognitive Decline In The Elderly: A Rapid Review, Natalie Large, Nannette Nicholson

Internet Journal of Allied Health Sciences and Practice

Purpose: The aim of this rapid review was to identify and evaluate evidence exploring hearing loss as a risk factor for cognitive decline in the elderly population. Methods: A literature search was performed in three databases: CINAHL, Cochrane Central, and PubMed. The PRISMA template was used to record the search and selection process. Search criteria included older adults aged 65 and up with diagnosed or self-reported hearing loss and no previous diagnosis of dementia or Alzheimer’s disease. Participants were excluded if they had been diagnosed with dementia or tested for it before the study began. Hearing loss was categorized using …

Title: Assessment Of Student Perception Regarding Clinical Training In Undergraduate Dental Programs Using Clin Ed Iq., Sanaa Ahmed, Samira Adnan, Syed Mahmood Haider

Internet Journal of Allied Health Sciences and Practice

Purpose. Clinical training is essential part of the dental curriculum. Both clinical environment and Teachers are essential factors which affect the acquired clinical skills. The objective was to assess the perceptions of dental students regarding their clinical training. Methods. This mixed method study using Clin Ed IQ questionnaire was conducted on Dental students graduating from both Private and Public sector institutes of Karachi. The questionnaire had four sections, the first three based on various aspect of clinical training, with responses based on 5-point Likert scale. Section four had open-ended items about dental curriculum. Results. For responses of 220 participants related …

Utilization Of The Canadian Interprofessional Health Collaborative As An Evaluation Framework For Student Participation In A Community-Engaged Project, Elise Boyle, Benjamin Feiten, Amy A. Abbott, Sadie Schultes, Shelby Hoffmann, Emily Knezevich, Vanessa D. Jewell

Internet Journal of Allied Health Sciences and Practice

Purpose: Interprofessional education is a foundational component of many health professions educational programs as it contributes to the goals of the Quadruple Aim by prioritizing collaborative and streamlined quality healthcare. Furthermore, student engagement in interprofessional educational activities provides opportunities to better understand their own and others’ health profession disciplines. The purpose of this project was to utilize Canadian Interprofessional Health Collaborative (CIHC) to evaluate a framework for student engagement in a community-engaged project focused on reducing barriers to care in people living with type 1 diabetes in rural communities. Methods: As members of an interprofessional, type 1 diabetes, community-engaged research …

Progressive Glenohumeral Instability In An Adolescent Ice Hockey Athlete: A Case Report, Kelsey J. Robinson, Jennifer Austin

Internet Journal of Allied Health Sciences and Practice

This case follows the injury presentation of a 16-year-old male, right-hand dominant, left-hand shot, Tier I ice hockey player who sustained an initial injury to the left shoulder from a body check during a game. What follows is a cascade of events involving 3 injuries and 2 surgeries, highlighting the complex and potentially compounding nature of instability. Glenohumeral (GH) instability among collision athletes is rare in the absence of contributing genetic conditions or a dislocation or subluxation event. Authors discuss the key concepts related to the diagnosis and management of GH instability, with a special emphasis on subtle injury indicators …

Perceptions Of Incivility Among Students And Faculty In Entry-Level Health Professional Programs, Kristen Barta, Germaine Ferreira, Manuel A. Domenech

Internet Journal of Allied Health Sciences and Practice

Purpose: Online education is growing in popularity but has the potential to result in cyber incivility leading to disruptions in the learning environment. There is little known about the differences in attitudes between students and faculty in the online learning experience regarding cyber civility. The purpose of this study was to analytically measure student and faculty perceptions and attitudes of cyber incivility. Methods: A convenience sample of 180 (34 faculty and 146 students) participants from a health care university were recruited. A 27-item survey was given to record the perceptions of students and faculty on issues of cyber civility. An …

Student Athletic Therapists' Knowledge Of Pain-Relieving Medications: A Nationwide Study, Jackie Vandertuin, Dalya Abdulla, Stephanie Lowther, Joshua Collins

Internet Journal of Allied Health Sciences and Practice

Purpose: Misuse of pain-relieving medications (PRMs), including opioids, is high among injured athletes. Athletes are increasingly relying on PRMs and as a result, it is likely that student athletic therapists (SATs) have managed athletes who have misused PRMs and may have potentially missed important symptoms placing athletes in harm. While dispensing PRMs is not within the scope of practice of the SAT, recognition and referral are. Previous research has found that SATs feel ill prepared to recognize PRM misuse and feel tremendous pressure to provide correct health information to the athlete. The purpose of this study was to expand on …

Association Of The G>A (Rs6265) Polymorphism In The Brain Derived Neurotrophic Factor Gene (Bdnf) With Post-Training Changes In Caucasian Women, Katarzyna Świtała, Agata Leońska-Duniec, Monika Michałowska-Sawczyn, Andrzej Brodkiewicz, Kinga Łosińska, Anna Grzywacz

Baltic Journal of Health and Physical Activity

The brain-derived neurotrophic factor (BDNF) rs6265 (G196A; Val66Met) polymorphism has been associated with obesity and type 2 diabetes, with contradictory results involving either A or G as the risk allele. The main aim of this study was to examine whether the BDNF rs6265 polymorphism would influence the efficiency of a training program. An additional aim was to determine whether selected polymorphism can be used as a genetic marker for obesity-related parameters. We studied the genotype distribution in a group of 160 Caucasian females in whom body mass and composition parameters, lipid profile, and glucose levels were measured before …

Application Of The Us Food And Drug Administration’S Sentinel Routine Querying Tools To The Taiwan Sentinel Data Model-Formatted National Health Insurance Research Database, Fang-Ju Lin, Ling-Ya Huang, Chi-Chuan Wang, Sengwee Toh

Journal of Food and Drug Analysis

The U.S. Food and Drug Administration’s Sentinel System is a leading distributed data network for drug safety surveillance in the world. The National Health Insurance Research Database (NHIRD) in Taiwan was converted into the Taiwan Sentinel Data Model (TSDM) based on the Sentinel Common Data Model (SCDM) version 6.0.2. The goal of this study was to investigate the feasibility of applying the same study designs, analytic choices, and analytic tools as used by the U.S. Sentinel System to examine the same drug-outcome associations in the TSDM-formatted NHIRD. Four known drug-outcome associations previously examined by the U.S. Sentinel System were selected …

Cryptocaryone Induces Apoptosis In Human Hepatocellular Carcinoma Cells By Inhibiting Aerobic Glycolysis Through Akt And C-Src Signaling Pathways, Chen-Lin Yu, Yu-Wei Lai, Jih-Jung Chen, Jie-Jen Lee, Tsung-Hsien Chou, Chen-Chen Huang, Shih-Chia Liu, Guang-Wei Chen, Chung‐Hsin Tsai, Shih-Wei Wang

Journal of Food and Drug Analysis

Hepatocellular carcinoma (HCC) is the most common form of liver cancer, with the second highest mortality rate in all cancer. Energy reprogramming is one of the hallmarks of cancer, and emerging evidence showed that targeting glycolysis is a promising strategy for HCC treatment. Cryptocaryone has been shown to display promising anti-cancer activity against numerous types of cancer. Previous study also indicated that cryptocaryone induces cytotoxicity by inhibiting glucose transport in cancer cells, but the detailed mechanism still needs to be elucidated. Therefore, this study aimed to investigate the relationship between the anti-cancer effect and glycolytic metabolism of cryptocaryone in human …

Dehulled Adlay (Coix Lachryma-Jobi L.) Ameliorates Hepatic Gluconeogenesis And Steatosis In Streptozotocin/High-Fat Diet-Induced Diabetic Rats, Shing-Hwa Liu, Wan-Hsin Wu, Huei-Ping Tzeng, Wenchang Chiang, Meng-Tsan Chiang

Journal of Food and Drug Analysis

Adlay (Coix lachryma-jobi L.) is a traditional Chinese herbal medicine with various biological activities. We investigated the anti-diabetic effects of different parts of adlay seeds, including polished adlay (PA), adlay bran (AB) and dehulled adlay (DA) in a streptozotocin (STZ)/high fat diet (HFD) diabetic rat model (DM). DM rats supplemented with or without PA (43%), AB (3%), or DA (46%) diet for 8 weeks. The plasma glucose and insulin levels and the insulin resistance index (HOMA-IR) were increased in DM group; among the three adlay diets, DA has the best effects attenuating all of these alterations in DM …

Steamed Daylily Flower (Hemerocallis Fulva L.) Protected Cardiac And Hepatic Cells Against Ethanol Induced Apoptotic And Oxidative Damage, Sheng-Lei Yan, Wen-Tzu Wu, Mei-Chin Mong, Mei-Chin Yin

Journal of Food and Drug Analysis

Our previous study examined the phytochemical composition and bio-activities of raw daylily flower (Hemerocallis fulva L.). However, this plant food is usually served via heat process such as cooking in a soup. This study aimed to investigate the phytochemical profile and biofunctions of steamed daylily flower (SDF). The content of total phenolic acids, total flavonoids, total carotenoids, total anthocyanins and total triterpenoids in SDF aqueous extract was assessed. Normal cardiac and hepatic cells, H9c2 and L-02 cells, were used to evaluate the protective effects of SDF against ethanol. SDF concentrations of 0.25%, 0.5%, and 1% were applied to treat …

Abundance Of Prevotella Copri In Gut Microbiota Is Inversely Related To A Healthy Diet In Patients With Type 2 Diabetes, Chih-Yiu Tsai, Po-Yu Liu, Meng-Chuan Huang, Chiao-I Chang, Hsin-Yun Chen, Yu-Hsien Chou, Chi-Neu Tsai, Chia-Hung Lin

Journal of Food and Drug Analysis

While the gut microbiota is known to be influenced by habitual food intake, this relationship is seldom explored in type 2 diabetes patients. This study aims to investigate the relationship between dietary patterns and gut microbial species abundance in 113 type 2 diabetes patients (mean age, 58 years; body mass index, 29.1; glycohemoglobin [HbA1c], 8.1%). We analyzed the gut microbiota using 16S amplicon sequencing, and all patients were catogorized into either the Bacteroides enterotype (57.5%, n = 65) or the Prevotella enterotype (42.5%, n = 48) using the partitioning around medoids clustering algorithm, based on the most representative genera. Patients …

Personalized Mixed Reality Audio Using Audio Classification Using Machine Learning, Quinn Thuy Tran, Joseph Johnson Jr.

Defensive Publications Series

Traditional audio devices such as over-the-ear or in-ear headphones are limited in their ability to provide a personalized and engaging listening experience. When using such audio devices in a noisy environment, it can be difficult for a user to focus on the audio that is most important. This disclosure describes the use of mixed reality audio to enhance the listening experience via headphones, earbuds, or other audio devices during normal use. Machine learning techniques are used to modify the audio per user preferences, e.g., to focus the audio on a single person talking while the user is in a group, …

Supports And Barriers Of The Lived Experience Of Hmong Women K-12 Administrators Seeking Advancement In Leadership Positions, May Moua

Dissertations

Purpose: The purpose of this qualitative phenomenological study was to examine the supports of cultural, family, community, professional career, and mentorship Hmong women administrators experienced in their career path toward a high-ranking educational administrative position. Additionally, the purpose of this study was to examine the cultural, family, community, professional career, and mentorship barriers Hmong women administrators experienced as they ascended to high-ranking educational administrative positions.

Methodology: This study was conducted using qualitative research methods. The researcher utilized a group of highly educated Hmong female administrators in the Central Valley, California area. This group of individuals shared their experiences of supports …

Fall Commencement Program, December 15, 2023, Coastal Carolina University

Commencement Programs

Program of Commencement Exercises at Coastal Carolina University.

Transdocunet: A Transformer-Based Unet Architecture For Degraded Document Image Binarization, Risab Biswas, Soumik Sarkhel, Swalpa Kumar Roy, Umapada Pal

Conference Articles

The enhancement of historical document images is critical for improving the quality and legibility of scanned or captured document images. Convolutional-based techniques previously generated competitive results for document image binarization, however, due to their inherent locality, these models are often limited in explicitly expressing long-range dependency. Transformers (ViT) have evolved as an alternative design with a global self-attention mechanism to tackle this issue, however, they can result in restricted localization capabilities due to a lack of low-level details. To address this problem, we propose TransDocUNet, a CNN-Transformer hybrid UNet architecture for document image binarization that merits both attention and convolution …

Mindfulness Based Self Care Toolkit For Psychiatric Healthcare Staff, Harkirat Kaur Bajwa

Doctor of Nursing Practice (DNP) Projects

Abstract

Background: Healthcare personnel (HCP) are at high risk of stress, burnout, and compassion fatigue (CF). Up to 50% of physicians and 33% of nurses experience burnout in the United States. Higher rates of burnout were noted during the recent SARS-CoV-2 (COVID-19) pandemic due to the increased need for mental health services among patients and HCP.

Problem: Stress, burnout, and CF are associated with increased medical errors, poor patient safety, and higher staff turnover rates. One-third of nurses report they intend to leave the profession because of burnout which contributes to financial burden for hospitals. A higher nurse turnover rate …

Infektion’S Evolution: Digital Technologies And Narrative Laundering, Darren Linvill, Patrick Warren

Media Forensics Hub Reports

Perhaps Russia’s most notorious disinformation campaign to date was Operation INFEKTION, an activemeasures campaign designed to persuade the world that the United States was responsible for the creation of the AIDS virus (Boghardt, 2009; Selvage & Nehring, 2019). The effort, perhaps more properly referred to by its Russian codename, Operation Denver, began in 1983 with the planting of a fictious letter to the editor in The Patriot, an Indian newspaper created some years earlier by the KGB for the purposes of spreading pro-Soviet propaganda. The letter, entitled “AIDS may Invade India,” was purported to be written by a respected American …

Lipoprotein(A): Review Of Existing Guidelines And Application For Practicing Clinicians, Daniella Manarang, Kristy Asbell, Michelle Rhea

Doctor of Medical Science (DMSc)

Purpose A growing amount of research has constituted lipoprotein(a) as an independent risk factor for cardiovascular disease. The main objective of this review is to summarize the current guidelines for testing and managing Lp(a) and provide guidance to clinicians on how to practically utilize Lp(a) with what is known today. Methods: EBSCO, PubMed, and Ovid were searched for this review. Search terms included lipoprotein(a), clinical practice, guidelines, screening, and cardiovascular disease. Sources within ten years were obtained to cover recent material. Results: The current literature on the association between Lp(a) and CVD outcomes and up-to-date guidelines on testing and management …

The Role Of Self-Sampling For Hpv In The Primary Prevention Of Cervical Cancer, Divya Patel, Kara Roman, Jennifer Christiansen, Justin Gambini

Doctor of Medical Science (DMSc)

Introduction:

Cervical cancer is a striking women's health problem worldwide. It is the fourth most common cancer in women and the seventh most common cancer worldwide1. There were roughly 604,000 new cases of cervical cancer and 342,000 deaths in 20202. Most of these cases occur in developing countries due to ineffective screening initiatives2. Screening essentially allows pre-cancerous lesions to be identified at stages where they can easily be treated; screening methods include cytology and HPV testing (Human Papillomavirus)1. HPV has over 100 strains and is one of the most common risk factors for cervical cancer. HPV testing is more sensitive …

Meta-Analysis Of The Rate Of Unplanned Pregnancies In Rural Areas Of The United States And The Use Of Technology-Based Sexual Education Programs, Hannah Audiss, Justin M. Gambini

Doctor of Medical Science (DMSc)

Objective

To discuss rural-urban disparities of adolescent unplanned pregnancies and sexual education availability. The potential of virtual sexual education programs are discussed by examining two studies that have used technology-based interventions to assess variables related to pregnancy prevention.

Data Sources

A review was conducted by gathering randomized controlled trials and systematic reviews utilizing databases such as ScienceDirect, PubMed and Wiley Online Library. Research articles included in this paper were from 1995 to present day and are inclusive of all races.

Study Eligibility Criteria

Studies were included if the interventions worked with young adolescents ages 13-24 year old, utilized technology-based interventions …

Experiences Of Visible Minority Librarians And Students In Canada From The Vimloc Mentorship Program, Yanli Li, Valentina Ly, Xuemei Li

Library Publications

This research contributes to the literature by using an empirical research method and comparative analyses of the experiences between mentors and mentees over four sessions (2018-2022) of the ViMLoC mentorship program. The study focuses on the perceptions of participants regarding their communication, relationship, helpfulness of mentorship, associations between their past and present mentoring experiences, areas of support, importance of having a visible minority partner, and essential skills for building a successful mentoring relationship. Mentors and mentees differed significantly in how they perceived the helpfulness of mentorship support and how likely they would like to maintain the ties beyond the program. …

Combining The Tyrosine Kinase Inhibitor Cabozantinib And The Mtorc1/2 Inhibitor Sapanisertib Blocks Erk Pathway Activity And Suppresses Tumor Growth In Renal Cell Carcinoma., Yige Wu, Siqi Chen, Xiaolu Yang, Kazuhito Sato, Preet Lal, Yuefan Wang, Andrew T Shinkle, Michael C Wendl, Tina M Primeau, Yanyan Zhao, Alanna Gould, Hua Sun, Jacqueline L Mudd, Jeremy Hoog, R Jay Mashl, Matthew A Wyczalkowski, Chia-Kuei Mo, Ruiyang Liu, John M Herndon, Sherri R Davies, Di Liu, Xi Ding, Yvonne A Evrard, Bryan E Welm, David Lum, Mei Yee Koh, Alana L Welm, Jeffrey Chuang, Jeffrey A Moscow, Funda Meric-Bernstam, Ramaswamy Govindan, Shunqiang Li, James Hsieh, Ryan C Fields, Kian-Huat Lim, Cynthia X Ma, Hui Zhang, Li Ding, Feng Chen

Faculty Research 2023

UNLABELLED: Current treatment approaches for renal cell carcinoma (RCC) face challenges in achieving durable tumor responses due to tumor heterogeneity and drug resistance. Combination therapies that leverage tumor molecular profiles could offer an avenue for enhancing treatment efficacy and addressing the limitations of current therapies. To identify effective strategies for treating RCC, we selected ten drugs guided by tumor biology to test in six RCC patient-derived xenograft (PDX) models. The multitargeted tyrosine kinase inhibitor (TKI) cabozantinib and mTORC1/2 inhibitor sapanisertib emerged as the most effective drugs, particularly when combined. The combination demonstrated favorable tolerability and inhibited tumor growth or induced …