Digital Commons Network^™

Cohort Study Using A Survey To Evaluate The Effects Of Sleep On Hba1c Levels And Foot Pathology In Patients Seen In The Podiatry Clinic, Carmen Johnson, Eric Li, Jihan Toma, Marshall G. Solomon

Posters

We investigate the impacts of sleep issues on patients in the podiatry clinic by comparing HbA1c, sleep, and foot pathology. Diabetic foot pathology of peripheral arterial disease, peripheral neuropathy, lower extremity ulcerations, and a history of lower extremity amputation all increase the patient's risk of future amputation. Once a patient has an amputation of the lower extremity the five-year mortality rates are 40-70%. So, limb salvage not only improves the quality of life, but also increases the life expectancy for patients. Through a survey and chart review, we are investigating possible impacts of sleep issues on diabetic patients seen in …

Storytelling Through Impressionist Music And American Sign Language: The Engulfed Cathedral, Elise Major

Undergraduate Theses

“The Legend of the City of Ys” is a Breton story of a city’s downfall and curse to be swallowed by the sea. Years later, this tragic tale inspired “The Engulfed Cathedral,” a piano composition for Claude Debussy’s Preludes, Book I, L. 117. Following analyses of “The Legend of the City of Ys” and “The Engulfed Cathedral,” an interpretation of the narrative was created in American Sign Language to be performed with the music. The goal is to focus on inclusivity and accessibility in music for Deaf and hard of hearing individuals, and then expand that to consider how to …

Montana Is Trying To Ban Tiktok. What Does The First Amendment Have To Say?, Deborah Pearlstein, John Dellamore

Online Publications

Last month, Montana became the first U.S. state to pass a bill banning TikTok from operating within its borders. If Governor Greg Gianforte signs some version of the bill, it will become the first statewide ban in the country to take direct aim at the popular social media app, which various U.S. government officials have warned poses a serious national security threat. But while Montana may be the first to act, significant gaps remain in the public debate surrounding both the nature of the threat that TikTok presents, and the constitutional questions that trying to regulate it might create.

Improving Health Prevention Screening In A Rural Health Clinic, Shawn M. Mcnally

Masters Projects

Background: Health prevention screening has recently been highlighted in many initiatives from leading countries around the world. Breast cancer screening, cervical cancer screening and osteoporosis screenings are among the highest objectives for many of these initiatives as national health agencies focus on reducing morbidity and mortality by early detection.

Local problem: Baseline quality metrics reported for one clinic show the appropriate ordering of these health screenings is below the national benchmarks and the organizational benchmarks.

Methods: The project was designed as a quality improvement project based in a critical access region serving a rural population.

Interventions: The project intervention …

Case Report: Anaphylactic Reaction To Magnesium Sulfate, Nicholas Coan, Kelly Schiers, James Espinosa, Alan Lucerna

Rowan-Virtua Research Day

We report a case of a 65-year-old female who prior to being discharged from the hospital developed an anaphylactic reaction after receiving an intravenous magnesium sulfate infusion. After extensive literature review, there are few documented hypersensitivity reactions documented. This case report is to highlight a known human response, anaphylaxis, but in response to the repletion of an essential electrolyte to human life, magnesium.

Handheld Bedside Pocus In The Evaluation Of Neck Swelling: A Case Of Ludwig's Angina, Alex Gechlik, Frank Wheeler, James Espinosa, Alan Lucerna, Henry Schuitema

Rowan-Virtua Research Day

Ludwig's angina is a rare and life threatening cellulitic infection, first described by German physician, Wilhelm Frederick Von Ludwig in 1836, as a gangrenous infection of the soft tissue floor of the mouth and neck. The potential to spread rapidly to contiguous tissues surrounding the upper airways, notably the glottis, resulted in Ludwig's angina carrying a high mortality rate near 50% in the pre- antibiotic era. It necessitates rapid detection and management to assure respiratory compromise does not occur. This case study is novel as it illustrates handheld bedside POCUS utilization in diagnosing Ludwig’s Angina.

Case Report: Ocular Capsaicin Toxicity With Chemosis From Jalapeño Peppers, Duwayne Campbell, James Espinosa, Eric Maddock, Alan Lucerna, Henry Schuitema

Rowan-Virtua Research Day

A 42 year old female presented to an Emergency Department (ED) with the abrupt onset of left eye pain, tearing and eye redness of a one hour duration. Her symptoms were due to ocular toxicity from contact exposure to capsicum, through preparation of Jalapeño peppers.

Addressing The Access And Barriers To Mental Health Resources In High School Students, Tainiz Polanco, Ocean Alam, Diana Lopez, Vanessa Pizutelli

Rowan-Virtua Research Day

Minority populations throughout the world are hit with obstacles that interfere with their mental health, especially high school students. The recent COVID-19 pandemic has had drastic effects on the performance of these individuals and their social engagement. As observed, there is a divide amongst different races of students that highlights the lack of mental health resources provided to them and how they are utilized. After conducting further research on such issues, we were able to determine the major barriers existing today that tend to push students away from utilizing existing resources. Some of these barriers could vary from external stress …

Resource Accessibility And Navigation For The Autism Spectrum Community, Nadia Barouk, Ashley Foster, Izabellar Tulasi, Vanessa Pizutelli

Rowan-Virtua Research Day

Autism Spectrum disorder (ASD) is a neurodevelopmental disorder that affects 1 in 35 children in New Jersey. Families and individuals with ASD require various types of resources and social support, but at times face obstacles in accessing these resources. The aim of our project was to identify issues in resource accessibility in the ASD community in South Jersey. We conducted literature reviews and interviews with local stakeholders. Our research revealed three main areas that pose challenges in resource accessibility such as: difficulty in acquiring a formal diagnosis, difficulty in navigating available resources, and disparities in available resources based on age. …

Writing Her Own Story - Journey To Commencement, Erin Garrett

Journey to Commencement

Rabria Moore receives prestigious internships, accolades.

"Don't Put Restrictions On Us": The Dangers Of Conservative And Populist Appeals For Abortion Access In Post-Roe America, Kayla Schmitz

Department of Communication Studies: Dissertations, Theses, and Student Research

This thesis critically analyzes Kansans for Constitutional Freedom’s campaign ads for their campaign against the Value Them Both Amendment in Kansas in 2022. Value Them Both would have stripped the Kansas constitution of its protection of personal autonomy and therefore abortion rights. Kansans for Constitutional Freedom used populist and otherwise conservative appeals in their ads to reach audiences across the political “spectrum” to gain their votes against Value Them Both. While the campaign was widely successful, there are many things it did not do for the broader concern of reproductive healthcare access in the United States, particularly for those living …

How Does Social Media Consumption Relate To A College Student's Mental Health And Body Image, Madyson Lira

Undergraduate Theses

Mental Health and Body Image issues have become an epidemic, especially among teenagers and young adults. Obsession with social media is also growing among younger audiences. With the increase of users using social media, research has shown that there is a growth in body image issues which has been directly influenced by social media. Despite the research already performed, there hasn’t been a lot of traction surrounding this topic. College students are thrown into constant exposure to the ‘ideal’ college life through social media sharing apps. Between classes, extracurriculars, and meetings, college students are on their phones a lot. Most …

Amenorrhea And Stress Fractures In Female New Jersey Division Iii Collegiate Runners: An Opportunity For Increased Health Education, Emily Forester, Tara Pellegrino

Rowan-Virtua Research Day

Background: In the National Collegiate Athletic Association (NCAA), 9.1% of the injuries reported by Women’s cross country athletes between 2014-2019 were fractures. Although excessive exercise is a major contributor to the development of amenorrhea, there are currently no studies on the association between amenorrhea and stress fractures in NJ NCAA Division III Women’s cross country or track athletes. This study aims to determine if there is an association between incidence of amenorrhea and subsequent occurrence of stress fractures among this population.

Methods: This is a survey based study. Participants must be female athletes over the age of 18 who currently …

Effect Of The Covid-19 Pandemic On Hpv Vaccination Rates, Jennifer Sepede, Kathy Chen

Rowan-Virtua Research Day

Human papillomavirus (HPV) is a common sexually transmitted infection that potentiates cancer in both males and females. There are over 200 different types of HPV and while some strains, specifically HPV 6 and 11, may result in genital and skin warts, others remain clinically silent. High risk strains, HPV 16 and 18, are most associated with cervical cancer in women. During the COVID-19 pandemic, there was widespread hesitancy and rejection towards vaccination. Similarly, the Human Papilloma Virus (HPV) vaccine has also been met with distrust since it’s release. Studies have shown that there is a low vaccination rate due to …

Barriers To Dermatological Care In Patients Who Received Extensive Mohs Surgery - An In-Depth Qualitative Analysis, Stuti Prajapati, Mallory Zaino, Christina Kontzias, Laura Doerfler, Steven R. Feldman

Rowan-Virtua Research Day

Background: Dermatological care needs to be accessible for the elderly, but they face prominent challenges contributing to delays in diagnosis and treatment. Prolonged management of may lead to widespread cutaneous malignancies, necessitating extensive Mohs surgery.

Objective: To identify areas for early intervention in the geriatric population who have undergone extensive Mohs surgery.

Methods: We performed a qualitative study on 10 patients 65 years and older (68-91) from Atrium Health Wake Forest Baptist dermatology clinics between December 2022 and February 2023, who had extensive Mohs surgery (3 or more layers removed).

Results: Three major areas for potential intervention for cutaneous carcinoma …

Case Report: Use Of Bedside Handheld Ultrasound To Diagnose Finger Dislocation, Frank Wheeler, Philip Carhart, James Espinosa, Alan Lucerna, Henry Schuitema

Rowan-Virtua Research Day

Here we present the case of a 37-year-old male with a finger injury in which finger dislocation was suspected clinically. A bedside pocket ultrasound was performed using a water submersion technique, which identified a posterior dislocated right 2nd digit at the PIP joint. This finding was confirmed with an x-ray. This case report demonstrates that ultrasonography can be utilized to correctly identify finger dislocation. Although larger studies need to be performed to validate the accuracy of this imaging technique, the implications may improve care of the patient. It would also be particularly beneficial for this technique to be applied to …

Case Report And Brief Review: Co-Infection Covid-19 Virus And Influenza A Virus, James Espinosa, Umar Sannoh, Alan Lucerna

Rowan-Virtua Research Day

We report the case of a 45 year old male who presented to the an emergency department with a complaint of myalgias, chills and sore throat of a two day duration. The patient tested positive for COVID-19 virus as well as Influenza A virus. The purpose of this brief review is to discuss what is known about co-infection of COVID-19 and influenza A.

Zoom Fatigue: Case Presentation And Brief Review, Alan Lucerna, James Espinosa, Risha Hertz, Robin Lahr, James Lee

Rowan-Virtua Research Day

In this review, we discuss the phenomenon of what has been called Zoom Fatigue—a sense of fatigue as well as physical and emotional stress that can be associated with teleconferencing (especially long teleconferences with minimal breaks). The Zoom Fatigue Scale is discussed as well as various theories to explain the phenomenon. Some preventive strategies are discussed.

Outcomes In Type Ii Diabetes Patients Through The Covid 19 Pandemic A Retrospective Chart Review, Zurwa Nishat, Tara Pellegrino, Robert Steer

Rowan-Virtua Research Day

Context: The COVID-19 pandemic provided a unique opportunity for urgent expansion of telemedicine services as providers continued to supply longitudinal care to patients. Patients with type II diabetes were vulnerable to serious infection with COVID-19 as well as disruption in management of their chronic disease.

Objective: To delineate the outcomes in type II diabetes patients through the COVID-19 pandemic by a retrospective chart review in which disease management was evaluated through HbA1c levels and BMI.

Methods: This retrospective chart review included adult T2DM patients receiving care from five university family medicine offices in NJ. HbA1c levels and BMI values were …

Ureterocutaneous Fistula In Setting Of Recurrent Gluteal Abscesses: A Case Report, Catherine Alapatt, Young Son, Benjamin Fink, Brian Thomas, Sean Coulson, Shawon Akanda, Jacob Thatcher, Thomas Mueller

Rowan-Virtua Research Day

Ureteral fistulas are a rare occurrence that can arise from iatrogenic trauma, radiation, malignancy, and inflammation. Treatment options of urinary tract fistulas are handled on a case-by-case basis and can necessitate a surgical approach. We present the case of an 85-year-old patient with a ureterocutaneous fistula where conservative management with PCN is a viable alternative to surgical intervention.

Spontaneous Iliac Arteriovenous Fistula, High-Output Heart Failure, And Cardiac Arrest, J. Maxwell Piraneo, Russell Mordecai, James Espinosa, Alan Lucerna

Rowan-Virtua Research Day

High-output heart failure is a potentially life-threatening condition that can lead to cardiac arrest. The most common causes of this condition are obesity, liver disease, arteriovenous shunts, lung disease, and myeloproliferative disorders, however the exact prevalence remains uncertain [1]. Here we describe an unusual case of cardiac arrest as a consequence of high-output heart failure, secondary to rupture of an iliac artery aneurysm into the common iliac vein, with arteriovenous (AV) fistula formation.

Case Report: Cavitary Pneumonia In A 28 Year Old Male, Dan Zaayenga, Katelyn Courtney

Rowan-Virtua Research Day

Cavitary pneumonia can be caused by several different mechanisms. Such causes include suppurative necrosis (pyogenic lung abscess), caseous necrosis (tuberculosis), ischemic necrosis (pulmonary infarction) cystic dilatation of lung structures (ball value obstruction and Pneumocystis pneumonia) as well as malignant processes. Causes are subject to both environmental factors and host susceptibility. The most common cause of infectious process is tuberculosis with its propensity to cause extensive caseous necrosis. The potential for secondary infection after an individual develops a cavitary pneumonia is also great as it provides a shelter for various pathogens the flourish in an environment otherwise usually well-guarded by host …

Analyzing Parent Trust As A Predictor Of Parental Involvement With Adhd As Moderator, Justin D. Ligeski

Honors Capstones

The current study examined the relationship between parent trust and parent involvement. Higher levels of parent involvement have been shown to have positive effects on child behavior and achievement, and past studies have found significant positive correlations between levels of trust and involvement. ADHD was examined as a possible moderator of the association between trust and parent involvement. Extant data from a larger study involving parents of students in kindergarten was examined. Regression was used to examine the association between parent trust and parent involvement behaviors. ADHD was included in the regression models as a moderator. Results indicated that some …

“Take The Motherless Children Off The Street”: Fetal Alcohol Syndrome And The Criminal Justice System, Michael L. Perlin, Heather Ellis Cucolo

University of Miami Law Review

Remarkably, there has been minimal academic legal literature about the interplay between fetal alcohol syndrome dis- order (“FASD”) and critical aspects of many criminal trials, including issues related to the role of experts, quality of counsel, competency to stand trial, the insanity defense, and sentencing and the death penalty. In this Article, the co-authors will first define fetal alcohol syndrome and explain its significance to the criminal justice system. We will then look at the specific role of experts in cases involving defendants with FASD and consider adequacy of counsel. Next, we will discuss the impact of FASD on the …

A Prescription For Diabetes Self-Management Education: Best Practice For Persons With Type Ii Diabetes Mellitus, Ashley J. Milcarek

Evidence-Based Practice Project Reports

Diabetes self-management education and support (DSMES) programs have been shown to improve patient outcomes and lower hemoglobin A1c (Hgb A1c) levels in those who are diagnosed with type two diabetes mellitus (T2DM). However, these programs are often underutilized and have low referral rates, despite the known benefits (Powers et al., 2020). The purpose of this patient-centered EBP project was to evaluate the effectiveness of a patient-driven questionnaire, completed by patients with T2DM during routine office visits, in increasing the percentage of patients referred to DSMES by their provider. Specifically, this project addressed the following PICOT question: In adults who have …

How To Talk About God: Origen And Gregory Of Nazianzus On Divine Transcendence And Theological Language, Coleman S. Kimbrough

Obsculta

This article discusses the doctrine of God of the early Church Fathers Origen and Gregory of Nazianzus. According to these two theologians, the tension between God's transcendence and God's immanence conditions the language we use to name and describe God. Such "God-talk" is necessarily limited by the ontological divide between the human and the divine. Using Origen and Gregory as reference points, I examine how the precise and careful use of apophatic, cataphatic, and analogical language is necessary to properly account for both God's eternal nature and God's work in the material world.

The Impact Of Closed Captioning And Student Lexile Reading Levels, Jim L. Pruitt

Journal of Educational Leadership in Action

This experimental mixed-methods study explores what happens to student Lexile scores when they use closed captioning. The quantitative data analysis procedures involved in this experimental study consisted of utilizing two-sample t-tests to compare the iReady Lexile scores of the participants [n=38] to that of the researched district students [n=810] that were not using closed captioning in this study. The researcher required participants to complete a baseline iReady test to determine their preexisting Lexile levels. Then after the study, participants both in the researched district and in the study, itself were required to complete an iReady post-test to determine their …

Relational Leadership: Reconceptualizing How School Districts Address Teacher Attrition, Nila J. Burt, Joseph R. Jones

Journal of Educational Leadership in Action

American education is in crisis. Teacher attrition rates are astronomical and continue to rise post-pandemic. In his executive summary, Pelfrey (2020), a policy and research analyst in the Georgia governor's office, revealed that new teachers are abandoning their careers at steadily increasing rates within the first five years of service. As such, we must further examine teacher retention and the influence of school administrators. In this capacity, this study utilized a qualitative methodology to examine teacher attrition in a high school in Georgia. Specifically, narrative inquiry provided the framework to examine the lived experiences of teachers in this southern school. …

How School Leaders Can Directly Support School And Classroom Conditions To Improve Student Outcomes, Goldy Brown Iii

Journal of Educational Leadership in Action

There is a dearth of research on how school leaders can directly affect classroom and school conditions that lead to increased student outcomes. This study presents a descriptive single case study on a school leader and identifies supports they provided to improve classroom and school conditions, which may have led to the increased student outcomes they saw over a seven-year period. Qualitative methods were used. Data were collected through interviews and document analysis. This study is unique in that it collects and examines data through the Perspectives on Learning Environment Framework discussed in Bransford et al.’s book How People Learn …

National Transfer Credit System Can Increase Students Retention In Public Universities: System Thinking Leadership Perspective, Sevinj Iskandarova, Margaret F. Sloan

Journal of Educational Leadership in Action

Transfer students often lose credits that they have earned for completing courses at previous institutions and face other complications during lateral transitions between public four-year institutions because the current process of transferring credits is complicated, which raises barriers to affordable, accessible, and accountable national-level transfers. More research is needed to understand how the transfer policy could best be adapted to create an improved, transparent, and seamless transfer process. This mixed methods study conducted in the United States of America explores how national transfer system policies across states are functioning, and determine what states are doing regarding postsecondary transfer policy and …