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A Rare Presentation Of Extra-Appendiceal Mucinous Neoplasm Of The Anus, Pincus Joshua, Marianne Estrada, Lance Horner University Of Nevada, Las Vegas

School of Medicine Research Poster Showcase

Introduction: Mucinous neoplasm of the anus is an uncommon malignancy, representing less than 3% of all anal cancers. Even more rare is extra-appendiceal mucinous neoplasm. As a result, limited literature exists to define diagnostic strategies and optimal management. Our case report details the presentation and management of a patient with recurrent mucinous neoplasm of the anus. Methods: A retrospective chart review was performed which includes clinic documentation., operative notes, pathology reports. Results: The patient is a 76-year-old male with a history of T3N0M0 anal mucinous carcinoma diagnosed in 2015 and treated with neoadjuvant chemoradiation with complete pathological response. In 2024, …

Translating Predictive Models Into Clinical Practice: Fast-And-Frugal Trees For Postoperative Delirium Using Routine Data, Odette Wegwarth, Felix Balzer, Sebastian D. Boie, Niklas Gisa, Anika Müller, Jan K. Woike, Claudia D. Spies, Helge Giese

School of Psychology

Postoperative delirium (POD) is a frequent and serious complication associated with increased morbidity and mortality. Although predictive models for POD exist, they are rarely implemented in routine clinical practice, partly due to their complexity and data requirements. Simple and interpretable tools based on routinely available data may improve clinical applicability. In this retrospective cohort study, we evaluated Fast-and-Frugal Trees (FFTrees) for predicting POD using routine electronic health record data from 61,150 surgical patients treated between 2017 and 2020 at a large German university hospital. We assessed the transferability of previously developed FFTrees and compared their performance with logistic regression, classification …

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 …

Advocating For Occupational Therapy Services In Adult Outpatient Physical Therapy Clinics: Enhancing Interprofessional Collaborative Care, Hannah Peyerk

Capstone Projects

The topic of this capstone project is to define occupational therapy’s (OT) role at an adult outpatient physical therapy (PT) clinic. The project focuses on advocacy and education related to OT’s scope of practice and role on an outpatient interdisciplinary team. Literature suggests that healthcare professionals have limited understanding of OT’s specific roles on the rehabilitation team. This can impact referrals and involvement of OT in interprofessional collaboration. The best way to advocate and educate about OT’s role is by active collaboration with other healthcare professionals. This project takes place at Ivy Rehab Physical Therapy (Ortonville), an outpatient PT clinic …

Role Of Occupational Therapy In Hippotherapy And Therapeutic Riding: A Mental Health Perspective, Ava Morrison

Capstone Projects

The purpose of my doctoral capstone experience (DCE) was to gain knowledge about the unique role that occupational therapy (OT) plays in equine-assisted therapy at the Cheff Therapeutic Riding Center, with an emphasis on Therapeutic Riding. Equine-assisted therapy, including hippotherapy and therapeutic riding, is an emerging area of occupational therapy practice that promotes physical, cognitive, emotional, and social well-being through structured interactions with horses. Despite growing evidence supporting the therapeutic benefits of equine-assisted interventions, confusion remains regarding the distinctions between hippotherapy and therapeutic riding, highlighting the need for increased education and advocacy within the field. In addition, there is a …

Maternal Inflammation Alters Nuclear And Mitochondrial Dna Methylation Patterns In Neonatal Brain Monocytes, Andrew Ebenezer, Jonathan Hicks, Brooke Hollander, Alexander Hone, Mona Batish, Robert Akins, Adam Marsh, Elizabeth Wright-Jin

Department of Medicine Faculty Papers

Neonatal hypoxic ischemic encephalopathy (HIE) is a common birth complication that can cause death or lifelong disabling conditions like cerebral palsy, epilepsy, and autism. It is well established that maternal infection and inflammation are significant risk factors for HIE but reasons for this increase in neurological risk to the offspring remain unknown. Inflammation or infection are associated with epigenetic changes and may contribute to the increased risk of neurodevelopmental disability in exposed offspring. Here, we analyzed and compared DNA methylation patterns in brain monocytes isolated from control, maternal immune activation (MIA), and an inflammation sensitized HIE (IS-HIE) CF-1 mouse model …

Hydatid Cyst In The Right Ventricle Leading To Tricuspid Stenosis And Heart Failure: A Case Report, Muhammad Sheraz Hameed, Syed Rafay Hussain Zaidi, Shafaq Saleem, Muhammad Ahsan, Sarah Rahman, Azeen Razzaq, Ali Iqbal, Muhammad Sohaib Alvi, Muhammad Usama Naveed

Department of Medicine Faculty Papers

BACKGROUND: Cystic hydatid infection is a parasitic disease caused by the larval stages of Echinococcus granulosus, most commonly involving the liver and lungs. Cardiac involvement is rare, accounting for less than 2% of cases, with the left ventricle being the most commonly affected site. Involvement of the right ventricle is extremely uncommon and may lead to life-threatening complications such as tricuspid valve obstruction and hemodynamic compromise.

CASE PRESENTATION: We report a rare case of a 42-year-old patient who presented to the emergency department with exertional dyspnea, hemoptysis, chest pain, syncope, peripheral edema, and signs of right-sided heart failure. The patient …

A Statewide Study Of Burnout Among School Board Members, Nicole V. Schilling, Kyle Wagner, Taylor N. Pawliski, John Gillham

Mid-Western Educational Researcher

Statement of the Problem: School board members maintain influential power in public school systems, yet they face political turmoil, community backlash, and role ambiguity (Plough, 2014). While this stress has increased in recent years, little to no research has been conducted on them (Diem et al., 2015).

Purpose of the Study: The purpose of this study was to explore P-12 school board member burnout.

Methodology: The researchers requested P-12 school board members complete the Copenhagen Burnout Inventory (CBI) which addresses three constructs: 1.) personal burnout, 2.) work-related burnout, and 3.) client-related burnout.

Findings: The school board member participants …

The Contested Terrain Of Sport For Development And ‘Peace’ Amidst Persistent Global Aid Cuts And Geopolitical Tensions, Derrick Charway, Umair Asif, Zohreh Khani, Mazen Alkhatib

Journal of Global South Sport Studies

Sport for Development and Peace (SDP) has emerged as a global concept for advancing humanitarian, peacebuilding and social benefits, particularly in disadvantaged communities and conflict-affected regions of the world. Yet, its promise is often entangled with the broader contradictions of international aid, which in the Global South often shifts from solidarity to systems shaped by power asymmetries, geopolitics and self-interests. Drawing on critical aid theory and decolonial thought, foregrounded in the Palestine context, we argue that SDP offers potential benefits but remains constrained by the very systemic issues it purports to redress. Further, we critique the International Olympic Committee’s stance …

First Covid-19 Vaccination Rates Among Pregnant Tennessee Women By Month Of Conception And Urbanization Level: March 2021 – November 2021, Claudia Valenzuela, Anne K. Driscoll, Elizabeth Harvey, Heather Wingate

Journal of Appalachian Health

Introduction: Throughout the pandemic, COVID-19 vaccination coverage was lower for the general population living in rural counties than in urban counties. In Tennessee (TN), COVID-19 vaccinations became available to pregnant women in March 2021. Little is known about rates of COVID-19 vaccination in pregnancy during the pandemic, or whether these rates changed or differed by urbanization level.

Purpose: The purpose of this study is to describe COVID-19 vaccination rates among pregnant women in TN by month of conception and urbanization level.

Methods: COVID-19 vaccination data from the TN Immunization Information System and the TN Surveillance for Emerging Threats to Mothers …

Evaluating The Feasibility And Preliminary Effectiveness Of A Tailored Diabetes Education Program For Rural Residents, Brittany L. Smalls, Oluwatosin Leshi, Suraksha Khanal, Grejika E. Abram-Erby

Journal of Appalachian Health

Introduction: Diabetes is a top ten Rural Healthy People 2030 priority for health improvement among rural Americans. Socioeconomic, environmental, geographic and political barriers contribute to the type 2 diabetes (T2D) prevalence and its disparate impact in rural communities. However, promoting proper self-care behaviors via self-management education can help people with diabetes better manage their condition.

Purpose: To account for the social environmental factors that affect rural residents, a tailored diabetes education program was developed, and the program’s effectiveness in improving diabetes knowledge and T2D-related health outcomes was assessed.

Methods: Using data collected from Appalachian Kentucky residents enrolled in a six-week, …

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. …

Infective Endocarditis Hospitalizations In Kentucky, 2008-2018: Spatial And Temporal Trends, Meera Marji, Steve Browning, W. Jay Christian, Richard Charnigo, Steve W. Leung, Anna Kucharska-Newton

Journal of Appalachian Health

Introduction: Infective endocarditis (IE) hospitalization rates have increased significantly in the last decade, primarily due to the opioid epidemic. In 2016, Kentucky (KY) ranked among the top ten states for opioid-related overdose deaths, but limited data exist on IE trends in KY.

Purpose: This study seeks to examine county-level spatial and temporal trends in IE hospitalization rates in KY.

Methods: Hospital inpatient discharge data from 2008–2018 for KY residents aged 18 and older were analyzed. IE admissions and drug use status were identified using ICD-9 & 10 diagnosis codes. U.S. Census data calculated yearly IE hospitalization rates per 100,000 residents. …

The Effects Of Hurricane Helene On Mental Health And Physical Activity, Hunter Smathers, Robyn York, Jarrett Walbolt

Journal of Appalachian Health

Introduction: Hurricane Helene brought widespread damage to Southern Appalachia, disrupting utilities, health care, and recreation. While natural disasters are linked to declines in mental and physical health, few studies have examined their effects on distinct types of physical activity (PA).

Purpose: This study evaluated the effects of Hurricane Helene on perceived stress, depressive symptoms, post-traumatic stress disorder (PTSD) symptomology, and intentional (exercise for health benefits) and incidental (physical labor or transportation) PA. Evacuation status influence was also explored.

Methods: Twenty participants completed assessments four weeks before (BASE), immediately after (0POST), and four weeks after landfall (4POST). Measures included the Perceived …

Starting With Story, Not Symptom: Narrative Collapse And Cultural Repair In Appalachia, Wayne Coombs Ph.D.

Journal of Appalachian Health

Appalachia’s opioid crisis reflects uneven burdens, especially in distressed coalfield counties, and it cannot be solved by symptom tracking alone. This commentary argues for a narrative shift, starting with story and cultural repair alongside clinical care. Narrative collapse is defined here as the loss of shared, dependable public meaning across groups, not the absence of storytelling in families, churches, and recovery circles. Trauma science suggests that chronic threat reshapes nervous systems across generations, making safety a prerequisite for renewed trust. Drawing on narrative identity research, the piece proposes peer story work as infrastructure that can reduce shame, support treatment engagement, …

Keefektifan Teknik Relaksasi Untuk Menurunkan Stres Akademik Siswa Sma

Jurnal Pendidikan Humaniora

This study aims at examining the effectiveness of relaxation techniques to release students’ stress and tension regarding academic within Senior High School Assádah in Gresik City. This study employed quasi-experiment design using one group pretest-posttest model. The data of this study were obtained through academic stress inventory to attain a depiction of stress level encountered by the subject. The subjects of this study were seven students of Tenth Graders in SMA Assaadah Bungah Gresik who experienced low to average stress regarding exam preparation. The data were, then, analyzed by using Wilcoxon Statistic Analysis. The result of the study indicated that …

Utility Under Uncertainty: A Critique Of Singer's Disability Replacement Argument, Jillian L. Wynne

University of Montana Conference on Undergraduate Research (UMCUR)

Peter Singer’s preference utilitarian defense of selective infant replacement in cases of severe disability remains one of the most controversial arguments in contemporary bioethics. The core of Singer’s position relies on the claim that replacing a severely disabled infant with a non-disabled infant increases overall preference satisfaction and is therefore morally permissible. In this paper, I argue that Singer’s argument fails to justify this conclusion. Singer’s replacement premise requires a utilitarian calculus that depends on reliable predictions about future preference satisfaction. While some critics maintain that Singer underestimates the quality of life of disabled individuals, I contend that, once this …

A New Framework For Intellectual Property In The Age Of Ai, Mitchell R. Clarkson

University of Montana Conference on Undergraduate Research (UMCUR)

This paper will argue that the courts’ traditional view of damages inhibits its ability to uphold the principles of intellectual property in the climate of Artificial Intelligence (AI). Language learning models (LLMs), using the practice of scraping, allow large systems to train using the copying of copyright protected work. This harms creative communities in ways that intellectual property laws could help prevent were it not for the courts limited understanding of damages. The courts hold the economic consequentialist view which sees damage as having only two components, the tortfeasor and the victim. I propose the use of a deontological framework …

Feminism, Misdiagnoses Of Women And The Scope Of Medical Negligence Doctrine, Abigail J. Engstrom

University of Montana Conference on Undergraduate Research (UMCUR)

Are the objective standards in medical malpractice law, including reasonableness and professional norms, neutral in a general manner or do they encode gendered assumptions that are disadvantageous to women in the system? Women are 66% more likely to encounter the disparity of misdiagnoses than men. One view point that is demonstrative of this question is that the negligence doctrine supposes courts avoid bias on gender and remain neutral by applying the negligence doctrine and professional norms. Through this view the very disparity of misdiagnoses in women is seen as medical failures instead of structural legal doctrine failures. In Miss Diagnosis: …

250 Years Of Political Assassinations: An Exploratory Look Into Attacks On Political Figures In The United States, Jj Wesley

University of Montana Conference on Undergraduate Research (UMCUR)

Despite the salience of political assassinations in American history and culture, there isn’t a database that focuses on them, and those that do exist often lack detail and focus on broad trends over locations and time. This absence of centralized information has led to the creation of a database on these rare events, which contains political assassinations between 1777 and 2026.  The cases rely heavily on a variety of open-source data, which includes books, newspapers, databases, and other relevant information and documents. This presentation will be an exploratory descriptive analysis that emphasizes a general overview of contextual trends in these …

The Potential Role Of Soil Depth And Land Management History In Rangeland Soil Seed Bank Community Dynamics., Owen K. Palsic, Akasha Faist, Madeline Mayorga

University of Montana Conference on Undergraduate Research (UMCUR)

Rangelands provide critical ecosystem services for societies across the globe, yet land use changes, climate change, and invasive species are causing large-scale rangeland degradation. To maintain effective rangeland ecosystem function, it is critical we understand the comprehensive ecological dynamics of these systems. One crucial ecological variable that is often overlooked is the soil seed bank, which is otherwise defined as the community of germinable seeds stored in the soil of a given system. Many ecological studies and models leave out soil seed bank communities, despite their undeniable importance in rangeland ecosystems, and instead only consider the aboveground vegetation community. In …

Head Contact Incidence Study, Shane O. Jefferson, Hunter Naugle

University of Montana Conference on Undergraduate Research (UMCUR)

Due to the physical nature of the sport of hockey, head contacts are a common occurrence in games and practice alike. Youth athletes that are exposed to repeated head contact may be at risk for both acute conditions as well as neurological health conditions as they age. The purpose of this study was to identify head contacts and examine patterns and trends seen in those contacts in a population of 9–12-year-old youth hockey athletes during both game and practice. While checking is not allowed at these age groups, the physical aspect of hockey, still generates head contact exposures at a …

Documenting Supportive Communication Strategies In Prom Administration For Persons With Aphasia, Tyra Kucinski

University of Montana Conference on Undergraduate Research (UMCUR)

Documenting Supportive Communication Strategies in PROM Administration for Persons With Aphasia

Tyra Kucinski, Allison Marr, Emilia Waters

Introduction: Aphasia is an acquired language disorder that impairs speaking, listening, writing, and/or reading, with intelligence remaining intact. Aphasia also disrupts mental health, quality of life, and communicative participation. Patient reported outcome measures (PROMs) are standardized questionnaires that allow patients to reflect on their functional health status, providing insight into how persons with aphasia (PWAs) perceive their condition and/or the treatment they are receiving. Speech-language pathologists (SLPs) frequently provide a number of supportive communication strategies to ensure accuracy of patient responses on PROMs …

Combating Overdose: Production And Analysis Of Fentanyl Specific Antibodies, Elizabeth J. Florian

University of Montana Conference on Undergraduate Research (UMCUR)

Fentanyl overdose deaths are on the rise from both intentional use and accidental exposure. Our work focuses on identifying additional treatment options to Narcan, an opioid receptor antagonist which reverses overdose effects by receptor competition. One alternative method, that has been approved by the FDA, is the development of monoclonal antibodies (mAbs). This therapeutic method works by antibodies binding fentanyl in the bloodstream and preventing it from crossing the blood-brain barrier. Our group has begun identifying mAbs by vaccinating mice with a fentanyl hapten (F1) vaccine adjuvanted with a TLR 7/8 agonist. Vaccination leads to the production of antibodies that …

Quantity Vs Quality Tradeoffs In Black Brant Geese: What Is The Relationship Between Clutch Size And Egg Volume?, Bella Adams

University of Montana Conference on Undergraduate Research (UMCUR)

Trade-offs between offspring quantity and quality are fundamental to life-history variation among species and may lead to fitness variation within populations of organisms. The purpose of this research is to explore the relationship between clutch size and egg volume in black brant (Branta bernicla nigricans) geese while controlling for age and quality of the parents to accurately gauge this relationship. Research on a brant population breeding at the Tutakoke River, Alaska, began in 1984, resulting in a dataset spanning >40 years. In 2025, I spent three months in Alaska contributing to the data collection for this long-term study. I assisted …

Pharmacogenetics To Enhance Personalized Proton Pump Inhibitor Therapy In Montana, Shivika Agrawal, Jon Graham, Shayna R. Killam

University of Montana Conference on Undergraduate Research (UMCUR)

Purpose:

Cytochrome P450 2C19 (CYP2C19) is the primary drug-metabolizing enzyme for most proton pump inhibitors (PPIs), commonly prescribed for gastrointestinal disorders such as heartburn. Guidelines developed by the Clinical Pharmacogenetics Implementation Consortium (CPIC) indicate that genetic variants in CYP2C19 may influence PPI response and the likelihood of side effects, and they provide drug and dose recommendations. We systematically evaluated PPI prescribing patterns in Montana’s patient population to inform implementation strategies for pharmacogenetic (PGx)-guided PPI therapy.

Methods:

We analyzed the electronic data from the health information exchange, Big Sky Care Connect, of 1.15 million Montanans between 2017 to 2024. We identified …

Beyond Words: Unlocking The Child's Perspective In Speech Therapy, Olivia Lacasse

University of Montana Conference on Undergraduate Research (UMCUR)

Speech-language pathologists strive for patient-centered care, yet clinicians often face limitations when making collaborative decisions with children. Understanding a child’s unique emotional experience is vital for developing effective treatment plans for speech sound disorders; however, traditional assessments rely heavily on the perspectives of parents and teachers. This leaves the child’s internal world largely undiscovered. Our project evaluates the Sound Effects Study Drawing Protocol (SESDP) as a multimodal tool to bridge the gap between external observations and a child’s inner perspective.

We asked: During a drawing task, what developmental milestones and symbolic skills are evident over time for preschool-aged children with …

Distributed Iot Cyber-Physical System For Non-Invasive Acoustic Mineral Extraction Via Z-Scanning Phased Arrays, Nathan Johnson, Oliver Trost

University of Montana Conference on Undergraduate Research (UMCUR)

A Distributed IoT Cyber-Physical System for Non-Invasive Acoustic Mineral Extraction via Z-Scanning Phased Arrays

Abstract: Traditional placer mineral extraction relies on energy demanding mechanical mobilization and high-water usage. This research introduces a novel Cyber-Physical System (CPS) that achieves non-invasive vertical migration of high-density within non-Newtonian slurries using low power usage for targeted depths. Unlike conventional vibration which induces segregation (sinking), this system utilizes a floating, waterproof phased acoustic array to generate a Z-Scanning Helical Wavefront carrying Orbital Angular Momentum. This acoustic vortex, in concert with Time-Reversed Acoustics (TRA), creates a "telescoping funnel" logic that entraps particles via centripetal force …

Questioning The Accusation That Francois Duvalier Impersonated Baron Samedi, Tess Rosbarsky

University of Montana Conference on Undergraduate Research (UMCUR)

Historians, anthropologists, and journalists have all claimed that Haitian dictator Francois Duvalier modeled his personal style after the Vodou spirit, or Loa, Baron Samedi. Guarding the crossroads between life and death, Baron Samedi is a member of the Gede family, a group of vulgar and mischievous spirits who mock authority. The Baron wears a top hat, dark suits, and sunglasses with one lens popped out. Duvalier’s signature look also included a black suit and hat which he paired with his thick lens glasses. This research provides evidence against this claim holding that these stylistic choices could more easily be explained …