Digital Commons Network^™

The Association Of The G8 Questionnaire With Treatment Side Effects And Unscheduled Care Among Older Adults With Bladder Cancer, Umma Fatema, Md, Amman Bhasin, Md, Michael Zimmerman, Md, Julia Palecki, Md, Kendall Ozorowski, Kristine Swartz, Md, Kevin Zarrabi, Md, Kuang-Yi Wen, Phd

Health Equity and Quality Improvement (HEQI) Summit

Background

• The average age of people when they are diagnosed with bladder cancer is 73
• Bladder cancer in the geriatric population is often complicated by the presence of comorbidities and this population is at increased risk of experiencing short-term and long-term toxicities
• This necessitates a multimodal treatment approaches with a careful balance between efficacy and toxicity management
• The G8 questionnaire, a geriatric assessment tool, is designed to identify frailties and health risks in older patients, guiding healthcare professionals in tailoring treatment
• The aim of the study is to determine the predictive value of the G8 scores for adverse treatment outcomes …

Knowledge And Receptiveness Of Epidural Labor Analgesia By Parturients At Two Teaching Hospitals In Rwanda: A Cross-Sectional Study, Casey Fishman, Ba, Justin Do, Bs, Richita Bashyal, Mph, Fidele Hakorimana, Md

Health Equity and Quality Improvement (HEQI) Summit

Introduction

• Pain during labor can result in lasting psychological and physiological effects.¹ Although epidural analgesia is a first line pain management treatment and is used to reduce birth complications in many western countries, it is not commonly used in much of the world including Rwanda. The literature shows that African women have some of the lowest rates of pharmacological pain relief usage.
• Barriers to accessibility include; availability of equipment, staff with sufficient skills and monitoring, or myths and controversies surrounding labor.² Studies have found that some women believe that crying is a sign of weakness.³
• The aim …

Finding Ways To Decrease The Number Of Pediatric Type 1 Diabetes Patients With A Hba1c Over 8.5%, Abigayle Hoover, Bs, Ashley Medina, Dhsc, Kimberly Shoe Moyer, Apm, Evan G. Graber, Do, Patrick C. Hanley. Md

Health Equity and Quality Improvement (HEQI) Summit

Background

Problem Statement:

Hemoglobin A1c is the standard of care for monitoring the metabolic control of patients with Type 1 Diabetes.¹ Patients should have HbA1c checked every 3 months.

Higher HbA1cs are linked to higher morbidity and mortality in patients with diabetes.²

Project AIM:

Develop, implement, and evaluate different methods to engage patients with an

Measuring Standard Of Care Physical Parameters In An Academic Psychiatric Practice During The Covid Pandemic – A Trainee Driven Quality Improvement Study, Himangshu Rathinakumar, Md, James Luebbert, Md

Health Equity and Quality Improvement (HEQI) Summit

Background

• Outpatient Psychiatric services need to monitor certain evidence-based quality indicators that promote patient safety and guide standards of care.
• Our Child and Adolescent Psychiatry (CAP) fellow outpatient clinic provides psychotherapy and pharmacological management to a population in a major metropolitan city, who belong to various minority predominantly African American and reduced socio-economic at-risk groups.
• The COVID pandemic has brought about a lot of changes in psychiatric practice which includes Telepsychiatry.
• This study aims to determine if greater use of telepsychiatry has resulted in changes in compliance with the evaluation of basic vital sign parameters of our patients during the …

Patient-Provider Communication About Cognition And The Role Of Memory Concerns: A Descriptive Study, Justin Do, Bs, Casey Fishman, Ma, Emily Bratlee-Whitaker, Phd, Rn, Heejung Jang, Phd, Sakshi Bhargava, Phd, Jennifer R. Turner, Phd, Andrea Yevchak Sillner, Phd, Rn, Jacqueline Mogle, Phd, Ms, Nikki L. Hill, Phd, Rn

Health Equity and Quality Improvement (HEQI) Summit

Introduction

• 40% of Alzheimer’s disease cases could be delayed or prevented with early intervention¹
• Early detection remains challenging due to lack of consensus regarding screening, time constraints
• Subjective memory decline (SMD): “the perception of a decline in memory ability when objective cognitive testing indicates normal performance.”²
• Linked to early stages of Alzheimer’s Disease and mild cognitive impairment (MCI)
• Older adults with SCD up to 4 times more likely to develop MCI or dementia³
• Older adults consider severity of problems, potential benefits or consequences of disclosing concerns, as well as past interactions with healthcare providers when discussing cognition …

Enhancing Quality Of Life: Addressing Care Gaps In Lung Cancer Survivorship Through Comprehensive Needs Assessment, Umma Fatema, Md, Ida Micaily, Md, Ms

Health Equity and Quality Improvement (HEQI) Summit

Background

• The growing population of lung cancer survivors in the United States underscores the importance of addressing their multifaceted needs beyond treatment completion.
• There's a pressing need to understand and address the ongoing challenges of lung cancer survivors at Jefferson Health, being a major treatment center.
• Given the shifting demographics of lung cancer patients, with a growing proportion being younger individuals, the necessity for lung cancer survivorship programs has become increasingly evident
• A survivorship survey enables comprehensive assessment of survivors' physical, psychological, and practical needs
• By gathering data on the interests and needs of lung cancer survivors can guide tailored …

Implementation Of Pediatric Behavioral And Developmental Health Screening Tools At Student-Run Free Clinics In Philadelphia Shelters, Renee Li, Jasmine Miller, Martin Henry, Do, Bob Motley, Md, David Beckmann, Md, Mph

Health Equity and Quality Improvement (HEQI) Summit

Background & Project Aims

• Children experiencing homelessness (CEH) are at increased risk for behavioral health problems: 78% show behavioral problems, academic delays, or depression.¹

• Recent research suggests an increased prevalence of Autism Spectrum Disorder (ASD) among people experiencing homelessness.^2,3

• Psychosocial challenges are exacerbated by limited access to behavioral health and developmental disability screening, which is essential for early intervention.^4-6

• Recent studies have found that behavioral health screening in shelters is feasible, can generate a large number of referrals, and can be carried out by a student-run clinic without significantly disrupting workflow.^7,8

34th Annual Young Historians Conference Program, Portland State University History Department, Portland State University Challenge Program

Young Historians Conference

This is the 2024 Young Historians Conference schedule and abstracts.

Project Echo: A Global Cross-Sectional Examination Of Implementation Success, Perrin Moss, Nicole Hartley, Trevor Russell

Project ECHO Bibliography

BACKGROUND: Organizations implement innovations to disrupt the status quo and create value. Within sectors such as healthcare, innovations need to navigate large scale system and organizational factors to succeed. This research explores the implementation of a global innovation- Project ECHO

METHODS: An empirical study was conducted to collect data on 54 Project ECHO

RESULTS: The 54 implementation success indicators measured in this survey revealed that the adoption of Project ECHO

CONCLUSIONS: These findings make a valuable contribution to address a knowledge gap regarding how a global sample of organizations adopting Project ECHO

The Fuller The Bucket Is, The Harder It Is To Fly, Jacob Littlejohn

Theses and Dissertations

My abstract paintings are informed by the momentary sublime rooted in the vastness of the natural world. Based on imagined and real landscapes, the work evokes minutia and phenomena that affect our perceptions of reality, and signifies a longing to reconnect with the natural world.

Subterranean Daydreams, Jack Perry

Theses and Dissertations

“Subterranean Daydreams” locates caves, tunnels, passageways, and the subway in particular, as sites of reflection, development and transformation. This paper examines the potential for such sites to aid in imagining the future through the restrained scale of architectural model-size sculpture and short fiction.

A Global Journey Inward: Contemplative Education Abroad On A Short-Term Program In Finland, Tanya Kramer

Dissertation Collection

This study investigated the transformative potential of integrating subjective and intersubjective contemplative practices within a short-term, faculty-led education abroad program in Finland. Focused on addressing tensions arising from neoliberal and objective approaches to conventional Western higher education, the research explored how critical contemplative education abroad fostered deeper connections with Self, Others, and Place among students. Data collection involved analyzing course documents, facilitating two focus groups, conducting participant observations, and documenting researcher reflections. Employing the heuristic approach within a qualitative and spiritual research paradigm, the study identified three main findings: Experience of Place, Experiential Coherence, and Individual Perspectives within a Collective …

May 3, 2024, Csusb

Coyote Chronicle (1984-)

No abstract provided.

“People See Us Homeless People As A Burden To Them” – Linda: Understanding Victimization And Offending Among Homeless Women, Alexandra J. Schloesser

Honors Program Theses and Projects

Among the homeless population in the United States and around the world, specific populations within the homeless experience unique challenges. As stated by Alatorre (2019), homeless women who have suffered trauma-related events are subject to revictimization when working to reintegrate back into society. The purpose of this chapter is to decipher the line between a victim and an offender in order to analyze how victimization and offending among women co-occur with homelessness. The study consists of a qualitative analysis of interviews, consisting of two YouTube videos from the channel White Under Belly and three interviews that were conducted via Zoom …

The Tensegrity Curriculum: A Comprehensive Curricular Structure Supporting Cultural Humility In Undergraduate Medical Education., Anne C Jones, Kristin N Bertsch, Deborah Williams, Millicent King Channell

Rowan-Virtua School of Osteopathic Medicine Departmental Research

Due to growing health disparities in underserved communities, a comprehensive approach is needed to train physicians to work effectively with patients who have cultures and belief systems different from their own. To address these complex healthcare inequities, Rowan-Virtua SOM implemented a new curriculum, The Tensegrity Curriculum, designed to expand beyond just teaching skills of cultural competence to include trainees' exploration of cultural humility. The hypothesis is that this component of the curriculum will mitigate health inequity by training physicians to recognize and interrupt the bias within themselves and within systems. Early outcomes of this curricular renewal process reveal increased student …

Tyrone Martin V. Secretary Pennsylvania Departm

2024 Decisions

USDC for the Western District of Pennsylvania

The Experiences Of Minoritized Students In A College Success Course: A Qualitative Case Study, Erin Hannah

Theses and Dissertations

Enrollment in higher education has increased over recent years with more students entering college underprepared for the academic rigor. Through expanded access, more minoritized students who are Pell eligible are enrolling. To retain these and other students, higher education institutions are implementing high impact practices to provide additional support. One such strategy is through the implementation of college success courses. These courses are intended to provide an extra layer of support for students as they make the transition from high school to college. Using a qualitative, case study approach, I used semi-structured interviews which included a photo-elicitation component to explore …

Women Draw Women Better: How The Hypersexualization Of Women And Reinforcement Of Sexist Tropes In The Comic Book Industry Has Shifted., Aaron Dawson

Departmental Honors & Graduate Capstone Projects

This paper investigates the portrayal of sexist tropes in comic books, focusing on the hypersexualization and the marginalization of women. Utilizing a generic criticism methodology, this research critically examines various comic book texts and their impact on consumer perceptions and behaviors. Through the exploration of scholarly and journalistic sources, the paper outlines how societal pushback and an increase of women creators have initiated shifts within the comic book industry to move away from historical patriarchal norms. Additionally, the paper discusses the economic and pedagogical factors that have driven changes in the industry and suggests ways that the digital age can …

Perceived Normality Of Ipv And Ptsd Symptoms As Moderators Of The Relationship Between Ipv-Related Injury And Perceptions Of Responsibility For Ipv, Noel Shenk

Departmental Honors & Graduate Capstone Projects

Survivors of intimate partner violence (IPV) who have experienced injury may have numerous lingering effects of the violence, even long after the abusive romantic relationship has ended. However, despite understanding some of these lingering effects, it is unclear how the impact of perceived normality of IPV and PTSD symptoms affect survivors’ perceptions of responsibility for the violence. The present study aimed to examine these variables (perceived normality and PTSD symptoms) as moderators of the link between IPV-related injury and perceptions of the extent to which an individual provokes their own experience of abuse. To this end, participants (n = …

Cultivating Hope: The Influence Of Positive Outlooks In K-12 Climate Change Education, Agnes Brown

Student Theses 2015-Present

Abstract

Students studying the environment know and feel the emotional toll that it can take. This can easily contribute to mental health issues and utter defeat. This paper addresses the exclusion of optimism from environmental education and the impacts this has on childhood development and students as they advance to higher levels of education. Through this analysis, the goal is to find a role for hope in a topic typically framed in an apocalyptic manner. The shift from denying the existence of climate change to denying that it can be addressed, particularly through the usage of “doomsday language,” has created …

Using Student Interests To Explore Inclusion In Undergraduate Chemistry, Sonja Hoversten

CSB and SJU Distinguished Thesis

For students who are not chemistry majors, but who are on a career track requiring four chemistry courses, taking the final reactivity chemistry course (CHEM 251) for pre-health students can be daunting. For this reason, this research is focused on the CHEM 251 course at The College of Saint Benedict and Saint John’s University (CSBSJU) which is one of the four required chemistry courses for pre-medicine and some pre-physician assistant students, and all chemistry and biochemistry majors. Student perception of inclusion in the course increased through the implementation of group assignments including prompts for individual application of the material. The …

Molding The Self: Understanding Adoptees' Identity Formation, A Literature Review, Carolyn Brazil

Expressive Therapies Capstone Theses

The topic under investigation focuses on the complex process of identity formation in adoptees, particularly those in transracial and international adoption scenarios. Grounding this topic in theory, the author draws from psychological and sociological perspectives. The literature illustrates key factors in adoptees' identity formation, and it emphasizes the importance of family involvement and cultural connections in integrating identities, as well as the role of cultural ties in understanding racial identities. The conclusion from this study reveals the complexities and clinical considerations of adoptee identity formation, showing their challenges in combining birth and adoptive cultures. It underscores the value of art …

Connecting Dance/Movement Therapy And Social Emotional Learning In An Integrated Early Childhood Setting, Katie Monopoli

Expressive Therapies Capstone Theses

Students and educators are currently engaging in Social-Emotional Learning (SEL) practices across the grade levels amidst an emotional and behavioral crisis effecting many schools. This community engagement project explored the intersection of Dance/Movement Therapy and SEL in a public preschool setting. Movement groups were held based on the SEL concepts in the curriculum to help students embody and understand them. Through movement, play, and props, students were able to express their emotions and connect with one another over the course of four sessions. The research both in literature and practice conducted by the author show the positive impact of movement …

Power Of Circle: A Literature Review, Mindy Thacker

Expressive Therapies Capstone Theses

This literature review includes research on the history of and cultural roots of circles; role of belonging and our social engagement system in circle and group processes; and healing and witnessing in circle. This literature review highlights supportive research exploring reasons we are drawn to the circle formation, how circle spaces are powerful, and why this structure may help to bring ease and safety to our nervous systems. The research reviewed includes an exploration of the history of circles in dance/movement therapy (DMT); how circles facilitate healing of the social engagement system; and how circles can contribute to healing on …

The Molecular Basis Of Maple Syrup Urine Disease, Chloe Jensen

Senior Honors Theses

Maple syrup urine disease (MSUD) is a rare metabolic disorder that is caused by mutations in the branched chain alpha keto acid dehydrogenase enzyme complex (BCKDC). There are three main genes, the BCKDHA, BCKDHB, and DBT, that affect the BCKDC, all contributing to the onset of the disease. MSUD causes encephalopathy, neural deficits, maple syrup scented urine, coma, and even death if not treated due to the aggregation of branched-chain amino acids (BCAAs). There is currently no known cure for patients with MSUD, but the condition can be managed to improve quality of life. This review serves to examine MSUD …

State Of Utah Plaintiff/ Appellee V. Gregory Joseph Cover Defendant/ Appellant : Reply Brief, Utah Court Of Appeals

Utah Court of Appeals Briefs (2020 –)

Appeal from the District Court for the Third Judicial District, Silver Summit, Summit County

Marian Decker, Attorney for Appellee

Nicolas C. Wilde, Attorney for Appellant

Beer, Bourbon, And Bertrand: An Experimental Economics Analysis, Noah Cameron Dixon

Honors Thesis

The purpose of this paper is to determine the effect that binge drinking has on economic performance in a standard Bertrand-style game. Results indicate that binge drinking, when paired with poor protective behavioral strategies, increases cooperative pricing in a Bertrand-style game, with this result persisting across various contextual frameworks. In the aggregate, this study contributes to the literature by being the first of its kind to evaluate the effect of observational binge-drinking meta scores on performance in a Bertrand-style game. To measure economic performance in the market, participants play the 2/3 average game and a standard Bertrand game with zero …

Anticipatory Behaviors And Vocal Expression In A Group Of Captive African Elephants (Loxodonta Africana), Matthew B. Rios

Theses and Dissertations

Animal vocalizations convey motivational and affective properties. Using passive acoustic monitoring and behavioral observations, this study investigated the relationship between vocal communication and anticipatory behaviors within a group of captive African elephants (Loxodonta africana) to inquire whether bioacoustic monitoring has the potential to be used for assessing captive animal welfare.

Implementing The Reconsolidation Paradigm In Treating Misophonia, Angel Prats

Theses and Dissertations

Misophonic patients experience extreme sense of disgust when exposed to acoustic and/or visual triggers. In this longitudinal study, the reconsolidation paradigm was applied to treat 25 patients during a month. The findings reveal that reminders in a control setting did not improve maladaptive memories, but counterconditioning update ameliorated symptoms.

Assessing The Link Between Stress, Anxiety, And Depression In College Students And Their Academic Major, Intersectionality, Support, And Demographics, Joisy A. Santa

Theses and Dissertations

The present study examined the relationship between academic major, intersectionality, support, and housing as predictors of stress, anxiety, and depression in college students. The subject population was Hunter College students. Results indicated differential effects of the predictor variables as a function of students’ financial situation, gender, race, and peer support.