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Full-Text Articles in Medicine and Health Sciences

Black Male Educator Shortage In The Mississippi Public School System: Impact, Challenges, And Intervention Strategies, Jilkiah Bryant May 2023

Black Male Educator Shortage In The Mississippi Public School System: Impact, Challenges, And Intervention Strategies, Jilkiah Bryant

Honors Theses

The shortage of Black male educators in Mississippi's public school systems is a critical issue with far-reaching implications for the state's education system. Despite the state's sizable Black population, the percentage of Black male teachers remains disproportionately low, and there is little evidence of progress being made to address this issue. This paper examines the impact of the Black male educator shortage on Mississippi's education system, the challenges faced by Black male educators, and related intervention strategies to increase the number of Black male teachers in Mississippi's public school systems. Through a comprehensive literature review and interviews with Black male …


Utilizing The Anatomage Virtual Dissection Table For Learning Neuroanatomical Structures In Nurse Anesthesia Programs, Domenica Camaci-Douleh, Nicole Gorris May 2023

Utilizing The Anatomage Virtual Dissection Table For Learning Neuroanatomical Structures In Nurse Anesthesia Programs, Domenica Camaci-Douleh, Nicole Gorris

Doctor of Nursing Practice Projects

Certified registered nurse anesthetists are responsible for developing expertise in neuraxial anesthesia. A thorough understanding of anatomy and physiology is essential in the performance of subarachnoid and epidural blocks. Although cadaveric dissection is considered the gold standard for learning anatomy, student use of cadavers can become limited due to supervisory, ethical, accessibility, and financial constraints (Periya and Moro, 2019). In recent years, the evolution of technology has produced a virtual option for cadaver dissection (Washmuth et al., 2020). The anatomage virtual dissection table is a tool that could be used to increase knowledge of neuroanatomical structures and their spatial relationships …


Expansion Of Heart Failure Education From Hospital To Clinic, Abigail M. Fischer May 2023

Expansion Of Heart Failure Education From Hospital To Clinic, Abigail M. Fischer

Doctor of Nursing Practice Projects

Heart failure education is vital to the long-term management of this condition. Education recommendations for heart failure are given by the American Heart Association (AHA) and the American College of Cardiology (ACC). Recommendations include verbal instruction and written materials regarding the patient’s medication plan, recognition of symptoms, what to do when symptoms occur, and the importance of daily weights.

This project aimed to provide outpatient clinic providers and staff with resources and education necessary to educate heart failure patients. The project expanded use of an inpatient heart failure education packet for outpatient use. This was accomplished by conducting educational sessions …


Development Of Neuraxial Anesthesia Educational Videos For Nurse Anesthesia Students, Mackenzie Schutt, Kaylie Lajeunesse May 2023

Development Of Neuraxial Anesthesia Educational Videos For Nurse Anesthesia Students, Mackenzie Schutt, Kaylie Lajeunesse

Doctor of Nursing Practice Projects

Development of Neuraxial Anesthesia Educational Videos for Nurse Anesthesia Students

Kaylie LaJeunesse, BSN, RN, SRNA & Mackenzie Schutt, BSN, RN, SRNA

Performance and evaluation of anesthetic procedures, specifically neuraxial anesthesia, are core components of nurse anesthesia curriculums. Teaching methods must provide nurse anesthesia students with the proper tools and knowledge to perform skills confidently and proficiently. Traditional teaching methods have fallen short of providing the necessary instruction for optimal student success. Incorporating video-learning resources on neuraxial anesthesia into course curriculums can significantly improve nurse anesthesia practice by better-preparing students for the clinical setting. Video learning increases student engagement and facilitates …


Improvements In Cardiac Auscultation Utilizing Multisensory Learning In Medical Students: A Preliminary Study, Harrison Patrizio, Riley Phyu, Bum Kim, Nils V. Brolis May 2023

Improvements In Cardiac Auscultation Utilizing Multisensory Learning In Medical Students: A Preliminary Study, Harrison Patrizio, Riley Phyu, Bum Kim, Nils V. Brolis

Rowan-Virtua Research Day

Objective: To explore interweaving visual, auditory, and tactical stimulus into traditional education methods to improve cardiac auscultation teaching outcomes.

Methods: A pilot randomized controlled trial was conducted at our institution’s simulation center with 32 first year medical students from a single medical institution. Participants were randomly divided into two groups, and completed an educational module on identifying and understanding the pathophysiology of five common cardiac sounds. Participants in the control group (n=16) utilized traditional education methods, while the interventional group (n=16) incorporated visual, auditory, and tactical stimuli. Afterwards, participants listened to randomly selected cardiac sounds and competency data was collected …


Lecture Transcripts And Closed-Captioning: Addressing Ada And Udl At Rowan-Virtua Som, Steve Garwood, Dawn Shell, Jackie Giacobbe May 2023

Lecture Transcripts And Closed-Captioning: Addressing Ada And Udl At Rowan-Virtua Som, Steve Garwood, Dawn Shell, Jackie Giacobbe

Rowan-Virtua Research Day

At the Rowan-Virtua School of Osteopathic Medicine (SOM), recordings of all live lectures are available to students via the Echo360 Lecture Capture system. To improve the accessibility, usability, and usefulness of the recordings, beginning in the 2022-2023 Academic Year, we incorporated automated speech recognition (ASR) to create a transcript and closed-captioning for lecture recordings in the Synergistic Guided Learning (SGL) curriculum. For quality control, work-study medical students and volunteers reviewed and edited the transcripts and released updated versions for student use. Use and perceived impact were measured using a survey administered via Qualtrics. Eighty-eight percent of respondents indicated that adding …


An Occupational Therapy Guide To Regulation And Resilience In The Classroom, Catherine Newton, Jazminne Orozco-Arteaga May 2023

An Occupational Therapy Guide To Regulation And Resilience In The Classroom, Catherine Newton, Jazminne Orozco-Arteaga

Spring 2023 Virtual OTD Capstone Symposium

An occupational therapy educational program that focuses on increasing teachers' knowledge surrounding childhood trauma as well as promoting regulation and resilience in the classroom.


Live Well, Eat Well, Be Active With Diabetes Curriculum Improves Type 2 Diabetes Management, Lauren Amaya, Dana Baldwin, Kathy Enyart, Arleen James, Tommie M. James, Penny R. King, Jan Maples, Lindy Peterman, Sara Randolph, Dea Rash, Kelsey Ratcliff, Joy Rhodes, Jessica Riggin, Janis Risley, Danette Russell, Janice Hermann May 2023

Live Well, Eat Well, Be Active With Diabetes Curriculum Improves Type 2 Diabetes Management, Lauren Amaya, Dana Baldwin, Kathy Enyart, Arleen James, Tommie M. James, Penny R. King, Jan Maples, Lindy Peterman, Sara Randolph, Dea Rash, Kelsey Ratcliff, Joy Rhodes, Jessica Riggin, Janis Risley, Danette Russell, Janice Hermann

Journal of Extension

Type 2 diabetes is a complex disease with several modifiable lifestyle factors. The Extension ‘Live well, Eat well, be Active with Diabetes’ curriculum provides four 90-minute lessons teaching individuals to live well, eat well, and be active with diabetes. Fourteen Extension educators implemented and evaluated the curriculum with 107 participants. Participants reported the program helped them feel better able to take care of their health. We observed significant differences in participants’ retrospective pre and post ‘Live well,’ ‘Eat well’ and ‘be Active’ total scores. Extension has a unique opportunity to educate individuals so they may better manage their diabetes.


Building Inclusive And Welcoming Student Health Centers For Transgender Students, Corey N. Brisseau, Peter J. Ehrig, Erika L. Thomas, Sherry Mendez May 2023

Building Inclusive And Welcoming Student Health Centers For Transgender Students, Corey N. Brisseau, Peter J. Ehrig, Erika L. Thomas, Sherry Mendez

Research Day

INTRODUCTION:

While health, wellness, and healthcare are essential to every human being, not much is known about the health and healthcare experiences of transgender students on college campuses. Understanding these healthcare experiences are important because when we recognize them, we can establish a healthy relationship of trust. There is a growing number of transgender students on West Chester University campus, who felt they were not getting the appropriate support and care. As a result, a project was started at student health services to help transgender students effectively access sensitive and welcoming care and support.

METHODS:

To address the needs of …


An Overview Of Viruses And The Infamous Sars-Cov-2, Jake Sun May 2023

An Overview Of Viruses And The Infamous Sars-Cov-2, Jake Sun

The Confluence

Background information on viruses is first presented which include topics like evolution, ecology, history, identification, structure, and application. The novel SARS-CoV-2, which causes COVID-19, pandemic originated in Wuhan, China in December 2019. Millions of people were infected with the virus in a short time period causing urgent concern worldwide. The purpose of this review is to provide a brief and general understanding of the SARS-CoV-2 to increase awareness and actions toward preventive measures. COVID-19 is a (+) ssRNA spherical enveloped virion that causes primarily respiratory illnesses. The S protein interacts with ACE-2 receptors on the host cell to gain entry …


Simulation Scenarios For Nurse Practitioner Educators: A Faculty Guide, Priscilla Simms-Roberson, Amber Roache, Jenny Holcombe, Laurie Allen, Farron Kilburn, Leslie Moro, Megan England, Natalie Owsley May 2023

Simulation Scenarios For Nurse Practitioner Educators: A Faculty Guide, Priscilla Simms-Roberson, Amber Roache, Jenny Holcombe, Laurie Allen, Farron Kilburn, Leslie Moro, Megan England, Natalie Owsley

Open Textbooks

Simulation provides a safe environment for students to practice clinical and communication skills needed in advanced practice nursing. Faculty at the University of Tennessee at Chattanooga (UTC) formally incorporated simulation into the nurse practitioner (NP) program curriculum. The UTC NP simulation program was developed utilizing the Healthcare Simulation Standards of Best PracticeTM, Simulation Guidelines and Best Practices for Nurse Practitioner Programs, and the Association of Standardized Patient Educators (ASPE) Standards of Best Practice (SOBP) (International Nursing Association for Clinical Simulation and Learning [INACSL], 2021; Lewis, 2017; Lioce et al., 2020a). The 15 simulation scenarios were developed and integrated into the …


How To Collaborate And Not Just Coexist: An Explanatory Sequential Mixed Methods Study On The Impact Of A Physician And Nurse Interprofessional Education Program On The Development Of Early Career Pediatrician Communication Skills And Collaborative Behaviors Once In Practice, Elizabeth L. Wueste May 2023

How To Collaborate And Not Just Coexist: An Explanatory Sequential Mixed Methods Study On The Impact Of A Physician And Nurse Interprofessional Education Program On The Development Of Early Career Pediatrician Communication Skills And Collaborative Behaviors Once In Practice, Elizabeth L. Wueste

Theses & Dissertations

Healthcare organizations are challenged to build and develop interprofessional (IP) teams capable of delivering effective patient care (Tang et al., 2018). Historically, these multiple professional roles are not formally educated together but are all expected to work in unison once they enter practice (El-Hanafy, 2018). This lack of relational foundation has led to age-old conflict between the physician and nurse roles on the care team (Stein et al., 1990). This conflict has been attributed to a lack of role definition or an overemphasis on hierarchical structures, poor communication, and the inability of physicians to collaboratively work with their nurse counterparts …


Women’S Pornography Use And Sexuality Education In U.S. Public Schools, Julie Fraumeni-Mcbride May 2023

Women’S Pornography Use And Sexuality Education In U.S. Public Schools, Julie Fraumeni-Mcbride

Education (PhD) Dissertations

The relationship between sexuality education and self-reported pornography use is not well understood in the context of public policy and education. Little is known about women’s pornography use and the effects such exposure could have on female sexuality and well-being; therefore, this study sought to fill that gap. This study broadly examined the relationship between sexuality education in U.S. public schools and women’s pornography use to provide recommendations for future research and public policy. To do this, quantitative methods (i.e., Welch’s t tests for hypothesis testing and ANCOVAs for covariate elimination) were used in a sample of women who attended …


Interdisciplinary And Innovative: A Nursing And Computer Science Collaboration To Create A Barcode Medication Administration System, Jodi Lisbeth Berndt, Peter Ohmann, Imad Rahal, Lindsey Hoeschen, Andrew Rothstein May 2023

Interdisciplinary And Innovative: A Nursing And Computer Science Collaboration To Create A Barcode Medication Administration System, Jodi Lisbeth Berndt, Peter Ohmann, Imad Rahal, Lindsey Hoeschen, Andrew Rothstein

Nursing Faculty Publications

Preventing medication errors remains a priority in nursing education. The implementation of Barcode Medication Administration (BCMA) systems is one strategy that has been used to reduce medication errors. Practice using BCMA in simulated settings may enhance the transfer of these skills to the clinical practice setting. However, the purchase of BCMA educational products available for nursing students can be cost prohibitive for many nursing programs. To overcome the barrier of cost, an interdisciplinary and innovative collaborative approach was used to create a fully functional low-cost BCMA system.


Developing Mental Health And Wellness Awareness In Schools, Leah Wood May 2023

Developing Mental Health And Wellness Awareness In Schools, Leah Wood

Dissertations

The COVID-19 pandemic increased concerns for anxiety and depression in adolescents (Jones et al., 2021). As these concerns increased, students’ coping skills and mental health declined (Meherali et al., 2021). This mixed-methods study based in improvement science sought to develop mental health supports for teachers and students in a secondary setting. A mental health team convened for the purpose of this study completed a root cause analysis for a high school to determine the barriers to mental health supports. We identified the problem and potential barriers preventing proper mental health education and supports for teachers, students, and parents. The analysis …


Examining The Relationship Between Psychological Well-Being And Academic Performance Among First-Year College Students In A U.S. Mid-South University, Ya-Hsin Hsiao May 2023

Examining The Relationship Between Psychological Well-Being And Academic Performance Among First-Year College Students In A U.S. Mid-South University, Ya-Hsin Hsiao

Dissertations

This study examined the relationship between psychological well-being and college students. In addition, I looked at how COVID-19 impacted their psychological well-being. I used Ryff and Keyes’ (1995) 18-item Scale of Psychological Well-Being (SPWB-18) to measure participants' psychological well-being. Other demographic information such as race, gender, first-generation college student status, college readiness, and Pell Grant eligibility were collected from the WKU’s Institutes of Research.

Data were analyzed using multiple regressions that controlled for the effects of ethnicity, gender, first-generation status, and socioeconomic status. Moreover, the impact of COVID-19 on psychological well-being was evaluated and reported. In this dataset, the internal …


The Relationship Between Perception Of Barriers And Life Satisfaction As Mediated By Coping Efficacy, Lela L. Pickett May 2023

The Relationship Between Perception Of Barriers And Life Satisfaction As Mediated By Coping Efficacy, Lela L. Pickett

ETD Archive

This study examined the relationship between life satisfaction and perception of educational and career-related barriers. Perceived barriers threaten career development and can subsequently enhance negative appraisals of personal worth and ability. Coping efficacy, an individual's belief or confidence in their ability to manage and overcome challenging or stressful situations, was evaluated as a mediator of this relationship among a sample of 208 undergraduate college students.

The findings of this study suggest a significant negative relationship between the perception of barriers and life satisfaction, which indicates that individuals with higher levels of perceived barriers endorsed lower life satisfaction and vice versa. …


Effects Of Parental Alcoholism On Adolescent Development, Diana Michel-Gonzales May 2023

Effects Of Parental Alcoholism On Adolescent Development, Diana Michel-Gonzales

Whittier Scholars Program

Studies assessed the magnitude and specificity of parental alcoholism as a risk factor for internalizing symptomatology, externalizing symptomatology, and alcohol and drug use in adolescence. The results show that alcoholism is a moderate risk factor. The outcome measure has a different risk specificity. The risk of alcoholism is caused by parental psychopathology and environmental stress. The father's alcoholism was a risk for alcohol use that was beyond the effects of stress and family turmoil. The children of problem drinkers are affected by externalities. When designing and financing addiction treatment programs, long-term consequences of alcohol misuse should be taken into account. …


The Recruitment And Retention Of High School Sport Officials In Minnesota: An Exploratory Analysis, Zack Qual May 2023

The Recruitment And Retention Of High School Sport Officials In Minnesota: An Exploratory Analysis, Zack Qual

Master of Science in Kinesiology

The issue that this proposal study will address is the current officiating shortage for Minnesota State High School League (MSHSL) sanctioned events. High school games are being rescheduled and at times canceled altogether due to the lack of available registered officials needed to ensure games are officiated correctly and with quality. In order to address this problem, the purpose of this proposed study will be to explore the types of interactions, both positive and negative, that registered MSHSL officials have had with players, coaches, and fans at events they have officiated. To gather the data, an online survey would be …


Exploring Physician Assistant Students' Perceptions Of Stress And Help Seeking Behavior, Kayla Cetrone May 2023

Exploring Physician Assistant Students' Perceptions Of Stress And Help Seeking Behavior, Kayla Cetrone

Educational Studies Dissertations

Physician Assistant (PA) students, similar to other students enrolled in medical education, experience a variety of stressors throughout their education and training that can inhibit their academic and clinical success and affect patient care outcomes. The purpose of this mixed-methods research study was to explore PA students' and alumni's perceived stressors, their experiences of the stressors, and the help-seeking behaviors they employ and perceive as useful to address them. Following an explanatory sequential design, all PA students and alumni (n = 288) from one program in the northeast were invited to complete an anonymous online survey assessing their perceptions and …


The Effects Of Mental Health And Burnout In Medicine In Relation To The Wilson Model Of Leadership, Kevin Beck May 2023

The Effects Of Mental Health And Burnout In Medicine In Relation To The Wilson Model Of Leadership, Kevin Beck

Senior Honors Projects

The purpose of this project is to determine the effects that burnout and poor mental health can have on the ability of health care professionals to effectively do their job and lead others in medicine. Burnout, as defined by Merriam Webster, is “the exhaustion of physical or emotional strength or motivation usually as a result of prolonged stress or frustration.” This is a self-reported quantitative study analyzing information acquired via a survey to determine if there is a relation to burnout and poor mental health in medicine and the ability to effectively lead others and complete work tasks and this …


Program And Proceedings: Nebraska Academy Of Sciences 1880–2023, 143rd Anniversary Year, One Hundred-Thirty-Third Annual Meeting, April 21, 2023 May 2023

Program And Proceedings: Nebraska Academy Of Sciences 1880–2023, 143rd Anniversary Year, One Hundred-Thirty-Third Annual Meeting, April 21, 2023

Nebraska Academy of Sciences: Programs and Proceedings

Program

Aeronautics and Space Science

Humans Past and Present

Applied Science and Technology Section

Biology

Biomedical Sciences

Chemistry

Earth Sciences

Environmental Science

Physics

Science Education

2023 Maiben Lecture: Jason Bartz

2023 Friend of Science Award: Ray Ward and Jim Lewis


Measuring Awareness Of Spd And Interprofessional Collaboration And Practices Among Professionals In An Elementary Public School Setting, Kyra Resende May 2023

Measuring Awareness Of Spd And Interprofessional Collaboration And Practices Among Professionals In An Elementary Public School Setting, Kyra Resende

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

Sensory Processing Disorder (SPD) is a neurological condition in which the brain has trouble receiving and responding to sensory information, which can lead to sensory dysregulation (Rodden, 2023). Because everyone constantly receives sensory input, having SPD can impact a child’s life in numerous ways, such as academic and social success. Research indicates that 5% to 16% of students may have this neurological condition (Bunim, 2013), which is significant enough to expect that school professionals have appropriate awareness about SPD. Additionally, there is usually an overlap of professionals who serve students experiencing SPD, resulting in a need for interprofessional collaboration (IPC) …


A History Of The Representation Of Women In Clinical Trial: Implications For Modern Health Care, Madison Gulizia May 2023

A History Of The Representation Of Women In Clinical Trial: Implications For Modern Health Care, Madison Gulizia

Honors Program: Senior Projects (Public)

The male body is the medical baseline for all things regarding health care. Whether it is education or an actual trip to the doctor’s office, female bodies are still viewed as the “smaller male body.” The physiological differences in the male and female body range from the cellular level to whole body systems. These differences can mean millions of different things, depending on what avenue of discussion is taken. There are differences in the ways genes are expressed, leading to a variety in metabolic pathways, the digestive system, and the nervous system. A specific area that requires attention is the …


Importance Of Pelvic Floor Education And Rehabilitation Techniques For Adolescents And Young Adults: A Review, Katherine Laura Schmidt May 2023

Importance Of Pelvic Floor Education And Rehabilitation Techniques For Adolescents And Young Adults: A Review, Katherine Laura Schmidt

Honors Program: Senior Projects (Public)

The pelvic floor is the collection of many muscles forming what is often called the pelvic girdle. Understanding the different muscles and their roles is an important part of pelvic floor education. Although both males and females have pelvic floors, there is a lack of knowledge of basic anatomy seen in adolescents and young adults. This review analyzes the importance of providing more education for students about the pelvic floor, gives examples of common pelvic disorders for young adults, and provides details on the physical therapy rehabilitation techniques offered today to treat these conditions.


The Presence Of Childhood Obesity In Nebraska And The Physiological Repercussions Of The Disease, Madison R. Bezousek May 2023

The Presence Of Childhood Obesity In Nebraska And The Physiological Repercussions Of The Disease, Madison R. Bezousek

Honors Program: Senior Projects (Public)

Childhood Obesity can cause lifelong repercussions in children and adults. There has been stigma around the causes of obesity and its relation to lifestyle choices, without consideration of the genetic and syndromic causes. In this literature review the causes of obesity were investigated, along with the effect on the physiological systems and the enviornmental factors that are continuing the obesity epidemic. Preventing and treating lifestyle obesity is something that is seen to have the greatest effect on youth, especially with intergenerational obesity. Nebraska schools have implemented programs to encourage healthy living, and ongoing research is being implemented to reduce the …


Johnson & Johnson Strategic Audit, Hannah Headley, Lucy Peterkin, Ryan Nyffeler, Joshua Wiemers, Bailey Birkholtz May 2023

Johnson & Johnson Strategic Audit, Hannah Headley, Lucy Peterkin, Ryan Nyffeler, Joshua Wiemers, Bailey Birkholtz

Honors Program: Senior Projects (Public)

Johnson & Johnson (J&J) is a healthcare company that generates economic value from its three core business segments: Consumer Health, Pharmaceuticals, and Medical Devices. Recent innovations include new pharmaceutical products, remote clinical trials, automated patient recruitment, improved scientific and digital literacy amongst employees, and innovative digitized models for supply chain planning. J&J has a competitive edge in R&D efficiency, with a 4.35 return on research capital ratio. Sociocultural, technological, and economic factors will play a large role in changing the pharmaceutical industry environment, and J&J is well positioned to benefit from sources of growth such as the increase in aging …


Antimicrobial Resistance In Eskape Pathogens And Its Effect On Modern Medicine And Treatment, Cameran Runge May 2023

Antimicrobial Resistance In Eskape Pathogens And Its Effect On Modern Medicine And Treatment, Cameran Runge

Honors Program: Senior Projects (Public)

Abstract

ESKAPE pathogens (Enterococcus faecium, Staphylococcus aureus, Klebsiella

pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa, and Enterobacter

spp.) are seeing a growing resistance to multiple classes of antibiotics. Misuse and overuse of antibiotics have played directly into the resistance observed, and the problem is growing exponentially. Antibiotic resistance is partially due to several intrinsic factors limiting the drug's uptake. These include efflux pumps, increased biofilm production, and reduced cell wall permeability in the resistant bacteria. ESKAPE pathogens also acquire resistance through horizontal gene transfer and plasmids. As antibiotics have become less effective, the bacteria can continue to thrive, leading to a detrimental …


Education, Beliefs, And Health Literacy Of Care Providers On Mouth Care Of Older Adults, Molly Lakin May 2023

Education, Beliefs, And Health Literacy Of Care Providers On Mouth Care Of Older Adults, Molly Lakin

Honors Program: Senior Projects (Public)

Oral health is important to one’s overall health and quality of life as it can lead to chronic illnesses such as cardiovascular disease, stroke, and neurodegenerative disorders (Haumschild et al. 2021). In long-term care facilities, it is important that dependent older adults are provided mouth care to maintain their oral health and decrease their chances of developing a chronic illness; however, there are barriers affecting the level, quality, and quantity of mouth care being provided in these facilities. A survey was developed to look at the education, beliefs, and health literacy of care providers on providing mouth care in hopes …


A Review Of How Bioinformatics And Genome Sequencing Are Affecting Precision Medicine, Taylor S. Hickey May 2023

A Review Of How Bioinformatics And Genome Sequencing Are Affecting Precision Medicine, Taylor S. Hickey

Honors Program: Senior Projects (Public)

Advancement in genomic sequencing and bioinformatics methods have been affecting biomedical research through precision medicine, especially in the area of cancer. Vaccine therapies can be developed using neoantigens that target specific mutations in tumors. The goals of this research are to identify mutations that lead to cancer and then define subpopulations in which patients can easily be identified. The future goal is to have targeted vaccines that are specific to each subpopulation ready to be used in treatment of their cancer. Limitations to reaching these goals have been due to tumor heterogeneity, cancer location, and difficulty in creating neoantigens for …