Medicine and Health Sciences Commons^™

Ethical Concerns For Remote Computer Perception In Cardiology: New Stages For Digital Health Technologies, Artificial Intelligence, And Machine Learning, Kristin Kostick-Quenet, Jerry Estep, Jennifer S Blumenthal-Barby

Center for Medical Ethics and Health Policy Staff Publications

No abstract provided.

Advocacy Spotlight: Sen. Sam Singh, Mda Legislator Of The Year, Neema Katibai Jd

The Journal of the Michigan Dental Association

Sen. Sam Singh, Michigan Senate Majority Floor Leader and MDA Legislative Achievement Award recipient, discusses oral health priorities and legislative successes. In an interview, Singh highlights the passage of SB 280, which ensures oral health assessments for kindergarteners, and SB 281, which enhances network leasing transparency. Singh emphasizes the importance of oral health in overall well-being and bipartisan support for these initiatives. He credits the Michigan Dental Association for its advocacy and advises dentists to engage in advocacy through associations and direct communication with elected officials.

The Role Of Soft Infrastructure In Developing Sustainable Volunteer-Based Healthcare For Transient Migrants In The El Paso-Ciudad Juárez Border Region, Daniel Avitia

Open Access Theses & Dissertations

No abstract provided.

Examining The Effects Of Acute And Chronic Stress On The Interrogative Suggestibility Of Young Adults, Claudia Cota

Open Access Theses & Dissertations

High-stress situations, like police interrogations, can hinder an individual's decision-making and critical-thinking ability (Liston et al., 2009), making them more susceptible to suggestive or leading messages during questioning. While research on suggestibility mainly focuses on children and adolescents, young adults may also be vulnerable to suggestion because of their sensitivity to social feedback (Blakemore & Mills, 2014; Redlich & Goodman, 2003). Since the legal consequences of suggestibility for young adults are more severe than for children or adolescents, it is essential to examine the role of stress in young adults' suggestibility. The present study used objective and subjective methods to …

Reflection And Connection: Trauma-Informed Yoga And Its Aid In Trauma Healing In Female Identifying College Students, Gabrielle V. Sandoval

Graduate Theses and Dissertations

Traumatic experiences affect female identifying folks at an unequal rate compared to other populations. Trauma-informed yoga (TIY) has become a popular intervention for treatment of symptoms related to trauma. By utilizing tenets such as meditation, intentional movement, and trauma-informed language and positioning, this practice focuses on the mind-body-connection to establish feelings of safety. Although trauma education and interventions are becoming commonly implemented on college campuses, there is a gap in implementation and empirical studies evaluating such campus programs. To explore how TIY could aid this population, a four-week yoga intervention was created. Four participants engaged in a weekly TIY class …

Family Accommodation In Children And Adolescents With Misophonia, Eric A Storch, Andrew G Guzick, Johann D'Souza, Jane Clinger, Daphne Ayton, Minjee Kook, Conor Rork, Eleanor E Smith, Isabel A Draper, Nasim Khalfe, Catherine E Rast, Nicholas Murphy, Marijn Lijfijjt, Wayne K Goodman, Matti Cervin

Center for Medical Ethics and Health Policy Staff Publications

Family accommodation (e.g., reassurance, modifying routines, assisting avoidance) has not been explored among youth with misophonia but may have important clinical and intervention implications. We examined family accommodation in 102 children and adolescents with interview-confirmed misophonia and compared its frequency and content to family accommodation in 95 children and adolescents with anxiety disorders. Findings showed that family accommodation was ubiquitous in pediatric misophonia and may be even more frequent than in youth with anxiety disorders. Assisting the child, participating in misophonia-related behaviors, and modifying family routines were endorsed by more than 70% of parents of children with misophonia. Further, compared …

Parent-Led Cognitive Behavioral Teletherapy For Anxiety In Autistic Youth: A Randomized Trial Comparing Two Levels Of Therapist Support, Andrew G Guzick, Sophie C Schneider, Minjee Kook, Julia Rose Iacono, Saira A Weinzimmer, Troy Quast, Sean M Olsen, Killian Rainey Hughes, Emily Jellinek-Russo, Amanda Perozo Garcia, Abigail Candelari, Leandra N Berry, Robin P Goin-Kochel, Wayne K Goodman, Eric A Storch

Center for Medical Ethics and Health Policy Staff Publications

Parent-led cognitive behavioral therapy (CBT) is an efficient, promising form of therapy that may be well suited for autistic youth with anxiety disorders, though to date it has been minimally tested. In this study, 87 autistic youth (7 to 13 years old) with anxiety disorders and their parents were randomized to two forms of parent-led CBT in which parents led their child through a guided CBT workbook across 12 weeks: one with low therapist contact (four 30-minute telehealth calls), and one with standard therapist contact (ten 60-minute telehealth calls). Anxiety, functional impairment, and autism features significantly declined across therapy, without …

Primary Care Employees' Knowledge And Self Efficacy About Human Trafficking, Mollie Zehmer

Graduate Theses and Dissertations

Human trafficking is a worldwide issue that is detrimental to individuals, families, and communities. However, it is a hidden issue, and without proper training, it goes unnoticed. Many primary care employees do not know much about trafficking or how to identify trafficked persons, but with proper training they could potentially help clients that are trafficked persons. The purpose of this quasi-experimental study was to determine if human trafficking training would increase primary care employees’ knowledge and self-efficacy about human trafficking. The training included topics such as general knowledge, risk factors, identifiers, and the role of healthcare employees. Participants in the …

How And Why Foster Care Impacts Maltreated Youths' School Performance, Mallory Constantine

Lincy Institute Events

Youth mistreated within the foster care system are more likely to miss school as compared to non-maltreated peers. A single report of child maltreatment has a rapid and negative effect on school attendance and causes serious, long-term effects on school performance. A report of maltreatment substantiated by the department of family and child services removes a youth from a foster home and places the child in an alternative setting. These disruptions in foster care often result in additional problems with school behavior, achievement, and attendance. This lecture will explore how disruptions in foster care affect school behavior and performance and …

Maternal Age And Inadequate Prenatal Care In West Virginia: A Project Watch Study, Madelin Gardner, Amna Umer, Brian Hendricks, Toni Marie Rudisill, Candice Lefeber, Collin John, Christa Lilly

Journal of Appalachian Health

Introduction: Adequate prenatal care (PNC) is essential to the overall health of mother and infant. Teen age and advanced maternal age (AMA) are known risk factors for poor birth outcomes. However, less is known about whether these age groups are associated with inadequate PNC.

Purpose: This study sought to determine the potential association between maternal age (in groups, aged 20–24, 25–29, 30–34, 35–39, and >40) and inadequate PNC (visits).

Methods: West Virginia (WV) Project WATCH population-level data (May 2018–March 2022) were used for this study. Multiple logistic regressions were performed on inadequate PNC (less than 10 visits) with maternal age …

The Organization Of Irrational Beliefs In Academic Burnout, Diniy Hidayatur Rahman, Yuliati Hotifah, Irene Maya Simon, Ariya Kuha, A Fathorrazi

Jurnal Kajian Bimbingan dan Konseling

From the Rational-Emotive Behavior Therapy (REBT) perspective, irrational beliefs are posited as the primary catalysts for a myriad of problems, including academic burnout. This study aims to examine the theoretical model of irrational beliefs organization in academic burnout. The hypothesized model delineates the following pathways: (1) from demandingness (DEM) to academic burnout (BURN) via catastrophizing (CAT); (2) from demandingness (DEM) to academic burnout (BURN) via low frustration tolerance (LFT); and (3) from demandingness (DEM) to academic burnout (BURN) via self-depreciation (DEP). To achieve the aim, the study employed a causal relationship design. 424 subjects obtained by stratified random sampling participated …

Goal Commitment As Mediator Of Relationship Between Emotional Intelligence And Career Decision Difficulties Among Vocational High School Students, Thalia Zamira, Puji Lestari Suharso

Jurnal Kajian Bimbingan dan Konseling

Vocational high school students were provided with a curriculum designed to facilitate their transition into the workforce. Elicitation studies have indicated that vocational high school students experience difficulties in making career decisions. The internship program is designed to enhance students' emotional intelligence and goal commitment, thereby preventing career decision-making difficulties. This research aims to investigate the mediating effect of goal commitment in the relationship between emotional intelligence and career decision-making difficulties. This quantitative correlational research was conducted in a vocational high school in Bogor with a total of 173 participants using a self-report questionnaire of CDDQ, TEIQue-SF, and HWK Scale. …

Cultural Intelligence Profile Of Junior High School Counsellors And Its Implication On Multicultural Counseling, M Ramli, Nur Mega Aris Saputra, Ulfah Muhayani

Jurnal Kajian Bimbingan dan Konseling

The diversity of ethnicities, religions, and races that exist in Indonesia contribute to the country's characterization as a nation with a multitude of cultures. In the context of the relationship between counselor and counselee, cultural diversity is a significant concern. The comprehension, awareness, and work behavior of the counselee's cultural diversity is indicative of the counselor's cultural intelligence. The concept of cultural intelligence is a crucial aspect that counselors must consider when providing multicultural counseling services. The objectives of this research are to determine the description of counselors' cultural intelligence and its application in multicultural counseling. The research employed a …

Navigating Diverse Career Paths: Students’ Perception On Career Counseling Need In Islamic Universities, Faizah Binti Awad, Muh. Shaleh, Anita Rezki, Arlita Aristianingsih Jufra, Horst Tonn-Meller

Jurnal Kajian Bimbingan dan Konseling

This research aims to explore the needs of career counseling services for students in different majors in Islamic universities, and identify how these services can be tailored to meet their unique needs. A mixed-methods approach was used to collect and analyze data from undergraduate students in diverse majors at an Islamic university in Kendari. The study found that students in certain majors require more specific counseling, such as information on job market trends and technical skills development. Additionally, the study suggests that career counseling services can be tailored to meet the specific needs of students in diverse majors by providing …

Trilogies: Lessons From 50 Years Facilitating Community-Based Health Assessments And Planning In Appalachia, Bruce Behringer

Journal of Appalachian Health

Involvement of community and organizational groups is fundamental to most public ventures. Most social, health, economic, and educational improvements in Appalachia have been characterized by successfully integrating community input and finding ways to encourage organizational change and collaboration.

Managing group process and related facilitation skills are fundamental competencies for public health professionals and others guiding change efforts. Groups from communities and organizations can get stalled in their deliberations; a facilitator frequently must think quickly to diagnose the situation and propose alternative approaches. Creative and flexible approaches, learned through practice experiences, can blend with theories and frameworks learned in academic preparation …

Alterations In Brain Morphometric Networks And Their Relationship With Memory Dysfunction In Patients With Type 2 Diabetes Mellitus, Rye Young Kim, Yoonji Joo, Eunji Ha, Haejin Hong, Chaewon Suh, Youngeun Shim, Hyeonji Lee, Yejin Kim, Jae-Hyoung Cho, Sujung Yoon, In Kyoon Lyoo

Faculty, Staff and Student Publications

Cognitive dysfunction, a significant complication of type 2 diabetes mellitus (T2DM), can potentially manifest even from the early stages of the disease. Despite evidence of global brain atrophy and related cognitive dysfunction in early-stage T2DM patients, specific regions vulnerable to these changes have not yet been identified. The study enrolled patients with T2DM of less than five years’ duration and without chronic complications (T2DM group, n=100) and demographically similar healthy controls (control group, n=50). High-resolution T1-weighted magnetic resonance imaging data were subjected to independent component analysis to identify structurally significant components indicative of morphometric networks. Within these networks, the groups’ …

Treatment At An Academic Medical Center Eliminates Survival Disparities For Appalachian Kentuckians With Pancreatic Ductal Adenocarcinoma, Emily Cassim, Hannah Mcdonald, Megan Harper, Quan Chen, Miranda Lin, Reema Patel, Michael Cavnar, Prakash Pandalai, Bin Huang, Pamela C. Hull, Joseph Kim, Erin Burke

Journal of Appalachian Health

Introduction: Rates of cancer mortality in Appalachian Kentucky is among the highest in the nation. It is unknown whether geographic location of treatment for pancreatic ductal adenocarcinoma (PDAC), one of the deadliest cancers worldwide, influences survival in Appalachian Kentuckians.

Purpose: This study compares outcomes among Appalachian Kentuckians with PDAC who received treatment at an academic medical center (AMC) or community facility (CF).

Methods: Using the Kentucky Cancer Registry, patients diagnosed with PDAC between 2003 and 2018 were identified. Patients were categorized according to treatment location (AMC v. CF) and county of residence (Appalachian v. non-Appalachian). Kaplan-Meier curves were constructed to …

Check With The Intended Audience First! Content Validation As A Method For Inclusive Research For Primary Care Engagement In Rural Appalachia, Sydeena E. Isaacs, Jennifer Schroeder Tyson, Ashley Parks, Danielle Adams

Journal of Appalachian Health

Introduction: To date, referral practices based on social determinants of health (SDOH) among primary care providers (PCPs) and clinic staff in rural regions, including Appalachian North Carolina (NC), are not well understood.

Purpose: This study aims to develop and content validate a primary care engagement (PCE) survey to assess (1) engagement and burnout; (2) referral practices; and (3) self-efficacy and confidence in making referrals based on SDOH among PCPs and clinic staff in Appalachian NC.

Methods: Using the Social-Ecological Model as a theoretical framework, researchers developed a 37-item PCE survey. Content validation was completed by a panel of experts recruited …

Effect Of Taper And Pitch On Nickle-Titanium File With Variable Cross Section To Its Cyclic Fatigue (In Silico Study), Yustika Chrysandra, Tunjung Nugraheni, Wignyo Hadriyanto

Journal of Dentistry Indonesia

The geometric design of an endodontic file includes cross-sectional shape, taper, and pitch. NiTi endodontic files of OneCurve (MicroMega) are made of two variations of cross-sectional shape, that is, double-s shaped and triple helix. Various kinds of modifications were made to increase the resistance of the NiTi endodontic files from fracture. Cyclic fatigue is the most common factor that causes a fracture of the endodontic file. Objective: The purpose of this study was to obtain a NiTi endodontic file design that has the best cyclic resistance value based on its taper size and number of pitch. Methods: This …

Epidemiology Of Bruxism And Temporomandibular Joint Disorders (Tmd) In Iranian Adults: A Cross-Sectional Study, Parviz Amini, Maryam Sharifi, Reyhane Aftabi, Fatemeh Jahanimoghadam, Hamidreza Jahanimoghadam

Journal of Dentistry Indonesia

Objective: The prevalence of bruxism in the literature has been reported differently. The aim of this study was to assess the prevalence of bruxism in patients aged 25–40 who were referred to Kerman Dental School. Methods: This analytical descriptive cross-sectional study was performed on 320 patients referred to the Department of Oral Medicine of Kerman Dentistry Faculty in the age range of 25 to 40 years old. The prevalence of bruxism as well as TMJ disorders were evaluated. Data were collected in a questionnaire and entered into SPSS version 24. Analyzing was done by a chi-square test at …

Investigation Of The Effect Of The Covid-19 Pandemic On Anxiety Levels And Career Satisfaction Of Dentistry Students, Furkan Kır, Ata Batuhan Bayrak, Mediha Büyükgöze-Dindar

Journal of Dentistry Indonesia

Objective: This study aimed to investigate the effect of the COVID-19 pandemic on the anxiety levels and career satisfaction of dentistry students. Methods: A total of 220 dentistry students were included in the study. A questionnaire was mailed to dentistry students at Trakya University between June 2021 and January 2022. Beck Anxiety Inventory (BAI) was used to evaluate anxiety levels. Data were analyzed, and p < 0.05 was considered statistically significant. Results: The mean BAI scores of the participants were 14.6 ± 13.6. The anxiety levels of the females were significantly higher than the males (p = 0.004). There was a significant relationship …

Determinant Factors Of Academic Stress: A Study Of First-Year University Students In Indonesia, Ade Herdian Putra, Zadrian Ardi

Jurnal Kajian Bimbingan dan Konseling

Academic stress can reduce academic performance in first-year university students. Based on theoretical studies and previous research, three factors are predicted to influence academic stress: academic self-efficacy, life satisfaction, and happiness. This study analyzes the correlation of academic self-efficacy, life satisfaction, and happiness with first-year university students' academic stress. This research uses a quantitative approach with correlational methods and path analysis. The participants in this research were 720 first-year university students in Indonesia. The research instruments used were the Academic Self-Efficacy Scale, Life Satisfaction Scale, Happiness Scale, and Academic Stress Scale. Research data was collected online and then analyzed using …

Family Values And Verbal Bullying Among Secondary School Adolescents In Uyo Local Education Committee, Gertrude Jeremiah Udoh

Jurnal Kajian Bimbingan dan Konseling

This study was to determine the relationship between family values and verbal bullying among secondary school adolescents in Uyo Local Education Committee. Two research questions were raised, and two hypotheses formulated and tested at .05 level of significant. A correlational survey design was adopted while the population of the study comprised all 6,613 senior secondary Two (SS2) students in the fifteen (15) public secondary schools in the study area. A sample size of 378 senior secondary two (SS2) was selected for the study using Taro Yamane sampling formulae. To get adequate sampled schools, balloting method of random sampling was used …

Effectiveness Of Group Guidance With Group Investigation Learning Model To Develop Students' Assertiveness, Muya Barida, Gefira Nurchairunnissa, Wahyu Nanda Eka Saputra, Aprilia Setyowati, Ediyanto Ediyanto, Adi Atmoko

Jurnal Kajian Bimbingan dan Konseling

Adolescents require assertiveness in socializing and interacting with their social environment in order to be able to express themselves well. However, there are still many adolescents who have not been able to express their thoughts, feelings, and hopes. This research aims to test the efficacy of group guidance services using the group investigation learning model to increase adolescent assertiveness. This research uses a one-group pretest-posttest research design to achieve the research objectives. The research subjects were six students at State Junior High School. The techniques and instruments used for data collection were an assertiveness scale. The assertiveness scale was tested …

Validity And Reliability Of Self-Concept Instrument Using Rasch Model, Meyliani Latifah, Ipah Saripah, Dodi Suryana, Yaya Sunarya

Jurnal Kajian Bimbingan dan Konseling

The development of instruments designed to assess student self-concept is crucial. This understanding of self-concept is based on the premise that it is a dynamic and ever-evolving construct. The concept of self-concept is initially conceived as a unidimensional structure but subsequently evolves into a multidimensional construct. The present study assesses the validity and reliability of the newly developed self-concept instrument. In Indonesia, there is a paucity of research that employs the Rasch Model to examine self-concept instruments, particularly in the context of the junior high school population. The objective of this study was to analyze the self-concept instrument using the …

Co-Designing Of Patient Safety Incident Disclosure Process In Primary Healthcare System In Qatar, Nawal Khattabi, Reena Francis, Reem Abdul Malik, Amal Al Ali, Mariam Abdul Malik

Patient Experience Journal

The importance of disclosing a patient safety incident to the patient involved is recognized. In Qatar, there is no legal requirement for disclosure. The primary health care system in Qatar includes 30 health centers located around the country, managed by the Primary Health Care Corporation (PHCC). Over 63 nationalities of staff deliver care in the health centers, many coming from countries where a disclosure policy is not implemented, and staff would be reluctant to disclose an incident to a patient for fear of reprimand. Many patients who receive care in the health centers come from countries where the health system …

Covid-19 Vaccine Perception And Hesitancy Among Uninsured Free Clinic Patients, Samin Panahi, Brenda Spearman, Justine Sundrud, Mason Lunceford, Akiko Kamimura

Patient Experience Journal

There are many complexities regarding the acceptance of COVID-19 vaccines, mainly because the COVID-19 vaccine had a fast track of development compared to vaccines developed in the past years. The purpose of this study is to understand COVID-19 vaccine perception and hesitancy among uninsured free clinic patients using the theory of planned behavior. This study had seven focus groups with 37 total participants, including 19 Spanish speakers. Free clinic adult patients (over the age of 18) participated in four focus groups during Summer of 2021. The average age of the participants was 44.7, and the majority of the participants self-identified …

Acceptability Of A New Remote Monitoring Service For Patients With Covid-19 Infection Using Wearable Biostickers™: A Mixed Methods Study, Lynne Maher Dr, Lisa K. Blake Mrs, Karol J. Czuba Dr, Mary E. Seddon Dr

Patient Experience Journal

The COVID-19 pandemic saw rapid adoption of telehealth, including remote patient monitoring (RPM). There is limited evidence about how patients and staff experience such services in New Zealand. This study aimed to understand the acceptability of the RPM experience, particularly for Maori and Pacific peoples, and identify strengths, gaps, and limitations to inform future delivery of services. A mixed methods study was undertaken between 4 July and 11 September 2022 in Auckland. We conducted telephone surveys with patients and semi-structured interviews with patients and staff. Survey, and clinical and administrative data were analysed descriptively using SPSS. Interviews were analysed using …

“Not Your Father’S Heart”: How Healthcare Discrimination For Neurodivergent Patients Taught Me About The Human Experience, Cate Murphy

Patient Experience Journal

It is easy to assume all patients who come into a hospital for acute crisis care have a clear understanding of how their experience will be facilitated. When a patient is neurodivergent, they cannot always agree to needed intervention. This is exacerbated by the “poor timing” of questions portrayed to impact the critical care received, sometimes irreparably. This is my story of watching my young, active partner suffer two massive heart attacks and refuse intervention because he was ashamed to admit he had not seen a doctor in over thirty years. Due to his neurodivergence, he could not process questions …

Investing In The Bottom Line: The Value Case For Improving Human Experience In Healthcare, Jason A. Wolf, Vishal Bhalla, Brian Carlson, Jennifer Carron, Lanie Dixon, Julie K. Oehlert, Brant J. Oliver

Patient Experience Journal

Investment in human experience is imperative for healthcare organizations. It is a strategic focus that can lead to great benefits. Those that overlook experience, seeing it as “simply” about satisfaction or survey data, do so at great cost to their organization, team members, and most importantly those we serve – patients. A commitment to human experience – integrating the patient, workforce, and community experience – is essential for all healthcare organizations in realizing the goals they strive for and the impact they aspire to achieve. It leads to high-quality outcomes for those they care for. It creates a positive environment …