Medicine and Health Sciences Commons^™

Mindspace: A Multi-Media Art Exhibition On C-Ptsd Awareness, Emma Wallace

Student Research Symposium

"Mindspace" is an autobiographical art exhibition aimed at raising awareness about Complex Post-Traumatic Stress Disorder (C-PTSD) through a multi-sensory experience. The exhibition combines sculpture, lights, sound, and video projection to immerse viewers in the intricate emotional landscape of C-PTSD. Through a series of sculptural installations and carefully curated lighting and audio, visitors are invited to explore the internal world of an artist affected by C-PTSD and learn how it differs from PTSD and other types of mental health issues.

“Mindspace" incorporates specially composed soundscapes that offer an intimate look into the artist’s thoughts and memories, which range from spoken word …

Interpersonal Experiential Learning And Cancer Research Training Designed To Enhance The Motivation Of Participating Interns Utilizing Self-Determination Theory: A Longitudinal Study With Photovoice Methodology, Alex Vazquez-Cortes, Dierdre Mckay, Connie Tran, Bridget Bugla, Tiffany Bui, Kaisa Holt, Anthony Phan, Clare Hansen, Amy Lin, Amanda Braley, Lisa Marriott Phd

Student Research Symposium

Historically, the underrepresentation of individuals from disadvantaged backgrounds, disabled, and diverse racial/ethnic groups in STEM fields is prevalent. Equity in stem fields allows for different perspectives and knowledge backgrounds allows for the cognitive diversity needed to tackle complex research topics. The Knight Scholars Program (KSP) aims to support underrepresented and disadvantaged high school and undergraduate students pursuing a research career by teaching them the tools they need to succeed. Spanning over three summers, KSP utilized the Self-Determination Theory (SDT) of motivation to create an inclusive learning environment and to strengthen the high schoolers' motivation to pursue research careers focusing on …

Impact Of Intersecting Vulnerabilities On Functional Outcome And Health-Related Quality Of Life After Traumatic Brain Injury: A Prospective Cohort Study, Rekesh Subedi, Tatiana Hoyos-Gomez, Luis Tinoco-Garcia, John Cervantes Cervantes

Student Research Symposium

Traumatic Brain Injury (TBI) is a critical public health issue that disproportionately affects select vulnerable populations, including race/ethnic minorities, low-income individuals, and those without health insurance. Despite high incidences of TBI and its considerable impact on morbidity and mortality, research is limited in addressing how the intersectionality of vulnerabilities contributes to outcomes post-TBI. This literature review aims to synthesize existing knowledge regarding Social determinants of health (SDH) on TBI outcomes, focusing on functional recovery and health-related quality of life (HRQOL). This study will use a prospective cohort research design where TBI patients at Oregon Health and Science University (OHSU) will …

Evaluation Of Sleep Outcomes After Traumatic Brain Injury In Children Using Questionnaires And Actigraphy, Connie Tran, Sydney Weese, Cydni Williams Md

Student Research Symposium

Traumatic brain injuries are the result of a sudden external blunt force to the brain and can result in long-term complications or death. In pediatrics, it is the leading cause of acute and chronic sleep wake disturbances, as well as cognitive deficits, which can lead to a reduction in the quality of life. These impairments can later result in lowered performance in work and school settings or decreased psychosocial function. Although there is sufficient evidence that traumatic brain injuries contribute to is that it is unknown whether or not sleep wake disturbances contribute to an increase in the mentioned cognitive …

Impact Of Testosterone Therapy On Voices In Trans-Masculine People: A Scoping Review, Samuel E. Hedine, Jeff Conn, Deanna Britton

Student Research Symposium

Treatment of trans people by speech-language pathologists (SLPs) dates back to at least the 1980s. However, the majority of early research on the voices of trans people focused on trans-women. More recently, the field of speech-language pathology has garnered more interest in the effects of testosterone therapy in trans-masculine individuals. The goal of this project is to review current research, and compile the known effects of testosterone therapy in the trans-masculine population on common acoustic indices of voice production, including fundamental frequency (pitch), decibels/sound pressure level (dB SPL; loudness) and cepstral peak prominence (voice quality). A scoping literature search was …

Impact Of Mindfulness-Oriented Recovery Enhancement On Pain And Disability In Patients With Chronic Lumbosacral Radiculopathy: Results From An Rct, Danielle Zuzero

Student Research Symposium

Lumbosacral Radiculopathy (LR), also known as sciatica, is a common type of radiating neurologic pain in the lower extremities with an estimated lifetime prevalence as high as 43%. The goal of this randomized control trial was to determine the impact of virtually delivered Mindfulness-Oriented Recovery Enhancement (MORE) on patients with LR. Participants were randomized to MORE sessions or treatment-as-usual (TAU) for 8 consecutive weeks, pain intensity was collected daily via email. At baseline and follow-up visits, participants completed questionnaires of disability, quality of life, depression, mindful interpretation of pain, and train mindfulness. Patients undergoing MORE sessions had greater improvement in …

Feesability Of Laryngeal Endoscopy Simulation Labs In Student Training: A Scoping Review, Anna Thut

Student Research Symposium

Fiberoptic Endoscopic Evaluation of Swallowing (FEES) involves passing a flexible endoscope through the nose and down the throat to provide a detailed view of the throat, airway, and vocal folds. With the scope in place, people can eat and drink, allowing the clinician to evaluate for safe swallowing. Speech-Language Pathologists (SLP) use FEES for diagnostic evaluation and to gauge therapy progress and effectiveness. Simulation training on a low or high-fidelity model may provide a bridge for SLP graduate students to gain competency before being introduced to FEES in a clinical setting. This review aims to gather evidence on the use …

Describing Shen & Shen Ming Via A Hybrid Quantum Computational Model, Alex M. Cullen, Johnny Lemau

Student Research Symposium

Definitions for Traditional Chinese Medicine (TCM) terminology within the context of quantum biology (QB) have recently been proposed. These definitions aim to elucidate concepts such as qi meridians in TCM. Our study presents a hypothesis that seeks to provide an operational definition for Spirit (Shen) and Bright Spirit (Shen Ming) in TCM via a scoping review. We propose that Shen represents physical, phenomenological proto-consciousness/consciousness in the forms of computation, such as singular particles/bits/qubits, computers, organisms, or computational strategies, whereas Shen Ming may refer to emergent, quasi-physical meta-proto-consciousness/consciousness formed by coherent relationships of multiple orchestrated/integrated units of computation; manifesting itself as …

Exploring Speech Experiences, Cpib Scores, And Aac Assessment Experiences Of Autistic Aac Users With Intermittent, Unreliable, Insufficient, And/Or Expensive Speech, Karina Rayl, Pang Lee Herr, Brandon Eddy, Amy Donaldson, Stephanie Fuller, Alyssa Zisk

Student Research Symposium

There is growing evidence from the perspectives of speaking autistic people that augmentative and alternative communication (AAC) supports their self-expression and communicative agency. Despite the evidence supporting the communication effectiveness of AAC, autistic adults have reported that professionals often prioritized speech as the ideal communicative method rather than offering AAC as a communication option. This study will investigate autistic adults’ AAC assessment experiences and explore whether a modified version of the Communication Participation Item Bank (CPIB) self-rating questionnaire could be an effective tool to document the internal states of intermittent, unreliable, insufficient, and/or expensive speech. Surveys will be distributed to …

Respiratory-Swallowing Coordination In Motor Neuron Disease: A Scoping Review, Mariam Z. Mansoor

Student Research Symposium

Respiratory-swallowing coordination (RSC) is essential for providing efficient breathing and optimal swallowing function. Most commonly used methods of measuring RSC include nasal thermistry, and respiratory inductance plethysmography (RIP) to determine direction and durations of airflow. Outcome measures include swallow apnea duration (SAD) and respiratory phase pattern (RPP), i.e., direction of airflow pre- and post-SAD. The goal of the current project was to conduct a scoping literature review of RSC, focusing on the motor neuron disease (MND) population, including people with amyotrophic lateral sclerosis (ALS). A multi-engine literature search was conducted in 2023-24 via PubMed and Google Scholar. No limitations were …

Hide & Cru-Seq: Investigating Potential Crucivirus Hosts With Fluorescently Labeled Protein, Marcell Devaune Richard, Nacho De La Higuera, Jono Abshier, Ken Stedman

Student Research Symposium

Cruciviruses are DNA viruses that contain a capsid protein that shares striking similarities to capsid proteins from RNA viruses. Formerly known as “RNA-DNA hybrid viruses”, this novel type of viruses suggest gene exchange between unrelated RNA and DNA viruses. However, the hosts of cruciviruses remain unknown. To investigate this groundbreaking virus genome further, utilization of the predicted viral host recognition domain (P-domain) fused to a thermal green protein and a histidine tag, allows investigation of crucivirus hosts in environments where these viruses have been discovered. Using cruciviruses that have been found in soil samples on the PSU campus, along with …

Second Language Impacts On First Language Processing, Natalie Robison, Sarah C. Creel, Sarah Elkington, Judith Kelholt, Amy Lin, Carolyn Quam

Student Research Symposium

This line of research investigates attrition (loss of fluency) of native Mandarin language (L1) proficiency with increasing proficiency in English. English uses pitch to denote intonation (e.g., “it’s there?” versus “it’s there!”), while Mandarin uses pitch to indicate word meanings; e.g., /he/ means “drink” with a high, level tone, or “river” with a rising tone. The present study delineates between two alternative explanations for the prior finding (Quam & Creel, 2017) that English proficiency correlates with attrition of Mandarin tones, but not vowels. This pattern could be explained by 1) language assimilability (L1-L2 Assimilability Hypothesis), or 2) by tone being …

Considering The Historical And Systemic Context, To What Extent Are Cuban Women’S Healthcare And Reproductive Rights Affected By The Privacy And Social Influence Of Cuba Today?, Autumn Cowell

Student Research Symposium

This paper will examine how historical and systemic values continue to frame social influences thus impacting Cuban women’s healthcare and reproductive rights. If the impact of history and systems still affects social influences then Women’s Healthcare and Reproductive Rights may be compromised. This investigation will highlight the potential benefits and risks of historical and systemic values that have affected challenges or changes within Cuban culture. And how these social influences are found within the areas of prevention, intervention, and treatment. This paper hopes to outline how the Cuban government and society are sustaining the protection of Cuban women’s access to …

Understanding Variation In Provider Referral Rates To Early Intervention For Children With Developmental Delays, Gabriella Tangkilisan, Zoe Kilmer, Michelle Owens, Benjamin Sanders, Katharine Zuckerman

OHSU-PSU School of Public Health Annual Conference

Background:

Early detection and treatment of developmental disabilities (DD), including Autism Spectrum Disorder (ASD), improves language, IQ, and adaptive outcomes. Guidelines recommend immediate referral to Early Intervention (public developmental therapy services) upon positive ASD/DD screening in infant/toddler well child checks. However, children screening positive for ASD/DD are not always referred for Early Intervention services. This project aimed to understand why pediatricians do and do not refer children with positive DD/ASD screens to early intervention.

Methods:

We conducted qualitative interviews with pediatricians who participated in a randomized trial investigating family navigation for children with autism risk. We determined pediatrician referral rates …

Impact Of Two Shift Schedules On Post-Shift Blood Pressure In Firefighters, Ayeisha H. Haswarey

OHSU-PSU School of Public Health Annual Conference

Background: Firefighters have an increased risk of cardiometabolic disease compared to the general population. Blunted blood pressure (BP) dipping during nocturnal sleep is associated with increased cardiometabolic disease morbidity/mortality. Shift work can alter diurnal BP oscillation, but the extent of alteration by different schedules remains debated. No study to date has examined firefighting shift schedules, necessitating a longitudinal evaluation to begin to understand their implications for cardiometabolic health. Thus, this preliminary analysis compares how two common schedules (24/48 hours on/off vs. 1/3/2/3 days on/off) impact post-shift BP and dipping in 20 firefighters.

Methods: 20 participants (10% female; 25-54 years of …

Transgender And Non-Binary Health In Oregon Under A Single-Payer Health System, Amy (Mick) L. Mcveety (They/She)

OHSU-PSU School of Public Health Annual Conference

As the state with the highest percentage of population who identifies as LGBTQ+, Oregon has a duty to provide adequate health protections and services to its transgender and nonbinary (TGNB) residents, particularly given the disparities TGNB individuals face in housing, employment, education, and health. Following recommendations from the Oregon Joint Task Force on Universal Health Care, Oregon should implement a single-payer health care system, with particular attention to:

1. Protecting patient privacy in EHR and other systems, particularly for youth TGNB patients;
2. Expanding the covered gender-affirming services and removing barriers such as cost-sharing and prior authorization, and;
3. Recruiting TGNB providers and …

Gender Affirming Surgery And Pain In Adolescents: Teen And Parent Experiences, Corrin Murphy, Eleanor Battison, University Of Rhode Island, Anna Wilson Phd

OHSU-PSU School of Public Health Annual Conference

Background: Adolescents seeking gender affirming medical care face unique biopsychosocial challenges, including experiences of discrimination and stigma. Transgender and gender diverse (TGD) adolescents often undergo gender affirming surgery (GAS). While there is an increase in GAS for TGD adolescents in the U.S., little is known about the pain experiences in the post-surgical period among these youth. There have been no studies to our knowledge that examine the psychological functioning of parents and their ability to handle their child's distress, which may be affected by their child's post-GAS pain experiences. Parental responses to their children’s pain and distress may, in turn, …

Exploring Decolonial And Indigenous Mental Health Framework And Practice To Address Complex Trauma Among Palestinian Youth Living Under Violence Of Settler-Colonialism, Vivian L. Duong, Corrin Murphy

OHSU-PSU School of Public Health Annual Conference

The growing settler colonial project of Israel forced indigenous Palestinians to flee from their homeland to further the Zionist movement of establishing a Jewish-majority state. The forced dispossession and displacement of Palestinians at this time was referred to as the Nakba, or catastrophe (Masalha, 2002). From 1947 and 1949, approximately 750,000 Palestinians from a population of 1.9 million were made refugees (Al Jazeera, 2017). Also referred to as the ethnic cleansing of Palestine, Zionists forcibly took over 78 percent of Palestine, destroyed about 530 villages and cities, and killed around 15,000 Palestinians including more than 70 massacres (Al Jazeera, 2017). …

Determinants Of Modern Contraceptive Use Among Young Women In Ghana: A Mixed-Methods Study Design, Adjoa N. Manu

OHSU-PSU School of Public Health Annual Conference

Background: Only 20% of sexually active women aged 15-24 in Ghana used contraception during their last sexual intercourse. Young women are highly exposed to the risks associated with having unprotected sexual intercourse, such as unintended pregnancy and sexually transmitted infections.

Objective: To use an explanatory sequential mixed-methods design to examine the determinants of modern contraceptive use among young women in Ghana using population-based data and identify the types of contraceptive methods the population know and use.

QUAN Design: Analysis of the 2017 Ghana Maternal Health Survey data, a nationally representative cross-sectional survey.

QUAN Findings: The male …

Investing In Family Planning, Education, And Empowering Of Women And Girls To Mitigate The Impact Of Climate Change: An Exemplary Case Of Rwanda., Adjoa N. Manu

OHSU-PSU School of Public Health Annual Conference

Countries where population growth is high are often highly impacted by the climate crisis despite not being a significant contributor to historical greenhouse gas emissions. This has created a global inequality in that countries with poorly developed infrastructure are 15 times more likely to have deaths due to climate related disasters such as floods, droughts, and storms compared to wealthy countries that can better protect against similar events. While the climate crisis impacts everyone, women and girls are at a higher risk because of their unique health needs and roles in the community. The effects of climate change can be …

Impact Of Industrial Disasters On The Mental Health Of Vietnamese Americans On The Gulf Coast, Vivian L. Duong

OHSU-PSU School of Public Health Annual Conference

An explosion on the Deepwater Horizon oil rig caused 200 million gallons of crude oil to spill on the Gulf Coast over a five-month span. About 16,000 miles of coastline, ecosystem and marine life along Alabama, Florida, Louisiana, Mississippi, and Texas were contaminated. This disaster and the recovery process caused social, financial, and ecological shocks, resulting in adverse psychosocial and physical health outcomes, health disparities, and socioeconomic inequality. Among the oil spill's most affected and vulnerable populations are the Vietnamese American communities that settled on the Gulf Coast after the end of the Vietnam War in 1975. The plight of …

Map The System: Presence And Impact Of Ppcps In Water, Emma Vandermeulen, Ruby Mitchell

OHSU-PSU School of Public Health Annual Conference

In a changing climate, there is growing emphasis on protecting our water sources and developing systems for conserving and reusing water. While many contaminants of concern are monitored and addressed by water treatment systems, pharmaceuticals and personal care products (PPCPs) are generally not accounted for. PPCPs in water systems have been an increasing concern as detection of these products has increased over the last few decades. Studies have been exploring the impact of antibiotics, antidepressants, contraceptives, and other anthropogenic products on our water system and how these substances interact with local ecosystems. Our main research questions are to understand what …

Qualitative Evaluation Of Medical Student Perceptions Of Chronic Disease, Mallory A. Decampos-Stairiker, Viviane Cahen, Sarah Dzubay, Saffron Evergreen, Rachel Shore

OHSU-PSU School of Public Health Annual Conference

Background:
Chronic disease is becoming increasingly common around the world. Students in different US medical training programs are exposed to varying amounts of chronic disease education and are taught unique ways of approaching chronic disease management. The purpose of this study is to investigate allopathic and naturopathic medical students’ attitudes, understandings, and perceptions of chronic diseases and their management.

Methods:
This study was conducted as a class project for UNI 504: Qualitative Methods for Health Professionals. We conducted virtual interviews during February 2023 with five allopathic and five naturopathic medical students from around the United States. Demographic information on …

Housing Quality In Philadelphia, Pa: An Urban Health Equity Indicators Approach, Jennifer Piacentini

OHSU-PSU School of Public Health Annual Conference

Philadelphia is also the poorest large city in the country, and many residents live in substandard housing. Poor housing quality is associated with poor physical health outcomes as well as mental health issues (Schilling et al., 2022). Many homes in Philadelphia are of poor quality partially due to the median house age being 93 years, and the fact that 75% of homes are more than 50 years old (Jay, 2017). It has also been found that Black households are disproportionately impacted by housing quality issues. The Habitat for Humanity Philadelphia’s Home Repair programs are invaluable, and work with homeowners to …

Consensus Panel For Assessing Usability And Acceptability Of Mobile Health Autism Screeners, Gabriella Tangkilisan, Luis Andres Rivas Vazquez, Sarabeth Broder-Fingert, Plyce Fuchu, Benjamin Sanders, Katharine Zuckerman

OHSU-PSU School of Public Health Annual Conference

Abstract:

Background:

Parents go online to assess whether their child has symptoms of autism. Though early autism identification is important, language, cultural, and technological barriers may impede equitable access to online autism screening tools.

Objective:

To create consensus recommendations for equitable design of autism screening apps and websites using an online panel of parents, autistic self-advocates, health and educational providers, autism researchers, and online screening tool developers.

Methods:

We invited 6 parents (4 of autistic and 2 of typically-developing children), 2 autistic adults, 3 early intervention providers, 3 pediatric primary care providers, and 3 autism online screening app/website developers to …

Client-Reported Quality Of In-Facility Medication Abortion Compared With Pharmacy-Based Self-Managed Abortion In Bangladesh, Laura E. Jacobson Mph, Sarah E. Baum, Erin Pearson, Rezwana Chowdhury, Nirali M. Chakraborty, Julia Goodman, Caitlin Gerdts, Blair Darney

OHSU-PSU School of Public Health Annual Conference

Objective: We used the newly developed Abortion Care Quality (ACQ) Tool to compare client-reported quality of medication abortion care by modality (facility-based versus pharmacy-based self-managed abortion (SMA)) in Bangladesh.

Study Design: We used the abortion client ACQTool exit and 30-day follow-up surveys and bivariate statistics to compare 18 client-reported quality indicators grouped in six domains and eight abortion outcomes, by service modality. We used multivariable logistic regression to identify factors associated with selected quality indicators and outcomes (abortion affordability, information provision, and knowing what to do for an adverse event), controlling for client socio-demographic characteristics.

Results: Of 550 abortion clients, …

Telehealth Family Navigation For Early Autism Services Access: The Autism Alert Project, Mohadeseh Solgi, Avneet Sidhu, Annie Hoang, Alicia Feryn, Joseline Raja-Vora, Patricia Cavanaugh, Michelle Tae, Eric Fombonne, Katharine Zuckerman

OHSU-PSU School of Public Health Annual Conference

Background: Delays in access to educational services for autism are common and more likely among children from families of color and/or with low income. In-person family navigation accelerates autism diagnosis; however, the effectiveness of telehealth autism diagnostic navigation is unknown.

Objectives: To test preliminary feasibility and efficacy of a telehealth autism navigation program.

Method: This was a site-randomized pilot trial of autism family navigation for Oregon children in 2021-2022. The intervention used layperson family resource specialists based at Oregon’s Help Me Grow program as navigators for families of children with autism symptoms. Pediatric clinics with >30% Medicaid, located in 5 …

Barriers And Supports For Stem Motivation For Pacific Islander High School And Undergraduate Students, Shanthia N. Espinosa, Alma M. O. Trinidad, Lisa K. Marriott

Student Research Symposium

Pacific Islander (PI) students disproportionately come from low socioeconomic backgrounds and are often first-generation college students. PI students have been historically underserved with limited access to educational resources and support. As a result, PI students face low student retention rates and have reported dissatisfaction with higher education student services. There is little research dedicated to understanding the STEM experiences of PI students related to access, success, and motivational resilience in higher education. This study examines barriers and facilitating factors for motivation among PI students using electronic surveys, focus groups, and group discussions. Participants comprise high school and undergraduates residing in …

Inclusive Approaches For Measuring Demographics Of Underrepresented Populations In Stem And Biomedical Research Training Programs, Stephanie E. Paris, Teala W. Alvord, Brandy Lentz, Mollie C. Marr, Angie Setthavongsack, Alexis Dinno, Jae Downing, Aaron Raz Link, Dawn M. Richardson, Shanthia N. Espinosa, Phuc T. Nguyen, Lisa K. Marriott

Student Research Symposium

Federal strategic plans call for increased diversity within the biomedical workforce. The National Institutes of Health (NIH) defined underrepresented populations in biomedical science (NOT-OD-20-031), though operationalization remains a challenge for training programs. Implementing inclusive demographic measures may help to identify key demographic groups facing barriers to participation and retention in STEM programs and the biomedical workforce. Approaches for measuring demographic variables were sourced from scientific literature and research stakeholders. Gender, race/ethnicity, disability, and disadvantaged background were prioritized for comparison given their focus by NIH, with opportunities for stakeholders to identify additional demographic variables important in their work. Gender minorities, sex …

Augmentative And Alternative Communication Course Design And Features: An Analysis Of Course Syllabi And Calendars, Celine Goodbody, Hosanna Broderick, Brandon Eddy

Student Research Symposium

Augmentative and alternative communication (AAC) is an area of clinical practice that supplements or compensates for impairments in speech-language production and/or comprehension (ASHA, n.d.). A survey study by Johnson and Prebor (2019) found 86% of graduate speech-language pathology (SLP) programs offered an AAC course, though half (49%) suggested their students were underprepared to provide AAC services. High-quality graduate training, including AAC coursework, has been suggested as a solution to prepare clinicians to provide AAC services. Recently, Sauerwein and Burris (2021) surveyed AAC course instructors at accredited SLP graduate programs to analyze AAC course design features. Sixty-four (24.2%) programs responded to …