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Articles 5971 - 6000 of 7278
Full-Text Articles in Medicine and Health Sciences
Mindfulness Based Interventions To Reduce Burnout And Ptsd Symptoms In Critical Care Nursing, Kelly A. Pellegrino, Libby M. Colley, Carly R. Fazendin, Emma R. Parrotta, Mollie Johnson
Mindfulness Based Interventions To Reduce Burnout And Ptsd Symptoms In Critical Care Nursing, Kelly A. Pellegrino, Libby M. Colley, Carly R. Fazendin, Emma R. Parrotta, Mollie Johnson
Non-Thesis Student Work
Within the medical field, nursing is a career that can be very taxing on both one’s physical and mental wellbeing, especially in regards to critical care. The life-threatening situations and strenuous work that critical care nurses are met with everyday make them especially susceptible to struggling with burnout, compassion fatigue, and PTSD-like symptoms. This not only puts their own safety at risk, but the safety of their patients as well. This raises the question: In critical care nursing, does the utilization of mindfulness based interventions, compared to no intervention, aid in the reduction of nursing burnout and PTSD symptoms? In …
Distraction Interventions And Play Therapy: Decreasing Fear And Anxiety In Hospitalized Patients Less Than 12 Years, Terence J. Olds, Jordan Conroy, Rebecca Rider, Julia Good, Hannah Peacock
Distraction Interventions And Play Therapy: Decreasing Fear And Anxiety In Hospitalized Patients Less Than 12 Years, Terence J. Olds, Jordan Conroy, Rebecca Rider, Julia Good, Hannah Peacock
Non-Thesis Student Work
Hospitalization can be a frightening experience for pediatric patients. Addressing these negative emotions greatly impacts their experience, wellbeing, and recovery process. It is crucial to understand and implement strategies that alleviate these negative emotions and promote healing during hospitalization. The authors will review two safe, effective, and reliable methods of alleviating fear and anxiety in hospitalized children under 12 years old; distraction techniques and play therapy. A literature search was conducted on CINAHL and PubMed using the following search criteria: child, youth, kid, play therapy, therapeutic play, anxiety disorders, generalized anxiety, hospital, acute setting, inpatient, and distraction. A total of …
Exploring The Influence Of Trauma-Informed Care On Pelvic Examinations For Women, Sarah Dodge, Madison Child, Madison Shirland, Chloe Smith, Claudia Fox, Grace Fernandez
Exploring The Influence Of Trauma-Informed Care On Pelvic Examinations For Women, Sarah Dodge, Madison Child, Madison Shirland, Chloe Smith, Claudia Fox, Grace Fernandez
Non-Thesis Student Work
Trauma-informed care (TIC) has become increasingly common in discussions regarding women’s health. TIC refers to a clinical approach that implements compassion, respect, and acknowledges the impact of trauma on patients. In the United States, pelvic exams are routinely performed on women over 21 for gynecological abnormalities. Many of these women present with histories of post-traumatic stress disorder, sexual violence, intimate partner violence, and other psychological comorbidities. These histories greatly influence women’s behaviors, including their likelihood to seek gynecological care in fear of being retraumatized. A literature search was conducted to determine the impact of TIC on the rates of women …
Student Clinical Judgment Skills Using The Clinical Judgment Measurement Model, Sara E. Carr
Student Clinical Judgment Skills Using The Clinical Judgment Measurement Model, Sara E. Carr
Non-Thesis Student Work
Nurses provide care to clients in complex situations. Nurses entering practice need greater confidence and skills to make sound clinical judgment decisions when caring for clients. A question arises: do structured clinical judgment activities based on the Clinical Judgment Measurement Model (CJMM) improve students’ clinical judgment skills throughout a semester simulation and clinical rotation? A literature search of EBSCOhost, CINAHL, Next Generation: NCLEX News, and article reference lists were used. Peer-reviewed articles published from 2018-2023 were reviewed, resulting in 13 articles being selected. The literature demonstrated that nursing schools work to prepare nurses for entry-level practice by designing a curriculum …
Riss Findings: Bullying Effect On Mental Health, Andrea Avila, Jonathan Noel, Kelsey Gately, Samantha Borden, Samantha R. Rosenthal
Riss Findings: Bullying Effect On Mental Health, Andrea Avila, Jonathan Noel, Kelsey Gately, Samantha Borden, Samantha R. Rosenthal
Student Research Design & Innovation Symposium
Background: The current study sought to identify individual and synergistic relationships between bullying victimization, perpetration, and mental health outcomes. Methods: Data from n=19,610 middle and high school students participating in the Rhode Island Student Survey were analyzed. Multivariable regression analysis was used to determine if being bullied in school, being cyberbullied, bullying others in school, and cyberbullying others were associated with depressive symptoms and suicide ideation. Synergistic effects across bullying modalities and bully involvement were also assessed. Results: Relative to students uninvolved in bullying, odds of suicide ideation were approximately 5 times greater among students who were both bullied in …
Subacute Ot Interventions Impact On Qol: Sci, Caitlyn Nicholson
Subacute Ot Interventions Impact On Qol: Sci, Caitlyn Nicholson
Student Research Design & Innovation Symposium
Individuals with a spinal cord injury (SCI) are commonly discharged from outpatient occupational therapy (OT) services after working on functional impairments and not occupations that are meaningful. Without rehabilitation of meaningful occupations, quality of life (QOL) can be impacted. In community settings, OT services have more flexibility to work on more meaningful occupations because they are not limited by the billing constraints in traditional outpatient therapy clinics. This poster presents a scoping review looking at traditional rehabilitation interventions and compares them with non-traditional rehabilitation interventions and their impacts on quality of life.
Parent-To-Parent Support Groups, Breanna Mendell
Parent-To-Parent Support Groups, Breanna Mendell
Student Research Design & Innovation Symposium
Research suggests a lack of support for parents of children diagnosed with neurodivergent conditions. Receiving a neurodivergent diagnosis can impact both the child and their caregiver’s mental health and well-being. Implementation of parent-to-parent support groups for caregivers of children with neurodivergent conditions have been found to reduce stress and anxiety. The more educated a parent is regarding their child’s diagnosis, the better they can effectively support and advocate for their child. This can create a reduction in stress and anxiety. Groups also provide a space for caretakers to empathize, express their emotions, and share the skills and knowledge they have. …
Dean's Update, January 2024, Neil W. Schluger
Dean's Update, January 2024, Neil W. Schluger
SOM Dean's Research Newsletter
No abstract provided.
A Study Protocol Testing Pre-Exposure Dose And Compound Pre-Exposure On The Mechanisms Of Latent Inhibition Of Dental Fear, Andrew L. Geers, Laura D. Seligman, Keenan A. Pituch, Ben Colagiuri, Hilary A. Marusak, Christine A. Rabinak, Natalie Turner, Sena L. Al-Ado, Michael Nedley
A Study Protocol Testing Pre-Exposure Dose And Compound Pre-Exposure On The Mechanisms Of Latent Inhibition Of Dental Fear, Andrew L. Geers, Laura D. Seligman, Keenan A. Pituch, Ben Colagiuri, Hilary A. Marusak, Christine A. Rabinak, Natalie Turner, Sena L. Al-Ado, Michael Nedley
Psychological Science Faculty Publications and Presentations
Background: Dental stimuli can evoke fear after being paired - or conditioned - with aversive outcomes (e.g., pain). Pre-exposing the stimuli before conditioning can impair dental fear learning via a phenomenon known as latent inhibition. Theory suggests changes in expected relevance and attention are two mechanisms responsible for latent inhibition. In the proposed research, we test whether pre-exposure dose and degree of pre-exposure novelty potentiate changes in expected relevance and attention to a pre-exposed stimulus. We also assess if the manipulations alter latent inhibition and explore the possible moderating role of individual differences in pain sensitivity.
Methods: Participants will be …
Unveiling The Therapeutic Garden Experience For People With Schizophrenia At A Rehabilitation In North Texas, Jeevita Sai Paspuneti
Unveiling The Therapeutic Garden Experience For People With Schizophrenia At A Rehabilitation In North Texas, Jeevita Sai Paspuneti
Landscape Architecture Masters & Design Theses
Therapeutic gardens have numerous benefits, including pain reduction, improved attention, stress reduction, and medical reduction (Urban et al.,2018). Green spaces have been shown to improve the physical, mental, social, and emotional health and well-being of those staying in healthcare facilities (Urban et al.; Greening,2022). Since the 1980s, research studies have discussed the therapeutic benefits of landscape design at healthcare facilities and the importance of sustainable practices in high-performance landscape design. Many successful and expensive landscape projects have been designed and constructed on hospital sites using healing gardens or sustainable strategies (Kaplan et al. S., 1989). However, researchers suggest additional empirical …
Developing A National Implementation Strategy To Accelerate Uptake Of Evidence-Based Family Caregiver Support In Us Cancer Centers, J Nicholas Odom, Heather M Young, Katherine Sterba, Timothy S Sannes, Susan Reinhard, Chandylen L Nightingale, Diane Meier, Tamryn F Gray, Betty Ferrell, Maria E Fernandez, Heidi Donovan, Kayleigh Curry, Erin R Currie, Tara Bryant, Marie A Bakitas, Allison J Applebaum
Developing A National Implementation Strategy To Accelerate Uptake Of Evidence-Based Family Caregiver Support In Us Cancer Centers, J Nicholas Odom, Heather M Young, Katherine Sterba, Timothy S Sannes, Susan Reinhard, Chandylen L Nightingale, Diane Meier, Tamryn F Gray, Betty Ferrell, Maria E Fernandez, Heidi Donovan, Kayleigh Curry, Erin R Currie, Tara Bryant, Marie A Bakitas, Allison J Applebaum
Journal Articles
OBJECTIVE: Characterize key factors and training needs of U.S. cancer centers in implementing family caregiver support services.
METHODS: Sequential explanatory mixed methods design consisting of: (1) a national survey of clinicians and administrators from Commission-on-Cancer-accredited cancer centers (N = 238) on factors and training needed for establishing new caregiver programs and (2) qualitative interviews with a subsample of survey respondents (N = 30) to elicit feedback on survey findings and the outline of an implementation strategy to facilitate implementation of evidence-based family caregiver support (the Caregiver Support Accelerator). Survey data was tabulated using descriptive statistics and transcribed interviews were analyzed …
Advancing Sepsis Clinical Research: Harnessing Transcriptomics For An Omics-Based Strategy - A Comprehensive Scoping Review, Asrar Rashid, Feras Al-Obeidat, Hari Krishnan Kanthimathinathan, Govind Benakatti, Wael Hafez, Raghu Ramaiah, Joe Brierley, Benjamin Hanisch, Praveen Khilnani, Christos Koutentis, Berit S. Brusletto, Mohammed Toufiq, Zain Hussain, Harish Vyas, Zainab A Malik, Maike Schumacher, Rayaz A Malik, Shriprasad Deshpande, Nasir Quraishi, Raziya Kadwa, Amrita Sarpal, M. Guftar Shaikh, Javed Sharief, Syed Ahmed Zaki, Rajesh Phatak, Akash Deep, Ahmed Al-Dubai, Amir Hussain
Advancing Sepsis Clinical Research: Harnessing Transcriptomics For An Omics-Based Strategy - A Comprehensive Scoping Review, Asrar Rashid, Feras Al-Obeidat, Hari Krishnan Kanthimathinathan, Govind Benakatti, Wael Hafez, Raghu Ramaiah, Joe Brierley, Benjamin Hanisch, Praveen Khilnani, Christos Koutentis, Berit S. Brusletto, Mohammed Toufiq, Zain Hussain, Harish Vyas, Zainab A Malik, Maike Schumacher, Rayaz A Malik, Shriprasad Deshpande, Nasir Quraishi, Raziya Kadwa, Amrita Sarpal, M. Guftar Shaikh, Javed Sharief, Syed Ahmed Zaki, Rajesh Phatak, Akash Deep, Ahmed Al-Dubai, Amir Hussain
All Works
Sepsis continues to be recognized as a significant global health challenge across all ages and is characterized by a complex pathophysiology. In this scoping review, PRISMA-ScR guidelines were adhered to, and a transcriptomic methodology was adopted, with the protocol registered on the Open Science Framework. We hypothesized that gene expression analysis could provide a foundation for establishing a clinical research framework for sepsis. A comprehensive search of the PubMed database was conducted with a particular focus on original research and systematic reviews of transcriptomic sepsis studies published between 2012 and 2022. Both coding and non-coding gene expression studies have been …
Dietary Knowledge And Eating Habits Among Patients With Type 2 Diabetes In Lebanon, Myriam Abboud, Cyrille Nacouzi, Zeina Chahine, Angelica Atallah, Mira Hleyhel
Dietary Knowledge And Eating Habits Among Patients With Type 2 Diabetes In Lebanon, Myriam Abboud, Cyrille Nacouzi, Zeina Chahine, Angelica Atallah, Mira Hleyhel
All Works
Little is known about the dietary knowledge (DK) and eating habits (EHs) of patients with type 2 diabetes (T2D) in Lebanon. Therefore, the aim of this study was to assess the DK and EH of the population with T2D and determine their associated factors. A cross-sectional survey enrolling 351 patients with T2D was carried out, using the snowball sampling technique. The survey used the UK Diabetes and Diet Questionnaire and the Dietary Knowledge questionnaire to assess participants' EH including the frequency of consumption of certain foods and their knowledge of food groups and food choices. While a higher DK index …
Impact Of Prolonged Exposure To Occasional And Regular Waterpipe Smoke On Cardiac Injury, Oxidative Stress And Mitochondrial Dysfunction In Male Mice, Naserddine Hamadi, Suhail Al-Salam, Sumaya Beegam, Nur Elena Zaaba, Ozaz Elzaki, Abderrahim Nemmar
Impact Of Prolonged Exposure To Occasional And Regular Waterpipe Smoke On Cardiac Injury, Oxidative Stress And Mitochondrial Dysfunction In Male Mice, Naserddine Hamadi, Suhail Al-Salam, Sumaya Beegam, Nur Elena Zaaba, Ozaz Elzaki, Abderrahim Nemmar
All Works
Regular waterpipe smoking (Reg-WPS) is well recognized for its deleterious effect on the heart. However, there is a paucity of experimental studies on the impact of occasional waterpipe smoking (Occ-WPS), also known as nondaily smoking, versus Reg-WPS on cardiac homeostasis, and the mechanisms underlying these effects. Hence, we aimed, in the present study, to investigate the effect of Occ-WPS (30 min/day, 1 day/week) versus Reg-WPS (30 min/day, 5 days/week) for 6 months on systolic blood pressure (SBP), cardiac injury, oxidative markers, chemokines, proinflammatory cytokines, DNA damage and mitochondrial function compared with air (control) exposed mice. Our results show that SBP …
Physical Health Of People With Mental Illness: A Snapshot Of Consumer Engagement In The Provision Of Care In Primary Care., Irene Ngune, Dianne Wynaden, Karen Heslop
Physical Health Of People With Mental Illness: A Snapshot Of Consumer Engagement In The Provision Of Care In Primary Care., Irene Ngune, Dianne Wynaden, Karen Heslop
Research outputs 2022 to 2026
Primary care is crucial to the health of people with mental illness. However, there is limited information on their reported engagement in this setting. This study surveyed 100 people with mental illness who had a general practitioner or a general practitioner and a case manager from a tertiary mental health service to determine their engagement level with their GP and what interventions they received to manage their health. Forty-four per cent had their psychotropic medications primarily prescribed by their GP, and 58% reported visiting their GP for physical health problems. Ninety-four point nine percent of participants aged 50 years and …
Variations In Strength-Speed-Power Performance Across The Season: Do True Changes Occur In Elite Rugby Players?, Irineu Loturco, Chris Bishop, Santiago Zabaloy, Túlio B. M. A. Moura, Maurício S. Ramos, Lucas A. Pereira, Michael R. Mcguigan
Variations In Strength-Speed-Power Performance Across The Season: Do True Changes Occur In Elite Rugby Players?, Irineu Loturco, Chris Bishop, Santiago Zabaloy, Túlio B. M. A. Moura, Maurício S. Ramos, Lucas A. Pereira, Michael R. Mcguigan
Research outputs 2022 to 2026
This study aimed to determine, through the use of a highly sensitive statistical tool, whether real changes in performance were present; and compare the rates of meaningful variations in strength, speed, and power parameters at different time-points during the competitive season in national team rugby players. Thirty-two players were assessed 5 times across the season using the following tests: squat jump and countermovement jump tests; 30-m sprint velocity; and one-repetition maximum (1RM) in the half-squat and bench-press exercises. A repeated-measures analysis of variance was conducted to test for differences between successive time-points. Individual coefficients of variation values were used to …
Winona State University Improving Our World Blog: 2013-2022, Winona State University
Winona State University Improving Our World Blog: 2013-2022, Winona State University
Winona State University Blogs
The Winona State University (WSU) Improving Our World Blog articles and entries from September 2013-February 2022. Note: there may be format coding in the document.
Winona State University Rochester Blog:2014-2023, Winona State University
Winona State University Rochester Blog:2014-2023, Winona State University
Winona State University Blogs
The Winona State University (WSU) Rochester Blog includes articles and entries from May 2014-March 2023. Note: there may be format coding in the document.
Winona State University Campus Life Blog: 2013-2022, Winona State University
Winona State University Campus Life Blog: 2013-2022, Winona State University
Winona State University Blogs
The Winona State University (WSU) Campus Life Blog includes articles and entries from October 2013- October 2022. Note: there may be format coding in the document.
Winona State University Wellness Blog: 2013-2023, Winona State University
Winona State University Wellness Blog: 2013-2023, Winona State University
Winona State University Blogs
The Winona State University (WSU) Wellness blog includes articles and entries from February 2013-February 2023. Note: there may be format coding in the document.
Developmentally Appropriate Care In The Neonatal Intensive Care Unit (Nicu), Ashten Cenkus
Developmentally Appropriate Care In The Neonatal Intensive Care Unit (Nicu), Ashten Cenkus
Graduate Theses, Dissertations, and Problem Reports
As specialized healthcare professionals educated in developmental care, occupational therapy practitioners (OTPs) have a role in educating, coaching, and assessing the needs of infants, their families, and the staff in the NICU. These high-risk and medically fragile infants require specialized care that considers the incorporation of neurodevelopment, neurobehavioral regulation, sensory stimulation, and motor development through supportive and appropriate interventions. A project addressing these needs across 14 weeks was implemented as part of an Occupational Therapy Doctoral (OTD) capstone experience at WVU Medicine Children’s in Morgantown, West Virginia. This project examined the results of the NICU staff's confidence, knowledge, and awareness …
Remote Multi-Person Heart Rate Monitoring With Smart Speakers: Overcoming Separation Constraint, Ngoc Doan Thu Tran, Dong Ma, Rajesh Krishna Balan
Remote Multi-Person Heart Rate Monitoring With Smart Speakers: Overcoming Separation Constraint, Ngoc Doan Thu Tran, Dong Ma, Rajesh Krishna Balan
Research Collection School Of Computing and Information Systems
Heart rate is a key vital sign that can be used to understand an individual’s health condition. Recently, remote sensing techniques, especially acoustic-based sensing, have received increasing attention for their ability to non-invasively detect heart rate via commercial mobile devices such as smartphones and smart speakers. However, due to signal interference, existing methods have primarily focused on monitoring a single user and required a large separation between them when monitoring multiple people. These limitations hinder many common use cases such as couples sharing the same bed or two or more people located in close proximity. In this paper, we present …
The Impact Of Technological Innovation On Deaf And Hard Of Hearing Communities, Mickayla Cooper Kwakye-Ndlovu
The Impact Of Technological Innovation On Deaf And Hard Of Hearing Communities, Mickayla Cooper Kwakye-Ndlovu
Honors College Theses
Over the past couple of decades, significant shifts have occurred in technological development. Among these advancements, the smartphone has emerged as an integral part of people’s daily lives, serving as a powerful tool for accessibility and global connectivity. This literature review explores the ways in which everyday communication technology is utilized by Deaf and Hard of Hearing (DHH) individuals and examines the impact of its development on these communities. The goal of the work is to investigate how the evolution of modern smartphones contributes to breaking down communication barriers for DHH communities. This review focuses on smartphone features that enhance …
Comparisons Of Unilateral And Limb Symmetry Indexes Between Fixed Dynamometry Testing Modes, Emily E. Frizzell
Comparisons Of Unilateral And Limb Symmetry Indexes Between Fixed Dynamometry Testing Modes, Emily E. Frizzell
Honors College Theses
Hamstring muscles strains are extremely common and can vary in severity. The biarticular structure of the hamstring groups is one reason that they are more susceptible to injuries. The recurrence of these injuries is also common even after they have been through a rehabilitation phase in their recovery. This project aims to compare and associate knee flexion and extension muscle performance characteristics between isometric, isotonic, and isokinetic assessment modes. These different modes of assessment will test analyze muscle performance under varying muscle lengths, movement velocities and biomechanical load modes. The data collected from this testing will be analyzed to see …
Assessing Bodily Location Of The Egocenter: Testing Content Validity Of The Dispositional Self-Location Questionnaire, Marie Sester
Assessing Bodily Location Of The Egocenter: Testing Content Validity Of The Dispositional Self-Location Questionnaire, Marie Sester
International Journal of Transpersonal Studies Advance Publication Archive
This study reports on preliminary work to develop a questionnaire for identifying self-location and test it against self-location as indicated on a human silhouette. Self-location, also known as the ego-center or the seat of attention, is the sense of where the “I” or subject is experienced relative to the body. Determining the location of the sense of self is of value since variations in self-location have been associated with differences in attitudes, motivations, and behaviors. A 14-item questionnaire was developed based on demonstrated characteristics of head-located self and heart-located self. Results showed greater than 90% congruence between self-location as determined …
Assessment Of Simultaneous Alcohol And Cannabis Use And Its Related Consequences And Cognitions In College Students: A Narrative Review, Jennifer L. Shipley, Abby L. Braitman
Assessment Of Simultaneous Alcohol And Cannabis Use And Its Related Consequences And Cognitions In College Students: A Narrative Review, Jennifer L. Shipley, Abby L. Braitman
Psychology Faculty Publications
As rates of students using cannabis continue to rise, simultaneous use of alcohol and cannabis (such that their effects overlap; commonly referred to as simultaneous alcohol and marijuana [SAM] use) is prevalent among college students who use both substances. Although research focusing on SAM use and related cognitions and consequences continues to grow, there are no common established measures, as approaches vary across studies. This narrative review identifies current methods for assessing SAM use and measures of SAM-related consequences and cognitions (motives and expectancies) among college students, evaluates how they were developed, identifies gaps in the literature, and provides recommendations …
The Art Of Healing From The Inside Out: A Memoir, Lauren Thelen
The Art Of Healing From The Inside Out: A Memoir, Lauren Thelen
Regis University Student Publications (comprehensive collection)
ABSTRACT
Name: Lauren Thelen Major: Health Care Administration The Art of Healing from the Inside-Out: A Memoir
Advisor’s Name: Anandita Mukherji, Ph.D. Reader’s Name: Melissa Bosworth, MS
The health care system is no stranger to many of us. From before we are born to our last days, we interact with health care settings and providers. This is a good thing--we receive care and feel better--or at least that is the case most of the time. What this statement does not acknowledge is that the health care system fails us, through inadequate communication, dialect barriers and inability to diagnose. The purpose …
The Relationship Between Self-Reported Depressive Symptoms At 3 Timepoints And Infant Sleep Practices At 6-Month Follow-Up In A Population Of Mothers In Santo Domingo, Ecuador, Kassidy Lane
Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)
Abstract
Background
Previous studies have linked maternal depression with poor infant sleep (e.g., waking up at night and infants having trouble settling to sleep). This study examined the relationship between maternal depressive symptoms at three time points and safe infant sleep at 6-month follow-up.
Methods
Data was collected from a randomized clinical trial including 100 women recruited from a health center in Santo Domingo, Ecuador during their third trimester of pregnancy. Log-binomial regression was used to estimate prevalence ratios (PR) and 95% confidence intervals (CI) of safe infant sleeping at 6 months among mothers who reported depressive symptoms at 3 …
Program Evaluation Case Study, Grace Mullikin
Program Evaluation Case Study, Grace Mullikin
Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)
Program evaluation case study utilizing Center for Disease Control and Prevention's Case Evaluation Framework.
Changes In Primary Care Availability In Appalachia, Whitney Beckett
Changes In Primary Care Availability In Appalachia, Whitney Beckett
Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)
The Affordable Care Act (ACA) was a groundbreaking moment in the United States healthcare system. It affected many different aspects of the system, including access to primary care professionals. Primary care professionals provide a key role in American’s health, especially when it comes to preventative care. With one-third of Americans experiencing barriers to such access, a solution is desperately needed to increase said access. These barriers are especially profound in low-income, underserved areas such as the Appalachian regions of Georgia, Kentucky, Tennessee, and West Virginia. The ACA attempted to increase access via Medicaid expansion; however, not all States expanded their …