Medicine and Health Sciences Commons^™

Compression Therapy In A Patient With Lymphedema Bilateral Lower Extremities And Heart Failure: A Case Report, René Thomas

Internet Journal of Allied Health Sciences and Practice

Introduction: Patients with heart failure may develop secondary lower extremity lymphedema, yet evidence to guide compression therapy in this population is limited. This case highlights clinical decision-making in applying compression within a medically complex scenario.

Case Presentation: A 75-year-old female with chronic heart failure and multiple comorbidities presented with severe bilateral lower extremity lymphedema and reduced mobility. Interventions included compression therapy, manual lymphatic drainage, breathing exercises, and skin care education, delivered by a physical therapist with advanced cardiopulmonary and lymphedema training. Edema reduction was achieved; however, therapy was discontinued due to signs of cardiac decompensation requiring medical management.

Conclusion:This …

Beyond Walking: Exploring Functional Use Of Exoskeletons In The Home Environment, Sue D. Dahl-Popolizio, Adam M. Story, Thomas Hartman, Lacee Andrews, Jennifer Radziak, Angela Zhu, Joelly Lobato De Faria Otd, Ms, Otr/L

Internet Journal of Allied Health Sciences and Practice

Purpose: This pilot study was completed to determine whether individuals with paraplegia can perform activities of daily living (ADL) and instrumental activities of daily living (IADL) in their homes using a personal exoskeleton. The physiological effects of using an exoskeleton for these tasks were investigated as well. Methods: In this mixed-methods observational study, participants with paraplegia were observed using an exoskeleton to complete ADLs and IADLs in their homes. Performance and satisfaction with performance were measured before and after home exoskeleton use with the Canadian Occupational Performance Measure (COPM). The level of importance of completing ADLs and IADLs to the …

Beyond Tuition: Understanding The Financial Impact Of Full-Time Clinical Education On Doctor Of Physical Therapy Students, Michelle L. Donahue

Internet Journal of Allied Health Sciences and Practice

Purpose: The physical therapy literature has explored the cost and affordability of a Doctor of Physical Therapy (DPT) education; however, academic and clinical educators may lack a nuanced understanding of the costs students incur to complete their full-time Clinical Education (CE) experiences. This study explored expenses beyond course credits during a full-time CE experience. As this was the first exploratory study on this topic, the aim was to gather information from a diverse sample of participants about the costs associated with a CE experience and the perceived financial burden. Method: A survey was developed and administered to collect quantitative and …

Towards Primary Health Care Education Reform: A Reflexive Thematic Analysis Of Nursing Supervisors' Perceptions, Experiences And Challenges, Debbie Procter, Mccullough, Debbie Massey, Karen Strickland

Research outputs 2022 to 2026

Aim: To explore Primary Health Care nurses' experiences of supervising nursing students on clinical placements and their perceptions of academic preparation for placement and future employment. Background: Primary Health Care nurses are essential workers within sustainable health systems but pre-registration educational preparation and access to clinical experiences can be limited. Previous research correlates positive clinical experiences with workforce intentions. Furthermore, nursing supervisors are pivotal to maximising student experiences and education, yet little is known about their perceptions, challenges, and views about how current curriculum prepares students to commence professional careers in primary care. Understanding their perceptions may inform curriculum, improve …

Neurochemical Impact Of Psychostimulants: Longitudinal Mri Analysis Of Brain Iron Content In Children With Adhd, Hugo A.E. Morandini, Sjoerd B. Vos, Paola Chivers, Tim J. Silk, Pradeep Rao

Research outputs 2022 to 2026

Background: Attention Deficit/Hyperactivity Disorder (ADHD) is a common neurodevelopmental disorder in school-aged children and has been associated with impaired brain iron homeostasis. Evidence has shown that psychostimulant treatment may affect brain iron content in children with ADHD, however, longitudinal evidence remains limited. The present longitudinal study investigated the effect of psychostimulant treatment duration and age at treatment onset on brain iron content in children with ADHD. Methods: Neuroimaging and phenotypical data were collected from the publicly available Oregon ADHD-1000 dataset. After screening, data from 29 psychostimulant-medicated children with ADHD and 38 neurotypical children were included. Individual General Estimating Equation (GEE) …

International Competency And Regulatory Standards In Osteopathic Practice: A Comparative Documentary Analysis Of Regulated And Formally Recognised Jurisdictions, Lee Muddle, Gopi Anne Mcleod, Loïc Treffel, Oliver P. Thomson, Ana Paula A. Ferreira, Brett Vaughan

Research outputs 2022 to 2026

Objective: To compare competency standards and regulatory expectations for osteopathic practice across jurisdictions where the profession is formally regulated or recognised as a healthcare profession. Methods: A documentary analysis was undertaken across regulated and formally recognised jurisdictions. National competency frameworks, regulatory standards and professional guidance documents were identified through regulatory and professional body websites and direct contact with relevant organisations. Nineteen national competency, regulatory or professional framework documents from 17 jurisdictions were included. The World Health Organization Benchmarks for Training in Osteopathy and EN16686 Osteopathic Healthcare Provision were included as international comparison points. Data were extracted using a structured template …

Optimizing Nanoparticle Quality And Function In Applied Research, Angela M. Fried

Dissertations, Theses, and Capstone Projects

Radiology tests are among the fastest-growing categories of diagnostic analysis, and the gold standard of radiology tests is MRI.  MRI can be more informative if a contrast agent is used, and the standard of care contrasting agents (CA) are gadolinium-based.  Gadolinium is a heavy metal, toxic, and contraindicated for renal-compromised patients and the critically ill.  We propose a nanogel (NG) vehicle for an alternative organic CA.  CNs like 4-hydroxy-2,2,6,6-tetramethylpiperidin-1-oxyl (TEMPOL) and its derivatives have a variety of medical and industrial uses.  These cyclic CNs are stable, synthetic radicals with distinctive EPR/ESR signals and are helpful for various experimental applications, from …

Parenthood And Re-Appraisal Of Childhood Maltreatment, Gayathri Cheran

Dissertations, Theses, and Capstone Projects

Background: Child maltreatment is associated with poorer physical and mental health outcomes across the lifespan.  Individuals’ appraisals of childhood maltreatment have important implications for these outcomes.  Appraisal is shaped by biological, psychological, and social-cultural factors, each of which undergoes change in parenthood.  Parenthood may prompt re-appraisal of childhood maltreatment in that being a parent evokes one’s experience of being parented.

Hypotheses: (1) Re-appraisal will be more likely in parents than non-parents.  In parents, re-appraisal will be more likely among: (2) primiparous parents, (3) parents with offspring of the same sex, and (4) parents who experienced maltreatment older in childhood (at …

New York City Women’S Experiences With Perinatal Depression Inquiries, Diagnosis, And Treatment Initiation, Caterina Pisciotta

Dissertations, Theses, and Capstone Projects

Perinatal depression represents a significant public health concern, yet many women who experience depression symptoms during the perinatal period (either during pregnancy and/or after birth) do not receive treatment. Initiatives, such as ThriveNYC, were designed to address these gaps by screening and treating perinatal women for maternal depression, integrating screening into routine perinatal care and strengthening pathways to treatment. Using representative survey data collected between 2016 and 2021 via the Center for Disease Control and Prevention’s Pregnancy Risk Assessment Monitoring System (PRAMS), this study examined trends in perinatal depression inquiries (a proxy for “screening”) and postpartum diagnosis, as well as …

The History Of Communal Water Fluoridation And Its Continued Safe And Efficacious Use Today, William J. Maloney

Bulletin of the Ninth District Dental Association

The profession of dentistry consistently strives to better the oral and dental conditions of people throughout the world. This is accomplished in a variety of ways- improving dental materials, refining and developing new technologies and educating the public on matters which affect their health. In order to achieve these beneficent goals dentistry relies on evidence-based facts and science.

Unfortunately, there will always be a segment of society which puts forth assertions that are not based on solid evidence. Communal water fluoridation has been a safe and effective public health effort to decrease humanity’s suffering from dental caries for decades. This …

Ada Commons: Connecting Dentists To Research, Publications And History, Alisun Dekock

Bulletin of the Ninth District Dental Association

Are you curious about what’s going on at other ADA state and local associations? Perhaps you are faced with a unique clinical or business question and wondering if your peers have written about a similar experience. ADA Commons is a new resource designed to help answer those questions.

September 2026, Swosu Rural Health Center

RURAL ROCKS

Introducing Hilltop Health: Connecting Campus, Community & Care

This fall marks an exciting new chapter for SWOSU Hilltop Health as services and partnerships continue to grow within the Jerry & Margaret Hodge College of Pharmacy and Rural Health Center. Designed to create a more connected approach to health and wellness, Hilltop Health brings together healthcare access, prevention, education, and community resources while creating new opportunities for collaboration across SWOSU and western Oklahoma.

Unique Pharmaceutical Laboratories (A Div. of J. B. Chemicals & Pharmaceuticals Ltd.) Issues Voluntary Nationwide Recall of Cetirizine Hydrochloride Tablets USP 5 mg Due to Potential Cross Contamination …

Endocarditis Caused By Candida (Candidozyma) Auris, Farah Ebrahim, Mzee Ngunga, Abdulaziz Abeid, Hilda Nasibwa, Newnex Mongare, Rodney Adam

Internal Medicine, East Africa

Candida (Candidozyma) auris has emerged as a hospital-acquired pathogen and was first reported in East Asia in 2009. Infective endocarditis due to C. auris has been rarely reported, while other Candida species account for < 2% of infective endocarditis (IE) cases. Herein we report three cases of endocarditis caused by C. auris , including a native aortic valve, a native tricuspid valve, and a prosthetic valve. Each of these cases had been in healthcare settings months to years earlier that were the likely sources of their infec- tions. These cases suggest the possibility for indolent but life-threatening infections from C. auris . ©2026 The Authors. Published by Elsevier Ltd on behalf of International Society for Infectious Diseases.

Strategies To Improve Outcomes Of Obstetric Emergencies In Sub-Saharan Africa: A Scoping Review, Serah Wachira, Ruth Wagathu, Beth Waweru, Rose Maina, Abednego Ongeso, Constance Sibongile Shumba, Benard Mutwiri, Diana Mbattude, Cliff Aliga, Lucy Kisaka, Peter Gatiti

School of Nursing & Midwifery, East Africa

Background: Obstetric emergencies remain a leading cause of maternal morbidity and mortality in sub-Saharan Africa (SSA) despite increased access to facility-based deliveries and emergency obstetric care. Improving outcomes requires not only life-saving clinical interventions but also effective health system strategies. This review mapped published evidence on strategies used to improve outcomes of obstetric emergencies in SSA.

Objective: This scoping review aimed to identify strategies reported in the literature to improve outcomes of obstetric emergencies in SSA.

Methods: The review was reported in accordance with PRISMA-ScR. A comprehensive electronic search of PubMed, CINAHL, SCOPUS, and CORE identified studies published between January …

Bridging The Dermatology Divide: A Literature Review Of Artificial Intelligence–Enabled Point-Of-Care Tools For Skin Cancer Detection In Primary Care, Jared Hensley, Smaran Marupudi, Maria Villegas

School of Medicine Publications

The United States faces a critical dermatology workforce shortage, with more than 60% of counties lacking specialist access. Primary care providers (PCPs) are often tasked with managing suspicious skin lesions but demonstrate lower diagnostic accuracy than dermatologists. Artificial intelligence (AI) tools offer potential solutions, and meta-analytic evidence demonstrates that AI assistance improves PCP sensitivity by 13 percentage points and specificity by 11 percentage points. Yet only 1 Food and Drug Administration–authorized device (January 2024) is cleared for nondermatologist use in the United States. This device achieves 96% sensitivity but only 21% specificity, meaning most positive results are false alarms. A …

Relationships Between Psychosocial Aspects Of Stuttering And Self-Disclosure Of Stuttering In A Japanese Sample, Daichi Iimura, Saburo Takahashi, Mizuki Aoki, Kentaro Yoshizawa, Kota Yanai, Shoko Miyamoto, Michael P. Boyle

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Purpose We aimed to psychometrically evaluate a Japanese version of the Disclosure of Stuttering Scale, from Boyle et al. (2018), and identify the psychosocial factors associated with level of stuttering self-disclosure among adults who stutter.

Methods: Adults who stutter were recruited via stuttering self-help groups in Japan and the authors’ contacts. Participants completed their demographics, the Disclosure of Stuttering Scale and other psychological scales assessing affective, cognitive, and social aspects of stuttering via an online survey. We analyzed 180 participants after those with unreliable or duplicate responses were excluded. The scale’s reliability and validity were confirmed, and multiple linear regression …

Reply, Jacqueline L. Chen, Amanda J. Lu, Rohan Verma, Li Wang, Douglas D. Koch, Allison J. Chen

Department of Medicine Faculty Papers

No abstract provided.

Piloting The Strong Bodies Strength Training Program In Utah, Gabriela Murza, Jenna Dyckman, Cris Meier, Emma Parkhurst, Sadie Wilde, Christina Pay, Naomi Brower, Cindy Nelson

Outcomes and Impact Quarterly

Muscle and bone loss occurs as we age, impacting health and independence. We evaluated a pilot 12-week strength training program for older adults in Utah. Participants showed improved fitness metrics and increased confidence. Results demonstrate the program’s effectiveness and public value in expanding access to evidence-based exercise that supports healthy aging.

Best Practices For Supporting Occupational Therapy Students With Disabilities During Clinical Education: Results From A Three-Round Delphi Study, Courtney Gohean, Katie Mclaughlin, Aster Harrison

Department of Occupational Therapy Faculty Papers

INTRODUCTION: Disabled occupational therapy students face systemic barriers in clinical education. Although legal mandates require reasonable accommodations, implementation is often inconsistent, and few standardized guidelines exist for fieldwork education. This study is aimed at establishing best practices for supporting occupational therapy and occupational therapy assistant students with disabilities during fieldwork.

MATERIALS AND METHODS: A three-round Delphi study was conducted with a panel of 30 experts, including disabled occupational therapy students, disabled occupational therapy practitioners, academic fieldwork coordinators (AFWCs), fieldwork educators (FWEs), disability services staff, and researchers. In Round 1, participants answered open-ended questions about challenges, accommodations, and environmental supports. Responses …

Posaconazole Target Attainment In Critically Ill Children: A 15-Year Single-Center Retrospective Analysis., Kathryn Pavia, Addison M. Pritchett Ms, Jennifer Goldman

Manuscripts, Articles, Book Chapters and Other Papers

Posaconazole is a triazole antifungal agent used for prophylaxis and treatment of invasive fungal diseases. Posaconazole has high inter-individual variability in dose-exposure relationship and benefits from therapeutic drug monitoring (TDM). Adult studies report particularly high rates of subtherapeutic exposure among intensive care unit (ICU) patients related to changes in physiology during critical illness. The rates of subtherapeutic posaconazole exposure among critically ill children in ICU's are unknown. This single-center retrospective analysis at a large freestanding children's hospital used TDM results from 2010 to 2025 obtained while patients were undergoing care in a pediatric ICU. Therapeutic targets were ≥ 1.0 mg/L …

Bridging Data Gaps In Retinal Imaging: From Structural Domain Adaptation To Topology-Aware Synthesis, Gözde Merve Demirci

Dissertations, Theses, and Capstone Projects

Comprehensive visualization of the retina is essential for diagnosing and monitoring blinding diseases such as Diabetic Retinopathy and Retinopathy of Prematurity (ROP), where pathological changes often extend beyond a single field of view. Despite significant advances in automated retinal image analysis, clinical deployment remains limited by two fundamental data gaps: a structural learning gap, arising from scarce expert annotations and poor generalization across imaging domains, and a spatial coverage gap, caused by the difficulty of acquiring multi-view retinal images in fragile populations. Although these challenges are often addressed independently, this dissertation argues that they are tightly coupled: accurate, …

Cerebellar Atrophy In Pediatric-Onset Opsoclonus-Myoclonus-Ataxia Syndrome: A Large International Cohort Study, Rebecca Macrae, Kierstin Hederstedt, Christopher Cortina, Kumaran Deiva, Andrea Klein, Ming Lim, Thomas Rossor, Elizabeth A Sokol, Yasmin Khakoo, Nikita Malani Shukla, Timothy E Lotze, Wendy G Mitchell, Sarah Hopkins, Bo Zhang, Mark P Gorman

Faculty, Staff and Students Publications

Background and objectives: Pediatric-onset opsoclonus-myoclonus-ataxia syndrome (POOMAS) is a rare, neuroinflammatory syndrome that targets the cerebellum and can cause irreversible cerebellar structural changes, namely cerebellar atrophy. We investigated the frequency of cerebellar atrophy, as well as associated risk factors and functional outcome measures, using the largest active POOMAS registry.

Methods: This was a retrospective observational study of participants with POOMAS with disease onset from 1995 to 2025 using data from the multinational, multicenter POOMAS registry. Variables were compared between the cerebellar atrophy subgroups using the Fisher exact test or Wilcoxon rank-sum test.

Results: Of participants with follow-up imaging, cerebellar atrophy …

Inflammatory And Immunological Basis Of Periodontal Diseases, Thomas Van Dyke Dds, Phd

Metro Denver Dental Society Articulator Magazine

This review examines periodontitis as a chronic immune-mediated inflammatory disease shaped by interactions between the host response and oral microbiome. It explores how immune cells, inflammatory mediators and impaired resolution pathways contribute to connective tissue destruction and alveolar bone loss, while also considering links between periodontal and systemic inflammation. The authors highlight emerging research that may support more precise diagnostic and immune-based treatment strategies.

Volume 32, Issue 3

Metro Denver Dental Society Articulator Magazine

The 3rd Quarter 2026 issue of the Articulator explores the evolving clinical, professional and personal challenges shaping dentistry today, from emerging aligner technology and periodontal science to leadership and professional well-being. Articles include:

• MDDS President Dr. J.R. Franco reflects on family history, justice, patient advocacy and the responsibility of dentists to create meaningful change through organized dentistry.
• Dr. Amisha Singh examines how service and achievement can become tied to professional identity, and encourages dental professionals to find purpose and worth beyond accomplishment.
• Ms. Laura Ramsey explores advances in clear aligner therapy, including digital workflows, artificial intelligence and 3D printing, while …

Aligner Technology Today:, Laura Ramsey

Metro Denver Dental Society Articulator Magazine

Clear aligner therapy continues to advance through digital scanning, AI, treatment-planning software and emerging 3D-printing technologies. This article explores how these innovations are improving efficiency and expanding treatment options while emphasizing that successful outcomes still depend on sound diagnosis, biomechanics and clinical judgment.

Preparing For The Next Big Thing: We’Ve Seen What Ai Can Do. Now, Get Ready For Cloning., Stuart L. Segelnick Dds, Ms

The New York State Dental Journal

Until recently, artificial intelligence was seen as science fiction. Now, it is interwoven into all aspects of our lives, including our dental practice. Cloning may be the next futuristic fantasy to permeate our consciousness. According to Leslie G. Biesecker, M.D., director and NIH Distinguished Investigator, Center for Precision Health Research, “Cloning, as it relates to genetics and genomics, involves using scientific methods to make identical, or virtually identical, copies of an organism, cell or DNA sequence.” As the cloning process and other bioengineering techniques advance, one can only wonder how and when they will impact the dental landscape.

A Systematic Review Of Recommendations For Asynchronous Teledentistry, Helen Chen D.D.S., Seeun Mo D.D.S., Rami Habib D.D.S., Hannah Kim D.D.S., Madusha Perera D.D.S., Courtney H. Chinn D.D.S., M.P.H.

The New York State Dental Journal

Background: COVID-19 renewed interest in teledentistry to improve access to oral healthcare. This review assessed recommendations for asynchronous teledentistry regarding image capturer, device, target population, capture protocol and diagnostic ability.

Methods: Five reviewers conducted a PRISMA guided search for eligible studies published from 2000–2023. Articles were independently evaluated using a four-point rubric.

Results: Sixteen articles were included, with a mean score of 5.38/15. The lowest score was for image capturer, and the highest for diagnosis of oral disease.

Conclusion: Limited evidence supports standardized protocols, underscoring the need for further research on best teledentistry practices.

Odontogenic Myxoma In Maxilla: A Case Report, Deepak Gupta, Ravinder Singh, Nazrana Maqbool B.D.S., Rakashree Chakraborty B.D.S., M.D.S.

The New York State Dental Journal

Odontogenic myxoma (OM) is a rare, benign but locally invasive intraosseous neoplasm. It is known to arise from the mesenchymal portion of the tooth germ. Although it is a slow-growing tumor, maxillary odontogenic myxomas can lead to increased morbidity caused by invasion into the maxillary sinus and middle cranial fossa. Further, it is also important to delineate the margins of OM to achieve a better treatment outcome. Here we present a case of a maxillary odontogenic myxoma in a 26-year-old female patient. The patient presented with swelling on the upper right side of the face. Computed tomography scan revealed a …

Udm Dean's Report - A Look At The Student Of Today As We Prepare Them For Tomorrow, Mert N. Aksu Dds, Jd, Mhsa, Cert. Dph

The Journal of the Michigan Dental Association

UDM Dental School Dean Mert N. Aksu discusses the profiles, expectations, and challenges of modern dental students, highlighting their collaborative nature, tech-savviness, and focus on wellness and work-life balance. The report outlines UDM's clinical curriculum enhancements, including systems-based biomedical integration, and extensive clinical practice labs. Aksu addresses the substantial 58% inflation-adjusted rise in educational debt since 2008 and updates on community service rotations (Corktown Clinic, Titans for Teeth), the implementation of the new Vermont Track for rural care, the adoption of AI radiographic analysis, and comprehensive student mental health support programs.

From The President - The Transformative Value Of Our Profession, Melanie E. Mayberry, Dds, Ms-Hcm

The Journal of the Michigan Dental Association

Melanie E. Mayberry, MDA President, reflects on the transformative value of dentistry on both patients and the personal lives of practitioners. The article emphasizes how the dental profession builds stronger communities through service, empathy, mentorship, and continuous learning. Highlighting student and patient resilience in the face of adversity, Mayberry draws inspiration from events like the Kalamazoo Mission of Mercy, where volunteers provided over one million dollars in free dental care. She encourages dentists of all generations to foster a community of belonging, embrace professional evolution, and appreciate the spiritual and personal rewards of their service.