Medicine and Health Sciences Commons^™

Balancing Medical School With Life, Katie Lamar

be Still

A poem about the trials of work life balance in medical school.

The Tight Rope Walk Of A Medical Student, Bhargavi Madhu

be Still

When I think of Balance, I thought of my life as a medical student. It is similar to a tight rope walk where we are walking the line of medical school, aspiring to become physicians while trying to balance school, a family life, hobbies and eventual work life. It is important to find the right balance in order to not face burn out, something that is seen all too often amongst medical professionals.

Restoring Balance, Daniel R. Villanueva Toby

be Still

As a medical student who has received half of their education during the COVID-19 pandemic, I wanted to portray the internal struggle of medical providers in trying to care for the sick and disabled. A great deal is expected of doctors in this day and age. That stress of expectations versus the innate desire to help others led me to write this poem.

Pulling Out Of Afghanistan, Suzanne Riskin

be Still

This piece was written on a casual day at work when there was not any particular event happening. I realized how much of an impact a decision made so far away from home could have on my personal growth as a medical educator.

Balance, In All Things, Justin S. Straughan

be Still

This poem is a vent for the inherent frustration felt from trying to find a career in and bridge the transition between politics and medicine. It reflects a stubborn determination to not give in to critics' "never-enough-ism" while also trying to be open to improvement and not give in to pride nor cynicism.

The Experiences Of Iranian Nurses In Critical Events And Natural Disasters: A Qualitative Study, Ali Hasanpour Dehkordi, Shahriar Salehi Tali, Reza Ganeigheshlagh

The Qualitative Report

Medical staff and healthcare providers are always involved in earthquakes; therefore, the aim of this study was to explore the experience of nurses in dealing with critical events and natural disasters. A qualitative study was conducted by semi-structured interviews with 12 medical staff. Data were analyzed by qualitative analysis hermeneutic approach. Four categories were developed as follows: “confusion,” “coercion,” “psychological disturbance,” and “wasting of resources.” The categories led to the development of the main theme of “miss management.” Earthquakes are considered serious challenges for nurses and health professionals involved in such disasters. It will culminate in dire consequences including physical, …

Challenges In Conducting Online Videoconferencing Qualitative Interviews With Adolescents On Sensitive Topics, Salima Moez Meherali, Samantha Louie-Poon

The Qualitative Report

In the wake of COVID-19, researchers are seeking innovative data-collection methods. Computer-mediated communication platforms have played a pivotal role among these pursuits. However, conducting online interviews present challenges to both researchers and participants. Online data-collection forces researchers to give up control over the study environment due to the varying location participants partake in interviews. Consequently, researchers can no longer fully guarantee the confidentiality and privacy of the researcher-participant conversations. Participants may face difficulties if being asked to disclose private information in the presence of family members. These challenges are heightened when conducting online interviews with adolescents on sensitive topics. Thus, …

The Link Between Diabetes Mellitus And Tau Hyperphosphorylation: Implications For Risk Of Alzheimer's Disease, Amy L. Hobday, Mayur S. Parmar

HPD Articles

Diabetes mellitus (DM) is characterized by hyperglycemia caused by a lack of insulin, insulin resistance, or both. It is associated with the development of secondary complications resulting in several comorbidities. Recent studies have revealed an increased risk of developing cognitive dysfunction or dementia in diabetes patients. Diabetes mellitus is considered a risk factor for many neurodegenerative diseases, including Alzheimer's disease (AD). There is increasing evidence to support a link between DM and AD. Studies have shown the dysfunction of insulin signaling in the brain, resulting in increased tau protein phosphorylation (hyperphosphorylation), a hallmark and biomarker of AD pathology, leading to …

Validation Of A Single Channel Eeg For The Athlete: A Machine Learning Protocol To Accurately Detect Sleep Stages, Kayla Thompson, Kamil Celoch, Frankie Pizzo, Ana I. Fins, Jaime Tartar

Journal for Sports Neuroscience

There is a large and growing movement towards the use of wearable technologies for sleep assessment. This trend is largely due to the desire for comfortable, burden free, and inexpensive technology. In tandem, given the competitive nature of professional athletes enduring high training load, sleep is often jeopardized which can result in adverse outcomes. Wearable devices hold the promise of increasing the ease of monitoring sleep in athletes which can inform health and recovery status, as well as aid performance optimization. However, wearable devices typically lack sufficient validity to assess sleep – and especially sleep stages. To address this concern, …

The Importance Of Explicit And Timely Knowledge Exchange Practices Stemming From Research With Indigenous Families, Elizabeth J. Cooper, S Michelle Driedger

The Qualitative Report

Ethical research practice within community-based research involves many dimensions, including a commitment to return results to participants in a timely and accessible fashion. Often, current Indigenous community-based research is driven by a partnership model; however, dissemination of findings may not always follow this approach. As a result, products may not be as useful to participants who were motivated to be involved in the research process. We conducted a seven-week workshop on three occasions with different First Nations and Metis women and girls (age 8-12) in Winnipeg, Manitoba. The workshop explored participants’ perspectives around health, safety, and family wellbeing using a …

Throwing Pebbles While Waiting: An Autoethnographic Exploration Of Mental Health And Colonialism, Kelly Limes Taylor, Rita Sørly, Bengt Karlsson

The Qualitative Report

In this article, three scholars jointly investigate questions of Western colonization and mental health. While their areas of interest and experience vary, the authors discuss oppression as a common thread connecting their ideas about mental health and its medicalization. In line with Toyosaki et al. (2009), the researchers did a community autoethnography, performing written dialogue as a dynamic research method. Using a sequential model, Kelly Limes Taylor wrote about her experience, passed it on to Rita Sørly and Bengt Karlsson. Karlsson added his story to the previous writing, and he passed it on to Sørly for further addition of stories. …

Experiences Of Iranian Women With Prenatal Diagnosis Of Fetal Abnormalities: A Qualitative Study, Fahimeh Ranjbar, Fatemeh Oskouie, Shahrzad Hashemi Dizaji, Maryam Gharacheh

The Qualitative Report

Women are more likely to be diagnosed with congenital anomalies due to advances in new technologies in medical science. Following prenatal diagnosis of fetal abnormalities, women may be forced to make decisions about whether to continue a pregnancy with fetal abnormalities. This can be a dilemma for the women. The aim of the study was to explore women’s experiences of prenatal diagnosis of fetal abnormalities. A qualitative study was conducted in a referral women’s hospital in Tehran, Iran in 2018. Participants were a purposeful sample of 15 women with prenatal diagnosis of fetal abnormalities. Data were collected by individual, in-depth …

Escaping The Escapism: A Grounded Theory Of The Addiction And Recovery Process In Online Video Gaming, Jayson Carmona, Jason Whiting Phd

The Qualitative Report

The purpose of this grounded theory study was to describe the experience of people who struggled with self-described addiction to World of Warcraft™ (WoW). WoW is a massive multiplayer online role-playing game (MMORPG), and many players have shared their stories of compulsive use and recovery efforts on two different websites: www.wowdetox.com, and a Reddit forum called /r/noWoW. We analyzed 140 unique posts on these sites to develop a process model describing how posters experienced addiction and recovery from WoW. We used grounded theory methods to create a model with categories including, time sink, impairment in work and relationships, and …

Social Wellbeing And Quality Of Life Of People Living With Disorders Of Sex Development And Sex Re-Assignment In Nigeria: A Qualitative Phenomenological Study, Abdurrahman Muhammad Sani, Ismaila Arzika Mungadi, Ismi Arif Ismail, Mohd Mursyid Arshad, Kim Lam Soh

The Qualitative Report

Disorders of sex development is a complex interaction between biological, psychological, social, and cultural factors, making it necessary for the multidisciplinary team to decide on the individualized patient basis. The characteristics of the individual patient, family and the social background are taken into consideration in order to derive maximum benefit. In developing countries, many people living with disorders of sex development faced serious psychological and social traumas such as marginalization, rejection, isolation, feeling of sadness, feeling of uncertainty, and feeling of shame. Therefore, this study explores the social wellbeing and quality of life of people with disorders of sex development …

Persistent Dyspnea, Declined Moderate To Vigorous Physical Activity, Functional Status, And Quality Of Life During The Post-Acute Phase Of Covid-19 Infection: A Pilot Case Control Study., Hussain Aslan Mph. Ed., Msc., Corey Tomczak Phd, Darcy Marciniuk Md, Scotty Butcher Phd

Journal for Sports Neuroscience

Abstract

Purpose: The purpose of this study was to explore the multifaceted impacts of post-acute phase of COVID-19 infection on the sense of dyspnea, select intensities of physical activity, functional, and psychological variables among survivors compared to age matched healthy participants and their implications for rehabilitation programs in this population.

Methods: Seventy-eight (male, female age 30-70 yrs.) participants (39 COVID-infected, CI and 39 age-matched healthy controls, HC). Four questionnaires were used to assess the variables in this study: dyspnea scale of the Modified Medical Research Council (mMRC), International Physical Activity Questionnaire (IPAQ), Functional Status Questionnaire (FSQ), and the RAND-36 measure …

Building Cultural Competency Among Emerging Public Health Professionals: Student Experiences In Panama, Matthew Fifolt, Meena Nabavi, Erika L. Austin, Lisa C. Mccormick

Experiential Learning & Teaching in Higher Education

One of the prerequisite skills of effective public health and health practitioners is cultural competency. Cultural competency, however, requires a deep and profound understanding of individuals who are shaped by different life experiences than one’s own. Previous authors have described study abroad and service-learning as established strategies for enhancing cultural competency among emerging health professionals. This article describes how students made meaning of an international study abroad experience in Panama through analysis of student-produced work including reflective journal entries, blog posts, and photo journaling.

In summer 2019, 13 undergraduate and graduate students participated in a four-week travel course to explore …

Epidemiology, Pathogenesis, And Clinical Manifestations Of Acute Esophageal Necrosis In Adults, Obaid Rehman, Urooj Jaferi, Inderbir Padda, Nimrat Khehra, Harshan Atwal, Mayur Parmar

HPD Articles

Acute esophageal necrosis (AEN), also termed "black esophagus," is a unique and uncommon occurrence observed in severely sick patients. Other terminologies include acute necrotizing esophagitis and Gurvits syndrome. This condition is described as a darkened distal third of the esophagus observed on endoscopy and presents as an upper gastrointestinal (GI) bleed, difficulty swallowing, abdominal pain, fever, syncope, nausea, and vomiting. The etiology of AEN has been linked to several possibilities, such as excessive gastric acid reflux, hypoperfusion, and ischemia due to impaired vascular supply and hemodynamic instability. Risk factors include increased age, sex (male), heart disease, hemodynamic insufficiency, alcohol use, …

Perspectives, Summer/Fall 2021, Volume 9, Number 2, Nova Southeastern University

Perspectives

No abstract provided.

Sharksrx Newsletter Summer 2021, Nova Southeastern University

NSU Sharks Rx

No abstract provided.

Understanding The Stigma And Feasibility Of Opening A Safe Injection Facility In Baltimore City: A Qualitative Case Study, Timothy Dupree, Caroline I. Wood, Andrea M. Brace

The Qualitative Report

Supervised injection facilities (SIFs) are medically supervised facilities designed to provide a hygienic environment in which drug users can consume illicit drugs intravenously. SIFs can be cost saving, help to reduce transmission of disease, and decrease drug overdoses. There are no SIFs in the United States. In this study we used a multiple case study design to understand the stigma surrounding the use of a SIF and the feasibility of implementing the drug prevention strategy in Baltimore City by comparing experiences with opening a SIF in Sydney, Australia. We interviewed one healthcare worker at the Sydney SIF and ten community …

Coping With Medical School: An Interpretive Phenomenological Study, Sebastian C K Shaw, John L. Anderson

The Qualitative Report

Anecdotal evidence suggested that hopelessness and helplessness (HH) were often reported by undergraduate medical students. It is known that medical students are more susceptible to high levels of stress and depression than other student groups. There is currently concern about suicide rates in students and high drop-out rates in junior doctors. But what can be said of HH within this population? This study was aimed at eliciting medical students’ experiences of HH. An interpretive phenomenological approach was adopted. Participants were recruited from a single medical school. Loosely structured, audio-recorded interviews were carried out. Recordings were then transcribed verbatim, then underwent …

Evaluating The Effects Of Physical Activity On The Cognitive Functions And Motor Skills Of The Special Needs Population And Testing A Different Teaching Style To Maximize The Efficiency Of Special Needs Programs, Oren Nedjar

BIO4960: Practicum in Biology I

This study aimed to analyze the effects of physical activities on the motor and cognitive functions of participants with special needs and compare these results with a similar program but organized online because of the health precautions that have been applied due to the COVID-19 pandemic. An intervention consisting of sending an educational brochure aiming to increase high school volunteers' health literacy was then tested and results showed that it improved participants' health outcomes and also could increase the program's effectiveness in the long term.

The Embodiment Of Discovery: An Adapted Framework For Qualitative Analysis Of Lived Experiences, Helen B. Hernandez, Laurie P. Dringus

The Qualitative Report

We reflect on our process of working with an adapted framework as an effective strategy for analyzing and interpreting the results of our qualitative study on the lived experiences of insulin pump trainers. Interpretative Phenomenological Analysis (IPA) was applied as the overarching research methodology and was encapsulated into a framework adapted from Bonello and Meehan (2019) and from Chong (2019). We describe this framework as the “embodiment of discovery” to posit the researcher’s tangible experience of discovering the meaning of data that also brought transparency to the researcher’s process for data analysis and interpretation. We present challenges the doctoral student …

Male Bias In Ace2 Basic Science Research: Missed Opportunity For Discovery In The Time Of Covid-19, Branka Miličić Stanić, Sydney Maddox, Aline M. De Souza, Xie Wu, Danial Mehranfard, Hong Ji, Robert C. Speth, Kathryn Sandberg

HPD Articles

Throughout the world, including the United States, men have worse outcomes from COVID-19 than women. SARS-CoV-2, the causative virus of the COVID-19 pandemic, uses angiotensin-converting enzyme 2 (ACE2) to gain cellular entry. ACE2 is a member of the renin-angiotensin system (RAS) and plays an important role in counteracting the harmful effects mediated by the angiotensin type 1 receptor. Therefore, we conducted Ovid MEDLINE and Embase database searches of basic science studies investigating the impact of the biological variable of sex on ACE2 expression and regulation from 2000, the year ACE2 was discovered, through December 31, 2020. Out of 2,131 publications, …

Proceedings From The Second Annual Society For Neurosports Conference, William R. Kochen

Journal for Sports Neuroscience

Proceedings from the Second Annual Society for NeuroSports Conference

Culminating Capstone Project: Critical Illness Myopathy, Min S. Yu

Department of Occupational Therapy Entry-Level Capstone Projects

The capstone project was completed in the focus area of clinical practice skills at AdventHealth hospital. The objective was to educate the rehabilitation team on critical illness myopathy (CIM), a condition that was requested to be further investigated by Megan Graf, OTR/L, who served as the capstone mentor. Through an extensive search, a literature review was completed. The rehabilitation team was informed scholarly and clinically with a PowerPoint presentation. Currently there is a gap within the literature between occupational therapy and CIM. Conversely, physical therapy had a plethora of research conducted on patients with CIM

Muscular Performance And Neuromuscular Fatigue Are Not Sex-Dependent During Low-Load Fatiguing Bilateral Leg Extension Exercise, Taylor K. Dinyer, Evangeline P. Soucie, Pasquale J. Succi, Caleb C. Voskuil, M. Travis Byrd, Haley C. Bergstrom

Journal for Sports Neuroscience

Purpose. This study examined the sex-related differences in muscular performance and neuromuscular (electromyographic [EMG] and mechanomyographic [MMG] amplitude [AMP] and mean power frequency [MPF]) responses during fatiguing leg extension repetitions performed at the critical load (CL). Methods. Eleven men and nine women completed one-repetition maximum (1RM) testing, repetitions to failure at 50, 60, 70, and 80% 1RM to determine CL, and repetitions to failure at CL, on separate days. The EMG and MMG, AMP and MPF signals and number of repetitions completed were recorded. Results. There were no sex-dependent responses in the %1RM that corresponded to, the number of repetitions …

Doctoral Capstone Experience In Program Development - Valley Rescue, Kyra P. Brown

Department of Occupational Therapy Entry-Level Capstone Projects

Homelessness is an increasing problem with various implications on individual’s physical, mental, and occupational wellness (Tsang et al., 2013). Occupational therapy is positioned to provide holistic, client-centered, and trauma-informed care to those experiencing homelessness (Salsi et al., 2017). While residents at Valley Rescue Women and Children’s Center (Valley Rescue) have access to a variety of services, occupation-based education and interventions are extremely limited. This paper describes the completion of a capstone experience at Valley Rescue, with a focus in program development and advocacy. Residents of the shelter expressed interest in education on mental health and wellness and occupational engagement. Throughout …

“I Was Like An Autumn Leaf That Looks Pretty From The Outside, But Would Break Once You Touched It”: A Case Study Of The Lived Experience Of Breast Cancer Survival, Wafa Hamad Almegewly, Dinah Gould, Sally Anstey

The Qualitative Report

In this hermeneutic phenomenological case study, we explored the lived experiences of one Saudi Arabian woman, Sahara, living with breast cancer and after, identifying her culture’s impact on the “meaning-making” process. We derived the data from a semi-structured interview and analyzed using interpretive phenomenological analysis (IPA). The themes were: (1) “discourse”: being a breast cancer patient; (2) “sociality”: the complex sense of living with visibility and invisibility; and (3) “selfhood”: regaining the sense of being normal. The study benefits healthcare providers, who need to understand women’s life-world, the impact of culture when designing a program of survival care, and the …

Program Development At A Nonprofit Organization For Individuals With Intellectual Disabilities, Victoria E. You

Department of Occupational Therapy Entry-Level Capstone Projects

There are over six million individuals in the United States alone with developmental, or intellectual disabilities (ID). ID is defined by the American Association of Intellectual and Developmental Disabilities (2021) as significantlimitations in both intellectual functioningand in adaptive behavior, which covers many everyday social and practical skills. This type of disability originates before the age of 22. Historically, members of this population have fewer opportunities for engagement than their typically developing peers. This can be for a variety of reasons, including limited funding, the public’s lack of education on ID, and even ableism. Ableism is defined as “discrimination or social …