Medicine and Health Sciences Commons^™

Sharksrx Newsletter Summer 2023, Nova Southeastern University

NSU Sharks Rx

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Advancements And Applications Of Injectable Hydrogel Composites In Biomedical Research And Therapy., Hossein Omidian, Sumana Dey Chowdhury

HPD Articles

Injectable hydrogels have gained popularity for their controlled release, targeted delivery, and enhanced mechanical properties. They hold promise in cardiac regeneration, joint diseases, postoperative analgesia, and ocular disorder treatment. Hydrogels enriched with nano-hydroxyapatite show potential in bone regeneration, addressing challenges of bone defects, osteoporosis, and tumor-associated regeneration. In wound management and cancer therapy, they enable controlled release, accelerated wound closure, and targeted drug delivery. Injectable hydrogels also find applications in ischemic brain injury, tissue regeneration, cardiovascular diseases, and personalized cancer immunotherapy. This manuscript highlights the versatility and potential of injectable hydrogel nanocomposites in biomedical research. Moreover, it includes a perspective …

Shift Work As A Cardiovascular Disease Risk Factor: A Narrative Review., Ryan Wong, Alex Crane, Jay Sheth, Harvey N. Mayrovitz

HPD Articles

Shift work has emerged as a significant health concern in recent years, and research has revealed a link to circadian rhythm dysregulation and atherosclerosis, both of which can increase the risk of cardiovascular disease (CVD). Currently, there is a lack of updated reviews regarding the impact of shiftwork on CVD. Thus, the present narrative review aims to provide a comprehensive summary of the latest research on the relationship between shift work and CVD, identify potential gaps in the current knowledge, and highlight areas for future research. Database searches for peer-reviewed articles published between January 2013 to January 2023 on shift …

Self-Care Strategies Of Athletic Trainers, Lindsey E. Eberman, Justin P. Young, Matthew J. Rivera, Kenneth E. Games

Internet Journal of Allied Health Sciences and Practice

Purpose: Strategies for reducing burnout and improving work-life balance have been recommended for both organizations and individual athletic trainers. Little is known about what types of self-care (SC) strategies are already being used by athletic trainers. The purpose of this study was to explore and describe the number and type of SC strategies used by athletic trainers on a weekly basis. Methods: We used a cross-sectional design with web-based survey to explore the SC strategies used by athletic trainers. The survey instrument consisted of a SC checklist which asked the participants to select all the SC strategies they engage in …

Beyond Employment: Lower Income Participants' Experiences In A Healthcare Training Program For Medical Assistants, Pharmacy Technicians, And Certified Nursing Assistants, Skye N. Leedahl, Emma Pascuzzi, Karen Mccurdy, Nilton Porto

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to gain a deeper understanding of participant experiences in a healthcare training program for medical assistants, pharmacy technicians, and certified nursing assistants in areas beyond employment procurement or retention. During the year 2020, employment rates decreased and the cost of living increased. Those changes ultimately put lower-income populations at risk for not meeting the basic needs of life, as it became increasingly more difficult to obtain an adequately paying job. Healthcare training programs for lower income individuals allow for participants to gain the appropriate knowledge and experience required for working in the healthcare …

Perceptions, Practices, And Barriers Of Athletic Trainers In The Military Setting Using Patient-Reported Outcomes In Practice, Nicole M. Lee, Justin P. Young, Lindsey E. Eberman, Eric Post, Kenneth E. Games

Internet Journal of Allied Health Sciences and Practice

Purpose: The majority of athletic trainers (ATs) recognize the importance of patient-reported outcomes (PROs) in clinical practice but encounter unique barriers that limit their implementation. There are no studies that have investigated PROs in the military setting. The purpose of this study was to explore the perceptions, practices, and barriers to implementing PROs in the military setting. Methods: We used a cross-sectional, web-based survey design. Emails were sent to 365 potential participants and 67 were eligible to participate (response rate=18.4%, years practicing in military setting=5.9 ± 5.8years). Participants were invited to complete a web-based survey regarding the uses, benefits, and …

Physical Therapy Students Experience Reductions In Physical Activity And Social Interaction During Coronavirus-Related Curricular Changes: A Cohort Study, Daniel W. Flowers, Amanda Bernard, Erin Mccallister, Lauren Rachal Sant

Internet Journal of Allied Health Sciences and Practice

Purpose: The Coronavirus disease 2019 (COVID-19) pandemic challenged physical therapy students and faculty. The faculty at this institution implemented a modular curriculum progressing from in-person to remote learning to parallel a predicted autumn COVID-19 surge. This study compares the effect of varying educational models on physical therapy students’ physical activity and social isolation outcomes during their program’s response to the COVID-19 pandemic. We hypothesized that changes in students’ physical activity and social interaction would be observed throughout the semester as the curriculum became more distance based. Methods: This prospective cohort investigation of 42 students from a single physical therapy program …

Second Victim Syndrome And Organizational Support For Healthcare Providers: A Scoping Review, Kaitlyn R. Petryszyn, Justin P. Young, Elizabeth R. Neil, Jennifer E. Benedict, Lindsey E. Eberman

Internet Journal of Allied Health Sciences and Practice

Purpose: Healthcare providers may experience critical incidents, medical errors, or other adverse patient events in their clinical practice.Providers that encounter such events can experience second victim syndrome (SVS), a condition where providers feel psychological, cognitive, or physical reactions rendering care in these instances. Organizational support may mediate the impacts of SVS after an adverse patient event. We conducted a scoping review to explore and synthesize the literature on the support strategies implemented by healthcare organizations for healthcare providers after adverse patient events. Methods: The initial search strategy yielded 244 articles, 84 of which were removed for duplication. The 3-person …

Strategies To Facilitate Professional Student Collaboration Focused On An Interprofessional Understanding, Nicole Trupiano, Tommy Lau, Kelsey Dods, Olivia S. Anderson

Internet Journal of Allied Health Sciences and Practice

Purpose: Newer studies have suggested that interprofessional education (IPE) initiatives led by students can be successful in engaging their peers in IPE. Despite this, few studies exist that examine the student response to student-led IPE activities. The objective of this paper is to describe a student-led IPE program where health professional students learn from each other or from practicing health professionals through a seminar series. Method: Three seminars were arranged with presenters representing dentistry, dietetics, and occupational therapy. Student attendees completed a pre- and post-survey to analyze their interest, knowledge, and likelihood to collaborate with the profession featured in each …

Utilization Of Summative Assessment In Physical Therapy Education To Establish Foundations Of Clinical Science Knowledge, Katherine Grevelding, Ken Kosior

Internet Journal of Allied Health Sciences and Practice

Abstract

Purpose: Doctor of Physical Therapy [DPT] students’ ability to apply, integrate, and synthesize foundations of clinical science knowledge is vital to success in clinical practice. The aim of this case study was to explore summative examination quantification of foundational clinical science knowledge as a benchmark toward competence-based education in the first year of a DPT program. Methods: First year DPT students from a private New England University took the Physical Therapy Foundations of Clinical Science [PT-FCS] exam at the end of the second semester following completion of foundational clinical sciences coursework. The PT-FCS exam is a multiple-choice exam comprised …

Translation And Cross-Cultural Adaptation Of English Version Of Kiddy-Kindl To Filipino Language In Assessing The Children's Health-Related Quality Of Life (Chrqol), Arlene C. Chiong Maya, Bettina Alessandra B. Mamuric, Joan Paula Y. Pascua, Nathali A. Tigas, Christopher Albert Q. Baylan, Maria Patricia C. Casaclang, Isabela Mariel Z. De Venecia, Lorenzo Miguel L. Gonzales, Gedrich Israel M. Jacob, Shaun Lucas K. Lee, Gabriel C. Lua, Karleen Eve V. Nieva, Socrates P. Pangilinan, Vincent O. Pascual, Andrea Isabelle G. Paule, Mariam Ayesha J. Rodriguez, Codie Lanz I. Sioson, Kate C. Tating, Nicole L. Tigas, Eugene V. Tolentino

Internet Journal of Allied Health Sciences and Practice

Background: Children's health-related quality of life (CHRQoL) involves a child's aim, expectations, standards, or concerns regarding overall health and its domains. The Kiddy-KINDL questionnaire is a tool to measure CHRQoL from information directly derived from children. It has been translated to various languages, except Filipino. This study would provide Filipino healthcare professionals with another functional tool for pediatric evaluation. Objective: To translate the English version of Kiddy-KINDL to Filipino and to determine its validity, test-retest reliability, and internal consistency of the Kiddy-KINDL in assessing the children's health-related quality of life (CHRQoL). Methods: The study involved 3 Phases: Translation, Pilot Testing, …

Evaluation Of Undergraduate Internship Interprofessional Experiences Using The Jefferson Teamwork Observation Guide (Jtog ), Erin Choice, Shelene Thomas

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to evaluate and describe the healthy behaviors of teamwork at internship sites of undergraduate health and exercise science students. Data from the Jefferson Teamwork Observation Guide (JTOG) tool, in conjunction with five open-ended debrief questions were used as an innovative means of assessment to evaluate the quality of interprofessional experiences at various internship sites, as reviewed by the internship coordinator. Methods: Students observed an interprofessional team at their internship site and completed the JTOG, for the observed team. The JTOG is a two-part assessment (Likert Scale questions; qualitative questions) of identifiable characteristics of …

Experiences And Outcomes Of Athletic Trainers Using Complementary And Integrative Health: A Qualitative Study, Katherine Cantlebary, Matthew J. Rivera, Shannon Hamilton, Lindsey E. Eberman

Internet Journal of Allied Health Sciences and Practice

Purpose: Complementary and integrative health (CIH) is common among patients in the U.S. and is a useful tool for athletic trainers to provide holistic treatment. There is currently minimal literature regarding athletic trainers’ experiences and outcomes of using CIH modalities for patient treatments. The purpose of this project was to explore the experiences and outcomes of collegiate athletic trainers using CIH modalities. Methods: This study used qualitative semi-structured interviews, analyzed by phenomenological approach, using consensual qualitative research analysis. Trustworthiness and credibility of the consensus codebook were established by member checking, multi-analyst triangulation, and auditing. Fourteen athletic trainers (7 females, 7 …

Caregiver Experiences Of Feeding Instruction For Infants Born With Cleft Lip And/Or Palate, Clare Huang, Kimberly Green, Lauren E. Bland, Jamie D. Fisher

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this pilot study was to attempt to describe how feeding education was provided to a group of caregivers of infants with cleft lip and/or palate and how they viewed the feeding experience. Method: Participants (n=5) were recruited from two Facebook support groups, Cleft Lip and Palate Support Group and Cleft Mom Support. The data were collected using Qualtrics™ software. The questionnaire consisted of eight demographic questions and seven topic-specific questions. The demographic questions included the exclusion and inclusion criteria. The participants of this study were required to be an English-speaking parent or a caregiver of …

Telerehabilitation: An Updated View Of Practices, Cost Analysis, And Client Perceptions, Gokcen Akyurek, Selen Aydoner

Internet Journal of Allied Health Sciences and Practice

Telerehabilitation is an alternative and complementary rehabilitation method in which information and communication technologies are used to remove the distance between healthcare professionals and clients. The COVID-19 pandemic has led to the rapid adoption of telerehabilitation services, limiting the in-person rehabilitation services available all over the world. The restrictions that started with the COVID-19 pandemic also negatively affected rehabilitation services, clients, and healthcare professionals, and it was considered essential to provide services using telerehabilitation technology. Therefore, this review aimed to examine and inform health professionals' telerehabilitation practices such as remote assessment, evaluation, intervention, monitoring, supervision, education, and follow-up during the …

The Impact Of Type 1 Diabetes On The Family And Related Factors, İsmail Çetintaş, Melahat Akgün Kostak

Internet Journal of Allied Health Sciences and Practice

Objective: This study was conducted to determine the impact of Type 1 diabetes mellitus and related factors on children and families. Methods: The descriptive study was conducted with the parents of 175 children aged 6-18 years with Type 1 diabetes mellitus. The data were collected using the "Child and Family Information Form" and the "Diabetes Family Impact Scale (DFIS)." pResults:It was determined that the parents' total median DFIS score was 21.42 (9.52-35.71) and the highest median score was 33.33 (11.11-66.66) in the "finances" sub-dimension score. There was a significant difference between the child's school success and the parents' "school" sub-dimension …

Early Assurance Model For Physical Therapy Education: A Descriptive Study, Kimberly Coleman-Ferreira, Ivan Mulligan, Lora Packel

Internet Journal of Allied Health Sciences and Practice

Introduction: Various curriculum models for Doctor of Physical Therapy (DPT) education exist across the country. The purpose of this study was to provide an updated description of the Early Assurance (EA) program model, including administrative variables for institutional leaders to consider. This descriptive study may help equip students to choose an educational program that suits their desires and enable institutions to consider models that fit their needs given their typical admission draw, the local environment, student debt, and resources available. Applications to DPT programs are on the decline while there continues to be an expansion of programs. Institutions are looking …

Dental Hygienists’ Intentions To Provide Anticipatory Guidance Recommendations: Application Of The Theory Of Planned Behavior, Melissa E. Calhoun, Irina Smilyanski, Linda D. Boyd, Jared Vineyard

Internet Journal of Allied Health Sciences and Practice

Purpose: This study aimed to assess the relationship between the behavioral, normative, and control beliefs of dental hygienists (DHs) and their behavioral intention to provide anticipatory guidance (AG) to expecting parents and caregivers of infants and toddlers. Methods: A descriptive, cross-sectional survey design used convenience sampling strategies to recruit DHs (n=335) who provided oral health care to expecting parents and caregivers of children 0-5 years old. A survey was developed based on the Theory of Planned Behavior (TPB) and validated. Descriptive, correlation and regression analyses were conducted to assess the relationships among variables. Results: The survey completion rate was 72% …

Students Ability To Self-Regulate In A First-Year Experience Health Sciences Course, Michael Holik, Patricia Davidson

Internet Journal of Allied Health Sciences and Practice

Purpose: Research has shown students in general do better throughout their post-secondary education if they participated in a First Year Experience (FYE) course. Research questions whether first-year students peform better in face-to-face, online, or blended courses. The purpose of this study was to determine the perceptions of first-year health science students in online and blended learning environments and self-regulation, in a FYE course.

Methods: The study utilized educational design and research tools designed to create and improve teaching and learning practices. For the design of the learning environment, analysis, design, development, implementation, and evaluation (ADDIE) was implemented. Action-based research (ABR) …

Leadership Development In Athletic Training: A Qualitative Study, W. David Carr, Tona Hetzler, Stephanie M. Singe, William Pitney

Internet Journal of Allied Health Sciences and Practice

Purpose The purpose of this study was to explore how athletic trainers describe their leadership and how the profession can develop future leaders. Methods: Eight participants (four females, four males) completed a phone interview. Interview data were transcribed, coded, and analyzed utilizing a grounded theory approach. The trustworthiness of the data was established by using member checks and triangulation. Results: Characteristics of Leadership theme was defined as 1) Interpersonal Skills, 2) Vision, 3) Pride in Others’ Success, 4) Ethical Decision Making, and 5) Self-Reflective. The Leadership Development theme was characterized by 1) Role Models Professional and Personal, 2) Involvement and …

Rate And Magnitude Of Muscle Temperature Increase With Cycling At Various Intensities, Jennifer Ostrowski, James Scifers

Internet Journal of Allied Health Sciences and Practice

Purpose: Anecdotally, athletic training clinicians often have patients "warm up" on a stationary cycle prior to rehabilitation. No previous studies have evaluated the rate or magnitude of muscle temperature increase during a cycling task. Our objective was to determine the rate and magnitude of muscle temperature increase in superficial (2cm) and deep (4cm) muscle during cycling at various intensities. Methods: Randomized, counter-balanced crossover trial conducted at a University research laboratory. Sixteen healthy participants (male=7, female=9; mean age 26±4 years; height 170±10 cm; weight 77±8 kg; adipose thickness 1.4±0.9 cm; muscle thickness 5.1±0.7 cm). Participants performed cycling under 3 intensity conditions: …

Papilledema In Patients With Presumed Idiopathic Intracranial Hypertension Diagnosed Without A Lumbar Puncture: A Case Report, Marlon J. Monelyon-Demeritt, Beata I. Lewandowska

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this case report is to present two cases of papilledema secondary to presumed IIH and medically managed with an oral diuretic without first obtaining cerebrospinal fluid opening pressure and composition. Method: A 31-year-old female presented for evaluation of blurry vision in both eyes and a history of transient vision loss with postural changes. A 22-year-old female presented for evaluation of blurry vision in both eyes and headaches that started during her pregnancy. She reported double vision that was relieved when she closed one eye. This is a case report of two overweight females who presented with …

Speech-Language Pathologists And Disaster Management: Team Roles, Rebecca I. Estes, Heather Berto, Hope Brew, Sophia Cadet, Kolbi L. Holmes, Leah G. Horst, Annie J. Mehl, Gina M. Delgado, Steven P. Vertz

Internet Journal of Allied Health Sciences and Practice

Purpose: Disaster management is a topic that is multi-faceted and intricately maintained by professionals who volunteer their expertise and time to assist those who have been affected by an unforeseen disaster. Creating a well-rounded and effective team is of immense importance during disaster situations. Speech-language pathologists can provide vital skills in the realm of communication, feeding, and other areas. However, the role of speech language pathologists within the disaster management team is not well documented in the literature. The purpose of the study was to identify awareness, involvement, and training of speech language pathologists in disaster management stages through exploration …

Knowledge Of Complementary And Integrative Health Among Collegiate Athletic Trainers, Amanda Flaig, Matthew J. Rivera, Lindsey E. Eberman

Internet Journal of Allied Health Sciences and Practice

Purpose: Complementary and integrative health (CIH) interventions are non-mainstream modalities used to complement traditional care and are used by athletic trainers. Interventions encompassing CIH can help provide holistic care that is patient-centered. However, there is no previous research on the attitudes and use of CIH in everyday clinical care. The purpose of this project is to investigate athletic trainers’ use and attitudes towards CIH interventions. Methods: A cross-sectional, web-based survey including demographics, CIH integration, and the Complementary Health Belief Questionnaire (CHBQ) was sent out to a random sample of athletic trainers. Measures of central tendency were calculated to characterize …

Examining Professional Identity Among Collegiate Athletic Trainers And Its Relationship With Work-Family Conflict, Stephanie M. Singe, Alexandrya Cairns, Kelsey M. Rynkiewicz, Christianne M. Eason

Internet Journal of Allied Health Sciences and Practice

Purpose: Professional identity is defined as an individual’s set of attitudes and beliefs about their specific role in their profession; a concept that could perhaps have implications on experiences of work-family conflict. The purpose of the study is to examine professional identity within college athletic trainers and how it relates to experiences of work-family conflict. Methods: Data was collected through an online survey (Qualtrics) where participants responded to demographic questions and previously validated Professional Identity and Values (PIV) Scale and the Work-Family Conflict (WFC) Scale. Demographic data were reported and analyzed for descriptives and frequencies. Mann-Whitney U and Kruskal Wallis …

Physiotherapy Rehabilitation In Bilateral Lower Limbs Amputations Following Dry Gangrene: A Case Report, Pranali R. Gaikwad, Manish P. Shukla, Santosh P. Dobhal

Internet Journal of Allied Health Sciences and Practice

Background: Bilateral lower limb amputation is becoming more frequent in recent years. This case report will outline the pre-operative and post-operative physiotherapy protocol for bilateral lower limb amputations following dry gangrene. Additionally, this case was evaluated to see if postoperative physiotherapy treatment consisting of prevention of complications, patient education, independent self-care, and functional mobility improved outcome. Case: A 76-year-old man came to the hospital with clinical features of dry gangrene of both feet. Preoperatively he was given education on care for his limbs along with the therapy plan following surgery. Pain on VAS scales were taken prior to surgery and …

Integrating 4ms Assessment Through Medicare Annual Wellness Visits: Comparison Of Quality Improvement Strategies In Primary Care Clinics., Sweta Tewary, Nicole Cook, Desiree Simon, Elizabeth Philippe, Oksana Shnayder, Naushira Pandya

HPD Articles

The Medicare Annual Wellness Visit (AWV), which includes comprehensive preventative assessments and screenings, is associated with improved preventative services, including vaccination and cancer screenings. However, the AWV alone does not promote whole-person care. Integrating the AWV within an Age-Friendly Health System (AFHS) contextualizes AWV services within a comprehensive geriatric care framework that integrates the "4Ms" (mentation, medication, mobility, and what matters). This study describes and evaluates quality improvement initiatives to improve the completion of AWV within two different AFHS-recognized health systems (an academic university clinic and a Federally Qualified Health Center). The results from this evaluation present opportunities that other …

Adenocarcinoma Of An Unknown Primary Site: Presentation, Diagnosis, And Management, Jaafar Abou-Ghaida, Adya A. Ali, Sheela Anasseri, Leslie Walker, Tye Barber

HPD Articles

Carcinoma of unknown primary (CUP) is a rare metastatic disease in which a primary tumor site cannot be identified. CUP is a diagnosis of exclusion requiring prior workup to identify a primary site. We present a case of a 64-year-old male with vague abdominal pain, a history of gastroesophageal reflux disease (GERD), gastritis, esophagitis, hepatitis C, alcoholic pancreatitis, liver hemangioma, and Warthin tumor, and family history of cancer that was found to have CUP. The diagnosis was made after an extensive workup was done including serum tumor markers, computed tomography (CT) and ultrasound (US) imaging, flow cytometry, and an array …

Cryogels: Advancing Biomaterials For Transformative Biomedical Applications., Hossein Omidian, Sumana Dey Chowdhury, Niloofar Babanejad

HPD Articles

Cryogels, composed of synthetic and natural materials, have emerged as versatile biomaterials with applications in tissue engineering, controlled drug delivery, regenerative medicine, and therapeutics. However, optimizing cryogel properties, such as mechanical strength and release profiles, remains challenging. To advance the field, researchers are exploring advanced manufacturing techniques, biomimetic design, and addressing long-term stability. Combination therapies and drug delivery systems using cryogels show promise. In vivo evaluation and clinical trials are crucial for safety and efficacy. Overcoming practical challenges, including scalability, structural integrity, mass transfer constraints, biocompatibility, seamless integration, and cost-effectiveness, is essential. By addressing these challenges, cryogels can transform biomedical …

Development Of Islet Antigen 2 (Ia2) Antibodies Post-Covid-19 Infection: A Sign Of Autoimmunity Or Latent Autoimmune Diabetes Mellitus In Adults (Lada)?, Nick Lee, Praveen Prabhu, Samyukta Swaminath, Sahar S. Amini

HPD Articles

Further antibody tests and laboratory studies showed that the patient met the criteria for latent autoimmune diabetes in adults (LADA). In this case report, we will review the diagnostic workup and management of LADA in an individual following his COVID-19 infection.