Medicine and Health Sciences Commons^™

A Functional Nutrition Literature Review For Brain Fog And Adhd-Like Symptoms In Adults, Natalie Elisani Aldahondo-Matos

Department of Nutrition Student Projects

Attention-deficit/hyperactivity disorder (ADHD) and ADHD-like symptoms, such as difficulty concentrating, mental fatigue, and problems with executive functioning, are increasingly recognized in adults. Although medication is commonly used to manage ADHD, there is growing interest in whether nutrition may also play a role in supporting brain function and attention. Several nutrients involved in brain health including omega-3 fatty acids, vitamin B12, magnesium, iron, and choline  have been suggested as potential contributors to cognitive performance and attention. However, the research examining the connection between diet and ADHD symptoms is still limited and sometimes shows mixed results.

The purpose of this project was …

Coordinated Telehealth For People With Parkinson’S Disease: A Qualitative Comparison Of Providers’ And Patients’ Experiences, Erin J. Bush, Reshmi L. Singh, Josephine Cox, Merrill R. Landers, Annalisa V. Piccorelli

The Qualitative Report

Telehealth increases access to allied healthcare in rural areas. People with Parkinson’s disease (PD) need improved access to health care, and from a patient-centered perspective, the coordination of their healthcare should be a priority. Four speech-language pathologists, two physical therapists, two pharmacists, and two study coordinators provided a coordinated allied healthcare intervention for people with PD in rural Wyoming and Nevada. Both the providers of the intervention, as well as the participants who received it, were interviewed about their experiences with the eight-week intervention and asked about aspects that were successful or unsuccessful. Through a naturalistic paradigm using a qualitative …

The Role Of Vitamin B9 In Modulating Autism Symptoms In Children, Sarah Roeser

Department of Nutrition Student Projects

The prevalence of Autism spectrum disorder (ASD) has risen significantly over the past five decades, now affecting approximately 1 in 31 children. This literature review examined whether folinic acid, compared with other forms of vitamin B9 (synthetic folic acid, dietary folate, and 5-methyltetrahydrofolate), modulates ASD symptoms including verbal communication, motor skills and social interaction, particularly in children positive for folate receptor alpha autoantibodies (FRAAs). A thorough search of PubMed, Google Scholar, Nature, and ScienceDirect, primarily from 2015–2026, identified five randomized controlled trials (RCTs) and one meta-analysis evaluating folinic acid at standardized doses of 2 mg/kg/day with a maximum dose of …

Implementing A Nutrition Screening, Education, And Risk Reduction Framework In Optometric Care To Prevent Diabetic Retinopathy In Adults With T2dm, Juliana M. Varanelli

Department of Nutrition Student Projects

Diabetic retinopathy (DR) is a leading cause of preventable vision loss among adults with Type 2 diabetes mellitus (T2DM), driven largely by chronic hyperglycemia, oxidative stress, and inflammation. Despite strong evidence supporting the role of nutrition in modifying these risk factors, nutrition screening and counseling are not routinely integrated into optometric care. This project aimed to develop a practical, evidence-based framework to incorporate nutrition screening, patient education, and referral pathways into comprehensive optometric practice to support prevention and reduce the onset and progression of diabetic retinopathy.

This project involved a literature review of peer-reviewed research and clinical guidelines related to …

Geographical And Anatomical Microbiome Variation In Invasive Green Iguanas (Iguana Iguana), Amanda A. Diaz

All HCAS Student Capstones, Theses, and Dissertations

The common green iguana (Iguana iguana) was introduced to South Florida in 1965 and has since been an especially pernicious threat both environmentally and economically. This highly invasive species is also expanding in range and populations at an astonishing rate. Understanding how this reptile is able to adapt and thrive in novel environments is of imperative need in order to begin managing their disruptive populations. Notwithstanding their negative impacts and significance, the microbiome of wild populations has not yet been characterized. Here, using 16S ribosomal RNA gene sequencing, this study is the first to characterize the microbiome composition …

From Tradition To Transition: Evaluating Culinary Medicine As A Tool For Metabolic Health Among Nigerian Immigrants In The United States And The United Kingdom, Simi Oduwole M.S.

Department of Nutrition Student Projects

This scoping review examines existing publications to evaluate whether Culinary Medicine can be used as a tool for metabolic health among Nigerian immigrants in the United States and the United Kingdom. Nigeria is one of the fastest-growing populations globally, with increasing migration to high-income countries such as the United States and the United Kingdom. Evidence suggests that Nigerian immigrants experience a rise in diet-related chronic diseases, including obesity, diabetes, and cardiovascular disease, as duration of residence increases. This phenomenon is often attributed to dietary acculturation and shifts toward Westernized eating patterns. This scoping review evaluates whether culinary medicine can mitigate …

The Effect Of A Low-Glycemic Index Diet On Polycystic Ovary Syndrome Symptoms Among University-Aged Women, Angelika A. Gonzalez, Annalise M. Sankar, Noelle D. Nguyen

Department of Nutrition Student Projects

Polycystic Ovary Syndrome is an endocrine disorder among women of reproductive age and is associated with insulin resistance, menstrual irregularities, hyperandrogenism, and metabolic dysfunction. Dietary modifications targeting glycemic response have emerged as a nonpharmacologic approach for PCOS management. However, long-term randomized controlled trials targeting young adult populations remain limited.

The purpose of this study is to evaluate long-term effects of adherence to a low-glycemic index diet on the frequency and severity of PCOS symptoms among female college students ages 18-22. This 12-month randomized controlled trial will recruit participants meeting the Rotterdam criteria from university health clinics. Participants will be randomly …

Effects Of Probiotic Supplementation On Symptoms In Teenagers Ages 13-18 With Inflammatory Skin Conditions, Katelyn S. Walker, Jessica Rosen, Matilde Belfiore

Department of Nutrition Student Projects

Teenagers between the ages of 13 and 18 are particularly susceptible to inflammatory skin disorders such as acne vulgaris and atopic dermatitis, which can have a detrimental effect on their physical and mental health. Emerging evidence highlights the importance of the gut-skin axis, indicating that the makeup of the gut microbiota affects both skin health and systemic inflammation. Adolescent-specific research is still limited even though probiotic supplementation, especially Lactobacillus strains, has demonstrated anti-inflammatory effects in laboratory, animal, and small clinical studies.

The purpose of this experimental study is to determine whether oral probiotic supplementation improves inflammatory skin condition symptoms in …

Effectiveness Of The Mediterranean Diet For Sustained Weight Maintenance Following Glp-1 Medication Discontinuation: A Longitudinal Prospective Study, Nitya Reddy, Josephine Thomas, Julie Salam

Department of Nutrition Student Projects

Glucagon-like peptide-1 (GLP-1) receptor agonists are effective for short-term weight reduction in adults with obesity, yet weight regain is frequent after discontinued use of the medication. Identifying sustainable dietary approaches that support long-term weight maintenance is imperative. The Mediterranean diet has been associated with improving metabolic health and resistant weight control, suggesting it may be an effective strategy for the transition off GLP-1 therapy. Men and women ages 45-55 that are diagnosed with Type 2 diabetes and receiving GLP-1 receptor therapy are the targets of this study, specifically those who plan to discontinue medication within the next three months. On …

Oral Butyrate Supplementation In Patients With Als: Impact On Gut Microbiota And Disease Progression, Annabelle Keller, Kaydee Kinnett, Camaryn Barbanel, Trinity Blakeney

Department of Nutrition Student Projects

Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disorder characterized by progressive motor neuron loss. Emerging evidence suggests that alterations in gut microbiota—particularly reductions in butyrate-producing bacteria—may contribute to neuroinflammatory pathways involved in disease progression. Observational studies in patients with ALS and preclinical findings from transgenic mouse models demonstrate gut microbial dysbiosis, intestinal barrier dysfunction, and improved survival following butyrate supplementation, suggesting the potential role of butyrate availability in ALS pathophysiology. The present study investigates whether oral butyrate supplementation can modulate inflammatory responses, improve gut microbiota composition, and slow functional decline among patients with ALS. Participants will be recruited from …

The Effect Of The Mind Diet On Cognitive Decline In Als Patients With Frontotemporal Dementia, Riya Thomas, Reba Thomas, Eliana Gitelman

Department of Nutrition Student Projects

Amyotrophic lateral sclerosis (ALS) is a progressive disease that affects nerve cells in the brain and the spinal cord, leading to a broad range of neurological issues. Individuals with ALS experience progressive muscle weakness, dysphagia, slurred speech, and impaired movement and cognition. In addition to physical symptoms, around 15-20% of individuals with ALS also develop frontotemporal dementia (FTD). There are limited interventions to slow cognitive decline in this specific population. The Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diet has been associated with slower cognitive decline and reduced risk in neurodegenerative disease among older adults; however, its effects have not been …

The Effect Of Low And High-Carbohydrate Diets On Memory Performance In College Students, Samia Baugh, Zoe Zajko, Jamie Analuisa, Ivanna Jacome

Department of Nutrition Student Projects

Carbohydrates are the primary source of energy for the brain and play an important role in processes related to memory performance. The purpose of this study is to examine the impact of a low-carbohydrate diet compared to a high-carbohydrate diet on memory performance in college students aged 18–22 years. For the purposes of this study, a low-carbohydrate diet is defined as a diet providing fewer than 130 grams of carbohydrates per day, while a high-carbohydrate diet provides approximately 325 grams of carbohydrates. This population is particularly important to study because college students experience high academic demands that require strong memory …

Sharksrx Newsletter Spring 2026, Nova Southeastern University

NSU Sharks Rx

No abstract provided.

Shared Steps To Independence: Qualitative Exploration Of A 4:1 Collaborative Pediatric Clinical Education Model, Kathryn E. Sawyer, Megan B. Flores, Elizabeth M. Ardolino

Internet Journal of Allied Health Sciences and Practice

Purpose: As demand for pediatric clinical placements increases, innovative supervision models are needed to expand capacity while supporting student learning. Grounded in situated learning and Communities of Practice theory, a 4:1 collaborative clinical education model was designed with four students to one clinical instructor (CI). This study explored how participation in this 4:1 collaborative pediatric clinical education model influenced physical therapy students’ learning, professional identity development, and clinical practice. Method: A qualitative study using a social constructivist paradigm was conducted. Nine Doctor of Physical Therapy students who completed a 4:1 collaborative pediatric clinical placement participated in semi-structured interviews immediately following …

Impressions Of An Electrolyte Beverage Among Individuals Participating In Collegiate Sports, S. Andrew Cage, Alexander P. Jacobsen, Jessie Gibson, Eric Bobel, Rebecca Peebles, Derek Lege, M.Ed., Cscs

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this project was to describe the appeal of an electrolyte hydration beverage for individuals participating in collegiate athletics. A secondary purpose of this project was to describe the acute impact of the examined beverage on the gastrointestinal tract. Methods: A total 100 individuals participating in collegiate athletics were enrolled in this study (age = 21 ± 2 years, Male = 51, Female = 49). Each participant was provided a packet of electrolyte drink mix (EverLyte^® sticks, Kent Precision Foods Group, Inc., Muscatine, IA). Participants were instructed to combine the drink mix with a bottle of …

Cultural Competence In Patient Care Coordination: Access To Care, Ryan Persaud

Internet Journal of Allied Health Sciences and Practice

Purpose: This paper examines cultural competence in pharmacy patient care coordination, specifically focusing on access barriers faced by diverse patient populations and evidence-based interventions to address these challenges. Methods: A comprehensive literature review examined access barriers for Native American, African American, Asian American, and Hispanic American patient populations in pharmacy settings, identifying culturally competent interventions for their effectiveness in improving medication access. Results: Each population faces distinct barriers including geographic isolation for Native Americans, economic and transportation challenges for African Americans, language and cultural navigation issues for Asian Americans, and immigration-related concerns for Hispanic Americans. Effective interventions include telepharmacy services, …

Impact Of Physiotherapy Interventions On Pain, 6-Minute Walk Test, Civiq-20 Scores, And Edema In Patients With Varicose Veins: A Literature Review, Ganesh B.R, Aditi Avinash Samudre

Internet Journal of Allied Health Sciences and Practice

Introduction: As a result of chronic venous insufficiency, varicose veins develop in almost 30% of the adult population across the globe. It causes myriad symptoms like fatigue in legs, pain, swelling, and alteration in skin texture. Conservative physiotherapy interventions—Buerger’s exercise and Manual Lymphatic Drainage (MLD)—aim to improve venous and lymphatic return. Objective: To compare the effects of Buerger’s exercise versus MLD on limb volume, venous hemodynamics, symptom relief, and quality of life in varicose vein patients. Approach: A systematic search was carried out from February 2020 until the date this study was completed in June 2020 on PubMed, Scopus, CINAHL, …

Effects Of Mindfulness-Based Intervention On Stress And Anxiety In Doctor Of Physical Therapy Students: A Prospective Cohort Design, Kelli J. Brizzolara, Kathy Shirley

Internet Journal of Allied Health Sciences and Practice

Purpose: The demanding nature of physical therapist (PT) education often leads students to experience very high stress levels, which can negatively impact both their academic performance and overall wellbeing. Mindfulness-based intervention programs have been used to decrease stress and anxiety in the general population. However, there is limited evidence of their use with Doctor of Physical Therapy (DPT) students. The purpose of this study was to explore the impact of a brief mindfulness-based intervention on stress and anxiety in DPT students. Methods: Thirty-seven DPT students completed an 8-week mindfulness program, including daily individual mindfulness sessions (10 minutes) and …

Assessing The Feasibility Of A Virtual Objective Structured Clinical Examination For Medical Education: A Mixed-Methods Study Involving Students And Educators, Jacqueline Segovia, Alejandra Quiroz, Francisco J. Villalon Lopez, Valentina Marican, Marcia Maldonado, Ivonne Moreno, Robinson Torres, Camila Peralta, Ingrid Puchi

Internet Journal of Allied Health Sciences and Practice

Purpose: The COVID-19 pandemic disrupted clinical training and accelerated the adaptation of the Objective Structured Clinical Examination to virtual formats (vOSCEs). Evidence on the feasibility of vOSCEs in undergraduate education remains limited in Latin America. Methods: A quasi-experimental mixed-methods study was conducted with fifth-year medical students at a Chilean university in 2021. Feasibility was assessed using Bowen’s framework—acceptability, implementation, integration, limited-efficacy testing, and adaptation—through online questionnaires and role-segmented focus groups. Two vOSCE iterations combined dynamic stations with simulated patients and static “mailbox” tasks delivered via Zoom and CANVAS. After the first iteration, modifications included a single Zoom session with breakout …

Prevalence And Determinants Of Perceived Stress Among Undergraduate Respiratory Therapy Students In Saudi Arabia, Abdulmajeed A. Baogbah, Ralph D. Zimmerman, Laryssa D. Frederick, Corinne M. Hathaway

Internet Journal of Allied Health Sciences and Practice

Background: Stress is a common phenomenon among health sciences students, severely impacting students in different ways. Similar to other students, undergraduate Respiratory Therapy (RT) students are at a high risk of stress exposure that may harm their well-being. To enhance students’ well-being, it is essential to examine the prevalence and determinants of perceived stress among undergraduate RT students. Methods: A cross-sectional study was conducted during the academic year (2023-2024) to explore the prevalence and determinants of perceived stress. Data was collected through an anonymous self-administered survey consisting of 46 questions, including demographics, the Perceived Stress Scale (PSS-14), and sources of …

Telerehabilitation Program In Rural South India: A Mixed-Method Analysis Of The Shared-Decision Making Process, Sylvia Langlois, Caroline Eagles, Dinesh Krishna, Navamani Venkatachalapathy, Tim Bressmann, Franzina Coutinho

Internet Journal of Allied Health Sciences and Practice

Purpose: Shared decision making (SDM) in health care teams involves partnering with the patient and family to consider treatment options, prioritizing their values and preferences while collaboratively determining the best care plan. Previous research on SDM in rural South India has only focused on adult populations receiving in-person care. This study aimed to understand parent perception of the SDM approach implemented in telerehabilitation services offered by Amar Seva Sangam Ayikudy to children with disabilities in a rural Southern Indian setting. Methods: A convergent parallel mixed-methods design was utilized. Quantitative data was collected from 187 participants using a SDM measure …

Performance Characteristics Of National Club Baseball Association Athletes Completing In-Season Elastic Resistance Training, Scott K. Harnden, Dawson M. Maxlow, Gena D. Guerin, Merrick A. Lincoln

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to assess in-season physical performance metrics of National Club Baseball Association Athletes (NCBA) baseball players before and after a 6-week field-based elastic tubing resistance training intervention. Performance metrics included throwing velocity, isometric shoulder rotation strength, dynamic stability, muscular endurance, and range of motion (ROM). Method: A cohort of adult male NCBA athletes (n=13; 20.1±1.1years; 171.4±24.1cm; 77.0±10.5kg; all right hand dominant) enrolled in the 6-week biweekly intervention of seven upper extremity exercises. All exercises were completed with wrist-affixed elastic tubing prior to sport practices. Pre- and post-intervention testing included throwing velocity measured via pocket …

The Effectiveness Of Virtual Reality And Augmented Reality-Based Simulation On Healthcare Students' Learning-A Review Of The Literature, Matthew Mills

Internet Journal of Allied Health Sciences and Practice

Purpose: Simulation is increasingly used to supplement authentic clinical experiences in preparation for future healthcare students. However, the most realistic simulation experiences are frequently costly, time-intensive, and difficult to scale, especially for programs with budgetary restrictions. Virtual reality (VR) and augmented reality (AR) have been proposed as easily scalable tools to provide students with a realistic simulated environment. However, as technology is rapidly evolving, there is a need to understand the evidence surrounding VR and AR's impact on healthcare student learning to optimize the deployment of these technologies and justify the costs associated with implementation. Methods: A review of the …

Evidence To Support Certification In Online Nursing Teaching Excellence: A Systematic Review, Ellen Vorbeck, Louisa Krueger, Ellen Johnson

Internet Journal of Allied Health Sciences and Practice

Abstract

A systematic review of the literature following PRISMA© (2020) was conducted to determine the evidence within nursing and higher education literature to support certification in online teaching and to determine the value of additional certification for nurse educators in higher education nursing programs. Data from CINAHL, ERIC, EBSCO, COCHRANE, AND PUBMED databases were collected following inclusion and exclusion criteria. An independent review by two authors was conducted with twenty-seven articles and one report identified. Bias was examined, followed by deductive analysis, which identified common themes and subthemes within the research. The results suggest that high-quality online courses require instructors …

Agreement Of Chatgpt With Clinical Practice Guidelines For Knee Osteoarthritis Treatment, Alessandra N. Garcia, Brian Neville, Bradley Myers, Lori Leineke, Karlyn Green

Internet Journal of Allied Health Sciences and Practice

Purpose: This cross-sectional study evaluated whether Chat Generative Pre-Trained Transformer (ChatGPT) GPT-3.5 and GPT-4O provide treatment information consistent with high-quality clinical practice guidelines (CPGs) for knee osteoarthritis (OA). Methods: High-quality CPGs published in the past decade were identified via PubMed and PEDro, with the search updated on November 11, 2024. Guidelines were appraised using the AGREE II tool. GPT-3.5 and GPT-4O were queried with common treatment-related questions, and their responses were compared to CPG recommendations. Two independent reviewers conducted a thematic content analysis of GPT-3.5 and GPT-4O responses using a deductive–inductive codebook, iteratively refined through consensus, to identify major themes/subthemes, …

National Physical Therapy Examination Scores From 2023 And 2024 Cohorts In The United States, Richard Cahanin, James W. Farris, Tara Andrews, Preston Warren, Jennifer Patterson, Shawn Drake, Barry Dale

Internet Journal of Allied Health Sciences and Practice

Purpose: This study aimed to determine which student academic performance variables within physical therapy education programs most strongly predicted NPTE scores. Methods: A prospective, multi-institutional cohort study with 228 doctoral physical therapy students representing the 2023 and 2024 cohorts was conducted. Hierarchical multiple linear regression and receiver operating characteristic analyses were used to evaluate research hypotheses. Results: No significant difference in NPTE scores between the 2023 and 2024 cohorts was found (p = .936). A streamlined model identified 2-year DPT GPA (p < .001), total PEAT score (p = .004), and total GRE score (p = .046) as the most significant …

Health Professional Students' Experiences With Gender-Identity Inclusive Content In The Classroom And Supervised Clinical Learning, Perry Xinyi Zhang, Aria Grabowski, Olivia S. Anderson

Internet Journal of Allied Health Sciences and Practice

Purpose: Gender-identity diverse populations have unique healthcare needs, but they experience stigmatization leading to negative health outcomes. Healthcare professionals have reported obstacles to delivering affirming care to gender-identity diverse patients due to limited training. We assessed how health profession students encounter gender-identity content and how students’ perceived preparedness to provide care for gender-identity diverse populations. Methods: A survey distributed to students enrolled in health professional programs at a large mid-western university included close-ended questions about exposure to gender-identity diverse curricular content in didactic and supervised clinical settings and perceived preparedness to work with gender-identity diverse populations. Open-ended questions asked what …

A Mixed Method Approach To Assessing The Feasibility Of Implementing The Ottawa Paramedic Physical Abilities Test (Tm) In The Australian Context, Samantha Sheridan, Rodney Pope, Renee S. Macphee, Alexander Macquarrie, Steven Fischer, Gavin Buzza, Hannah Stack, Lyndal Bolton, Jacob Grevell, Christopher Tony Sheridan, Jacinta Buckman, Russell Rayner

Internet Journal of Allied Health Sciences and Practice

Introduction: There is a need for evidence-based pre-employment physical fitness test standards in paramedic organisations. This study aimed to assess the feasibility of implementing an existing, international, standardised pre-employment paramedic physical capacity test, the Ottawa Paramedic Physical Abilities Test (OPPAT^TM), in the Australian context. Methods: In this mixed-method feasibility study, 12 undergraduate paramedicine students completed two generic predictive tests - a three-minute step test (3MST₂₀) and a grip strength test - and two physical employment tests: the Ottawa Paramedic Physical Abilities Test (OPPAT^TM) and the New South Wales Ambulance Test (NSWAT) – and a …

Does Relevant Work Experience Influence Academic Success? A Retrospective Study Of Doctor Of Physical Therapy Students, Nicole Tombers, Kate Corrigan, Rylee Kwiatkowski, Gwinna Remillard, Morgan Scanlon, Maddy Soderberg

Internet Journal of Allied Health Sciences and Practice

Purpose: Relevant work experience is a factor considered in holistic admissions practices of many health profession education programs. The benefits of observation hours on student career choice and subsequent academic success have been explored. Many programs additionally consider paid work experience as a factor in admissions decisions; however the influence of relevant work experience on academic outcomes is unknown. This study examined relationships between paid physical therapy related work experience and performance in a DPT program. Method: Data from 945 applicants resulting in 191 matriculants to a single DPT program were included. Employment history for all applicants was coded as …

The Effect Of Debriefing Following A Computer-Based Low-Fidelity Simulation On The Self-Efficacy Of Health Professions Students: A Randomized Cross-Over Control Study, Matthew Mills, Enrico Gandolfi, Richard E. Ferdig, Kimberly Peer

Internet Journal of Allied Health Sciences and Practice

Purpose: Simulations have been increasingly used in health science education to supplement clinical experience. There is evidence of the benefits of high-fidelity simulation (HFS) with debriefing, but HFS is costly and time-intensive to administer. Low-fidelity simulation (LFS) has been proposed as an alternative that is easier to scale and more cost-effective; however, the evidence surrounding its impact on students is mixed, possibly because debriefing is frequently omitted in LFS. Methods: A randomized experimental mixed methods cross-over control study was performed to evaluate the impact of a structured debriefing session following an interactive computer-based low-fidelity simulation on the self-efficacy and anxiety …