Medicine and Health Sciences Commons^™

Gender Differences In Marijuana-Related Problems Among Those Who Self-Reported Daily Smoking And Marijuana Use, Justin Ho

Scholarship in Medicine - All Papers

In 2012, the National Survey on Drug Use and Health reported about 5.2% of its respondents using tobacco and marijuana, with strong evidence of increasing marijuana use among tobacco users.¹ While smoking cigarettes has been shown to cause lung cancer,² additional studies associate habitual marijuana smoking with abnormal airway tissue histology, impeded airway conductance,³ decreased memory, psychomotor speed, and manual dexterity.⁴ Cigarette smoking and marijuana use are shown to have similar withdrawal symptoms such as irritability, anxiety, and depression,^2,5 meaning that this example of polysubstance dependence could become a valid public health concern, especially with …

Identifying Factors Underlying The Decision For Genetic Carrier Screening Among Women In Montgomery County, Sowon Kim

Scholarship in Medicine - All Papers

As medical scientific technologies evolve, numerous medical tests help not only physicians with their clinical judgment, but also patients by empowering them with more knowledge of their own health. An example is Genetic Carrier Screening (GCS) [1-2]. Genetic Carrier Screening (GCS) is a genetic test that allows patients to find out if they carry genes for certain genetic disorders. The results of the test enable patients to make changes to their family planning decisions and prenatal care when appropriate and allow them the opportunity to seek further medical and social support [3]. The clinical utility of GCS is evident in …

Perceptions Of Fracture Location, Breanna Dominguez

Scholarship in Medicine - All Papers

OBJECTIVE: Aseptic non-union is a significant complication in approximately 5% of long bone fractures1. Bone stimulation devices are used before surgical intervention and can have favorable results if accurately placed. The objective of this study is to determine accuracy of clinician fracture localization based solely on viewing radiographs.

METHODS: A transverse diaphyseal fracture was induced in a cadaveric radius and tibia using a bone saw and osteotome; fractures were not apparent from incision or soft tissue. The sample included 20 physicians and 16 pre-clinical medical students. Participants used reference anteroposterior (AP) and lateral radiographs to determine fracture location and placed …

Outcomes Of Prenatal Marijuana Use, Sierra Clark

Scholarship in Medicine - All Papers

Holistic therapy is becoming a national trend and a lot of people are turning to marijuana for its potential benefits. Even pregnant women are using marijuana to manage nausea and vomiting. 1 Currently, medical marijuana is legal in 33 states and the District of Columbia, with 10 states also legalizing its recreational use. 1 In the US, between 16.2% of pregnant women are using marijuana daily.2 In a study surveying 785 pregnant women, 79% reported perceiving little to no harm in prenatal marijuana use.3 Due to the increase in its use and the common perception of being harmless, it is …

Effect Of Hiv Prevalence And Gender On Cardiovascular Disease Deaths, Tanjeev Ahmad

Scholarship in Medicine - All Papers

Cardiovascular disease is a widely diagnosed condition that can have many etiologies and factors that changes its prognosis. This project was aimed at investigating two potential factors that changes its prognosis: HIV status and gender. Data on HIV status was collected from NCHHSTP AtlasPlus for all US states and territories and data on cardiovascular disease deaths and corresponding gender was collected from Interactive Atlas of Heart Disease and Stroke for all US states and territories. Using a linear regression test, a correlation was tested for between HIV status and cardiovascular disease deaths for every US state/territory followed by a test …

Depression And Disability In The United States, Colleen Pennington

Scholarship in Medicine - All Papers

Objective: To compare the prevalence of cognitive disabilities, mobility disabilities, and depression rates by varying categories including U.S. State, gender, and region. Methods: Data was obtained from the CDC Wonder data set for the prevalence of cognitive and mobility disabilities from the U.S. states for the years 2017-2018. Data was also obtained from the CDC for incidence of depression among the general population and those identifying with any disability. Data was analyzed with ANOVA and t-tests using SPSS. Results: Results reveal a significant difference in disability type and gender throughout the United States. There is also a significant difference in …

Health Disparities Surrounding Air Quality And Asthma, Carolina B. Nadal Medina

Scholarship in Medicine - All Papers

Introduction: Asthma is a prevalent disease in the US in both children and adults. Studies in the past have found disparities in asthma prevalence among different races in the United States as well as between gender. Objective: Compare asthma prevalence among racial and ethnic groups in the us, as well as gender, in the United States in both children and adults in the years of 2011 and 2014. Additionally, to see if there is a correlation between air quality, measured in PM2.5mm, and asthma prevalence in different racial groups and genders in both children and adults. Methods: Asthma prevalence data …

The Effects Of Daily Sunlight Levels On Suicide Rates, Amna Amin

Scholarship in Medicine - All Papers

The correlation between sunlight and mental health has been long studied and is even involved in the development of Seasonal Affective Disorder (SAD), with subsequent development of light therapy for affected individuals. This points towards the question of the effects of varying levels of daily sunlight in the United States on rates of suicide – a reflection of the extreme state of suboptimal mental health. I have ventured to study this question, using publicly available data on the daily sunlight levels in various states in the U.S. during each month of the year and the rates of suicide in those …

Infant Death Rates Between Different Medical Attendants, Zenab Saeed

Scholarship in Medicine - All Papers

The function of midwives in the context of maternal health is important, especially when understanding the role of midwives in a global context compared to in the United States. Globally, midwives have served as historically important members in the process of childbirth, but their role has experienced changes in response to increased medicalization over the years, especially in the United States.1 Based of their use and effectiveness in a global context, literature suggests that it may be beneficial for both the healthcare system, mothers, and infants to expand the role of midwives in the United States.2 The purpose of this …

Impact Of Different Factors On Premature Deaths In Rural And Urban Virginian Counties, Christian Randazzo

Scholarship in Medicine - All Papers

The goal of this investigation is to analyze data that influences premature death rates in Virginian counties. Specifically, I am looking at how the rates compare between rural and urban Virginian counties in 2020. In addition, I am analyzing how the premature death rates correlates with low birthweights, with air pollution, with preventable hospital stays, and with children in poverty and see how these variables predict the variance in premature death rates by county. I am using data from the County Health Rankings website. They gathered their data via surveys, the National Vital Statistics System, the CDC health tracking network, …

Incidence Of Female Breast Cancer In The United States By Race And Region, Tiffany Le

Scholarship in Medicine - All Papers

Objective: Assess the distribution and incidence of female breast cancer in the United States in different races and regions of the United States. Methods: Collect and analyze CDC WONDER data from the Center for Disease and Control to see if there are varying rates of female breast cancer incidence between races and in different regions of the United States. Results: The results are expected to show a significant difference in female breast cancer incidence between races and a non-significant difference in female breast cancer incidence among different regions of the United States.

The Effects Of Foodborne Bacteria On Outbreaks, Illnesses, And Hospitalizations In The U.S., Henrietta Ofori-Sampong

Scholarship in Medicine - All Papers

Objective: To investigate the effects of foodborne bacteria on outbreaks, and outbreak-associated illnesses and hospitalizations in the United States (U.S.).

Methods: Aggregate data was obtained from the CDC WONDER (Wide-ranging Online Data for Epidemiologic Research) database showing the number of foodborne outbreaks (1993-2017), and outbreak-associated illnesses (1993-2017) and hospitalizations (1998-2017) caused by foodborne bacteria. Species of bacteria were grouped into 13 genera and 1 other. An Analysis of variance (ANOVA) test was used to compare the mean outbreaks, and outbreak-associated illnesses and hospitalizations for each of the years using the data by species for each year. Results: There was no …

Grit And Medicine: Practicing Physicians, Residents, And Medical Students, Michael Bamisile

Scholarship in Medicine - All Papers

Introduction: Since 2012, researchers have focused on understanding the relationship between grit and the successful completion of medical school1. This study seeks to determine how grit levels, measured by survey at matriculation, relate to first year medical school academic performance. This study also seeks to address the discrepancy concerning measurement of grit and implications of grit in medical students before and during COVID-19 and the shift from in-class to on-line instruction. Methods: The data from this study were collected from Wright State University Boonshoft School of Medicine (WSUBSOM), a Midwestern allopathic medical school in the United States. Data were collected …

The Impact Of State Prescription Drug Monitoring Programs On Opioid Prescribing Practices And Opioid-Related Overdose Death Rates, Molly Scarbro

Scholarship in Medicine - All Papers

Objective: Most states within the US have implemented a form of a Prescription Drug Monitoring Program (PDMP). The Centers for Disease Control and Prevention (CDC) has developed a scale to rate each state’s requirements of prescribers use of the PDMP on timely submission of the data and consultation when prescribing opioids. This paper looks at the impact of three levels of PDMP ratings (Green, Yellow, and Red) on opioid prescribing practices and opioid-related overdose death rates in 2015 (prior to PDMP rating) and in 2017. Methods: Data was collected from the CDC Wonder database, a publicly available data set. A …

Video Games, Screen Time, And The Impact On Body Mass Index And The Cardiovascular Fitness Of Adolescence, Joshua Sylvan

Scholarship in Medicine - All Papers

Objective: To determine the effect of screen time/video gameplay has on the BMI and cardiovascular fitness of adolescence between the ages of 12 and 15 years old.

Methods: All data were collected and analyzed based on the CDC’s NHANES National Youth Fitness Survey (NNYFS).

Results: Analysis showed that there was no significant difference between body mass index and time spent using a computer as well as no significant difference between estimate maximal O2 uptake (primary endpoint for cardiovascular fitness) and time spent using a computer.

Marijuana Use And Mental Health Among Emergency Department Patients, Megan Hanna

Scholarship in Medicine - All Papers

Background: According to the Centers for Disease Control and Prevention (CDC), marijuana is the most commonly used illicit drug in the U.S. with an increasing number of users in recent years.

Objective: This study was undertaken to identify common reasons for marijuana use and any relationship between its use and mental health among Emergency Department (ED) patients. Methods: A total of 303 ED patients participated from the Miami Valley Hospital Emergency Department. Eligible participants included those with any marijuana use. Subjects were administered a survey which identified age of first use, reasons for use, and presence of anxiety and depression …

Long-Term Survival Of Bladder Cancer Metastatic To Femoral Neck Treated With Chemotherapy, Radiation, And Arthroplasty: A Case Report, John Defant, Scott Huff, Joseph D. Henningsen, Anil Krishnamurthy

Scholarship in Medicine - All Papers

Case: A 64-year-old male suffered a pathologic left femoral neck fracture. Biopsy demonstrated metastatic urothelial cancer with a non-muscle invasive bladder cancer primary confirmed by cystoscopy. Patient underwent hemiarthroplasty, chemotherapy, radiation, and eventually, a conversion to total hip arthroplasty. Today, over a decade from initial surgery, the patient remains alive and highly functional. To our knowledge, this is the only report of bone metastatic bladder cancer with over 10-year survival. Conclusion: Bladder cancer metastatic to bone has a 5-year survival rate of 3%. Surgical resection of metastasis with reconstruction may confer a survival benefit in bony oligometastatic bladder cancer.

Do Medical Students' Assessments Of A Patient's Pain Vary Significantly With Gender And Year Of Medical Training?, Catherine Phamduy

Scholarship in Medicine - All Papers

Chronic pain is a common ailment among US adults and can lead to high cost of healthcare when not treated effectively. Unfortunately, studies show that characteristics of the patient population and physician may also influence their treatment of patient pain. Increased years of medical training is associated with a decline in empathy, which may be measurable by a decline in physician’s assessment of patient’s pain. Doctors with the least experience tend to underestimate their patient’s pain. However, very little is known about medical students’ assessment of patient-reported pain. The objective is to determine the significant differences in medical students’ perceptions …

The Verbal Numeric Pain Scale: Ed Patient Understanding And Perspectives, Bracey Bayonnet

Scholarship in Medicine - All Papers

Objective: The objective of this study is to identify patient self-reported pain scores and understanding and perspectives of the Verbal Numeric Pain Scale. Methods: In this prospective survey study, eligible participants were interviewed by research assistants. Data collected included ED patients self-reported pain scores, previous painful experiences, and their understanding of the Verbal Numeric Pain Scale,

Results: Among 164 participants (92% response rate), the mean triage pain score was 6.4 (95% CI 6.0-6.9). Many participants had experienced significant painful experiences in the past, including major surgery (N = 113), broken bone (N = 102), childbirth (N = 89) and kidney …

Correlation Between Copd And Physical Activity In The United States, Ellie Ganz

Scholarship in Medicine - All Papers

Objective: My objective of this project is to determine whether there is a correlation between COPD and physical activity in the United States by looking at all 50 states. Also, to determine if there is a difference between the prevalence of COPD in different regions of the US.

Methods: Data was collected and analyzed using the publicly available data set from the CDC Wonder database (wonder.cdc.gov). A Pearson correlation test and an ANOVA with post hoc tests were used to determine correlations and differences between variables to answer research questions.

Results: There is a significant negative correlation between physical activity …

Traffic And Our Health, Atteh Akoto

Scholarship in Medicine - All Papers

Objective: The intent of this study is to find a correlation between long commute times, physical health, and mental health. Methods: Data was collected from a publicly available dataset on countyhealthrecords.org. Results: Increased percentage of lone drivers with long commutes and obese adults, positive correlation between long commuters and access to exercise opportunities, and negative correlation between long commuters and poor mental health days.

Ddx 2.0: Efficacy Of A Differential Diagnosis Course For Ms3s Considering Primary Care And Non-Primary Care Specialties, Maya V. Prabhu

Scholarship in Medicine - All Papers

Objective: To assess if medical students interested in pursuing a primary care specialty are more receptive and have a more positive attitude towards formulating differential diagnoses (DDx) using metamemory techniques (MMTs). Methods: Cross-sectional analysis of data obtained from 113 MS3 students from the Boonshoft School of Medicine. Students generated timed DDx for a clinical case before and after an instructional didactic session about MMTs. Demographic data (including intended medical specialty and attitudes towards the overall process) were collected. Paired t-test compared screened and unscreened DDx before and after the intervention. Mixed-repeated measures ANOVA compared pre- and post- intervention screened and …

Quality Improvement: Patient Education For Management Of Hypertension In Pregnancy, Kriti Goel

Scholarship in Medicine - All Papers

Objective: We introduced maternal hypertension education tools that address illiteracy in underserved populations. Through these tools, we aim to improve patients’ knowledge of their conditions. We also aim to determine if healthcare providers perceive a benefit to the use of the tools. Ultimately, we hope these changes will lead to better short- and long-term health outcomes for mother and child.

Methods: Pregnant women with any form of hypertension at Five Rivers Center for Women’s Health (FRHC) were surveyed during OB visits. The Patient Questionnaire includes objective knowledge questions on their condition and self-reported comprehension questions. Forty-five women were surveyed during …

Investigating Preventable Hospitalizations And Potentially Related Factors In Ohio, Seth Guillozet

Scholarship in Medicine - All Papers

Objective: This research study aims to examine preventable hospitalization rates in Ohio and several variables to may be associated with changes in these rates. First, I will investigate how preventable hospitalization rates (PHRs) have changed in Ohio from 2016 to 2020. Additionally, Primary Care Physician (PCP) ratio will be compared from 2016 to 2020 in Ohio, looking for any change that has occurred between the years. Next, PHRs will be correlated to the percentage of population uninsured in Ohio to look for any relationship between these two variables. Finally, Ohio’s PHRs will be compared to Indiana’s for 2020, to look …

Food Insecurity And Healthy Food Availability In The State Of Ohio, Yanley Sánchez

Scholarship in Medicine - All Papers

Objective: This research study aims to determine the impact of food insecurity and healthy food availability in the state of Ohio. It investigates how food insecurity in Ohio has changed between 2016 and 2020. It also investigates how food insecurity correlates with education level by looking at high school graduation rates. It also investigates how Ohio, a state with a high level of food insecurity, compares to California which has low levels of food insecurity. This study also compares how food insecurity differs in rural and urban counties throughout the state of Ohio.

Methods: ANOVA with posthoc will be conducted …

Universal Health Coverage And Hiv In Hispanic America, Jenna Frantz

Scholarship in Medicine - All Papers

Objective: This study analyzes differences between HIV statistics in Hispanic American countries that have passed UHC legislation versus those that have not passed UHC legislation. In 2017, 0.4% of the population of Latin America and 1.2% of the population of the Caribbean was living with Human Immunodeficiency Virus (HIV).1 Because of these high rates of HIV in Hispanic America, as well as the lethality of HIV if untreated, HIV statistics and treatment outcomes in Hispanic America are of great concern. Relationships between HIV statistics and Universal Health Coverage (UHC) legislation could serve as a metric for UHC performance in Hispanic …

The Relationship Between Asthma, Race & Fine Particulate Matter In The United States, Samantha Mcknight

Scholarship in Medicine - All Papers

Objective: To assess how environment and race may impact childhood asthma prevalence. Methods: I analyzed data from CDC WONDER (www.wonder.cdc.gov). I performed descriptive statistics on average fine particulate matter for various states, as well as descriptive statistics on childhood asthma prevalence for various states. I determined if there was a correlation between states with higher prevalence of childhood asthma and states with higher levels of fine particulate matter using Pearson correlation. I used ANOVA with post hoc test to determine childhood asthma prevalence based on race/ ethnicity in the various states.

Results: The mean fine particulate matter in the 49 …

Effectiveness Of The Mini-Balance Evaluation Systems Test (Mini-Bestest) In Evaluating Balance In The Controlled Hypertensive Elderly Population, Melanie Sich

Scholarship in Medicine - All Papers

Objective: Provide additional evidence about the relationship between controlled hypertension and balance control by evaluating individuals’ gait stability, sensorial orientation, reactive postural response, and anticipatory postural adjustment using the Mini-Balance Evaluation Systems Test (Mini-BESTest).

Methods: A total of 76 (28 controlled hypertensive, 48 non-hypertensive) individuals were evaluated with the Mini-BESTest protocol. Each of the subscores obtained from the test represented the different subdomains of postural control, and they were compared between controlled hypertensive and non-hypertensive groups using a one-way analysis of variance (ANOVA) statistical analysis.

Results: Hypertensive individuals tended to score lower than non-hypertensive individuals in the anticipatory postural adjustment …

Age, Gender, And Racial Differences Between Acute Myocardial Infarction, Type 2 Diabetes, And Their Comortality, Steven Borchers

Scholarship in Medicine - All Papers

Acute myocardial infarction and type two diabetes are within the top seven causes of death in the United States and their impact on society is costly. Although there are many studies conducted about these diseases, some of the research is aged and requires more recent datasets. The objective of this research is to revel trends in these diseases, as well as in their comorbidity, relating to age, gender, and race. To conduct this research, data has been collected from the CDC Wonder dataset using their comorbidity database. This comorbidity data uses USA death certificates from 1999-2017 to retrieve the medical …

The Impact Of Exercise Of Mental Health, Kala Griffith

Scholarship in Medicine - All Papers

Objective: Researchers have long recognized the positive association between exercise and mental health. With such a large proportion of the United States population being affected by mental illness, it is more important now than ever, to establish ways to improve the mental health of the country. The aim of this study is to evaluate the mental health of areas with differing levels of access to exercise, specifically Ohio and West Virginia, and begin making connections and associations about locations with similar data.

Methods: Data used in this study was gathered by the County Health Rankings and Roadmaps program (CHR&R). The …