Medicine and Health Sciences Commons^™

Fall 2021

Scientia

A Decade of Progress and Success; Speech Language Pathology Program; COVID-19 Long-Hauler Study; Peer Mentors Initiative; Faculty Update; Expert Engagement: Three CSH initiatives further education and scholarship while supporting communities in need; Strategic Command: Business consultant and med tech expert Stephen Sichak helps others face pandemic challenges; Taking Care: A School of Nursing research team plumbs the pandemic experiences of nurses nationwide

Health-Related Cognitive Factors And Intention To Adopt Mhealth: The Mediating Influence Of Attitude, Ashraf Sadat Ahadzadeh, Fon Sim Ong, Shin Ling Wu

Makara Human Behavior Studies in Asia

Mobile health (mHealth) is an important service that has remarkable effects on the development of the health care system. Health-related cognitive factors, such as perceived susceptibility (PSU), perceived severity (PSE), and health consciousness (HC), are associated with health-related technology adoption behavior. However, the underlying mechanisms of these associations have not been studied sufficiently. Attitude toward technology is a key construct in health psychology because it has a central role in motivating and changing behavior. Individuals’ attitude toward a particular behavior is expected to have a strong association with the behavior. This study aimed to examine how attitude toward mHealth plays …

Intravenous Thrombolytic Therapies In The Management Of Unknown Onset And Wakeup Strokes: A Scoping Review, Saima Nazish

Pakistan Journal of Neurological Sciences (PJNS)

ABSTRACT Background: The efficacy and safety of intravenous recombinant tissue plasminogen activator (IV rt-PA) for the management of unknown time onset stroke (UTOS) and wake-up stroke (WUS) are in a debate. Objective:The objective of this review is to discuss the UTOS and its management with intravenous thrombolytic therapies. Data Sources: Databases searched included PubMed and Cochrane electronic databases and manual search. Study Selection and Data Extraction: 45 articles of potential relevance were selected. Results: 14 relevant papers were included. Most of studies including recent trials using Magnetic resonance imaging diffusion-weighted imaging fluid-attenuated inversion recovery (MRIDWI FLAIR) mismatch or Computed tomography …

Therapeutic Options For Covid-19: Drug Repurposing Of Serine Protease Inhibitor Against Tmprss2, Mohammad Wildan Abiyyi, Surya Dwira, Arleni Bustami, Linda Erlina

Indonesian Journal of Medical Chemistry and Bioinformatics

The SARS-Coronavirus 2 (SARS-CoV-2) outbreak is a serious global public health threat. Researchers around the world are conducting mass research to control this epidemic, starting from the discovery of vaccines, to new drugs that have specific activities as antivirals. Drug repurposing is a potential method of using drugs with known activity for reuse as COVID-19 therapy. This method has the advantage that it can reduce costs and also the duration in the development of potential drugs. The initial step in drug repurposing can be done computationally to determine the effectiveness and specificity of the drug on the target protein. Molecular …

Results Of Surgical Ablation For Atrial Fibrillation In Patients With Rheumatic Heart Disease, Turki B. Albacker, Sultan Alaamro, Abdulaziz M Alhothali, Amr A Arafat, Khaled D Algarni, Ahmed Eldemerdash, Bakir M Bakir

Journal of the Saudi Heart Association

Background There is conflicting evidence regarding the success of the Maze procedure to restore sinus rhythm in patients with rheumatic heart disease. Hence, the aim of our study was to describe the results of surgical ablation for atrial fibrillation in patients with rheumatic heart disease undergoing cardiac surgery. Methods This is a retrospective study that included adult patients with rheumatic heart disease who underwent surgical ablation for atrial fibrillation. The ablation lesions were performed using monopolar radiofrequency ablation in all patients. Results Fifty-seven consecutive patients were included in the study. Cox Maze IV was performed in 44 patients (77%), while …

Development Of The Taekwondo Performance Protocol To Assess Technical Speed And Quickness, Cengiz Ölmez, Selami Yüksek

Baltic Journal of Health and Physical Activity

Introduction: The aim of this study is to develop the Taekwondo Performance Protocol (TPP), with which taekwondo-specific speed and quickness performance can be measured. Materials and Methods: The study was conducted with the participation of 79 active athletes that were at least at 1st gup level (red – black belt). At the development stage of the TPP, reliability calculations were made using the test-retest method. During the examination of the validity of TPP, Illinois agility, 20-meter sprint, vertical jump, and anaerobic power (Lewis) performances and the correlations between them were examined. In addition, TPP's effectiveness in distinguishing athletes of different …

A Focused Review Of Multidimensional Well-Being Assessments, Samantha Schonhardt, Stephanie Sullivan, Rebecca Shisler Marshall

Journal of Wellness

Introduction: Interest in the topic of well-being continues to grow and has resulted in the creation of a variety of well-being assessments. However, each assessment often brings its own terminology, theories, definitions, and dimensions. This creates a muddled research base that produces inconsistencies in the field of well-being. Therefore, the aim of this review was to identify assessments that measure multiple dimensions of well-being, catalogue and group the dimensions into categories, and develop definitions for the categories based on the conceptualizations in the literature. In doing so, the dimensionality of well-being portrayed in the literature can be better understood. …

Virtual Screening On Indonesian Herbal Compounds As Sars-Cov-2 Spike (S2) Glycoprotein Inhibitors: Pharmacophore Modelling & Molecular Docking Approaches, Syailendra Karuna Sugito, Artha Uli Cristina, Putri Saskia Harimurti, Gabriella Regita Cendani, Fauzi Azhar Insani, Linda Erlina, Rafika Indah Paramita, Fadilah Fadilah

Indonesian Journal of Medical Chemistry and Bioinformatics

Background: There are still no specific treatments for coronavirus disease (COVID-19) until present days. Several studies have been conducted to determine whether herbal medicine can be an option to be used as a definitive medicine for COVID-19. S2 subunit of spike protein which is responsible for SARS-CoV-2 entry to the host cell, is a potential drug target to inhibit the viral infection. In this study, we aimed to find some compounds from the HerbalDB database that have potential as SARS-CoV-2 spike (S2) glycoprotein inhibitor.

Methods: The 6LXT protein was used as the target protein. The procedure in this study consisted …

Black Women’S Body Image, Breast Cancer, And Post Traumatic Growth, Harriette Richard, Antonia S. Mead

The Journal of the Research Association of Minority Professors

Black women’s body image is influenced by several factors but when women have breast cancer, a “new normal” extends from diagnosis to long after reconstruction. This pilot study examines Black women’s breast cancer experience beginning with social networks, diagnosis, health care, the medical community, and breast reconstruction, ending with PTSD and Post Traumatic Growth (PTG). A convenience sample was surveyed and a qualitative research methodology was utilized to analyze responses from Black female breast cancer survivors. Research questions included body image perceptions after surgery and post-reconstruction. The participants go through adversity, find strength, and grow, ready to face the next …

Health Care Provider’S Perceptions Of The Transition Between Pediatric To Adolescent And Adulthood: A Qualitative Inquiry, Antoinette W. Coward, Andrea E. Mcdonald

The Journal of the Research Association of Minority Professors

This study examines the current practices provided from pediatric to adult health care for children with special health care needs at FQHCs using the Six Core Elements of Health Care. Methods: A phenomenological approach was used to recruit and interview ten (10) health leaders from FQHCs. The participants were recruited through this letter sent to the Mid-Atlantic Association of Community Health Center. The researchers-initiated contact with the key informant to introduce them to the study. After consent was obtained, demographic information collected, and interviews were scheduled. During the semi-structured interview session, the key informant was asked questions related to their …

Coronary Care Unit Nurses’ Experiences Of Care Management Self-Efficacy: A Qualitative Content Analysis, Fatemeh Mansouri, Parand Pourghane, Maryam Rajab Pour Nikfam, James C. Oleson

The Qualitative Report

Recognizing various aspects of the self-efficacy concept in specialized medical units such as intensive care units (ICUs) and coronary care units (CCUs) has the potential to help nurses improve their quality of care. Therefore, we conducted a qualitative content analysis study in 2018 in hospitals of the Guilan Province, northern Iran, to help explain nurses’ perceptions of self-efficacy in care management within CCU wards. Thirty-four semi-structured interviews were conducted with nurses from CCUs. Using Graneheim and Lundman’s (2004) analytical techniques, we extracted three main themes and nine sub-themes from the data: decline in self-efficacy (e.g., time constraint, high work pressure, …

Highly Pathogenic Avian Influenza, Andrew N. Rowan, Kathleen Rowan

WellBeing News

The avian flu virus was the agent that caused the devastating worldwide influenza pandemic in 2018 that killed an estimated 50-100 million people, and health authorities continue to pay close attention to periodic outbreaks of avian flu. Currently, an H5N1 influenza virus is leading to millions of wild birds and domestic poultry deaths. Recently, this virus spread in a mink farm in Spain, raising the stakes that it might be able to spread among humans. While the current avian flu pandemic is a major economic problem for global farms and a major animal welfare concern for domestic poultry and wild …

From In-Person To Virtual: A Case Study Of An Animal-Assisted Visiting Program In A Pediatric Setting, Whitney Romine

People and Animals: The International Journal of Research and Practice

This article focuses on the practical aspects of converting a successful in-person AAA program to a virtual program in a health care setting including human, canine, and physical resources; animal welfare considerations; training, infection control, and safety guidelines; and visit delivery procedures. In 1992, an interdisciplinary team at Akron Children’s Hospital founded the Doggie Brigade, an animal-assisted activities (AAA) program where volunteer therapy dogs and their handlers visit pediatric patients. The program has become a cornerstone of the hospital’s culture over its now 30-year tenure. In March 2020, the announcement of the COVID-19 pandemic forced health care organizations to suspend …

National Digital Infrastructure And India’S Healthcare Sector: Physician’S Perspectives, Rajesh Chandwani, Saneesh Edacherian, Mukesh Sud

The Qualitative Report

Patient-centric digital infrastructure can potentially enhance the efficiency of healthcare systems. However, even in developed nations, evidence suggests low adoption rates for such infrastructure and lack of support from clinicians is considered as one of the most critical hindering factors. In this study, we examine physicians' perceptions of the proposed large-scale information technology initiative in India that aims to transform the health sector and provide universal health coverage to all residents of India. We employed the information ecology lens to understand the broader changes in the healthcare system that could result from the initiative. We use focus group discussion and …

The Effects Of Covid-19 On Clinical Coordination And The Education Of Physician Assistant Students, Halley Barke

SIU Journal of Medical Science Scholarly Works

COVID-19 left a damaged path since its arrival in December 2019. Clinical Coordination in a Physician Assistant (PA) program is an important aspect of PA education. It is important to examine the effects, good or bad, that COVID-19 and other factors have played in the clinical rotation scheduling and placement of PA students in their clinical rotation experiences. To evaluate those effects, it was determined to look at the encounter numbers from the past seven years in the Evalue online system of students in the Southern Illinois University (SIU) PA program as well as survey results obtained from other institutions …

The Integration Of The Scholarship Of Teaching And Learning Into The Discipline Of Communication Sciences And Disorders, Jennifer Friberg, Jerry K. Hoepner, Allison M. Sauerwein, Kerry Mandulak

Teaching and Learning in Communication Sciences & Disorders

McKinney (2018) has argued that for the scholarship of teaching and learning (SoTL) to advance within a discipline, the integration of SoTL must be closely examined and opportunities for growth in SoTL must be recognized and discussed. To that end, this paper reflects on the degree to which SoTL is integrated into communication sciences and disorders (CSD) by examining a variety of topics: perspectives and theories historically valued by our discipline, existing supports for SoTL at various levels (i.e., individual teacher-scholars, departments, institutions, and the CSD discipline as a whole), the application of SoTL findings in teaching and learning. Four …

The Utility Of Peer-To-Peer Practice For Teaching Speech-Language Pathology Students Transnasal Endoscopy, Laura L. Wolford, George W. Wolford, Charlotte A. Bolch

Teaching and Learning in Communication Sciences & Disorders

Introduction: Transnasal flexible endoscopy (TNFE) is necessary for multiple assessments in speech-language pathology (SLP), but it is generally considered an advanced practice technique to be learned during clinical practice. As such, there is no standardized way that it is taught in training programs, leading to a substantial knowledge gap for new graduates. Though peer-to-peer practice has been discussed as an important step in training, it is not clear whether it confers additional benefits above and beyond simulation. This study sought to answer that question in the areas of student confidence, endoscopy speed, and motivation to pursue further TNFE experiences. Methods: …

Partnering With Students To Increase Engagement And Inclusion In An Undergraduate Phonetics & Acoustics Course, Teresa Roberts, Rik Lemoncello

Teaching and Learning in Communication Sciences & Disorders

An introductory phonetics course provides foundational content for future clinical practice and may serve as a student’s first experience within the field of Communication Sciences and Disorders. The Students as Partners framework (Cook-Sather et al., 2014) offers a model for valuing student assets and experiences in co-creating learning materials to enhance active learning and deepen understanding. Incorporating positive affective feelings around learning complex material, integrating technology, and building a mutually respectful learning community can foster inclusive practices. In this manuscript, the authors share how redesigning an introductory Phonetics and Acoustics course at a large, urban, commuter, public university led to …

Student Perspectives On Learning Language Sample Analysis Using Lena, Michelle Flippin

Teaching and Learning in Communication Sciences & Disorders

Language sample analysis (LSA) is valuable clinical tool and an important component of comprehensive language assessment. However, LSA is underutilized in real-world practice. SLPs have identified time constraints, insufficient training, and lack of confidence in LSA skills as barriers to regular LSA implementation. Communication science and disorders (CSD) programs have opportunities to provide LSA instruction to address these barriers and prepare students to reliably, feasibly, and confidently use LSA in clinical practice. This pilot study examined CSD students’ perspectives on LSA instruction using the Language ENvironment Analysis System (LENA). Undergraduate students (n = 38) completed a series of two …

Speech Pathology Student Perspectives On Virtual Reality To Learn A Clinical Skill, Bridget Kelly, Joanne Walters, Rachael Unicomb

Teaching and Learning in Communication Sciences & Disorders

Evidence supports the use of simulation in educating speech pathology (SP) students, however most of the research has centered on low fidelity techniques as opposed to high fidelity and immersive technologies like virtual reality (VR). Whilst there has been research on the use of VR to teach clinical skills to students in other health disciplines (e.g., dentistry, nursing), use of VR in SP has focused mainly on its use in client intervention. There is an opportunity to use VR to teach clinical skills to SP students, particularly in response to barriers to clinical placement opportunities like the COVID 19 pandemic. …

Teaching End-Of-Life Care In Speech-Language Pathology: A Tutorial, Amanda Stead, Sara Haynie, Monica Vinson

Teaching and Learning in Communication Sciences & Disorders

Speech-language pathologists often lack preparation for working with patients near the end of life (EoL). Few academic training programs offer dedicated or sufficient content in the area of end-of-life care (EoLC). Furthermore, traditional knowledge-focused outcomes are not the most effective pedagogical strategy in teaching EoL and palliative care to students. Instead, a focus on self-awareness and personal beliefs in relation to death and dying have been shown to have a positive effect on attitudes toward EoLC. The purposes of this paper are three-fold: First, to explore what is known about the teaching and training of EoL in the discipline of …

Examining The Item-Level Psychometric Properties Of The Self-Efficacy Questionnaire (Seq) For Students In Communication Sciences And Disorders, Sabiha Parveen, Neila Donovan, Gina Morris, Kristi Dickey

Teaching and Learning in Communication Sciences & Disorders

The purpose of this study was to examine the psychometric properties of the Self-Efficacy Questionnaire (SEQ), a self-reported questionnaire using Rasch analysis, a one-parameter logistic probability model based on scientific measurement principles. Rasch analysis was completed using the rating scale model. The various analyses allow researchers to examine the item-level psychometric properties of the SEQ, which result in measures that provide evidence for validity, reliability, and sensitivity of the instrument. Rasch analysis demonstrated that the latent trait established by the SEQ, Perceived Self-efficacy (called self-efficacy from here on), was a unidimensional construct that could be measured on a linear scale. …

Use Of A Living Document To Facilitate Critical Engagement With Social Justice For Undergraduate Audiology And Speech-Languages Pathology Students, Kristen Secora, David H Smith

Teaching and Learning in Communication Sciences & Disorders

Although pedagogy focused on social justice, power, and privilege have been included in teacher preparatory programs for a number of years, such topics are much newer and relatively unexplored within the context of Communication Sciences and Disorders (CSD) preprofessional programs. This reflection provides information on use of a living document assignment to encourage undergraduate CSD students to grapple with these difficult topics (e.g., privilege, oppression, social justice, allyship) early in their professional careers resulting in benefits for the students, their future clients, and the field of CSD.

Impact Of The Covid-19 Pandemic On Undergraduate Students Studying Anatomy And Physiology Of Speech And Hearing: A Pilot Investigation, Katelyn J. Kotlarek, Kerry Callahan Mandulak

Teaching and Learning in Communication Sciences & Disorders

The purpose of this pilot study was to define what changes were experienced in the Fall 2020 semester by students in an undergraduate anatomy and physiology of speech and hearing course and highlight any differences in the experience of first-generation college students (FGCS). An online survey was administered to a single class of undergraduate students. Results indicated that students experienced a variety of challenges related to the pandemic and virtual learning. Differences in the experiences of FGCS compared to traditional students included increased hours worked and feelings of being overwhelmed and spending less time on course content each week. Future …

Coronary Flow And Unloading In Acute Myocardial Infarction Shock, Kiyo Ishikawa

Journal of Shock and Hemodynamics

In patients with cardiogenic shock that undergo successful coronary intervention, there are still factors complicating myocardial recovery. There is room for improvement in coronary flow using mechanical circulatory devices, specifically by left ventricular unloading. This idea was further explored in a research study using pigs. Results showed that subjects with acute myocardial infarction who have reduced cardiac contractility and/or high diastolic pressure would benefit from support strategies targeting left ventricular unloading.

A Grounded Theory Of Counselors’ Post-Graduation Development Of Disability Counseling Effectiveness, Michele Rivas, Nicole R. Hill

Journal of Counselor Preparation and Supervision

Many persons with disabilities engage in counseling services in a variety of settings. However, the development trajectories of counselors who seek to compensate for the lack of training and advance their post-graduation skillset to work effectively with clients with disabilities has not been explored. This grounded theory study illuminated several dimensions involved in twenty-one Licensed Professional Counselors’ post-graduation development of disability counseling effectiveness. In this study, counseling effectiveness refers to self-perceived improved skillset rather than a benchmark (i.e., competence). The core category, Evolving Commitments, was common to all participants’ trajectories when developing disability counseling effectiveness. The other categories (causal conditions, …

Transdiaphragmatic Intercostal Hernia Repair In A Patient With Previous Thoracic Surgery, Lilyan T. Starkey, Ruth P. Gerola, David A. Denning

Marshall Journal of Medicine

A transdiaphragmatic intercostal hernia (TDIH) describes the herniation of abdominal contents through diaphragm and chest wall defects. It has been documented following traumatic injuries as well as after episodes of increased thoracoabdominal pressure. However, those resulting from iatrogenic cause remain uncommon and are less often recorded. We report an iatrogenic TDIH in a patient presenting 39 days after a complicated thoracic procedure, highlighting the surgical technique used for successful hernia reduction, diaphragmatic closure, and rib re-approximation. The case reinforces the possibility of a TDIH occurring as a post-surgical complication. Surgeons should anticipate the potential development of TDIH, particularly after thoracic …

A Case Of Immune-Mediated Necrotizing Myopathy In A 75-Year-Old With Anti-Hmg-Coa Reductase Antibodies, Dylan Smith, Kassandra Flores, Adenrele Olajide

Marshall Journal of Medicine

No abstract provided.

Propofol Related Infusion Syndrome: A Subtle Adversary, Brandon Harris, Elizabeth C. Taylor, John W. Pickstone, Errington C. Thompson Md

Marshall Journal of Medicine

Propofol Related Infusion Syndrome (PRIS) was first described in 1998. It has a strange collection of symptoms, including marked bradycardia, persistent, recalcitrant metabolic acidosis, liver enlargement, rhabdomyolysis, and lipemic blood. We present two recent patients who appeared to have had PRIS. Creatinine kinase seems to be an early detector of PRIS. If PRIS is recognized early, this complex metabolic process seems to be completely reversible.

Robotic Hysterectomy: Surgical Approach And Outcomes Among A Large Institutional Cohort, Shirin Azadi, Sydney Graham, Stephen Bush, Rachel Lee, Nadim Bou Zgheib

Marshall Journal of Medicine

Introduction

The purpose of this report is to describe a technique for performing a robotic total laparoscopic hysterectomy (rTLH) with clinical outcomes on safety and efficiency. The rationale for our approach is based on a critical evaluation of the literature.

Methods

Data from all rTLH procedures performed on our gynecologic oncology service between January 2017 and December 2019 were retrospectively reviewed. Using this database, perioperative data including surgical times, intra- and postoperative complications, and length of hospital stays were evaluated. The steps used to perform the procedure were outlined and illustrated.

Results

826 cases of rTLH were performed during the …