Medicine and Health Sciences Commons^™

Introducing A Point-Of-Care Tool To Teach Health Science Students About Social Determinants Of Health, Cassandra Simpkins, Alexandra Bowman, Kathleen Bors, Meghan Allwes, Lisa Calderwood

Marshall Journal of Medicine

Background

Social determinants of health (SDoH) are recognized as modifiable drivers of optimal health and an opportunity to achieve health equity, yet many clinicians still experience barriers to addressing their patients’ social needs. To help connect patients to supportive resources, the American Academy of Family Physicians developed the Neighborhood Navigator (NN) tool. This study examined the impact of incorporating the NN tool into SDoH education for medical and pharmacy students and examined their perceptions of the tool.

Methods

This prospective study of third- and fourth-year medical and PharmD students included assessments before and after an SDoH learning activity. The survey …

Retrospective Chart Reviews: A Practical Approach To Designing, Collecting Data, And Writing The Manuscript, Olivia Hart, Jennie L. Yoost

Marshall Journal of Medicine

No abstract provided.

Ignatzschineria Species Bacteremia: A Case Report And Review Of The Literature, Katherine Sandomirsky, Mark Sayegh, Priscila Lopez, Yone Lwin, Sharon Mannheimer

Marshall Journal of Medicine

Ignatzschineria species, a member of the Gammaproteobacteria class of bacteria, is a gram-negative, aerobic, non-spore forming rod. This emerging human pathogen has been found in the digestive tract of the parasitic Wohlfarhtia magnifica fly. Infections in humans are uncommon and are usually associated with maggot infestation (wound myiasis). Rare cases of Ignatzschineria species bacteremia have been reported in individuals with myiasis of chronic skin wounds. Current literature describes 4 known species of Ignatzschineria: I. indica, I. larvae, I. ureiclastica, and I. cameli. An additional 2 cases of Ignatzachineria bacteremia were caused by Ignatzschineria species that were “unable to …

A Rare Case Of Gallstone Ileus In A Young Female: A Surgical Case Report, Justin West, Toufeeq Suliman, Pranav Balakrishnan, Curtis W. Harrison Jr., Md, Facs, David Denning

Marshall Journal of Medicine

Gallstone ileus, a rare yet potentially life-threatening complication of cholelithiasis, poses diagnostic and therapeutic challenges. This is the case of a 36-year-old female with no significant medical history who presented with mid-abdominal pain and recurrent vomiting. Diagnostic imaging via CT scan revealed a cholecystoduodenal fistula and 2 large gallstones causing bowel obstruction. Following resuscitation, she underwent prompt exploratory laparotomy with enterotomy and gallstone removal, followed by an uneventful recovery and discharge. This case underscores the importance of early recognition and timely surgical intervention in managing gallstone ileus.

Atypical Presentation Of Non-Small Cell Lung Carcinoma With Metastasis To Breast Tissue, Tylar P. Seckman, Diane Krutzler-Berry, Mohamed Ashal, Waqas Mahmud, Krista L. Denning, Logan M. Lawrence

Marshall Journal of Medicine

Malignant neoplasms of the lung commonly metastasize to lymph nodes, bone, brain, and liver via hematogenous and lymphatic routes. Much less commonly, metastasis occurs in the breast. Secondary metastatic disease of the breast is very rare, with a reported incidence ranging from 0.4-1.3%­­—with primary lung cancer being one of the most anomalous sources. This case details non-small cell lung cancer metastasis to the breast with proven primary contralateral lung origination. This atypical finding prompts medical professionals to consider these malignant cells' immunologic, histologic, and pathologic makeup to understand further and treat the neoplasm.

A Decade Of Scientific Excellence: Celebrating The Marshall Journal Of Medicine, Darshana T. Shah

Marshall Journal of Medicine

No abstract provided.

Pass It Along: Learning About Health Inequities Through Project-Based Learning And A Student-Developed Workshop, Marcy S. Ekanayake-Weber, Deanna Cunha, Kristi L. Fung, Sydney Macgregor, Nicole Ribeiro, Nicholas Smith

International Journal of Transformative Teaching and Learning in Higher Education

People in marginalized communities experience reduced quality of healthcare due to complex interactions between implicit bias, stereotypes, and structural inequities, but future healthcare providers remain unprepared to confront these problems. To address the issue of health inequities in health sciences education, a project-based learning seminar for undergraduates called “Biology of Inequity” was developed and offered by the Department of Anthropology at [redacted] University in Spring semester 2022. Following the project-based learning (PBL) framework, the course was extremely interactive, culminating in a project where students were asked to “materially improve health inequalities out in the real world.” The students responded by …

Culture Shock: Exploring The Truths & Benefits Of Remote Work In Higher Education, Teresa M. Stephens, Kristen Poston, Sarah Miller, Catherine O. Durham, Amy Williams

International Journal of Transformative Teaching and Learning in Higher Education

In “Culture Shock,” Gallup’s 2023 publication, the authors explore the COVID-19 pandemic’s impact on work and life, urging a reevaluation of leadership strategies, especially for remote work. They highlight a significant shift, with many U.S. employees hesitant to return to traditional offices, favoring new remote work environments that integrate work and life. This shift is also evident in higher education, where faculty see benefits in productivity and well-being, despite some pressure to revert to old norms. Clifton and Harter (2023) argue that the focus should be on how organizations build and maintain relationships in this evolving landscape. Their thesis emphasizes …

Occupational Therapy Assistant Preparatory Course To Improve Mock Certification Exam Scores: An Evidenced-Based Intervention, Anderston St. Germain

Journal of Innovation in Health Sciences Education

Abstract

Introduction: The overall goal of educators of occupational therapy is to produce graduates capable of meeting entry-level employment status, which becomes evident when they pass the national certification exam. This evidence-based pilot project investigated an occupational therapy assistant certification exam preparatory course designed to improve mock certification test scores of graduates from an occupational therapy assistant program.

Methods: The project was implemented as a pilot study in the fall of 2017 with six participants. The course was delivered using a face-to-face teaching model and designed based on the most recent evidence from the literature. The course content included …

The Readiness For Integrated Primary Health Care (Ilp) At Puskesmas Pamulang In Tangerang Selatan City, Firda Safitri Rachmaningsih, Kurnia Sari

Journal of Indonesian Health Policy and Administration

. Integrated primary healthcare (ILP) is part of the transformation of primary healthcare aimed at improving access to quality healthcare. This study aims to analyze the readiness of Pusat Kesehatan Masyarakat (Puskesmas) and their networks to implement ILP. This research used a qualitative approach, focusing on a case study of a Puskesmas in an urban setting, specifically in the operational area of Puskesmas Pamulang in South Tangerang. Data collection methods include in-depth interviews, observations, and document reviews. This research adopts the conceptual framework of PHC monitoring based on WHO and Weiner's theory of organizational change readiness. The research findings indicate …

Analysis Of Covid-19 Prevention And Control Policy Implementation In Islamic Boarding Schools In Dki Jakarta, Dickha Adi Wibowo, Fajar Ariyanti

Journal of Indonesian Health Policy and Administration

Indonesia, as one of the countries affected by COVID-19, has implemented various efforts to prevent the transmission of COVID-19. One effort that can be implemented is the implementation of COVID-19 prevention protocols. Apart from that, according to the COVID-19 Handling Task Force, Islamic boarding schools are locations with high mobility. This research aims to determine the implementation of policies related to the prevention and control of COVID-19 in Islamic boarding schools in the DKI Jakarta Province. This research used descriptive research with a qualitative approach, with the number of respondents being three Islamic boarding school leaders and students. The results …

Contextualizing Policy Adoption: A Case Study Of Tuberculosis Control Policy In Depok City, Tri Auri Putri Ayuningtyas, Adang Bachtiar

Journal of Indonesian Health Policy and Administration

This study analyzes the formulation and implementation process of Depok Mayor Regulation No. 61 of 2023 on Tuberculosis (TB) Control using Friedman’s legal system theory (1975) and the eight General Principles of Good Governance (Asas Umum Pemerintahan yang Baik – AUPB). The regulation provides a comprehensive framework, encompassing promotive, preventive, curative, and rehabilitative aspects to support TB control. The legal structure includes the establishment of a cross-sectoral Tuberculosis Control Acceleration Team, involving government agencies and community organizations. Findings reveal that while the regulation has fulfilled several AUPB principles, such as legal certainty, utility, and public interest, there are areas …

The Relationship Between Self-Efficacy And Self-Management Behavior In Gestational Diabetes Mellitus Control, Fatimah Dwi Cahyani, Shrimarti Rukmini Devy

Journal of Indonesian Health Policy and Administration

Diabetes mellitus gestasional (DGM) merupakan kondisi kesehatan yang meningkat dalam kehamilan dan dapat menyebabkan komplikasi serius bagi ibu dan janin. Self-management yang mencakup pemahaman, penerapan, dan pemeliharaan perilaku kesehatan memiliki peran kunci dalam mengelola DGM. Health Belief Model (HBM) digunakan sebagai kerangka kerja teoretis yang membentuk dasar intervensi untuk meningkatkan self-efficacy pada ibu hamil dengan GDM. Studi ini menganalisis hubungan antara efikasi diri dan manajemen diri dalam pengendalian diabetes gestasional pada ibu hamil. Artikel ini adalah tinjauan pustaka dengan menerapkan metode pencarian literatur. Pencarian literatur dilaksanakan melalui tiga basis data yaitu PubMed, Scopus, dan Google Scholar, yang mencakup artikel-artikel yang …

Implementation Of Emr System In Indonesian Health Facilities: Benefits And Constraints – A Case Study Of Two Clinics In Central Java, Rasyid Juliansyah, Bukhori Aqid, Andien Putri Salsabila, Kurnia Nurfiyanti

Journal of Indonesian Health Policy and Administration

This paper delves into the widespread implementation of Electronic Medical Records (EMR) within healthcare facilities across Indonesia. It addresses the challenges encountered by clinic owners and healthcare providers in transitioning to these digital systems. The study is supported by empirical data collected through a mixed-method approach, combining internal data from Klinik Pintar with qualitative validation from key stakeholders responsible for clinic operations. The research focuses on two case studies: Lembaga Pemasyarakatan (LAPAS) II Purwokerto Clinic and Palang Merah Indonesia (PMI) Purbalingga Clinic, where the adoption of EMR is analyzed in terms of efficiency, compliance with regulatory standards set by the …

Visual Artificial Intelligence In Healthcare: A Revolution In Making, Sanjay S. Rao, Punnya. V. Angadi

Indian Journal of Health Sciences and Biomedical Research KLEU

Visual artificial intelligence (AI) is a branch of computer science that teaches robots to understand images and visual information similarly to how humans do. According to the algorithm's development, visual AI allows robots to do more than just perceive; it also allows them to understand and sense the meaning behind images. Because of the enormous progress made in this area, computers are now able to recognize and interpret images more accurately than humans. From managing medical data to enhancing care delivery through AI-assisted diagnosis, visual AI has a broad impact on healthcare. By building devices and tools that can learn, …

Examining The Effects Of A Social Cognitive Intervention Aimed At Promoting Appropriate Antibiotic Use Self-Efficacy, Erin M. Hill, Andriana Frost

Journal of Social, Behavioral, and Health Sciences

Our goal in this study was to examine the effect of a social cognitive intervention aimed at improving appropriate antibiotic use self-efficacy (AAUSE). The intervention incorporated several aspects of self-efficacy theory, including mastery, vicarious learning, and verbal persuasion. To test the effectiveness of the intervention, we used two comparison conditions—reading a pamphlet focused on antibiotic resistance (ABR) or one focused on general health (diet, physical activity, sleep). A total of 226 undergraduate students completed the study, which involved completing a series of questions/questionnaires at time 1 (preintervention), engaging in the intervention (or reading a pamphlet), and then completing the time …

Faktor Orang Tua Dalam Perilaku Merokok Remaja: Studi Perbandingan Di Daerah Rural Dan Urban, Melisa Yenti, Arinil Haq, Anggela Pradiva Putri, Hanifa Eka Putri, Dela Desmita Sari, Shabrina Erika

Perilaku dan Promosi Kesehatan: Indonesian Journal of Health Promotion and Behavior

Background. Adolescent smoking can lead to various health problems. The percentage of adolescents smoking in rural areas (4.34%) is higher than in urban areas (3.14%).

Aim. The study aimed to determine the difference in the role of parental factors on adolescent smoking behavior in rural and urban areas.

Method. The study used a cross-sectional comparative design. Conducted in June-July 2024 at one rural high school and one urban high school. The sample amounted to 57 respondents in each school with simple random sampling technique. Data analysis used Mann-Whitney test to test the difference between the two regions.

Result. It …

Efektivitas Kartu Permainan Dan Kombinasi Video Animasi -Kartu Permainan Dan Terhadap Kepatuhan Minum Tablet Tambah Darah, Ardi Bastian, Agustin Widyowati, Riza Yuliawati, Kristin Ernawati, Dian Mustikawati

Perilaku dan Promosi Kesehatan: Indonesian Journal of Health Promotion and Behavior

Background: Screening results at the Baron Health Center, Nganjuk Regency showed that the prevalence of anemia in adolescent girls reached 60.89%. Although counseling and provision of iron tablets to increase hemoglobin levels have been carried out, adolescent girls' adherence to iron tablet is still low.

Objective: The study aims to see the differences in two educational methods to improve adolescent girls' compliance in consuming iron tablet

Method: A total of 201 adolescent girls were divided into 2 different groups. The first group was given education in the form of game cards, while the second group was given combination education cards …

Peningkatan Pengetahuan Dan Sikap Siswa Sdn 146/Iv Kota Jambi Tentang Phbs Indikator Cuci Tangan Pakai Sabun Melalui Media Ular Tangga, Yulti Syaridayanti, Puspita Sari, Vinna Rahayu Ningsih

Perilaku dan Promosi Kesehatan: Indonesian Journal of Health Promotion and Behavior

Background. The lack of knowledge and attitudes among students regarding the PHBS indicator of handwashing with soap in schools can lead to various health problems, therefore, it is necessary to use engaging media such as snakes and ladders to educate students.

Objective. To determine how the snake and ladder media affects the knowledge and attitudes of SDN 146/IV Kota Jambi students regarding PHBS indicators of handwashing with soap.

Method. Quantitative research with a pre-experimental method of one group pre and post-test design. The treatment was in the form of health education intervention using snakes and ladders media. …

Literasi Kesehatan Mental Dan Perilaku Diagnosis Diri Pada Mahasiswa, Cindi Maelani Putri Maelani Putri, Dela Aristi, Raihana Nadra Alkaff, Uray Kania Desita, Henny Meilani, Salsabila Sabrina, Rani Dwi Jayanti Maulidia

Perilaku dan Promosi Kesehatan: Indonesian Journal of Health Promotion and Behavior

Background. College students must have mental health literacy in order to validate information about mental health and avoid self-diagnosis. Students will be better able to manage their mental health as their health literacy abilities improve.

Aim. This research aims to understand the overview of mental health literacy and self-diagnosis behavior among college students at UIN Syarif Hidayatullah Jakarta.

Method. This descriptive-analytical study employs a cross-sectional strategy. The convenience sampling approach was used to pick a sample of 409 college students from UIN Syarif Hidayatullah Jakarta.

Result. According to the findings, 24.2% of respondents lacked mental health …

Pengaruh Pemberian Edukasi Kepatuhan Konsumsi Tablet Tambah Darah (Ttd) Terhadap Peningkatan Pengetahuan Dan Sikap Remaja Putri Dan Orang Tua Di Kabupaten Bangkalan, Welldelin Yufuria Christiansi, Diah Indriani, Nendy Putra Salsabilla, Riska Oktaviana, Rery Afianto, Giovanny Yan Mario Paridy Man, Iitdrie Iitdrie, Aldiella Ayu Prasetya Astuti, Aziza Zahrotul Adha, Sri Hardianti, Aprillia Nurhayati, Tesalonika Arina Pambudi

Perilaku dan Promosi Kesehatan: Indonesian Journal of Health Promotion and Behavior

Background. The results of the Indonesian Health Survey (SKI) in 2023 showed that the prevalence of anaemia in adolescents was 14.6%. Knowledge about blood tablets is one of the factors that can influence someone’s blood tablets consumption behavior. Increasing knowledge and attitudes regarding blood tablets consumption can be done through education.

Aim. This study aims to analyse the effect of providing education on improving the knowledge and attitudes of parents and adolescent girls regarding anaemia prevention and consumption of blood supplement tablets in Socahah District, Bangkalan Regency.

Method. This study used a quasi-experimental design by designing one …

Pengetahuan, Sikap, Dan Perilaku Perundungan Pada Siswa Sekolah Dasar Di Wilayah Kecamatan Purwokerto Timur, Windri Lesmana Rubai, Elviera Gamelia, Arrum Firda Ayu Maqfiroch

Perilaku dan Promosi Kesehatan: Indonesian Journal of Health Promotion and Behavior

Background: Bullying is a problem that is currently increasingly rampant in the education sector, so it requires serious handling. Two out of three children and adolescents in Indonesia have experienced violence throughout their lives. A school environment dominated by violence will harm students, such as feelings of isolation and depression and weakening learning motivation.

Aim: This study aims to identify the level of knowledge and attitudes of students and bullying behavior in Elementary Schools.

Method: This study uses a cross-sectional approach with a cluster sampling technique. The research location is in six public elementary schools from six sub-districts in the …

Establishing A Student-Run Mobile Clinic In Appalachian Kentucky: A Community-Based Pilot Program To Address Health Inequities, Bradley A. Firchow, John C. Cornelius

Journal of Appalachian Health

The establishment of a student-run mobile clinic in Morehead, Kentucky, led by students from the University of Kentucky College of Medicine’s (UKCOM) Rural Physician Leadership Program (RPLP), aims to address health inequities in rural Appalachian communities. This pilot program is designed to serve vulnerable populations, including the unhoused, by delivering free, accessible healthcare services directly to underserved populations. This program serves as a model for expanding access to healthcare in rural regions while promoting a collaborative, community-based approach to addressing social determinants of health.

Impaired Driving Among Rural Appalachian Women In The Year Following Incarceration, J. Matthew Webster, Megan F. Dickson, Shawn M. Jamison, Michele Staton

Journal of Appalachian Health

Introduction: Despite the known risks associated with substance use following incarceration, no studies have examined substance-impaired driving as a post-incarceration health risk behavior in rural Appalachia.

Purpose: The present study examined differences by impaired driving following incarceration and identified predictors of impaired driving in sample of rural Appalachian women with a history of drug use and risky sex.

Methods: Women (N=340) from three rural Appalachian jails completed a baseline interview in jail and follow-up interviews at six and 12 months post-release. Interview questions included demographic characteristics and information on substance use risk, mental health, criminal legal system involvement, and impaired …

Investigating Suicide Risk Factors Among Appalachian West Virginian Adults, Erin D. Caswell, Angela M. Dyer, Summer D. Hartley, Caroline P. Groth, Mary Christensen, Sahiti K. Tulabandu, Bryce K. Weaver, Ruchi Bhandari

Journal of Appalachian Health

Introduction: Suicide rates in the United States have increased over the past two decades, with rural areas, particularly the Appalachian Region, facing unique challenges that elevate suicide risk. These include economic hardships, social isolation, and limited access to mental health services.

Purpose: This study addresses critical gaps in understanding lifetime suicide risk in West Virginia (WV), a predominantly rural state entirely within the Appalachian Region. By identifying the factors driving urban-rural differences in suicide risk, this research seeks to inform interventions tailored to the state's distinct needs and provide insights applicable to the broader Appalachian Region

Methods: Using 2021 Mountain …

Comparative Outcomes Following Randomization To A Pilot Facebook-Based Hiv Prevention Intervention Among Appalachian Women Involved In The Criminal Legal System, Megan F. Dickson, Erika Pike, Michele Staton

Journal of Appalachian Health

Introduction: Rural Appalachian women who use drugs and are involved in the criminal legal system are at increased risk for health consequences (such as HIV/Hepatitis C). Service barriers throughout rural communities have prompted a need to examine the effectiveness of novel intervention delivery methods (e.g., social media).

Purpose: This study aims to determine if enhancing an existing HIV prevention intervention with additional modules delivered via Facebook improves service access by examining short-term outcomes among Appalachian women returning to the community following jail release.

Methods: Between 2019 and 2022, consenting women from two rural Appalachian jails were randomly selected, screened, interviewed, …

Current Attitudes And Barriers Among Appalachian Patients Towards Orthopaedic Surgery, Dylan Smith Md, Justin B. West Ms, Wade Smith Md, Micah Macaskill Md, Jonathan Lash, Matthew W. Bullock Do, Mpt

Journal of Appalachian Health

Introduction: This study explores the challenges faced by residents of rural West Virginia in accessing orthopaedic care due to geographic and socioeconomic barriers.

Purpose: This study seeks to survey rural West Virginia residents about their attitudes and experiences regarding access to orthopaedic care in southern West Virginia.

Methods: A total of 132 electronic surveys were collected from rural West Virginia residents during an appointment with their primary care provider located at an affiliated outreach clinic. The survey was designed to investigate various factors influencing their access to orthopaedic care.

Results: Delays in seeking orthpaedic care are common in rural West …

Clinician Attitudes And Experiences In Screening Patients For Social Determinants Of Health Using Prapare, Pranav Rane, Mathew B. Weimer M.D., Adam Baus

Journal of Appalachian Health

Introduction: Social Determinants of Health (SDOH) are the conditions in which people are born, grow, live, work, and age. SDOH significantly influence health outcomes; as such, healthcare systems should screen for patients’ social needs. PRAPARE is standardized screening tool designed to assess and address patients’ social needs.

Purpose: This study examines SDOH screening at Valley Health Systems, a federally qualified health center based in Huntington, West Virginia. The aim of this research is to assess clinician attitudes and experiences in using the PRAPARE tool to screen for SDOH.

Methods: A self-administered online survey was conducted from April to May 2022 …

Rural Reflections Of Appalachia: A Qualitative Study Of Health Professional Students’ Experiences From A Rural Immersion Experience In West Virginia, Treah Haggerty Md Ms, Jessica Stidham Ma, Stephan Brooks Mph, Abigail Cowher Ba, Sandra Pope Msw, Patricia Dekeseredy Mscn Rn, Cara L. Sedney Md,Ma

Journal of Appalachian Health

Introduction: Conventional academic rotations lack in-depth exposure to rural community members, systems, and resources surrounding specific rural-focused health issues.

Purpose: This study aims to explore health professional students’ experiences within a community-based multidisciplinary rural immersion through their personal reflections.

Methods: Written reflective entries were extracted from the online classroom system from 2019–2021. Data analysis was guided by thematic analysis. An iterative process of qualitatively coding the interviews was conducted. Themes were reviewed and agreed upon by consensus and assessed for validity by two senior researchers.

Results: Sixty-two reflective essays were included from 11 unique professional programs. Resulting themes included (1) …

Powered Haulage Fatalities In Appalachian Coal Mines, Nirmala T. Myers, Noemi B. Hall, Nadia T. Saif, A. Scott Laney

Journal of Appalachian Health

The recent death of a 33-year-old mother of three at a Central Appalachian surface coal mine highlights the persistent dangers faced by miners, particularly from powered haulage incidents. As of December 2, 28 mining fatalities have occurred in the U.S. in 2024, with four in Appalachian coal mines attributed to powered haulage. These deaths underscore the urgent need to address this cause of fatalities in the mining industry and to provide a safe workplace to protect all miners.