Medicine and Health Sciences Commons^™

Trap-Neuter-Return Programs And The Importance Of Associated Public Awareness, Nicolette Sliwa

Biology: Student Scholarship & Creative Works

The focus of this paper is to describe a typical Trap-Neuter-Return (TNR) program and highlight the major pros and cons surrounding this somewhat controversial method of managing the overwhelming free-roaming cat population. The effects of the species’ overabundance on the environment and human health are also discussed. Citing studies completed on TNR programs around the globe as well as mathematical models, the effectiveness of this method is compared to other, currently used alternatives. Finally, it has been suggested that the general awareness level a neighborhood possesses about the true goals of TNR programs has a potentially significant impact on the …

Experience Of Adults With Special Needs In Sexual Education Programs, Kate C. Hallissey

Thinking Matters Symposium Archive

Adults with special needs are discouraged from exploring their sexuality, expressing it, accessing sexual health care, and learning about their sexual rights. As a result, this population experiences higher rates of sexually transmitted diseases and sexual abuse than the general population (Saxe & Flanagan, 2014). Adults with special needs deserve to receive sexual education programming that provides them with the information they need to make informed choices about sexuality and relationships. Understanding their experiences in sexual education programs can better inform future programming for this population.

Consideration Of Cognitive Behavioral Therapy In Treating Schizophrenia: An Evidence-Based Practice Project, Kati Boucher

Thinking Matters Symposium Archive

Purpose: to answer the clinical PICOT question: For patients with schizophrenia how does CBT (cognitive behavioral therapy) and medication management compare to medication management alone affect symptom severity

Pilates And Yoga As Alternative Interventions For The Treatment Of Chronic Lower Back Pain In The Primary Care Setting: An Evidence-­‐Based Practice Project, Corinna Bellwood

Thinking Matters Symposium Archive

The purpose of this project is to answer the clinical PICO question: In patients with chronic lower back pain (CLBP) how do yoga and Pilates compared to conventional treatment of chronic lower back pain affect pain control?

Physical Activity Levels & Successful Aging, Ryan R. Bourque

Thinking Matters Symposium Archive

Hypothesis: Greater levels of physical activity have a positive correlation with greater levels of independence as well as better outcomes with respect to self-perceived health-related quality of life for elderly individuals (65+ years of age).

Therapist Experience Treating Female Sexual Assault Survivors, Melinda Irving

Thinking Matters Symposium Archive

Sexual assault often results in survivors experiencing Post traumatic stress disorder or depression. The phenomena of treating survivors in therapy after a sexual assault, has been researched thoroughly from the view of clients. Qualitative research done from therapists experiences is not as abundant in the literature. Therapists experiences treating female survivors of sexual abuse was explored, using a phenomenological research method. Examining therapist's perspective on providing therapy with survivors, can support other therapists working with women who have survived a sexual assault

Lcsw-Perceived Therapeutic Alliance And Job Satisfaction A Correlational Pilot Study, Daniel J. Kelly

Thinking Matters Symposium Archive

One-hundred-and-fifty Licensed Clinical Social Workers (LCSWs) were sent surveys measuring demographics, therapeutic alliance, and job satisfaction. Past literature suggests that clinician-perceived therapeutic alliance is related to job satisfaction. Results of this study failed to confirm this. Implications and limitations are discussed

Veterans Experience Using Acupuncture As An Alternative Treatment, Stacy Leet

Thinking Matters Symposium Archive

There is growing dissatisfaction within the veteran community with their conventional health care options. This dissatisfaction has led to an increase in seeking complementary and alternative treatments, like acupuncture. There is increased need to understand the experience of veterans who use acupuncture as an alternative treatment for their physical or mental health care needs. This phenomenological study interviewed veterans (n=6) to gain a deeper understanding of their experiences using acupuncture as alternative treatment. The outcomes of this study will add to the knowledge base and provide social workers and health providers a wider range of care options that will continue …

Rehabilitation Of A Post-Surgical Ulnar Collateral Ligament Repair, Emily Nicholson, L Webber

Thinking Matters Symposium Archive

The purpose of this literature review is to demonstrate a plan for the rehabilitation of ulnar collateral ligament tear post-surgery and return to play quickly and safely. This poster will demonstrate a protocol to follow for an athlete post reconstruction of their UCL to regain range of motion, to strengthen, to stabilize and to prepare the shoulder joint to return the athlete to an overhead throwing sport.

Trauma & Substance Use, Kaitlyn Arnold

Thinking Matters Symposium Archive

Research Question: How is trauma and substance use connected?

Treatment Alternatives To Obsessive Compulsive Disorder: An Evidence-Based Project, Katherine Oberwager

Thinking Matters Symposium Archive

To answer the clinical PICOT question: in adults with obsessive compulsive disorder (OCD), how does augmenting a selective serotonin reuptake inhibitor (SSRI) with N-acetyl-cysteine (NAC) compare to monotherapy with an SSRI in terms of symptom severity and to translate this evidence into practice.

Metabolic Costs Of Blood Flow Restriction Training Under Moderate Load To Failure, Ian Byron, Chris Chessie, Matthew Smith, Logan Carman

Thinking Matters Symposium Archive

This research focused on the metabolic costs associated with squatting to failure and squatting to failure with blood flow restriction cuffs. Each individual training program lasted a total of three weeks; consisting of two training days per week. Two groups were used for this study; proximal occlusion of legs and non-occluded legs. The occlusion group left the cuffs on until their final set was complete and pressure was maintained at 140 mmHg. The final session was monitored by a metabolic cart which recorded oxygen consumption levels throughout the workout. Oxygen consumption levels can be used to estimate aerobic costs, which …

Conservative Treatment For An Achilles Rupture, Krystyn Keating, Braden Heal, R Ingram

Thinking Matters Symposium Archive

The aim of this research is to illustrate a protocol of non-operative treatment of an Achilles rupture and discover the best practices for the rehabilitation process. The sources of the literature search included the following databases: SAGE and BioMed Central A complete Achilles rupture is a condition that may affect athletes as well as the general population. A majority of these injuries occur during a combination of exaggerated dorsiflexion of the ankle and forceful plantarflexion. Evidence has shown that overuse injuries such as chronic inflammation or other tendinopathies correlate to this injury. It’s common to get the Achilles tendon surgically …

Occupational Therapy’S Role In Helping Individuals With Spmi Gain And Sustain Employment, Jill Blackstock, Emile Castonguay

Thinking Matters Symposium Archive

Does including occupational therapy services as part of an interdisciplinary mental health team help clients with serious and persistent mental illness to gain and sustain employment?

Addressing The Relationship Between Socioeconomic Status And Childhood Obesity: An Inter-­Professional Approach, Lorande J. Furey

Thinking Matters Symposium Archive

No abstract provided.

Graduate Studies Newsletter, Graduate Studies Office

Newsletters

In This Issue:

Pg. 1 - Welcome

Pg. 2 - Faculty Spotlight on Dr. Meredith Williams

Pg. 3 - Graduate Federal Work Study

Pg. 4 - Outstanding Grad Student Awards

Pg. 5 - Important Dates and Deadlines

Pg. 6 - Thesis Submission News

Pg. 7 & 8 - Graduate Student Profiles

Dental Workforce Availability And Dental Services Utilization In Appalachia: A Geospatial Analysis, Xue Feng, Usha Sambamoorthi, R. Constance Wiener

Clinical and Translational Science Institute

Objectives—There is considerable variation in dental services utilization across Appalachian counties, and a plausible explanation is that individuals in some geographical areas do not utilize dental care due to dental workforce shortage. We conducted an ecological study on dental workforce availability and dental services utilization in Appalachia. Methods—We derived county-level (n = 364) data on demographic, socio-economic characteristics and dental services utilization in Appalachia from the 2010 Behavioral Risk Factor Surveillance System (BRFSS) using person-level data. We obtained county-level dental workforce availability and physician-to-population ratio estimates from Area Health Resource File, and linked them to the county-level BRFSS data. The …

Mitochondria Initiate And Regulate Sarcopenia, Stephen E. Alway, Junaith S. Mohamed, Matthew J. Myers

Clinical and Translational Science Institute

We present the hypothesis that an accumulation of dysfunctional mitochondria initiates a signaling cascade leading to motor neuron and muscle fiber death and culminating in sarcopenia. Interactions between neural and muscle cells that contain dysfunctional mitochondria exacerbate sarcopenia. Preventing sarcopenia will require identifying mitochondrial sources of dysfunction that are reversible.

Arterial Ventricular Uncoupling With Age And Disease And Recoupling With Exercise, Paul D. Chantler

Clinical and Translational Science Institute

The deterioration in arterial and cardiac function with aging impairs arterial ventricular coupling, an important determinant of cardiovascular performance. However, exercise training improves arterial ventricular coupling especially during exercise during the age and disease process. This review examines the concept of arterial-ventricular coupling, and how age, and disease uncouples but exercise training recouples the heart and arterial system.

Psychotropic Medication Use Among Medicare Beneficiaries Following Traumatic Brain Injury, Jennifer S. Albrecht, Daniel C. Mullins, Gordon S. Smith, Vani Rao

Clinical and Translational Science Institute

Objectives—To characterize psychotropic medication use before and after traumatic brain injury (TBI) hospitalization among older adults. A secondary objective is to determine how receipt of indicated pharmacologic treatment for anxiety and post-traumatic stress disorder (PTSD) differs following TBI. Design—Retrospective cohort Setting—United States Participants—Medicare beneficiaries age ≥65 hospitalized with TBI 2006-2010 with continuous drug coverage for 12 months before and after TBI (n=60,276). Measurements—We obtained monthly psychotropic medication use by drug class and specific drugs from Medicare Part D drug event files. International Classification of Disease, 9th Edition CM, codes were used to define anxiety (300.0x) and PTSD (309.81). Results—Average monthly …

Direct And Indirect Cost Of Managing Alzheimer's Disease And Related Dementias In The United States, Arijita Deb, James Douglas Thornton, Usha Sambamoorthi, Kim Innes

Clinical and Translational Science Institute

Introduction—Care of individuals with Alzheimer’s Disease and Related Dementias (ADRD) poses special challenges. As the disease progresses, individuals with ADRD require increasing levels of medical care, caregiver support, and long-term care which can lead to substantial economic burden. Areas covered—In this expert review, we synthesized findings from studies of costs of ADRD in the United States that were published between January 2006 and February 2017, highlighted major sources of variation in costs, identified knowledge gaps and briefly outlined directions for future research and implications for policy and program planning. Expert commentary—A consistent finding of all studies comparing individuals with and …

Mechanical Circulatory Support In Patients With Severe Aortic Stenosis And Left Ventricular Dysfunction Undergoing Percutaneous Coronary Intervention, Mohamad Alkhouli, Ahmed Al Mustafa, Zakeih Chaker, Fahad Alqahtani, Sami Aljohani, David R. Holmes

Clinical and Translational Science Institute

Management of obstructive coronary artery disease in patients with aortic stenosis and severe left ventricular dysfunction is challenging. Mechanical circulatory support at the time of percutaneous coronary interventions may be necessary in these extreme-risk patients. We present a case in which the TandemHeart was used to support a patient with severe aortic stenosis, severe protected left main and circumflex disease, and severe cardiomyopathy and review the literature on this subject.

Management Of Immediate Post- Endovascular Aortic Aneurysm Repair Type Ia Endoleaks And Late Outcomes, Ali F. Aburahma, Stephen M. Hass, Zachary T. Aburahma, Michael Yacoub, Albeir Y. Mousa, Shadi Abu-Halimah, L. Scott Dean, Patrick A. Stone

Clinical and Translational Science Institute

BACKGROUND—Post-endovascular aortic aneurysm repair (EVAR) endoleaks and the need for reintervention are challenging. Additional endovascular treatment is advised for type Ia endoleaks detected on post-EVAR completion angiogram. This study analyzed management and late outcomes of these endoleaks. STUDY DESIGN—This was a retrospective review of prospectively collected data from EVAR patients during a 10-year period. All post-EVAR type Ia endoleaks on completion angiogram were identified (group A) and their early (30-day) and late outcomes were compared with outcomes of patients without endoleaks (group B). Kaplan-Meier analysis was used for survival analysis, sac expansion, late type Ia endoleak, and reintervention. RESULTS—Seventy-one of …

Talking To Parents About Adolescent Sexuality, Amie M. Ashcraft, Pamela J. Murray

Clinical and Translational Science Institute

No abstract provided.

Australian General Practice Training Program: National Report On The 2016 Registrar Satisfaction Survey, Ali Radloff, Daniel Edwards, Darren Matthews

Higher education research

The AGPT Registrar Satisfaction Survey was an annual, national survey of GP registrars currently training in the AGPT program that collects information about registrar satisfaction, experience and future career plans. The survey undertaken in November and December 2016 was part of the Department of Health’s monitoring and quality improvement activities and the information used to assure the quality of training provision, enable continuous improvement and allow results to be benchmarked nationally. It also collected information on registrars’ demographics, training contexts, career plans and other aspects of their training experience.

The Effects Of Blood Flow Restriction Training On Strength And Hypertrophy; Is It Worth It?, David Donovan, Clarissa El-Hajj, Ryan Koenig, Seth Wing

Thinking Matters Symposium Archive

We examined the effects of Blood Flow Restriction Training on Strength and Hypertrophy involving 3 female and 5 male subjects. Participants came in to train twice a week for 3 weeks and were randomly assigned to either the BFR or non-BFR group. Resistance exercise included lifting a weight to muscular fatigue or wearing blood flow restriction cuffs during resistance training to muscular fatigue performed on the smith machine. Squat exercises were performed on different days, lifting a weight at 50% of a 1 repetition maximum for a total of 3 sets with a 90 second recovery after the 1st and …

Teach-Back Method: Improving Health Outcomes, Katherine Smith

Thinking Matters Symposium Archive

To answer the Clinical PICO question: For patients managing chronic disease, how does the implementation of the teach-back method compared to usual standard of care affect health outcomes? By implementing the teach-back method, we will improve the management of chronic disease in the primary care setting.

Occupational Therapy Services In Postsecondary Education Settings, Marissa Eldridge, Courtney Kromko

Thinking Matters Symposium Archive

Do college students experience improved success by participating in a university program utilizing occupational therapy services?

Recurrent Hemopericardium With Cardiac Tamponade As An Initial Presentation Of Cardiac Sarcoidosis, Aditya Pawaskar, Gregg M. Lanier, Priya Praksah, Julia Yegudin-Ash

NYMC Faculty Posters

No abstract provided.

Perceptions Of Successful Aging Among Maine Elders With Physical Limitations: Insights From Qualitative Interviews, Madeline Minor, Rebecca Knight

Thinking Matters Symposium Archive

Research Question: How do elders living with a disability perceive the aging process?