Medicine and Health Sciences Commons^™

Family-Centered Care Outcomes In A Preschool Setting, Victoria Schalk, Cathy Lane

Thinking Matters Symposium Archive

Family-centered care (FCC) is recognized as an inclusive service delivery model based on the theory that more parental involvement will result in more relevant outcomes for the child and family. It has become the preferred method of service delivery for pediatric providers, including occupational therapists. Although FCC has become the standard, it is unclear how effective it is as a model. We conducted a review of available and best evidence concerning the impact of FCC on children’s outcomes in preschool, in order to provide recommendations for occupational therapists practicing in preschools using FCC. We found that the majority of research …

Effects Of Headgear On Concussions In Soccer Players, Bayley Pendleton

Thinking Matters Symposium Archive

Concussions have become a hot topic among athletic health care, but there is still a great deal to learn. One specific population has been studied and research produced showing the effects of wearing protective headgear. For some reason, adolescent soccer players are more apt to suffer a concussion. Taking steps to reduce recovery time and make concussions less common is something that should be addressed. The studies done showing the effects of headgear in adolescent soccer players is a topic that needs to be more widely known.

Assessing Dementia And Mild Cognitive Impairment Within The Home, Kate Sobanik, Melinda Blais

Thinking Matters Symposium Archive

What are useful assessments which can be administered by occupational therapists for homebound adults with dementia or mild cognitive impairment that will influence practice patterns?

Does The Application Of Kinesiology Tape Aid In Increasing Venous Flow, K. Fitzgerald, Victoria Saunders

Thinking Matters Symposium Archive

Kinesiology tape has become extremely popular among athletes of all ages. It’s bright colors and the unique patterns created by the tape have gained an astonishing amount of attention. KT tape is a highly elastic tape that is advertised to increase muscle proprioception, reduce pain, and increase the space between fascial layers for higher venous flow. There has been a large amount of controversy surrounding KT tape and the placebo effects its usage may have. The purpose of this study is to determine if kinesiology tape actually increases venous flow which will result in a reduction of edema and ecchymosis …

Occupational Therapy Led Handwriting Programs In General Education, Angela Hamel, Collin Skilling

Thinking Matters Symposium Archive

PIO: Does integrating occupational therapy led handwriting programs into a classroom’s curriculum improve overall handwriting in all children?

Case Study Disaster Case Description: Public Health, Halmos College Of Arts And Sciences (Hcas)

HCAS Case Competitions

No abstract provided.

Medical School Watercooler Newsletter - April 1, 2018, Lindsey Lyle

Watercooler Newsletter

This is the April 1, 2018 edition of the Frederick P. Whiddon College of Medicine's newsletter - Watercooler.

Contents Include:

• Dean’s Office Offers Writing and Editing Resource
• USA Researchers Awarded R01 Grant
• USA College of Medicine Wellness Program Hosts Self-Care Month
• Second Annual Resident and Fellow Exposition Set for May 22
• Mark Your Calendar: Student and Alumni Career Exploration Mixer

Polypharmacy And Multimorbidity Among Medicaid Enrollees: A Multistate Analysis, Xue Feng, Xi Tan, Brittany Riley, Tianyu Zheng, Thomas Bias, Usha Sambamoorthi

Clinical and Translational Science Institute

The purpose of this study is to explore the associations between polypharmacy and multimorbidity using conventional and novel measures of polypharmacy. In this cross-sectional study, data on fee-for-service (FFS) Medicaid enrollees with at least 1 chronic condition and aged 18–64 years (N = 38,329) were derived from the 2010 Medicaid Analytic eXtract (MAX) files of Maryland and West Virginia. Polypharmacy, by the authors' novel definition, was determined as simultaneous use of ≥5 drugs for a consecutive period of 60 days. Multimorbidity was defined as having ≥2 chronic conditions based on the US Department of Health and Human Services framework. The …

Youth Screen Media Habits And Sleep: Sleep-Friendly Screen Behavior Recommendations For Clinicians, Educators, And Parents, Lauren Hale, Gregory W. Kirschen, Monique K. Lebourgeois, Michael Gradisar, Michelle M. Garrison, Hawley Montgomery-Downs, Howard Kirschen, Susan M. Mchale, Anne-Marie Chang, Orfeu M. Buxton

Clinical and Translational Science Institute

With the widespread use of portable electronic devices and the normalization of screen media devices in the bedroom, insufficient sleep has become commonplace, affecting 30% of toddlers, preschoolers, and school-age children and the majority of adolescents.1,2 In a recent literature review of studies investigating the link between youth screen media use and sleep, 90% of included studies found an association between screen media use and delayed bedtime and/or decreased total sleep time.3 Proposed mechanisms include displacement of time that would have been spent sleeping, psychological stimulation and light exposure, and increased physiological alertness.3 This pervasive phenomenon of pediatric sleep loss …

Delayed Unpaired Extinction As A Treatment For Hyperarousal Of The Rabbit Nictitating Membrane Response And Its Implications For Treating Ptsd, Bernard G. Schreurs, Carrie A. Smith-Bell, Lauren B. Burhans

Clinical and Translational Science Institute

Treatment for PTSD (Post-traumatic stress disorder) is rarely available immediately after trauma and often delayed for weeks or months after an event. In a rabbit eyeblink conditioning model of PTSD, we have previously shown that presentations of a tone conditioned stimulus (CS) and shock unconditioned stimulus (US) in an explicitly unpaired manner known as unpaired extinction is effective in reducing CS responding and US hyperarousal even if shock intensity is reduced eight-fold and elicits only minimal responding. Here we determined if delayed delivery of unpaired extinction would still be effective in extinguishing hyperarousal. Rabbits were tested for sensitivity to shock …

Is The Fagerström Test For Nicotine Dependence Invariant Across Secular Trends In Smoking? A Question For Cross-Birth Cohort Analysis Of Nicotine Dependence, Cristie Glasheen, Eric O. Johnson, Nancy L. Saccone, Sharon M. Lutz, Timothy B. Baker, Daniel W. Mcneil, Mary L. Marazita, John E. Hokanson, Laura J. Bierut, Dana B. Hancock

Clinical and Translational Science Institute

Background—The Fagerström Test for Nicotine Dependence (FTND), a derivation of the Fagerström Tolerance Questionnaire, was first published in 1991. The FTND remains one of the most widely used measures of nicotine dependence for studying genetic and epidemiological risk factors and the likelihood of smoking cessation. However, it is unclear whether secular trends in patterns of smoking alter the psychometric properties of the FTND and its interpretation. Methods—We examined measurement invariance in the lifetime and current FTND scores across birth cohorts using participants drawn from six study samples (N=13,775). Results—We found significant (p

A Dedicated Breast-Pet/Ct Scanner: Evaluation Of Basic Performance Characteristics, Raymond R. Raylman, Will Van Kampen, Alexander V. Stolin, Wenbo Gong, Gangadhar Jaliparthi, Peter F. Martone, Mark F. Smith, David Sarment, Neal H. Clinthorne, Mark Perna

Clinical and Translational Science Institute

Purpose—Application of advanced imaging techniques, such as PET and x-ray CT, can potentially improve detection of breast cancer. Unfortunately, both modalities have challenges in the detection of some lesions. The combination of the two techniques, however, could potentially lead to an overall improvement in diagnostic breast imaging. The purpose of this investigation is to test the basic performance of a new dedicated breast-PET/CT. Methods—The PET component consists of a rotating pair of detectors. Its performance was evaluated using the NEMA NU4-2008 protocols. The CT component utilizes a pulsed x-ray source and flat panel detector mounted on the same gantry as …

Nicotine And Exercise Performance: Another Tool In The Arsenal Or Curse For Anti-Doping? Eur J Appl Physiol, Toby Mündel, I. Mark Olfert

Clinical and Translational Science Institute

No abstract provided.

Limited Evidence To Measure The Impact Of Chronic Pain On Health Outcomes Of Indigenous People, Manasi Murthy Mittinty, Daniel W. Mcneil, Lisa M. Jamieson

Clinical and Translational Science Institute

No abstract provided.

Cerebrovascular Dysfunction With Stress And Depression, Emily Burrage, Kent L. Marshall, Nalini Santanam, Paul D. Chantler

Clinical and Translational Science Institute

Maintenance of adequate tissue perfusion through a dense network of cerebral microvessels is critical for the perseveration of normal brain function. Regulation of the cerebral blood flow has to ensure adequate delivery of nutrients and oxygen with moment-to-moment adjustments to avoid both hypo- and hyper-perfusion of the brain tissue. Even mild impairments of cerebral blood flow regulation can have significant implications on brain function. Evidence suggests that chronic stress and depression elicits multifaceted functional impairments to the cerebral microcirculation, which plays a critical role in brain health and the pathogenesis of stress-related cognitive impairment and cerebrovascular events. Identifying the functional …

Completed Suicide In An Autopsy-Confirmed Case Of Early Onset Alzheimer's Disease, Jennifer Wiener Hartzell, Richard Geary, Kymberly Gyure, Venkata Ravi Chivukula, Marc W. Haut

Clinical and Translational Science Institute

We report a case of a 57-year-old male with clinically diagnosed and autopsy-confirmed early onset Alzheimer’s disease who completed suicide by gunshot wound to the chest. This case has several unique aspects that have not been discussed in previous case reports of completed suicide in Alzheimer’s disease. In particular, our patient’s death was highly planned with successful compensation for his cognitive deficits. After all firearms had been removed from the home as a safety precaution, he obtained a new weapon, hid it and left himself cues to find and use it. The case is discussed in the context of literature …

Pediatric Metabolic Outcome Comparisons Based On A Spectrum Of Obesity And Asthmatic Symptoms, Ashley D. Perdue, Lesley A. Cottrell, Christa L. Lilly, William A. Gower, Brian A. Ely, Brad Foringer, Melvin L. Wright, William A. Neal

Clinical and Translational Science Institute

Rationale: Asthma and obesity are 2 of the most prevalent public health issues for children in the U.S. Trajectories of both have roughly paralleled one another over the past several decades causing many to explore their connection to one another and to other associated health issues such as diabetes and dyslipidemia. Earlier models have commonly designated obesity as the central hub of these associations; however, more recent models have argued connections between pediatric asthma and other obesity-related metabolic conditions regardless of children's obesity risk. Objectives: To examine the relationships between asthma, obesity, and abnormal metabolic indices. Methods: We conducted a …

Vaccine Epidemiology And Decision-Making: A Bryant Student Focus, Hannah Coburn

Honors Projects in Science and Technology

The Centers for Disease Control and Prevention estimate that influenza has resulted in between 9.2 and 35.6 million illnesses and between 12,000 and 56,000 deaths annually since 2010 (1). Annual influenza vaccination remains to be the most effective way in controlling the spread and symptom severity of influenza infections (1). Influenza infections are especially virulent on college campuses as a dense population of students interact in close quarters such as shared housing, bathrooms, dining halls, classrooms, and social activities (2). Despite influenza vaccinations being safe, effective, easily accessible to Bryant University students, and free of cost, many students choose not …

News From The Graduate School - Nursing, Otterbein Office Of Graduate Programs

Graduate School

Newsletter that provides updates from the Graduate School and the Nursing Graduate Program.

Dental Practice Success Vol. 5 No. 1, American Dental Association, Publishing Division

Dental Practice Success

No abstract provided.

Australian General Practice Training Program: National Report On The 2017 National Registrar Survey, Rebecca Taylor, Ali Radloff, Daniel Edwards, Leyna Clarke

Higher education research

The Australian General Practice Training National Registrar Survey (AGPT NRS) is an annual, national survey of GP registrars currently training in the AGPT program that collects information about registrar satisfaction, experience and future career plans. This survey is part of the Department of Health’s (the Department) monitoring and quality improvement activities and the information can be used to assure the quality of training provision, enable continuous improvement and allow results to be benchmarked nationally. Previously known as the AGPT Registrar Satisfaction Survey (AGPT RSS), the AGPT NRS also collects information on registrars’ demographics and training contexts and other aspects of …

“Older Adults And Their Experiences With Home Care And Assisted Living”, Faith Robinson

Thinking Matters Symposium Archive

As the state of Maine and the U.S. population at large continues to age, discussion about future care and living arrangements for older adults has become an increasingly relevant issue. Older adults are often faced with a range of options for housing, including staying in their home in their community while receiving home care services, or moving to an assisted living facility.

Currently a gap in the research exists as to the attitudes, perceptions, and lived experiences of the older adults themselves around these decisions, experiences, and the meaning of “home” in our older years. This study aims to provide …

Expanding The Concept Of Play, Allison Vachon, Kylie Lyon

Thinking Matters Symposium Archive

The focus of this presentation is on medically fragile children. Through our searching process, we found that play is essential for typical development in children. When a child has a complex condition, play is often compromised. Through our evidence, we found that medically fragile children experience barriers engaging in play and social encounters while at school. Medically fragile children spend most of their day interacting with teaching staff or nurses due to the demanding needs of their disabilities. With the help of assistive technologies such as a powered mobility chair, a single switch output communication aid and movement to music …

The Y Can’T Do It All: Examining The Decline Of Participation In Youth Athletics, Ian Allen

Thinking Matters Symposium Archive

Nationally, since 2008, participation in youth sports (ages 6-17) has dropped significantly. The declining trend--from 45% down to 37%-- can be attributed to many factors

• The rising cost associated with general participation in programs, especially at the middle and high school levels
• Early specialization in one sport along with the introduction of hypercompetitiveness in younger age groups
• The need for coaches to have much more training and certification to get a foot in the door at schools and recreation programs around the country.

These factors cause a significant divide between underprivileged and privileged youth, creating a situation of haves and …

A Qualitative Study Of Asylum Seekers Experience As Mentees With The Welcoming The Stranger Program, Deborah H. W. Hamilton

Thinking Matters Symposium Archive

Asylum seekers are foreign nationals who enter the United States legally fleeing danger in their home country. Over 26,000 individuals were granted asylum in 2015, with 3.4% of the State of Maine’s population identifying as immigrants. Portland Maine’s General Assistance (GA) office reports nearly 40% of GA recipients were visa holders seeking asylum during fiscal year 2016. Asylum seekers arrive with psychological and physical burdens and then face hurdles trying to gain legal status while attempting to get their basic needs met in the social service systems. Organizations have been created on a grassroots level to provide support and bypass …

Violencia Obstétrica: Los Derechos De Autonomía Reproductiva, Tratamiento Justo Y Accesibilidad En El Ámbito De La Salud Maternal En San Carlos, Salta / Obstetric Violence: The Rights To Reproductive Autonomy, Fair Treatment, And Accessibility Of Maternal Health Services In San Carlos, Salta, Emily Gleason

Independent Study Project (ISP) Collection

In Argentina, there exists a national legislature (Ley N° 25.929 and 26.485) that is intended to ensure women’s rights to maternal and reproductive healthcare services free from obstetric violence; that is, the right to autonomy, fair treatment, and accessibility of maternal healthcare services. Women have the inherent right to receive fair and equitable maternal healthcare and receive humanized births, or partos humanizados. Despite the existence of these laws, however, there is still a rampant amount of obstetric violence that women in Argentina experience. Their rights to autonomous, accessible, and just maternal health services are often ignored or outright denied. …

What Is The Relationship Between Sensory Processing Deficits And Schizophrenia?, Jenna Carlson, Nandikesha Jungwirth

Thinking Matters Symposium Archive

This evidence-based study investigated the relationship between sensory processing deficits and schizophrenia. A literature search of 7 databases using 9 search terms resulted in 10 high quality articles which best shape and illustrate the current information regarding the link between sensory processing and schizophrenia. Themes therein included atypical sensory processing, sensory gating deficits, auditory processing deficits, visual processing deficits, and smoking. It was found that people with schizophrenia process sensory information differently than neurotypical people, demonstrating deficits in the ability to filter out sensory stimuli. These deficits were correlated with a range of functional impacts, including decreased social participation. Surprisingly, …

Animal Assisted Therapy For Adult Domestic Violence Survivors, Kaden Flynn

Thinking Matters Symposium Archive

The focus for my research project for my Women and Gender Studies, Capstone course has revolved around Domestic Violence and Animal Assisted Therapy (AAT). AAT has been around since the 18th century but the benefits of it, aren’t talked about enough; when looking at what it does for adult DV survivors. I will determine if AAT, in conjunction with other therapies, is beneficial for DV victims. To determine how beneficial AAT is, I will be reviewing current literature on AAT, the results of different types of therapy and how it effects the victim’s PTSD, trauma, stress, and anxiety levels. If …

Treatment Modalities In Pediatric Depression, Katie Mcnally

Thinking Matters Symposium Archive

The purpose of this evidence-based project is to answer the following question: In pediatric patients with Major Depressive Disorder (MDD), how does combination treatment with a Selective Serotonin Reuptake Inhibitor (SSRI) and cognitive behavior therapy (CBT) affect symptoms of depression, when compared with using only an SSRI?

Ot Department News- Issue #3

Department of Occupational Therapy Newsletter

In this Issue:

• Alumni Spotlight
• Alumni Highlights
• Faculty Spotlight
• International Experiences
• Advanced Practice Certificate
• New Faculty Spotlight
• Research Highlights
• Student Volunteers
• CREATE Day
• Department Chair Update
• Faculty News