Medicine and Health Sciences Commons^™

Social Aspects Of Food-Sensitive Adults, Jean Elizabeth Duane

Electronic Theses and Dissertations

People living with food-related illnesses find themselves subjugated by commonly held ideologies causing awkwardness in social situations. The current study is a qualitative analysis addressing how people with celiac disease (CD) navigate social situations in light of dominant beliefs that influence behaviors. Initially, I identify macro-level patriarchal, religious, sexist, ableist and etiquette-related commensality ideologies that disadvantage those with CD. Drawing from the communication narrative sense making (CNSM) theory that supports storytelling and memorable messages as a sense-making tool for individuals diagnosed with chronic illness and their family members, this work highlights retrospective stories and memorable messages from 20 randomly selected …

Exploring Early Temperament Predictors Of Maladaptive Behavior In A Group Of Elementary School Age Children With Autism Spectrum Disorder, Caren D. Rhodes-Doudna

Electronic Theses and Dissertations

The current study is an ex post facto nonexperimental design analyzing archival data collected from previous trials of a large-scale longitudinal study conducted by researchers at JFK Partners, Center of Excellence in Autism and Neurodevelopmental Disabilities in collaboration with the University of Colorado Anschutz Medical School (Principal Investigator: Susan Hepburn, Ph.D.). Specifically, the study looked at the temperament characteristics of mood, intensity, adaptability, and approach measured within early childhood and how they relate to later maladaptive behavior within a group of elementary age children diagnosed with ASD. Maladaptive behavior is a particularly salient outcome, as it impacts the child and …

How Informational Imperfections Lead To Sub-Optimal Solutions In Health Savings Plan And Potential Remedies In A Competitive Marketplace, Jacob Gene Dengg

Electronic Theses and Dissertations

In the growing trend of consumer-driven health insurance, more consumers than ever have access to a high-deductible health plan paired with a health savings account, where consumers can save pre-tax income for healthcare but also face higher out-of-pocket prices, in hopes that consumers will become smarter shoppers. The Health Savings Plan is successful at lowering costs, but at the expense of consumers lowering their adherence to healthcare, raising health risk. Even in a competitive market, HSP plan designs require smart shoppers and more active healthcare self-management, but without dealing with the informational imperfections that need to be overcome to encourage …

Stigma In The Post Crisis Age: External Barriers To Accessing Hiv Treatment, Internalized Trauma, And Strategies Of Support In Orlando, Florida, Julian Cerrell Nilsson

Electronic Theses and Dissertations

In 2017, The CDC (center for disease control and prevention) released a memo confirming popular medical opinion that an HIV positive person with an undetectable viral load was unable to transmit the HIV virus. While treatment and prevention options are advancing, this advancement may not translate directly into reduced stigma, which is produced and reproduced by external barriers to accessing healthcare, and internalized by HIV positive people as emotional trauma. This research explores the relationship between the availability of contemporary resources for the treatment and prevention of HIV/AIDS, and the environment of stigma experienced by positive gay and bisexual men …

Evaluation Of A Sexual Health Training For Child Welfare Workers, Katie Massey Comsb

Electronic Theses and Dissertations

Background: Elevated rates of early pregnancy and parenting among youth in foster care (YFC) are well documented. Training child welfare workers to provide sexual health information and resources is stated throughout the extant literature as a pressing need in efforts to prevent unintended pregnancy among YFC. However, few child welfare agencies offer such training to their workers, and little is known about the extent to which conversations about sexual and reproductive health already occur between child welfare workers and youth. Thus, this study aimed to: a) assess baseline attitudes, knowledge, and communication among child welfare workers regarding sexual health of …

Vegf Induced Differentiation Of Gingival Stem Cells To Endothelial Cells In Vitro, Garima Gupta

Student Theses, Dissertations and Capstones

Background: Birth defects that result in structural malformation of major organs are one of the major causes of mortality in children. Tissue engineering and regenerative medicine (TERM) strategies are particularly beneficial for the pediatric patients to correct these defects owing to their greater regenerative capacity compared to the adult population. Limited availability of pediatric patient’s auto-transplantation of organs makes TERM strategies as a promising alternative toconventional clinical procedures that utilize the grafts. Recent developments in stem cells technologies, there is an enormous potential for TERM in correcting birth defects and enhancing the life span in young population. However, the major …

Reaching Key Populations With Community-Based Hiv Test And Start Services In Lagos And Benue States In Nigeria: Baseline Findings, Project Soar

HIV and AIDS

Key populations (KPs), such as men who have sex with men (MSM), female sex workers (FSWs), and people who inject drugs, remain disproportionately affected by HIV compared to the general population. In Nigeria, HIV prevalence declined among the general population from 2007–18. Among key populations from 2007–14, HIV also decreased among FSWs, but increased among MSM. Evidence-based strategies to sustain the decline among the general population and FSWs, and mitigate the increase among MSM, are needed. Nigeria has adopted the World Health Organization’s “test and start” (TnS) strategy, which recommends initiating antiretroviral therapy (ART) by persons living with HIV as …

Meeting The Needs Of Orphans And Other Vulnerable Children: Learnings From Project Soar, Project Soar

HIV and AIDS

Orphans and other vulnerable children (OVC), including those living with HIV, often have a range of unmet needs, such as education, food security, psychosocial support, and access to health care. Project SOAR is documenting the unique vulnerabilities of OVC and their caregivers, and examining strategies to mitigate the impacts of HIV on them. This brief presents a summary of the SOAR portfolio, including a prospective cohort study of young people living with HIV in Zambia, an evaluation of an HIV risk screening tool among OVC in Tanzania, and a systematic review of promising interventions to support engagement and treatment adherence …

Evolution Of Occupational Therapy Practice: Life History Of Joan Rogers, Phd, Otr/L, Faota, Michelle Arnhalt, Ivy Steiger

Oral History Posters

Objective: This qualitative study was to examine the evolution of occupational therapy practice throughout the life history and career of Joan Rogers. The purpose of the study is to provide current and future generations of occupational therapists a view of the history and how occupational therapy practice has evolved from its inception to current practice through the life history stories of occupational therapists who have held leadership roles at the national level and beyond.

Method: The Kawa Model guided Semi-structured interview questions. Throughout the interview process, the researchers gained information regarding Joan Roger’s experiences related to gaining her occupational therapy …

Using Virtual Reality To Train Athletes, Brian Christoffersen

Master of Arts in Sport Management

Training athletes is an ever-evolving part of sports that, with the growth of the use of technology in sports, has become increasingly complex. Organizations and teams are constantly looking for new ways to be at the forefront of training development. As the development of virtual reality has moved forward, so has the ability to adopt these new technologies to a wide variety of areas. There are multiple systems already in existence that use virtual reality to train athletes. This proposed study aims to shed light on this promising technology to help athletes learn more efficiently and effectively in a safe …

Young Children’S Family History Of Stuttering And Their Articulation, Language And Attentional Abilities: An Exploratory Study, Victoria Tumanova, Dahye Choi, Edward G. Conture, Chagit E. Clark, Tedra A. Walden, Robin M. Jones

Communication Sciences and Disorders - All Scholarship

Purpose—The purpose of this study was to determine whether young children who do (CWS) and do not stutter (CWNS) with a positive versus negative family history of stuttering differ in articulation, language and attentional abilities and family histories of articulation, language and attention related disorders.

Method—Participants were 25 young CWS and 50 young CWNS. All 75 participants’ caregivers consistently reported a positive or negative family history of stuttering across three consecutive time points that were about 8 months apart for a total of approximately 16 months. Each participant’s family history focused on the same, relatively limited number of generations (i.e., …

Central Glucagon-Like Peptide-1 Receptor Signaling Via Brainstem Catecholamine Neurons Counteracts Hypertension In Spontaneously Hypertensive Rats, Kenichi Katsurada, Masanori Nakata, Toshinobu Saito, Boyang Zhang, Yuko Maejima, Shyam Sundar Nandi, Neeru M. Sharma, Kaushik K. Patel, Kazuomi Kario, Toshihiko Yada

Journal Articles: Cellular & Integrative Physiology

Glucagon-like peptide-1 receptor (GLP-1R) agonists, widely used to treat type 2 diabetes, reduce blood pressure (BP) in hypertensive patients. Whether this action involves central mechanisms is unknown. We here report that repeated lateral ventricular (LV) injection of GLP-1R agonist, liraglutide, once daily for 15 days counteracted the development of hypertension in spontaneously hypertensive rats (SHR). In parallel, it suppressed urinary norepinephrine excretion, and induced c-Fos expressions in the area postrema (AP) and nucleus tractus solitarius (NTS) of brainstem including the NTS neurons immunoreactive to dopamine beta-hydroxylase (DBH). Acute administration of liraglutide into fourth ventricle, the area with easy access to …

Mobile Video Monitoring To Reduce Falls And Sitter Usage, Jennifer L. Forman

Doctor of Nursing Practice Projects

In the United States between 700,000 to 1,000,000 people fall in hospitals each year. Reducing patient falls in the inpatient setting remains a challenge for many acute care hospitals. Inpatient falls can lead to serious injuries such as fractures and internal bleeding. Fall-related complications can lead to increased hospital stay, prolonged rehabilitation, and increased healthcare costs. Inpatient falls are considered preventable. One intervention commonly used to prevent falls and keep patients safe is the use of an in-person sitter or a patient safety companion (PSC). However, sitters are very costly and considered a variable staffing resource. The need for a …

What Stops Some Occupational Therapy Practitoners From Providing Fieldwork Education?, Jacqueline S. Schafer-Clay

Occupational Therapy Doctorate Capstone Projects

A critical fieldwork shortage exists for the profession of occupational therapy and an evidence gap was found; literature with practitioners who do not provide fieldwork education was missing. The purpose of this capstone project was to identify the barriers that stop some occupational therapy practitioners from providing fieldwork education and what benefits and supports may motivate these same individuals to become fieldwork educators. A quantitative descriptive and correlational study with an online survey design, with 25 closed ended questions was distributed through snowball sampling across the United States. Responses were received from 42 states plus the District of Columbia. There …

Incorporating Meaningful Occupations Of Students With Moderate To Severe Intellectual Disabilities Into Structured Learning Experiences With Transition Planning At A Public School System, Catherine Gardner

Occupational Therapy Doctorate Capstone Projects

The purpose of this capstone project was to learn from stakeholders how to identify meaningful occupations of students with moderate to severe intellectual disabilities and how to incorporate them into their structured learning experiences in school to help them prepare for adult life upon graduation at 21 years old. The project also sought to explore how to involve the students and their families in the process of identifying meaningful occupations.

Libro De Actividades Por El Mes Nacional De La Salud Dental Infantil [Spanish Language Version: National Children's Dental Health Month Activity Book] (2019), American Dental Association Foundation

National Children's Dental Health Month

No abstract provided.

Reliability Of Smartphone Inclinometry To Measure Upper Cervical Range Of Motion, Paul Ullucci

Health & Wellness Department Faculty Publications and Research

Context: Assessment of upper cervical range of motion (UCROM) and mobility is commonly performed in the clinical setting for patients suffering from headache, neck pain, and vestibular dysfunction. Reliable and reproducible measurement of this motion is often difficult or too expensive to perform in the clinical setting. Smartphone applications using the device's internal gyroscope offer an easy and inexpensive means of measuring UCROM, but their reliability has not been reported in the literature. Objective: To assess the reliability of an inclinometer application installed on 2 different devices (iPhone 6 [IP] and android [AN]) and to measure UCROM in a healthy …

The Education And Social Reform Of Al-Azhar University: A Short Historical Commentary, Basil H. Aboul-Enein

Health & Wellness Department Faculty Publications and Research

The concept of the university is perhaps one of the oldest social institutions in the world and plays an intricate and pivotal role in societies in various cultures. Every university has a unique story in its history, growth, controversies, and its on-going survival. The role of each respective university's faculty and academic leadership has a certain level of professional interaction in terms of their role and contract with society. This paper examines the historical evolution, challenges, reforms, and proposed prediction of the renowned Al-Azhar University of Cairo, Egypt.

The Impact Of An Occupation Based Parkinson Caregiver Program On Caregiver's Quality Of Life, Jennifer L. Labonte

Occupational Therapy Doctorate Capstone Projects

The goal of the study was to enhance the PD patient’s caregiver’s ability to provide quality care to meet the ever changing needs of a neurodegenerative medical condition along with enhancing quality of life indicators of the caregiver. The community based program covered 7 topics over 4 consecutive weeks. The project design was an experimental one group pre and posttest design. The outcome measurement tool was the Parkinson Caregiver QOL Index. Data was analyzed utilizing a paired t-test for individual questions and the total score on the Parkinson Caregiver QOL Scale. No statistical significance was found between pretest and posttest …

Parental Self-Efficacy Of The “Unexpected Parent”, Cinthia L. Arbogast

Occupational Therapy Doctorate Capstone Projects

Background: Research focused on the “unexpected parent” is limited. This population of parent is increasing in frequency.

Purpose: The purpose of this capstone study was to provide support to unexpected parents. The study focused on the area of establishing and maintaining routines and consistency as a means to decrease negative behavior in order to improve parental selfefficacy. With improved skills and perceived improved abilities, the aim of this study was to improve this performance of this group of parents during their participation in the occupation of parenting.

Theoretical Framework. The theory driving this research is the occupation-based model called the …

The Effect Of A Perioperative Nursing Elective On Nursing Career Paths, Nola A. Schmidt, Janet M. Brown

Nursing and Health Professions Faculty Publications

Nurse educators play a role in addressing the growing perioperative nurse shortage in the United States by implementing strategies to entice new graduates to this specialty. The purpose of our study was to determine if an undergraduate perioperative nursing elective influenced the career choices of nurses four to nine years after they graduated from a baccalaureate nursing program in the midwestern United States. Using a descriptive study design, 23 of 50 nurses responded to a survey about positions they have held since graduating and the influence of a perioperative nursing elective on their career choices. Twenty- six percent of nurses …

Aspirin Use Following Preeclampsia To Prevent Future Adverse Cardiovascular Outcomes, Kristi Bohlig

Physician Assistant Scholarly Project Posters

• Introduction: Preeclampsia during pregnancy warrants therapy with low dose aspirin. The purpose of this review is to investigate if these women are at increased future risk for cardiovascular morbidity and mortality, and if aspirin therapy prevents future cardiovascular events.

• Research Questions: Do women who had preeclampsia during pregnancy have increased future cardiovascular morbidity and mortality? • Does continued aspirin use in postpartum women, who had preeclampsia during pregnancy; decrease future cardiovascular morbidity and mortality?

• Research Methods: Literature review was conducted utilizing CINAHL, Dynamed plus and PubMed databases.

• Discussion: Many studies have found that preeclampsia does increase …

Embolus Prevention: Anticoagulant Therapy In Comparison To Watchman's Procedure In Patients With Atrial Fibrillation, Erik Fladmo

Physician Assistant Scholarly Project Posters

• Atrial fibrillation or A-fib is a common cardiac disease that occurs as individuals get older.

• A risk factor of atrial fibrillation is blood clot formation and dislodgement or ‘embolus’ in the left atrium.

• Current treatment methods to prevent clot formation include anticoagulants, as well as a left atrial appendage closure device, The Watchman’s device is the only FDA approved left atrial appendage closure device.

• Study results confirm the rising efficacy and cost effectiveness of Watchman’s device versus long term anticoagulant therapy as well as their adverse effects regarding placement and post procedure; however further randomized control …

Can Early Intervention With Group Therapy Or Individual Therapy Improve The Family Dynamic In Ptsd Patients?, Killian Norton

Physician Assistant Scholarly Project Posters

Post Traumatic Stress Disorder (PTSD) is a mental health disorder that affects an individual directly, while also affecting their family members around them. While PTSD is not directly correlated to the development of Secondary Stress Disorder (STS), PTSD has been shown to lead to increased rates of divorce and mood disorders in children whose parents are diagnosed with PTSD. Children who have grown up with divorced parents, or parents with PTSD, have been shown to have an increased chances of developing mood disorders and risky lifestyle behaviors. The combination of having a parent with PTSD and being divorced would likely …

Comparing Screening And Treatment Of Bacterial Vaginosis And Pregnancy Outcomes, Stephanie Severson

Physician Assistant Scholarly Project Posters

• Evidence shows that bacterial vaginosis (BV) can lead to poor perinatal outcomes.

• The goal of this project is to answer the question of which pregnant patients should be screened for BV and does identification and treatment of BV during pregnancy improve perinatal outcomes.

• Due to variability in a multitude of factors, a generalized recommendation is difficult to make. Lack of recommendations are largely due to harm of treatment in those who were misdiagnosed.

• The development of polymerase chain reaction (PCR) has the capability to reduce misdiagnosis.

• Newer studies have shown benefit of early screening and …

Comparison Of Pharmacologic Treatments For Postmenopausal Osteoporosis, Kaitlyn Wirtz

Physician Assistant Scholarly Project Posters

• The prevalence of osteoporosis in the United States in adults > 50 years of age is “more than 10 million people overall and 33 million have low bone mineral density (BMD) at the hip” (DynaMed Plus, 2018).

• To combat postmenopausal osteoporosis, two treatment options include bisphosphonates and the anti-receptor activator of nuclear factor kappa β ligand (RANKL) agent (denosumab).

• The purpose of this scholarly project is to determine if there is a statistical significance regarding safety, efficacy, and preference between bisphosphonates and denosumab.

• Three databases were searched: PubMed, CINAHL, and Cochrane Database of Systematic Reviews. Topics researched …

A Comparison Of Pharmacologic Interventions In Pregnant Women With Opioid Use Disorder, Catherine K. Bopp

Physician Assistant Scholarly Project Posters

The purpose of this research and systematic literature review is to determine which pharmacotherapeutic agent, methadone or buprenorphine, leads to better outcomes in cases of pregnant mothers with opioid use disorder (OUD).

Outcomes considered are maternal compliance, neonatal abstinence syndrome severity, and neonatal length of hospital stay. In the review, PubMed, Clinical Key, Cochrane Database of Systematic Reviews, and DynaMed Plus were searched. Key terms searched were “methadone, buprenorphine, pregnancy”, “opioids, pregnancy”, “neonatal abstinence syndrome” and “medication assisted treatment, pregnancy”. Several studies were excluded, as their study population was not specified to have diagnosed OUD in pregnancy. The drawbacks to …

Reducing The Health Care Burden Caused By Undocumented Immigrants, Juan Carlos Ramirez

Physician Assistant Scholarly Project Posters

Uncompensated health care and Emergency Department (ED) overcrowding are a national crisis in the United States, and uninsured patients are a major contributor. Undocumented Immigrants (UIs) are a large component of the uninsured patient population.

 The purpose of this study is to evaluate for efficacy and taxpayer value two large-scale potential solutions: Federally Qualified Health Centers (FQHCs), and expanded Medicaid.

 The method of research included a variety of key terms in electronic search databases such as CINAHL Complete, PubMed, and Google Scholar, and only articles published between 2014 and 2018 by peer reviewed journals or gray literature (.gov) …

Provider Suicide, Amy Quinn

Physician Assistant Scholarly Project Posters

The purpose of this research and systematic literature review is to determine the risks factors for, the identification of and repercussions of provider suicide. In this review, databases searched included Pubmed , Cochran Database of Systematic Reviews, PsycInfo , National Institute of Health, Medscape and Google Scholar from September 8, 2018 to January 13, 2019. A variety of key terms were used when searching include suicide, provider suicide, suicide, costs of suicide, physician burnout, physician assistant burnout, nurse burnout, doctor suicide, physician assistant suicide, and nurse practitioner suicide . Works chosen for review were published between 1979 and 2018, as …

Use Of Beta Antagonists Or Hmg Coa Reductase Inhibitors For Cardio Protection During Chemotherapy In Oncology Patients, Nichole Streich

Physician Assistant Scholarly Project Posters

Over the years, oncologists are better able to fight cancer and have increased cancer survival, but we are also finding that these lifesaving therapies can affect the heart and other parts of the body in a negative way. Chemotherapy is excellent at destroying cancer cells, but it also causes collateral damage to other healthy cells. There are certain chemotherapeutic agents that are known to cause cardiotoxicity. Currently we are monitoring the heart function of the patients who are receiving these cardiotoxic drugs prior to starting the chemotherapy as well as during and after treatment. However, there are currently no recommendations …