Medicine and Health Sciences Commons^™

Evolution Of Occupational Therapy Practice: Life History Of Julie D Bass, Phd, Otr/L, Faota, Michaela Zins, Taylor Beatty

Oral History Posters

Objective: The purpose of the life history of Julie Bass, PhD, OTR/L, FAOTA, is to gain an insight into her life, her leadership experiences, and her years of work in the occupational therapy (OT) profession to provide current and future generations of occupational therapists a view of how occupational therapy practice has evolved over time.

Method: An in-depth, semi-structured interview was guided by an interview schedule prepared by the project directors. The interview took place via Zoom conference at the University of North Dakota and lasted two hours. The interview was transcribed verbatim and coded with 22 codes. The codes …

Fertility Options For Women With Endometriosis: In Vitro Fertilization Versus Surgical Excision Or Ablation, Jenny L. Brown

Oral History Posters

Endometriosis negatively affects the fertility of many women of reproductive age worldwide. Some women with endometriosis are able to conceive without reproduction assistance, while others require medical intervention. In vitro fertilization and surgical management are available and widely used in the treatment of endometriosis associated infertility. In vitro fertilization has been found to be effective in women with stages I-IV endometriosis, with varying degrees of success at each stage. These varying results may be due to oocyte quality and availability as well as endometriosis location. Surgical excision and/or surgical ablation of endometriosis/endometriomas may also improve chance of successful pregnancy but …

Ua82 Response To Wku Covid-19 Testing Plan, Wku American Association Of University Professors

University Organizations

Statement issued by WKU American Association of University Professors regarding COVID-19 testing plan implemented by WKU.

Rural Community Development As A Teaching Environment For Cross-Professional Training In Macro Social Work And Community And Regional Planning, Elizabeth Shay, Maureen Macnamara

Contemporary Rural Social Work Journal

A rural community development project combined faculty and students from two courses (community and regional planning, and social work practice in groups, communities, and organizations) housed in different colleges (Arts and Sciences, and Health Sciences, respectively) at a medium-sized public university in a small Appalachian community. The project required students from two different courses to cooperate on data collection, and collaborate on analysis and recommendations, in an exploratory effort at cross-professional training focusing on social work and community development in a rural region.

Understanding Pseudomonas Aeruginosa Alginate Regulation And Its Link To Chronic Lung Infections In Cystic Fibrosis Patients, Roy Al Ahmar

Theses, Dissertations and Capstones

Cystic Fibrosis (CF) is a genetic disorder caused by mutations in the gene encoding Cystic Fibrosis Transmembrane Conductance Regulator (CFTR). This disorder results in thick lung secretions which compromise the patient’s immune system. Chronic lung infections with Pseudomonas aeruginosa biofilms is a major factor that contributes to poor outcome for clinical treatment. The overall hypothesis of this dissertation is that small colony variant and pyrimidine biosynthesis are linked with biofilm formation, alginate production is dependent on MucA proteolysis, rifaximin can be repurposed to treat biofilm infection and multiplex PCR can be used to rapidly measure the bacterial cell density in …

Occupational Therapy And Veterans’ Resiliency Post-Amputation: Addressing Psychosocial Needs, Alexandra K. Broussard

OT Student Capstones

PURPOSE/OBJECTIVES: The purpose of this project is to identify: (a) the unmet needs of veterans’ post-amputation, (b) gaps in successful promotion of resilience, recovery, and reintegration, (c) role of occupational therapy in promoting resilience, recovery, and reintegration. METHODS: Needs assessment to identify the unmet needs to address psychosocial adjustment post-amputation from the perspectives of veterans and healthcare providers. RESULTS: This project revealed several themes from the experiences of veterans’ post- amputation and healthcare providers who treated veterans’ post-amputation. DISCUSSION: There is limited research incorporating mental health occupational therapy to improve resiliency for veterans’ post-amputation. IMPLICATIONS FOR PRACTICE: This supports the …

Multi-Limb Control And Attention During Simulated Driving In Parkinson’S Disease: Study Methods And Discussion From An Occupational Therapy Perspective, Emily Mcfadden

OT Student Capstones

Driving is an important activity that enables independence and cessation of driving leads to decreased quality of life including depression, poorer health outcomes, and decreased longevity. Distraction and multi-tasking while driving often leads to disastrous results, highlighting the importance of attention and cognition for safe driving. Drivers with Parkinson’s Disease (PD) are at particular risk for driving cessation or reduced safety due to progressive difficulties in both motor and cognitive function. A characteristic feature of cognitive impairment in PD is difficulty to begin or change self-initiated movement based on implicit or contextual cues. People with PD rely more heavily on …

Healthy Brains, Healthy Bodies: A Program Designed To Address Mealtime Routines And Self- Regulation In Children With Dual Diagnosis, Heather Warner

OT Student Capstones

Trauma can be defined as an actual or posed threat that could cause or has caused harm to an individual (National Child Traumatic Stress Network, 2018). Situations that put a child at risk or have the perceived threat of putting a child’s life at risk are defined as traumatic and can cause serious detrimental developmental changes. For this particular doctoral project, programs were designed by an occupational therapy student for Tennyson Center for Children, a facility that works with at-risk children and their families, to address concerns in both the school and community-based setting for children who have experienced trauma. …

Sleep And Wellbeing At Phoenix Children’S Hospital, Rebecca Ls Knowles

OT Student Capstones

Background/Literature Review: Sleep and well-being have a dynamic, reciprocal relationship. A review of the literature suggests hospital night shift employees are vulnerable to health disparities due to circadian rhythm disruption, and experience low ratings of well-being. Methods: A multi-layered needs assessment included meetings with interdisciplinary representatives, review of employee satisfaction and attrition data, and interviews with night shift workers. Results: The needs assessment identified several unmet employee needs, including staffing, scheduling, and healthy food access. Insufficient staffing emerged as a barrier to employee health and well-being. Discussion: The results suggested that new graduates enter PCH enthusiastic and resilient but suffer …

An Examination Of Mothering Occupations In The Context Of Spinal Cord Injury, Gohar Ghushchyan-Tigranyan

OT Student Capstones

An examination of mothering occupations in the context of spinal cord injury across cultures, motherhood is a desired life trajectory that is strongly influenced by cultural norms and expectations. Mental or physical injuries can become a barrier to fulfilling this life goal, leaving a great sense of loss and feeling of failure for women (Albright, Duggan, and Rahman, 2009). This paper aims to understand the lives of mothers with spinal cord injury, the physical challenges and adaptation that they found around the disability, and the psychosocial impact of mothering from a wheelchair. This project will also investigate professional involvement, such …

Resiliency And Proactive Coping Methods Targeting Perceived Stress Levels In Older Adults, Katie Holmes

OT Student Capstones

Stress, or perceived stress, has the potential to be life-threatening to those that experience it on a regular basis. Community-dwelling older adults may be particularly vulnerable to perceived stress and its effects due to stressors such as negative life events, chronic disease or declining health, loss of loved ones experienced with the aging process, and social isolation. Stress and mental health and well-being are not being adequately addressed in independent and assisted living communities for older adults. An eight-week stress management program focusing on the concepts of resiliency and proactive coping was implemented at a local retirement community. An overall …

Board Games For Kids: Reducing Stress And Learning Through Play, Benjamin Wolf

OT Student Capstones

The aim of the project, Board Games for Kids was to provide an opportunity for underprivileged children to reduce stress and improve essential life skills through the occupation of play. Despite the lack of scholarly research, board games are widely considered to assist in the development of executive function skills necessary for future life skills. This program served as a pilot test and proof of concept. Clinical observation determined improvements in the development of appropriate play skills, and executive functioning skills such as planning, organizing, and sequencing. Staff observations noted improved peer to peer interactions, mood, and behaviors and abilities …

Case Report: A Modified Early Passive Mobilization Protocol For A Zone Ii Flexor Pollicis Longus Repair, Brandon Ryan

OT Student Capstones

A hand can be injured in many ways, but rehabilitation of a tendon laceration following a surgical repair can be one of the most challenging aspects of hand therapy. For example, rates of secondary repair due to complications, such as tendon rupture or tendon adhesion, have been reported to be as high as 17% (Dy et al., 2012). This can be especially problematic when considering the unique characteristics of the dynamics of thumb flexion when compared with that of the other digits. There are many different protocols for flexor tendon repairs, which can make it difficult for a therapist to …

Use Of The Alert Program® In A Sensory Room At An Emergency Children's Shelter, Sarah May Bautista

OT Student Capstones

Children who have experienced trauma have difficulty with behavioral self-regulation which effects social participation, play, and academics (Petrenchik & Weiss, 2015). Young children learn through exploration of their environment and gather information from the senses of taste, sight, touch, smell, sound, proprioception, and body movement (vestibular). As sensory information is gathered, the brain and body organize and interpret these sensations. The manner in which these senses are experienced determine which sensory experiences are preferred, and the nature of behavioral reactions. Children who have experienced trauma have difficulty managing stress, emotions, and daily routines. In the community occupational therapists can encourage …

Rigid Nail Fixation For Treatment Of Femur Fractures In Children Aged 6 To 12 Years: A Review, Brielle Payne Plost, David M. Bennett, Andrew W. Parsons, Matthew G. Wharton

UNM Orthopaedic Research Journal

Although femoral shaft fractures are common in children, treatment using rigid intramedullary nail fixation remains controversial owing to concerns of avascular necrosis (AVN) and disruption of growth of the proximal femur. We examined studies on AVN complications and proximal femur deformity after rigid nail fixation in children aged 6 to 12 years. Of the 13 studies included, nine had no incidents of AVN or clinically significant proximal femur deformity using a greater trochanter entry point. Four studies showed cases of AVN or proximal femoral deformity in patients treated with intramedullary nails through a starting point at or near the piriformis …

A Case Report: Factors Influencing The Physical Therapy Care Following Medical Treatment Of An Anaplastic Oligodendroglioma, Connor Camrud

Physical Therapy Scholarly Projects

Purpose The purpose of this case report is to describe the clinical decision-making processes of the physical therapy (PT) care for a patient who was diagnosed with an anaplastic oligodendroglioma and subsequently had surgical decompression and resection, chemotherapy, and radiation.

Background Anaplastic oligodendrogliomas account for 3% to 20% of all brain tumors. The incidence of this tumor is 40% greater in males than females. Average onset occurs between 35 and 44 years of age. Anaplastic oligodendrogliomas commonly occur in the frontal lobes and are supratentorial. Patients will often present with headaches, new weakness, vision changes, and a decline in cognitive …

A Case Report: Adhesive Capsulitis And Physical Therapy Intervention, Haley Brenner

Physical Therapy Scholarly Projects

Background and Purpose The purpose of this case report is to describe the physical therapy interventions for a patient with adhesive capsulitis.

Case Description The patient was a 68-year-old right-handed male who presented with left shoulder pain and limited range of motion (ROM) following a fall 7 months prior. The patient had a past medical history of type II diabetes mellitus. The diagnosis of adhesive capsulitis was determined following radiographs, mechanism of injury, past medical history, and physical therapy examination and evaluation.

Intervention The patient was seen for a total of 8 physical therapy sessions over the span of 6 …

Collaborative Physical And Music Therapy Interventions For Impairments Of Chronic Stroke: A Case Study, Jake Leverington, Kelsey Bell

Physical Therapy Scholarly Projects

[Background and Purpose] In the United States, the annual prevalence of stroke is estimated to be 800,000. 1 Following a stroke, physical therapy (PT) interventions aim to help individuals recover from impairments such as muscle weakness and overall functional limitation. Current research supports both physical and music therapy (MT) interventions on an individual basis. The purpose of this case study was to evaluate the effectiveness of combined PT and MT interventions for strength, balance, gait, and functional activity for person following stroke.

[Case Description] The patient is a 50- year-old caucasian female post right cerebral vascular accident (CVA) with left …

Electromyographic (Emg) Activity Of The Gluteus Medius During Various Hip Exercises, Kalie Maiden, Mitchell Karbo, Taylor Doeden, Analise Richtsmeier

Physical Therapy Scholarly Projects

Background and Purpose. The purpose of the study was to record and analyze muscle recruitment patterns of the gluteus medius and gluteus maximus muscles when performing a side lying abduction exercise requiring consistent force to roll a ball up and down the wall using the dominant lower extremity. Comparisons were made between the use of either a small, medium or large ball. The subjects performed a standing abduction exercises with theraband around both ankles as well.

Case Description. Fifteen subjects were recruited from the University of North Dakota Department of Physical Therapy to perform the four different types of exercises. …

Collaboration Between Physical Therapy And Music Therapy: A Case Study Of The Interventions And Their Effects On Parkinson's Disease, Mercedes Stein, Kristyn Bergh

Physical Therapy Scholarly Projects

Background and Purpose: Parkinson's Disease is a chronic and progressive neurological disorder that causes motor dysfunction leading to dyskinesia, bradykinesia, muscular rigidity, resting tremors, postural impairments, and gait impairments. These impairments can have a tremendous negative impact on a person's everyday life. This case study demonstrates the collaboration of physical therapy and music therapy interventions and its effects on a female with Parkinson's Disease.

Case Description: The patient is a 72-year old female diagnosed with Parkinson's Disease around 2010. Her primary reason for seeking treatment is due to an increase in freezing of gait and overall decrease in mobility that …

The Effect Of One Night Of Sleep Restriction On Aerobic Exercise Performance, Lindsay Lickers

Senior Honors Projects, 2010-2019

Purpose: Sleep is essential for bodily recovery and is especially important for athletes who will sustain high volumes of muscle damage. Many athletes struggle to get enough sleep, particularly the night prior to competition for a variety of reasons. Long term sleep deprivation has definitively shown negative effects on athletic performance; however, little is known about the effect of a single night of reduced sleep.Methods: Complete data was gathered on nine subjects. Following VO2max testing and a familiarization trial, subjects performed two experimental trials that concluded with simulated 3- km time trials on a cycle ergometer: one …

Virginia Dental Journal (Vol. 96, No. 3, 2019)

Virginia Dental Journal

No abstract provided.

Using Er:Yag Laser To Remove Lithium Disilicate Crowns From Zirconia Implant Abutments: An In Vitro Study, Janina Golob Deeb, Sompop Bencharit, Nishchal Dalal, Aous Abdulmajeed, Kinga Grzech-Leśniak

Periodontics Publications

Background
When implants are restored with cement-retained restorations, prosthetic retrievability can be difficult and often requires sectioning using rotary instruments. Sometimes repeated removals of a cement-retained implant crown are needed such as for treatment of peri-implantitis or immediate implant provisionalization. The purpose of this study was to evaluate the effect of erbium-doped yttrium aluminum garnet (Er:YAG) laser as a non-invasive treatment modality to remove lithium disilicate crowns from zirconia implant abutments following long-term cementation, repetitive debonding and re-cementation, and short-term retrieval.

Material and methods
Twenty identical lithium disilicate crowns were cemented onto zirconia prefabricated abutments using composite resin cement. Ten …

Analysis Of Wind Instruments On Orofacial Anatomy: A Review Of Literature, Regina M. Dixon, Samantha Chavez

Dental Hygiene Student Scholarship

The focus of this review of literature is on orofacial anatomy and their association with the longevity of wind instrument use. The importance of how playing wind instruments creates a disadvantage for the oral cavity and therapeutic approaches to decrease the adverse effects. Using the university’s library database and PubMed, the authors performed a thorough search on the literature of our topic. Specific key terms such as wind instrumentalists, oral health, orofacial anatomy, and therapy were used to conduct our search. The searched was limited to the English language and within five years of publications. The findings acknowledged pathologically infectious …

The Effect Of Artificial Sweeteners In Chewing Gum, Helpful Or Harmful?, Taylor Rue, Emily Liebe

Dental Hygiene Student Scholarship

Objective/Aims: This review of literature was designed to analyze the effects of artificial sweeteners in chewing gum in the oral cavity. The intent was to recognize which formulations of artificial sweeteners in chewing gum lead to beneficial outcomes in the oral cavity and which formulations lead to harmful effects.

Methods: The review of literature analyzed the conclusions of primary and secondary resources accumulated from PubMed. Multiple scholarly studies were filtered based upon meta-analysis, cross-sectional, and cohort studies. The following key terms were used: artificial sweetener, chewing gum, plaque, saliva, microbes, and oral health. A summative report was created based upon …

Untapped Potential Of Clinical Text For Opioid Surveillance, Amy L. Olex, Tamas Gal, Majid Afshar, Dmitriy Dligach, Niranjan Karnik, Travis Oakes, Brihat Sharma, Meng Xie, Bridget T. Mcinnes, Julian Solway, Abel Kho, William Cramer, F. Gerard Moeller

Wright Center for Clinical and Translational Research Works

Accurate surveillance is needed to combat the growing opioid epidemic. To investigate the potential volume of missed opioid overdoses, we compare overdose encounters identified by ICD-10-CM codes and an NLP pipeline from two different medical systems. Our results show that the NLP pipeline identified a larger percentage of OOD encounters than ICD-10-CM codes. Thus, incorporating sophisticated NLP techniques into current diagnostic methods has the potential to improve surveillance on the incidence of opioid overdoses.

The One Health Initiative: The Intersection Of Human, Animal, And Environmental Health, Mary Evelyn Pearsall

Senior Honors Projects, 2010-2019

The One Health concept is a global strategy for strengthening interdisciplinary collaborations among health care for humans, animals, and the environment. The purpose of this honors capstone project is to study the One Health Initiative and create a comprehensive thesis on what the initiative is and how it is relevant to different sectors of health. An overview of prevalent zoonotic diseases will be provided including how they are transmitted and their global relevance. Case studies on zoonotic diseases will be used in which the effectivity of a One Health approach can be analyzed. In addition, relevant sections on One Health …

Developing And Implementing Trauma Informed Care Principles: A Pilot Project, Lisa Blair Bell

Doctor of Nursing Practice (DNP) Final Clinical Projects, 2016-2019

Background: Exposure to childhood trauma have lifelong consequences effecting the health and well-being of the individuals who experienced or witnessed the trauma. As healthcare providers, we must recognize patients who have been exposed to trauma and ensure that it is responded to appropriately. This approach is known as trauma informed care.

Objective: The purpose of this quality improvement project was to increase knowledge, opinion, and self-rated competence related to trauma informed care through the use of an educational intervention. Application of trauma informed care into daily practice was monitored through semi-structured interviews with project participants.

Methods: Registered nurses from the …

Evaluation Of Hydrometric Network Efficacy And User Requirements In The Republic Of Ireland Via Expert Opinion And Statistical Analysis, Paul Hynds, Ahmed Nasr, Jean O'Dwyer

Articles

Decreased funding and shifting governmental priorities have resulted in a contraction of hydrometric measurement in many regions over the past two decades. Moreover, concerns exist with respect to appropriate data usage and (transboundary) exchange, in addition to the compatibility and extent of existing hydrometric datasets. These issues are undoubtedly magnified due to enhanced data demands and increased financial pressures on network managers, thus requiring new approaches to optimising the societal benefits and overall efficacy of hydrometric information for future socio-hydrological resilience. The current study employed a quantitative cross-sectional expert elicitation of 203 respondents to collate, analyse and assess hydrometric network …

The Efficacy Of Custom And Prefabricated Orthotic Interventions For Common Running Related Injuries, Jake Tavernite

Writing Across the Curriculum

One of the most popular sports in the world is running. Nearly 17 million people in the United States alone crossed finish lines in road races in 2017.¹ Unfortunately, there is an extremely high rate of running related injuries (RRI) that prevent or hinder individuals from training and competing. A 2007 systematic review revealed that the incidence of lower extremity running related injuries ranges from 19.4% to 79.3%.² Orthotics are frequently prescribed as a conservative treatment option for various injuries such as plantar fasciitis (PF), patellofemoral pain syndrome (PFPS), medial tibial stress syndrome (MTSS), and stress fractures. Although …